Transcript Highlights:

• access to health care.
• that our public health department operates under, according to statewide standards.
• Food truck operators can operate anywhere in the county. Public health is maintained.
• Under current law, local health departments, many of which operate with registered sanitarians and health
• The bill limits essential public health tools by no longer requiring mobile food vendors to operate with

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• The Committee on Health and Human Services will come to order. The clerk will please call the roll.
• It's not an alternate health plan; it's an alternate medical model.
• I'm the Assistant Deputy Commissioner of Operations on the bill. Great.
• The health and well-being of families influence the health, stability, and social cohesion of our communities
• to harm the health of Texas families.

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• And so when we talk about whether private equity is good for health care or bad for health care, or good
• It was after Stewart Health filed for bankruptcy.
• And I don't want the choice to be this... ...of health care workers.
• There are a lot of contracts throughout our health care system.
• in health actually does define a hospital system at the very bottom.

Bills: HB99, HB49, HB164, SB30, SB43, SB50, SB136

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• And so when we talk about whether private equity is good for health care or bad for health care, or good
• And I don't want the choice to be this. ...of health care workers.
• There are a lot of contracts throughout our health care system.
• As that amendment was attached in Health, it means a group of two or more hospitals that are owned, operated
• Does your health insurance? ...down?

Bills: HB99, HB49, HB164, SB30, SB43, SB50, SB136

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Summary: The committee first took up House Bill 99, which would make changes to the Medical Malpractice Act, especially around punitive damages. The chair and sponsor said the bill would not be voted on that day and that public comment would wait until Monday, when a fuller presentation and any recommended substitute would be considered. Dr. Brooke Baker, a physician-lawyer, gave a long presentation on physician wellness, malpractice stress, and the effect of litigation on staffing and burnout, while also discussing hospital ownership structures, private equity, and rural hospital vulnerability. She argued that punitive damages are often pled too broadly in New Mexico, that the amendment language was unclear about which entities would be capped, and that better oversight and internal quality systems—not punitive damages—are the better tools for addressing bad actors and unsafe care. Committee members from both sides asked extensive questions about the patient compensation fund, indemnification, corporate structures, the effect of caps on insurance and recruitment, and whether the bill would protect physicians’ personal assets. No vote was taken on HB 99, and the committee recessed before moving to the next bill. The committee then returned to House Bill 49, a public safety measure increasing penalties for felons who possess firearms. The sponsors and law enforcement witnesses said the bill is aimed narrowly at serious violent felons who are already prohibited from having guns, and that it would align state sentencing with federal law and give police and prosecutors a stronger tool against repeat violent offenders. An amendment was offered to narrow the bill further, add destructive devices, and make the offense a second-degree felony rather than escalating to first degree on repeat offenses. The amendment was adopted without opposition. Public testimony on HB 49 was largely opposed. The Law Office of the Public Defender argued the bill criminalizes possession without a new act of violence, that current law already punishes felon-in-possession conduct, and that New Mexico has repeatedly increased penalties without evidence of reduced gun crime. The ACLU of New Mexico also opposed the bill, saying increased penalties are not a proven deterrent. The transcript cuts off as additional online opposition testimony was beginning.

Transcript Highlights:

• These policies don't improve health outcomes.
• This bill does not strengthen health care.
• And so I... ...to understand the health of New Mexicans.
• This is a health care procedure.
• This is a health care procedure.

