Transcript Highlights:

• We don’t want to impact negatively all of the children that are legitimately sick, that their parents
• They can also positively impact postpartum mental health.
• Further, we just want to emphasize that this impacts a relatively small slice of all claims.
• Premium impact should be negligible.
• Nutrition is essential, but without access to the right foods, its impact is limited.

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Summary: The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending. The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending. The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending. Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.

Transcript Highlights:

• The fiscal note indicated that there would not be an impact to the state for this.
• These events have created a total economic impact of $1.8 billion for the city of Dallas. out.
• Including contractors would not impact the availability of funds for other professions, and currently
• That is the current barrier that is impacting these high turn back rates.
• It's really helpful to have an idea of how many people are being impacted. In our district.

Bills: HB158, HB714, HB 1198, HB1630, HB1998, HB3509, HB3788, HB3875, HB3948, HB3977, HB4097, HB4313, HB4314, HB4317, HB158

Keywords: housing, veterans, surplus government property, affordable housing, funding sources, housing assistance, homeless prevention, landlord incentives, rural housing, domestic violence, community development, tenant readiness, program participants, financial assistance, homelessness, rental support, Texas Tenant Readiness Program, tenant assistance, housing stability, Texas Department of Housing

Transcript Highlights:

• I know sometimes there's impact fees. Yeah, there are. It can be.
• Impact fees are paid by the developer, so the developer's money is already there.
• Credited against what would otherwise be the impact fees charged by the political subdivision.
• No, right now we do not have the ability to drop that impact.
• And is that, well, I don't mean the impact fee, but your projection for your infrastructure?

Bills: HB158, HB714, HB 1198, HB1630, HB1998, HB3509, HB3788, HB3875, HB3948, HB3977, HB4097, HB4313, HB4314, HB4317, HB158

Keywords: housing, veterans, surplus government property, affordable housing, funding sources, housing assistance, homeless prevention, landlord incentives, rural housing, domestic violence, community development, tenant readiness, program participants, financial assistance, homelessness, rental support, Texas Tenant Readiness Program, tenant assistance, housing stability, Texas Department of Housing

Transcript Highlights:

• So there are several factors that will impact our future transportation revenues as well as the cost
• That was the final thing that we needed after we completed the environmental impact study.
• About 500 single-family homes or dwelling residences are impacted by the alignment.
• I mean, we've received the environmental impact study and the record of decision.
• These are real decisions that really impact our constituents' bottom line.

Bills: HJR58, HJR63, HB263, HB542, HB905, HB 1288, HB1402, HB2003, HB2262, HB2323, HB2429, HB2876, HB3019, HB263

Keywords: healthcare, insurance, elderly, retirement, benefits, transit-oriented projects, constitutional amendment, state highway fund, funding allocation, voter approval, highway fund, funding, public transportation, transit projects, transportation, local transit, fund allocation, voting rights, election integrity, ballot access

Transcript Highlights:

• part of the process to study those impacts and quantify them.
• It was an analysis by U.S. News and World Report.
• These are serious impacts. These are serious problems.
• There are impacts. There's also...
• As far as ways to minimize impact...

Bills: SB458, SB819, SB1238, SB1642, SB1643, SB1644, SB1791, SB1810, SB1824, SB1825, SB758, SB1455, SB1706

Keywords: insurance appraisal, property insurance, auto insurance, homeowners insurance, residential property, disputed loss, loss valuation, appraisal clause, appraiser, umpire, Texas Department of Insurance, TDI, insurance dispute resolution, claims adjustment, total loss, windstorm insurance, FAIR Plan, surplus lines insurance, policyholder, insurer

Transcript Highlights:

• Um, I, I think all of you probably remember, remember the teachers who made an impact on your life.
• Additionally, this bill has a zero fiscal impact.
• and brought outdoor education into his school district, this was well over 30 years ago, um, it impacted
• From diverse backgrounds, like many schools across Texas, with the negative impact of the cell phone.
• There is no doubt in my mind that access to these personal devices during the school day is impacting

Bills: HB6, HB27, HB123, HB210, HB213, HB222

Keywords: hemp, consumable hemp products, hemp-derived cannabinoids, CBD, cannabidiol, CBG, cannabigerol, Texas hemp law, hemp regulation, cannabinoid products, delta-9 THC, intoxicating hemp, hemp gummies, hemp vape, retail registration, product registration, QR code labeling, child-resistant packaging, youth access, minor sales

Transcript Highlights:

• To the people of Texas, his legacy is one of enduring impact, grounded in a belief that good work done
• Does this impact anyone who has worked for TEA? I'm not familiar with that. That's not addressed.
• The cost, how much you receive for your SNAP benefits, it doesn't impact eligibility to apply for a SNAP
• LGBTQ youth say that their well-being was negatively impacted by police brutality.
• That pain seeps deep down into the roots and permanently impacts branches of the family tree in visible

Bills: SB1637, SB1, HB300, SB2601, SB37, HB2011, HB3595, HB3071, SB12, HB3372, SB457, HB2067, SB2337, SB447, SB1506, SB1566, SB763, HB3556, SB13, SB2018, SB331, SB379, HB145, SB441, SB2878, HB2885, HB2017, HB5246, SB8, SB2308, SB1540, HB 119, SB1405, SB3059, SB15, SB568

Keywords: SB 1637, deadly conduct, Texas Penal Code, Section 22.05, firearm, gun, pointing a gun, recklessness presumption, peace officer, law enforcement, police, officer-involved shooting, use of force, justification, self-defense, defense of others, Chapter 9, criminal prosecution, Penal Code amendment, appropriations

Transcript Highlights:

• Senate Bill 818 by Betancourt relating to the establishment of the Health Impact Cost and Coverage Analysis
• Bill 825 by Middleton relating to an annual study on the economic, environmental, and financial impact

Bills: SJR1, SJR2, SJR5, SJR33, SJR34, SJR35, SJR37, SJR38, SJR39, SCR12, SB4, SB40, SB701, SB702, SB703, SB704, SB705, SB706, SB707, SB708, SB709, SB710, SB711, SB712, SB713, SB714, SB715, SB716, SB717, SB718, SB719, SB720, SB721, SB722, SB723, SB724, SB725, SB726, SB727, SB728, SB729, SB730, SB731, SB732, SB733, SB734, SB735, SB736, SB737, SB738, SB739, SB740, SB741, SB742, SB743, SB744, SB745, SB746, SB747, SB748, SB749, SB750, SB751, SB752, SB753, SB754, SB755, SB756, SB757, SB758, SB759, SB760, SB761, SB762, SB763, SB764, SB765, SB766, SB767, SB768, SB769, SB770, SB771, SB772, SB773, SB774, SB775, SB776, SB777, SB778, SB779, SB780, SB781, SB782, SB783, SB784, SB785, SB786, SB787, SB788, SB789, SB790, SB791, SB792, SB793, SB794, SB795, SB796, SB797, SB798, SB799, SB800, SB801, SB802, SB803, SB804, SB805, SB806, SB807, SB808, SB809, SB810, SB811, SB812, SB813, SB814, SB815, SB816, SB817, SB818, SB819, SB820, SB821, SB822, SB823, SB824, SB825, SJR1, SJR2, SJR5, SJR33, SJR34, SJR35, SJR37, SJR38, SJR39, SCR12, SB4, SB40, SB701, SB702, SB703, SB704, SB705, SB706, SB707, SB708, SB709, SB710, SB711, SB712, SB713, SB714, SB715, SB716, SB717, SB718, SB719, SB720, SB721, SB722, SB723, SB724, SB725, SB726, SB727, SB728, SB729, SB730, SB731, SB732, SB733, SB734, SB735, SB736, SB737, SB738, SB739, SB740, SB741, SB742, SB743, SB744, SB745, SB746, SB747, SB748, SB749, SB750, SB751, SB752, SB753, SB754, SB755, SB756, SB757, SB758, SB759, SB760, SB761, SB762, SB763, SB764, SB765, SB766, SB767, SB768, SB769, SB770, SB771, SB772, SB773, SB774, SB775, SB776, SB777, SB778, SB779, SB780, SB781, SB782, SB783, SB784, SB785, SB786, SB787, SB788, SB789, SB790, SB791, SB792, SB793, SB794, SB795, SB796, SB797, SB798, SB799, SB800, SB801, SB802, SB803, SB804, SB805, SB806, SB807, SB808, SB809, SB810, SB811, SB812, SB813, SB814, SB815, SB816, SB817, SB818, SB819, SB820, SB821, SB822, SB823, SB824, SB825

Keywords: bail denial, illegal aliens, felony offenses, constitutional amendment, law enforcement, SJR 2, Senate Joint Resolution 2, homestead exemption, property tax relief, school property tax, ad valorem tax, residence homestead, school district taxes, Texas Constitution Article VIII, public school finance, homeowner exemption, elderly exemption, senior tax relief, disabled exemption, tax year 2025

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Transcript Highlights:

• > I have prepared, uh, the judiciary has provided us and our respective money committees with the impact
• implementation requirements, staffing, funding requirements, information technology and other resource impacts
• 00:48:44.960> and<00:48:45.080> other<00:48:45.440> resource<00:48:45.800> impacts
• , technology and other resource impacts, technology and other resource impacts, necessary<00:48:47.280

