Transcript Highlights:

• In school, we're trained to be primary care, so we can refer to specialists, and we can admit to a hospital
• it's not required because we're not intended to go work in the hospital, only in the outpatient, primary
• So every university either has research centers like up in Washington, Bastyr, and then the primary care
• The second year is a little hands-on, but kind of just running things around for the primary.
• network rate, and the actual rate that we've negotiated with, I want to say, at least the top 20 payers

Summary: The committee first heard and favorably reported SB 255, which expands eligibility for psychosocial rehabilitation services by adding health sciences and therapeutic recreation degrees to the list of acceptable educational backgrounds. Supporters said the change would help address workforce shortages and improve access in rural areas. SB 314 was then reported favorably; it cleans up prior law so a limited scope certified social worker license can still be used for community psychiatric support and treatment services even if the application is filed after the CSW license has expired, rather than being barred by a timing restriction. The committee next took up several bills by Chairman McMath. SB 26, which repeals facility need review requirements for opioid treatment programs, was reported favorably after members and witnesses said Louisiana has too few OTPs and that removing the review would improve access, especially in rural areas. SB 29, requiring review and reporting of a child’s immunization records in certain unexpected death autopsies, was reported favorably despite questions about whether the bill should refer more broadly to medical records; supporters said the data could help evaluate vaccine-related concerns, while opponents raised concerns about singling out immunizations. SB 30, dealing with telehealth for obesity/weight management, was amended and reported favorably; the committee adopted technical amendments and a conceptual amendment replacing “metabolic condition” with “weight management services,” while witnesses debated patient safety, board authority, and whether the bill should limit agencies’ ability to restrict telehealth in the future. The committee also reported favorably SB 219, which creates an Office of Health and Nutrition within LDH. Supporters from the department, the Alzheimer’s Association, and Pennington Biomedical said the office would strengthen coordination on nutrition, physical activity, and brain health, and cited high Alzheimer’s costs and prevalence in Louisiana. SB 222, which streamlines Medicaid behavioral health administrative requirements and expands telehealth for psychosocial rehabilitation, was reported favorably with amendments after supporters described workforce and rural access barriers. SB 195, the “Danny’s Dose EMS Treatment Act,” was reported favorably; it would allow EMS personnel to administer a patient’s own prescribed time-critical medication in emergencies, and testimony from a parent and physician described life-threatening delays under current practice. The committee also adopted SCR 2, updating hospital architectural standards to the most recent Facility Guidelines Institute edition, and SCR 22, requesting a more detailed legislative auditor report on opioid settlement expenditures; members said they wanted clearer outcome data and planned to refine the language before floor debate. Finally, HB 1093 on naturopathic medicine was introduced and heavily amended, with the bill shifted under LSBME oversight and a large set of changes discussed, but no final action was taken in the portion provided.

Transcript Highlights:

• But if the rule of seven days—okay, so you pass away on a Friday, okay, your primary care doctor has
• But if the rule of seven days—okay, so you pass away on a Friday, okay, your primary care doctor has
• The goal of this legislation is ensuring a degree of separation between the provider and the payer to
• All we're saying is it's a problem if you have a payee and a payer, and you have somebody that's paying
• for the services for the payer.

Bills: HB2118, HB2181, HB2308, HB2309, HB2402, HB2476, HB2682, HB2698, HB2875, HB2877, HB2903, HB2910

Keywords: mobile food vendors, licensure, food safety, statewide regulations, health standards, zoning, temporary vendors, HB2181, death certificate, death certificates, vital records, funeral establishment, funeral home, human remains, medical certification of death, death registration, state registrar, local registrar, county medical examiner, alternate medical examiner

Summary: The House Commerce Committee heard and advanced several bills. HB 2181, as amended, would extend the deadline for funeral establishments to submit death certificates from 7 days to a maximum of 14 days and clarify that a provider’s medical certification period excludes weekends and holidays. The sponsor and a mortuary owner testified that the current timeline is often difficult to meet because of weekends, holidays, doctor availability, county delays, and family circumstances. Several members said the bill did not fully address the underlying compliance problems, but the committee adopted the amendment and passed the bill 6-4-1. HB 2682 would create a DES rental assistance program offering up to two months or $5,000 in aid, with a $5 million general fund appropriation for administration. The sponsor and a tenant advocate described the bill as a short-term bridge to prevent eviction and homelessness, while an industry representative said rental assistance is an effective early intervention tool. Some members raised concerns about limiting eligibility to households with children and about program administration, but the bill passed 7-4. HB 2698 would create a rental assistance study committee to evaluate program effectiveness and repeal in 2028; it passed on a 7-4 vote. HB 2476 would revise CPA certification and reciprocity requirements, creating multiple pathways to licensure and updating related rules and fees. Supporters said it would help address a CPA shortage and align Arizona with other states; after clarification from the sponsor and the State Board of Accountancy, the committee passed it unanimously, 11-0. The committee then heard HB 2308, which would bar dental insurers and certain holding companies from owning dental practices; the Arizona Dental Association supported it as a safeguard against vertical integration, while Delta Dental opposed it as overbroad and burdensome. The bill passed 8-0-3. Finally, the committee began hearing HB 2118 on mobile food vendors and local permitting, with the sponsor and food truck operators arguing for streamlined county/state licensing and reduced local duplication, while a vendor representative warned the proposal could affect existing local ordinances and private-property vendors.

Transcript Highlights:

• , and community-based clinics, pardon me, to, to reinvest savings and payments into charity care, primary
• Secondly, it prevents PBMs, health benefit plans, and third-party payers from imposing discriminatory
• protections for, um, 340B contract pharmacies to prevent reimbursement discrimination where, uh, payers
• We do service, uh, urban areas, but that's not our, our primary market.
• Um, our, our primary concerns are the cost of insurance as well as the cost of litigation.

Transcript Highlights:

• It's not deductible to a payer as a deduction on your income taxes.
• It's not deductible to a payer as a deduction on your income taxes.
• what this would do would give the payer what this would do would give the payer the<01:30:01.520
• or national origin can't be the primary or national origin can't be the primary factor<04:38:37.039
• which English is not their primary which English is not their primary language<04:44:14.798>

Keywords: 1189, house, all

Transcript Highlights:

• transportation networks, local schools and services, municipal expenses, historic resources, aesthetics, primary
• industry that ensures responsible growth of an emerging industry that financially benefits electric payers

Keywords: 926, house, all

Transcript Highlights:

• create something to take that three-year, that three-year, that comes off the back of the property tax payers
• That is the primary person that we're trying to protect. Follow up, thank you. I was just...

Bills: SB1288, SB1705, SB1878, SB2019, SB2118

Keywords: emergency management, federal funding, disaster relief, cost sharing, public assistance, bail reform, public funds, nonprofit organizations, political subdivisions, injunctive relief, criminal procedure, surety bond, judicial discretion, uniform bond schedule, liability insurance, judgments, insurance fund, Oklahoma, county sheriff, commissary

Transcript Highlights:

• We can go to the agency as we could be the second payer if we need to, if they're claiming it on insurance
• This allowed people with medical needs to access insulin during times like holidays. ...days when primary

Bills: HB50

Keywords: constitutional amendment, ballot language, fiscal note, fiscal impact, cost estimate, savings estimate, Legislative Budget Board, LBB, secretary of state, Election Code, Government Code, voter information, ballot proposition, state budget, election administration, Texas, 1185, senate, all

Transcript Highlights:

• that would potentially save rate payers that would potentially save rate payers $5<00:28:34.679>
• And while you save rate payers across.
• c><00:42:39.440> will<00:42:39.720> save<00:42:40.720> rate<00:42:41.080> payers
• <00:42:42.080> billions this bill will save rate payers billions this bill will save rate
• payers billions of<00:42:44.120> dollars.

Bills: HF4308, HF4153, HF4703, HF4711

Keywords: HF4308, Monticello nuclear plant, Prairie Island, renewable development account, RDA, nuclear waste, spent fuel, dry cask storage, utility tax, commercial-industrial property tax, state general levy, property tax exemption, residential heating fuels, natural gas tax exemption, electricity sales tax exemption, year-round sales tax exemption, distributed solar energy standard, solar mandate, community solar, grid modernization

Transcript Highlights:

• Medicaid is one of the largest payers of behavioral health services in our state, serving almost a half
• Medicaid is one of the largest payers of behavioral health services in our state, serving almost a half
• children with more complex needs, often requiring us to send them out of state for treatment, with the primary

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:

• we're going to make wastewater treatment... loans from the state, and altogether we saved our rate payers
• So we wouldn't be able to take food waste and have it come at a cost to our rate payers because that's
• We've done testing for the primary. We know what the wastewater is.

Summary: The Assembly Select Committee on Biotechnology and Medical Technology held an informational hearing on the role of biotechnology industries in wastewater treatment, hosted at Bakar Labs on the UC Berkeley campus. Opening remarks emphasized California’s water scarcity, the rising cost of wastewater infrastructure, and the need to reuse and clean contaminated water. Committee members framed the hearing as a look at both current treatment challenges and emerging technologies that could improve water quality, affordability, and resilience over time. The first panel focused on statewide wastewater challenges. BACWA Executive Director Laurie Fono described wastewater plants as part of a broader circular economy, noting their roles in recycled water, environmental enhancement, biosolids management, carbon sequestration, and renewable energy generation. She highlighted major challenges including aging 1970s-era infrastructure, nutrient reduction mandates, sea level rise, evolving regulations, and PFAS source control. She said Bay Area agencies face about $11 billion in nutrient reduction costs, with rate increases, state revolving funds, WIFIA loans, and bonds as the main financing tools. Members asked about regional differences, energy revenue opportunities, smaller decentralized plants, and agricultural collaboration. The second panel featured researchers and lab experts discussing biotechnology solutions. Lawrence Berkeley National Lab’s Dr. Romine Chakarvati described using microbial communities and machine learning to help break down PFAS and treat produced water. CEL Analytical’s Dr. Yigi Dearborn explained pathogen testing for direct potable reuse, wastewater monitoring, and the need for larger sample volumes and more funding to validate methods for viruses and protozoa. Stanford’s Dr. Chunhung-Shin presented an anaerobic membrane system that turns domestic wastewater into clean water and energy with less biosolids and lower operating costs. Committee members asked about AI, assay development, scaling technologies, and funding priorities. Public comment from the California Association of Sanitation Agencies stressed the need to balance scalability, reliability, and affordability, and the hearing adjourned without any formal vote or action.

Transcript Highlights:

• So we have two primary data sets.
• Both sets of data do include utilization information by payer, balance sheets.
• So we have two primary data sets.
• Both sets of data do include utilization, information by payer, balance sheets.
• Again, timing, as we've discussed, is the primary limitation.

Keywords: 987, senate, all

Summary: The hearing opened with Department of Finance and Legislative Analyst’s Office remarks on the May Revision, which both described efforts to reduce large out-year operating deficits through a mix of revenue increases, spending reductions, and reserve use. Finance said the May Revision more than halves projected deficits in later years, while LAO stressed that revenues are at unprecedented levels yet the state still faces a significant structural deficit and is drawing down reserves; LAO urged maintaining at least the administration’s level of budget solutions and adding to reserves rather than new ongoing commitments. The chair echoed concern about cuts to vulnerable populations and noted the tension between service reductions and requests for additional administrative positions. The committee then heard a series of California Health and Human Services and HCAI proposals, including additional legal support for CalHHS to respond to federal HR1 changes; a net-zero transfer of positions for a centralized eligibility/data-sharing platform; 988 crisis line implementation funding and continued work with the Trevor Project to train crisis centers to better serve LGBTQ youth; EMS data system maintenance funding; HCAI implementation of AB 1312 hospital charity care screening; SB 660 data exchange framework funding; CalRx biosimilar insulin reappropriation; and a diaper access initiative that would provide free diapers to newborns in participating hospitals and support a future direct-to-consumer purchasing option. Members questioned the diaper program’s universal design, the use of a Public Contract Code exemption, and the selection of Baby2Baby, with the chair expressing concern about optics and the lack of an income threshold. The committee also discussed distressed hospital funding, with HCAI requesting up to $50 million for another round of grants to hospitals in immediate financial distress. HCAI said it receives annual and quarterly financial reports but the data lag limits real-time monitoring, and the LAO recommended stronger program parameters and turnaround plans. Members argued the repeated need for distressed hospital aid reflects a structural problem, not a short-term gap, and raised broader concerns about hospital reimbursement and patient flow. Other items included reverting $19.6 million in unused opioid settlement funds from HCAI to DHCS for General Fund offset, and a Rural Health Transformation Program request to increase HCAI spending authority to cover the full federal award. Later, DMHC presented funding requests to implement PBM licensing and financial review requirements under AB 116, modernize the managed care complaint system, and build an electronic claims settlement data system under AB 3275. The final major discussion focused on the Behavioral Health Services Oversight and Accountability Commission, which opposed the May Revision’s proposed reduction of its Innovation Partnership Fund from $20 million to $10 million and a $6.7 million cut to community advocacy grants. The Commission argued these programs are core to Proposition 1’s goals of statewide innovation and community accountability, while Finance said the proposal is consistent with Proposition 1’s maximum funding levels and reflects a broader effort to prioritize direct services and use unspent prior-year funds; members pressed for more information and questioned whether the cuts would undermine the new behavioral health framework.

Transcript Highlights:

• They collect data across all their providers and payers.
• They're the payer source. CMS doesn't do the licensing. Texas does the licensing.
• It's not their primary care physician.
• And we have to go to a primary care physician and then go out. And I know it's a hassle.
• So that brings me to a primary point that I want to talk about today.

Summary: The Senate Committee on Health and Human Services convened to discuss interim charges regarding fraud, waste, and abuse in Texas human services, particularly focusing on Medicaid and childcare programs. The meeting highlighted the importance of preventing misuse of taxpayer funds, with testimony from various stakeholders emphasizing the need for increased oversight and accountability in these programs. Key points included the alarming rise in healthcare fraud in other states, the necessity for Texas to enhance its fraud prevention measures, and the potential financial repercussions of failing to meet federal compliance standards. Several committee members expressed concerns about the impact of fraud on vulnerable populations, particularly those relying on Medicaid services. Testimonies from experts underscored the effectiveness of Texas's Office of Inspector General (OIG) in combating fraud, yet pointed out existing vulnerabilities, such as inconsistent enforcement and the need for better data sharing among agencies. The discussion also touched on the challenges faced by hospice care providers, with a significant increase in the number of hospices in Texas raising concerns about quality and oversight. The committee heard from various witnesses, including representatives from health plans and advocacy organizations, who provided insights into the complexities of managing Medicaid and the importance of maintaining program integrity. The meeting concluded with a commitment to further explore legislative solutions to enhance oversight and ensure that resources are directed to those in genuine need.

Transcript Highlights:

• it’s not required because we’re not intended to go work in the hospital, only in the outpatient, primary
• relieve this burden. ...which would help relieve this burden and demand and also help provide more primary
• So every university either has research centers like up in Washington, Bastyr, and then the primary care
• The second year is a little hands-on, but kind of just running things around for the primary.
• high network rate, the actual rate that we've negotiated with, I want to say at least the top 20 payers

Bills: HB946, HB1093, SB26, SB29, SB30, SB195, SB219, SB222, SB255, SB314, SCR2, SCR22

Keywords: healthcare transparency, hospital pricing, consumer protection, collection actions, fines, naturopathic medicine, Louisiana Board of Naturopathic Medicine, licensing, healthcare, prescriptive authority, natural therapies, opioid treatment, regulation, addiction recovery, state law, SB 29, Act 732, coroner, autopsy, child death

Summary: The committee first heard and favorably reported SB 255, which expands the educational qualifications for psychosocial rehabilitation services to include health sciences and therapeutic recreation degrees, and SB 314, which cleans up prior language on community psychiatric support and treatment services so a limited scope certified social worker license can still be issued even if the applicant is slightly late renewing. Members and witnesses said both bills were intended to improve access to behavioral health services, especially in rural areas, and there was no opposition on either measure. The committee then advanced SB 26, which repeals facility need review for opioid treatment programs to make it easier to open more OTPs in Louisiana, and SB 29, which requires child autopsy reports to include immunization records and access to the LINKS vaccine database. SB 29 drew some concern about whether singling out immunizations could imply causation, but the author and supporters said the bill is only about adding data and that the records would be part of broader medical information. Both bills were reported favorably. Members also reported favorably SB 30, as amended, to allow telehealth for obesity/weight-management treatment with synchronous interaction and other safeguards, though some providers warned the language should not unduly limit future board authority. SB 219 was approved to create an Office of Health and Nutrition within LDH, with testimony from the department, the Alzheimer’s Association, and Pennington Biomedical supporting the focus on nutrition, physical activity, and brain health. SB 222 was reported favorably with amendments to reduce duplicative behavioral health administrative requirements, streamline supervision rules, and expand telehealth for psychosocial rehabilitation. The committee also approved SB 195, the “Danny’s Dose” EMS bill, allowing EMS personnel to administer a patient’s own prescribed time-critical medication in emergencies; testimony from families with rare conditions described life-threatening delays under current rules. Finally, SCR 2 was adopted to update hospital construction standards to the most recent Facility Guidelines Institute edition, and SCR 22 was reported favorably to request a more detailed legislative auditor report on opioid settlement spending and outcomes. The committee then began hearing HB 1093 on naturopathic medicine, with the author proposing a licensing framework under the State Board of Medical Examiners and a large amendment set; members raised questions about scope, prescriptive authority, training, and whether the profession should have its own board, but no final action on the bill was taken in the portion provided.

Transcript Highlights:

• >> S, AND FROM THE ENERGY COALITION WHICH SEEKS TO PROTECT COSTS FOR RATE PAYERS.
• WHY ARE ALL OF THE LABOR UNIONS AND THE ADVOCATES FOR RATE PAYERS OPPOSED TO THIS BILL?
• HOW -- MY POINT IS, YOU DON'T FEEL THIS IS GOING TO ENCOURAGE OUR RATE PAYERS IN ANY WAY?
• COSTING, TRILLIONS OF DOLLARS TO ALL THE RATE PAYERS.
• Won't the rest of the rate payers be paying the balance for those credits in the future?"

Keywords: 993, senate, all

Summary: The Senate convened, approved the prior journal, and then took up a series of utility and public service bills and resolutions. A resolution sponsored by Senator Scarcella-Spanton designating April 9, 2026, as Yellow Ribbon Day was adopted after remarks honoring veterans, active-duty service members, and their families. The chamber then moved through several Public Service Law measures focused on utility affordability, consumer protections, and PSC procedures, with some bills laid aside and others advanced. Among the bills passed were measures by Senators Mayer, Cleare, Hinchey, Comrie, and Parker. Debate on the Mayer bill centered on limiting utility expenses and fees recoverable in rate cases; supporters said it was part of a broader package to reform PSC practices, while opponents argued it would not lower current bills and had been softened from earlier versions. The Webb bill creating a residential utility usage monitoring program drew extended debate over whether it would meaningfully reduce costs, who would pay for the program, and whether it could lead to government monitoring of household usage; supporters said it would give consumers more control and transparency, while critics said it would not lower rates. The Gonzalez bill, which would add consumer protections during PSC investigations and delay shutoffs in certain circumstances, also passed after questions about whether it applied to rate cases, with the sponsor saying rate cases were explicitly excluded. Several members explained their votes, with supporters emphasizing affordability, transparency, and consumer protection, and opponents arguing the package would not address immediate rate relief and could burden ratepayers or encourage nonpayment. Senator Tedisco and others criticized PSC appointments and state energy policy, while Democratic sponsors argued the bills were part of a longer-term effort to reform utility regulation and address climate and affordability concerns. The chamber restored multiple bills to the non-controversial calendar before final votes, and the recorded results showed passage of the major utility bills by substantial margins, along with one amendment appeal being ruled nongermane and rejected.

Transcript Highlights:

• Private payers, individuals, all were spending close to $67 billion per year on health care, paying for
• <00:09:15.160> um<00:09:15.560> individuals<00:09:16.399> all private public payers
• um individuals all private public payers um individuals all were<00:09:16.839> spending<00:09
• And so that is the primary driver of the proposal to eliminate the chiropractic benefit within MA.
• chiropractic care and again the primary chiropractic care and again the primary driver<01:15:53.320

Keywords: 1183, house

Summary: The committee met for a Health and Finance Policy hearing, began with member and staff introductions, and noted that Representative Keeler was participating as a non-voting member. The chair outlined committee rules on decorum and then introduced the day’s first agency presentation from the Minnesota Department of Health (MDH), with Commissioner Cunningham appearing to present the department’s budget priorities. Commissioner Cunningham described MDH’s broad public health role and emphasized that public health is underfunded relative to health care, with significant reliance on federal dollars. The department’s main budget request was for infectious disease prevention and response to offset anticipated federal funding losses. MDH also outlined several fee increases tied to public water systems, wells, licensing and certification, assisted living and health care facilities, HMO regulation, food/pools/lodging inspections, radioactive materials, X-ray equipment, and asbestos abatement. The commissioner said these changes were needed because costs, workload, and regulatory complexity have increased, while many fees have not been updated in years. MDH also presented budget-neutral proposals, including continuing the Early Hearing Detection and Intervention Advisory Committee, converting the Maternal and Child Health Advisory Task Force into a standing advisory committee, restoring some local and tribal public health cannabis and substance misuse prevention grants, creating direct American Indian Health Special Emphasis Grants, reauthorizing the State Trauma Advisory Council, and extending firefighter PFAS biomonitoring work. The department also requested an operations adjustment for rising employee, insurance, fuel, utility, and legal costs, and referenced additional Clean Water Legacy Fund proposals. No votes or formal actions were taken in the portion provided. Representative Bierman then offered supportive comments, praising MDH’s work and backing the funding and fee proposals, especially the restoration of local public health prevention grants.

Transcript Highlights:

• Delaying in posting the new rates is very inefficient for providers and payers.
• Delaying in posting the new rates is very inefficient for providers and payers.
• Delaying in posting the new rates is very inefficient for providers and payers.
• Delaying in posting the new rates is very inefficient for providers and payers.
• Um, and if we're having to payers.

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Transcript Highlights:

• such, HB 4903 establishes the Quad Agency Child Care Initiative to promote collaboration among the primary
• With the same payer, not necessarily specific to individual products within that payer's portfolio in
• Thirty-seven counties, several of which are in my district, are without primary care physicians.
• She does not have a pharmacy or a primary care physician within an hour of her community.
• She does not have a pharmacy or a primary care physician within an hour of her community.

Bills: HB163, HB216, HB721, HB2035, HB2038, HB3057, HB3153, HB3233, HB3595, HB3801, HB3812, HB4076, HB4129, HB4377, HB4535, HB4666, HB4730, HB4743, HB4903, HB5149, HB5155, HB1534

Keywords: epinephrine, healthcare, emergency response, administration, medical policy, health care, itemized billing, patient rights, provider regulations, Texas Health and Safety Code, cost disclosure, insurance, benefit plan, administrators, chemical dependency, treatment facilities, minor admissions, parental notice, mental health, medical licensing

Summary: The committee met without a quorum at first, then established a quorum with five members present. Members heard and left pending several House bills, including HB 4743 on allowing hospitals to license mobile stroke units under a hospital license, HB 4129 on earlier DFPS enforcement tools for single-source continuum contractors in community-based foster care, HB 4903 creating a Quad Agency Child Care Initiative to coordinate child care regulations across state agencies, HB 3812 revising the gold card/prior authorization process for physicians, HB 4535 requiring written informed consent before COVID-19 vaccination and a standardized state information sheet, and HB 4666 reducing the frequency of some HHSC reports to the legislature. The chair also noted HB 35 would be voted on later after a subcommittee back was received, and that a large number of bills would be heard the next day. Most of the testimony focused on HB 4535 and HB 4730. On HB 4535, supporters argued the bill would strengthen informed consent for COVID vaccination by requiring written consent and clearer state-level information about risks, manufacturer liability protections, and adverse-event reporting; opponents, including a pediatrician and medical groups, said existing federal and state informed-consent materials already cover these topics and warned the bill could create duplicative paperwork and penalties. On HB 3812, the Texas Medical Association supported changes that would extend the gold-card evaluation period to one year, raise transparency, and make prior authorization exemptions easier to administer, while health plans said they were neutral and viewed the bill as a balance between reducing burden and preventing fraud or unsafe care. HB 4730 drew extensive testimony from adoption professionals, birth mothers, adoptive parents, and child welfare advocates. The bill would require DFPS to create a relinquishment form, train child-placing agency staff, and extend the minimum waiting period for voluntary relinquishment from 48 hours to seven days. Supporters of the current law argued the 48-hour period aligns with hospital discharge, allows informed decisions, and helps birth parents and adoptive families begin healing and bonding without pushing children into foster care or creating legal and Medicaid complications. The author said the bill would be revised and that the seven-day provision was a work in progress. No votes were taken on the bills during the meeting; each bill was left pending after public testimony closed.

Transcript Highlights:

• , do y'all need a resource witness, Chair: or we can talk to the agency, as we could be the second payer
• This allowed people with medical needs to access insulin during times like holidays when primary care

Bills: HB50

Keywords: constitutional amendment, ballot language, fiscal note, fiscal impact, cost estimate, savings estimate, Legislative Budget Board, LBB, secretary of state, Election Code, Government Code, voter information, ballot proposition, state budget, election administration, Texas

Transcript Highlights:

• base will will, you know, provide all of these benefits and it will lower property taxes for local payers
• and it will lower property taxes for and it will lower property taxes for local<00:43:16.560> payers
• local payers. However, just look around. local payers. However, just look around.
• Those should not be our primary considerations. Thank you, Mr.
• those should not be our primary those should not be our primary considerations.<00:47:10.160>

Keywords: 919, house, all

Summary: The Tax Expenditure Review Commission met on June 17, 2026, approved the January 20, 2026 minutes, and then adopted updated commission procedures. The procedural changes, presented by Legislative Budget Office Director Christian Larson, required a quorum of voting members to complete evaluations before a formal recommendation vote, and allowed members to bundle or unbundle tax expenditures for voting. The commission approved the revised procedures by roll call vote, with five ayes and four excused. The commission then reviewed member evaluation summaries for tax expenditures presented in December 2025 and January 2026. It first considered the alcoholic beverage tax credits for small brewers and microdistilleries, and after discussion voted to recommend repeal of those two expenditures, while leaving the small winery credit for a later meeting because it lacked enough member responses under the new procedures. The vote on the repeal recommendation passed 4-1, with Commissioner Marquart voting no. The commission next approved the lawful gambling bundle, which included bingo, raffle, and related exemptions. Larson reported that most members recommended continuation for each item, and the commission voted to recommend continuing all six lawful gambling expenditures. It then reviewed the residential utility services bundle—residential heating fuels, residential water services, and sewer services—where members generally favored continuation but several noted possible modifications or caps for higher-income users; the commission voted to recommend continuation of the bundle. Finally, the commission reviewed the data center equipment sales tax exemption, which Larson said had an estimated annual revenue loss of $95 million and was intended to create jobs in construction and data center industries. Members raised questions about its effectiveness and whether the exemption should be modified or capped, but the commission ultimately voted to recommend continuation. The meeting concluded with these recommendations set to be included in the commission’s 2026 annual report.

Transcript Highlights:

• Section 2 of the bill appeared to be the primary area of concern, specifically the striking of line 8
• uh if the I know the risk to rap payers uh if the Pu<00:10:15.320> is<00:10:15.440> forced
• <01:07:32.319> Advocate most as the state's rate payer Advocate most as the state's rate payer
• her job is to represent all rate payers her job is to represent all rate payers if<01:07:44.000>
• about $5.7 million for rate payers about $5.7 million for rate payers without<05:06:24.200> having

Keywords: 1189, house, all