Transcript Highlights:

• But in broader strokes, and our team can provide more details about the breakdown, my understanding is

Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed fiscal year 2026-2027 budget for the health and human services agencies. Kendall Kelly outlined the overall HHS budget at $48.5 billion, with AHCA accounting for the largest share, and agency heads then highlighted major proposals for Medicaid behavioral health redesign, APD waiver enrollment and facility needs, DCF child welfare, opioid, and mental health investments, DOEA funding for Alzheimer’s, home care, and community services, DOH funding for cancer research, public health initiatives, and lab capacity, and VA funding for facility improvements, cybersecurity, and medication management. Several members praised specific proposals, including increased reimbursement for private duty nursing, Alzheimer’s supports, and the Florida FIRST blood-in-ambulance initiative. Senators also questioned the proposed changes to the AIDS Drug Assistance Program (ADAP), with the Surgeon General explaining that the department expects a reduction in covered patients from about 30,000 to about 20,000 because of funding pressures tied to rebates, federal changes, and premium tax credit issues. Public testimony strongly criticized the ADAP changes, citing lack of transparency and warning that many patients could lose access to medications. Other questions focused on the Office of Minority Health and Health Equity, DCF’s substance abuse and mental health data dashboard, Kids Care/CHIP expansion implementation, APD bed and facility planning, and the FX Medicaid technology project. DCF said about $7 million is set aside for the dashboard system, and AHCA said the governor’s budget includes $124.4 million for FX maintenance and continued module development, with $13.5 million to begin claims processing work. The committee did not take a substantive vote on the budget presentations and adjourned after questions and public testimony.

Transcript Highlights:

• In broad strokes, here's what I intend to cover.

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• gave us the authority to hold polluters accountable for discarded AFLF, and we plan to use it at the stroke

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• Madam Chair, yes, I think we need to really develop a Uh, broader strokes just based on what we're faced

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• that firefighters, peace officers, and emergency medical technicians who suffer a heart attack or stroke

