Video & Transcript Research : 'cost efficiency'
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AL
Transcript Highlights:
- Many women face significant out-of-pocket cost after following up breast cancer imaging after a screening
- those additional testing and not having to stop and say, wait a minute, how much is that going to cost
- Many women face significant out-of-pocket cost after follow-up breast cancer imaging after a screening
- do that additional testing and not having to stop and say, wait a minute, how much is that going to cost
- cost after following follow-up<00:14:48.800>
breast <00:14:49.040>cancer <00:14:49.760>
Keywords:
HB300, Choctaw County, probate court, probate judge, recording fee, filing fee, deed tax, mortgage tax, deeds, mortgages, property records, recordation, county local act, local legislation, technology upgrades, digitalization of records, recordkeeping, county treasury, special fund, court administration
HI
Transcript Highlights:
- :41:45.520>
um <00:41:46.319>water pumps are very efficient um water pumps are very efficient - What this cycle cost analysis.
- <00:43:02.160>
The the most efficient way to do it. The the most efficient way to do it. - But what would it be additional cost?
- But what would it be additional cost?
Bills:
HB1739, HB1741, HB2606, HB2362, HB2608, HB2294, HB2431, HB2375, HB2582, HB2585, HB2231, HB1601, HB2424, HB1956
Keywords:
transit-oriented development, zoning, land use, urban planning, density, local governance, housing, inclusionary zoning, inclusionary mandate, affordable housing, below-market-rate housing, inclusionary housing, development exaction, impact fee, housing affordability impact fee, needs assessment study, financial feasibility, rough proportionality, essential nexus, county ordinance
Summary:
The committee on Water and Land met on February 19, 2026, and the chair opened by emphasizing strict time limits and that all bills would be deferred if the agenda was not completed before the noon session. The first major measure discussed was HB 1739 HD1, which would preempt county land-use authority in transit-oriented development areas. The Department of Planning supported the bill, saying it could promote state-funded TOD and infrastructure, while the city and county’s position was raised in questioning. Unite Here Local 5 opposed the bill, arguing it would strip counties of self-determination, disrupt state-county policy collaboration, and remove a check on unrestrained development. Committee members pressed the supporters on whether the bill was really about higher density and whether it would override local zoning and sustainability concerns.
The committee then heard testimony on HB 1741 HD1, a housing bill described by supporters as reducing inclusionary housing mandates and increasing supply. Grassroots Institute of Hawaii argued affordability mandates reduce overall housing production and raise market-rate prices, while a Zoom testifier said the bill would improve housing stability, health, and community outcomes for working families, kupuna, and young residents. Members asked about the bill’s needs assessment and who would conduct it, with a witness saying the counties would likely contract it out but that the bill did not clearly specify the reviewer.
HB 2668 HD1, dealing with water heating systems, drew testimony from the Hawaii State Energy Office and industry representatives. Supporters generally backed adding heat pumps to the law, but one solar-water-heater industry witness asked for amendments to remove or extend the current 15-year statutory life limit for solar water heaters and to update outdated standards and variance rules. A Kauaʻi Climate Action Coalition witness opposed the existing solar-only structure, arguing heat pump water heaters are cheaper, align with climate goals, and should be allowed without a variance. The Energy Office said the current law already allows variances in some cases, suggested adding high-efficiency heat pump water heaters to the exemption, and said the 15-year figure may be too short, with 18 years mentioned as a possible alternative. The committee also briefly moved through several other bills, including HB 2606 HD1 on off-site construction and HB 2362 HD1 on housing, with no notable testimony or action recorded in the excerpt.