Bills: HB99, HB49, HB164, SB30, SB43, SB50, SB136

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Summary: Senate Judiciary began by announcing that Senate Bill 136 would be rolled over because the sponsor was unavailable. The chair then addressed criticism from the floor over how a prior bill had been handled, defending the committee’s practice of using committee substitutes and amendments without waiting for a new version from council, and emphasizing his authority to set hard stops and limit debate when he believes discussion is repetitive or dilatory. Several members responded, with some supporting the chair’s approach and others arguing that contentious bills deserve more time and fuller committee vetting. The committee then heard Senate Bill 30, which would repeal New Mexico’s requirement that induced abortions be reported to the state registrar. The sponsors argued the reporting law is outdated, unnecessary for public health, and potentially dangerous because provider information can be disclosed under broader vital statistics statutes; supporters from the ACLU, League of Women Voters, Bold Futures, and NOW echoed privacy and safety concerns. Opponents argued the reporting requirement provides transparency and public health data. After debate, the committee approved SB 30 on a roll call vote. Next, the committee heard Senate Bill 43, a bipartisan measure to modernize the Adult Parole Board statute after a prior veto. The bill would update parole factors for life-sentenced inmates, authorize per diem and closed hearings, and prevent parole hearings from being scheduled on victims’ birth or death dates. It received support from corrections officials and victims’ advocates, and the committee passed it without objection. The final major item was Senate Bill 50, which would remove several statutory in-service training mandates for law enforcement and give the Standards and Training Council more flexibility to set curriculum. Supporters said the current requirements are outdated and too rigid; opponents warned the bill could weaken recurring training in domestic violence, sexual assault, crisis intervention, and other high-risk areas. A motion to table failed, and the committee ultimately passed SB 50 on a roll call vote, despite divided member views.

Transcript Highlights:

• The Senate Health and Human Services Committee will come to order again.
• The plan is automatically approved by operation of law.
• further down the road and potentially prioritizing adults' religious beliefs over the wellbeing and the health
• We will probably have another health and human services committee because we have exact norms, we do

Bills: HB1979, HB1225, HB3931, HB4454, HB3849, HB1746, HB3720, HB4275, HB4300, HB3586, HB2268, HB3755, HB4117, HB4294, HB3650, HB4298

Keywords: early childhood education, task force, governance structure, healthcare access, stakeholder engagement, quality services, vital records, birth certificate, birth registration, biological sex, sex designation, male, female, nonbinary, gender identity, X marker, transgender, vital statistics, State Department of Health, State Commissioner of Health

Transcript Highlights:

• The Senate Health and Human Services Committee will come to order.
• The plan is automatically approved by operation of law.
• The plan is automatically approved by operation of law.
• We will probably have another Health and Human Services Committee because we have exec noms.
• We will probably have another Health and Human Services Committee because we have exec noms.

Bills: HB1979, HB1225, HB3931, HB4454, HB3849, HB1746, HB3720, HB4275, HB4300, HB3586, HB2268, HB3755, HB4117, HB4294, HB3650, HB4298

Keywords: early childhood education, task force, governance structure, healthcare access, stakeholder engagement, quality services, vital records, birth certificate, birth registration, biological sex, sex designation, male, female, nonbinary, gender identity, X marker, transgender, vital statistics, State Department of Health, State Commissioner of Health

Summary: The Senate Health and Human Services Committee first considered the nomination of Christy D. Fisher to the Board of Examiners for Speech-Language Pathology and Audiology. Senator Stanridge presented her as a lay member with legal and paralegal experience, and Fisher spoke about her family’s experience with speech therapy and autism-related speech needs. After brief questions, the committee advanced the nomination on an 8-2 vote. The committee then heard several bills, including measures creating an Early Childhood Task Force (HB 1979), clarifying that Oklahoma has always prohibited sex-to-gender-identity amendments on birth certificates (HB 1225), and establishing a process for correcting death certificates after one year (HB 3931). Members also advanced a bill restricting edible medical marijuana products from being attractive to children (HB 4454), updating the mentoring program for children of incarcerated parents (HB 3849), and allowing juvenile safety plans to take effect if not acted on within 24 hours (HB 1746). Other bills addressed local food sales thresholds (HB 3720), allowing case managers and peer support specialists to work for cities and counties (HB 4275), DHS background-check and email-notice updates for child care centers (HB 4300), and a clarification that raising a child consistent with biological sex is not child abuse and that adoption cannot be denied solely over refusal to support a gender transition (HB 3586). The committee also advanced bills on Medicaid reimbursement for dementia cognitive assessments and care planning (HB 2268), juvenile detention medication funding (HB 3755), family resource centers including faith-based and workforce organizations (HB 4117), epilepsy insurance coverage protections (HB 4294), extending the managed care rate floor to July 1, 2028 with a carve-out for multi-state contracts (HB 3650), and child care reforms raising subsidy co-pays and directing DHS to set more flexible master-teacher ratios for certain facilities (HB 4298). Several bills were amended or worked from committee substitutes, and most passed on unanimous or near-unanimous votes, with HB 1225, HB 3586, and HB 4294 drawing some opposition. The committee adjourned after noting it would likely meet again later for additional executive nominations.