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Bills: SCR96, SCR164, SCR172, SCR166, SCR182, SCR7, SCR59, SCR58, SCR60, SCR89, SCR184, SCR11, HB2296, HB2315, HB2343

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, critical infrastructure, foreign influence, local control, energy dependence, economic resilience, energy analysis, cost reduction, financial risk, Hawaii PUC, energy self-sufficiency, natural gas, energy transition, ratepayer protection

Bills: HB3147, HB4453, HB3369, HB3660, HB3498, HB3260, HB3081, HB3127, HB3673, HB2293, HB3545, HB3546, HB2035

Keywords: special license plates, Route 66, Oklahoma, funding, community support, health care, transparency, primary care, cost analysis, insurance, all payer claims database, spending benchmarks, HB3369, food truck, food truck fire suppression, mobile food establishment, mobile food preparation vehicle, mobile food vendor, automatic fire extinguishing system, fire suppression

Transcript Highlights:

• How much will it impact?
• Um the number >> How much will it impact?
• Um, what is the impact of these disparities on mental health and, um, dementia?
• Um, what is the impact of these disparities on mental health and, um, dementia?
• serious concerns about potential impacts serious concerns about potential impacts on<00:38:16.000

Bills: SB2421, SB2690, SB3103, SB3137, SB3164, SB3206, SB2933, SB3133, SB3315

Keywords: cannabis, marijuana, Hawaii Cannabis Law, legalization, decriminalization, adult use, hemp, taxation, social equity, public health, primary care, health insurance, health carrier, insurance commissioner, Med-QUEST, Medicaid managed care, provider reimbursement, downcoding, prior authorization, utilization review

Summary: The committee heard testimony on several health-related bills. HB 1864, which would require health insurance coverage for standard fertility preservation services for people undergoing medically necessary treatment, drew broad support from SHIPA, the Department of Health, HMSA, the Hawaii Association of Health Plans, and others. Testifiers emphasized that fertility preservation is routine coverage on the mainland and important for patients facing infertility from cancer or other treatment; one patient described incurring more than $20,000 in costs. The Insurance Division flagged possible Affordable Care Act issues, a potential conflict in the bill’s language about using patient history to determine limits, and a mismatch with state medical-necessity standards. Committee discussion also focused on whether the bill should apply to all women of childbearing age rather than a narrower age-based category. HB 2305 would require nutrition and metabolic education as part of physicians’ continuing medical education. The Hawaii Medical Board opposed the measure, arguing that CME should remain flexible and tailored to each physician’s specialty and warning that topic-specific mandates can expand over time. The Office of the Governor supported the bill, saying it would help the state’s rural health transformation application and could improve federal funding prospects, though the exact impact was unclear. Members questioned whether nutrition is already covered in medical training and whether the requirement should be limited to primary care physicians; the board said Hawaii currently has no topic-specific CME mandates and that physicians can already choose relevant courses. The committee also heard strong support for HB 1597, which would establish an Alzheimer’s disease research center at the University of Hawaii. Supporters from the university, the Alzheimer’s Association, AARP, and others said the center could attract federal research dollars, expand clinical trials, and help address the state’s high Alzheimer’s-related health costs. HB 2159, which appropriates funds for health care workforce development, also received broad support from the University of Hawaii, health systems, and advocacy groups, with no opposition noted. Finally, HB 2121, which would prohibit the sale and distribution of disposable electronic smoking devices, drew support from the Department of Health, youth advocates, and public health groups citing youth addiction, environmental waste, and fire hazards; the department said a separate bill, HB 1573, would be more comprehensive and better defined for enforcement and penalties. The committee ended with HB 1913, creating a veteran services mental health coordinator position at Tripler Army Medical Center, which was supported by veteran services officials and others who said veterans need better navigation and coordination for behavioral health care.

Bills: SB874, SB2098, SB2110, SB2126, SB2154, SB2160, HB818, SB2047, SB2116, SB2246, SB2250, SB2334, SB2505, SB2520, SB2561, SB2721, SB2820, SB2971, SB3019

Keywords: veterinary medicine, prescription, consumer rights, transparency, pet medication, agriculture, clean plant program, disease-free plants, Hawaii agriculture, plant propagation, conservation, soil health, climate change, food security, small farmers, technical assistance, Hawaii, grant program, small farms, midsize farms

Transcript Highlights:

• One is, just as my colleague over here said, we are concerned that the bill will have limited impact
• In order to reflect our collaboration with all impacted stakeholders... Assisted living facilities.
• Questions about whether we have yet to witness the full impact of this technology.
• That's the layman's, non-doctor analysis of what I have seen and what people have provided.
• That's the layman's, non-doctor analysis of what I have seen and what people have provided.

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

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

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