Transcript Highlights:

• of Washington, and the outpatient community services are all eligible for federal match, while the DSHS
• An enhanced service facility, do you like to jump in with this one because it's DSHS?
• So, DSHS. There we go. Okay. I'm sorry. DSHS. There we go. Thank you. Oh, I'm sorry. There you go.
• So, DSHS. There we go. Okay. I'm sorry. DSHS. There we go. Thank you. Oh, I'm sorry. There you go.
• And then you'll notice that many of the health and human services areas, like DSHS, DCYF, as well as

Summary: The committee held a work session focused first on juvenile rehabilitation system capacity. DCYF officials said the juvenile rehabilitation population is older, includes more adult-sentenced youth, and has longer lengths of stay, especially for “post-25” youth who must remain in secure facilities and cannot go to community beds. They described overcrowding at Green Hill School, placement limits at Echo Glen and Harbor Heights, staffing turnover, mental health acuity, and the need for more medium-security and specialized mental health beds. DCYF said it is pursuing a Parkland facility proposal, a staffing model decision package, and a broader feasibility study and master plan update. No votes were taken; members were asked to follow up with questions later. The committee then heard on behavioral health system capacity from the Behavioral Health Administration and the Health Care Authority. DSHS described growth in forensic and civil bed need, expansion at Olympic Heritage, Maple Lane, and Brockman, and construction of a new 350-bed forensic hospital at Western State expected to open in 2028. HCA reported progress on long-term civil commitment beds, intensive behavioral health treatment facilities, PACT teams, and intensive residential treatment teams, saying the community-based system is being expanded to support step-down care and reduce hospital reliance. Members asked about whether capacity is right-sized, the difference between facility types, and federal match eligibility for services. A federal funding update followed, covering the effects of H.R. 1 and H.R. 5371 on SNAP, Medicaid, marketplace coverage, long-term services and supports, K-12, higher education, and hemp regulation. OFM and agency staff said H.R. 1 adds work requirements, changes non-citizen eligibility, increases state administrative and benefit costs, reduces Medicaid and marketplace subsidies for some groups, tightens redeterminations, and may significantly affect provider payments and state-directed payments. H.R. 5371 extended federal funding through January 30, 2026 and included some agency appropriations and other provisions, including changes affecting hemp producers. Members asked about SNAP error rates and special enrollment periods. Finally, budget coordinator Mary Monroe gave a 2026 supplemental budget preview. She reviewed the state’s near general fund outlook, noting revenue declines since the enacted budget, the effect of reversions, and a preliminary maintenance-level outlook showing a projected increase in NGFO spending over the four-year period. She said the supplemental will reflect updated caseload and cost forecasts and mandatory impacts from H.R. 1, but not policy proposals. No actions or votes were taken during the session.

Transcript Highlights:

• Samaripa from DSHS? I've met with her.
• Adam Buck, who is the Associate Deputy Commissioner for Consumer Protection at DSHS.
• I'm Commissioner at DSHS. The youth camp program falls under my agency, DSHS, and under Mr.
• Buck's..." ...falls under my agency, DSHS, and under Mr.
• The licensing process is going through you, right, through DSHS.

Keywords: 1185, senate, all

Transcript Highlights:

• What completely defies understanding is that DSHS has confirmed that, as of this week, Camp Mystic has
• still not reported the deaths of the campers to DSHS as required by the Texas Administrative Code.
• people in her department—I don't know who those people were, her legal team, her boss, I don't know—DSHS
• This is a statement provided to me from DSHS to provide to you, and it is wrong.
• Incredibly frustrated by the poor information that we got from DSHS.

Keywords: 1185, senate, all

Transcript Highlights:

• It ensures campgrounds notify DSHS of all changes in structures and operations to ensure that the plan
• It establishes civil penalties for blatant non-compliance, with funds directed back to DSHS to cover
• The bill, as amended, also establishes a new multidisciplinary team to work with DSHS to establish the
• This is the plan that TDEM, DSHS, and my office know will hold our camps to the maximum standard while
• We're asking DSHS and TDEM to develop training. The training does not exist currently.

