Transcript Highlights:

• Item number four, Senate communications. Mr. Clerk, are there any Senate communications?
• programs, and nutrition assistance.
• programs, and nutrition assistance.
• programs, and nutrition assistance.
• Amari embodies the true spirit of aloha through her dedication to serving her community.

Bills: HR209, SB3131, SB2494, SB2447, SB2727, SB2145, SB2143, HR22, HCR22, HR97, HCR105, HR138, HCR146, HCR16, HCR35, HCR40, HR3, HCR4, HR161, HCR171, HR109, HCR117, HR33, HCR33, HR141, HCR149, HR190, HCR200, HR193, HCR203, HR194, HCR204, HR196, HCR206, HR197, HCR207, HR191, HCR201, HR12, HCR10, HR148, HCR157, HR184, HCR194, HR195, HCR205, HR192, HCR202, HR173, HCR183, HR179, HCR189, HR181, HCR191, HR21, HCR21, HR23, HCR24, HR60, HCR66, HR113, HCR121, HR145, HCR153, HR74, HCR82, HR77, HCR85, HR90, HCR98, HR27, HCR36, HR165, HCR175, HR187, HCR197, HR5, HCR6, SB2054

Keywords: entertainment, comedy, youth wellness, cultural identity, Hawaiian culture, mental health, public service, job title, administrative assistant, executive assistant, state personnel, civil service, modernization, employment standards, bribery, corruption, statute of limitations, public servant, criminal justice, campaign finance

Bills: HR133, HR134, HR135, HR136, HR137, HR138, HR139, HR140, HR141, HR142, HR143, HR144, HR145, HR146, HR147, HR148, HR149, HR150, HR151, HR152, HR119, HR120, HR121, HR122, HR123, HR125, HR126, HR127, HR128, HR129, HR130, HR131, HR132, HCR53, HCR54, HCR55, HCR56, SCR3, SCR22, SB4, SB18, SB66, SB106, SB201, SB256, SB274, SB292, SB326, SB386, SB406, SB422, SB423, SB456, SB475, HCR3, HB1, HB3, HB27, HB71, HB214, HB225, HB241, HB244, HB306, HB312, HB313, HB314, HB345, HB366, HB383, HB446, HB473, HB511, HB514, HB655, HB730, HB743, HB836, HB983, HB1027, HB1037, HB1043, HB1082, HB1091, HB1096, HB1103, HB1126, HB1167, HB1174, HB1175, HB1230, HB1237, HB1238, SB162, SB349, SB350, SB382, SB383, HB76, HB132, HB181, HB210, HB250, HB265, HB275, HB291, HB322, HB342, HB475, HB486, HB616, HB635, HB639, HB690, HB740, HB757, HB761, HB774, HB808, HB855, HB872, HB883, HB886, HB903, HB949, HB962, HB996, HB1003, HB1036, HB1054, HB1071, HB1076, HB1078, HB1113, HB1132, HB1146, HB1232, HB1233, HB21, HB24, HB29, HB31, HB39, HB45, HB77, HB136, HB150, HB263, HB273, HB299, HB315, HB376, HB377, HB431, HB444, HB450, HB519, HB533, HB538, HB559, HB562, HB663, HB664, HB715, HB717, HB805, HB822, HB823, HB834, HB864, HB867, HB1017, HB1018, HB1068, HB1134, HB1137, HB1234, HB1235, HB1236, HB961, HB399, HB868, HB905, HB180, HB192, HB284, HB476, HB915, HB952, HB1006, HB401, HB51, HB58, HB140, HB982, HB1010, HB750, HB911, HB977, HB901, HR20, HR74, HB9, HB151, HB193, HB310, HB393, HB459, HB577, HB582, HB605, HB614, HB615, HB682, HB733, HB773

Keywords: commendation, leadership, energy sector, Shell USA, Louisiana pride, House Resolution 134, HR134, honorary resolution, Bob Lupo, Robert E. Smith Lupo, Lakeview, New Orleans, civic service, philanthropy, real estate development, Hurricane Katrina recovery, community service, charitable giving, public recognition, Louisiana House of Representatives

Transcript Highlights:

• Item number four, Senate communications. Mr. Clerk, are there any Senate communications?
• Va, their Hawaiian studies program, pre-K-5.
• Clerk, are there any Senate communications? communications? communications?
• <00:15:12.800> prek25 Va their Hawaiian studies program prek25 Va their Hawaiian studies program
• communities and show people that they have different kinds of opportunities.

