Video & Transcript Research : 'procurement practices'
Page 179 of 500
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Consumer Protection and Professional Licensure Jun 21st, 2026 at 10:00 am
Joint Committee on Consumer Protection and Professional Licensure
Transcript Highlights:
- The clarification in House Bill 4543 simply confirms this prior practice and makes clear that when the
- from Tufts School back in 2004, and I practiced both in private practice as well as in animal shelters
- As it stands right now, I'm working in a multi-doctor practice, and another veterinarian at the practice
- from Tufts School back in 2004, and I practiced both in private practice as well as in animal shelters
- As it stands right now, I'm working in a multi-doctor practice, and another veterinarian at the practice
Summary:
The committee heard testimony on several bills, with the longest discussion focused on House Bill 426 and Senate Bill 263, which would prohibit the sale in Massachusetts of cosmetics known to rely on vertebrate animal testing. Supporters from Animal Defenders International, Humane World for Animals, and the Animal Rescue League said animal testing is cruel, outdated, and unreliable, and pointed to non-animal alternatives and similar laws in other states and countries. No opposition was heard on that bill during the excerpt, and witnesses urged the committee to report it favorably.
The committee also took testimony on House Bill 4543, which would clarify an existing pipe-fitting exemption for certain work performed on property owned by industrial plants, utilities, colleges, and similar institutions. A representative for Construction Industries of Massachusetts supported the bill, saying it would preserve longstanding practice for outside contractors doing yard piping work. Pipefitters Local 537 opposed it, arguing the work is properly licensed pipefitting and that the bill would weaken licensing standards and undermine state inspectors.
Another major topic was Senate Bill 237 on regulating self-checkouts in grocery establishments. The Mass AFL-CIO and UFCW Local 1445 supported the bill, saying self-checkout has reduced staffing, increased worker stress and customer conflict, and contributed to theft and safety problems. Workers described being responsible for multiple machines at once, verbal abuse, and even assaults, and said the bill’s staffing and machine limits would improve safety and customer service. The committee also heard extensive testimony on House Bill 355, which would allow veterinarians to establish a client-patient relationship via telehealth; ASPCA, MSPCA, and several veterinarians supported it as a way to expand access to care, while the Massachusetts Veterinary Medical Association and several veterinarians opposed it, arguing that an in-person exam is essential for proper diagnosis and that telemedicine should only follow an in-person VCPR.
Finally, the committee heard testimony on House Bill 330, Senate Bill 221, and House Bill 371, which would preempt local boards of health from adopting tobacco-related age or sales restrictions beyond the statewide standard. Public health advocates opposed the bills, arguing they would block local innovation and undermine nicotine-free generation policies adopted by municipalities, while retailers and tobacco trade groups supported them as necessary to preserve a uniform statewide age-21 standard and avoid confusion for consumers and businesses. No votes or final actions were taken during the excerpt.
MN
Minnesota 2025-2026 Regular Session
House DFL Press Conference 3/25/26
Transcript Highlights:
- If people want to protect themselves from these practices, first they should visit UFCW members like
- ,<00:14:40.560>
first themselves from these practices, first themselves from these practices - I think that, you know, both sides of the aisle have concerns around data practices.
- They're saying just stop this predatory practice before it starts.
- practice before it starts. practice before it starts.
Summary:
The meeting focused on proposed Minnesota legislation to ban surveillance pricing and restrict AI-powered electronic shelf labels in grocery stores. Speakers from UFCW 1189 and UFCW Local 663, along with Rep. Samantha Sencer-Mura and Senate Majority Leader Erin Murphy, argued that these technologies could enable real-time price increases based on consumer data, undermine budgeting and privacy, and worsen affordability for families. They also said the technology could reduce hours or eliminate jobs for grocery workers who currently handle pricing and store knowledge, with UFCW Local 663 estimating about 500 affected jobs among its members alone.
Testimony emphasized examples such as baby formula, diapers, bananas, and milk to illustrate how fluctuating prices could hurt families, seniors on fixed incomes, and people in food deserts. Speakers also argued that grocery workers provide essential customer service and that automation should be introduced responsibly, not at the expense of workers or consumers. Murphy and Sencer-Mura framed the bill as a response to corporate greed and big tech surveillance, saying Minnesota should act proactively before the practices become widespread.