Bills: SB111, SB128, SB203, SB205, SB261, SB383, SB393, SB397, SB466, SB510, SB705, SB715, SB731, SB748, SB801, SB867, SB876, SB913, SB945, SB946, SB1013, SB1071, SB1086, SB1087, SB1181, SB1250, SB1285, SB1373, SB1400, SB1444, SB1483, SB1528, SB1553, SB1556, SB1581, SB1586, SB1608, SB1698, SB1730, SB1835, SB1858, SB1903, SB1946, SB1950, SB1986, SB2017, SB2043, SB2056, SB2058, SB2063, SB2082, SB2105, SB2133, SB2137, SB2177, SB2203, SB2260, SB2311, SB2334, SB2337, SB2340, SB2403, SB2417, SB2446, SB2452, SB2460, SB2519, SB2532, SB2565, SB2611, SB2619, SB2622, SB2633, SB2637, SB2655, SB2681, SB2688, SB2713, SB2717, SB2764, SB2781, SB2782, SB2790, SB2794, SB2797, SB2841, SB2847, SB2857, SB2878, SB2891, SB2943, SB2955, SB2959, SB2972, SB2995, SB3037, SB3047, SB3057, SB3059, HJR2, HJR99, HB26, HB29, HB136, HB166, HB206, HB353, HB451, HB517, HB1399, HB1672, HB2000, HB2198, HB2756, HB3204, HB3248, SJR3, SB5, SB72, SB509, SB616, SB963, SB985, SB1025, SB1080, SB1143, SB1172, SB1245, SB1267, SB1271, SB1273, SB1355, SB1422, SB1759, SB1786, SB2361, SB1, SB260, SB1506, SB1637, SCR48, SB375, SB410, SB672, SB777, SB1373, SB1454, SB1586, SB1704, SB1854, SB1856, SB2165, SB2203, SB2342, SB2367, SB2452, SB2501, SB2520, SB2521, SB2538, SB2539, SB2703, SB2835, SB2903, SB2926, SB2959, SB2965, SB3029, HB22, HB1392, HB3093, HB3096, HCR6, HCR12, HCR29, HCR50, HCR55, HCR56, HCR58, HCR70, HCR71, HCR74, HCR78, HCR80, HCR107, HCR116, HCR117, SJR36, SJR50, SJR63, SCR12, SCR39, SCR48, SB2023, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1163, SB1122, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB209, SB2429, SB511, SB2309, SB510, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB2538, SB1449, SB1181, SB1359, SB410, SB1234, SB2926, SB2972, SB2841, SB1856, SB1528, SB1373, SB672, SB2891, SB1854, SB317, SB2539, SB2532, SB1250, SB2082, SB2203, SB1285, SB1454, SB2520, SB1237, SB1586, SB2819, SB629, SB2342, SB2903, SB3029, SB375, SB777, SB2367, SB2703, SB2608, SB2965, SB2521, SB2165, SB2501, SB2452, SB2835, SB1602, SB1704, SB1723, SB1858, SB1946, SB2009, SB2177, SB2460, SB2785, SB867, SB1608, SB640, SB1698, SB705, SB748, SB2680, SB2994, SB2747, SB1950, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB3059, SB2637, SB2334, SB1861, SB2043, SB1367, SB2857, SB128, SB3058, SB2044, SB2363, SB2311, SB1986, SB2565, SB2943, SB1888, SB2417, SB3048, SB3052, SB3053, SB3036, SB3057, SB3056, SB3043, SB3037, SB3050, SB3063, SB3047, SB3035, SB2446, SB466, SB2611, SB2794, SB2105, SB2017, SB1790, SB1778, SB1730, SB2995, SB2847, SB205, SB2619, SB1903, SB203, SB3061, SB1581, SB2600, SB2799, SB2790, SB2688, SB2515, SB1230, SB876, SB2522, SB2639, SB2137, SB2519, SB2403, SB2459, SB3051, SB2655, SB2251, SB2764, SB2878, SB1884, SB111, SB582, SB2617, SB1835, SB2751, SB2959, SB2063, SB1400, SB2058, SB2260, SB2928, SB1310, HJR99, HJR2, HJR1, HB1109, HB1392, HB22, HB3093, HB517, HB1130, HB1689, HB2018, HB2884, HB1393, HB2730, HB1399, HB1244, HB467, HB331, HB2559, HB26, HB166, HB353, HB2000, HB2756, HB3248, HB3513, HB3204, HB3135, HB3012, HB2763, HB2523, HB2457, HB2415, HB2198, HB2143, HB1708, HB1672, HB767, HB1327, HB2723, HB451, HB140, HB109, HB3096, HB206, HB1238, HB1089, HB2890, HB9, HB2081, HB4215, HB2970, HCR6, HCR12, HCR29, HCR50, HCR55, HCR56, HCR58, HCR70, HCR71, HCR74, HCR78, HCR80, HCR107, HCR116, HCR117, SB2566, SB2344, SB1897, SB1749, SB1361, SB2549, SB2553, HB37, HB1899, HB3809, HB334, HB554, HB1593, HB2607, HB3526, HB3810, HB5092, HB388, HB2809, HB1151, HB913

Keywords: special education, school districts, legal fees, reporting requirements, transparency, hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, student privacy, numerical class rank, education policy, academic programs, high school, fetal development, health curriculum, public schools, middle school health education

Transcript Highlights:

• It was just a stroke or two. But I also want to say, look, Mr.

Summary: The Senate opened with a quorum, an invocation, and routine business including dispensing with the previous day’s journal, receiving a House message on HB 104/HJR 34, and a gubernatorial message naming two appointees to the Texas Real Estate Commission. The chamber also adopted several resolutions recognizing Alzheimer’s Advocacy Day, Golf Day in Texas, Cindy Ramos-Davidson, and the 50th anniversary of the Harris-Galveston Subsidence District. Members then adopted memorial resolutions honoring fallen first responders, including Deputy Jesse Ray Perez and Deputy Melissa Pollard, and the Senate agreed to adjourn in their memory. The Senate considered and passed several bills. SB 2199 increased penalties for loading overweight vehicles transporting hazardous materials; SB 1959 adjusted permit factors for the North Texas Groundwater Conservation District; SB 1376 changed supervision rules for code enforcement officer trainees; SB 2595 created a new offense for harassing, intimidating, or threatening someone while concealing identity with a mask or similar headgear; SB 1012 authorized sale or lease of certain surplus state property in Austin; SB 2245 revised bonded title procedures; SB 2605 created a municipal housing authority asset commission; SB 3044 expanded and adjusted the board of the Presidio County Underground Water Conservation District; SB 628 clarified county fire code enforcement authority through interlocal agreements; SB 2778 raised the spending threshold for emergency services district employees; SB 3039 addressed public higher education transfer issues; and SB 2523 allowed release from municipal extraterritorial jurisdiction by petition. Most of these bills were passed to engrossment, the three-day rule was suspended, and final passage was completed, often by wide margins. The chamber also took up SB 1844, which would require cities to provide services before expanding taxing areas into limited-purpose jurisdictions; a floor amendment narrowed the bill, and it was passed to engrossment. SB 2284 clarified municipal and county authority over firearms, airguns, archery equipment, and related items, and was passed despite opposition. SB 2529, dealing with the vote threshold for taxing units to adopt higher tax rates or issue tax bonds, prompted extended debate over voter approval and representative decision-making; after questions, the bill was passed to engrossment and held. At the end of the session, the Senate recessed for 20 minutes and announced it would meet as the Caucus of the Whole.

Transcript Highlights:

• if they have far-left financial backing, they can erase it—a generational family business—with the stroke

Bills: HB386, HB1449, HB1701, HB2142, HB2675, HB2857, HB3063, HB3171, HB3641, HB3732, HB4045, HB4370, HB4491, HB4505, HB4626, HB5267, HB5356

Keywords: construction contracts, change orders, local government, budget limits, Texas legislation, HB 1449, mobile food vendors, food trucks, mobile food service establishments, permits, county health permit, municipal permitting, Health and Safety Code Chapter 437A, Chapter 437, inspection agreements, permit reciprocity, fee cap, preemption, large counties, population over one million

Transcript Highlights:

• And I think we also have to consider that it's different strokes for different folks, right?

Transcript Highlights:

• He died from a stroke before I was born.

Summary: The Budget Committee met with a quorum and took up several bills. HB 677, relating to state-covered fertility preservation for employees undergoing cancer treatment, was introduced as coverage for egg and sperm preservation for up to three years, with an estimated fiscal impact of about $813,000. After brief questions and no public testimony or amendments, the bill passed unanimously and was reported favorably. The committee then considered CS/HB 59, which would reform Florida’s wrongful incarceration compensation process by extending the filing deadline from 90 days to two years, removing the clean-hands requirement, and allowing exonerees to choose between the state compensation process and a civil lawsuit; it was supported by the City of Flagler Beach and passed unanimously. CS/HB 1313, which recreates the Resilient Florida Trust Fund in the Department of Environmental Protection before its scheduled termination in 2025, also passed unanimously after supportive testimony from advocacy groups. The committee received a lengthy presentation from the Department of Management Services on the State Group Insurance Program and the recent Revenue Estimating Conference. The presentation covered enrollment, revenues and expenditures, rising medical and pharmacy costs, emergency room utilization, GLP-1 drug spending, and options for tighter formulary and utilization management. Members asked about ER cost growth, GLP-1 coverage and copays, PBM oversight and potential conflicts, avoidable ER visits, cancer screening claims, dental and vision costs, specialty drug biosimilars, and possible savings from more restrictive pharmacy models. DMS said it would follow up on several questions and noted ongoing work on cancer coordination, preventive screening, biomarker testing, and a proposed member-facing benefits platform. The committee also heard extensive testimony on HB 301, which would raise sovereign immunity caps from $200,000 per person and $300,000 per incident to $1 million and $3 million, align limitations periods with private claims, and allow government entities to settle above the caps without a claims bill. Local governments, school-related entities, and county and city associations opposed the bill, warning of major fiscal impacts, higher insurance costs, and pressure on services; several speakers urged smaller increases or a tiered approach. Proponents, including families affected by catastrophic injury or death, argued the current caps are too low and the claims bill process is inefficient and unfair. After debate, the bill passed on a recorded vote, with some members voting no, and was reported favorably.

Transcript Highlights:

• reducing air pollution from fires and fossil fuels will lower rates of lung disease, heart attacks, strokes

Transcript Highlights:

• I did not know my child could die from exertional heat stroke.