Bills: HB2391, HB2294, HB2374, HB1997, HB2147, HB2185, HB1641, HB2195, HB2023, HB2031, HB2033, HB1937, HB2586, HB2575, HB2030, HB2115, HB2233, HB1801, HB1546, HB2132, HB2102, HB2356, HB2457, HB2292, HB2554, HB676, HB1528, HB2061, HB2094, HB2095, HB2181, HB2369, HB2578, HB2493, HB1642, HB1991, HB1652, HB2104, HB2593, HB1553, HB1823, HB1918, HB1860, HB2604, HB2605, HB2001, HB2437, HB1947, HB2384, HB2473, HB2140, HB1458, HB2603, HB2411, HB1611, HB2138, HB2141, HB2284, HB1568, HB1924, HB1928, HB2570

Keywords: tax holiday, school supplies, general excise tax, Hawaii, consumer savings, education, land transfer, public schools, Department of Education, property conveyance, Act 307, Kauai, Maui, shade trees, fruit trees, educational program, climate change, tree canopy, environmental education, native plants

Transcript Highlights:

• America organization and this is the Miss Alabama organization, which is part of the Miss America program
• <00:16:55.199> the<00:16:55.360> Miss<00:16:55.680> America<00:16:56.320> program
• <00:16:56.880> and is part of the Miss America program and is part of the Miss America program

Bills: SB86, SB196, SB228, SB231, HB73, HB407, HB435, SB86, SB196, SB228, SB231, HB73, HB407, HB435

Keywords: independent contractors, portable benefits, employee benefits, tax deductions, employment relationship, education, high school, community college, dual enrollment, secondary credit, Move on When Ready, financial services, discrimination, social credit score, religious freedom, transparency, consumer rights, Alabama, wastewater management, public service commission

Transcript Highlights:

• Have you talked to the people in your two communities, like the constituents?
• The smaller communities, the bill was actually different last time when we discussed it.
• We don't want them to lose faith in their communities. ...that they're being policed by.
• Community is about — sorry, community is doing... ...deserve police who know them, and police deserve
• communities who know them as well.

Bills: HB17, HB16, SB 10, HB27, HB23, SB 15, SB 18, HB 17, HB 16, SB 10, HB 27, HB 23, SB 15, SB 18

Keywords: property tax, school funding, enrollment changes, inflation adjustment, tax rate notice, judicial administration, court reform, juvenile diversion, court security, mental health services, drug offenses, constitutional amendments, property tax exemption, ad valorem tax, Texas Tax Code, nonprofit corporation, charitable organization, educational nonprofit, scientific nonprofit, agriculture support

Bills: HB17, HB16, SB 10, HB27, HB23, SB 15, SB 18, HB 17, HB 16, SB 10, HB 27, HB 23, SB 15, SB 18

Keywords: property tax, school funding, enrollment changes, inflation adjustment, tax rate notice, judicial administration, court reform, juvenile diversion, court security, mental health services, drug offenses, constitutional amendments, property tax exemption, ad valorem tax, Texas Tax Code, nonprofit corporation, charitable organization, educational nonprofit, scientific nonprofit, agriculture support

Transcript Highlights:

• TRWA represents over 900 water and wastewater utilities that serve rural communities across Texas.
• They develop single-family off-site communities.
• and securities similar to… Those of stick-built, single-family home communities.
• amenities that provide the stability and safety of the community.
• due to rising rental rates to purchase a home in a safe, stable community.