Bills: HB1, HB2, HB3, HB5, HB20, HB22

Keywords: youth camps, emergency preparedness, safety standards, health regulations, camp licensing, disaster preparedness, emergency management, flooding, mass fatality, mass casualty, fatality tracking, body recovery, autopsy, justice of the peace, medical examiner, county judge, sheriff, mayor, emergency coordinator, emergency manager license

Summary: The House convened in special session with a gubernatorial proclamation adding subjects related to penalties for legislators who absent themselves, ivermectin access, and groundwater study authority. The chamber also handled routine motions, committee scheduling, and first-reading referrals before moving to the main floor calendar focused largely on disaster response and public safety legislation. The central theme throughout the day was the July 4 flooding and related tragedies, with repeated references to families of victims and the need for stronger preparedness and prevention measures. House Bill 1, on youth camp emergency plans and preparedness, was the most emotional and heavily amended measure. Members adopted changes requiring annual emergency plans for resident youth camps, staff training, parent notification, evacuation maps, floodplain-related disclosures, restrictions on sleeping quarters in flood-prone areas, and funding for enforcement. One proposed amendment to require air conditioning or heat in sleeping quarters failed, while another amendment on floodplain restrictions passed after debate over floodplain versus floodway language. HB 1 ultimately passed the House 136-1 on second reading and later 135-1 on final passage. Senate Bill 2 / House Bill 2 on disaster preparedness, response, and recovery also advanced after extensive discussion. The bill creates training for justices of the peace in mass-fatality events, establishes an emergency manager licensing system, sets local succession procedures, creates a statewide volunteer management system, authorizes drone interdiction in disaster zones, expands disaster loan eligibility, and adds review and planning provisions for certain infrastructure and weather-related issues. Members debated the scope of the training, drone impacts on press coverage, volunteer registration, and infrastructure-related amendments; some proposals were adopted and others tabled or withdrawn. SB 2 passed the House 130-4 on third reading and later 132-4 on final passage. The House also passed House Bill 3 creating the Texas Interoperability Council and a grant program for emergency communications equipment, House Bill 20 addressing disaster-related scams and fraudulent charitable solicitations, House Bill 22 expanding allowable uses of the broadband infrastructure fund for emergency communications, and Senate Bill 5 providing supplemental appropriations for disaster relief, including funds for local warning systems and weather monitoring. Each of these bills passed overwhelmingly, with only one or a few dissenting votes, and members repeatedly emphasized the need to improve coordination, communications, funding, and fraud prevention in the wake of recent disasters.

Transcript Highlights:

• So you said DSHS, you have to get a permit through DSHS, right? Does DSHS do inspections?
• Okay, and so this bill does not eliminate the DSHS food permit.
• So you said DSHS does do inspections.
• And are they looking for something other than what DSHS is looking for?
• I am familiar with the DSHS, TDLR, and HHSC rules and regulations.

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• DSHS knows how to do it.
• DSHS knows this.
• Anyway, we follow the regulations set by DSHS very strictly.
• That's required to get certain permits with the DSHS.
• If DSHS enforces this, you will clean out every store overnight.

Bills: HB28, SB3, SB 3

Keywords: hemp regulation, consumable products, cannabinoids, state health, youth protection, licensing fees, criminal offenses, flash flood, flood warning, outdoor warning siren, emergency alert, disaster preparedness, flood mitigation, Hill Country floods, Texas Water Development Board, municipalities, counties, local government mandate, public safety, grant program

Transcript Highlights:

• Under Chapter 141 of the Health and Safety Code, DSHS already has regulatory oversight on camps and youth
• I believe the language is for Health and Human Services, Commissioner of Health, would be DSHS.
• Are you asking for somebody from DSHS?
• DSHS. This would be DSHS. Is there someone that we could talk to?
• Representative, we were making their request for DSHS to come before us as a resource witness.

Bills: HB2, HB1, HB18, HB19, HB20, HB1, HB 2, HB18, HB19, HB20

Keywords: emergency communication, interoperability, grant program, first responders, state council, disaster response, emergency management, mass fatality, justices of the peace, training programs, emergency manager license, volunteer management, justice of the peace training, criminal history checks, state health services, broadband, public safety, disaster preparedness, funding, flood disaster plan

Transcript Highlights:

• I am the new secretary of DSHS. I just wrapped month two on the job.
• And then you get this call to be considered for the secretary of DSHS.
• And nowhere is that clearer than at DSHS. And it is getting to walk into...
• And nowhere is that clearer than at DSHS.
• We've got DSHS, O-F-M, H-BE, O-I-C, H-C-A, Employment Security. Like, we're all talking a lot.

Summary: The committee first welcomed new DSHS Secretary Angela Ramirez, who introduced herself and described her background in public service, federal and state legislative work, and health and human services leadership. Members emphasized the importance of building strong relationships with her and noted her focus on protecting services, using strategic approaches in a tight budget environment, and improving partnerships with the Legislature. Ramirez said she wanted to keep communication open and that her priorities would be shaped by what she learns from lawmakers and agency partners. The next work session focused on the West Coast Health Alliance and the broader Governor’s Public Health Alliance. Department of Health and governor’s office staff said the West Coast alliance, involving Washington, Oregon, California, and Hawaii, was formed to coordinate science-based public health guidance, especially around vaccines, return-to-work guidance, and responses to federal changes. They said the alliance is intended to reduce confusion, counter misinformation, and preserve access to evidence-based recommendations, with early actions including vaccine guidance for COVID-19, flu, and RSV, a statement rejecting any vaccine-autism link, and preparation for possible ACIP changes. Members asked about workload and coordination with other regional alliances, and staff said there is informal coordination but no formal regular meetings. The committee then heard from the Washington State Health Benefit Exchange about open enrollment and the effects of federal policy changes. Exchange leaders said the expiration of enhanced premium tax credits, HR1 provisions, and immigration-related eligibility changes are affecting affordability and enrollment, with some customers facing large premium increases and some counties becoming harder to serve. They reported early open-enrollment traffic increases, nearly 10,000 new sign-ups, and nearly 12,000 active coverage drops so far, while noting that many more people may disenroll later if subsidies are not extended. They also described mitigation efforts such as silver loading, Cascade Care Savings, outreach through navigators and community partners, and planning for future HR1 requirements like ending auto-renewal and adding verification steps. In the final work session, staff from the Health Care Authority and Insurance Commissioner’s office reviewed Washington’s health reform history and the state’s current affordability and access efforts. They highlighted past ACA-related coverage gains, continued work on prescription drug affordability, PBM oversight, primary care and behavioral health access, and a pending legislative proposal to preserve access to preventive services. They also discussed federal changes affecting Medicaid and the exchange, including work requirements, six-month redeterminations, and the need to coordinate across agencies to implement new rules. Members raised concerns about network adequacy, provider access, and the complexity of the health care system, while staff said they are trying to mitigate harm, simplify administration, and keep coverage and access as stable as possible.

Transcript Highlights:

• is that anything related to Medicaid is also inextricably linked with what's going on with SNAP and DSHS
• And so we are doing that analysis right now in both HCA and DSHS.
• HCA and DSHS are working together to understand what those, honestly, technological work orders are in
• We do partner very closely with DSHS as well as the Health Benefit Exchange, which acts as that front
• DSHS as well as the health benefit exchange which acts as that front door to applicants into the system

Summary: The committee met to hear introductory briefings from the Department of Health and the Health Care Authority on agency priorities, federal changes, and implementation challenges. Secretary of Health Dennis Worsham said his department’s listening tour is focused on strengthening governmental public health, improving health care quality and access, and responding to federal funding disruptions and the shutdown’s effects on programs such as WIC. HCA Director Ryan Moran said the agency is prioritizing coverage preservation, oversight of major contracts, affordability, behavioral health integration, rural health transformation, and internal agency operations. Members asked about licensure delays; Worsham said the backlog had been reduced from about four months to six weeks and should be caught up by January 1, with possible further process changes if needed. A major portion of the meeting focused on H.R. 1 and its Medicaid-related implementation. Governor’s health policy advisor Caitlin Stafford, HCA staff, and interim Medicaid Director Trinity Wilson said the state is working with DSHS, the Health Benefit Exchange, tribes, and other partners to prepare for eligibility changes, work requirements, and six-month redeterminations. They said the state expects up to 30,000 Apple Health enrollees could lose coverage under the law’s non-citizen eligibility changes, and that the work requirement/redetermination provisions could affect about 620,000 adults, with roughly 80,000 also enrolled in SNAP. HCA said it hopes to automate most verification, but about 15% to 20% of cases may require manual review, with technology costs estimated at up to $30 million. Staff also said they are trying to keep H.R. 1 implementation mostly in budget language rather than statute, and that communication and navigator support will be important to minimize confusion and coverage loss. The committee also received an update on the Rural Health Transformation Program created in H.R. 1. HCA said Washington submitted its application to CMS on November 5 after extensive stakeholder engagement, including more than 310 written comments, webinars, and tribal consultation. The application centers on six initiatives: rural hospital innovation, community care and prevention, tribal investments, technology and data, workforce development, and rural behavioral health. HCA said the state is likely to receive less than the full $200 million annual amount assumed in the federal program, and that an advisory committee may be created to help guide spending over the five-year program. Members asked about palliative care, small business impacts, and communication with enrollees; HCA said it expects to share outreach toolkits and that no 2026 statutory changes are currently anticipated, though that could change. The final panels covered organ donation and transplant services. Department of Health staff explained the 2023 “Lights and Sirens” law for organ transport vehicles, including licensing, driver qualifications, insurance requirements, and use of emergency lanes and traffic preemption; the department said one company is currently licensed and there have been no complaints. LifeCenter Northwest described the organ procurement process, the legal framework under the Uniform Anatomical Gift Act, and the rarity and complexity of deceased donation, noting Washington has seen strong growth in donation and transplants over the past decade. University of Washington Medical Center staff then outlined its transplant programs for kidney, liver, heart, lung, pancreas, and multi-organ transplants, describing the multidisciplinary evaluation and waitlist process and the coordination required with donor organizations and hospitals.

Transcript Highlights:

• Recommendations reflect an increase of 5.6 million dollars in general revenue appropriated to DSHS.
• Of general obligation bond proceeds to DSHS to operate the cancer registry. Moving on to item five.
• And no more than one percent for DSHS administration.
• DSHS needs additional resources to address new variants threatening Texas.
• So, some of our DSHS regional staff serve a unique role in our healthcare system.

Keywords: 1184, house, all

Transcript Highlights:

• Cross multiple state regions to consult with DSHS regarding the rules implemented under both SB 1 and
• There is a requirement that the camps notify DSHS upon making modifications to the facilities.
• Language explicitly requires DSHS to suspend or revoke youth camp licenses for failure to comply with
• Requirements implemented under SB 1 and HB 1, and DSHS to rulemaking regarding camper-to-counselor ratios
• And I guess, DSHS, if you can find that conflict and identify it, let us know, and we'll try to make

Keywords: 1185, senate, all

Transcript Highlights:

• This data comes from a DSHS workforce report that was produced this year.
• This data comes from a DSHS workforce report that was produced this year.
• So at DSHS, we really took on the need to get involved... ...in recruitment and retention activities
• And this might actually be for DSHS. I'm not sure.
• Again, maybe it's for DSHS. I'm not sure. No, I mean, it's a really good question.

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• exchange. ...process between HHSC and DSHS.
• This bill is formed by DSHS and adds an additional screening.
• The bill further instructs DSHS to include health literacy issues in their state health plan.
• Okay, I have James Ferris with DSHS. You're testifying neutral on the bill, is that correct?
• From DSHS that tell us we have a consistent oversupply of APRNs in the state.

Bills: HB35, HB4490, HB4454, HB2188, HB3078, HB4743, HB2556, HB46, HB5342, HB4783, HB3785, HB5278, HB1639, HB2581, HB4224, HB4070, HB4099, HB4882, HB3794, HB46

Keywords: peer support, first responders, mental health, confidentiality, emergency services, disclosure, next of kin, public information, deceased persons, privacy rights, patient solicitation, marketing practices, healthcare regulation, task force, deceptive advertising, nurse aide, certification, Texas Board of Nursing, healthcare workforce, nursing standards

Transcript Highlights:

• The chair calls Carlos Gutierrez, and we do have a resource witness here for DSHS. ...wish me to call
• Can be absorbed in the existing resources at DSHS. I reserve the right to close. Okay.

Bills: HB46, HB35, HB4490, HB4454, HB2188, HB3078, HB4743, HB2556, HB46, HB5342, HB4783, HB3785, HB5278, HB1639, HB2581, HB4224, HB4070, HB4099, HB4882, HB3794

Keywords: local government spending cap, expenditure limit, political subdivision, property tax, ad valorem tax, budget cap, taxpayer protection, spending restraint, inflation adjustment, population growth, voter approval, supermajority vote, county budget, municipal budget, school district finance, junior college district, hospital district, special district, attorney general enforcement, local fiscal limits

Transcript Highlights:

• Requirements include preventing DSHS from licensing youth camps that locate cabins in the floodplain,
• Additionally, providing a copy of your emergency plan to the Department of State Health Services (DSHS
• DSHS... I wanted to say before you got started to your... Thank you for recognizing me.
• I'm not upset with DSHS, to be clear.
• If the expectation is that when DSHS starts to approve emergency plans, we're all for it.

Keywords: 1185, senate, all

Transcript Highlights:

• As Chief Deputy Director for Operations at DSH, I oversee the support services functions of the department
• I really look forward to working with the DSH executive team and other DSH team members on a number of
• I'm very excited to return to DSH in the capacity of Chief Deputy Director for Operations, and I look
• “What does OLES, what does their data tell you about how safety precautions are working at DSH?”
• What does OLES, what does their data tell you about how safety precautions are working at DSH? Yes.

Keywords: 987, senate, all

Transcript Highlights:

• continued to be a successful relationship that we've built on with OSPI, the Department of Health, and DSHS
• And then continual collaboration with partners, SBCTC, DOH, DSHS, as I mentioned, the Health Workforce
• That's actually a document that DSHS owns, but when you go on the DSHS website, you'll see it's co-authored
• We aligned it to updated licensure requirements and aligned it to the DSHS-approved curriculum.
• DSHS has multiple curriculums dependent upon licensure for this particular one.

Summary: The House Education Committee received status updates on career and technical education (CTE), including OSPI’s work under 2024 legislation on allied health pathways and a statewide CTE task force, an update from Core Plus Maritime, and findings from an Education Northwest longitudinal study of Washington CTE access and outcomes. OSPI described development of allied health guidance such as a home care aide to nursing assistant bridge, model curricula, updated course equivalency frameworks, and coordination with health agencies and employers. It also reviewed Core Plus framework work, task force expansion under later legislation, and the timeline for recommendations due in November 2026. Committee members asked about health profession outreach, equitable access for rural districts, data updates, and employer support for local programs; OSPI said it continues to work with agency and industry partners and that local labor-market alignment varies by region. Core Plus Maritime presenters described expanding maritime career exploration into middle school through low-cost ROV curriculum, student visits to ferries and vessels, Sea Scouts partnerships, and ship-based safety and welding experiences. Industry representatives from the Northwest Marine Trade Association, American Seafoods, and Vigor Marine Group emphasized the maritime sector’s economic importance, aging workforce, and need for hands-on training to build the pipeline for family-wage jobs. A teacher from South Kitsap High School said the program gives students a clear pathway and has helped connect them to careers in shipyards, fishing, and related trades. Vigor also noted support for a student welding competition and equipment donations for a Rainier Beach shop. Dr. Sam Riggs of Education Northwest presented a longitudinal study using state data from 2013-14 through 2023-24. The study found CTE access has been relatively steady statewide, but offerings vary by school size, locale, and income, with rural and lower-income schools generally offering fewer pathways. Participation is high: nearly all students earn at least some CTE credit, and more students are accumulating multiple credits over time, though fewer go deep within a single pathway. Students who earned more CTE credits, especially within pathways such as agriculture, manufacturing, transportation, and construction, were more likely to graduate on time and later had stronger postsecondary certificate attainment and earnings. Riggs recommended addressing local barriers to participation, considering whether the CTE graduation requirement should better encourage depth while preserving flexibility, and aligning offerings more closely with labor-market needs. Committee members asked about COVID-era trends, student motivation, early workforce entry, delivery settings such as skill centers, and how to interpret the comparison groups used in the analysis.

Transcript Highlights:

• Committee substitute adds the standard liability protection for the Commissioner of DSHS. Okay.
• This is what DSHS has asked us to add to the bill. Representative Collier.
• DSHS not do the middle ground?
• DSHS does not enforce what pharmacy or pharmacists do? That would also be the Board of Pharmacy.
• Does the commissioner or DSHS provide authority to dispense any other drug statewide?

Bills: HB216

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

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

Transcript Highlights:

• To enforce when DSHS informs it of a claim or a pattern of claims that are not being reported, and seeking
• During the course of the audit, we did speak with both DSHS and OIC about our proposal for authority
• Called Intercept Law, including providing information, contact information to DSHS, posting information

Summary: At the June 4, 2025 JLARC I-900 Subcommittee hearing, the State Auditor’s Office presented a performance audit on Washington’s child support insurance intercept law. The audit reviewed the mandatory reporting system for insurance claims tied to past-due child support, noting that collections increased after the law took effect in 2022, but that some eligible claims still are not being reported. Auditors said DCS learns about roughly 1 in 10 claims through other channels, and that insurers may miss reporting because they are unaware of the law, make administrative errors, or misunderstand the $500 threshold and timing requirements. The audit recommended that the Office of the Insurance Commissioner help educate insurers by adding information to its website and sharing insurer contact contacts with DCS, and also recommended that the Legislature amend the law to create monitoring and enforcement authority. The auditor said neither DCS nor OIC currently has authority to monitor compliance or take action against noncompliant insurers, though other states use insurance regulators or market conduct exams for this purpose. Committee members asked about possible coordinated enforcement between DSHS and OIC, which the auditor said was beyond the scope of the audit but could be considered by the Legislature. An OIC representative said the commissioner is willing to help educate insurers, post information on the OIC website, and share contact information with DSHS, and that the agency is open to further discussion. No public testimony was offered, and no votes or formal committee actions were taken at the hearing.

Transcript Highlights:

• This bill would authorize DSHS through its regional medical directors or other DSHS physicians to issue
• they will be practicing under an order, with an order that's been approved by a medical director. at DSHS
• DSHS, their medical director or a doctor.

Bills: SB207, SB611, SB920, SB1174, SB1207, SB1325, SB1396, SB1551, SB1619

Keywords: SB 207, Texas Education Code, public school attendance, excused absence, mental health appointment, mental health care, behavioral health, school district, student absenteeism, same-day return, health care professionals, physician certification, religious holy days, court appearance, DFPS, foster care, education policy, student wellness, school mental health, attendance policy