Transcript Highlights:

• The Senate Committee on Health and Human Services will come to order.
• So, the fiscal note is really about the impact of making the services online.
• Obtain a permit or pay a permitting fee to operate a food service establishment, temporary food service
• In the United States Postal Service, we call it snail mail.
• I am a former investigator for Child Protective Services.

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:

• I appreciate these ladies' service.
• Of the telehealth services that we contract with providing third-party services?
• Telehealth services? Yes, ma'am. Who does the physical exam?
• The service that you contract with that makes contact with a patient.
• , the Department of State Health Services, Health and Human Services Commission, and the Texas Workforce

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:

• Currently, about 20 states allow dentists to administer neuromodulators. allow dentists to provide these services
• providers who already have the trust of their patients and the clinical expertise to deliver these services
• But I'm concerned with people who, I would say, shop for services, but I don't mean shop like medical

Bills: SB1117, SB1373, SB672, SB1986, SB1098, SB626, SB1784, SB2480, SB2487, SB437, SB660

Keywords: dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness

Transcript Highlights:

• must provide eight hours of in-service training on a daily basis.
• The city has actually robustly funded homeless services.
• Well, personally, I feel like these services need to be voluntary.
• other services.
• We know many of these individuals will need to access treatment services.

Bills: SB1117, SB1373, SB672, SB1986, SB1098, SB626, SB1784, SB2480, SB2487, SB437, SB660

Keywords: dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness

Transcript Highlights:

• . services. services.
• , multicounty library systems, family service collaboratives, children's mental health collaboratives
• , family service, and community action agencies.
• I now serve as the result of my service.
• , provision of emergency medical services, provision of emergency medical services, hazardous<00:

Bills: HF1667, HF2526, HF68

Keywords: correctional fees, supervision fees, probation, Department of Corrections, criminal justice funding, electronic home monitoring, drug testing, restitution collection, community service work, postprison supervision, court-ordered services, fee sunset, fee phaseout, offender fees, community corrections, supervised individuals, 1183, house

Transcript Highlights:

• She noted that this bill proposes to improve funding for essential services that benefit families in
• HR1465 by Dyson, relating to the commendation of Bennett Bush for his service as legislative director
• For the committee on local calendars, HR1466 by Rosenthal commends Adrian Crenshaw for his service in
• Chief Taylor has spent over 20 years in the fire service. ...becoming chief in 2013.
• Benavides and his life story in service to our country.

Bills: HB149, HB2017, HB705, HB223, HB 1056, HB2854, HB4623, HB3000, HB46, HB 117, HB3619, HB4464, HB5646, HCR84, HB500, HB2963, HB5509, HB1973, HB3909, HB718, HB252, HB5666, HB 119, HB346, HB5624, HB5658, HB5677, HB1545, HB3073, HB4081, HB 121, HB4236, HB3848, HB4144, HB40, HB5682, HB3697, HB3333, HB3642, HB20, HB549, HB2731, HB4233, HB4690, HB 127, HB2525, SB1637, SB1, SB1198, SB509, SB13, SB15, SB30, SB268, SB331, SB441, SB447, SB457, SB568, SB650, SB763, SB1540, SB1610, SB1660, SB2018, SB2024, SB2217, SB2337, SB2753, SB2900, SB2972, SB3059, HB14

Keywords: artificial intelligence, regulation, biometric data, ethical AI, consumer protection, AI governance, intoxication manslaughter, criminal penalties, community supervision, mandatory supervision, parole eligibility, Grayson's Law, cosmetology, licensure, interstate compact, state regulations, public safety, workforce mobility, municipality, procurement

Bills: HB149, HB2017, HB705, HB223, HB 1056, HB2854, HB4623, HB3000, HB46, HB 117, HB3619, HB4464, HB5646, HCR84, HB500, HB2963, HB5509, HB1973, HB3909, HB718, HB252, HB5666, HB 119, HB346, HB5624, HB5658, HB5677, HB1545, HB3073, HB4081, HB 121, HB4236, HB3848, HB4144, HB40, HB5682, HB3697, HB3333, HB3642, HB20, HB549, HB2731, HB4233, HB4690, HB 127, HB2525, SB1637, SB1, SB1198, SB509, SB13, SB15, SB30, SB268, SB331, SB441, SB447, SB457, SB568, SB650, SB763, SB1540, SB1610, SB1660, SB2018, SB2024, SB2217, SB2337, SB2753, SB2900, SB2972, SB3059, HB14

Keywords: artificial intelligence, regulation, biometric data, ethical AI, consumer protection, AI governance, intoxication manslaughter, criminal penalties, community supervision, mandatory supervision, parole eligibility, Grayson's Law, cosmetology, licensure, interstate compact, state regulations, public safety, workforce mobility, municipality, procurement

Bills: HB62, HB124, HB182, HB193, HB198, HB203, HB223, HB237, HB469, HB486, HB574, HB779, HB796, HB919, SCR2, SB4, SB36, SB38, SB109, SB152, SB168, SB195, SB216, SB221, SB236, SB404

Keywords: Louisiana Women's Policy, gender equality, policy research, commission membership, women's representation, Domestic Violence, judicial experience, legislation, criminal law, family law, HB182, sexual assault, rape kit, forensic examination, forensic medical exam, sexual assault survivor, sexual assault nurse examiner, SANE, emergency department, hospital staffing

Transcript Highlights:

• offices with experts who can properly certify deaths are overburdened because they extend their services
• They lend out their services. Travis County likewise faces similar challenges.
• The recommended workload caseloads highlight a pressing need to expand these services.
• The way we pay for some of that is we, you know, most counties will provide services to Kaufman and Hunt
• see those situations, but the counties do contract out with surrounding counties. provide their services

Bills: SB1370

Keywords: medical examiner, forensic services, county coroner, autopsy, death investigation, forensic pathology, county government, commissioners court, medical examiners district, regional district, public health, criminal justice, Texas Code of Criminal Procedure, Article 49.25, county population threshold, interlocal agreement, 1184, house, all

Bills: SB 243, SB 1586, SB 1891, SB 1959, SB 2159, SB 2568

Keywords: wastewater treatment, environmental permits, Texas Commission on Environmental Quality, package plant, environmental protection, water utilities, sewer services, ratemaking, regulatory authority, Class A B C D utilities, rate proceedings, financial integrity, aquifer, Edwards Aquifer, water injection, environmental regulation, groundwater management

Transcript Highlights:

• You often hear, where are the gaps in services?
• on market or what they think that that service is worth.
• Department of Health and Human Services.
• Health and Human Services is already collecting that data.
• And our hospitals currently offer these services.

Bills: HB216

Keywords: HB216, Texas abortion law, abortion-inducing drug, medication abortion, mifepristone, misoprostol, telemedicine, in-person exam, physician presence, out-of-state physician, reproductive healthcare, abortion regulation, Health and Safety Code, Occupations Code, consultation services, remote prescribing, pro-life, pro-choice

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.

Bills: SB1423, SB1426, SB1502, SB1377, SB1983, SB1466, SB1645, SB1647, SB1847, SB1565, SB1562, SB1329, SB1383, SB1833, SB1555, SB1344, SB1839, SB1280, SB1832, SB2001, SB1405, SB2143, SB1989, SB1393, SB1392, SB1395, SB1400, SB1220, SB1516, SB1239, SB1531, SB1349, SB1221, SB1538, SB1309, SB1434, SB2108, SB2121, SB2171, SB2061, SB2112, SB2138

Keywords: Oklahoma Hospital Advisory Council, hospital licensure, public health, State Department of Health, State Board of Health, hospital regulations, healthcare regulation, hospital standards, hospital construction, hospital operations, stroke care, stroke system, emergency medical services, EMS transport, psychiatric treatment, chemical dependency treatment, substance use disorder, drug storage, pharmacy, quality indicators

Bills: HB0036, HB0112, HB0106, HB0111, SF0001

Keywords: wildfire, fire management, funding, forestry, state investment, task force, capital construction, state funding, legislative services, budget appropriation, unexpended funds, sunset clause, conservation, employment, inmate crew program, Wyoming, major maintenance, community colleges, budget, education

Bills: HB0036, HB0112, HB0106, HB0111, SF0001

Keywords: wildfire, fire management, funding, forestry, state investment, task force, capital construction, state funding, legislative services, budget appropriation, unexpended funds, sunset clause, conservation, employment, inmate crew program, Wyoming, major maintenance, community colleges, budget, education

Transcript Highlights:

• of the Public Service Commission.
• Committee, any questions for the Public Service Commission?
• <00:49:15.240> Appreciate<00:49:15.640> you, Service Commission?
• Appreciate you, Service Commission?
• We administer the county side of that equation on behalf of the Department of Family Services.

Bills: SF0095, SF0107, SF0112

Keywords: driver's license, motor vehicle services, third-party providers, Wyoming, regulatory compliance, motor vehicle, registration, license plate, electronic system, State Department of Transportation, county treasurers, vehicle fees, public records, license plates, replacement cycle, vehicle registration, motor vehicles, state fees, 916, all

Bills: SF0095, SF0107, SF0112

Keywords: driver's license, motor vehicle services, third-party providers, Wyoming, regulatory compliance, motor vehicle, registration, license plate, electronic system, State Department of Transportation, county treasurers, vehicle fees, public records, license plates, replacement cycle, vehicle registration, motor vehicles, state fees, 916, all

Transcript Highlights:

• And so this is just an additional service that the Secretary of State is able to provide.
• so this is just an additional service so this is just an additional service that<01:09:14.159>
• an excellent service to the people<01:10:13.280> of<01:10:13.440> Wyoming.
• And then we should be those services.
• Um, this bill provide customer service.

