Transcript Highlights:

• <01:45:35.000> pathway discussed regarding the the pet pathway discussed regarding the the
• pet pathway for<01:45:35.760> example<01:45:36.760> um<01:45:37.480> the<01:45:
• <01:46:49.119> pathway<01:46:49.599> for that do recognize the pet pathway for that
• much I want to add one more for the pet much I want to add one more for the pet process<01:58:37.360
• Midwifery access by not allowing the pet Midwifery access by not allowing the pet process process

Keywords: 910, house, all

Summary: The joint House Committee on Health and Committee on Consumer Protection and Commerce heard two midwifery bills, with testimony focused primarily on HB 1194. Committee chairs opened the hearing with rules for Zoom testimony and noted the bills relate to midwives. The Department of Commerce and Consumer Affairs said it supported the intent of HB 1194 and offered comments. Supporters of the bill, including the Midwives Alliance of Hawaii, argued that midwifery should remain subject to mandatory licensure to protect consumer safety, citing the state’s regulatory licensing standards and a 2025 state auditor sunset analysis. They said the bill would strengthen educational standards and public protection, and some offered clarifying amendments. Opponents argued HB 1194 would restrict access to care and fail to protect traditional, cultural, and community-based birth practices. Testifiers from the Hawaii Home Birth Task Force, the Hawaii Home Birth Collective, the Libertarian Party of Hawaii, the Center for Reproductive Rights, Pacific Birth Collective, and Papa Ola Lōkahi said the bill would limit licensure pathways, reduce access in rural and underserved areas, and burden Native Hawaiian and traditional practitioners. Several speakers said the measure could worsen Hawaii’s maternal health shortages, especially on Maui, and urged lawmakers to defer HB 1194 or instead advance HB 1328, which they said better protects practitioner access and cultural practices. The Hawaii affiliate of the American College of Nurse-Midwives said it opposed HB 1194 because it did not align with national or state standards for certified midwives and could create conflicts with Medicaid reimbursement and prescriptive authority. The ACLU also opposed the measure, emphasizing reproductive rights, privacy, and the need to preserve apprenticeship pathways to licensure. No vote or final committee action was taken during the portion of the hearing reflected in the transcript.

Transcript Highlights:

• > in<00:15:38.520> May<00:15:38.760> and<00:15:38.880> my<00:15:39.079> pet
• ><00:15:39.520> my<00:15:39.680> head<00:15:39.920> were session in May and my pet
• my head were session in May and my pet my head were to<00:15:40.079> hit<00:15:40.240> the

Keywords: 1183, house

Summary: House Education Finance and Policy leaders discussed House File 3493, a school safety package presented as a bipartisan, common-sense effort to protect students in public, non-public, tribal, and charter schools. Rep. Brian Lawrence said the bill would provide more school safety funding, more student mental health support, local anonymous threat reporting options, safe school plans, and student discipline reforms. Chair Peggy Bennett and Rep. Ben Bakeberg emphasized that the proposal was intended to be flexible, practical, and responsive to local needs rather than a one-size-fits-all mandate. Several questions focused on whether the package would include gun restrictions, but the authors said the committee was focused on education-related tools it could control and on areas of agreement. They repeatedly said they were not willing to advance a package that left any students out, including those in non-public or tribal schools. Bennett said schools should be able to opt into anonymous threat reporting systems rather than being mandated, arguing schools are already overmandated and that good ideas will be adopted voluntarily. Members also discussed funding, including a proposed $50 million shift from Northern Lights money and the overall size of the appropriation, which was described as still unsettled but roughly $52 million a year in the latest figures. The speakers said the package was being moved during committee deadlines and that they wanted to act quickly on the areas where there was agreement. They expressed frustration that no Democratic counterproposal had been brought forward and said they hoped to pass a school safety package that could keep all kids safe.

Transcript Highlights:

• overpopulation is a public health issue in Texas due to warm weather, lack of education about responsible pet
• adopt, the plates will raise awareness about the importance of spaying and neutering and responsible pet
• Senate Bill 2245 pet in favor with full Senate.

Summary: The Senate Committee on Transportation heard several bills, mostly local memorial highway designations and transportation-related regulatory measures. Senator Hinojosa presented SB 1351 to designate part of US 281 in Hidalgo County as the Jose Rodriguez Lua Memorial Highway in honor of a Border Patrol processing coordinator killed by a drunk driver; a family member testified emotionally in support, and the bill was left pending. The committee also heard and left pending SB 2245 on bonded titles for vehicles when a lienholder has gone out of business, SB 1568 on animal-friendly specialty license plates with a second “spay, neuter, adopt” plate, SB 2589 on handling closed county roads in Webb County, SB 1104 on allowing large retailers to use one fingerprinted employee of record across multiple Texas locations, SB 1423 naming the Bill Stout Parkway in Longview, and SB 1931 naming part of US 83 the Rodolfo Valdez Memorial Highway. Most of these bills drew supportive testimony or were presented as local measures with no opposition. The committee also took up broader policy bills. SB 215 would create a digital identification program for Texas driver’s licenses and certain other licenses, but the sponsor said he was mainly laying the bill out for discussion and study; testimony was limited and the bill was left pending. SB 2707 would clarify that government entities such as TxDOT and the military remain exempt from fees on oversized/overweight permit authority, though a county commissioner raised questions about road-use impacts and fee revenue. SB 2807 drew the most discussion: it would prevent a motor carrier’s use of safety technology, training, and related practices from being used as evidence that an independent contractor is actually an employee. Supporters said the bill would encourage adoption of safety tools like cameras and braking systems without increasing misclassification risk, while opponents from the trial lawyers’ side warned the wording could conflict with existing labor-code definitions and create litigation. The sponsor and committee members discussed possible clarifying floor amendments. After public testimony, the committee voted on the pending bills. All measures were reported favorably on 6-0 votes, with committee substitutes adopted where applicable. SB 1351, SB 1423, SB 1568, SB 1931, SB 2245, SB 2589, SB 2707, SB 2807, and SB 2841 were all sent to the full Senate, and several were recommended for the local and uncontested calendar. The committee recessed subject to the call of the chair after completing the votes.

Transcript Highlights:

• , and firefighters to enter unattended vehicles to protect the health, safety, or well-being of any pet
• It also allows private citizens to rescue a pet animal that has been left in an unattended vehicle under
• the health, safety, or well-being<00:36:38.120> of<00:36:38.200> any<00:36:38.480> pet
• /c><00:36:38.720> animal<00:36:39.600> that<00:36:39.680> is well-being of any pet
• animal that is well-being of any pet animal that is endangered<00:36:40.360> by<00:36:40.760>

Bills: SB2319, SB2407, SB2489, SB2153, SB2321, SB2805, SB3010, SB2892, SB2595, SB2781

Keywords: agriculture, biosecurity, grant funding, food security, climate resiliency, agricultural development, Hawaii Island, property manager, agribusiness, state employment, invasive species, lease provisions, environment, food safety, farmers, local food systems, rural development, livestock, forage grasses, pest management

Transcript Highlights:

• And where do the movement protocols come into place for pets and companion animals?
• Our pets will be affected.
• A lot of people take their pets to Mexico to the vet because it's cheaper.
• One of the things that exacerbated the Florida outbreak was that pets showed up at veterinary clinics
• So it's something we need to address from an animal, pet, and human standpoint.

Keywords: 1184, house, all

Transcript Highlights:

• You also have a list below that with the parks with the pet restrictions. >> I would like to say that
• You also have a list below that with the parks with the pet restrictions. >> Thank you for taking my
• You also have a list below that with the parks with the pet restrictions. >> But I'm also pointing out
• You also have a list below that with the parks with the pet restrictions.
• below that with the parks with the pet below that with the parks with the pet restrictions. restrictions

Keywords: 1189, house, all

Transcript Highlights:

• Um, pet breeding is completely unregulated in our state, and starting with dog breeders would be a great
• Um, pet<00:08:04.960> breeding<00:08:05.360> is<00:08:05.599> completely<00:08:06.000
• > unregulated pet breeding is completely unregulated pet breeding is completely unregulated in
• We'll also strike the requirement for shelters, pet stores, and breeders to check for compliance with
• stores,<00:27:28.480> and<00:27:28.720> breeders<00:27:29.120> to shelters, pet

Bills: SB3275, SB3105

Keywords: cannabis, low-dose, personal use, cultivation, cannabis accessories, Hawaii cannabis law, medical cannabis, physician assistant, licensure compact, medical services, interstate practice, healthcare portability, military families, licensing authority, 912, senate, all

Summary: The Senate Committee on Commerce and Consumer Protection reconsidered two condominium bills and adopted recommendations to pass both with amendments. For SB 2433, members approved amendments clarifying that condominium unit owners’ interests are to be recognized and protected in educational and related programs by the Real Estate Commission and DCCA, while making technical changes and changing the effective date. For SB 2838, the committee replaced the bill’s broader substantive language with a narrower requirement that associations provide electronic copies of specified documents, including master leases, reserve studies, audited financial statements, contracts, leases, and other agreements, along with technical changes and an amended effective date. Both measures were adopted unanimously by the members present, with Senator McKelvey excused. The committee then heard SB 2710 on animal issues, which would define and regulate dog breeders, set care standards, create county licensing authority, require records, and establish an animal abuser registry and related penalties. Testimony was mixed: the Public Defender and the American Kennel Club opposed the bill, arguing for stronger enforcement of existing laws rather than harsher penalties and warning that the bill would burden responsible breeders; the Hawaiian Humane Society supported the bill’s breeder regulation and registry provisions but urged removal of the hoarding section; and the committee noted 26 written testimonies in support, 14 in opposition, and four comments. In decision-making, the committee passed SB 2710 with amendments that blanked the license fee, deleted the animal abuser registry and shelter/pet store/breeder compliance checks, struck the hoarding provisions and proposed criminal penalty changes, and made technical changes with a deferred effective date. The committee also heard SB 2209 on rental discrimination, which would allow attorney’s fees to a prevailing party in source-of-income discrimination cases, and SB 2884, which would create a nonrefundable income tax credit for wind-resistant retrofits or hurricane shelters. The Hawaii Civil Rights Commission supported SB 2209, and the committee later passed it with a deferred effective date. SB 2884 drew support from DCCA’s Insurance Division, the Department of Taxation, HEMA, the Climate Change Mitigation and Adaptation Commission, and a public witness who urged hurricane preparedness; it was passed with the Department of Taxation’s proposed amendments and a deferred effective date. Finally, the committee heard SB 2922 on cooperative associations, which would create a general cooperative associations framework. DCCA offered comments, while the Hawaii Co-op Hui, Purple Maya Foundation, Enliven Cooperative, and Hawaii Farmers Union supported the measure and argued that current law is too limited for worker, producer, and multi-stakeholder co-ops. After discussion about using the existing chapter 421C structure rather than creating a new regulatory scheme, the committee passed SB 2922 with amendments adopting changes proposed in testimony from the Hawaii Farmers Union and deferred the effective date.

Transcript Highlights:

• SB 1789, pet stores pet dealers. SB 1791, ballot delivery collection.

Keywords: 1182, all

Summary: The Senate convened with prayer, the Pledge of Allegiance, a recorded roll call showing 30 members present, and approval of the previous journal. The President announced receipt of HB 2022 from the governor and made temporary committee substitutions for the Rules Committee. The chamber also received a large calendar of first- and second-reading bills and resolutions covering elections, education, water, public safety, marijuana, housing, taxation, and other topics. A major presentation recognized licensed naturopathic physicians in the gallery, who were invited to support SB 1178, a bill expanding their authority to administer certain intravenous legend drugs, including antibiotics, antivirals, and antifungals. The Senate then recessed to honor public safety personnel with a proclamation commending Deputies Gregory Sanders and Jacob Montoya, along with several Cochise and Pinal County and Border Patrol personnel, for rescuing an eight-year-old boy from a human trafficking situation. The members applauded the honorees and took photos with them. After returning to order, several senators used points of personal privilege to urge the Joint Legislative Budget Committee to review $2.85 million in election-related funding requested by the Secretary of State for IT and election infrastructure needs, arguing the money was already available and necessary for secure 2026 elections. Another senator spoke about the need for long-term water planning and reduced groundwater reliance. Additional announcements covered caucus and committee meeting times, Arizona Aerospace Day, and a mental health advocacy group visiting the chamber. No substantive floor votes on legislation were taken in the portion provided, and the meeting ended with a motion to adjourn until Tuesday, February 10, 2026.

Transcript Highlights:

• Even high-value, commonly recycled items like PET, glass, and aluminum cans, we still see very underperforming
• Aluminum cans. ...$1,500 a ton, PET plastic around $350 a ton.

Bills: HB1730, HB1823, HB2048, HB2266, HB2440, HB3333, HB4086, HB4271, HB4413, HB4839, HB4841, HB5151

Keywords: PFAS, perfluoroalkyl substances, polyfluoroalkyl substances, forever chemicals, public health study, environmental regulation, drinking water, groundwater, surface water, food packaging, chemical exposure, firefighters, chemical manufacturing workers, Texas Commission on Environmental Quality, TCEQ, Railroad Commission of Texas, Department of State Health Services, University of Houston, occupational exposure, contaminants

Transcript Highlights:

• You would never accept human or pet excrement on your picnic grounds.
• /c><00:04:48.720> accept<00:04:49.400> human<00:04:49.680> or<00:04:49.880> pet
• would never accept human or pet would never accept human or pet excrement<00:04:50.720> on

Keywords: 1183, house

Transcript Highlights:

• Minnesota members, so please know, and say a group of mostly Twin Cities-based politicians—it's one of my pet
• politicians it's one Twin Cities based politicians it's one of<00:14:38.320> my<00:14:38.480> pet
• of my pet of my pet peeves<00:14:40.560> um<00:14:41.000> so<00:14:41.160> we've

Keywords: 1187, senate, all

Transcript Highlights:

• Our outreach team members often encounter unhoused vets who are unwilling to come in without their pets
• As the previous speakers and the sponsor have said, these pets are viewed as essential to their well-being
• The appropriation in House Bill 177 can diminish or remove this obstacle by keeping these pets safe while

Keywords: 996, all

Summary: The House Labor, Veterans and Military Affairs Committee met and first heard House Memorial 7, which asks Legislative Council Service, the State Personnel Office, DFA, and GSD to study the use of temporary, term, seasonal, casual, on-call, and other non-regular classifications in state government. The memorial was presented as a response to concerns that some workers are repeatedly terminated and rehired, sometimes after a one-day break, to avoid regular status and associated benefits. Testimony from CWA and AFSCME described long-term temporary workers at the National Hispanic Cultural Center and other agencies who allegedly do full-time work without health insurance, retirement, leave, or consistent pay progression, and who in some cases were denied union coverage. Committee members questioned the scope, definitions of temporary employment, and whether the issue should instead be referred to the state auditor; the sponsor said the study would gather data and recommendations first. The committee voted due pass, and House Memorial 7 passed unanimously. The committee then heard House Bill 177, which appropriates funds to the Veterans Services Department to contract for shelter and care of service and companion animals so veterans can access housing, medical care, and other services without fearing separation from their pets. Support came from the Veterans Services Department, Animal Protection New Mexico, and the Veterans and Military Families Caucus/Veterans Integration Center, all of whom said pets are often a barrier to veterans seeking care and that existing community-based animal boarding models could be used. The bill received no opposition, and the committee voted due pass with no opposition. Finally, the committee heard House Bill 43, a PERA cleanup bill intended to update and clarify the Public Employees Retirement Act and align it with administrative practice. Testimony focused on a provision allowing PERA to use licensed physicians, including out-of-state physicians who can be licensed in New Mexico, to serve on the disability review process when needed so disability cases are not delayed. Committee members raised concerns about ensuring medical expertise and avoiding abuse of the licensing flexibility, but PERA explained the change was meant to address recruitment difficulties and maintain timely review. The committee voted due pass on House Bill 43.

Transcript Highlights:

• Assembly Bill 506 by Assemblymember Bennett and others, an act relating to pets.
• Many people begin their search for a new pet online.
• Unfortunately, thousands of consumers have fallen victim to fraudulent online pet sales.
• When disaster strikes, no one should have to choose between their own safety and their pet survival.
• pet owners during evacuations.

Keywords: 988, house, all

Transcript Highlights:

• projects, such as—let's face it—Glen Cliff has always been a pet... leeway.
• projects<01:12:38.480> such<01:12:38.719> as<01:12:39.199> let's for their pet
• projects such as let's for their pet projects such as let's face<01:12:39.679> it<01:12:40.159
• has<01:12:41.040> always<01:12:41.280> been<01:12:41.600> a<01:12:41.840> pet
• Representative Rockwell said Glen Cliff has always been a pet project of this committee, and we

Keywords: 928, house, all

Summary: The committee heard testimony on proposed improvements to the New Hampshire State Police gun range and training facility. Commissioner Robert Quinn and Major Brendan Davy said the range is used for realistic, scenario-based training that cannot be replicated at a standard static range, including movement, use of cover, vehicle-based drills, elevation, and training under elevated heart rates and stress. They said the facility is important not only for state troopers but also for local and federal partners, and that it is used regularly for qualifications, requalification, and special unit training. Members asked about specific limitations and costs. Major Davy said the PSTC range is handgun-caliber only because the backstop is not rifle-rated, and local law enforcement can use the State Police range for qualification. Representative Kazinski questioned the size and cost of the project, and Public Works Director Theodore Copper then explained the estimate: $1.5 million for building and site work, plus soft costs, utilities, design, and inflation, bringing the total to $2.3 million. He said the proposed facility would include office space, two classrooms, restrooms, and heating and air conditioning, and that the estimate was reasonable. The committee also heard from Milford School District Superintendent Christy Misho in support of CTE funding. She said Milford has been working for years to secure support for an applied technology center renovation, that prior local bond efforts fell short of the required threshold, and that the district now plans a CTE-only local bond of about $4 million while seeking $10 million from the state. She argued the investment is needed to modernize outdated equipment and support workforce training, and said the district remains committed to the project. In work session action, the committee corrected a prior vote on the Pease Development Authority warehouse removal and replacement project, increasing the amount by $353,300 to $1,973,300 and raising the agency subtotal to $4,155,300. The committee also approved adding two Community College System items: $500,000 for an energy management system and $1.3 million for critical maintenance, for a total addition of $1.8 million. No objections were raised to these motions.

Transcript Highlights:

• Senate File 1943, a bill for an act relating to commerce prohibiting pet shops from selling cats and
• Senate File 1943, a bill for an act relating to commerce prohibiting pet shops from selling cats and
• prohibiting pet shops from selling<02:10:49.360> cats<02:10:49.680> and<02:10:49.800><
• '<02:12:21.680> best area and um, do have the the pets' best area and um, do have the the
• pets' best interests<02:12:22.360> in<02:12:22.480> mind,<02:12:23.280> are<02:12

Keywords: 1187, senate, all

Transcript Highlights:

• It's been said Hawaii is the perfect place for a pet to come and end its life.
• It's been said Hawaii is the perfect place for a pet to come and end its life.
• It's been said Hawaii is the perfect place for a pet to come and end its life.
• It's been said Hawaii is the perfect place for a pet to come and end its life.
• Have said Hawaii is the perfect place for a pet to come and end its life.

Bills: SB2350, SB2349, SB2407, SB3320

Keywords: agriculture, aquaculture, livestock, agribusiness, Department of Agriculture, regulatory functions, employee benefits, restorative practices, sustainability, environmental stewardship, local food systems, Native Hawaiian, workforce development, agricultural development, Hawaii Island, property manager, state employment, SB3320, Hawaii, Agribusiness Development Corporation

Summary: The committee heard testimony on SP 2350, which would transfer oversight of the Department of Agriculture’s Agricultural Development Division and the aquaculture and livestock support services branch to the Agribusiness Development Corporation. The Department of Agriculture and ADC both testified, with ADC opposing the bill as written while supporting the goal of strengthening agriculture. ADC said the transfer could create federal operational and coordination risks, jeopardize federal funding and program continuity, and was unnecessary because ADC is a business development entity, not a regulatory agency. The Hawaii Farmers Union also expressed concern that moving the programs could weaken the department’s ability to access federal resources, while the Hawaii Farm Bureau submitted written testimony and the Hawaii Aquaculture and Aquaponics Association and H-Plan were noted as supporting the measure; the Hawaii Cattlemen’s Council was noted as opposing it. Much of the discussion focused on aquaculture’s economic potential and the role of regulation, permitting, and funding. Committee members questioned why aquaculture had not grown faster, citing current gross revenues of about $66 million last year, a prior high of $82 million, and a possible long-term target of $500 million. Testimony identified permitting and feed costs as major barriers, along with market conditions and water quality issues affecting producers. ADC described ongoing efforts on feed development, permitting streamlining, coastal-state collaboration on seaweed and restorative aquaculture, and national advocacy for more parity in seafood import standards. Members also pressed the Department of Agriculture on its leadership and priorities, criticizing the lack of bills and resources dedicated to aquaculture and asking whether the department should have more authority to pursue land purchases and development opportunities. The department said it relies on divisions and industry feedback for bill ideas, noted it funds an annual aquaculture survey, and said it was pursuing congressional earmarks and other funding for aquaculture parks, research, and export/import issues. ADC said it would work with the department if the bill passed, but that its current statute does not give it regulatory authority and any such change would require a statutory amendment.

Transcript Highlights:

• And the canine is maybe mostly people's pets.
• The screwworm doesn't care if the pets are loved or not or cared for. It's a good host.
• They had canine pets, had to be inspected before they could come back to the states.
• Thousands of Texans in border communities walk their pets outdoors every day, and pet owners crossing
• That CE covered info we are now working on to get into the hands of producers and pet owners.

Keywords: 1185, senate, all

Transcript Highlights:

• Having pets is a natural thing. Families, children grow up with pets.
• Adults have pets in their families.
• Empty nesters rely on pets to replace their children when they leave.
• The elderly community thrives, and they can continue to live their life when they have pets.
• Empty nesters rely on pets to replace their children when they leave.

Keywords: 928, house, all

Summary: The subcommittee first took up House Bill 1598 and an amendment, 2026-0463H. Elliott Barry and Nick Norman testified that the amendment reflected a hard-fought compromise balancing concerns from all sides, and they urged no further changes. With no questions from members, the subcommittee voted unanimously to recommend the bill with the amendment to the full committee, 3-0, and closed the subcommittee. The housing committee then moved through several executive session bills. HB 1010 was amended with 2026-0274H, described as clarifying and implementing prior housing law (HB 631) governing residential units above office and retail space; the amendment was adopted unanimously and the bill was reported ought to pass as amended on a 17-0 vote and placed on consent. HB 65 was then voted ought to pass and also placed on consent, with members saying it was duplicative of the compromise reached on HB 1010. HB 1349 was reconsidered for a clarifying vote and again received unanimous support for its prior disposition, 17-0, and was placed on consent. The committee next took up HB 1523, which concerned homeowners associations. An amendment, 2026-0380H, removed Section 5’s Attorney General enforcement mechanism, added HOA conflict-of-interest approval language, and delayed the effective date to give stakeholders more time; it was adopted unanimously. The bill then passed 18-0 as amended and was put on consent. The committee also voted ITL on CACR 16, a constitutional amendment related to sleeping or homelessness issues, after debate over unintended consequences and whether it protected a basic right; the vote was 10-8, with a majority report assigned and a minority report to be written. Later, HB 108, dealing with inclusionary zoning, was voted ITL 10-8 after members argued the bill imposed unrealistic burdens and could halt development; a minority report was noted with amendment 0149H. HB 7, concerning ADUs and restrictive covenants, was also voted ITL 10-8 after discussion of unintended consequences and a proposed amendment to encourage second ADUs; it was sent to the regular calendar with a minority report and amendment 0289H. HB 1120, on water-related subdivision requirements, was ITL’d 17-1 and placed on consent, with one member noting a study amendment had been offered. HB 1143, addressing housing-provider obligations and municipal enforcement powers, was ITL’d 17-1 and placed on consent. Finally, HB 1145, a fee/tax proposal tied to housing development, was ITL’d 11-7; members debated whether it would discourage development, and a minority report was assigned.

Transcript Highlights:

• Pet overpopulation poses a tremendous difficulty in the United States, where 7 million cats and dogs
• Under this bill, if the new owner gets the pet spayed or neutered, then the owner's money will be returned
• a system that would lead to more animals being sterilized no matter what decision an individual new pet

Transcript Highlights:

• Pet overpopulation poses a tremendous difficulty in the United States, where 7 million cats and dogs
• Under this bill, if the new owner gets the pet spayed or neutered, then the owner's money will be returned
• system that would lead to more animals being sterilized, no matter what decision an individual new pet

Bills: SB670, SB1388, SB627, SB912, SB269, SB528, HB2711, HB4819, HB5248, HB4175

Keywords: SB 670, investigational sun protection products, sun protection, sunscreen, FDA approval, clinical trial, phase one trial, patient access, informed consent, physician prescription, Texas Health and Safety Code, Texas Medical Board, compassionate use, experimental treatment, medical freedom, patient autonomy, healthcare regulation, dietitian, dietitians, licensed dietitian