During questions, lawmakers and advocates discussed whether the issue was proactive or reactive, whether disclosure requirements like those used in New York would be sufficient, and how surveillance pricing differs from loyalty programs or coupons. Speakers said disclosure alone would not prevent tracking or price manipulation and that the goal was to stop the practice altogether. The transcript ended with the advocates saying they would continue meeting with lawmakers on both sides of the aisle; no vote or final committee action was recorded in the excerpt, though one question referenced a related bill stalling in committee earlier that morning.
KY
Kentucky 2026 Regular Session
Senate Standing Committee on Health Service (3-4-26)
Transcript Highlights:
- >
but <00:15:51.560>they're just practicing medicine, but they're just practicing medicine - I think we have five practicing doctors, and they're all over 60.
- I think we have five practicing doctors, and they're all over 60.
- Um the big thing with this is practice.
- time out in private practice. time out in private practice.
Summary:
The Senate Standing Committee on Health Services met with a quorum and first took up Senate Joint Resolution 116, sponsored by President Stivers. The resolution directs the University of Kentucky, the University of Louisville, and Eastern Kentucky University to work over the next year on a statewide framework to improve health care access, especially in underserved and unserved areas. Members discussed physician shortages, maldistribution of doctors, recruitment and retention, loan forgiveness, scholarships, technology, and the connection between health care access and economic development in rural Kentucky. The resolution was reported favorably on a unanimous roll call vote.
The committee then considered Senate Bill 116, relating to physician assistants and a shift from a supervisory to a collaborative practice model. The sponsor and PA witnesses explained that the bill was heavily revised through a committee substitute after discussions with the Kentucky Medical Association, physicians, and hospitals. They said the substitute keeps physician supervision in place while allowing health care teams to function more efficiently, and they emphasized that the bill is intended to improve access to care, particularly in rural areas with few doctors. Some members supported the compromise and the collaboration, while others raised concerns that expanding PA practice could worsen long-term physician shortages or reduce incentives for doctors to practice in rural Kentucky. The bill passed the committee 7-2 with favorable expression.
KY
Kentucky 2026 Regular Session
House Standing Committee on Primary and Secondary Education. (1-21-26)
Primary and Secondary Education
Transcript Highlights:
- <00:06:40.880>
test uh take away our current practice test uh take away our current practice - well as successful passage of a practice well as successful passage of a practice entrance<00:09
- We just put implement evidence-based practices that have been proven by the department.
- We just put implement evidence-based practices that have been proven by the department.
- >
have <00:21:10.559>been evidence-based practices that have been evidence-based practices
Summary:
The House Standing Committee on Primary and Secondary Education met for its first meeting of the session, reviewed basic committee rules, and took attendance before considering two bills. The chair emphasized civility, no signs in the room, and deadlines for committee substitutes and amendments.
House Bill 416, sponsored by Representative Clines, would change teacher-preparation admissions by replacing an entrance test score requirement with a formative assessment approach while retaining exit examinations for teacher certification. KDE witnesses said the bill would reduce barriers, provide programs with data to support students, and not lower standards. Members asked about content-specific preparation, whether the bill would water down standards, and available data on current entry-test barriers. Several members spoke in support, citing the teacher shortage and the value of giving more candidates a path into education. The committee approved HB 416 unanimously and sent it to the House floor with a favorable expression of opinion.
House Bill 389, sponsored by Representative Hein, would define dysgraphia, require KDE to annually update the dyslexia toolkit, support district professional development and coaching, require local boards to develop screener/diagnostic processes, and require postsecondary teacher programs to include dyslexia instruction. A committee substitute made technical changes, including an IDEA citation and removal of specific three-cueing language in favor of evidence-based practices. Testimony stressed that dyslexia is not the same as special education eligibility and that early identification and intervention are needed. Members discussed the low number of districts with related policies, the quality of approved screeners, and the need for more local and regional support services. The committee approved HB 389 with the committee substitute attached and sent it to the House floor with a favorable expression of opinion.
TX
Transcript Highlights:
- I know that he had some practical problems with the variable rate.” “Forgive me, I'm sorry.
- I know that he had some practical problems with the variable rate.
- I've been practicing family law for 20 years.
- I’m just thinking through the practicalities of this. Yes, exactly.
- I'm just thinking through the practicalities of this. Yes, exactly.
Keywords:
business court, civil procedure, litigation, jurisdiction, arbitration, divorce, property division, family law, court jurisdiction, marital assets, parent-child relationship, birth certificate, identity proof, Family Code, court process, attorney fees, court costs, legal expenses, dispute resolution, child support
Summary:
The committee heard several House bills, most of them relating to family law and court procedure, and left each bill pending after testimony. House Bill 1916 would clarify that the court that issued a final divorce decree retains exclusive jurisdiction over later actions involving undivided property. House Bill 1973 would require a certified birth certificate, if reasonably available, to be filed with a SAPCR petition or allow alternative proof of parentage while keeping the information confidential. House Bill 2530 would add qualifications and procedural safeguards for appointing amicus attorneys in SAPCR cases, including notice and hearing requirements, minimum qualifications, conflict rules, and limits on what amicus attorneys may do. House Bill 2524 would make Family Code references to attorney’s fees consistent by using “reasonable and necessary” language. House Bill 3180 would correct a scrivener’s error in the civil discovery rules by changing “settlement” to “statement.”
The committee also heard House Bill 4213, which would change the interest rate on overdue child support from the current 6 percent simple interest to a fixed 5 percent and require the Attorney General to report on the impact of the change. Testimony was sharply divided: supporters argued lower interest could improve collections and help low-income obligors catch up, citing research and the size of child-support arrearages; opponents said lowering the rate would reduce incentives to pay and harm custodial parents and children. The Attorney General’s office raised implementation concerns about a House version that would have created a variable rate, while the committee substitute was described as restoring a simple fixed rate. After testimony, the bill was left pending.
The committee also discussed House Bill 40, updating business court provisions and supplemental jurisdiction; House Bill 3421, streamlining probate procedures for original wills and copies; and House Bill 417, clarifying venue for lawsuits involving private transfer fees on real property. Each drew limited testimony and was left pending. Finally, House Bill 3783 drew extensive testimony on court-ordered counseling and reunification therapy in family cases. The sponsor and supporters said the bill would protect children and abuse victims from coercive, unregulated reunification practices, while opponents argued it was too broad, could interfere with legitimate therapy and judicial discretion, and might affect military families and other high-conflict cases. The committee heard testimony from judges, therapists, parents, survivors, and advocates, but took no final action and left the bill pending.
NH
New Hampshire 2025 Regular Session
House Executive Departments and Administration (01/16/2025)
Transcript Highlights:
- <00:16:27.360>
you other regulation scope of practice you other regulation scope of practice - That is the common practice.
- of, uh, practice in New Hampshire, so psychologists that practice in New Hampshire and mental health
- reference the practice of uh practice in reference the practice of uh practice in New<05:00:45.520
- that practice in health practitioners that practice in New<05:00:50.558>
Hampshire <05:00:51.040
Summary:
The meeting was an orientation-style overview from the Office of Professional Licensure and Certification (OPLC), led by Executive Director Deana Jurus and staff. They described the office’s mission to protect public health, safety, welfare, the environment, and the public trust, and outlined the agency structure: enforcement, licensing and board administration, operations, legal counsel, board counsel, and the hearings bureau. OPLC said it currently supports 57 boards, including seven advisory boards, and has about 104 filled positions out of 120 authorized. They also noted new voluntary certifications for doulas, lactation consultants, and community health workers that are in rulemaking.
A substantial portion of the discussion focused on how boards and staff divide responsibilities under RSA 310:4. Staff explained that the office handles application processing, complaint intake and initial review, records retention, 91-A requests, and rule drafting, while boards make final decisions on licensure criteria, complaint dismissals or investigations, disciplinary actions, and some hearing matters. They also described the rule structure by chapter number ranges and the distinction between full licensing boards and advisory boards. The committee asked about complaint notifications, and OPLC said it is tightening policies so complainants are told whether a matter is closed or moving forward.