Bills: HB1532, HB2731, HB3483, HB4308, HB4580, HB4582, HB5509, HB5663

Keywords: Lake Houston, dredging, maintenance district, flood control, environment, public works, HB 2731, roadside vendors, solicitors, county regulation, border counties, Mexico border, Transportation Code, unincorporated areas, right-of-way, public highway, parking lot, livestock sales, live animals, vendor regulation

Bills: HB1532, HB2731, HB3483, HB4308, HB4580, HB4582, HB5509, HB5663

Keywords: Lake Houston, dredging, maintenance district, flood control, environment, public works, HB 2731, roadside vendors, solicitors, county regulation, border counties, Mexico border, Transportation Code, unincorporated areas, right-of-way, public highway, parking lot, livestock sales, live animals, vendor regulation

Bills: SB208, SB628, SB777, SB1042, SB2354, SB2477, SB2521, SB2523, SB2608, SB2703, SB2778, SB2835, SB2965, SB2367, SB3044

Keywords: workforce housing, capital investment fund, affordable housing, housing development, Texas housing laws, loan programs, community development, Texas housing, zero-interest loans, low-income housing, nonprofit organizations, construction, economic stability, housing affordability, capital investment, Texas housing policy, county fire code, fire marshal, local government code, interlocal agreement

Transcript Highlights:

• on the ground. building, managing, and providing all kinds of services for the affordable housing community
• worked in building safety, focusing on upholding the safety and standards of construction in the community
• It has proven wildly successful, and that program continues today.
• also add to your question, ma'am, the insurance that has to be there requires an agreement with the community
• want to create an environment where building homes is not only feasible but also beneficial for our community

Bills: SB208, SB628, SB777, SB1042, SB2354, SB2477, SB2521, SB2523, SB2608, SB2703, SB2778, SB2835, SB2965, SB2367, SB3044

Keywords: workforce housing, capital investment fund, affordable housing, housing development, Texas housing laws, loan programs, community development, Texas housing, zero-interest loans, low-income housing, nonprofit organizations, construction, economic stability, housing affordability, capital investment, Texas housing policy, county fire code, fire marshal, local government code, interlocal agreement

Transcript Highlights:

• Second, the fund itself would be utilized to disperse zero-interest loans to program participants who
• As we complete a 37-acre community with 129 homes in Conroe...
• building another community without adequate capital and beyond traditional fundraising.
• We're building strong communities and a stronger Texas economy for all.
• And we have a very generous community, and we're thankful for that.

Bills: SB208, SB628, SB777, SB1042, SB2354, SB2477, SB2521, SB2523, SB2608, SB2703, SB2778, SB2835, SB2965, SB2367, SB3044

Keywords: workforce housing, capital investment fund, affordable housing, housing development, Texas housing laws, loan programs, community development, Texas housing, zero-interest loans, low-income housing, nonprofit organizations, construction, economic stability, housing affordability, capital investment, Texas housing policy, county fire code, fire marshal, local government code, interlocal agreement

Summary: The Senate Committee on Local Government met with a quorum and limited public testimony to two minutes per person. The committee heard Senate Bill 628 by Senator Zaffirini, which would clarify that counties may enter interlocal agreements with emergency service districts to administer and enforce county fire codes, including for multi-county ESDs in the committee substitute. Witnesses from Travis County ESD-11, the Travis County Fire Marshal’s Office, and a member of the public supported the bill as a way to reduce duplication, costs, and jurisdictional confusion. Public testimony was closed and the committee substitute was left pending. The committee then heard several housing-related bills. Senate Bill 208 by Senator West would create a Workforce Housing Capital Investment Fund to provide zero-interest loans to nonprofit builders for workforce housing; Habitat for Humanity representatives, a Brownsville nonprofit developer, and housing advocates supported it as a way to finance infrastructure and land development for affordable homes. Senate Bill 2835 by Senator Johnson would allow cities to opt into single-stair apartment buildings for small-scale, multi-story housing; supporters said the design is safe and could expand housing supply, while the Texas APA expressed qualified opposition over code-process concerns and fire-safety questions. Both bills were left pending after testimony. Additional bills heard included SB 1042 updating the Kimble County Hospital District’s enabling law; SB 1708, a committee substitute protecting familial property divisions from platting requirements; SB 2778 raising the ESD expenditure threshold requiring board approval from $2,000 to up to $50,000; SB 2608 expanding LIHTC eligibility for certain public housing projects; SB 3044 adding board representation for Marfa and Presidio on the Presidio County Underground Water Conservation District and adjusting an exemption; SB 2367 extending park board authority to Waller County; SB 2523 clarifying ETJ reduction procedures and owner opt-out rights; SB 2521 requiring death-certificate reporting to appraisal districts to help address squatting and homestead exemption issues; and SB 2477 easing office-to-residential conversions in larger cities. In each case, the bills were laid out, testimony was taken, and the measures were left pending subject to call of the chair. The committee then recessed until 15 to 30 minutes after adjournment.