Transcript Highlights:

• Senate Bill 1794 directs the Department of Mental Health to publish bed vacancies at mental health facilities
• throughout the state so that when we have an Individual who needs an acute mental health bed, we know

Bills: SB206, SB904, SB933, SB1436, SB1500, SB1553, SB1557, SB1567, SB1644, SB1645, SB1651, SB1794, SB1833, SB1849, SB1984

Keywords: SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health, health care facility, municipality, county, ambulance service district, tribal entity, public entity, contract ambulance service, Oklahoma, 63 O.S. 2021 Section 1-2502, emergency clause

Transcript Highlights:

• She has also served as an adjunct professor teaching professional ethics and health law to public health
• We're operating in the correct title.
• And so this is becoming Standard operating procedure of life in the United States.
• It would be wrong to operate under the assumption that it's one company.
• That's the way we operate now, and these companies are willing to do that here.

Bills: SB2102, SB1940, SB1625, SB1442, SB1623, SB1242, SB1949, SB1592, SB1913, SB592, SB992, SB1241, SB259, SB1928, SB1426, SB1531, SB1561, SB1122

Keywords: credit card fees, merchant discounts, payment card network, interchange fees, transparency in fees, Oklahoma law, payment card, rebate, merchant, tax compliance, health insurance, mandate, impact analysis, insurance department, public health, access to healthcare, SB1442, alcoholic beverage control, ABLE Commission, liquor license fees

Transcript Highlights:

• She is the first person to go to medical school, law school, and a master's in public health program
• She has also served as an adjunct professor teaching professional ethics and health law to public health
• In addition to her clinical time, most recently she worked for NASA in the Office of the Chief Health
• And so this is becoming standard operating procedure of life in the United States.
• Well, would I be wrong to operate under the assumption that it's one company?

Bills: SB2102, SB1940, SB1625, SB1442, SB1623, SB1242, SB1949, SB1592, SB1913, SB592, SB992, SB1241, SB259, SB1928, SB1426, SB1531, SB1561, SB1122

Keywords: credit card fees, merchant discounts, payment card network, interchange fees, transparency in fees, Oklahoma law, payment card, rebate, merchant, tax compliance, health insurance, mandate, impact analysis, insurance department, public health, access to healthcare, SB1442, alcoholic beverage control, ABLE Commission, liquor license fees

Summary: The Senate convened with prayer, roll call, and several floor and gallery introductions recognizing the Doctor of the Day, Nurse of the Day, Mid-America Christian University, the Oklahoma Truckers Association, Leadership Wagoner County, the Broken Arrow Chamber, and an intern. The chamber then took up several bills in general order. Senate Bill 1426, requested by the Department of Human Services, would limit referrals to district attorneys to substantiated findings of abuse of vulnerable adults; it passed unanimously, 44-0. Senate Bill 1531 was presented as a placeholder vehicle for possible future FAA action on drones and unmanned aircraft, with questions focused on why the bill was being kept open and what language might later be added. It passed 33-12. Senate Bill 1561 would allow EMTs to be subject to progressive discipline for drug or other violations instead of automatic license revocation; it passed 46-0. The most extensive debate centered on Senate Bill 1122, which lowers the ad valorem assessment rate for broadband providers from 22.85% to 15% and was described by supporters as a way to create parity, encourage broadband expansion, and keep providers investing in rural Oklahoma. Opponents argued it would give a tax break to large legacy broadband companies, reduce county revenue by an estimated $20 million, and do little for homeowners, farmers, or other taxpayers facing property tax pressure. After extended questioning and debate, the bill passed 28-19. The Senate also laid over SB 1555, heard announcements, and adjourned until Monday, March 9 at 1:30 p.m.

