Transcript Highlights:

• Committee on Health and Human Services will come to order and the clerk will please call the roll.
• All PBMs are operating the same way in Texas.
• The Health and Human Services Committee will stand in recess until 9.50.
• Department of Health. The U.S.
• Committee on Health and Human Services. My name is Emiliano Romero.

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• The Senate Health and Human Services Committee will reconvene.
• I am currently the Director of Operations for the WIT Program in San Angelo, Texas, where we provide
• It's important to understand that this is a cost that's borne by employers, not by health plans.
• I'm representing Texans for Affordable Health Care.
• They're the third-party benefit administrators for ERISA health care plans.

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• The Senate Health and Human Services Committee will reconvene, come to order, and members don't need
• Especially mental health services.
• I am currently the director of operations for the WIT Program in San Angelo, Texas, where we provide
• As you all know, for about 50 years, ERISA has ensured that employer sponsored health benefits remain
• It will save the employer money in providing health.

Bills: SB 502, SB 513, SB 622, SB 670, SB 731, SB 732, SB 916, SB 961, SB 1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• </c> force to improve access to mental health force to improve access to mental health services<00:02
• My question is um uh is for veterans mental health, does it have to be a veterans only mental health
• </c> veterans only mental health provider? veterans only mental health provider?
• mental health.
• and and standard veterans mental health and and standard mental<00:26:02.640><c> health.

Bills: HF4588, HF3685, HF4577, HF4932

Keywords: veterans, veterans affairs, mental health, behavioral health, rural health, rural areas, access to care, task force, Minnesota Department of Veterans Affairs, general fund appropriation, veteran suicide prevention, PTSD, service members, military families, telehealth, rural psychiatry, high school diploma, armed forces, education policy, military service

Transcript Highlights:

• a health care provider must also state the provider's name, type of credential, and any health care-related
• It requires health care professionals to wear an identification badge displaying their name and health
• Two, it ensures that all health care advertisements that name a health care professional identify the
• health care.
• So, briefly in closing, higher value health plans benefit patients and health care providers.

Bills: HB2261, HB2283, HB2425, HB2110, HB2113, HB2122, HB2152

Keywords: healthcare, transparency, patient communication, credentials, professional standards, medical loss ratio, insurance, health plans, cost management, nursing delegation, registered nurse, RN, home care aide, nursing assistant, certified nursing assistant, CNA, medical assistant, home health, hospice, community-based care

Transcript Highlights:

• Behavioral Health Services in the State Behavioral Health Services in the State uh<00:15:45.839><c> DCT
• </c> population at the forensic mental health population at the forensic mental health program<00:20:
• </c> discharge from our state operated discharge from our state operated services<00:37:15.000><c> and
• and Community Mental Health services and Community Mental Health Providers<00:37:17.040><c> feel</c><
• There are a lot of things that we do in mental health at our regional adult mental health initiatives

Bills: HF2196, HF2586, HF2187, HF2037

Keywords: mental health, emotional disturbance, terminology update, statutory cleanup, conforming amendments, children's mental health, serious mental illness, severe emotional disturbance, case management, residential treatment, outpatient services, crisis services, health plan coverage, antipsychotic drugs, medical assistance, Medicaid, foster care, juvenile court, school discipline, county board

Transcript Highlights:

• </c> Minnesota, at Essentia Health. Minnesota, at Essentia Health.
• </c> health and ultimately drive down health health and ultimately drive down health care<01:02:14.440
• </c> over their health care. over their health care.
• So, you know, at<01:31:42.240><c> Health</c><01:31:42.480><c> Partners</c> at Health Partners at Health
• </c> Department of Health. Department of Health.

Bills: HF4493, HF3133, HF4595, HF4143, HF4142, HF3756, HF4289, HF1724, HF2291, HF4568, HF4547

Keywords: opioid use disorder, OUD, medication-assisted treatment, MAT, pharmacist prescribing, pharmacy practice, controlled substances, Schedule III, Schedule IV, Schedule V, DEA registration, Board of Pharmacy, substance use disorder, addiction treatment, buprenorphine, naltrexone, harm reduction, prescription authority, pharmacist intern, Minnesota pharmacy law

Transcript Highlights:

• The Senate Committee on Health and Human Services will come to order.
• Good and missing sometimes in our health care world.
• Is it the health plan?
• It's Behavioral Health. a law enforcement unit.
• For health care services or supplies, that's working well.

Bills: SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care

Transcript Highlights:

• This also allows influence to operate in the shadows.
• In addition to the nursing workforce, other health professions face critical workforce shortages.
• care education programs, and provide students with the tools necessary to pursue a health care career
• This is also in regard to the task force and the Department of State Health Services presentation to
• I will be graduating this coming May with two bachelor's degrees, one in psychology and one in health

Bills: HB173, HB184, HB484, HB678, HB 1211, HB1507, HB1705, HB1868, HB2290, HB2851, HB2856, HB3041, HB3204, HB173, HB184

Keywords: foreign donations, higher education, public institutions, national security, funding, prohibition, Texas law, healthcare, insurance, affordability, access, public health, foreign influence, education policy, student loan repayment, prosecuting attorneys, border prosecution unit, financial assistance, tobacco, cigarettes

Transcript Highlights:

• This bill encourages campuses to prioritize the health of their students. body.
• And the Texas Public Health Commission, coalition, we are not a commission.
• plans for their population to get health insurance coverage.
• Britt. executive director for HR operations for Russia.
• There's mental health, there's a compact between different states.

Bills: HB173, HB184, HB484, HB678, HB 1211, HB1507, HB1705, HB1868, HB2290, HB2851, HB2856, HB3041, HB3204, HB173, HB184

Keywords: foreign donations, higher education, public institutions, national security, funding, prohibition, Texas law, healthcare, insurance, affordability, access, public health, foreign influence, education policy, student loan repayment, prosecuting attorneys, border prosecution unit, financial assistance, tobacco, cigarettes

Transcript Highlights:

• LB 901 has cash funds adding to the Behavioral Health Services cash fund a $470,000 addition in fiscal
• LB 901 has cash funds adding to the Behavioral Health Services cash fund a $470,000 addition in fiscal
• That fund finances the health care cash fund.
• The one thing that is clear, as a retired grocery operator, we need an educated workforce.
• We need to operate off of one screening tool so we're comparing apples to apples.

Bills: LB878, LB958, LB958A, LB762, LB1187, LB966, LB929, LB962, LB1209, LB937A, LB962A, LB1050, LB1050A, LB965, LB1022, LB753, LB788, LB913, LB1055, LB1195, LB429, LB721, LB722, LB727, LB745, LB749, LB778, LR293, LR296, LR422, LR495, LR496, LR497, LR498, LR499, LR500, LR501, LR502, LR503, LR504

Keywords: paid parental leave, state employees, workplace benefits, family support, economic impact, Medicaid, Medical Assistance Act, home and community-based services waiver, HCBS waiver, waiver participant, assessment tool, clinical interviewing, service tier, retroactive coverage, doula, doula reimbursement, maternal health, prenatal care, pregnancy, birth outcomes

Transcript Highlights:

• Is there any way that we are getting reports to say here's how this has impacted maternal health and
• They're not like a community health worker, which I know Senator Hardin brought that bill to kind of
• organize that certification. ...community health worker, which I know Senator Hardin brought that bill
• I think Nebraska has great, great, great health care, and to see that with newborn babies and moms is
• The speaker noted that some of those feedlot operators have registered lobbyists in Lincoln who weigh

Bills: LB878, LB958, LB958A, LB762, LB1187, LB966, LB929, LB962, LB1209, LB937A, LB962A, LB1050, LB1050A, LB965, LB1022, LB753, LB788, LB913, LB1055, LB1195, LB429, LB721, LB722, LB727, LB745, LB749, LB778, LR293, LR296, LR422, LR495, LR496, LR497, LR498, LR499, LR500, LR501, LR502, LR503, LR504

Keywords: paid parental leave, state employees, workplace benefits, family support, economic impact, Medicaid, Medical Assistance Act, home and community-based services waiver, HCBS waiver, waiver participant, assessment tool, clinical interviewing, service tier, retroactive coverage, doula, doula reimbursement, maternal health, prenatal care, pregnancy, birth outcomes

Transcript Highlights:

• There are medications that help; they help the brain work around the damage in the brain.
• </c> damage in the brain. damage in the brain.
• </c> applicator health restrictions in there. applicator health restrictions in there.
• </c> receptor in the brain of the insects. receptor in the brain of the insects.
• </c> support another family on the operation. support another family on the operation.

