Transcript Highlights:

• Our organization conducted interviews with maternal health care providers, and one family physician noted
• and the, the health and well-being of LGBTQ youth across Texas.
• What we do have is a crisis of LGBTQ+ youth mental health distress and homelessness.
• It is supported by decades of research in child development and mental health.
• The National Institute of Health labels misgendering as abusive behavior.

Bills: HB 2646, HB 3941, HB 5153, HB 5155, HB 5394, HB 1106, HB 426, HB 4529, HB 3984, HB 4273, HB 1097, HB 3940, HB 1941, HB 4377, HB 3153

Keywords: child care, task force, high-quality care, affordability, prekindergarten partnerships, foster care, transitional living, Medicaid reform, youth assistance, independent living, services for youth, employment training, educational support, mental health services, health care, public health, child health program, reimbursement, local health entities, maternal health

Bills: HB67, HB89, HB67, HB89

Keywords: parental rights, drag performances, public schools, public libraries, overnight programs, gender identity, minor safety, HB89, Medicaid, pregnant women, pregnancy, prenatal care, ambulatory prenatal care, presumptive eligibility, temporary Medicaid coverage, Alabama Medicaid Agency, maternal health, low-income women, health coverage, eligibility determination

Transcript Highlights:

• I'm in support of House Bill 3984, so I'm the Senior Fellow for Health Care at the Texas Public Health
• health worker.
• My name is Alana Puente and I'm a certified health worker and trained mental health peer specialist and
• Local health entities play a key role in increasing access to health. of care, preventing and controlling
• Was a leading cause of maternal deaths in 2020 accounting for 70, excuse me. 7% of maternal deaths.

Bills: HB2646, HB3941, HB5153, HB5155, HB5394, HB 1106, HB426, HB4529, HB3984, HB4273, HB 1097, HB3940, HB1941, HB4377, HB3153

Keywords: child care, task force, high-quality care, affordability, prekindergarten partnerships, foster care, transitional living, Medicaid reform, youth assistance, independent living, services for youth, employment training, educational support, mental health services, health care, public health, child health program, reimbursement, local health entities, maternal health

Transcript Highlights:

• My name is Alec Mendoza, and I'm the Senior Policy Associate for Health with Texans Care for Children
• Currently, many Texas newborns are falling through the cracks and not getting timely care. timely health
• The organization conducted interviews with maternal healthcare providers, and one family physician noted
• Any delays in medical care can cause significant health issues for children.
• House Bill 3940 improves access to newborn health coverage and care by providing necessary information

Bills: HB2646, HB3941, HB5153, HB5155, HB5394, HB 1106, HB426, HB4529, HB3984, HB4273, HB 1097, HB3940, HB1941, HB4377, HB3153

Keywords: child care, task force, high-quality care, affordability, prekindergarten partnerships, foster care, transitional living, Medicaid reform, youth assistance, independent living, services for youth, employment training, educational support, mental health services, health care, public health, child health program, reimbursement, local health entities, maternal health

Transcript Highlights:

• The Senate Committee on Health and Human Services will come to order.
• access to health care.
• Public health is maintained.
• Under current law, local health departments, many of which operate with registered sanitarians and health
• Mental health and upbringing are critical.

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• The Committee on Health and Human Services will come to order. The clerk will please call the roll.
• It's not an alternate health plan; it's an alternate medical model.
• Third, after working with the Health and Human Services Committee. Commissioner Muth.
• Services, Health and Human Services Commission, and the Texas Workforce Commission.
• The health and well-being of families influence the health, stability, and social cohesion of our communities

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• The pilot program integrates doula services into existing maternal health initiatives for pregnant and
• Under the bill, the Department of Health, through its maternal and child health section, will implement
• outreach and integration into existing maternal health systems.
• Florida continues to face a maternal health crisis, one marked by preventable maternal deaths, high rates
• It integrates trained doula services into existing maternal health systems in Broward, Miami-Dade, and

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

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

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

Bills: HB414, HB786, HB1041, HB1052, HB1118, HB1139, HB1182, HB1185, HB1214, HB1217, HB1231, SR63, SCR27, SB5, SB194, SB415, SB433, SB451, SB462, SB516

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, Medicaid, claim payments, extrapolation, provider audits, medical freedom, discrimination, access, medical intervention, child protection, confidentiality, multidisciplinary teams, child advocacy centers, public records, investigations, hospital

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Transcript Highlights:

• Sub to Chapter A, Chapter 1001 of the Health Safety Code to require health and Human Services Commission
• Substance Abuse and Public Health Initiative Council to ensure that money allocated to the mental health
• health substance use and public health.
• health professionals, it seems.
• Thank you. of the Office of Mental Health, Health and Human Services Commission, resource witness.

Bills: HB 3772, HB 1656, HB 4504, HB 1896, HB 4420, HB 4421, HB 4076, HB 3708, HB 2806, HB 3540, HB 1586, HB 5459, HB 4553, HB 4535, HB 3811, HB 3749, HB 4255, HB 4051, HB 5098, HB 3554, HB 4539, HB 5274

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

Bills: HB816, HB1535, HB1537, HB1541, HB1562, HB1574, HB1591, HB1853, HB1854, HB1871, HB1965, HB1966, HB1969, HB1973, HB1974, HB2315, HB2343, HB2501, HB2505, HB1577, HB2443, HB2498, HB2581, HB2622

Keywords: HB816, Hawaii, opioid overdose, opioid crisis, buprenorphine, naloxone, Narcan, paramedics, emergency medical services, EMS, first responders, substance use disorder, addiction treatment, withdrawal management, overdose reversal, pilot program, Department of Health, DOH, county population under 100,000, rural health

Transcript Highlights:

• Yet, our health outcomes are not very good.
• This is a mental health bill, correct? It is.
• Of mental health patients, I don't think it...
• Today, every local mental health authority...
• Latino adults with mental health issues do not receive mental health services compared to 56% of white

Bills: SB128, SB640, SB672, SB904, SB1141, SB1263, SB1525, SB1528, SB2041, SB2306, SB2308, SB2357, SB2446, SB2695, SB2857, SB2891, SB2583

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, SB 640, Texas Family Code, Department of Family and Protective Services, DFPS, child welfare, foster care, managing conservatorship, suicide attempt, youth suicide, mental health, child protective services, state custody, annual report, reporting requirements

Transcript Highlights:

• The Senate Committee on Health and Human Services will come to order.
• all programs and services available for future health professionals.
• Nora Cox, Texas E-Health.
• Current training protocols for maternal health care providers in Texas are inconsistent and lock statewide
• care providers delivering the care to maternal patients.

Bills: SB128, SB640, SB672, SB904, SB1141, SB1263, SB1525, SB1528, SB2041, SB2306, SB2308, SB2357, SB2446, SB2695, SB2857, SB2891, SB2583

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, SB 640, Texas Family Code, Department of Family and Protective Services, DFPS, child welfare, foster care, managing conservatorship, suicide attempt, youth suicide, mental health, child protective services, state custody, annual report, reporting requirements

Transcript Highlights:

• Cher, welcome to Senate Health and Human Services again to the people in the room.
• Had they also included their maternal health programs with the telecare, it would have been an additional
• It ensures that you will have better long-term health outcomes.
• Members, 1794 creates the Oklahoma Behavioral Health Vacancy Registry Act.
• I feel like in public health, a lot of times we take actions and we need more data.