Transcript Highlights:

• It has proven wildly successful, and that program continues today.
• It has proven wildly successful, and that program continues today.
• Many communities, including the City of Corpus Christi, participate in the National Flood Insurance Program
• “So, to my knowledge, no, there hasn't been any communication.
• So to my knowledge, no, there hasn't been any communication.

Bills: SB208, SB628, SB777, SB1042, SB2354, SB2477, SB2521, SB2523, SB2608, SB2703, SB2778, SB2835, SB2965, SB2367, SB3044

Keywords: workforce housing, capital investment fund, affordable housing, housing development, Texas housing laws, loan programs, community development, Texas housing, zero-interest loans, low-income housing, nonprofit organizations, construction, economic stability, housing affordability, capital investment, Texas housing policy, county fire code, fire marshal, local government code, interlocal agreement

Summary: The Senate Committee on Local Government considered and voted on several bills, adopting committee substitutes on Senate Bills 1237, 1708, 1844, 1454, 2520, and 2541. In each case, the committee substitute was explained as narrowing or clarifying the filed bill, and the committee voted to report the substitute version to the full Senate, usually with a recommendation that the filed bill not pass. The committee also recommended each of those measures for the local and uncontested calendar. SB 1237 concerned property tax exemption eligibility for charitable organizations; SB 1844 addressed annexation and disannexation limits tied to city services; SB 1454 clarified housing authority tax exemptions and agreements with districts; SB 2520 dealt with a school district tax ceiling comparison; and SB 2541 reduced the unused increment period from three years to two years. The committee then heard extensive testimony on SB 2354, which would allow developers to hire qualified third-party professionals for plat review, permit review, and inspections if local governments are delayed. Supporters included affordable housing providers, builders, Pew Charitable Trusts, housing advocates, and legal groups, who said the bill would reduce permitting delays, lower costs, and help housing production. A Corpus Christi representative testified as neutral, asking for amendments to preserve city final inspection authority, document sharing, and floodplain enforcement. Urban counties opposed the bill as written, arguing it removed too much local oversight, though they acknowledged work on a committee substitute. SB 2354 was left pending. The committee also heard SB 2703, which would clarify that condominiums are not subdivisions for local platting purposes. Builders and a land use attorney supported the bill, saying it would reduce confusion and duplicative regulation; the bill was left pending. SB 777, dealing with firefighter collective bargaining and impasse procedures, drew support from Austin and Texarkana firefighter representatives and the City of Austin, who said the committee substitute reflected stakeholder agreement and preserved voter-approved local procedures; it was left pending. SB 2965, concerning annexation and emergency service district response obligations, drew support from ESD and fire association witnesses who said it would prevent service gaps after annexation, and opposition from local officials who argued it gave unelected ESD boards too much power and lacked neutral review; it was also left pending. The committee then recessed subject to call of the chair.

Transcript Highlights:

• Second, the fund itself will be utilized to disperse zero-interest loans to program participants, who
• building another community without adequate capital and beyond traditional fundraising.
• We're building strong communities, stronger communities, and a stronger Texas economy for all.
• So donors have the 37-acre community we're currently building in Conroe.
• And we have a very generous community, and we're thankful for that.

