Transcript Highlights:

• To ensure transparency for consumers, the tax amount should be determined by the legislature and set
• Services through a new tax on consumers Services through a new tax on consumers there<03:06:01.640
• CTIA views this fee as a tax that would be passed on to consumers. Okay, and have you... follow up?
• This what may be minimal to one consumer may push them right over the edge on another.
• This what may be minimal to one consumer may push them right over the edge on another.

Keywords: 1191, senate, all

Transcript Highlights:

• And Article 6 has to do with the Crime Fraud Prevention Bureau, um, that was housed in the Minnesota
• They go after the bad people who commit insurance fraud.
• division, sworn police officers who have the ability to arrest the bad doers on insurance-related fraud
• They go after the bad people who commit insurance fraud.
• of the Crime Fraud Bureau. of the Crime Fraud Bureau.

Keywords: 1183, house

Transcript Highlights:

• That is like judging the entire pharmacy sector by a handful of fraud cases.
• claims, so it has a direct financial interest in characterizing as many claims as possible as waste, fraud
• That is like judging the entire pharmacy sector by a handful of fraud cases.
• That is like judging the entire pharmacy sector by a handful of fraud cases.
• That is like judging the entire pharmacy sector by a handful of fraud cases.

Bills: HCR92, HCR46, HCR172, HCR147, HCR112, HCR100, HR84, HR42, HR139, HR104, HR92

Keywords: automated external defibrillator, AED, cardiac arrest, state buildings, health education, public health, lifeguards, first responders, public safety, ocean safety, emergency response, Hawaii, workers' compensation, auditor, procurement audit, compliance, Department of Human Resources Development, transparency, accountability, medical care

Transcript Highlights:

• financial compliance or to reduce fraud financial compliance or to reduce fraud or<01:47:25.960>
• Fraud Control Unit in every state is responsible for actually investigating and pursuing fraud in New
• > every the Medicaid fraud control unit in every the Medicaid fraud control unit in every state
• I'm the Fraud, Waste, and Abuse Administrator, so Program Integrity, which is our Medicaid Provider Fraud
• <02:00:59.960> is primary places for which fraud is primary places for which fraud is detected

Keywords: 1189, house, all

Summary: House Finance Division III convened a work session on the DHHS budget, with the chair noting there would be no votes and that the committee would spend the day hearing from the commissioner’s office. Nathan White, DHHS Chief Financial Officer, opened with the Division of Finance/Office of Business Operations, explaining that the unit supports the department through daily financial management, AP/AR, audit work, expense projections, transfers, and procurement functions such as contracts, amendments, RFPs/RFAs, and grants management. He also described the division’s revenue and reporting work, including federal draws, CMS-64 reporting, and the public assistance cost allocation plan, and said the department had centralized rate-setting work and a small team handling Medicaid rate analysis and nursing facility rebase work. Members asked about vacancies, turnover, and budget changes. White said the division had 18 positions unfunded in the governor’s budget, reducing personal services from about $10.8 million to $9.9 million, and estimated the division’s vacancy rate at about 11 percent, below the department average. He said turnover was relatively low, with one retirement at the manager level and higher turnover mainly at lower AP-level positions. He also explained that some budget lines reflected reallocations rather than new spending, including fringe benefits centralized elsewhere and an EBT card contract moved into this unit because the staff member overseeing it works in Finance. When asked about a rent/lease increase, he said it was due to higher copier leasing costs under a statewide DAS contract. White highlighted several management and technology improvements. He said a business intelligence tool procured in 2022, using Salesforce and Excel-based data, helped DHHS better track federal revenue and maintenance-of-effort spending, reducing FY24 General Fund lapse by about 70 percent and federal/other revenue lapse by 88 percent compared with FY23; he warned that the tool is not funded in the current budget. He also described Lean Six Sigma efforts in the contracts team, training for vendors and nonprofits on procurement and indirect cost rules, and a Finance Academy to standardize policies and procedures. On the contracts side, he said the department uses Smartsheet for project management and DocuSign for electronic signatures, which cut contract execution time dramatically, but noted DocuSign is also not funded in the governor’s budget. The session ended as the committee prepared to move on to the Employee Assistance Program presentation.

Transcript Highlights:

• This bill deals with temp tag fraud, and those in the auto industry know kind of what we're talking about
• <00:11:00.480> with<00:11:00.720> temp<00:11:01.160> tag<00:11:01.720> fraud
• uh this bill deals with temp tag fraud uh this bill deals with temp tag fraud and<00:11:03.600><
• Motor Vehicle Commission to make a judgment so a mistake isn't met with the same penalty as deliberate fraud
• Motor Vehicle Commission to make a judgment so a mistake isn't met with the same penalty as deliberate fraud

Keywords: Roll Call 00:15 HJR 46 Discussion 00:43 HJR 46 Vote 2:58 HB 546 Discussion 04:10 HB 546 Vote 06:00 HB 443 Discussion 07:30 HB 443 Vote 09:35 HB 783 Discussion 10:29 HB 783 Vote 15:29, 958, all

Summary: The committee met with a quorum and first considered House Joint Resolution 46, a county priority projects resolution. Members approved a committee substitute that added $1.47 million and included Butler, Carroll, Casey, Cumberland, McGoffin, Monroe, and Nicholas counties. The resolution was then reported favorably with a title amendment and an expression of opinion that it should pass. The committee next took up House Bill 546, which creates the local assistance road program and related rules. The committee substitute moved $47 million from the state-supported construction program back to priority projects and amended the Transportation Cabinet budget to unlock I-69 funding tied to Garvey bonds. After discussion about continuing to refine the program, the committee approved the substitute, adopted a title amendment, and reported the bill favorably with an expression of opinion that it should pass. House Bill 443 was then heard, extending the Hal Rogers Parkway from Hazard along Kentucky Route 80 to Perry and Floyd to support future federal funding and four-laning of the corridor. The committee reported it favorably with the expression of opinion that it should pass. Finally, House Bill 783 was presented as a response to temporary tag fraud in auto sales, with testimony from Representative Jackson, Warren County Sheriff Brad Hightower, and the Kentucky Auto Dealers Association. Supporters said the bill adds enforcement tools, including felony penalties for serious violations and discretion for the Motor Vehicle Commission so mistakes are not treated the same as deliberate fraud. The committee voted to report the bill favorably with the expression of opinion that it should pass.

Transcript Highlights:

• after World War II, when this cyanobacteria was found in a lot of the natural vegetation that was consumed
• The state has been allowing physicians to get away with fraud.
• The state has been allowing physicians to get away with fraud.
• <04:49:13.160> New Physicians to get away with fraud New Physicians to get away with fraud
• begged us to solve this problem consumer begged us to solve this problem and<05:45:07.798> cited<

Keywords: 1189, house, all

Transcript Highlights:

• First, robust authority to investigate fraud and recover Medicaid overpayments.
• First, robust authority to investigate fraud and recover Medicaid overpayments.
• We have a big problem with fraud in that area.
• It does not attempt to measure any kind of fraud.
• There's fraud in Medicaid.

Summary: The Appropriations Committee considered a large agenda of bills and reported several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and a trust for Leila Estrada and Sapphire Williams, and CS/CS/SB 1266, which creates a cybersecurity experiential learning and clearance-readiness program through the Department of Commerce and Cyber Florida. The committee also approved SB 532 on clerks of court funding, allowing clerks to retain all excess Article V revenue rather than returning half to the state and clarifying foreclosure sale procedures. In addition, the committee passed CS/CS/SB 1602 and CS/CS/SB 1604 to create and fund a pilot housing program for veterans through the Florida Housing Finance Corporation, and CS/SB 1110 to expand Medicaid and private insurance coverage for medically necessary orthotics and prosthetics, including testimony from affected families and advocates. The committee also adopted an amendment and then favorably reported CS/CS/SB 1012 on inmate services, removing the bill’s medical-services compensation provisions while retaining changes to the inmate welfare trust fund and related facility uses. It also adopted a delete-all amendment and then favorably reported CS/CS/CS/SB 1614, which was narrowed to remove a provision allowing local governments to use excess fees to construct new buildings. The committee spent substantial time on CS/SB 17, a Medicaid oversight and transparency bill. The sponsor said the measure would create a joint legislative Medicaid oversight committee, authorize the Legislature to retain its own actuary, modernize Medicaid statutes, strengthen managed-care performance standards, and increase accountability for pharmacy benefit managers and related entities. After amendment, the committee adopted changes removing several PBM-related provisions while retaining the broader oversight framework. Testimony from supporters emphasized transparency, fraud prevention, and cost control, while a PBM trade association asked to continue working on affiliate-manufacturer, network, and payment issues. The bill was reported favorably. The most extensive discussion centered on CS/SB 1758, which proposes major changes to Medicaid and SNAP. The sponsor described five reforms: stronger fraud and overpayment recovery authority, a Medicaid work requirement for certain able-bodied adults, expanded behavioral-health services through Medicaid waivers, pharmacy-program changes to obtain rebates and reduce institutional costs, and SNAP/EBT reforms including photo IDs and work requirements. The committee adopted two amendments: one adding a transitional “glide path” for people who gain employment but risk losing Medicaid, and another exempting hospice patients with six months or less to live. Supporters argued the bill would reduce fraud, improve accountability, and encourage work, while opponents warned it would increase administrative burdens, push eligible people off coverage, and conflict with federal law or guidance. The bill remained under debate with extensive public testimony from advocates, providers, and affected families, and the transcript ends before final disposition on the measure.

Transcript Highlights:

• like identity theft or welfare fraud like identity theft or welfare fraud cases?
• Welfare fraud, or like public benefits fraud, basically.
• public<00:58:24.480> benefits welfare fraud or like public benefits welfare fraud or like
• Um those are three fraud basically.
• fraud. Um, of course, wage theft is like fraud.

Keywords: 1183, house

Transcript Highlights:

• say, let's get away, let's get rid of all of our inconveniences and make it so much easy that even fraud
• This bill opens the door to more fraud, the ease of obtaining fake driver's licenses... brought out that
• This bill opens the door to more fraud, the ease of obtaining fake driver's licenses, Opens the door
• to more fraud.
• So to say that you work at an election site and have seen fraud happening on a daily basis, it's just

Bills: AB534, AB562, AB595, AB597, AB600, SB74, SB226, SB422, SB488

Keywords: election reform, voter accessibility, conditional ballots, voter registration, mechanical voting systems, election audits, voter access grants, provisional ballot, voting technology, AB562, Nevada, Secretary of State, elections, elections management system, HAVA, Help America Vote Act, automatic voter registration, AVR, election technology, state appropriations

Transcript Highlights:

• I mean, who better to ferret out waste, fraud, and abuse, duplication, fragmentation, mission overlap
• ongoing management of how we approached UI and dealing with the circumstances of the pandemic and fraud
• And I know with some of the tools that ED2NEXT is putting in place the fraud analytics tools that are
• fraud position is much stronger than what it was obviously at the height of the pandemic.
• We talk about the fraud that was committed during the pandemic. area.

Keywords: 988, house, all

Transcript Highlights:

• And I yield myself such time as I may consume.
• I yield myself such time as I may consume.
• I yield myself such time as I may consume.
• Interest and health care costs are consuming this society, consuming this government.
• INTEREST AND HEALTH CARE COSTS ARE CONSUMING THIS SOCIETY, CONSUMING THIS GOVERNMENT.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, September 16, 2025, 1012, house, all

Transcript Highlights:

• county lines, especially when dealing with intangible personal property like cryptocurrency, online fraud
• This change aligns with current Texas law and other venue statutes in place for crimes such as fraud,
• county lines, especially when dealing with intangible personal property like cryptocurrency, online fraud
• This change aligns with current Texas law with other venue statutes in place for crimes such as fraud

Bills: HB2217

Keywords: law enforcement, bullet-resistant, grant program, safety equipment, peace officers

Summary: The Senate Committee on Criminal Justice met and considered two House bills. HB 2217 would create a grant program to help local law enforcement agencies equip patrol vehicles with bullet-resistant components such as windshields, side doors, and windows. Senator Hagenbuch explained that the measure is intended to improve officer safety in light of shootings through patrol car glass, and no invited or public testimony was offered. The committee voted 6-0 to report HB 2217 favorably to the full Senate and also recommended it for the open uncontested calendar. The committee then took up HB 2594, with Senator Creighton explaining that it updates venue rules for cybercrime and related theft cases involving intangible property such as cryptocurrency, online fraud, and intellectual property theft. The bill would allow prosecution in the county where the victim resides, where the defendant is apprehended, or where the defendant is extradited to, giving prosecutors more flexibility when crimes cross county lines. No questions or testimony were offered. The committee voted 6-0 to report HB 2594 favorably to the full Senate. It was also recommended for the local and uncontested calendar. After completing its business, the committee recessed subject to the call of the chair.

Transcript Highlights:

• It's ripe for fraud. I agree with Senator Hickey. It's ripe for fraud.
• There's been allegations of fraud and abuse of public funds.
• There's been allegations of fraud and abuse of public funds.
• Those abuses of public funds happen every meeting on a list in that committee of fraud and abuse with
• Those abuses of public funds happen every meeting on a list in that committee of fraud and abuse with

Summary: The Arkansas Legislative Council meeting began with approval of the December 2025 minutes and a presentation from the Bureau of Legislative Research on the December revenue report. Dr. Carlos Silva said gross collections were about $4.02 billion, up slightly from the prior year, and net available for distribution was also above last year but down modestly from the previous month because of higher-than-expected corporate income tax refunds. Members asked about corporate tax trends, tariffs, and inflation, and Silva said it was too early to call the corporate decline a trend and that tariff effects would likely show up mainly in sales tax collections. The council then adopted several subcommittee reports, including the Executive Committee Subcommittee, Administrative Rules, Hospital/Medicaid/Developmental Disabilities, Occupational Licensing Review, PEER, Review, State Insurance Program Oversight, and Personnel. The PEER report drew the most debate because of a Department of Agriculture grant tied to Perry County and Central Arkansas Water; members discussed whether removing the Perry County portion would affect the grant’s competitiveness, and the report was ultimately adopted with the item included. The Review Subcommittee also heard questions about a BDO contract for the rural health transformation program, with DFA explaining that the contractor would manage the program while state agencies would make funding decisions consistent with the state’s application. A major portion of the meeting focused on the Education Freedom Account appropriation tied to LEARNS. Senators and representatives debated whether the program helps families or diverts money from public schools, with supporters arguing it funds students and choice and opponents arguing it is costly, vulnerable to fraud, and harms public school funding. Department of Education officials said roughly 28,000 private school students and 17,500 homeschool students were participating, that EFA students must submit standardized tests annually, and that the requested $32 million was to cover existing participants. After multiple substitute motions and extended debate, the body rejected a motion to strip out the $32 million and then adopted the report and related motions. The meeting ended after routine approvals of additional agency items and adjournment.

Transcript Highlights:

• could certainly take a look at that and include any crime involving elections, including election fraud
• Senator Mills said that any kind of crime dealing with elections or election fraud should not allow a
• >> fraud >> fraud >> election<00:21:15.919> fraud.
• >> election fraud. >> election fraud.
• dealing with elections, election fraud dealing with elections, election fraud should<00:21:22.240

Keywords: Meeting Start: 00:00:03 Roll Call 00:00:10 Consideration of Referred Administrative Regulations 00:02:21 Discussion of the Restoration of Voting Rights 00:06:34 Discussion of the Application of NTI Days for Schools Designated by County Clerks as Polling Locations for Elections 00:25:20 Approval of Minutes from July 29, 2025 Meeting 00:32:22 Adjournment 00:32:49, 958, all

Summary: The committee first took up two fire commission regulatory amendments. Bruce Roberts, director of the Fire Commission, explained that one amendment updates financial disclosure reporting rules to align with changes to KRS 95A.55, including revised definitions, reporting requirements, and moving compliance reviews from every four years to an annual basis. The second amendment changes the deadline for fire departments to submit state aid documentation from July 31 to September and adds flexibility for departments affected by natural disasters by allowing a waiver process for missing, lost, or damaged documents. The committee approved the agency amendment by motion, second, and voice vote with no opposition. The main policy discussion centered on a proposed constitutional amendment to restore voting rights for people convicted of felonies after they complete their sentence and probation/parole. Senators Hickden and Herren said the proposal would restore only voting rights, not citizenship or the right to run for office, and would still exclude certain offenses such as treason, bribery in an election, sex offenses, violent offenses, and offenses against a child. They argued that Kentucky is one of only three states without automatic restoration, that the current governor’s executive order is temporary, and that the issue should be settled by constitutional amendment. Members asked about the relationship to expungement, costs, and whether election-related crimes should be included among the exceptions; the sponsors said expungement is separate and that they were open to refining the language. Several members voiced support, and the sponsors said they hoped to continue working on the proposal before the next session. The committee also discussed a practical issue involving schools used as polling places and conflicts with KDE testing days. The chair raised the possibility of adjusting testing schedules or using NI days at affected schools, while members noted that county clerks already have authority to use tax-funded buildings for elections and that schools have long been used because of ADA accessibility. Some members suggested a simpler fix would be to prevent KDE testing dates from overlapping with election dates, rather than changing NI-day rules or limiting clerks’ authority. The committee then approved the minutes and adjourned.

Transcript Highlights:

• in order to deal with fraud.
• And I would hope that we talk about the economic impact of fraud as well. >> Any other questions?
• and the economic impact of the fraud and the economic impact of the fraud that<01:24:09.199>
• But I don't want the fraud<01:25:54.159> conversation<01:25:55.199> to fraud conversation
• the economic impact of fraud as well. the economic impact of fraud as well.

Keywords: 1187, senate, all

Transcript Highlights:

• It modifies the definition of abuse, defines excluded, and modifies the definition of fraud, providing
• commissioner to withhold payments. to a participant if any department program has a credible allegation of fraud
• Unemployment Insurance Program without the consent of the subject of the data for investigations related to fraud
• of Inspector General (OIG) and their necessary authorities to effectively investigate suspicions of fraud
• authority in this continued partnership is critical to upholding program integrity and preventing fraud

Bills: HF1306

Keywords: education, school policy, teacher training, student health, emergency response

Transcript Highlights:

• They do make sure the documents pass general fraud detection procedures and are valid documents, but
• preventing fraud.
• This is to Representative Anderson's questions about security and fraud and those things.
• preventing fraud.
• This is to Representative Anderson's questions about security and fraud and those things.

Keywords: 1183, house

Summary: The committee took up House File 1335, a bill to authorize Minnesota digital/mobile driver’s licenses and related electronic credentialing. Chair Tapkey moved the bill as amended to Ways and Means, and the committee adopted the A2 author’s amendment changing the effective date. Tapkey described the bill as a modernization measure modeled on other states, intended to add convenience and security for ID checks at bars, restaurants, airports, hotels, and car rentals, while keeping physical IDs in place. Chair Kosnick objected that the bill’s subject matter should be heard in other committees, especially Commerce, Public Safety, and Judiciary, citing privacy and law-enforcement concerns, but the hearing continued. Several testifiers supported the broader move toward digital credentials and e-titling. Brian McDaniel of the Minnesota Licensed Beverage Association said the hospitality industry supports tools that make it harder for minors to access alcohol, while noting privacy concerns and wanting a role in developing the system. Amanda Doerr of the Minnesota Automobile Dealers Association supported the A3 amendment as an incremental step toward electronic titles and electronic signatures, saying Minnesota is behind other states and that the transition should be gradual. Jim Hurst of the Minnesota Deputy Registrars Association said deputies support moving toward e-titling but raised concerns about liability for fraudulent electronic documents and strongly opposed the A4 revenue-sharing amendment, warning it could put deputy registrars out of business. Sam Krieger, representing private deputy registrars, said the A4 amendment could exclude private deputies and close about half the offices in the state. Chair Tapkey said the A3 and A4 amendments were intended to improve customer service, digital access, and future title transfers, but after hearing objections, both amendments were withdrawn. The committee then considered the A5 amendment offered by Rep. Anderson, which would bar electronic driver’s licenses for people not lawfully present in the United States. Anderson argued it would prevent issuing credentials to people in the country illegally, including suspected terrorists. Opponents, including Rep. Kegel and Rep. Lucero Nicolai, argued it would create unequal treatment and could wrongly affect refugees or asylum seekers. DVS Director Pong Xiong testified that current applications do not include NCIC checks and that standard credentials are validated through document review rather than broader database screening. The transcript ends amid continued debate over the A5 amendment and related privacy and eligibility questions.

Transcript Highlights:

• Could you give us a sense of what that's going to mean for the reduction of fraud specifically?
• But I think the top-of-mind concern is the fraud that exists and how this plays into that.
• This creates fraud in our community colleges.
• I think it's important to have the ability to track how much fraud we're preventing going forward, so
• With trying to recover from fraud? That is such a good question.

Keywords: 988, house, all

Transcript Highlights:

• For the Office of Attorney General Medicaid Fraud and Control Unit, that one again, we could definitely
• The Medicaid Fraud Control Unit. All right.
• <00:32:25.200> All The Medicaid Fraud Control Unit. All The Medicaid Fraud Control Unit.
• If we added the uh<00:46:24.760> Medicaid<00:46:25.240> Fraud<00:46:25.520> Control<
• Yes, so the first eight and then the Office of the Attorney General Medicaid Fraud Control Unit.

Keywords: 919, house, all

Summary: The subcommittee met on May 8, 2026, to narrow 12 proposed Legislative Audit Commission evaluation topics down to 8-10 semi-finalists for a legislative survey. Deputy Legislative Auditor Jodi Munson Rodriguez reviewed the selection criteria and explained which topics were promising now, which might be better deferred to fall because of timing or data limitations, and which were less promising because OLA would have limited ability to add value. She identified the Board of Behavioral Health and Therapy, DHS Adult Day Services Licensing, DHS county service approvals and provision, MDH mortuary science program, MPCA feedlot permitting, Minnesota paid leave, the Office of Cannabis Management, and several other DHS-related items as candidates, while recommending that DHS system modernization be shifted to an IT audit and that corporate concentration be narrowed substantially if pursued. Members discussed several topics in detail. Representative Lee asked how a broad DHS county services topic could be narrowed and suggested providing legislators with an addendum listing possible subprograms so they would know what they were ranking; Munson Rodriguez said OLA could add a few suggested subtopics and tailor the survey materials. Representative Hansen urged that the MPCA feedlot permitting review focus on effectiveness and environmental and health impacts, not just speed, and Munson Rodriguez said those kinds of questions could be added. The Office of Cannabis Management was viewed as promising but probably too new to evaluate immediately, and the MDH mortuary science program was also seen as worthwhile but potentially delayed because of overlap with other MDH licensing work. The Minnesota research tax credit drew the most extended discussion. Munson Rodriguez said it remained a weak fit for OLA because of limited data and unclear program goals, and Senator Rest argued it would be better handled by the Department of Revenue’s research staff or possibly the Legislative Budget Office’s tax expenditure research section. Representative Lee asked whether OLA’s financial audit division could review whether the credit “pays for itself,” but Munson Rodriguez said that would require econometric analysis outside the financial audit division’s normal work. The committee did not take a formal vote in the portion provided, but the chair indicated the tax credit issue should be brought to the full commission agenda, and the meeting continued with additional topic review, including the Attorney General Medicaid Fraud Control Unit, which staff said was heavily federally controlled and already reviewed by federal OIG, limiting OLA’s likely impact.

Transcript Highlights:

• And we know there’s great fraud that goes on in Medicare and Medicaid.
• And I don't mean the kind of fraud that these parents are being accused of.
• And I don't mean the kind of fraud that these parents are being accused of.
• And now we've come full circle back to risk management. how to look for fraud.
• And I don't mean the kind of fraud that these parents are being accused of.

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Summary: The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending. The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending. The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending. Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.