Transcript Highlights:

• It is a 501(c)(3)." type of health insurance to get the same type of health insurance to get the same
• definition of a health care sharing? definition of a health care sharing?
• portion of that off my state income tax. portion of that off my state income tax.
• This would expand it to include the Alabama Department of Public Health through the six regional EMS
• $5,000 of state income tax.

Bills: HB125, HB116, HB183, HB342, HB341, SB280, SB245, SB159, HB125, HB116, HB183, HB342, HB341, SB280, SB245, SB159

Keywords: HB125, sunset law, Alabama Sunset Committee, Alabama State Board of Veterinary Medical Examiners, veterinary medical examiners, veterinary board, veterinary licensing, veterinary regulation, professional licensing board, state board continuation, sunset review, regulatory board, animal health, veterinarians, disciplinary authority, HB116, Alabama Sunset Law, sunset bill, Alabama Professional Bail Bonding Board, bail bonding

Transcript Highlights:

• Any questions for the Department of EMS?
• <00:07:05.000> of<00:07:05.120> Professional the Department of Professional the Department
• for the Department of EMS? for the Department of EMS?
• :44.640> General,<00:18:45.160> Health Office of the Inspector General, Health Services
• Department for Medicaid Services, Department for Medicaid Services, Division<00:23:39.880> of

Keywords: 0:06 - Roll Call 0:30 - Approval of Minutes 0:45 - OFFICE OF THE ATTORNEY GENERAL 2:08 - FINANCE AND ADMINISTRATION CABINET - OFFICE OF THE CONTROLLER 2:55 - BOARD OF DENTISTRY 5:30 - BOARD OF OPHTHALMIC DISPENSERS 7:30 - BOARD OF NURSING 8:32 - BOARD OF EMERGENCY MEDICAL SERVICES 9:30 - EDUCATION AND LABOR CABINET - DEPARTMENT OF EDUCATION, OFFICE OF DISTRICT SUPPORT SERVICES 15:35 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH 18:44 - CABINET FOR HEALTH AND FAMILY SERVICES, OFFICE OF THE INSPECTOR GENERAL, HEALTH SERVICES AND FACILITIES 23:39 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR MEDICAID SERVICES 1:01:46 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH, OFFICE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS 1:03:46 - Next meeting/adjournment, 958, all

Summary: The committee first approved the minutes and then took up a series of administrative regulations from several agencies. Early items included Attorney General consumer protection rules on removal sales, health spas, liquidation sales, and nonresident sellers of visual aid glasses; Finance and Administration Controller rules on clearinghouse validation and fraud prevention; and Board of Dentistry rules updating exam requirements, controlled substance prescribing, training for neuromodulators and dermal fillers, infection control, sedation/anesthesia continuing education, and required education on pediatric abusive head trauma and controlled substance ingestion prevention. The committee also approved staff amendments on these items, generally to conform to KRS Chapter 13A, and members asked a brief question about the dentistry controlled-substances changes, which was answered as an alignment with statute. The committee next approved regulations for the Board of Ophthalmic Dispensers, Board of Nursing, and Board of Emergency Medical Services. The ophthalmic dispensers package would revise meeting and recordkeeping language, raise renewal fees, set reinstatement and apprentice-license rules, add complaint and hearing procedures, and repeal a duplicative regulation. The nursing regulations would streamline approval of training programs and require notice and documentation of site visits and deficiencies. EMS rules would create five EMS medical director certifications, set expiration and renewal requirements, require publication of disciplinary sanctions, and exempt currently approved directors before October 1, 2026. Staff amendments were adopted without objection on each set. The Education and Labor Cabinet’s school transportation regulation drew extended discussion. The agency explained the changes were intended to implement Senate Bill 46 and update references affected by later legislation, including an oral amendment to delete a subsection reference tied to KRS 160.380. The committee adopted both the agency and oral amendments without objection after brief questions about the scope of the bill changes and van transportation for students. The committee then heard a lengthy package from the Department for Public Health on WIC and related nutrition program regulations, including updates to infant and child certification periods, documentation requirements, vendor criteria, sanctions, hearing procedures, and high-risk vendor standards. Staff amendments were adopted without objection. Finally, the committee considered the Inspector General’s regulation for freestanding birthing centers, which included both staff and agency amendments. The agency changes would require two neonatal resuscitation program-certified staff, set rules for medical director vacancies and appeals, revise facility and staffing terminology, adjust transfer-agreement requirements, and allow waivers when agreements cannot be secured. Mary Katherine DeLodder of the Kentucky Birth Coalition testified in support, saying the parties had worked through concerns and were ready to move forward. The committee then moved on to Medicaid’s 1915C child waiver regulations, where staff amendments were adopted, but Lucy Heskins of Kentucky Protection and Advocacy testified against the package because it did not include person-directed services, which she said are required by Kentucky law and important for families using the waiver.

Transcript Highlights:

• the Texas Department of Criminal Justice.
• We're a convention of over 5,000 churches across the state of Texas.
• I'm Brian Collier, Executive Director of the Texas Department of Criminal Justice.
• office, the Texas Department of Criminal Justice, and the Board of Pardons and Paroles.
• To serve this unique challenge of 7,000 veterans in our state prison system, the Texas Department of

Bills: HB1826, HB2854, HB3006, HB4614, HB5261, HB5639

Keywords: mental health, women's health, county jail, depression screening, criminal justice, HB 2854, Pokuaa-Flowers Act, parole, mandatory supervision, electronic monitoring, releasee, parole officer, hospital visit approval, general hospital, law enforcement notification, DSHS, Department of State Health Services, corrections, public safety, liability immunity

Transcript Highlights:

• Preserve the health of our bodies and the vigor of our minds.
• We also have with us here in front the Secretary of State of the Cherokee Nation, Sheila Bolin.
• I don't know if any Oklahoma state senator is a fan of Oklahoma State University.
• All across our system, the facilities are state-of-the-art.
• We've got great respect for the state of Oklahoma.

Bills: HB3976, HB3000, HB3001, HB3003, HB3004, HB3066, HB3904, HB3644, HB1687, HB3920, SR40

Keywords: rural hospitals, small hospitals, grant program, healthcare funding, Oklahoma health department, cosmetology, barbering, massage therapy, State Board of Cosmetology and Barbering, Service Oklahoma, license renewal, license reinstatement, licensing fees, sunset extension, board membership, human trafficking, victim services, beauty school, barber school, esthetics

Transcript Highlights:

• House Bill 3000 extends the sunset on the State Board of Cosmetology and Barbering to 2031.
• you know setting up this revolving fund at the state health department is entrusted with distributing
• I I understand that this is part of being selected Oklahoma being selected one of 15 states that is authorized
• I just want to add the health care authority usually does not love to do these kinds of things.
• She's a pediatric nurse, and it's not good in the state of Oklahoma.

Bills: HB3976, HB3000, HB3001, HB3003, HB3004, HB3066, HB3904, HB3644, HB1687, HB3920

Keywords: rural hospitals, small hospitals, grant program, healthcare funding, Oklahoma health department, cosmetology, barbering, massage therapy, State Board of Cosmetology and Barbering, Service Oklahoma, license renewal, license reinstatement, licensing fees, sunset extension, board membership, human trafficking, victim services, beauty school, barber school, esthetics

Transcript Highlights:

• The Department of Justice brought that lawsuit.
• Vehicle Title and Registration Director of the Texas Department of Motor Vehicles.
• What this bill does is it adds it for the state of Texas.
• So he had to sue the state of Texas to try to get his job back.
• of Public Safety as a state trooper.

Bills: SB2007, SB2104, SB2543, SB2545, SB2926, SB2938

Keywords: military status, vehicle registration, veterans, Texas transportation, state records, discrimination, employment rights, spouses of service members, labor code, SB 2543, Texas veterans cemeteries, state veterans cemetery, Texas Veterans Commission, Veterans Land Board, Natural Resources Code, veterans land fund, veterans housing assistance fund, veterans burial, burial eligibility, cemetery location

Summary: The Senate Committee on Veteran Affairs heard several bills focused on veterans’ mental health, criminal justice coordination, cemetery expansion, housing, vehicle registration, and anti-discrimination protections. SB 2926 would transfer administration of veterans’ mental health initiatives from HHSC to the Texas Veterans Commission, create a community-based mental health grant program, require a statewide veteran suicide prevention action plan, and add annual reporting requirements. SB 2938 would require county jails to verify and report veteran status at intake, help veteran inmates apply for federal benefits, and provide access to county veteran services and free visitation with service coordinators. Both bills were described as joint or practical efforts to improve coordination and service delivery for veterans, and both were left pending after no public testimony was offered. The committee also heard SB 2543, which would give more flexibility to expand the Texas veterans cemetery system, and SB 2545, which would explore using manufactured homes as another affordable housing option for veterans through the Veterans Land Board. SB 2545 drew questions about how manufactured-home loans would work; a Texas Veterans Land Board witness said implementation would likely require closing at a title company rather than through a retail bill of sale, and the Texas Manufactured Housing Association testified in support. Both cemetery and housing bills were left pending. Members then heard SB 2007, which would let vehicle registration applicants voluntarily designate military status so the DMV could record it and help with benefits and towing/impound issues involving deployed service members. Witnesses from the towing industry and DMV supported the bill, saying the current system lacks enough identifying information to run military-status checks and that the indicator could help prevent vehicles from being sold while owners are deployed. SB 2104 would add military status as a protected class under state anti-discrimination laws for employment, housing, and utilities; the author said it would address ongoing discrimination against service members, veterans, and military families. The Texas VFW supported the bill, citing the Leroy Torres case as an example of why additional state protections are needed. After discussion about overlap with federal law and existing state protections, SB 2104 was also left pending.

Transcript Highlights:

• the Department of Insurance in the Department of Insurance in accordance<00:02:28.560> with<00
• There's no doubt in American health care we're going to have a shortage of a lot of health care providers
• the<00:28:57.679> US by the Department of Education of the US by the Department of Education
• <00:48:10.400> of commissioner for the Department of commissioner for the Department of Medicaid
• c> um<00:48:41.200> amends in front of us and it states um amends in front of us and it states

Keywords: 0:22 – Roll Call 0:30 – Approval of minutes 1:04 – Department of Veterans Affairs 2:06 – Board of Pharmacy 3:20 – Board of Optometric Examiners 39:26 – Board of Nursing 40:07 – Board of Emergency Medical Services 41:52 – Department of Fish & Wildlife Resources 44:36 – Transportation Cabinet: Department of Vehicle Registration 45:36 – Department of Alcoholic Beverage Control 47:00 – Cabinet for Health & Family Services: Department for Medicaid Services 49:59 – Cabinet for Health & Family Services: Department for Community-Based Services, 958, all

Summary: The subcommittee approved the minutes from the previous meeting and then took up several regulations. The first was a Department of Veterans Affairs regulation, with a staff amendment, to allow nurse practitioners to apply for the Veterans Affairs nurse loan repayment program year-round and to make technical drafting changes. The committee heard from the Office of Kentucky Veteran Centers, then adopted the staff amendment and approved the regulation without objection. The main item of the meeting was the Board of Optometric Examiners’ proposed amendment to 201 KAR 5:010, which would allow applicants to use the Optometry Examining Board of Canada written exam in place of part one of the National Board of Examiners in Optometry exam for licensure. The board said the change would improve access to care, provide an additional pathway for Canadian-trained candidates, and still require applicants to pass the remaining national board parts. Opponents, including NBEO officials, ARBO, Pearson VUE, and several optometrists, argued the Canadian exam is not equivalent, does not test the same biomedical science content, is not validated for U.S. scope of practice, and raises concerns about test security, transparency, and portability across states. They urged the committee to find the amendment deficient or vote no. Committee members questioned both sides about prior communication with the board, whether Kentucky would be the first state to adopt such a change, the rationale for the proposal, and the cost difference between the exams. Supporters said the board had received some written comments and one phone call, and that the proposal was driven by access concerns and the presence of Canadian students. Opponents said they had not had direct discussions with the Kentucky board before the hearing. No final vote on the optometry regulation is reflected in the transcript excerpt, but the committee heard extensive testimony and rebuttal before moving on.