Bills: SB1421, SB1427, SB1484, SB1503, SB1553, SB1557, SB1564, SB1566, SB1567, SB1591, SB1642, SB1794, SB1837, SB2044

Keywords: mental health, nonphysical intervention, training, youth care, conflict resolution, staff training, pediatric screenings, type 1 diabetes, health care providers, parental consent, reimbursement, state funding, public health, medicolegal investigation, medical examiner, coroner, sudden infant death syndrome, SIDS, sudden unexpected infant death, SUID

Transcript Highlights:

• Health plans are just administering.
• It fails to address real gaps in maternal health care and could subsidize potentially medically inaccurate
• and prenatal health services.
• We feel the bill does not address Arizona's real maternal health gaps.
• We face high rates of inadequate prenatal care and maternal health challenges, but House Bill 2229 doesn't

Bills: HB2211, HB2229, HB2389, HB2403, HB2445, HB2502, HB2620, HB2813, HB2872, HB2889, HB2960, HB4028, HCR2007

Keywords: contractors, subcontractors, resident preference, public contracts, materials supply, Arizona Revised Statutes, local businesses, pregnancy resource center, pregnancy center, crisis pregnancy center, DHS, Arizona Department of Health Services, state appropriation, general fund, nonprofit grant, women's health, maternal health, reproductive health, abortion funding, pro-life

Summary: The committee first took up HB 2211 only for discussion, not a vote. The strike-everything amendment would make it unprofessional conduct for certain health care licensees to submit an independent dispute resolution offer above 300% of Medicare or 300% of the qualified payment amount. The chair said he wanted more stakeholder meetings and broader consensus before moving the bill. Testimony was split: an ARMA representative opposed the measure, arguing it reflected insurer concerns, QPA data lacked transparency, and licensing discipline was the wrong tool for billing disputes; a Blue Cross Blue Shield representative supported it, saying a small number of private equity-backed providers were driving up surprise-billing costs and abusing the No Surprises Act. No action was taken on HB 2211. The committee then considered HB 4028 on accessory dwelling units. The bill would remove the 1,000-square-foot cap as an absolute limit, change setback rules, bar municipalities from requiring an administrative use permit and certain elevation criteria, and extend the deadline for cities to adopt ADU regulations. Rep. Kyle Powell said the bill was meant to give homeowners more flexibility and help address housing shortages. Supporters framed it as a property-rights and housing issue, while opponents from neighborhood and city groups warned it would allow oversized ADUs, increase density, create safety and parking concerns, and weaken local zoning control. After extensive debate, the committee voted 8-9 with one present, and HB 4028 failed. The committee next passed HB 2620, as amended, by a 17-0 vote with one member not voting. The bill appropriates $300,000 per year for five years to the Arizona Department of Veterans’ Services for grants to emergency shelters serving veterans. An amendment removed age and non-congregate-setting limits for eligible shelters. Rep. Blackman said the bill was intended to help homeless veterans, and shelter advocate Nathan Smith supported it, saying targeted resources could help veterans exit homelessness and stay housed. The committee then took up HB 2960, which would create a veterans specialty court grant program. The bill was amended to have the Office of the Courts administer the fund and to allow support for expansion of existing veterans courts. Testimony highlighted the success of the Lake Havasu veterans court and the need for more standardized programs and data collection; the transcript cuts off before the final vote on HB 2960.

Transcript Highlights:

• a mental health unit, as does the...
• Our goal is to bring a health-centered approach to mental health crises.
• We also learned about community health and public health.
• It's a reminder of the gaps that are in our maternal health care.
• Not health care.

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

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:

• Needs to effectively oversee state health programs.
• It doesn't exclude from a health promotion outreach.
• So that's our Texas Health Steps program.
• Um, So with the improved health outcomes, sorry.
• We are always looking at health outcomes and trying to improve them.

Bills: HB 26, HB 140, HB 141, HB 142, HB 215

Keywords: Medicaid, nutrition support, maternal health, chronic conditions, pilot program, DFPS, Department of Family and Protective Services, child protective services, child abuse investigations, child neglect, child exploitation, advisory committee, Family and Protective Services Council, council abolition, foster care, due process, investigative procedures, child welfare, parental rights, family preservation services