Bills: HF3965, HF3704, HF3260, HF3718

Keywords: pesticide, agriculture, environmental protection, health risks, chemical safety, local agriculture, insecticides, pollinators, seeds, environmental health, neonicotinoids, systemic insecticides, civil penalties, pest management, land trends, report, appropriation, farmers, veterinary medicine, veterinary technology

Transcript Highlights:

• </c> So, Vibrant Hawaii has been formally operating on Hawaiʻi Island since 2020.
• Uh, we operate a resilience training center.
• which we operate.
• </c> operate a resilience training center. operate a resilience training center.
• ><c> whole</c><01:00:08.160><c> community</c> health survey with our whole community health survey with

Bills: HB2437, HB1815, HB1614, HB1613, HB1612, HB2411, HB2597, HB2583, HB2474, HB1863, HB2590, HB1813, HB1838, HB2138, HB1967, HB1576, HB2139, HB1605, HB2113, HB812, HB1831, HB1707, HB2561, HB1805, HB2469, HB2472, HB2387, HB1658, HB1661, HB1664, HB1859, HB2276, HB2335, HB1656, HB2116, HB2272, HB2273, HB2340, HB2158, HB2339, HB2489, HB2159, HB2171, HB2338, HB2005, HB1952, HB1872, HB1676, HB2384, HB2614, HB20, HB1776, HB1565, HB2310, HB1975, HB1801, HB1668, HB2114, HB1972, HB1546, HB1518, HB1131, HB2208, HB2156, HB2268, HB2622, HB2581, HB2498, HB2443, HB1577, HB2033, HB2031, HB2023, HB1969, HB1973, HB1974, HB2315, HB2343, HB2501, HB2505, HB816, HB1562, HB1591, HB1853, HB1854, HB1871, HB1965, HB1966, HB1537, HB1541, HB276, HB2606, HB2270, HB1920, HB1756, HB1727, HB1718, HB1715, HB1713, HB1711

Keywords: arts education, student engagement, cultural literacy, public schools, funding, State Foundation on Culture and the Arts, SFCA, Performing Arts Grants Program, arts grants, culture and the arts, history and the humanities, King Kamehameha Celebration Commission, Works of Art Special Fund, one percent for art, public art, art in public places, relocatable works of art, DBEDT, Department of Business, Economic Development, and Tourism, DAGS

Transcript Highlights:

• </c> choice and control over their health choice and control over their health care.<00:05:15.840><c>
• </c><00:05:24.720><c> care</c> care, reducing long-term health care care, reducing long-term health care
• </c> um earning a minimum wage without health um earning a minimum wage without health insurance,<00:
• . health. health.
• </c> operate without regulation. operate without regulation.

Bills: HF2400, HF1724, HF3437, HF4333, HF2874, HF4052

Keywords: real estate, appraisers, disciplinary actions, sanction matrix, Minnesota Statutes, direct primary care, healthcare agreements, medical services, patient care, health insurance, mortgage fees, residential loans, commercial loans, finance regulations, investment properties, insurance, supplemental health insurance, short-term care, home health care, nursing care

Transcript Highlights:

• Joint Special Operations Command.
• Those brain lesions healed, brain cells reconnected, and I could function with what was labeled as complex
• Those brain lesions healed, brain cells reconnected and I could function what was labeled as complex
• Young. life-changing mental health treatments. As someone pursuing a career creating health care.
• I did my own research looking for more mental health and brain trauma information.

Bills: HF3454, HF3917, HF2906, HF3832, HF3769

Keywords: social work, licensure, employment titles, health occupations, professional standards, medication repository, drug donation, healthcare, Minnesota Statutes, pharmacy, public health, controlled substances, psilocybin, psilocin, psychedelic, psychedelic medicine, hallucinogen, mushrooms, magic mushrooms, therapeutic use

Transcript Highlights:

• Health care they require.
• So one, we're talking about not releasing an individual's health care information that the health care
• health care clinics.
• It protects those individuals providing essential health care, and it ensures that private health care
• health system.

Bills: HB195, HB279, SB30, HB234, HB292, SB100, SB23, SB221, SB261, SB264

Keywords: medical malpractice, judgments, independent providers, insurance, personal assets, settlements, healthcare, healthcare privacy, electronic medical records, reproductive health, gender-affirming care, data protection, location tracking, confidentiality, SB30, induced abortion, abortion reporting, vital statistics, public health reporting, medical records

Transcript Highlights:

• want to have, and we don't want to create an interference with law enforcement in their normal operations
• I'm the president and CEO of Armstrong Energy Corporation, an operator based in Roswell.
• My company operates in some remote areas, and we have pumpers, truckers, and other contractors in and
• and operated producer based here in Farmington, New Mexico.
• You think about health care workers. In particular, larceny itself, right? Larceny of livestock.

Bills: HB195, HB279, SB30, HB234, HB292, SB100, SB23, SB221, SB261, SB264

Keywords: medical malpractice, judgments, independent providers, insurance, personal assets, settlements, healthcare, healthcare privacy, electronic medical records, reproductive health, gender-affirming care, data protection, location tracking, confidentiality, SB30, induced abortion, abortion reporting, vital statistics, public health reporting, medical records

Summary: The committee first heard SB 264, which would create state criminal and civil penalties for election interference, including stationing armed personnel at polling places or drop boxes, changing voter qualifications or election procedures contrary to state law, and obstructing or intimidating voters, poll workers, or election administrators. The sponsor and Secretary of State staff said the bill was a response to concerns about possible federal interference in New Mexico elections and was modeled largely on existing federal law, while also adding emergency-related provisions for counties affected by disasters. Support came from Common Cause, the League of Women Voters, and the Center for Public Policy; there was no opposition testimony. After questions about enforcement, federal conflict, and the role of local law enforcement, the committee passed SB 264 on a due-pass motion. The committee then took up SB 261, a related bill revising firearm restrictions at polling places. The sponsor said the bill would remove most exemptions that had allowed firearms in or around polling locations, while preserving limited exceptions for election administrators to request law enforcement assistance and for certain rural or co-located law enforcement offices. Supporters, including the League of Women Voters, Common Cause, and the Center for Public Policy, argued that firearms at polls can intimidate voters and poll workers and that the bill would create clearer, safer rules. Opponents, including representatives of a rifle and pistol club, a county sheriff’s office, and the New Mexico Business Coalition, argued that concealed carry holders and officers should not be treated as threats, that the bill could create confusion or criminalize lawful conduct, and that law enforcement needs to remain armed to respond to emergencies and protect polling sites. Committee members debated constitutional tailoring, rural enforcement issues, and how the bill would interact with the earlier election-interference bill. The committee ultimately passed the Judiciary Committee substitute for SB 261 on a due-pass vote. Finally, the committee heard SB 221, which would add a new crime and racketeering predicate for theft and misappropriation of petroleum products and oil and gas equipment. The sponsor, the Attorney General’s office, and industry and law enforcement witnesses said oilfield theft has become more organized and dangerous, causing environmental damage, safety hazards, lost production, and revenue losses, and that existing laws are not sufficient to address the conduct. An opponent questioned whether the conduct was already illegal and argued that the bill singled out one industry and could overcriminalize conduct already covered by other laws and regulations. After discussion about proportionality and whether the bill was necessary, the committee voted on the Judiciary Committee substitute and the motion failed on a tie vote, so SB 221 did not advance.

Transcript Highlights:

• Health care privacy is safety, especially for people seeking reproductive and gender-affirming health
• So one, we're talking about not releasing an individual's health care information that the health care
• health care clinics.
• It protects those individuals providing essential health care and it ensures their private health care
• Women's health go unseen and unaddressed. This bill does not strengthen health care.

Bills: HB195, HB279, SB30, HB234, HB292, SB100, SB23, SB221, SB261, SB264

Keywords: medical malpractice, judgments, independent providers, insurance, personal assets, settlements, healthcare, healthcare privacy, electronic medical records, reproductive health, gender-affirming care, data protection, location tracking, confidentiality, SB30, induced abortion, abortion reporting, vital statistics, public health reporting, medical records

Summary: The committee first took up House Bill 195, which would protect the personal assets of certain health care providers from collection in medical malpractice judgments. Supporters said the bill would help recruit and retain physicians, especially in high-liability fields like obstetrics, while opponents argued broader malpractice reform should focus on insurance and legal representation. Members discussed whether the bill’s definition of “independent provider” matched existing law, and the committee adopted a friendly amendment to add osteopathic physician. HB 195 then passed on a 9-0 vote. The committee then heard House Bill 279, a health care privacy and safety measure for reproductive and gender-affirming care. The sponsor said it would strengthen protections for sensitive health information, limit geofencing around clinics, allow providers to keep personal addresses confidential, and remove provider names from medication abortion packaging. Supporters framed it as a privacy and safety bill; opponents said it would weaken parental access, create confusion for emergency physicians, and shield abortion access. After extensive questions about HIPAA, emergency care, and data collection, the bill passed 6-3. Senate Bill 30, which would repeal the requirement that induced abortions be reported to the state registrar, drew similar testimony. The sponsor and supporters argued the reporting requirement is outdated, medically unnecessary, and exposes providers to surveillance and possible out-of-state targeting; opponents said the data supports transparency and public health oversight. Members questioned what data would be lost and how the state currently uses the reports. SB 30 passed 6-3. The committee also heard House Bill 234 on fentanyl definitions, with law enforcement and business groups supporting clearer criminal penalties; members and the sponsor worked through possible amendment language to better align the bill with existing controlled-substance definitions, and the discussion was continued for a revised draft. Finally, House Bill 292, the New Mexico Prison Rape Elimination Act, received broad support from advocacy groups and passed the committee substitute 7-0.

Transcript Highlights:

• The Committee on Health Policy will now come to order.
• Katie Larson, Lee Health System, waives and supports.
• Under the bill, the Department of Health, through its maternal and child health section, will implement
• , WIC programs, hospitals, and community health centers.
• , and better infant health outcomes.

Bills: S0036, S0864, S0268, S0844, S0514, S1404, S0914, S1758

Keywords: nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, uterine fibroids, public records, health privacy, epidemiology, medical information, emergency department, physicians, privacy, personal information, sickle cell disease, sickle cell anemia, pain management, controlled substances, prescribing education, continuing medical education

Summary: The committee first considered SB 268, a public records exemption for emergency physicians. Senator Rodriguez’s strike-all amendment narrowed and clarified the exemption, and testimony from an emergency physician described threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported the bill favorably as a committee substitute. Members then heard SB 514, creating the Dula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women affected by substance use disorder. Senator Osgood explained the pilot would provide non-medical doula support and data collection, and an amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and complement medical providers. The committee adopted the amendment and reported the bill favorably as a committee substitute. The committee also approved SB 36 on use of professional nursing titles after extensive debate over whether nurses with doctoral degrees should be allowed to use “doctor” in clinical settings, with concerns raised about patient confusion and the need for clearer identification. The bill was amended to align with the House version and then reported favorably as a committee substitute. The committee next approved SB 864, a public records exemption for uterine fibroid research data, after a technical amendment setting a July 1, 2026 effective date; Senator Sharif said the exemption is needed so the Department of Health can collect sensitive data for the related research bill. SB 844, requiring continuing education on sickle cell disease care management for certain licensed physicians and nurses, was also reported favorably after emotional testimony from patients and advocates describing delayed care and bias. Later, the committee approved SB 1404 on memory care, after a strike-all amendment creating a new memory care specialty license for assisted living facilities that advertise or provide specialized memory care services, while allowing optional supportive services without the new license. Supporters from the senior living industry backed the clarification. The committee then passed SB 914, which clarifies that licensed occupational therapists may perform dry needling, after an amendment adjusting supervision and continuing education language. Finally, the committee took up SB 1758, a broad Medicaid and SNAP reform bill that would strengthen fraud enforcement, impose Medicaid work requirements for certain able-bodied adults, expand behavioral health services, modernize drug purchasing and prior authorization, and require SNAP fraud-reduction measures. Several amendments were adopted, and members questioned the work requirement, implementation costs, EBT card photo identification, and due process concerns; debate continued as the transcript ended.