Bills: SB208, SB628, SB777, SB1042, SB2354, SB2477, SB2521, SB2523, SB2608, SB2703, SB2778, SB2835, SB2965, SB2367, SB3044

Keywords: workforce housing, capital investment fund, affordable housing, housing development, Texas housing laws, loan programs, community development, Texas housing, zero-interest loans, low-income housing, nonprofit organizations, construction, economic stability, housing affordability, capital investment, Texas housing policy, county fire code, fire marshal, local government code, interlocal agreement

Summary: The Senate Committee on Local Government met with a quorum at the start, adopted a two-minute limit for public testimony, and heard a series of housing, local government, fire code, and district-governance bills. Several measures were laid out with committee substitutes, including SB 628 on county fire code administration through interlocal agreements with emergency service districts; SB 208 creating a Workforce Housing Capital Investment Fund for zero-interest loans to nonprofit builders; SB 2835 allowing cities to opt into single-stair apartment buildings; and SB 2477 easing office-to-residential conversions in certain cities. Other bills addressed ESD spending thresholds (SB 2778), hospital district updates (SB 1042), subdivision/platting issues (SB 1708), public housing tax credit eligibility (SB 2608), groundwater district representation for Marfa and Presidio (SB 3044), park board authority in Waller County (SB 2367), ETJ removal procedures (SB 2523), and reporting death certificates to appraisal districts to help address squatting and homestead issues (SB 2521). Testimony was largely supportive on the housing bills. Supporters of SB 208, including Habitat for Humanity affiliates, a Brownsville nonprofit developer, Texans for Housing, and an educator, said the revolving fund would help nonprofit builders finance land, infrastructure, and development costs for affordable homes, especially for families earning 30% to 80% of area median income. SB 2835 drew support from architects, planners, and housing advocates who argued that single-stair buildings can be safe, more efficient, and better suited to missing-middle housing, though the Texas APA registered qualified opposition, saying the proposal bypasses the usual code-development process and may not be sufficiently studied. SB 2477 also received broad support from housing groups and policy organizations, who said office conversions could help address vacancy and housing shortages, though Corpus Christi raised a concern about fee recovery and local cost reimbursement. The committee also heard support for SB 628 from a county fire marshal and an ESD representative, who said the bill would reduce duplicate fire-code enforcement and costs. SB 2778 was backed by a Bexar County ESD fire chief, who said the current $2,000 expenditure approval threshold is outdated and slows emergency purchases and repairs. SB 2608 was supported by the El Paso housing authority, which said adding certain Section 8 projects to the at-risk LIHTC set-aside would help renovate aging subsidized housing. SB 3044 was presented as a way to give Marfa and Presidio representation on the groundwater district board while preserving permitting authority. Each bill heard public testimony was left pending subject to the call of the chair, and the committee recessed to reconvene after the Senate adjourns.

Transcript Highlights:

• Hours depending on the program.
• The program for children in foster care.
• Community. As you know, there's still work to do.
• Harris County was one of the pilot programs many years ago.
• These programs exist in other places, and for the most part, in those locations, the community-driven

Bills: HB231, HB231, HB475, HB488, HB632, HB821, HB1786, HB1955, HB2036, HB2060, HB2659, HB2677

Keywords: HB 231, Texas Water Code, TCEQ, permit exemption, dam, reservoir, erosion control, flood control, floodwater control, sediment control, watershed protection, Natural Resources Conservation Service, NRCS, Watershed Protection and Flood Prevention Act, local sponsor, water appropriation, small dam, water diversion, maintenance, rehabilitation

Transcript Highlights:

• I'm here on behalf of the communities that go unheard.
• We're looking at how this impacts communities of color.
• In my community, every day...
• and launched a new state-funded program.
• Cancer Screening Program.

Bills: HB231, HB475, HB488, HB632, HB821, HB1786, HB1955, HB2036, HB2060, HB2659, HB2677, HB231

Keywords: food access, food deserts, communities of color, health disparities, socioeconomic impact, nutritious food, health effects, socioeconomic disparities, legislative recommendations, nutrition, access to food, Medicaid, multisystemic therapy, healthcare, reimbursement, mental health services, education, funding, local control, school system

Transcript Highlights:

• first responders and acknowledging their essential role in emergency response, public safety, and community
• I've been in community service and a lifeguard for over 30 years. members of this committee members of
• This is about protecting our communities, our keki, and the millions of visitors coming to our shores
• community and our visitors every day. community and our visitors every day.
• to my community of Pearl Harbor Beach Park.

Bills: SCR56, SCR25, SCR79, SCR179, SCR181, SCR182, SR54, SR22, SR81, SR174, SR176, SR177

Keywords: lifeguards, first responders, public safety, ocean safety, emergency response, community wellbeing, Pohakuloa, condemnation, federal government, land sovereignty, Hawaii, native Hawaiians, public trust land, invasive species, octocoral, Pearl Harbor, environment, Navy responsibility, marine ecosystem, ecosystem preservation

Summary: The committee first heard SCR 56 and SR 54, which recognize open water lifeguards as first responders and acknowledge their role in emergency response and public safety. Testifiers from the Hawaiian Lifeguard Association, Hawaii Water Safety Coalition, Honolulu and Kauai Ocean Safety, and a junior guard all strongly supported the resolutions, describing lifeguards as often first on scene for drownings, cardiac arrest, spinal injuries, flooding rescues, and other emergencies. Several speakers said formal recognition would better reflect the work lifeguards already do and could improve training, support services, pay equity, and access to benefits such as retirement and trauma resources. Members asked about what legal or administrative changes would follow, and the discussion suggested the resolutions were a first step toward broader recognition and related policy changes. The committee then took up SCR 25 and SR 22, opposing federal condemnation or threats of condemnation to take control of Pohakuloa and other state land. The Office of Hawaiian Affairs supported the resolutions, saying Pohakuloa has deep historical, cultural, genealogical, and ecological significance and that any future decisions should go through existing state legal processes with meaningful consultation with Native Hawaiians. Members discussed the role of the governor’s advisory process, the need to follow DLNR/BLNR procedures, and concerns about environmental and health violations at the site. The committee also noted 14 written testimonies in support. Next, the committee heard SCR 79 and SR 81, urging the U.S. Navy to take responsibility for eradicating octocoral and other invasive species in Pearl Harbor waters, including West, Middle, and East Loch. DLNR supported the resolutions, and testimony focused on the spread of invasive coral, the difficulty of eradication, and the limited access state agencies have inside Pearl Harbor. Members raised concerns about contamination, responsibility for the problem, and whether the Navy should fund or carry out the cleanup; DLNR said it could not speak to broader contamination issues but supported the resolution as a way to encourage action. The committee then began discussion of SCR 179 and SR 174, which urge Maui County to enforce fire code provisions on brush clearance, fuel breaks, roadside vegetation clearing, and emergency access, with written support noted from Aloha Independent Living Hawaii.

Bills: HB28, HB50, HB196, HB268, HB271, HB285, HB316, HB649, HB807

Keywords: teacher certification, certification appeals, BESE, State Board of Elementary and Secondary Education, Teacher Certification Appeals Council, educator licensure, teaching license, teacher licensure, appeals process, certification denial, administrative appeal, special meeting, board president, retroactive application, education board, Louisiana teachers, Department of Education, statutory entities, re-creation, termination date

Transcript Highlights:

• And so if it's a multi-week delay, it's simply two offices not communicating.
• Yes, I have huge frustration that I can't get one office to communicate.
• There is a need for protective measures in these communities.
• However, there have been many issues with this communication and notification.
• That means the means of communication is inconsistent and often difficult.

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• TALA is an advocacy organization for assisted living and independent living communities with members
• TALA appreciates that this bill directs senior living communities to have a proactive communications
• TALA's members strive to provide their residents with community.
• It would have jeopardized our tort claims protection. for assisted living communities.
• So I'm trying to be as communicative as possible. Yeah, super.

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• TALA appreciates that this bill directs senior living communities to have a proactive communications
• When a resident chooses to move into senior living, safety and community are important considerations
• TALA's members strive to provide their residents with community. We support resident independence.
• It would have jeopardized our tort claims protections for assisted living communities.
• So we're, I'm trying to be as communicative as possible. Yeah, super.

Bills: SB 227, SB 269, SB 407, SB 463, SB 527, SB 547, SB 1283, SB 1380, SB 1383, SB 1511, SB 1640, SB 1784, SB 2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity