Transcript Highlights:

• . ...stabilize individuals but provide coordinated housing support.
• So I want to thank you for your commentary and your excellent support as well, Senator.
• Members, I urge your support for the committee substitute for Senate Bill 1278. Mr.
• Thank you for your support. Reading. Senate Bill 986, Secretary, read the caption.
• Members, I urge your support for Senate Bill 1833. And, Mr. President, I move suspension.

Summary: The Senate convened with a quorum present, heard an invocation, adopted the prior day’s journal, received House messages, and adopted several resolutions and recognitions, including Senate Resolution 496 honoring Leadership Garland and resolutions 503 and 504. The chamber also recognized guests, including a North Dakota senator and the Doctor of the Day, and received gubernatorial nominations for the Texas Economic Development Corporation Board and the Nueces River Authority Board. The Senate then took up and passed a series of bills, often by suspending the regular order and the constitutional three-day rule. Measures approved included SB 614 on Texas Forensic Science Commission referrals to the Office of Capital and Forensic Writs; SB 250 on municipal annexation across railroad rights-of-way; SB 1660 on toxicological evidence retention and destruction procedures; SB 2586 requiring property owners associations to file governing documents with the Texas Real Estate Commission; SB 1588 increasing penalties for certain failures to report child sexual abuse; HB 912 on compensation for distributed renewable generation outside ERCOT; SB 1957 setting eligibility standards for civilian oversight boards; HB 2525 clarifying a charitable property tax exemption; SB 1525 limiting repeated prior authorization for neurodegenerative disease drugs; SB 865 requiring CPR/AED training and cardiac emergency response planning in schools; SB 1212 elevating human trafficking penalties; SB 2690 on solicitations for Secretary of State documents; SB 1802 on landlord repair duties for ramps, elevators, and handrails; SB 905 on licensing rules for speech-language pathologists and audiologists; SB 2929 allowing removal of disruptive spectators at school athletic events; SB 2675 creating a narrow McAllen-specific parkland conveyance exception; SB 872 increasing punishment for burglary of a vehicle involving firearm theft; and SB 1113 clarifying sales rules for certain converter-license holders. Several bills drew extended debate. SB 2487, dealing with crisis and mental health services for homelessness, was amended to make the county model permissive rather than mandatory and to remove state funding/assistance requirements before passing 28-3. SB 2138, barring higher education funds from contracting with firms that boycott fossil fuels through ESG policies, also passed after questions about fiscal effects and First Amendment concerns. SB 2615, restricting remote work at public institutions of higher education, advanced 22-9. The Senate also began consideration of SB 3016, which would expand enforcement tools against local governments that fail to comply with state law, but the transcript cuts off before action on that bill is completed.

Transcript Highlights:

• Support state-level support. I'm sorry.
• state-level support.
• Support state-level support. I'm sorry.
• state-level support.
• state-level support.

Keywords: 981, all

Transcript Highlights:

• Senator Middleton, I'll be supportive of this particular bill.
• My name is Jorge Borrego, testifying in support of SB 1067.
• So as I said, we support open meetings of our Faculty Senate.
• I'm testifying in support of SB 37.
• So my name is Sid Tice and I'm here to testify in support of SB 37. You know, I've got.

Bills: SB37, SB1489, SB452, SB724, SB1067, SB1741, SB1273

Keywords: higher education, curriculum review, governing board, faculty council, ombudsman, faculty governance, decision-making, transparency, public meetings, department head, employment approval, public institutions, institutional oversight, education, funding, accountability, state budget, school performance, employment, Texas legislation

Transcript Highlights:

• c> compensation, comprehensive support, compensation, comprehensive support, including<01:51:20.560><
• And so we are in support.
• </c> the system that is intended to support the system that is intended to support individuals<02:16:
• Um trust is of the um that support.
• Bureau of Adult and Elderly Affairs. Um, Bureau of Adult and Elderly Affairs.

Keywords: 1191, senate, all

Transcript Highlights:

• My next question is on the small business development and support initiatives.
• So yes, we have and continue to build and support our workforce.
• And then we do have a very small, less than $60,000 request for support for our very elderly elevators
• I'm not sure if Paige knows because I wondered with all the supporting docs...
• It was mostly for the support of Brian in his operation.

Keywords: 965, house, all

Transcript Highlights:

• Zoom customer support. Please visit zoom.us/join or call Zoom customer service. At 1-800-799-9666.
• I encourage you to support the lines that we currently have as drawn.
• I have elderly parents that live in South Park, along with their friends.
• The gerrymandering is about supporting a...
• If my recollection is correct and my math is correct, there was one in support of this and 53 against

Keywords: 1185, senate, all

Transcript Highlights:

• This is especially important for our voters with disabilities and elderly voters who may need assistance
• So we really appreciate this cleanup, and we're in full support. of it. Thank you, ma'am.
• In my four terms on this committee, I think every time Ed Johnson has supported one of my bills, it's
• I'm Debbie Lindstrom, Texas Elections Director for Citizens Defending Freedom, and I strongly support
• I'm here to testify in support of House Bill 2773.

Bills: HB569, HB766, HB1638, HB2316, HB2773, HB2785, HB3113, HB3709, HB3775, HB4275

Keywords: early voting, ballot correction, voting rights, election integrity, mail-in voting, voter notification, HB 766, precinct chair, precinct chair candidate, ballot application, Texas Election Code, Section 172.021, election administration, candidate filing, party precinct chair, county party, political party office, email address, telephone number, confidential candidate information

Transcript Highlights:

• can't speak to your mother specifically, but I guess it would affect everybody uh statewide who is elderly
• Uh, this is the office that we can go to to get that support, figure out where we're going.
• or a local city council or the county commissioner's court support, uh, it's rare that we'll award one
• So there are opportunities out there, and we support any of those, but as far as our efforts to, you
• So we would really appreciate your support in helping us consider how we might take some of these local

Transcript Highlights:

• I certainly stand in support of this bill.
• I rise in support of this bill.
• I rise in support of the amendment. A couple points on this.
• I also rise in support of the amendment.
• I rise today in strong support of this bill.

Keywords: 994, senate, all

Summary: The Senate considered and passed a series of House bills on third reading, with several title amendments and a few effective-date motions adopted. Early in the session, members passed HB 4452 removing acreage limits on land owned by church or religious trustees, HB 4577 creating reciprocal driver’s license recognition agreements with Ireland and Japan, HB 4588 authorizing West Virginia participation in a federal tax credit scholarship program, and HB 4592 requiring higher education institutions to create coordinated campus safety maps. HB 4602 was amended to align with a prior Senate child welfare pilot program, and members discussed its projected cost and implementation timeline before passing it. HB 4603 created a pre-adjudicatory alternative disposition process in abuse and neglect cases, and HB 4606 narrowed bail rules by requiring consideration of residency and community ties while prohibiting personal recognizance bonds for violent felony offenses after an adopted amendment. The Senate also passed HB 4710 changing the party-registration deadline for candidates from 60 to 180 days before an election, with debate over its impact on independents, and made it effective January 1, 2027. HB 4712, known as Bailey’s Law, increased penalties for DUI causing death and related conduct, with emotional testimony from members about the victim and similar tragedies. HB 4765 established a pay raise for teachers, school personnel, and state police and added a market-pay enhancement system based on county cost-of-living differences; an amendment to the amendment capped county differentials and guaranteed at least a 1% increase in every county. HB 4865 created an optional program for high school and homeschool students to serve as election official trainees, and HB 4869 established narrow guaranteed-issue rights for Medicare supplement policies. Later bills included HB 4995, which strengthened video/audio recording rules in special education classrooms and was passed, then reconsidered and passed again; HB 4996 creating a new crime for making threats of violence against schools or children; HB 5048 guaranteeing virtual instruction for foster children in temporary placement; HB 5065 adding recordkeeping and geolocation requirements for hotel marketplace facilitators to ensure proper hotel tax remittance; and HB 5074 reallocating medical cannabis fund revenues to child protection, homeless services, research, law enforcement, and other purposes. The Senate also passed HB 5101, the Joanna Phillips Domestic Violence Prevention Act, which increased penalties for domestic violence offenses and adjusted bail provisions, after amending it to conform with the earlier bail bill. Additional measures passed included HB 5166 requiring notice before political committees are fined for filing violations and allowing limited extensions, HB 5168 directing $12 million in lottery funds to EMS first responders and county EMS support, HB 5182 authorizing certain state treasurer security personnel to carry concealed firearms, HB 5212 streamlining higher-education financial aid rules, HB 5214 allowing court-ordered drug testing of parents before reunification in abuse and neglect cases, HB 5353 regulating virtual currency kiosks with licensing, disclosures, and transaction limits, and HB 5366 exempting J-LAP records from FOIA to protect confidentiality for lawyers and judges seeking assistance. Most bills passed with strong bipartisan support, though HB 5074 and HB 5353 drew some dissenting votes.

Transcript Highlights:

• I am very much in support of this bill.
• I am very much in support of this bill.
• I am very much in support of this bill.
• Support Support Services<02:09:48.960><c> you're</c><02:09:49.159><c> welcome</c><02:09:50.119><c> anyone
• </c><04:14:42.159><c> people</c> compromised as are many elderly people compromised as are many elderly

Keywords: 928, house, all

Summary: The House Committee on Health, Human Services and Elderly Affairs heard testimony on House Bill 606, as amended, a bill aimed at preventing physicians from denying medically necessary sterilizing or fertility-affecting treatment based on a patient’s age, number of children, marital status, or a doctor’s speculation about future reproductive intentions. Representative Ellen Reed, the sponsor, described the bill as a response to her own long experience with PCOS, heavy bleeding, and repeated refusals by doctors to perform a hysterectomy despite her clear wishes. She said the amendment narrows the bill to medically necessary care, adds definitions for “medical condition” and “appropriate reproductive care,” and removes earlier provisions about voluntary sterilization referrals. She also said the bill does not target religious objections, and that doctors could still refuse for medical, payment, or existing religious reasons not addressed by the bill. Committee members asked about religious freedom, informed consent versus waivers, and the scope of the new definitions. Reed responded that religion was not added to the list of prohibited reasons for denial, and that the amendment is intended to protect doctors when patients sign informed consent or waivers. She explained that “appropriate reproductive care” includes procedures such as hysterectomy, oophorectomy, orchiectomy, salpingectomy, and endometrial ablation, and that the bill now focuses on medically necessary treatment rather than elective sterilization. She said the change was intended to make the proposal narrower and more tailored after earlier concerns. Several witnesses supported the bill with personal accounts of being denied hysterectomies or other procedures despite serious symptoms. Representative Lauren Selig described a decade-long effort to obtain a hysterectomy after years of cycle problems and migraines, saying doctors dismissed her concerns and treated her symptoms as normal. Jade Flad also testified in support, saying she had long been told to simply endure her cycle problems and noted that her husband was offered a vasectomy without similar barriers. The sponsor said online support was strong and that there was little or no written opposition testimony. No vote or final committee action was taken during the portion of the hearing provided.

Transcript Highlights:

• This is a support, support bill, and I request an aye vote, please.
• AB 1615 is a support, support bill. I respectfully ask for an aye vote.
• AB 1666 is support, support. May I ask for an aye vote? AB 1666 is support, support.
• of political support.
• support.

Keywords: 988, house, all

Transcript Highlights:

• Um, our city council supports this.
• Um, our city council supports this.
• I am here in lie of an supports this.
• </c><00:58:41.280><c> chair,</c> support this bill. Thank you, Mr. chair, support this bill.
• </c> and I am going to support it. Thank you. and I am going to support it. Thank you.

Bills: HF4319, HF3295, HF3589, HF3587, HF3588, HF4295, HF3571, HF3895

Keywords: public utilities commission, Lake City, port authority, Red Wing, terms of appointment, local government, elections, open meeting law, transparency, public engagement, social media, government accountability, voter access, polling place, ballot, unexpected needs, election judge, public information, political parties, HF4295

Transcript Highlights:

• </c><00:09:12.959><c> from</c> cooperation and help and support from cooperation and help and support
• I rise in support of this bill.
• </c><00:43:20.000><c> I</c> I rise uh in support of this bill. I I rise uh in support of this bill.
• So, I I support the those things.
• I've supported that.

Keywords: 958, all

Transcript Highlights:

• For these reasons and others, we support the passage of House File 81.
• For these reasons and others, we support the passage of House File 81.
• For these reasons and others, we support the passage of House File 81.
• </c><01:18:39.760><c> uh</c> across the state the chamber supports uh across the state the chamber supports
• c> amended</c><01:18:42.040><c> legislation</c> supports HF 1627 as amended legislation supports HF 1627

Keywords: 1183, house

Transcript Highlights:

• The state systems used to support Medicaid, and this also applies to the state systems used to support
• The state systems used to support Medicaid, and this also applies to the state systems used to support
• The state systems used to support Medicaid, and this also applies to the state systems used to support
• We won't be support other benefits.
• </c> support that accuracy and efficiency. support that accuracy and efficiency.

Bills: HR1

Keywords: January 6 insurrection, pardon, law enforcement, violent crimes, public safety, justice system, political accountability, 1183, house

Transcript Highlights:

• We stand in support of this bill.
• We support the same parts of the bill that the Attorney General's office supports, the Judiciary supports
• We're in support of this measure.
• GC Molen, strong support. HMSA.
• We strongly support this bill.

Keywords: 910, house, all

Summary: The committee first took up SB 1494 on hearing aids. Testimony was generally supportive of expanding hearing-aid coverage, with the Insurance Division raising concern about possible federal defrayment issues, SHPDA supporting the goal of hearing augmentation, DCAB strongly supporting the bill as an important access issue, and health plans and insurers asking for amendments. Kaiser Permanente and the Hawaii Association of Health Plans requested changes to add a medical-necessity standard and clarify annual notice language, while HMSA suggested the proposal should be studied by the auditor. The chair noted concerns about federal preemption and the lack of an audit, and deferred the bill in favor of a related resolution calling for a study. The committee then heard SB 1448, an emergency appropriation for the Hawaii State Hospital. DAGS and the Department of Health supported the measure, with the hospital administrator saying the funding would improve the environment of care, support cleaning, and allow a third-party review of the building. Committee members questioned the size of the request and the status of litigation against the design-builder. Administration witnesses said they were pursuing a comprehensive study involving destructive testing, had made a demand on the design-builder to fund the study, and were using different processes than before. They also said the roof work would be handled through a separate CIP request. No final action was taken in the portion provided. The committee next heard SB 1432, relating to the future responsibilities of the Department of Health and land issues at Kalaupapa after the last patient dies. DOH supported the bill in part but said its long-term role would be limited mainly to environmental cleanup, with operations expected to continue under the National Park Service and land-use decisions left to DHHL and beneficiary consultation. DHHL asked that the measure reflect that any land-use or zoning changes on homeland lands require commission approval and beneficiary consultation. Testifiers from Kalaupapa and Maui County, including Degra Vanderbilt-Papa and Council Member Keani Rollins-Fernandez, supported deferring the bill, saying there had been no meaningful community discussion about provisions affecting Kalaupapa’s future management and possible transfer of responsibilities to Maui County. The committee also read into the record written testimony from Gloria Marks emphasizing that Kalaupapa stakeholders must be included in future discussions. Finally, the committee heard SB 955 on fitness-to-proceed examinations. The Judiciary and the Public Defender’s Office both supported raising pay and standardizing expectations for private examiners, but opposed reducing felony fitness evaluations from three examiners to one and opposed expanding use of expedited reports. They argued that a single examiner would reduce reliability, create a more adversarial process, and likely increase costs and contested hearings, while expedited reports do not contain enough information for a proper fitness determination. The Department of Health also supported the bill’s intent but asked to preserve a three-examiner framework and said the goal was to reduce the number of people sent to the State Hospital, where admissions have reportedly risen about 20% year over year since Act 26. The bill remained under discussion in the excerpt, with no final vote shown.

Transcript Highlights:

• With that, I appreciate Your support.
• So, with that, I ask for your favorable support.
• Thank you for your support. Read the bill for the time.
• One is now in MPA support. We had that bill.
• They support this. This is a no-brainer.

Bills: SCR46, SB31, SB39, SB227, SB330, SB401, SB407, SB467, SB482, SB500, SB506, SB512, SB527, SB584, SB619, SB636, SB646, SB647, SB648, SB659, SB663, SB715, SB732, SB758, SB801, SB816, SB847, SB870, SB884, SB1020, SB1055, SB1065, SB1137, SB1169, SB1181, SB1283, SB1383, SB1395, SB1410, SB1433, SB1490, SB1558, SB1574, SB1626, SB1666, SB1718, SB1727, SB1756, SB1757, SB1845, SB1924, SB1964, SB1972, SB2018, SB2031, SB2075, SB2076, SB2080, SB2111, SB2117, SB2154, SB2161, SB2173, SB2206, SB2225, SB2253, SB2268, SB2314, SB2322, SB2351, SB2371, SB2476, SB2533, SB2540, SB2570, SB2589, SB2623, SB2658, SB2660, SB2692, SB2693, SB2717, SB2722, SB2753, SB2779, SB2877, SB2880, SB2900, SB2920, SB3031, HJR4, SB5, SB260, SB1786, SJR3, SJR18, SB1, SJR36, SJR50, SJR63, SJR84, SJR59, SCR12, SCR39, SCR46, SCR48, SCR19, SB2023, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB1502, SB507, SB1026, SB1433, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB619, SB1122, SB732, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB529, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB1924, SB2253, SB2018, SB2206, SB584, SB1085, SB1490, SB2314, SB2046, SB1975, SB2717, SB1262, SB1524, SB1137, SB636, SB2056, SB1558, SB884, SB227, SB517, SB1200, SB1410, SB1626, SB1845, SB1863, SB2681, SB2200, SB2199, SB1757, SB2050, SB2458, SB2201, SB1055, SB2660, SB2662, SB1065, SB801, SB2533, SB3014, SB3013, SB758, SB648, SB647, SB512, SB1721, SB2268, SB2366, SB1013, SB2692, SB2570, SB2797, SB2111, SB2371, SB2383, SB646, SB1169, SB1754, SB1718, SB2779, SB2004, SB1756, SB2119, SB527, SB2322, SB2448, SB1777, SB1283, SB407, SB2392, SB2076, SB2786, SB3031, SB2877, SB2876, SB2284, SB2225, SB1540, SB2920, SB2929, SB1395, SB1972, SB2540, SB2742, SB2595, SB2217, SB2117, SB715, SB2330, SB1964, SB1383, SB500, SB1640, SB2001, SB2080, SB2722, SB506, SB2514, SB2623, SB2658, SB1574, SB2900, SB2753, SB2398, SB401, SB1241, SB2927, SB2173, SB2538, SB898, SB467, SB1449, SB2529, SB1531, SB2846, SB2476, SB2031, SB986, SB1181, SB2075, SB2154, SB2864, SB31, SB2880, SB1359, SB2386, SB771, SB2844, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB2807, SB2351, SB410, SB659, SB816, SB2776, SB2693, SB2580, SB1980, SB1886, SB1234, SB739, SB482, SB456, SB127, SB1666, SB2843, SB2801, SB800, SB2055, SB784, SB2986, SB735, SB1012, SB324, SB2926, SB2938, SB2007, SB2138, SB1242, HJR4, HB135, HB 1109, SCR30, SCR3, SB2615, SB1049, SB2310, SB1224, SB2972, SB1568, SB2841, SB2885, SB3016, SB2858, SB2610, SB2139, SB1856, SB2035, SB2308, SB2306, SB2041, SB1528, SB1681, SB1141, SB2401, SB2530, SB2375, SB547, SB1266, SB1373, SB1467, SB2069, SB2269, SB2480, SB2544, SB672, SB904, SB2695, SB2891, SB2422, SB2543, SB1854, SB317, SB2539, SB2532, SB2925, SB1250, SB2082, SB2203, SB457, SB2357, HCR35, HCR64, SB227, SB401, SB512, SB527, SB648, SB1490, SB1558, SB1574, SB1626, SB1756, SB1924, SB1964, SB2018, SB2031, SB2111, SB2117, SB2206, SB2570, SB2658, SB2692, SB2900, SB3031, SB407, SB1395, SB1433, SB1718, SB2322, SB2877, SR453, SR461, SJR86, SB3060, SB3061, HB18, HB26, HB36, HB37, HB48, HB 126, HB150, HB252, HB503, HB517, HB581, HB742, HB754, HB972, HB 1024, HB 1041, HB 1089, HB1442, HB1562, HB1633, HB1689, HB1690, HB1696, HB1718, HB1732, HB1741, HB2103, HB2216, HB2733, HB2884, HB2986, HB3700, SB1888, SJR86, SB3060, SB3061, HB18, HB26, HB36, HB37, HB48, HB 126, HB150, HB252, HB503, HB517, HB581, HB742, HB754, HB972, HB 1024, HB 1041, HB 1089, HB1442, HB1562, HB1633, HB1689, HB1690, HB1696, HB1718, HB1732, HB1741, HB2103, HB2216, HB2733, HB2884, HB2986, HB3700, SB1888

Keywords: Texas beef, cattle industry, agricultural heritage, Texas strip steak, economic growth, SB 31, Life of the Mother Act, Texas abortion law, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, spontaneous abortion, miscarriage, unborn child, abortion exception, abortion ban, physician liability

Transcript Highlights:

• And really this is about that early detection and early family supports and having the support.
• And really this is about that early detection and early family supports and having the support.
• by health and evidence-based curriculum that is supported by multi-tier systems of support.
• by health and evidence-based curriculum that is supported by multi-tier systems of support.
• That is supported by multi-tier systems of support.

Keywords: 928, house, all

Summary: The House Finance Committee’s Division 3 held a public work session on the Behavioral Health budget on February 27, 2025. The chair opened by explaining the schedule, materials, and deadlines for the budget process, and noted there would be no motions or votes in the division that day. Division of Behavioral Health Director Ktia Fox and DHHS CFO Nathan White then walked the committee through the division’s mission, structure, and budget materials, describing the division’s four bureaus: Mental Health Services, Children’s Behavioral Health, Drug and Alcohol Services, and Homeless Services, along with the policy unit. They emphasized the division’s role in oversight, technical assistance, quality assurance, contracting, and the continuum of care from prevention and early intervention through crisis and residential services. Much of the discussion focused on major programs and funding lines, including the 988 Lifeline contract with Headrest, a technical assistance contract with UNH, Medicaid pass-through payments to New Hampshire Hospital and Glencliff, crisis response services, cold-weather homeless responses, housing supports, and the children’s system of care. Members asked about the UNH contract, the 988 program, crisis stabilization centers, and the peer certification program; Fox explained that the peer certification is a training-and-credentialing pathway for people with lived experience to enter community-based behavioral health work, not a volunteer program. The committee also discussed the “Choose Love” program, which Fox said was created after the Sandy Hook tragedy to build resilience and strength-based emotional regulation in schools and communities. On the children’s side, Fox described the system of care account as the place where many contracted services are budgeted, including community mental health centers, care management entities, rapid response services, and residential programs. Members asked about temporary staffing, and Fox said roughly $500,000 in temporary staff costs shown in the current year would not be spent next year because the money came from a nonlapsing appropriation in HB 1573 for oversight of children’s residential services. She also said provider rate increases were a prioritized need but were not funded in the governor’s current budget, and that the Children’s Behavioral Health Resource Center was not funded, resulting in about a $1 million reduction. The session ended while the division was still moving through the children’s behavioral health slides, including questions about the Fast Forward high-fidelity wraparound program and medication management.

Transcript Highlights:

• </c> incarceration while we reduce supports incarceration while we reduce supports for<00:43:37.119><
• </c><00:43:44.880><c> and</c><00:43:45.119><c> we're</c> have less supports and we're have less supports
• So, what we're creating is a support.
• So, I strongly support your supporting this, and uh if you have any questions, be glad to answer them
• But we are in support of SB 140.

Keywords: 1189, house, all

Transcript Highlights:

• I'm writing in support of this bill.
• A good supporter listens and helps me understand my options and supports me with pros and cons.
• I’m here today in strong support of the supported decision-making bill.
• But just because I have lower support needs doesn't mean I don't need any support at all.
• I was supported by my SDM team.

Keywords: 995, all

Summary: The Joint Committee on Children, Families and Persons with Disabilities held a hybrid hearing focused largely on DDS-related bills, with chairs Kennedy and Livingstone outlining strict time limits, accessibility procedures, and a 5 p.m. stop to preserve ASL and CART services. The committee heard testimony on several measures, including a bill from Sen. Mike Moore to create a centralized electronic education records system for students in out-of-home placements, which supporters said would improve communication, preserve IEP continuity, and reduce missed services. Paul DePaulo also testified in support, describing the educational and justice-system harms that can follow when foster youth do not receive coordinated records and supports. A major portion of the hearing centered on H. 242/S. 149, a bill to enhance standards of care for people with autism and intellectual and developmental disabilities. Rep. Garballey and many advocates, parents, clinicians, and disability leaders supported the bill, saying it would require provider training, statewide standards, and better emergency department practices to reduce misdiagnosis, trauma, and unnecessary ER boarding. Testimony described sensory and communication barriers in medical settings, lack of provider training, and the need for continuing education and license-related requirements. Related testimony also supported H. 213/S. 111, which would improve access to behavioral health services for children involved with state agencies by requiring better discharge planning, coordination with hospitals and agencies, and more appropriate post-hospital placements. The committee also heard strong support for H. 256/S. 102, requiring universal changing stations in public buildings, from parents, advocates, and the Massachusetts Developmental Disabilities Council. Witnesses said current restroom accommodations often force unsafe or undignified changes on floors, in cars, or in inaccessible spaces, and argued the cost of adding changing stations to new or renovated buildings would be modest compared with the benefits to dignity, safety, and community access. Another major topic was H. 261/S. 155 on supported decision-making agreements for certain adults, which supporters described as a less restrictive alternative to guardianship that preserves autonomy while providing trusted support. Finally, testimony on Tommy’s bill (S. 168/H. 282) described a preventable death after a hospital discharge and urged clearer communication and training requirements for residential staff handling life-sustaining equipment; the bill was presented as a safeguard for people with disabilities relying on such equipment.