The licensing process was discussed in detail, especially for nursing. Bethany Katrell explained that applicants apply through an online portal, may receive approval to sit for exams, can work under provisional authority in some cases, and then receive full licensure after exam results and criminal background checks are complete. OPLC said the portal now reduces back-and-forth paperwork and that, as of the latest biweekly report, 87% of applications were decided within the statutory 90-day period and 57% within 14 days. Members also raised questions about why some professions require board approval before taking an exam, and OPLC said that requirement varies by statute or board rule. No votes or formal actions were taken during the discussion.
CA
California 2025-2026 Regular Session
Assembly Select Committee on the Status of Boys and Men of Color Apr 28th, 2026
Transcript Highlights:
- But they weren't following the fidelity of the practice.
- Okay, I wrote a letter, so I went through a restorative practice.
- But they weren't following the fidelity of the practice.
- and restorative practices.
- Today, I'll share an overview of the role, key successes, and best practices.
Summary:
The Select Committee on the Status of Boys and Men of Color held its second hearing, focused on cradle-to-college-and-career pipelines and education. Members opened with remarks emphasizing bipartisan support, the need to address opportunity gaps, and the committee’s prior hearing in Los Angeles, which helped generate legislation. The chair framed the day around school safety and discipline, community schools, and college/career pathways, and noted that public comment would be included at the end.
In the first panel, witnesses described persistent disparities in school discipline and policing, even as suspension rates have declined statewide. Dr. David Turner cited reductions in suspensions tied to reforms such as bans on willful defiance suspensions, but warned that Black and Native boys remain disproportionately suspended and that “ghost suspensions” and police referrals still push students out of class. Other advocates called for stronger accountability, more restorative and culturally rooted practices, and greater investment in community-based supports. Members asked about the role of state and local policy, rural versus urban differences, and how to measure which interventions work best.
The second panel centered on community schools. Advocates from Californians for Justice, Reclaim Our Schools LA, MILE, and the Sierra Health Foundation argued for the governor’s proposed $1 billion ongoing investment in the California Community Schools Partnership Act. They said community schools improve attendance, reduce suspensions, strengthen belonging, and create shared decision-making with families and students. Panelists described the role of community school coordinators, the importance of authentic partnerships, and the need to track informal discipline practices. Committee members pressed for a plain explanation of community schools and heard that the model is intended to be a high-return equity strategy that can save the state money over time.
The final panel addressed college and career pathways. Speakers from the California Faculty Association, UC Student Association, Brotherhood Crusade, A Men, and Improve Your Tomorrow highlighted barriers facing Black, Latino, Native, and other boys and men of color in higher education, including financial aid gaps, weak transfer pathways, underinvestment in student support, and low campus belonging. They urged continued funding for community schools, expanded dual enrollment and ELOP access, and support for mentorship and culturally responsive programs. Public commenters echoed support for community schools and youth investment, including calls to redirect prison spending toward education and prevention. The chair closed by thanking the panelists, reflecting on his own school struggles and the role of mentorship, and adjourned the committee.
CA
California 2025-2026 Regular Session
Assembly Select Committee on the Status of Boys and Men of Color Apr 28th, 2026
Transcript Highlights:
- But they weren't following the fidelity of the practice.
- Okay, I wrote a letter, so I went through a restorative practice, and so a lot of times...
- But they weren't following the fidelity of the practice.
- and restorative practices.
- Today, I'll share an overview of the role, key successes, and best practices.
LA
Louisiana 2026 Regular Session
Labor and Industrial Relations May 14th, 2026
Transcript Highlights:
- I've been practicing for about 33 years in the workers' compensation arena.
- I've been practicing for about 33 years in the workers' compensation arena.
- I practiced in every single OWC in the state, excuse me.
- As a matter of practice for me, I provide medical authorizations to my, to the defense attorneys and
- , ...outreach to our counterparts in other states trying to find best practices, the best approach.
Summary:
The Senate Labor Committee met on March 14 and adopted the prior minutes. It voluntarily deferred Senate Bill 358, which would have addressed workers’ compensation coverage for independent contractors and sole-proprietor subcontractors. Senator Abraham said the bill would instead be studied to determine whether such workers should be able to buy occupational accident coverage or be required to carry workers’ compensation coverage, particularly where no employees are involved.