Summary: The Pre-K-12 Education Committee took up a series of education, school safety, health, and student access bills. SB 754 on International Baccalaureate bonus funds was amended to clarify the theory of knowledge course and then reported favorably. SB 370 would allow routine non-invasive school health screenings, such as vision, hearing, and dental checks, to proceed with written notice and an opt-out process rather than active parental consent; supporters said it would improve participation and access, while opponents argued it was too broad and weakened parental rights. After debate over scope, funding, and consent, the bill was reported favorably. The committee also advanced SB 1070, which would require ECG screenings for student athletes under a phased rollout beginning in 2026, with religious and medical opt-outs. The bill was renamed the Second Chance Act in honor of Chance Gainer. Supporters described it as a life-saving measure to detect hidden cardiac conditions, while some members raised cost and implementation concerns. SB 508, the Family Empowerment Scholarship bill, would require private schools to disclose in writing what accommodations and services they will provide to students with IEPs, 504 plans, or ELL plans before enrollment; it was supported by parents, advocacy groups, and some school representatives and was reported favorably. School safety measures were also considered. SB 1470 would refine campus locking and supervision rules, create clearer exceptions, expand training and security options for school safety personnel, and allow district-employed law enforcement officers to use canines for threat detection. Witnesses from school safety and Parkland-related advocacy groups supported the bill but urged caution on exemptions and implementation details. SB 1472 would extend a public records exemption to certified school security guards, matching the protection already given to school guardians, and it was reported favorably. Finally, SB 248 would expand participation in FHSAA sports for private school and home education students at public schools when their own schools do not offer the sport, and SB 1618 made broad changes to VPK through grade 12 policy, including reading instruction, financial literacy, school funds restrictions, teacher certification, and advisory council rules; both bills were reported favorably. Several members later recorded votes in support of specific tabs before the committee adjourned.

Transcript Highlights:

• We haven't, I'm going to ask for us to be excused from the floor just in case, by some stroke of, I don't

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• events brought to these communities, including new diagnoses of lung diseases, increased rates of strokes

Transcript Highlights:

• So in very broad strokes, the way it works is that the state has its DHHS that is the negotiating point
• So in very broad strokes, the way it works is that the state has its DHHS that is the negotiating point
• So in very broad strokes, the way it works is that the state has its DHHS that is the negotiating point
• <02:53:56.120> the<02:53:56.279> way<02:53:56.439> it so in very broad Strokes
• the way it so in very broad Strokes the way it works<02:53:56.840> is<02:53:57.080> that

Keywords: 928, house, all

Summary: The committee heard testimony on House Bill 224, which would redirect most money from New Hampshire’s renewable energy fund back to electric ratepayers. The bill sponsor argued the measure would lower energy costs, noting recent utility rate increases and estimating annual savings of roughly $2.5 million to $7.3 million for ratepayers. Supporters said the fund has accumulated money that should be returned to customers rather than used for subsidies, and they emphasized that the state has already rebated similar funds from RGGI for years. Opponents, including Rep. Kat McGee, argued the renewable energy fund is a successful, nonlapsing dedicated fund that supports local clean-energy projects, energy resilience, emissions reductions, and private investment. McGee said the fiscal note overstated the benefit of rebates and understated the loss of investment, claiming the average annual rebate would amount to less than $10 per customer while the program has helped leverage significant private dollars and nearly 10,000 projects. She urged the committee to reject the bill as a poor deal for the state and ratepayers. Committee members questioned the fiscal note, the size of the rebate, whether the bill would set a precedent for other dedicated funds, and whether the program’s incentives amount to picking winners and losers. The Department of Energy testified neutrally, explaining how the renewable energy fund works, including renewable energy credits, alternative compliance payments, and the fund’s use for renewable energy initiatives. No vote was taken in the portion of the hearing provided.

Transcript Highlights:

• the committee wants to go, and it wants to put more of a finger on this, but with this broad brush stroke
• He said the committee wants to put more of a finger on this, but with this broad brush stroke and now
• cut the $40 million and then start adding back the school they like or the school that has the best stroke
• the $40 million and then start adding back the school they like, or the school that’s got the best stroke

Keywords: 916, all

Transcript Highlights:

• the state, and we're also starting a neurology residency program, which will contribute not only to stroke
• 01:52:21.280> uh which will contribute not only to uh which will contribute not only to uh stroke
• 52:22.400> is<01:52:22.480> a<01:52:22.719> major<01:52:23.040> public stroke
• care which is a major public stroke care which is a major public health<01:52:23.679> issue<01

Keywords: 910, house, all

Transcript Highlights:

• <01:27:22.880> And Are there any sort of broad strokes that you can deduce now that we've
• /c><01:27:40.960> sort<01:27:41.199> of<01:27:41.440> broad<01:27:41.760> strokes
• <01:27:42.320> that >> Are there any sort of broad strokes that >> Are there any
• sort of broad strokes that you<01:27:43.120> can<01:27:43.199> deduce<01:27:43.920>

Keywords: 912, senate, all

Summary: The joint informational briefing by the Health and Human Services and Commerce and Consumer Protection committees focused on projected impacts to Hawaii consumers from federal changes affecting Med-QUEST and the ACA marketplace, including the loss of ACA premium tax credits, OBVA/HR1-related Medicaid changes, immigrant eligibility restrictions, and new Medicaid work/community engagement requirements. Committee members noted the meeting was being streamed live and emphasized the need to explain potential coverage losses affecting a significant share of the state population. Med-QUEST administrators reported current enrollment at 390,766, about 27% of Hawaii’s population, and broke that down into major groups including roughly 128,000 ACA expansion adults and about 52,000 parent/caretaker relatives. They said the expansion adult population would be most affected by the new federal requirements, which will shorten renewal periods from 12 months to 6 months and impose community engagement rules beginning in late 2026 and 2027. They described the work requirement as 80 hours per month of work, community service, work program participation, or half-time education, with an income-based pathway tied to $580 per month at the federal minimum wage; they also noted a long list of exemptions, but said many details are still awaiting federal guidance and rulemaking. The administrators said federal changes to immigrant eligibility would eliminate Medicaid coverage for certain noncitizen categories, with an estimated 1,200 to 2,400 people affected, though about 200 may remain covered through a state-funded program for otherwise eligible individuals. They also said marketplace subsidies would no longer be available for some immigrants under 100% of the federal poverty level starting January 1, 2026, with further restrictions expected in 2027. For Hawaii overall, they estimated the new Medicaid work and renewal rules could push an additional 19,000 to 38,000 people into uninsured status, with another estimated 6,000 at risk from the six-month renewal process alone. Members asked about how exemptions would be determined, especially for medically frail and seriously mentally ill individuals, and administrators said they were still awaiting detailed federal rules and were working on data-matching and verification processes to reduce coverage losses.

Transcript Highlights:

• But it presented as a stroke, so we got in, having a conversation and sitting in that ER that was on
• c><01:01:57.279> presented<01:01:57.680> as<01:01:57.799> a<01:01:57.880> stroke
• <01:01:58.200> so<01:01:58.319> we a day but it presented as a stroke so we a day but
• it presented as a stroke so we got<01:01:58.599> in<01:01:59.039> having<01:01:59.279>

Keywords: 1187, senate, all

Bills: SB1287, SB1983, SB1796, SB1806, SB1558, SB2135, SB483, SB1198, SB1265, SB2154, SB2139, SB1552, SB2118, SB1775, SB259, SB1344, SB1380, SB2007, SB1572, SB2074, SB1423, SB1425, SB1502, SB1503, SB1833, SB1561, SB1555, SB2044, SB1749, SB904, SB1565, SB1500, SB667, SB1484, SB1562, SB1644, HR1045, SB227, SB1627, SB1475, SB1966, SB2049, SB1531, SB80, SB1734, SB1630, SB1894, SB1975, SB1432, SB1437, SB1812, SB346, SB710, SB1489, SB1614, SB2045, SB1250, SB1304, SB1501, SB1946, SB592, SB65, SB1257, SB444, SB640, SB2178, SB1242, SB1642

Keywords: abstraction, licensing, Oklahoma Abstractors Board, criminal background, good moral character, SB1983, foster care, resource family partner, resource family partners, Department of Human Services, DHS, child welfare, foster homes, foster children, placement data, data sharing, de-identified data, aggregated data, sibling groups, placement disruptions

Transcript Highlights:

• To prevent and treat heart disease and stroke, it's critically important to ensure that everyone in New
• So we do not heart attacks and strokes.
• 05:14:13.280> heart<05:14:13.600> disease<05:14:13.920> and<05:14:14.160> stroke
• ,<05:14:14.480> it's and treat heart disease and stroke, it's and treat heart disease and
• stroke, it's critically<05:14:15.120> important<05:14:15.360> to<05:14:15.520> ensure

Keywords: 1189, house, all