Transcript Highlights:

• , if they have to pay a lot more tuition to come.
• Your child would be required to pay this 15%, and they would be taking out loans.
• oftentimes borrow money to pay for the person next to them.
• Correct. but still be paying the loan if they needed it beforehand.
• As it pertains to the number of students who pay the full tuition. and are taking out loans to pay that

Bills: HB3032, HB3434, HB3574, HB5339, HB5646

Keywords: nursing education, clinical sites, health facilities, Texas Higher Education Coordinating Board, legislative study, healthcare training, tuition, financial assistance, higher education, public institutions, student support, nonresident students, Texas Education Code, resident tuition, scholarships, regenerative agriculture, grants, sustainable farming, soil health, bioremediation

Transcript Highlights:

• It's important to note that patients don't pay this dispensing fee in addition to their co-pays, despite
• paying independents, that really would increase more than what they're paying independents.
• So who's going to pay for that? That's some question you mentioned. So would that be?
• Lastly, Medicare and Medicaid do not pay for this.
• Lastly, Medicare and Medicaid do not pay for this.

Keywords: 1182, all

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to people 65 and older to also offer them to Medicare beneficiaries under 65 with ALS or end-stage renal disease, with enrollment periods and premium protections tied to 65-year-old rates. Supporters, including dialysis and ALS advocates, said the bill would help a small population facing high out-of-pocket costs and could improve access to transplants and care; opponents argued it would shift costs onto older seniors and raise Medigap premiums. The committee recommended the bill do pass on a 12-0 vote. The committee also heard House Bill 2593, appropriating $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps obstetric and pediatric providers quickly consult on perinatal depression, postpartum psychosis, suicidality, and other mental health crises, improving outcomes for mothers, children, and families and reducing costly emergency and crisis care. The bill received a do pass recommendation on a 10-1 vote. House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, drew emotional testimony from a young woman with spina bifida and another speaker supporting the sanctity of life. Some members objected that the state should focus on practical supports such as paid leave, child care, and health care access, while others supported the resolution as a statement of human dignity. The resolution passed the committee 7-5. The committee then approved House Bill 4010, creating a Board of Genetic Counselors and licensure standards, after testimony from genetic counselors and a patient advocate about the need for qualified counseling and better access; it passed 11-1. Later, the committee approved House Bill 2196, which would require pharmacy benefit managers to reimburse non-affiliated pharmacies at least their acquisition cost and pay a dispensing fee, and establish an appeals process. Independent pharmacists and their coalition said PBM practices are driving closures and unfairly favor affiliated pharmacies, while PBM and employer representatives warned of major cost increases and said the bill would interfere with private contracts; the bill passed 11-1. The committee also adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, and then gave the amended bill a 12-0 do pass recommendation. Finally, the committee approved House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, with the sponsor and board staff saying it would help implement routine ventilator care in the home; it passed 12-0. The committee then began hearing House Bill 2404, a strike-everything amendment on inter-facility transports for behavioral health patients, but the transcript cuts off before action on that bill.

Transcript Highlights:

• I mean, what will people have to pay for that surcharge? And who will pay it?
• There's co-pays that could kick in.
• The rich people pay taxes. They're allowed to benefit too.
• They will tell them, you've paying an employee below the floor of the pay, and— It.
• They will tell them you've paying an employee below the floor of the pay, and we're not going to pay

Keywords: 996, all

Transcript Highlights:

• </c> which is way above our um our pay grade. which is way above our um our pay grade.
• Medical licensure pays $125,000.
• >> We don't pay them enough. >> We don't pay them enough. >> I'm finding that that's a problem.
• </c> but I think that that they were paying but I think that that they were paying like<00:55:36.000>
• No, we were paying paying paying &gt;&gt; current<00:55:51.040><c> building.

Keywords: Appropriations - Room 409, 28 January, 2026; 1:30 P.M., 925, all

Transcript Highlights:

• We've looked at that at the office and In in a lot of instances we're paying contractors paying or contractors
• So the mortgage pays, you know, would have effectively. pay down the bonds. So there's that.
• Members don't pay a penny.
• Investing in the arts pays off for the Texas taxpayer.
• two pay increases, including the one in 2002.

Keywords: 1184, house, all

Transcript Highlights:

• It's not the government that pays the government that pays the government that pays the tariffs.
• done, um the states end up what they've done, um the states end up paying anyway. paying anyway. paying
• Uh, this doesn't change any pay, change any pay, change any pay, compensation, qualifications, compensation
• Paying taxes on grocer, paying from. Paying taxes on grocer, paying from.
• Paying taxes on grocer, paying taxes on goods and services, paying taxes on goods and services, paying

Bills: HB 135, HCR 64, SCR 3, SCR 30, SB 500, SB 739, SB 816, SB 898, SB 1283, SB 1351, SB 1423, SB 1531, SB 1540, SB 1666, SB 1721, SB 1886, SB 1931, SB 2001, SB 2075, SB 2154, SB 2173, SB 2217, SB 2284, SB 2375, SB 2383, SB 2386, SB 2398, SB 2448, SB 2476, SB 2540, SB 2580, SB 2589, SB 2693, SB 2707, SB 2776, SB 2786, SB 2801, SB 2864, SB 2927, SJR 84, SCR 30, SB 243, SB 324, SB 393, SB 457, SB 511, SB 529, SB 547, SB 636, SB 646, SB 659, SB 715, SB 731, SB 735, SB 800, SB 801, SB 904, SB 1065, SB 1141, SB 1181, SB 1224, SB 1241, SB 1242, SB 1250, SB 1266, SB 1285, SB 1359, SB 1434, SB 1442, SB 1467, SB 1502, SB 1524, SB 1528, SB 1551, SB 1585, SB 1640, SB 1754, SB 1757, SB 1777, SB 1844, SB 1863, SB 1972, SB 2007, SB 2035, SB 2046, SB 2055, SB 2069, SB 2082, SB 2119, SB 2139, SB 2154, SB 2200, SB 2201, SB 2269, SB 2310, SB 2330, SB 2357, SB 2366, SB 2401, SB 2422, SB 2514, SB 2530, SB 2533, SB 2543, SB 2544, SB 2550, SB 2568, SB 2589, SB 2660, SB 2693, SB 2695, SB 2707, SB 2717, SB 2721, SB 2742, SB 2753, SB 2807, SB 2846, SB 2891, SB 2925, SB 2938, SJR 3, SJR 18, SB 5, SB 326, SB 767, SB 769, SB 783, SB 914, SB 963, SB 1035, SB 1197, SB 1271, SB 1415, SB 1437, SB 1619, SB 1637, SB 1786, SB 1806, SB 494, SB 530, SB 2312, SB 1, SB 260, HB 135, HB 1109, HB 1392, HB 22, HCR 64, SJR 36, SJR 50, SJR 63, SJR 84, SJR 59, SCR 12, SCR 39, SCR 48, SCR 19, SCR 30, SCR 3, SB 2023, SB 62, SB 666, SB 847, SB 284, SB 854, SB 1073, SB 810, SB 1505, SB 583, SB 1502, SB 507, SB 1434, SB 1376, SB 1585, SB 1772, SB 2016, SB 1163, SB 1122, SB 731, SB 397, SB 508, SB 1436, SB 287, SB 261, SB 1882, SB 393, SB 1791, SB 209, SB 2429, SB 1999, SB 511, SB 2309, SB 510, SB 1085, SB 1975, SB 2717, SB 1262, SB 1524, SB 636, SB 2056, SB 884, SB 517, SB 1200, SB 1845, SB 1863, SB 2681, SB 2200, SB 2199, SB 1757, SB 2458, SB 2201, SB 801, SB 2533, SB 3014, SB 3013, SB 758, SB 1721, SB 1013, SB 2797, SB 2383, SB 2119, SB 2448, SB 1777, SB 1283, SB 2076, SB 2786, SB 2876, SB 2284, SB 1540, SB 2929, SB 2540, SB 2595, SB 2217, SB 715, SB 500, SB 1640, SB 2001, SB 2514, SB 2753, SB 2398, SB 1241, SB 2927, SB 2173, SB 2538, SB 898, SB 1449, SB 2529, SB 2846, SB 2476, SB 986, SB 1181, SB 2075, SB 2154, SB 2864, SB 1359, SB 2386, SB 2550, SB 1351, SB 1423, SB 1931, SB 2245, SB 2589, SB 2707, SB 410, SB 2776, SB 2580, SB 1886, SB 1234, SB 739, SB 456, SB 1666, SB 2801, SB 2055, SB 1012, SB 2926, SB 2138, SB 1242, SB 2615, SB 2310, SB 1224, SB 2972, SB 2841, SB 3016, SB 2139, SB 1856, SB 2035, SB 1528, SB 1141, SB 2401, SB 2530, SB 2375, SB 547, SB 1266, SB 1373, SB 1467, SB 2069, SB 2269, SB 2480, SB 672, SB 904, SB 2695, SB 2891, SB 2422, SB 2543, SB 1854, SB 317, SB 2539, SB 2532, SB 2925, SB 1250, SB 2082, SB 2203, SB 457, SB 2357, SB 2721, SB 243, SB 1285, SB 2568, SB 1959, SB 1442, SB 1454, SB 2520, SB 2541, SB 1708, SB 1237, SB 1844, SB 1586, SB 1551, SB 3039, SB 2819, SB 66, SB 629, SB 1015, SB 2342, SB 2903, SB 2933, SB 1965, SB 2477, SB 3029, SB 2605, SB 2419, SB 1957, SB 375, SB 250, SB 777, SB 628, SB 2523, SB 2367, SB 2703, SB 2608, SB 2778, SB 3044, SB 2965, SB 2521, SB 865, HB 2525, HB 3093, SB 1032, SB 2165, SB 2501, SB 2675, SB 2452, SB 2835, SJR 84, SB 457, SB 547, SB 904, SB 1467, SB 1757, SB 1777, SB 2055, SB 2069, SB 2139, SB 2401, SB 2530, SB 2543, SB 2695, SR 349, SR 367, SR 468, SB 3064, SB 3065, HJR 7, HB 119, HB 130, HB 163, HB 166, HB 201, HB 272, HB 331, HB 380, HB 654, HB 694, HB 718, HB 865, HB 1266, HB 1397, HB 1500, HB 1552, HB 1576, HB 1583, HB 1584, HB 1760, HB 1894, HB 1965, HB 2018, HB 2029, HB 2286, HB 2340, HB 2427, HB 2455, HB 2467, HB 2508, HB 2523, HB 2730, HB 2756, HB 2791, HB 2970, HB 3016, HB 3096, HB 3248, HB 3255, HB 3336, HB 3623, HB 3698, HB 3699, HB 3803, HB 3804, HB 3805, HB 3806, HB 4129, HB 4187, HB 4236, HB 4238, HB 4643, HB 4738, HB 4739, HB 5333, SCR 3, SCR 30, SB 500, SB 739, SB 898, SB 1283, SB 1351, SB 1423, SB 1540, SB 1666, SB 1721, SB 1886, SB 1931, SB 2001, SB 2075, SB 2154, SB 2173, SB 2217, SB 2375, SB 2383, SB 2386, SB 2398, SB 2448, SB 2476, SB 2540, SB 2580, SB 2589, SB 2707, SB 2776, SB 2786, SB 2801, SB 2864, SB 2927, HB 135, HCR 64, SB 2284, SB 3064, SB 3065, HJR 7, HB 119, HB 130, HB 163, HB 166, HB 201, HB 272, HB 331, HB 380, HB 654, HB 694, HB 718, HB 865, HB 1266, HB 1397, HB 1500, HB 1552, HB 1576, HB 1583, HB 1584, HB 1760, HB 1894, HB 1965, HB 2018, HB 2029, HB 2286, HB 2340, HB 2427, HB 2455, HB 2467, HB 2508, HB 2523, HB 2730, HB 2756, HB 2791, HB 2970, HB 3016, HB 3096, HB 3248, HB 3255, HB 3336, HB 3623, HB 3698, HB 3699, HB 3803, HB 3804, HB 3805, HB 3806, HB 4129, HB 4187, HB 4236, HB 4238, HB 4643, HB 4738, HB 4739, HB 5333

Keywords: sales tax exemption, exotic animals, game animals, agriculture, livestock, gifted education, education support, student achievement, academic excellence, Texas education, cowboy culture, Bandera, cultural heritage, historical significance, Texas identity, Birding Capital, Matagorda County, wildlife, conservation, Texas Legislature

Transcript Highlights:

• It's the cost-sharing issue, or the co-pays.
• We won't have to pay for surgeries. We won't have to pay for very, very expensive medications.
• This bill would end the use of co-pay accumulators.
• What should have happened is that the co-pay of nearly $1,600 should have been covered by our co-pay
• Co-pays, they can be cost prohibitive for many patients.

Summary: The committee heard several health-related bills, beginning with SB 1124 on lung cancer screening awareness. The author and supporters said the bill would require CDPH signage about lung cancer screening eligibility at tobacco point-of-sale locations to address low awareness and low screening rates. Support came from medical students, physicians, and the California Academy of Family Physicians, while retailers raised concerns about sign size, retailer notification, and implementation. Committee members generally supported the bill and noted the need to work through those concerns. SB 1150 sought to require clearer patient notice when cancer cases are reported to the California Cancer Registry. The author described the bill as a response to inconsistent notification practices and privacy concerns, and the chair and other members shared personal stories about learning they or family members were in the registry without knowing it. Cancer registry and university stakeholders expressed appreciation for amendments but continued to have concerns or wanted more time to review the language. The bill was discussed as a patient-awareness measure rather than a change to reporting requirements. The committee also heard SB 1400 on Alameda Health System governance, SB 1094 on biosimilar substitution and health plan policies, SB 1314 on smoke shop regulation and nitrous oxide restrictions, and SB 1309 on eliminating cost-sharing for medically necessary follow-up after lung cancer screening. SB 1400 and SB 1314 drew support from local officials, labor, and public health advocates, with members emphasizing youth protection and local oversight. SB 1094 passed after extensive debate over pharmacist substitution authority and notification requirements, with a 6-0 vote and opposition from biotechnology and physician groups. SB 1309 also passed after members discussed the cost of follow-up care and the value of early detection, despite opposition from health plans over premium impacts; it received a 7-0 vote and was placed on call.

Transcript Highlights:

• In addition, Californians pay the highest gas taxes in the nation, often paying 50 to...
• Californians pay the highest gas taxes in the nation, often paying 50 to 60 cents more per gallon in
• pay more to purchase their goods in stores.
• and survivor benefit pay.
• and survivor benefit pay.

Keywords: 987, senate, all

Transcript Highlights:

• I think this is really what I ought to pay you, and then you just pay whatever that is.
• So does your department pay for that? Who pays for that?
• the state paying for that person?
• for that who pays for So does your department pay for that who pays for that and in the other case that
• It took me a year to pay that off.

Summary: The committee met as the House Commerce Committee of Reference to hear sunset reviews and a performance audit covering the Department of Gaming, the Racing Commission, the Boxing and MMA Commission, the Barbering and Cosmetology Board, and the Arizona Sports and Tourism Authority. The Auditor General reported that the Department of Gaming and the two commissions generally met some statutory duties, but identified major issues: the department had not consistently reviewed independent audit reports for event wagering and fantasy sports operators, had disclosure and conflict-of-interest compliance gaps, lacked comprehensive complaint-handling processes, and was late distributing some compact trust fund payments to tribes. The Racing Commission needed better public records procedures, and the Boxing and MMA Commission had licensing and fee-setting issues. The department and commissions said they agreed with the findings and were implementing recommendations, with the department noting it had already begun look-back reviews, updated guidance, and additional staffing. Members also discussed consumer protection, illegal gambling, prediction markets, and whether out-of-state enforcement actions should affect Arizona licenses; the department said it would evaluate such matters case by case and generally wait for final adjudication or final regulatory action before acting. The committee then voted to recommend continuation of the Department of Gaming for two years until July 1, 2028, the Racing Commission for six years until July 1, 2032, and the Boxing and MMA Commission for six years until July 1, 2032. The Department of Gaming motion passed 7-4, the Racing Commission motion passed 10-1, and the Boxing and MMA Commission motion passed unanimously. The committee next heard the Barbering and Cosmetology Board audit. The Auditor General said the board timely processed many applications and complaints and had adopted curriculum rules, but it failed to enforce disciplinary guidelines consistently, sometimes issuing different sanctions for similar violations without documenting why it deviated from policy. The audit also found problems with reciprocity education requirements, application review quality control, inspections, open meeting and public records compliance, conflict-of-interest processes, fee-setting, and statutory clarity on scope of practice and training requirements. The board said it agreed with the findings, had already updated disciplinary parameters and documentation policies, and was working on the remaining recommendations and possible legislation. The committee then voted to continue the board for six years until July 1, 2032, and the motion passed unanimously. At the end of the meeting, the committee began hearing the Arizona Sports and Tourism Authority performance audit, but the transcript provided cuts off before that presentation was completed or any action was taken.

Transcript Highlights:

• job that doesn't pay you play for a job that doesn't pay you anything<00:43:14.960><c> and</c><00:43:
• So, pay to play.
• So, pay to play.<00:47:35.760><c> Pay</c><00:47:36.000><c> to</c><00:47:36.160><c> play.</c> play.
• Pay to play. play. Pay to play.
• But Representative Rarick was talking about pay-to-play, and this is about pay-to-play.

Keywords: 919, house, all

Summary: The committee took up House File 4252 and first heard a walkthrough of a DE2 amendment that largely incorporated Office of Higher Education technical and statutory cleanup items, including reporting consolidations, updates to postsecondary registration and licensing statutes, and an anti-fraud provision. New provisions in the DE2 would require public postsecondary institutions to explain developmental courses before enrollment and obtain a written acknowledgement, revise the state grant tuition cap, add a $1.5 million ongoing appropriation in FY 2027 for an identity verification system to combat enrollment fraud, and provide $5,000 one-time funding for reforestation at Bemidji State University. Fiscal staff also noted additional special revenue fund revenue and expenditures tied to licensing and registration litigation response. The main debate centered on the A8 amendment offered by Representative Rarick, which would require the governor to appoint University of Minnesota regents only from candidates recommended by the joint legislative committee if the legislature fails to elect regents. Rarick argued the amendment was needed to address what he described as conflicts of interest and pay-to-play concerns in recent gubernatorial appointments. Several members questioned whether the language was constitutional, whether it actually addressed conflicts of interest, and whether it should instead refer to ARCAC-screened or ARCAC-recommended candidates. Nonpartisan staff said the governor’s appointment power is addressed in the university charter, not directly in the constitution, but could not definitively assess constitutionality if challenged. Members were divided: some supported the goal of cleaner governance but said the amendment was not ready or did not match the problem being described; others argued the legislature had failed to complete its own regent appointments and that the amendment was a response to that failure. No vote on the A8 amendment or the bill was reached in the portion provided, though a roll call was requested on the amendment and the chair indicated the bill would continue through amendment consideration before final discussion and vote.

Transcript Highlights:

• </c> know that are taken out and go we pay know that are taken out and go we pay $10<00:19:22.400><c>
• </c> are asking for a deficit request to pay are asking for a deficit request to pay them<01:14:06.159
• </c> money um to run their EOCC's uh to pay money um to run their EOCC's uh to pay their<01:14:18.400
• </c><01:14:56.400><c> back</c> us for the $2.6 $6 million to pay back us for the $2.6 $6 million to pay
• </c> having to pay those services. having to pay those services.

Keywords: Appropriations - Room 210; 21 January, 2026: 1:30 PM, 925, all

Transcript Highlights:

• I mean, we have money collected to pay unemployment benefits.
• Let's face it, this is a fee that our companies pay. You know, they're paying into this.
• Under the plan, at the end of the day, the employer pays the same amount that they are paying today,
• So let's try and take from and pay back to those two funds.
• So let's try and take from and pay back to those two funds. Okay.

Keywords: 959, house, all

Transcript Highlights:

• And for some reason, I've decided I don't want to water it, or I don't want the hassle of having to pay
• I'll pay, I'll take that water and I'll pay those assessments associated with the water that is now being
• So is there a more efficient way to do this, or some people are going to be paying for... having more
• So is there a more efficient way to do this, or some people are going to be paying for...
• So is there a more efficient way to do this, or is some people going to be paying for fire suppression

Keywords: 989, all

Transcript Highlights:

• Meanwhile, solar customers get to avoid paying 82% to 91% of their share of costs.
• So they essentially avoid paying a huge amount of the cost to maintain the grid.
• paying for a large majority of those costs.
• rates, they pay bills.
• rates, they pay bills.

Summary: The Assembly Appropriations Committee met on May 21, 2025, with 86 bills on the agenda. The committee first approved two consent motions covering a group of bills eligible for the Assembly floor consent calendar and another group of unanimous bills not eligible for floor consent. Several bills were then heard individually, with authors and supporters emphasizing that many had no or minimal state costs and were aimed at climate, health, or regulatory improvements. Among the bills discussed were AB 39 on local planning for electrification and EV charging infrastructure; AB 1129 allowing local health jurisdictions to opt into reporting birth defects and early-life health conditions; AB 1332 to allow narrow direct shipment of medicinal cannabis to seriously ill patients; AB 1056 phasing out transfer of certain gillnet permits except for a one-time family transfer; AB 408 creating a new Medical Board health and wellness program for physicians; AB 546 requiring health plans to cover portable HEPA air purifiers for vulnerable people during wildfire emergencies; AB 942 revising rooftop solar subsidy rules to reduce costs for non-solar ratepayers; and AB 967 expediting licensure for out-of-state physicians. Supporters generally framed these bills as improving access, equity, public health, or affordability, while opponents on AB 942 and AB 967 raised concerns about implementation, workload, contract issues, and impacts on existing programs. The committee took action on each bill after testimony and questions. AB 39, AB 1129, AB 1332, AB 1056, AB 408, AB 546, AB 942, and AB 967 were all moved out of committee on roll call votes, with some members voting no or not voting on certain measures. The suspense calendar was then read and deemed approved, and the committee opened general public comment, where speakers voiced support for bills including AB 715, AB 1138, AB 782, AB 98, AB 53, AB 258, AB 330, AB 650, AB 649, AB 1048, and AB 425. The meeting adjourned after public comment.

Transcript Highlights:

• Um, companies pay taxes.
• Um, companies pay taxes.
• Um, companies pay taxes.
• </c> the land and they pay taxes on that. the land and they pay taxes on that.
• </c> income taxes and I pay income taxes?" income taxes and I pay income taxes?"

Keywords: 1183, house

Transcript Highlights:

• It's about paying for the coach. It's about paying for the bus that transports these students.
• Taxpayers are still paying into the system.
• And someone mentioned it's pay to play. It should be pay to play. It is pay to play.
• Someone mentioned it's pay to play. It should be pay to play. It is pay to play.
• Unconstitutional because it's pay to play.

Keywords: 989, all

Transcript Highlights:

• And so in the winner-pay, I'm just curious: in your definition of winner-pay, would the winner-pay be
• Would the winner-pay be whoever's closer to the arbitration settlement?
• We pay more because the patient was paying more before. Now we pay more.
• So that is us paying that 2,342, but it is nowhere near that 18,577.
• We're not trying to pay more.

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:

• They are paying tuition. They and their families also pay taxes. They're earning this education.
• If you own a business, you're paying taxes. If you use our tollways, you're paying taxes.
• If you buy something at any store, you're paying taxes. If you work, you're paying taxes.
• We are allowing them to pay the same rate that other students who were born here are paying.
• They're willing to pay.

Summary: The House convened with prayer, a moment of silence for the Parkland shooting victims, the Pledge of Allegiance, and adoption of the special order report for the day. The chamber then moved into a special-order agenda focused almost entirely on immigration-related measures, beginning with Senate Memorial 6C urging the U.S. Department of Homeland Security to provide guidance and training for 287(g) agreements. The memorial was adopted 85-27 after brief debate, with supporters arguing Florida should help maximize federal immigration enforcement and opponents saying Congress, not the state, should fix immigration policy. The House next took up Senate Bill 4C, an immigration bill creating new state offenses for illegal entry and reentry by adult unauthorized aliens and requiring a mandatory death sentence for an unauthorized alien convicted of a capital felony. Members debated constitutional concerns, due process, racial profiling, fiscal impacts, and whether the bill intruded on federal immigration authority. Several amendments were offered and defeated, including proposals to extend protections to Venezuelans with TPS, to remove the mandatory death penalty, to protect certain long-term immigrant workers and teachers, to expand exemptions for Haitians and humanitarian parole recipients, and to create a task force on best practices for immigration enforcement in schools and other sensitive locations. A final amendment to strip the bill as unconstitutional was also rejected. The bill then passed 85-29. The final measure discussed was Senate Bill 2C, which creates a State Board of Immigration Enforcement led by the Governor and Cabinet, establishes grants and incentive bonuses for local law enforcement cooperation with federal immigration authorities, repeals the fee waiver for undocumented students beginning July 1, 2025, and appropriates more than $300 million for immigration enforcement. The sponsor described it as a broad enforcement package, while questions from members focused on the impact on current students who receive in-state tuition and whether the bill would remove incentives for those already enrolled. The transcript ends during that exchange, before final action on SB 2C is shown.

Transcript Highlights:

• We we have to pay are going down. We we have to pay physicians<00:07:35.199><c> more.
• </c><00:59:27.680><c> Uh</c> co-pay for example or deductible. Uh co-pay for example or deductible.
• </c><01:12:10.560><c> requirements</c> Meredith that the co-pay requirements Meredith that the co-pay
• </c><01:12:45.040><c> the</c> of 28 and just whatever co-pays the of 28 and just whatever co-pays the
• </c> way or they're fearful they can't pay way or they're fearful they can't pay it.<01:14:06.560><c>

Keywords: 00:00:00 - Call to Order/Roll Call 00:02:20 - Discussion of 26RS HB 689 00:13:13 - Discussion of 26RS SB 201 00:27:45 - Discussion of 26RS HB 583 00:46:37 - Discussion of 26RS HB 488 00:48:13 - Discussion of 26RS HB 2 01:14:34 - Discussion of Kentucky State Plan Amendment (SPA) 26:0001: School-based Medicaid Services Program 01:18:24 - Public Comment, 958, all

Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.

Transcript Highlights:

• If you have enough money to pay for lobbyists, you have enough money to pay for fixing sidewalks.
• more to secure adequate insurance to pay out under the bill.
• Someone has to pay the bill for these compensatory damages.
• Someone has to pay the bill for these compensatory damages.
• She wasn't paying attention to where she was walking.

Summary: The Civil Justice and Claims Subcommittee considered HB 145, by Rep. McFarland, which would raise Florida’s sovereign immunity caps from $200,000 per person and $300,000 per incident to $500,000 and $1 million, with a future inflation-based increase, extend the time to bring claims, and allow local governments to settle claims above the cap without a claims bill. McFarland argued the bill modernizes an outdated system and helps injured people obtain compensation more fairly and efficiently, while preserving sovereign immunity. Several members spoke in support during debate, saying the bill better balances government accountability and victims’ rights and that current caps have not kept pace with inflation and damages. Public testimony was largely in opposition. Local governments, counties, cities, insurance groups, and school-related organizations warned the bill would significantly increase liability exposure, insurance premiums, and taxpayer costs, especially for small and rural governments and school districts. Opponents also objected to the provision allowing settlements above the cap without legislative action, saying it would weaken the cap and increase litigation and costs. Supporters countered that injured people often wait years for claims bills and that governments should be able to resolve meritorious claims directly. After debate, the committee voted 16-1 to report HB 145 favorably, with Rep. Lopez voting no. The meeting then adjourned.