The committee then heard House Bill 456, which would expand and clarify workers’ compensation petition requirements and broaden employers’ and payers’ ability to file disputed claims beyond fraud and medical-director appeals to other disputes under the chapter. The bill drew strong support from business groups and strong opposition from injured-worker attorneys, who argued it would revive problems seen in 2012 when employers could sue injured workers without a ripe dispute, burden unrepresented claimants, and increase litigation and administrative costs. Supporters said it would improve access to the courts and help employers investigate questionable claims. After debate, the committee voted 5-1 to report HB 456 favorably, with Senator Barrow voting no.
The committee also heard House Bill 549, which creates the Bayou Growth Opportunity Workforce Program, or Bayou Works, a proposed statewide workforce training grant program aimed at helping employers quickly train workers for specific skill needs. The sponsor and Louisiana Workforce Commission representatives said it would be privately funded, modeled on Michigan’s “Going Pro” program, and coordinated with technical colleges, apprenticeships, internships, and other workforce partners. Members asked about statewide reach, youth pipeline efforts, and timing; the department said implementation would likely begin later next year. The committee reported HB 549 favorably by unanimous consent and then adjourned.
HI
Transcript Highlights:
- We should allow them to practice their tradition. Um, so I'll be voting no. Uh, so noted.
- <00:18:52.799>
their we should allow them to practice their we should allow them to practice - <00:30:37.360>
of midwife or engaged in a practice of midwife or engaged in a practice of - But the or engaging in the practice of midwifery is broader than that. Or engaging. Yeah.
- If they're engaging in the practice, they're breaking the law. Yeah. So, no. Well, you know what?
Summary:
The joint Senate Commerce and Consumer Protection and Judiciary decision-making meeting on April 1, 2025 considered several measures previously heard in committee and took action on each. HB 228 HD1 SD1, relating to license plates, was recommended to pass with amendments defining the terms “cover” and “shield”; it was adopted with votes of aye from the chair, vice chair, Senator McKelvie, and Senator Richards, and a no from Senator Awa. HB 125 HD1, relating to firearms and secure storage notice requirements, was recommended to pass unamended and was adopted, though Senator McKelvie noted reservations and Senator OA did not vote. The committees also noted they would wait for a full complement on some JDC votes before finalizing all actions.
HB 1194 HD2 SD1, relating to midwives, drew the most discussion and testimony. The recommendation was to pass with amendments, including DCCA-proposed changes and a revised effective date; members discussed concerns about regulation, the role of unlicensed birth attendants, and whether the bill could criminalize people present at births. The chair explained the intent was not to criminalize invited, uncompensated birth attendants who do not use the title “midwife,” while also clarifying limits on practicing midwifery without a license. The measure passed with reservations from Senator McKelvie and a no vote from Senator Awa.
HB 348 HD1 SD1, relating to single-use plastics, was recommended to pass unamended and was adopted without objection. HB 874 SD1, concerning trust accounts for minors in theatrical employment, was recommended to pass with amendments accepting the Attorney General’s suggestion to remove rulemaking authority; it passed in both committees without opposition. After the CPN portion adjourned, JDC also took up HB 125 and HB 1194, adopting the same recommendations and passing both measures, with the midwifery bill again reflecting the committee’s intent to preserve invited, unpaid attendance at births while restricting unlicensed practice.
VT
Transcript Highlights:
- Then, if they keep good records documenting that they are practicing best management practices, they
- Then, if they keep good records documenting that they are practicing best management practices, they
- and property maintenance practices and property maintenance practices consistent<00:31:04.720>
and salt application practices and salt application practices highlights<00:33:49.760>the - In the adopt a certain practice.
AL
Transcript Highlights:
- The bill also includes language that would allow respiratory therapists to practice under the direction
- of an advanced practice professional, which includes PAs, CRNPs, and CRNAs with prescribing authority
- under the direction of an advanced practice professional, which includes PAs, CRNPs, and CRNAs with
- under the direction of an advanced practice professional, which includes PAs, CRNPs, and CRNAs with
- advanced practice professional<00:07:22.479>
which <00:07:22.720>includes <00:07:23.199
Keywords:
court costs, Choctaw County, jail funding, municipal court, criminal proceedings, education funding, student outcomes, K-12 education, RAISE Act, accountability, special education, English language learners, local education agency, respiratory therapy, respiratory therapist, respiratory care, licensure, licensing board, advanced practice provider, nurse practitioner
CA
California 2025-2026 Regular Session
Assembly Select Committee on Youth Mental Health and Treatment Accessibility Jun 10th, 2026
Transcript Highlights:
- The report really does a great job of showing best practices that are...