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 6 Feb 10th, 2026 at 09:30 am
Oklahoma House Floor Meeting
Bills:
HB3281, HB3320, HB3081, HB3127, HB3128, HB3498, HB2035, HB3765, HB4324, HB3678, HB4170, HB3495, HB3040, HB3062, HB4140, HB4106, HB4109, HB4104, HB3581, HB3620, HB3942, HB3279, HB3378, HB3383, HB3413, HB3414, HB3415, HB3420, HB3130, HB3700, HB3379, HB3129, HB3132, HB3315, HB2950, HB3242, HB3041, HB4428, HB4429, HB1064, HB3265, HB3721, HB3028, HB3313, HB3588, HB3020, HB3724, HB3392, HB3466, HB4060, HJR1074, HB3501, HJR1070, HB3794, HB3796, HB3928, HB2955, HB4453, HB4460, HB4128, HB3659, HB3270, HB3145
Keywords:
administrative procedures, guidance documents, transparency, public inspection, rulemaking, sunset laws, statutory entities, regulatory compliance, emergency provisions, board re-creation, fire extinguisher, licensing, public safety, age qualification, State Fire Marshal, medical marijuana, employment rights, safety-sensitive positions, workplace policies, public assistance
LA
Transcript Highlights:
- we would have to go through the analysis, not just the inventory, but the financial accounting, the cost-benefit
- There is a question of whether it will cost $500,000, but I think it's not a question that it will at
- least cost $100,000.
Keywords:
gender-affirming care, gender affirming therapy, gender-affirming hormone therapy, transgender health, trans youth, LGBTQ, mental health, psychosis, psychiatric conditions, puberty blockers, androgen blockers, cross-sex hormones, estrogen, testosterone, informed consent, screening, monitoring protocols, Louisiana Department of Health, LDH, House Health and Welfare
LA
Louisiana 2026 Regular Session
Administration of Criminal Justice Mar 31st, 2026
Administration of Criminal Justice
Bills:
HB54, HB55, HB125, HB133, HB158, HB161, HB168, HB169, HB191, HB245, HB280, HB296, HB399, HB821, HB995
Keywords:
parole, rehabilitation, mental health, substance abuse, criminal justice reform, alternative sentencing, juror confidentiality, public records, criminal procedure, privacy, court disclosure, sex offender, sex offense, child predator, registry, registration, notification, supervised release, probation and parole, juvenile offender
AZ
Arizona 2026 Regular Session
03/25/2026 - Senate Health and Human Services
Health and Human Services
Transcript Highlights:
- out and solicit for information on what vendors can provide services to us to measure our fees and cost
- A 12.5 percent increase in diagnostic service costs would be approximately $6.9 million GF.
- A 12.5% increase in diagnostic service costs would be approximately 6.9 million GF.
- This bill is about Arizona health care cost containment system.
- It's about containing the cost of lab work, labs.
Keywords:
kinship care, child welfare, foster care, relative placement, child protection, vaccination mandates, mask requirements, public health, government entities, COVID-19, controlled substances, prescription monitoring, opioid crisis, healthcare regulations, patient safety, group homes, children's rights, safety protocols, employee training, mental health
Summary:
The committee heard a presentation from the University of Arizona College of Medicine Phoenix on its new tuition-free, three-year regional medical school branch in Yuma, which is intended to address Arizona’s primary care shortage by training students in a rural setting and linking them to rural residency opportunities. Members asked about who could apply, whether out-of-state applicants were eligible, and whether graduates would be required to remain in rural Arizona; the presenter said there is no post-graduation practice commitment, but the program is designed to encourage retention through rural training and residency placement.
The committee then considered several child welfare and behavioral health bills. HB 2923 would expand judicial review procedures for court-ordered mental health treatment, adding timelines, notice, counsel protections, and a clear-and-convincing standard for continued treatment; the sponsor and a retired judge said it fills gaps in a 1974 statute. HB 2035 would expand kinship foster care to extended family members, require more notice and written findings when kin placement is denied, and strengthen presumptions favoring placement with relatives or other significant adults; DCS said the bill largely reflects current policy but raised a timing concern about a required report before preliminary protective hearings. HB 2611 would create a Youth Safety Rights and Mental Health Protection Act for foster youth and group homes, adding rights related to immediate and unbiased health care, anti-bullying protections, retaliation safeguards, drug screening, and safety rules; foster youth and former foster youth testified strongly in support, while DCS was neutral and noted possible implementation and fiscal impacts.
The committee also heard HB 4004, which would require DCS to investigate credible abuse or neglect reports even when one parent is considered protective, and to take protective action when warranted. Several parents testified that DCS had previously closed or minimized cases because a protective parent existed, leaving children exposed to abuse; DCS did not testify against the bill, and members later said the agency should not use the presence of a safe parent as a reason not to investigate. The committee also considered pharmacy and AHCCCS-related bills: HB 2434 would revise the controlled substances prescription monitoring program and reporting requirements; HB 2732 would continue the State Board of Pharmacy; HB 2733 would make several pharmacy regulation changes including delivery, continuing education, and change-of-ownership rules; and HB 2932 would require AHCCCS contractors to reimburse noncontracting labs referred by contracting providers, which health plans opposed as undermining managed care tools while a lab provider argued it would improve fair payment and competition.
On the floor, the committee also took up HB 2086, which would prohibit government and business mask and vaccination mandates, HB 2830, which would require instruction on fetal and prenatal development and bar abortion-related curriculum materials, and HB 2035, HB 2434, HB 2611, HB 2732, HB 2733, HB 2923, HB 2932, and HB 4004. Amendments were adopted on several bills, including HB 2086, HB 2611, HB 2830, and HB 2932. Final committee votes gave HB 2035, HB 2086, HB 2434, HB 2611, HB 2732, HB 2733, HB 2830, HB 2923, HB 2932, and HB 4004 do-pass recommendations, with HB 2086, HB 2611, HB 2830, and HB 2932 reported as amended.
AL
Alabama 2026 1st Special Session
Alabama Senate State Governmental Affairs Committee Feb 25th, 2026
State Governmental Affairs
Keywords:
HB213, Calhoun County, board of registrars, registrar compensation, county commission, local legislation, election administration, county general fund, expense allowance, officeholder compensation, public officials pay, county election officials, Alabama Code 45-8-110, Teacher's Retirement System, TRS, DROP, Deferred Retirement Option Plan, retirement benefits, teacher retirement, classroom teacher
OK
Keywords:
transportation, oversize permit, overweight permit, permit fees, motor carrier, commercial trucking, heavy haul, wide load, special combination vehicle, manufactured home transport, portable building transport, utility poles, rural electric cooperative, farm equipment, agricultural hauling, bridge formula, load limits, weight limits, road funding, highway construction
OK
Transcript Highlights:
- For a follow-up, do we know what it costs for a hospital to obtain one?
- Do we know what it costs for a hospital to obtain one? What is the device cost?
- So I'm open to questions. ...partial umpire to help them mediate the cost.
- It doesn't reduce the cost of the underlying insurance itself.
- So, one, that would just add cost to the rate process, and that cost would probably be spread on to policyholders
Keywords:
insurance, nonadmitted insurers, surplus lines, insurance regulation, Oklahoma, health insurance, contracting entities, medical providers, enrollment, beneficiary rights, property and casualty, rates, filing, Insurance Commissioner, regulation, property, regulations, actuary, rate filing, independent review
HI
Transcript Highlights:
- And so with this this this efficiency<00:37:54.240>
automation <00:37:54.880>can <00:37: - 55.040>
be <00:37:55.359>supported efficiency automation can be supported efficiency automation - My name is Gabby Lorenzo Bodet, and I'm just going to read what I wrote to make sure that I'm efficient
- more of a commercial enterprise, uh, that would change potentially the zoning as well as the lease costs
- for these DAB leases lease costs for these DAB leases particular. particular. particular.
Keywords:
Hawaii Symphony Orchestra, state funding, public performances, educational programs, cultural arts funding, historic properties, preservation, inheritance, working group, public-private partnerships, sustainable funding, historic preservation, Hawaii Revised Statutes, construction, state review, burial sites, cultural artifacts, development review, phased review, administrative fees
Summary:
The committee heard testimony on Senate Bill 2603, which would designate the Hawaii Symphony Orchestra as the state orchestra of Hawaii. Testimony was uniformly supportive from the Attorney General’s office, the State Foundation on Culture and the Arts, Retail Merchants of Hawaii, Hawaii Youth Symphony, the Hawaii Symphony Orchestra, the Hawaiian Steel Guitar Association, and others. Supporters emphasized the bill’s value to arts education, cultural vitality, and the visitor economy. The chair noted there were also many written testimonies submitted, and the bill was left without questions or action in the excerpt.
The committee then took up Senate Bill 2083, which would create a state-owned historic properties preservation plan working group within DNR. The State Historic Preservation Division supported the bill and said it would help create a statewide database and better planning for state-owned historic properties, while noting its current review work is reactive and project-by-project. The committee asked about duplication and existing consultation processes; SHPD said it already reviews state projects under existing law and has in-house architectural staff. The measure was then set aside after brief discussion, with no vote shown in the excerpt.
Next was Senate Bill 2341, which would authorize phased review of certain private-property projects and change SHPD’s review deadlines. SHPD and the Office of Planning and Sustainable Development supported the bill, saying it could encourage more proactive, programmatic review and that the current average review time for simple projects is about 56 days. Several opponents, including Sierra Club of Hawaii, Bianca Isaki, Malama Kane Lua, and Tara Roas, argued phased review would delay projects, create conflict, and weaken historic preservation protections, especially for iwi kūpuna and burial sites. Committee members raised concerns about whether the bill conflicted with prior court decisions and asked SHPD for its view; SHPD said it was not a legal question for them and suggested a programmatic alternative. The bill was not voted on in the excerpt.
Finally, the committee began hearing Senate Bill 2306 on administrative fees for the Bureau of Conveyances. HGEA opposed the measure, focusing on a provision allowing the special fund to be used for qualified contractors, while the Bureau of Conveyances supported the bill as a fee correction that would equalize recording fees between systems. The bureau said specialized technical work sometimes requires outside contracting and that it could consider a contract period; the chair and members discussed the HGEA concern and asked whether the issue could be addressed. No final action was shown in the excerpt.
NM
Transcript Highlights:
- Also, if you think about just the cost of health care alone, If you think about just the cost of health
- We have all these factors and the cost of living that has increased substantially.
- You know, I believe that our members deserve a full cost-of-living adjustment.
- I believe that our members deserve a full cost-of-living adjustment.
- I think they deserve them, especially with the cost of living that we're incurring today.
Keywords:
educational retirement, annuity adjustments, cost of living, non-compounding payments, retirement benefits, STEM funding, education, innovation, public education, New Mexico, nominating committees, boards of regents, student representation, political party registration, New Mexico constitution, special education, office of special education, deputy secretary, public education department, IEP
TX
Texas 89th Regular
Senate Committee on Water, Agriculture, and Rural Affairs May 5th, 2025
Water, Agriculture and Rural Affairs
Transcript Highlights:
- strict construction requirements to extract fees from developers far beyond their means and actual costs
- These practices raise the cost of housing and infrastructure, and they are very relevant away from the
- fast-growing but underserved areas. extends cost-based fee protections to include developers, not just
- are imposing pipeline construction fees on developers that are greater than the actual reasonable costs
- This increases the cost for housing and any other commercial development.
Keywords:
agricultural conservation, land preservation, environmental protection, wildlife habitat, Texas Farm and Ranch, groundwater conservation district, Texas Water Code, water permit, permit amendment, groundwater permit, water rights, aquifer, well registration, exempt wells, beneficial use, water conservation, groundwater quality, well plugging, Hill Country Priority Groundwater Management Area, surface water resources
TX
Bills:
HB867, HB1347, HB1801, HB1820, HB2197, HB2617, HB3110, HB3166, HB3330, HB4237, HB4342, HB4629, HB4933, HJR148
Keywords:
criminal case dismissal, attorney discretion, law enforcement misconduct, judicial approval, evidence, judicial consent, transparency, healthcare, Medicare, insurance, elderly, retired, benefits, access, cost, criminal justice, case dismissal, prosecutorial discretion, law enforcement oversight, criminal procedure
TX
Transcript Highlights:
- And so it costs them money.
- So I do them at cost; in other words, they just pay me what it costs for me to file stuff.
- Because of the bureaucracy and the cost, this bill seeks to eliminate a lot of that bureaucracy and cost
- They cost a lot of money.
- The system must focus on accuracy and integrity, not obtaining a conviction at all costs.
Bills:
HB867, HB1347, HB1801, HB1820, HB2197, HB2617, HB3110, HB3166, HB3330, HB4237, HB4342, HB4629, HB4933, HJR148
Keywords:
criminal case dismissal, attorney discretion, law enforcement misconduct, judicial approval, evidence, judicial consent, transparency, healthcare, Medicare, insurance, elderly, retired, benefits, access, cost, criminal justice, case dismissal, prosecutorial discretion, law enforcement oversight, criminal procedure
TX
Transcript Highlights:
- Misinformation can cost survivors their just and safety.
- . aims to increase the amount of youth who can access rehabilitative treatment and lower long-term costs
- The guys are trying to figure out. out who they could get, and it will cost them money.
- having to file for personal bankruptcy because my one decision to- The live fight to seek justice cost
- right now the crime victims compensation program, it helps victims and their families cover immediate cost
Keywords:
sexual assault, victim rights, forensic examination, medical care, trauma-informed care, crime victims compensation, evidence retention, child sexual abuse material, child pornography, digital services, reporting requirements, children's protection, sex offender registration, indecent assault, educator-student relationship, criminal justice, legislation, crime victims, compensation fund, information disclosure
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 3/26/25
Commerce Finance and Policy
Transcript Highlights:
- It'll drive up food costs.
- price fairness it'll drive up food costs price fairness it'll drive up food costs uh<01:14:40.159
- <01:25:47.239>
um actually quantities and efficiencies um actually quantities and efficiencies - will be assessed to Auto insurers costs will be assessed to Auto insurers adding<01:41:34.239>
costs - <01:44:21.920>
of 1940 um um that uh that the cost of 1940 um um that uh that the cost of
Keywords:
homeowners insurance, property insurance, commercial property insurance, insurance affordability, insurance market stabilization, reinsurance, catastrophic reinsurance fund, self-insured pool, premium costs, coverage notice, liability reform, climate risk, climate change, housing affordability, multifamily housing, rental housing, common interest communities, cooperatives, small business insurance, Minnesota Commerce Department
OK
Oklahoma 2026 Regular Session
Civil Judiciary REVISION 2: HB4094 and HB3407 - Added Feb 19th, 2026 at 10:30 am
Civil Judiciary
Transcript Highlights:
- There wasn't a fiscal impact statement on what the cost of such a program would be, and will we have
- have a database of everybody who regularly comes in carrying, there's going to be some significant cost
- I think about a year ago, the State Chamber put out a report about tort litigation and how much it costs
- our state and in our... ...litigation and how much it costs our state and our economic impact and also
- So House Bill 3321 ends the practice of issuing cost arrest warrants for people who have fallen behind
Bills:
HB1453, HB2933, HB2941, HB2945, HB2959, HB3087, HB3094, HB3297, HB3298, HB3319, HB3321, HB3386, HB3453, HB3471, HB3505, HB3510, HB3544, HB3549, HB3652, HB3727, HB3791, HB3845, HB3906, HB4119, HB4125, HB4126, HB4198, HB4236, HB4425, HB4343, HB4094, HB3407
Keywords:
foreign ownership, property rights, agricultural land, Attorney General, divestment, real estate, felony penalties, insurance regulation, homeowner claims, premium discounts, catastrophe mitigation, civil penalties, fentanyl, overdose, first responders, drug reporting, immunity, controlled substances, penalties, abortion
AZ
Arizona 2026 Regular Session
02/18/2026 - Senate Health and Human Services
Health and Human Services
Transcript Highlights:
- action to recover statutory damages in the amount of $10,000 per violation, plus attorney fees and costs
- as well as allows the court to award a plaintiff who prevails in an action punitive damages, court costs
- as well as allows the court to award a plaintiff who prevails in an action punitive damages, court costs
- But these costs can add up for people who are less financially secure.
- I'm trying to be quick and efficient as possible. Thank you very much. Thank you. It's a bond.
Bills:
SB1014, SB1094, SB1146, SB1177, SB1192, SB1194, SB1214, SB1372, SB1390, SB1398, SB1399, SB1494, SB1557, SB1561, SB1564, SB1602, SB1603, SB1621, SB1628, SB1629, SB1713, SB1752, SB1776, SB1813, SB1814, SB1821
Keywords:
gender transition, gender detransition, health insurance, medical procedures, insurance claims, official documents, Arizona law, gender reassignment, civil liability, minors, medical consent, detransition, dependent children, foster care, periodic review, court hearings, child welfare, public funds, prohibition, Arizona legislation
Summary:
The committee heard and acted on several health-related bills, with the longest discussion centered on SB 1214, the Arizona Stem Cell Therapy Act. The bill would regulate stem cell and birth tissue therapies, bar use of tissues derived from aborted fetuses or embryos, require informed consent and disclosure for non-FDA-approved therapies, and create civil and criminal penalties for violations. Supporters framed it as a patient-safety and bioscience-innovation measure, while opponents objected to the abortion-related language and felony penalties. The committee approved SB 1214 on a 4-3 vote.
The committee also advanced SB 1194, which would prohibit health professionals and institutions from denying care or reducing care quality based on vaccination status, and SB 1814, which creates a study committee on substance use disorder treatment standards and oversight. SB 1602, increasing monthly stipends for kinship foster care parents, and SB 1603, expanding child-only cash assistance eligibility for certain foster and relative placements, were both amended and passed unanimously. SB 1177, barring public funds from being used for gender transition procedures, and SB 1014, requiring insurance coverage for detransition care and related reporting, both drew strong support and opposition and were each approved on 4-3 votes.
Later, the committee unanimously passed SB 1628, requiring insurers and health plans to report claims-denial and prior-authorization data to DIFI for public reporting, and SB 1629, requiring AHCCCS managed care organizations to give advance notice and network-adequacy documentation before terminating high-volume providers without cause. Supporters of both bills emphasized transparency and patient access, while opponents argued the measures duplicated existing federal or state oversight. The committee then heard SB 1752, which would criminalize commercial harvesting or sale of mescaline while preserving a religious-use defense; the sponsor said it was intended to address improper sales of peyote-derived substances, but no final action on that bill was taken in the portion provided.
MN
Minnesota 2025-2026 Regular Session
House State Government Finance and Policy Committee 3/5/26
State Government Finance and Policy
Transcript Highlights:
- dollars in additional unforeseen costs. dollars in additional unforeseen costs. uh<00:20:35.039>
- Um, I'm I'm aware with the costs.
- ,<00:51:33.200>
if point that may incur a new cost, if point that may incur a new cost, if - state building operations efficiently. state building operations efficiently.
- <01:20:18.640>
Agencies reducing operating costs. Agencies reducing operating costs.
Keywords:
civil rights, law enforcement, federal collaboration, accountability, state law, immigration enforcement, economic impact, Operation Metro Surge, study, appropriation, local government, Legislative Commission on Legislative Security, legislator security, elected official security, staff security, statehouse security, capitol security, legislative district safety, political violence prevention, threat assessment
Summary:
The committee first attempted to approve minutes from February 24 and March 3, but members identified multiple spelling errors in names, so approval was held and the motion withdrawn. The committee then took up House File 3477, a bill by Representative Long proposing a civil remedy for constitutional violations by government actors, including federal actors. An author’s amendment (A4) was adopted to remove a subdivision and clarify retroactivity. In discussion, members raised concerns about Supremacy Clause and immigration-related issues; the author responded that the bill applies evenly to state and federal actors and is meant to enforce constitutional rights, not immigration law. After debate, the motion to re-refer the bill to the general register failed on a 6-7 vote, with one member excused.
The committee next heard House File 3480, authored by Representative Howard, which would commission an independent economic impact study of Operation Metro Surge. An A2 amendment was adopted to add a dollar amount for the study and clarify timing. Representative Howard said the study would help the legislature understand statewide impacts and noted reported harm to businesses, child care, schools, and local governments. Testimony in support came from Laura Santiago, reading a statement from Christopher Gomez of Willmar, who described ICE agents entering his family’s restaurant, the detention and deportation of family members, and resulting business losses. Rachel Ser, Minneapolis emergency management director, cited a preliminary city assessment estimating major impacts including food insecurity, lost wages, business revenue losses, hotel cancellations, and rental assistance needs. Some members questioned the cost and usefulness of the study, while others said suburban and greater Minnesota communities also wanted the data. The transcript ends during continued discussion of the bill.
TX
Transcript Highlights:
- Therefore, I think this is good government efficiency. help us reduce some property tax.
- So by extending it, you are adding costs.
- So we've now corrected that, and that reduces just the cost of the bill. By how much?
- of labor and the cost of materials breakdown is about 50-50.
- , cost-effective, and evidence-based methods.
Keywords:
HVAC, tax exemption, energy efficiency, residential heating, installation services, Energy Star, sales tax, residential, installation, sales tax exemption, Environmental Protection Agency, temporary exemption, motor fuel tax, county exemption, diesel fuel, gasoline tax, transportation funding, SB 1030, Texas Tax Code, use tax exemption