Bills: SF0028, SF0030, SF0031, SF0032

Keywords: voting, elections, electronic voting systems, transparency, public testing, voter registration, qualified elector, residency requirements, voting rights, mortgage modification, priority, electronic signatures, real property, financial covenants, 911 services, emergency response, grant funding, next generation technology, government accountability, public safety

Transcript Highlights:

• Shortfalls in 911 services.
• 34:33.360> So<01:34:33.840> I<01:34:34.080> don't<01:34:34.320> know services
• So I don't know services to the PAPs.
• from some of the urgency to get service from some of the industry<01:37:06.800> partners<01:37
• <01:37:57.600> respond able to have emergency services respond able to have emergency services

Bills: SF0028, SF0030, SF0031, SF0032

Keywords: voting, elections, electronic voting systems, transparency, public testing, voter registration, qualified elector, residency requirements, voting rights, mortgage modification, priority, electronic signatures, real property, financial covenants, 911 services, emergency response, grant funding, next generation technology, government accountability, public safety

Transcript Highlights:

• department for community based services. department for community based services.
• <00:48:59.040> And all nine of our service regions. And all nine of our service regions.
• CCBHC's must provide nine core services. CCBHC's must provide nine core services.
• /c><00:58:37.040> health services are crisis mental health services are crisis mental health services
• , psychiatric rehabilitation services, psychiatric rehabilitation services, peer<00:59:00.000>

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:01 Department for Public Health Budget Request 00:01:46 Department for Community Based Services Budget Request 00:31:58 Certified Community Behavioral Health Clinics (CCBHC) 00:57:13, 958, all

Summary: The committee first approved the minutes, then heard a lengthy presentation from the Department for Public Health on Kentucky’s rural health transformation plan and related budget questions. Commissioner John Langfeld said the state received a $212.9 million federal award, one of the larger awards nationally, and outlined five focus areas: maternal and infant health, integrated EMS/trauma response, behavioral health and substance use disorder, oral health, and chronic disease prevention with an emphasis on obesity and diabetes. He stressed that the effort is intended to be integrated, data-driven, and sustainable, and that the federal funds cannot be used for new construction, clinician salaries, research and development, EHR replacement, or to pay for currently billable services. He also said the program carries accountability requirements and that funds can be clawed back if milestones are not met. Members pressed for clarification on duplication with other budget requests, sustainability after the five-year funding period, and how success would be measured. Langfeld said he was not aware of any duplicate funding with the department’s additional budget requests and said the rural health funds were separate from those requests. He also said the program will be tracked through specific metrics and timelines, using both execution measures and outcome measures such as readmissions, with more rapid-cycle feedback to allow course correction. Representative Fleming raised concerns about possible overlap with navigator funding and asked for more detail on the budget breakdown; Langfeld said a detailed line-item budget had been prepared but was still awaiting final CMS approval before release, and that he would explore sharing more information once restrictions were lifted. The committee then heard from the Kentucky State Public Health Laboratory about a request for a new central lab expansion. The presenter described the current 35-year-old facility as outdated and constrained by aging infrastructure, obsolete equipment, deferred maintenance, and inadequate space, and said the lab performs critical work with no in-state alternative for many services, including newborn screening, select-agent and biosafety level 3 testing, animal necropsy for rabies, genetic sequencing, environmental and food safety testing, and response to emerging infectious diseases. The project is already in design phase C, expected to finish in mid-April, with construction funding sought at roughly $276 million on top of about $35 million already approved for design. Members asked about long-term operating costs, backup arrangements, and whether the current facility would remain in use; the presenter said the current lab would continue to be used by the department while other divisions move into vacated space, and that the lab has mutual-aid agreements with the Southeast Consortium and universities for contingency support. Finally, the Department for Community Based Services began its budget presentation on SNAP and relative caregiver issues. Commissioner Lisa Dennis and budget director Misty Sammons identified the governor’s recommended budget items tied to new federal requirements under HR1, including changes affecting payment error rates. The discussion was just beginning when the transcript ended.

Transcript Highlights:

• language directing the transfer of contracts, property and records, and personnel from Health and Human Services

Bills: HB 39, HB 114, HB 1875, HB 1894, HB 1965, HB 2513

Keywords: veterans, mental health, Texas Veterans Commission, peer support, suicide prevention, community mental health, grant program, cemetery, General Land Office, burial plot, remembrance, monthly designation, honoring military, Texas legislation, rural services, paid leave, fire protection personnel, military service, public employees, employment benefits