- County Office of Education and the Santa Clara County Office of Education of best practices.
- I would just add that the communities of practice are inclusive of our county offices of education.
- County Office of Education and the Santa Clara County Office of Education of best practices.
- Or is it just a matter of waiting for it to happen organically or through communities of practice?
AZ
Arizona 2026 Regular Session
01/30/2026 - House Health & Human Services Committee of Reference
House Health & Human Services Committee of Reference
Transcript Highlights:
- The board was established in 1903 to regulate the practice of pharmacy and the manufacturing, distribution
- The back-door cases are typically those nurses that have violated the nurse practice act.
- However, inconsistent with recommended practices from the U.S.
- Is that custom in practice?
- Not every complaint will require all of the statutes within the Medical Practice Act.
NH
New Hampshire 2025 Regular Session
Senate Executive Departments and Administration (03/26/2025)
Executive Departments and Administration
Transcript Highlights:
- 07:53.599>
they can only practice the skills where they can only practice the skills where they - current practicing current practicing CPA.<01:27:46.960>
They <01:27:47.199>may <01 - So now you're practice theoretically.
- , commitment to ethical practice, commitment to ethical practice, safeguards<01:41:52.960>
public - I haven't done CLEs in a long time because I don't practice anymore.
NM
Transcript Highlights:
- Yes, it is not treated as a license to practice by the association.
- And then there's a temporary authorization to practice called TAP.
- What happens On the temporary authorization to practice, you have 30 days.
- And mainly because across the states, the allowances for temporary practice vary.
- So some of them allow you to practice unlimited, some 5 days, 10 days, 20 days.
Keywords:
Immigrant Safety Act, immigration detention, civil immigration violations, ICE, federal immigration enforcement, sanctuary policy, public bodies, local government, sheriff's department, school district, higher education, deputization, 287(g), 8 U.S.C. 1357(g), 8 C.F.R. 287.7, intergovernmental services agreement, detainer, immigration cooperation, public property, attorney general enforcement
FL
Florida 2025 Regular Session
Health Policy Mar 18th, 2025
Transcript Highlights:
- Chair, before I forget, in 1982, I lost my cousin who had cardiac arrest while in basketball practice
- Because we have gone on scope of practice, which is a big issue, and everybody knows my feelings.
- This would, in effect, be the practice of an optician.
- Any persons other than a licensed optician may not engage in the practice of this service.
- , the practice of opticianry includes the fitting of glasses.
FL
Florida 2025 Regular Session
Judiciary Mar 4th, 2025
Transcript Highlights:
- Now practice from the title.
- He's still practicing and has been practicing for over 40 years. I believe it was an accident.
- Medical practice practice. Premiums are high in Florida because medical malpractice is high.
- What that is in building out in ops, detrick practice.
- That is the only way to keep bad doctors from continuing to practice.
AZ
Transcript Highlights:
- He received his license to practice law from the Arizona Supreme Court in 2002.
- I have practiced for 40 years. My name is Vicki Lopez. I am a private attorney.
- I have practiced for 40 years. I am a certified criminal law specialist.
- But they are allowed to practice law.
- But if you're on probation, you can practice. Yes. Madam Chair, if I may.
Bills:
SB1003, SB1006, SB1029, SB1037, SB1038, SB1039, SB1040, SB1053, SB1057, SB1060, SB1061, SB1068, SB1069
Keywords:
election, canvass, certification, ballot tabulation, write-in candidates, registration, voting procedures, campaign finance, contribution limits, reporting requirements, political action committees, elections, campaign contributions, candidate committees, posthumous provisions, termination process, Arizona Revised Statutes, voting systems, vote tabulation, election security
TX
Transcript Highlights:
- Well, if you are in a practice where you have a thousand patients, Successful.
- Medical service to obtain licenses to practice medicine or nursing in Texas.
- This is current practice in the state hospitals.
- I'm a cardiologist by training and practice.
- In practice, this will require us to provide active efforts.
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.