Transcript Highlights:

• But with that, I think it comes with a responsibility to inform the public of the health risk because
• That's just it's going to be composed of five members appointed by the State Board of Agriculture, and
• That wheat contaminated other wheat that was in the bin, and the Department of DEcu and the Department
• This bill's clarifying that it will be a problem of the Department of Ag.
• What they can do from either DEcu or Department of Ag. So, we've put this in Department of Ag.

Bills: SB2173, SB2028, SB2117, SB2127, SB2134

Keywords: landowner, energy negotiation, agricultural preservation, orphaned wells, renewable energy, raw milk, unpasteurized milk, milk products, dairy, pasteurization, food safety, consumer warning label, health warning, farm sales, direct-to-consumer sales, ungraded milk, goat milk, raw milk cheese, Oklahoma Department of Agriculture, Food and Forestry, agricultural regulation

Transcript Highlights:

• of any state.
• Department of Labor.
• <00:34:22.240> of both Minnesota and US Department of both Minnesota and US Department of
• citizens of the state.
• citizens of the state.

Bills: HF362, HF2590, HF2760, HF3444

Keywords: massage therapy, Asian bodywork therapy, massage therapist, Asian bodywork therapist, licensure, professional licensing, health occupations, Department of Health, commissioner of health, advisory council, protected title, unlicensed practice, scope of practice, consumer protection, background check, professional liability insurance, continuing education, credentialing examination, state preemption, municipal regulation

Transcript Highlights:

• The third reading of the bill, Senate Bill 1475 by Blair of the House and Sands of the Senate, is an
• This is a modification of the RFP process for state employees' prescription drug plan.
• This bill makes it so that if an Oklahoma resident who is a veteran dies out of state that the ODVA can
• Senate Bill 1378 by Lawson, of the House and Thompson of the Senate, an act relating to state government
• Senate Bill 1378 by Lawson, of the House and Thompson of the Senate, an act relating to state government

Bills: SB1475, SB1447, HB2288, SB1521, SB592, SB1533, HB1276, SB201, SB1477, SB1232, SB1255, SB1327, SB1525, SB1721, SB667, SB1436, SB1317, SB604, SB1325, SB1496, SB2007, SB1567, SB2112, SB1980, SB1735, SB1558, SB1491, SB1287, SB1378, SB1369, SB1441, SB137, SB483, SB843, SB1433, SB1257, SB1365, SJR49, HJR1090, HJR1091, HJR1092, HJR1093, HJR1095, HJR1094

Keywords: memorial, infrastructure, transportation, dedication, Toby Keith, employees insurance, contract awarding, certifications, state procurement, insurance plan, teachers, retirement, postretirement employment, earnings limitations, Oklahoma, artificial intelligence, AI, generative AI, chatbot, conversational AI

Transcript Highlights:

• Senate Bill 1257 by Turner of the House and Hamilton of the Senate, an act relating to the Uniform Controlled
• Senate Bill 1365 by Townley of the House and Fricks of the Senate. and act relating to the Central Purchasing
• Senate Bill 1365 by Townley of the House and Fricks of the Senate, an act relating to the Central Purchasing
• Today, they came in and have already departed, but today is Chamber Day for the Chamber of Commerce of
• makes every single one of the loaves of bread that you will receive today.

Bills: SB1475, SB1447, HB2288, SB1521, SB592, SB1533, HB1276, SB201, SB1477, SB1232, SB1255, SB1327, SB1525, SB1721, SB667, SB1436, SB1317, SB604, SB1325, SB1496, SB2007, SB1567, SB2112, SB1980, SB1735, SB1558, SB1491, SB1287, SB1378, SB1369, SB1441, SB137, SB483, SB843, SB1433, SB1257, SB1365, SJR49, HJR1090, HJR1091, HJR1092, HJR1093, HJR1095, HJR1094

Keywords: memorial, infrastructure, transportation, dedication, Toby Keith, employees insurance, contract awarding, certifications, state procurement, insurance plan, teachers, retirement, postretirement employment, earnings limitations, Oklahoma, artificial intelligence, AI, generative AI, chatbot, conversational AI

Transcript Highlights:

• Members Senate Bill 1572 is a feasibility study that would designate the state department of health to
• investigate the feasibility of dissolving portions of the department of mental health and substance
• It also allows the commissioner of health to serve in a dual role as commissioner of health and commissioner
• of mental health during the period of that feasibility study.
• It's kind of a complicated health situation.

Bills: SB667, SB904, SB1344, SB1380, SB1423, SB1425, SB1484, SB1500, SB1502, SB1503, SB1555, SB1561, SB1562, SB1565, SB1572, SB1644, SB1749, SB1833, SB2007, SB2044, SB2074

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, gender transition, gender-affirming care, transgender, puberty blockers, cross-sex hormones, hormone therapy, sex reassignment, transition surgery, Medicaid, public funds, state facilities, state hospital, Oklahoma, intersex, DSD

Transcript Highlights:

• health transformation funding was the fact that Rough Rider is state of the art across the nation.
• of Health.
• And then we also put on Section 3, provide evidence to the Bank of approval from the Department of Health
• But I think that, ...of approval from the Department of Health and Human Services for the Federal Rural
• In the last 20 years, we have come a long ways in creating a network of health care across the state.

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee first heard House Bill 1624, the “Universal Lunch Bill,” from Rep. Mike Nathie. He argued the proposal should be placed in Century Code rather than the Constitution so future legislatures can adjust it if state finances tighten, and said the bill would start the program a year earlier with a $65 million appropriation for one school year. DPI testified that the estimate did not include nonpublic schools that do not participate, and members questioned the impact on Title I, free-and-reduced applications, private-school accountability, breakfast mandates for schools that do not currently serve breakfast, and whether the funding could come from the DPI budget or other sources. Supporters, including North Dakota United, the North Dakota Catholic Conference, a pediatrician, and the American Heart Association, said universal meals improve student health and learning, reduce family costs, and are better handled in statute than by constitutional amendment. No opposition testimony was offered, and the chair closed the hearing for later work-session action. The committee then took up House Bill 1627, introduced by Rep. Tye Dressler, which would raise the income threshold for the state-funded school lunch program from 225% to 300% of poverty, with an estimated cost of about $7 million for 2026-27. Dressler said the bill is intended as a targeted, budget-friendly alternative to the ballot measure and emphasized that the state should maximize federal meal dollars while improving participation in the current program. Members questioned whether raising the threshold would actually increase utilization, whether a dollar amount would be clearer than a percentage, and how the change would affect federal reimbursements and application rates. DPI said it could quickly calculate additional percentage levels, and the chair closed the hearing, directing DPI to prepare more numbers for the work session. Finally, the committee opened Senate Bill 2403, presented by Sen. Schiable, to create a short-term bridge-loan program for financially distressed hospitals, centered on Jacobson Memorial Hospital in Elgin. The bill would authorize up to $5 million per loan, with a $10 million appropriation available on a first-come, first-served basis, and would run only through June 30, 2027. Schiable said the hospital’s debt and operating problems threaten local health care, ambulance service, and the community’s economy, and that the proposal was designed narrowly with Bank of North Dakota review to avoid creating a broad precedent. Committee members asked whether the appropriation could be reduced and whether the bank would still apply commercial feasibility and repayment standards; Schiable said yes, the bank would still evaluate the loan and could reject it if it was not sound.

Transcript Highlights:

• Our first meeting was a history and introduction to the process by Sarah Acre of the Department of Health
• Children's Mental Health Services, Mental Health Advocacy Network urges the state of North Dakota to
• I got to call the North Dakota Department of Health. That's what I always do. Guess what?
• So thank you, North Dakota Department of Health and Human Services, ahead of the game.
• So thank you, North Dakota, Department of Health and Human Services, head of the game.

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee heard House Bill 1623, the appropriations bill tied to North Dakota’s Rural Health Transformation Program, which is funded through a new federal rural health care grant. Senator Bekkedahl explained the bill’s background, the interim committee process that developed it, and the federal conditions attached to the award, including spending deadlines, administrative cost limits, and restrictions on uses such as new construction, supplanting existing funding, and certain other costs. Legislative staff then walked through the seven sections of the bill, including appropriation authority, transfer authority, contingent appropriations for pass-through grants, procurement and public improvement exemptions, recipient reporting, legislative reporting, and immediate effective date. Commissioner Traynor and HHS staff described how the department plans to implement the program, emphasizing that the funding is intended to improve rural access, workforce recruitment and retention, technology and data connectivity, and community health initiatives. They said the department will rely on local applications, technical assistance, templates, listening sessions, and partnerships with providers, schools, public health units, tribal entities, and other community groups. Members asked about reimbursement timing, upfront costs, administrative expenses, sustainability after the five-year grant period, and whether CTE centers, public health units, gyms, grocery stores, and other community partners could participate; the department said yes, within program rules and with a focus on measurable outcomes and sustainability. Several supporters testified in favor. Mental Health America of North Dakota and the Mental Health Advocacy Network supported the bill and urged investment in community-based mental health, crisis response, children’s services, peer support, and mobile crisis teams. HIA Health described the grant as a chance to expand home-based and hospice care, noting that rural providers already have workable models but need funding to scale them. A cybersecurity representative also supported the bill, warning that the large amount of health data and AI-related tools will require strong data protection and professional support. The hearing was closed with no opposition testimony, and the committee announced it would return later in the day for further work on the bill and other measures.

Transcript Highlights:

• Department of Health in support.
• The Department of Health supports HD3.
• /c> Department of Human the health Department of Human the health secretary's<00:53:07.640> very
• the Department of Health. the Department of Health.
• It has Department of Health supports.

Bills: HB1573, HB1645, HB1875, HB1898, HB2121

Keywords: electronic smoking devices, e-liquids, certification, FDA, state law, penalties, compliance, directory, public health, nonprofit, child welfare, liability, insurance, legal protections, Hawaii, health care, reproductive rights, gender-affirming care, privacy, civil liability

Summary: The committee heard testimony on HB 1573, which would create state enforcement authority over unauthorized e-cigarette products and related tobacco enforcement. Supporters including SHPDA, the Department of Health, the Attorney General’s office, Hawaii Public Health Institute, and others said the bill would help protect youth from unauthorized vaping products, give the state tools to enforce an FDA-authorized product list, and add penalties and inspection authority. A committee member asked whether enforcement staff were available and what penalties would apply; the response was that existing tobacco investigators would take on the work, and the bill includes civil penalties, seizure authority, and possible license revocation referrals. The measure drew both support and opposition testimony, but no vote was taken in the portion provided. The committee then took up HB 1645, relating to liability for child welfare service providers. The Insurance Division said it was aware of the insurance-cost problem, had raised the issue with the NAIC, and was exploring a captive insurance option, while suggesting the legislature consider additional appropriations to DHS to cover higher contract costs. Supporters, including Parents and Children Together and Hawaii Insurance Council, argued the bill would help child welfare providers obtain insurance and continue critical services. Opponents, including the Hawaii Association for Justice, warned that removing joint and several liability could leave victims undercompensated and might not actually lower premiums. The insurance commissioner said other states have done tort reform in this area, but the committee was told it is not clear the bill would reduce insurance costs. Finally, the committee heard extensive testimony on HB 1875, which would protect access to gender-affirming care in Hawaii and shield patients and providers from out-of-state legal actions. Support came from the Hawaii State Youth Commission, LGBTQ+ and public health groups, medical professionals, ACLU Hawaii, Planned Parenthood, and others, who said gender-affirming care is evidence-based, medically necessary, and important for patient privacy, provider stability, and continuity of care. Several witnesses asked for amendments to the bill’s definition language. Opposition testimony came from individuals and groups including Hawaii Christian Coalition, Leeward Republican Women’s Club, and others, who argued the bill could expose children to irreversible decisions and that more research is needed. The chair noted roughly 176 supporters and about 40 opponents testified. No final action or vote was reported in the excerpt.

Transcript Highlights:

• The Department of Justice brought that lawsuit.
• Good morning, I am the Vehicle Titles and Registration Director of the Texas Department of Motor Vehicles
• What this bill does is add it for the state of Texas.
• So he had to sue the state of Texas to try to get his job back.
• of Public Safety as a state trooper.

Bills: SB2007, SB2104, SB2543, SB2545, SB2926, SB2938

Keywords: military status, vehicle registration, veterans, Texas transportation, state records, discrimination, employment rights, spouses of service members, labor code, SB 2543, Texas veterans cemeteries, state veterans cemetery, Texas Veterans Commission, Veterans Land Board, Natural Resources Code, veterans land fund, veterans housing assistance fund, veterans burial, burial eligibility, cemetery location

Transcript Highlights:

• I'm an attorney with the Department of Health. Thank you, Mr. Chair.
• of Transportation to the Department of Health.
• territory and nature of services provided in terms of services imposed by the Department of Health,
• unless it... ...of services imposed by the Department of Health unless otherwise approved.
• Chair, on that point, I believe the scope of practice is already at the Department of Health, isn't it

Bills: SB40, SB104, SB136, SB164

Keywords: SB40, Driver Privacy and Safety Act, automated license plate reader, ALPR, license plate reader, vehicle surveillance, privacy, data sharing, law enforcement data, immigration enforcement, reproductive health care, gender-affirming care, civil liberties, surveillance, public records, Inspection of Public Records Act, New Mexico State Police, Department of Public Safety, data sovereignty, vehicle tracking

Transcript Highlights:

• of House Bill 388 on behalf of myself and Hospitality Health ER.
• of State Health Services.
• The Florida Surgeon General, at the Florida Department of Health website, says that he can't recommend
• The Florida Surgeon General, as I said, has, for two years now, on the Florida Department of Health website
• The termination of parental rights is the death penalty of civil cases, and the State of Texas should

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The committee first reopened testimony on House Bill 2216, which would strengthen child welfare requirements by expanding “active efforts” to help families avoid removal and support reunification, while also raising standards related to removals and terminations. Supporters from child welfare and family defense groups said the bill would better protect families and align Texas more closely with ICWA-style principles, but several warned it would require significant new funding, staffing, and community services such as mental health care, housing, child care, and substance use treatment. The committee then left HB 2216 pending. The committee next heard Senate Bill 1782, aimed at boarding and group homes. Senator Miles said the bill closes enforcement gaps left by prior law by requiring retention of background-check records and creating misdemeanor penalties for failing to conduct or keep them, or for knowingly hiring people with serious convictions. Harris County sheriff’s investigators testified in support, describing illegal boarding homes, operators who evade permits and background checks, and exploitation of vulnerable residents; the bill was left pending. The committee also took up Senate Bill 481 on emergency preparedness for nursing facilities and assisted living facilities, adopted a new committee substitute that softened some requirements and removed the fiscal note, and left the bill pending. The committee then heard House Bill 388, which would require the Texas Department of Insurance to create a single standardized coordination-of-benefits form for dual health plans to reduce errors and surprise bills; it was left pending. Senate Bill 1590 would move paternity registry searches for adoptions to an electronic process with a 10-day target, and House Bill 2809 would track child suicide attempts in managing conservatorship and require related reporting and parental notice; both were left pending. The committee also heard Senate Bill 1887, which would prohibit administering mRNA-containing products for immunization for 10 years, with exceptions for cancer and genetic disorders. Supporters argued the bill was needed for safety, informed consent, and medical freedom, while opponents from the medical, research, and public health communities said mRNA vaccines are well-studied, save lives, and that the bill would harm access, research, and Texas’s biotech economy. The bill remained under discussion as testimony concluded.

Transcript Highlights:

• We work with TORCH, the State Office of Rural Health, DHS, and other organizations to identify areas
• of State Health Services to support families after a stillbirth, neonatal death, or intrauterine fetal
• To assist hospitals, the Department of State Health Services may provide staff training, bereavement
• The state of Texas.
• of Health and Human Services.

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.

Transcript Highlights:

• My name is Desiree Ingram, and I'm here in support of HB1826 on behalf of the Texas Women's Health Care
• Additionally, the level of depression compounded by the lack of mental health treatment, proper nutrition
• conditions of the Texas Department of Criminal Justice.
• It also authorizes the Texas Department of State Health Services to suspend, revoke, or deny emergency
• the Department of Public Safety, and two from Texas.

Bills: HB1826, HB1969, HB2708, HB2729, HB3618, HB4515, HB4764, SB1021, SB1610

Keywords: mental health, women's health, county jail, depression screening, criminal justice, inmate release, identification certificate, Texas Department of Corrections, personal identification, driver's license, state law, reentry services, nondisclosure, criminal history, criminal defendants, community supervision, misdemeanors, felonies, rehabilitation, hearsay