Bills: HB288, HB403, HB420, HB783, HB815, HB915, HB927, HB933, HB944, HB962, HB971, HR74, SCR3, SCR20, SB5, SB34, SB37, SB190, SB255, SB270, SB273, SB314, SB415

Keywords: medical terminology, documentation, miscarriage, spontaneous abortion, healthcare, medical records, billing, homemade food, food safety, small business, exemption, regulation, Department of Children and Family Services, background checks, child welfare, employee screening, safety regulations, criminal history, non-lactational dairy, labeling requirements

Bills: SB2433, SB2047, SB2425, SB3045, SB2761, SB3001, SB2852, SB2471

Keywords: condominium governance, education trust fund, unit owners, real estate, dispute resolution, financial obligations, community representation, pharmacy benefit managers, maximum allowable cost, transparency, drug pricing, insurance commissioner, contracting pharmacies, healthcare, substance use disorder, SUD, addiction treatment, behavioral health, mental health, rehabilitation

Summary: The committee heard testimony on SB 2433 SD1 relating to condominiums, which would direct the condominium education trust fund toward educational resources for unit owners and require the Real Estate Commission to ensure owners’ interests are represented in funded activities and related rulemaking. Supporters, including the Hawaii Real Estate Commission and a condominium owner advocate, said owners need a seat at the table in condo governance and education efforts. Committee discussion focused on whether the bill was necessary, with the Real Estate Commission indicating it could already use the trust fund for owner education and that owners are already considered stakeholders, though not through a specific commission seat. No vote was taken during the excerpted discussion. The committee then took up SB 2047 SD2 HD1 on pharmacy benefit managers, which would set requirements for maximum allowable cost reimbursement, allow reverse-and-rebill claims after successful appeals, and authorize fines for violations. The Insurance Division offered comments, the Hawaii Pharmacists Association supported the measure with amendments and suggested future PBM reform funding, and Kaiser Permanente requested a technical amendment. A committee question raised whether the staffing and resource request for implementation was too large for a bill focused only on MAC pricing, and the witness said he would provide more data to the next committee. No final action was shown. Next was SB 2425 SD2 HD1 on health insurance and substance use disorder treatment, requiring insurers to honor written assignments of benefits to SUD providers and prohibiting anti-assignment clauses. Supporters described patients being unable to access treatment because of high out-of-pocket costs and said direct payment would reduce harm for people in recovery. HMSA opposed the bill but said it would begin direct payments to non-participating SUD facilities effective March 27, while continuing to object to the assignment-of-benefits portion because of fraud and balance-billing concerns; the Hawaii Association of Health Plans also opposed. Members questioned HMSA about reimbursement mechanics and why the bill was needed if coverage policies were already changing. Finally, the committee heard SB 3045 SD1 HD1, which would require coverage of continuous glucose monitors and related supplies, including for Medicaid managed care, under certain conditions. DHS and the Insurance Division offered comments, while SHPDA, Hilo Benioff Medical Center Foundation, and others supported the bill, citing inconsistent access and a case in which a woman allegedly died after being denied a CGM. HMSA said it already covers medically necessary CGMs and had updated its policy in 2025 for type 1 and insulin-dependent patients, but it raised concerns about expanding mandated coverage to type 2 and gestational diabetes and about supply impacts. The committee also discussed whether the bill duplicated existing coverage standards and why it had been introduced repeatedly. No votes or final dispositions were included in the excerpt.

Bills: HB1688, HB2386, HB1691, HB1680, HB2516, HB1993, HB2442, HB1510, HB1958, HB1915, HB1692, HB1524, HB1884, HB1523, HB2213, HB2186, HB2163, HB1908, HB1910

Keywords: general excise tax, aircraft maintenance, tax exemption, aviation industry, economic competitiveness, water carriers, automatic adjustment mechanism, regulatory compliance, rate adjustments, public utilities commission, Hawaii Revised Statutes, biosecurity, community outreach, transportation rates, vehicle ownership, salvaged vehicles, insurance settlement, electronic signatures, administrative efficiency, vehicle transfer

Summary: The committee first took up SB 2699, which would create a youth transit program within DOT and a special fund tied to the environmental response/energy/food security tax fund. The chair described support from several agencies but also noted Attorney General concerns about whether the special fund met statutory criteria, DOE comments requesting a July 1, 2026 effective date, and broader funding concerns because the bill would draw from general fund resources. The chair recommended deferral, saying the measure involved significant long-term costs and needed more work on a funding mechanism. The committee deferred the bill. The committee then heard SB 3182, relating to administrative license revocation procedures. HDOT supported the measure, while the Judiciary opposed the bill as written, citing operational, staffing, fiscal, and mailing burdens from requiring ADLRO to mail all case documents to every respondent within five days. Judiciary said it handles about 3,000 to 4,000 DUI cases annually and would need additional staff and certified-mail costs. Prosecutors from the state and county supported a proposed SD1 version, saying it would address backlog concerns and help DUI enforcement by creating a presumption of revocation. The committee ultimately recommended support and passage of SD1. The committee also heard SB 3313 on interisland air service stability and transformation. The Attorney General warned the bill could be preempted by the federal Airline Deregulation Act and raised constitutional concerns about a local-hire provision. DOTAX said the program would be complicated to administer and suggested third-party certification. No action was taken in the excerpt. The committee then heard SB 3337, which would eliminate state taxes on gasoline and diesel fuel for motor vehicles; HDOT opposed it, while DOTAX provided comments and the Hawaii Transportation Association supported it. The transcript then moved to SB 2896, lowering the minimum age for commercial driving from 19 to 18. HDOT supported the bill, the Hawaii Transportation Association strongly supported it and suggested added training requirements, and an Operating Engineers representative supported the concept but urged that young drivers be tied to apprenticeship or other structured training programs. No vote was shown in the excerpt. Finally, the committee heard SB 2400, which would exempt wing-in-ground craft from the Hawaii Waters Act and define those craft in law. The PUC supported the bill’s intent, and Regent Craft testified in strong support, describing sea gliders as all-electric vessels that could improve interisland access, resiliency, and decarbonization while using existing harbor infrastructure. HTDC and several other groups also supported the measure. Members asked about infrastructure, ports, weather operations, and Coast Guard jurisdiction, and the witness said operators would decide harbor locations and that the company had identified multiple possible ports. No final committee action was included in the excerpt.

Bills: SB2042, SB2892, SB1163, SB2076, SB2116, SB2122, SB99, SB2088, SB2114, SB2117, SB2118, SB2245, SB2386, SB2079, SB2043, SB2155, SB2268, SB2932, SB3240

Keywords: feral chickens, chickens, animal control, humane disposition, wildlife management, Honolulu, City and County of Honolulu, appropriation, general funds, fiscal year 2026-2027, urban wildlife, poultry, nuisance animals, Act 169, Hawaii, privacy, geolocation, abortion, data protection, internet browser

Bills: SB2042, SB2892, SB1163, SB2076, SB2116, SB2122, SB99, SB2088, SB2114, SB2117, SB2118, SB2245, SB2386, SB2079, SB2043, SB2155, SB2268, SB2932, SB3240

Keywords: feral chickens, chickens, animal control, humane disposition, wildlife management, Honolulu, City and County of Honolulu, appropriation, general funds, fiscal year 2026-2027, urban wildlife, poultry, nuisance animals, Act 169, Hawaii, privacy, geolocation, abortion, data protection, internet browser

Bills: HM3, HM11, HM14, HM15, HM18, HM21, HB10, HB11, HB12, HB13, HB14, HB31, HB50

Keywords: nurses, health care workers, healthcare workers, frontline workers, hospital staff, clinicians, allied health professionals, support staff, public health, workforce shortage, nursing shortage, safe staffing, patient safety, rural health care, frontier communities, behavioral health, mental health, substance use disorder, substance abuse, health care memorial

Bills: HB163, HB216, HB721, HB2035, HB2038, HB3057, HB3153, HB3233, HB3595, HB3801, HB3812, HB4076, HB4129, HB4377, HB4535, HB4666, HB4730, HB4743, HB4903, HB5149, HB5155, HB1534, HB163, HB216

Keywords: epinephrine, healthcare, emergency response, administration, medical policy, health care, itemized billing, patient rights, provider regulations, Texas Health and Safety Code, cost disclosure, insurance, benefit plan, administrators, chemical dependency, treatment facilities, minor admissions, parental notice, mental health, medical licensing

Transcript Highlights:

• It clarifies that in Enhancements for trafficking a child or disabled individual apply whether or not
• Additionally, it extends these protections to disabled individuals and clarifies court procedures to

Bills: HB33, HB45, HB48, HB1261, HB1465, HB1778, HB2596, HB5238, SB2969, HB45, HB48

Keywords: HB 48, oilfield theft, organized theft, petroleum products, oil and gas equipment, DPS, Department of Public Safety, Texas, Railroad Commission, criminal justice, energy resources, theft prevention, organized crime, border region, El Paso, law enforcement task force, asset recovery, pipeline theft, drilling equipment, equipment theft

Transcript Highlights:

• about access, safety, and clarity, ensuring that all Texans, including seniors, individuals with disabilities
• Folks with disabilities have ramps and crosswalks and stop signs.

Bills: HB 535, HB 2120, HB 2822, HB 3243, HB 3457, HB 3544, HB 4089, HB 4192, HB 4669, HB 4868, HB 4955, HB 5253, HB 5669, SB 1371, SB 1919, SB 2001

Keywords: motor vehicle, pedestrian, bicycle, traffic safety, municipality, criminal offense, pedestrian safety, traffic regulations, municipal law, bicycle regulations, motor vehicle passing, traffic law, municipalities, bicycle operation, traffic laws, municipal regulations, port commission, Corpus Christi, Nueces County, San Patricio County

Transcript Highlights:

• about access, safety, and clarity, ensuring that all Texans, including seniors, individuals with disabilities
• Folks with disabilities have ramps and crosswalks and stop signs.

Bills: HB535, HB2120, HB2822, HB3243, HB3457, HB3544, HB4089, HB4192, HB4669, HB4868, HB4955, HB5253, HB5669, SB1371, SB1919, SB2001

Keywords: motor vehicle, pedestrian, bicycle, traffic safety, municipality, criminal offense, pedestrian safety, traffic regulations, municipal law, bicycle regulations, motor vehicle passing, traffic law, municipalities, bicycle operation, traffic laws, municipal regulations, port commission, Corpus Christi, Nueces County, San Patricio County

Transcript Highlights:

• in Harris County alone, close over a hundred illegal boarding homes, and we've rehoused over 300 disabled

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The committee first reopened testimony on House Bill 2216, which would strengthen child welfare requirements by expanding “active efforts” to help families avoid removal and support reunification, while also raising standards related to removals and terminations. Supporters from child welfare and family defense groups said the bill would better protect families and align Texas more closely with ICWA-style principles, but several warned it would require significant new funding, staffing, and community services such as mental health care, housing, child care, and substance use treatment. The committee then left HB 2216 pending. The committee next heard Senate Bill 1782, aimed at boarding and group homes. Senator Miles said the bill closes enforcement gaps left by prior law by requiring retention of background-check records and creating misdemeanor penalties for failing to conduct or keep them, or for knowingly hiring people with serious convictions. Harris County sheriff’s investigators testified in support, describing illegal boarding homes, operators who evade permits and background checks, and exploitation of vulnerable residents; the bill was left pending. The committee also took up Senate Bill 481 on emergency preparedness for nursing facilities and assisted living facilities, adopted a new committee substitute that softened some requirements and removed the fiscal note, and left the bill pending. The committee then heard House Bill 388, which would require the Texas Department of Insurance to create a single standardized coordination-of-benefits form for dual health plans to reduce errors and surprise bills; it was left pending. Senate Bill 1590 would move paternity registry searches for adoptions to an electronic process with a 10-day target, and House Bill 2809 would track child suicide attempts in managing conservatorship and require related reporting and parental notice; both were left pending. The committee also heard Senate Bill 1887, which would prohibit administering mRNA-containing products for immunization for 10 years, with exceptions for cancer and genetic disorders. Supporters argued the bill was needed for safety, informed consent, and medical freedom, while opponents from the medical, research, and public health communities said mRNA vaccines are well-studied, save lives, and that the bill would harm access, research, and Texas’s biotech economy. The bill remained under discussion as testimony concluded.

Transcript Highlights:

• little boy was on top of the chair, table, around it, diagnosed in first grade with ADHD and learning disabled
• This includes Social Security income, retirement, survivors, and disability insurance.
• everybody else that, and I know 23 states have made some move, that we do use what the Social Security disability
• Some foster youth qualify for federal benefits available to individuals with disabilities, veterans'
• question is whether it is the intended use of these benefits, especially for children who have disabilities

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.

Transcript Highlights:

• There are many private sector companies that work with veterans and their disability claims.
• claims on the one hand, and private sector companies like Remedical that offer only disability benefit
• and what accreditation means for veterans and for a free market option for them to pursue their disability
• If a veteran receives a disability percentage increase years later, often these companies return seeking
• They get their disability claim prepared.

Bills: HB 1087, HB2504, HB4113, HB5144, HB5146, HB5377, HB5543, SB140, SB264, SB1244, SB1343, SB2121, HR868

Keywords: property owners, board vacancy, special election, association governance, community management, property owners' association, resale certificate, fees, real estate regulation, homeowners, HB 4113, Texas Rising Star Program, child care, child-care providers, Texas Workforce Commission, TWC, safety barriers, crash-rated bollards, bollards, playground safety

Transcript Highlights:

• Living with at least one disabling condition.

Bills: HB5141, HB4638, HB2264, HB2035, HB4813, HB4408, HB2684, HB1621, HB2300, HB216, HB3829, HB4466, HB1747, HB2284, HB3614, HB2587, HB3219, HB3318, HB5147, HB4014, HB216

Keywords: lease, state property, public purpose, Travis County, Health and Human Services, pharmaceutical initiative, drug distribution, healthcare services, generic drugs, advanced pharmaceuticals, cost savings, mental health, patient discharge, medical records, health care professionals, substance use, family involvement, chemical dependency, treatment facilities, minor admissions

Transcript Highlights:

• With disabilities and are seeking a restraining order while in the course and scope of their employment

Bills: HB 1531, HB 2667, HB 2809, HB 2865, HB 3589, HB 3151, HB 3748, HB 3750, HB 4419, HB 4643, HB 3597, HB 4129, HB 4130, HB 4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Bills: HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Transcript Highlights:

• Jeff Miller, Disability Rights Texas. Bill, that's correct. Thank you, you may proceed.
• Rights Texas is the state's protection and advocacy organization. for folks with disabilities.
• We believe that for someone who has a long-term disability, has been on SSI for years and years, they
• Cole Glosser, Coalition of Texans with Disabilities, and you're neutral on the bill, is that correct?
• CTD is a cross-disability advocacy organization advocating for Texans with disabilities to live and thrive

Bills: HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Bills: SJR39, SJR47, SB227, SB1942, SB1627, SB625, SB1716, SB1303, SB2180, SB504, SB1209, SB1448, SB1597, SB1679, SB2182, SB2112, SB2170, SB2084, SB1496, SB1595, SB1655, SB1876, SB1621, SB1944, SB1266, SB2072, SB2104, SB1769, SB1827

Keywords: property valuation, tax limit, homestead, income threshold, elderly, constitutional amendment, voter ID, elections, Oklahoma, proof of identity, gross production tax, ad valorem tax, property exemption, Oklahoma Tax Commission, oil and gas production, regulatory impact, economic implications, dental insurance, health care, medical necessity

Transcript Highlights:

• are a number of advocacy organizations that represent whether it be families of Children with disabilities

Bills: HB1427, SB1403, SB1448, SB1489, SB1546, SB1557, SB1614, SB1377, SB1990, SB1439, SB1630, SB1632, SB1696, SB1796, SB1824, SB1362, SB1849, SB2066, SB2071, SB2104, SB933, SB1633, SB1224, SB1246, SB1280, SB1303, SB1346

Keywords: tax credit, clean-burning fuel, hydrogen fuel cells, compressed natural gas, liquefied petroleum gas, environmental impact, vehicle modification, renewable energy, job incentives, tax rebates, Oklahoma Quality Jobs Program, employment growth, wage requirements, Oklahoma Consumer Protection Act, consumer protection, unfair trade practices, deceptive practices, exemptions, statutory exemptions, Corporation Commission

Bills: HB1427, SB1403, SB1448, SB1489, SB1546, SB1557, SB1614, SB1377, SB1990, SB1439, SB1630, SB1632, SB1696, SB1796, SB1824, SB1362, SB1849, SB2066, SB2071, SB2104, SB933, SB1633, SB1224, SB1246, SB1280, SB1303, SB1346

Keywords: tax credit, clean-burning fuel, hydrogen fuel cells, compressed natural gas, liquefied petroleum gas, environmental impact, vehicle modification, renewable energy, job incentives, tax rebates, Oklahoma Quality Jobs Program, employment growth, wage requirements, Oklahoma Consumer Protection Act, consumer protection, unfair trade practices, deceptive practices, exemptions, statutory exemptions, Corporation Commission