Transcript Highlights:

• And we have seen an 88% reduction in mental health watches.
• These outcomes also represent an opportunity... ...in mental health watches.
• It is part of ADCR's commitment to officers' health and wellness.
• But as the current CEO of Banner Health says in her statement provided today, this... ...grant money
• Chairman Livingston, Representative Blackman, Access is on health care costs.

Bills: SB1112, SB1517, SB1537, SB1584, SB1673, SB1776

Keywords: mental health, hearings, acquaintance witnesses, patient rights, treatment evaluation, barbering, cosmetology, appropriation, funding, licensing, board operations, peace officer, training, public safety, traffic offenses, judicial system, corrections, recruitment, state budget, crime victims

Transcript Highlights:

• The Appropriations Committee on Health and Human Services will now come to order.
• This is a mental health crisis.
• SB 196 is a women's health and public health data bill.
• Bell, with the Department of Health, waving in support. Thank you.
• This is not the way the Health Department should be doing public health.

Bills: S0042, S0196, S0878, S0902, S0914, S1092, S1168, S1340, S1404, S1414, S1684, S1686

Keywords: child protection, medical records, investigation, abuse, neglect, healthcare, Child Protection Team, diagnosis, uterine fibroids, health database, medical research, personal data protection, women's health, clinical laboratory, licensure, healthcare personnel, technologist, technician, medical marijuana, low-THC cannabis

Summary: The Appropriations Committee on Health and Human Services met to hear and vote on a series of health, human services, and education-related bills, along with a presentation of the committee’s proposed HHS budget. The budget was described as increasing by more than $2.1 billion over the current base, with major funding highlighted for Medicaid and KidCare, rural health, provider rate increases, child welfare, mental health and substance use, opioid treatment, Alzheimer’s initiatives, cancer research, ADAP, veterans’ services, and IT modernization. Public testimony on the budget focused heavily on AIDS Drug Assistance Program funding and concerns about Department of Health changes affecting access, premium assistance, notice, and continuity of care for people living with HIV/AIDS. Among the bills reported favorably were measures on podiatric medicine and tissue-based products (SB 1092), background screening and clearinghouse procedures (SB 1168), child protective investigations involving specific medical diagnoses and second opinions (SB 42), clinical laboratory personnel licensure standards (SB 878), uterine fibroid data tracking and research (SB 196), medical marijuana treatment center oversight and related health provisions (SB 902), dyslexia and dyscalculia screening and intervention in schools (SB 1340), memory care licensure for assisted living facilities (SB 1404), congenital CMV education materials (SB 1414), Parkinson’s disease registry and related public records exemption bills (SB 1684 and SB 1686), and occupational therapy dry needling licensure standards (SB 914). Several bills were amended before passage, including SB 1092, SB 42, SB 902, SB 1684, and SB 1404. Testimony generally came from professional associations, advocacy groups, and affected stakeholders, with support voiced for most measures. The committee adopted amendments on the floor, heard no opposition during debate on the bills described, and then voted to report each measure favorably. At the end of the meeting, senators requested to be recorded in the affirmative on selected bills, and the committee adjourned.

Transcript Highlights:

• health health agencies. agencies. agencies.
• 43:58.320><c> Services</c> Health, Environmental Health Services Health, Environmental Health Services
• </c> health.
• And it's treating mental health health.
• </c> health center in Kauai. health center in Kauai.

Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Transcript Highlights:

• Mark, one of my concerns is obviously the budget and the health account.
• Obviously, the budget and the health account, the employee account for health insurance that we all belong
• Health plans are just administering.
• I have been a longtime home and community-based service operator.
• I had endured so much PBM abuse.

Bills: HB2211, HB2229, HB2389, HB2403, HB2445, HB2502, HB2620, HB2813, HB2872, HB2889, HB2960, HB4028, HCR2007

Keywords: contractors, subcontractors, resident preference, public contracts, materials supply, Arizona Revised Statutes, local businesses, pregnancy resource center, pregnancy center, crisis pregnancy center, DHS, Arizona Department of Health Services, state appropriation, general fund, nonprofit grant, women's health, maternal health, reproductive health, abortion funding, pro-life

Transcript Highlights:

• What about the protein cookies that are sold in the health food section?
• Some say that this bill will make SNAP operate more like WIC.
• , they are costly, which is why so few retailers choose to operate WIC.
• To improve health restrictions, it's not going to improve health because we're limiting those access
• Michelle Dion Valhale, and you were with Health and Human Services Health and Human Services Associate

Bills: HB 2510, HB 3589, HB 4611, HB 4655, HB 4665, HB 4666, HB 4670, HB 4700, HB 4730, HB 4798, HB 4838, HB 5136, HB 5243, HB 5302, HB 5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• That is an order that is executed by Health and Human Services.
• Has been a health professional, and together we respond to calls involving individuals in mental health
• Would that be Health and Human Services? Yes.
• The problem becomes when a boarding home operator starts to operate as an assisted living facility, and
• to be licensed to operate an assisted living facility.

Bills: HB2510, HB3589, HB4611, HB4655, HB4665, HB4666, HB4670, HB4700, HB4730, HB4798, HB4838, HB5136, HB5243, HB5302, HB5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• This is why so few retailers choose to operate WIC.
• That is shown to improve health.
• Studies show these products manipulate brain chemistry.
• They operate in a silo, so they all have their specialties and mini operating centers, but they are still
• We currently operate in Dallas, Amarillo, and Houston.

Bills: HB2510, HB3589, HB4611, HB4655, HB4665, HB4666, HB4670, HB4700, HB4730, HB4798, HB4838, HB5136, HB5243, HB5302, HB5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• The man was taken into custody after officers found him operating a vehicle with an invalid license and
• The next section is operating while intoxicated.
• The next section is operating while intoxicated with a child, which is a felony.
• When you look at the National Institute of Health, they say that people who have repeat alcohol crimes
• programs when, according to the data released from the National Institute of Health, only 36 percent

Bills: HB1482, HB2017, HB2103, HB2341, HB2756

Keywords: community supervision, repeat offenders, intoxication, Texas Penal Code, criminal justice reform, intoxication manslaughter, criminal penalties, mandatory supervision, parole eligibility, Grayson's Law, mental health, trauma, jailers, law enforcement, occupational health, diligent participation, state jail felony, time credits, rehabilitation programs, de-escalation

Transcript Highlights:

• I certainly understand. mental health situation.
• If not, I would like to call up Bobby Lumpkin, Chief Operating Officer.
• Mental health is wealth.
• A pain that no one, especially someone so young, should ever have to endure.
• She survived the crash but suffered a severe traumatic brain injury.

Bills: HB1482, HB2017, HB2103, HB2341, HB2756

Keywords: community supervision, repeat offenders, intoxication, Texas Penal Code, criminal justice reform, intoxication manslaughter, criminal penalties, mandatory supervision, parole eligibility, Grayson's Law, mental health, trauma, jailers, law enforcement, occupational health, diligent participation, state jail felony, time credits, rehabilitation programs, de-escalation

Transcript Highlights:

• Sub to Chapter A, Chapter 1001 of the Health Safety Code to require health and Human Services Commission
• Substance Abuse and Public Health Initiative Council to ensure that money allocated to the mental health
• health substance use and public health.
• health professionals, it seems.
• Thank you. of the Office of Mental Health, Health and Human Services Commission, resource witness.

Bills: HB 3772, HB 1656, HB 4504, HB 1896, HB 4420, HB 4421, HB 4076, HB 3708, HB 2806, HB 3540, HB 1586, HB 5459, HB 4553, HB 4535, HB 3811, HB 3749, HB 4255, HB 4051, HB 5098, HB 3554, HB 4539, HB 5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians