Transcript Highlights:

• Funding would come from the existing rural health transformation funds, earmarked for non-physician workforce
• I think I'm curious about the necessity for requirements, or I guess for referral from physicians, just
• OTs, however, will still need a referral from a physician. Thank you. I missed that.
• OTs, however, will still need a referral from a physician. Thank you. Thank you. I missed that.
• It improves mobility. It helps patients return more quickly to their daily lives.

Bills: HB359, HB385, HB165

Keywords: human remains, indigent, burial, cremation, next of kin, social services, environmental impact, nursing education, preceptorship programs, healthcare workforce, nurse shortage, clinical training, dry needling, physician assistant, nurse practitioner, occupational therapist, referral process, neuromusculoskeletal pain, Western medicine

Summary: The Senate Health and Social Services Committee met with a quorum, approved the minutes from the prior two meetings, and briefly acknowledged the tragedy at Christiana Care before moving to legislation. The committee heard House Bill 385, which creates a statewide nurse preceptor grant program to expand clinical training placements for nursing students; testimony from nursing organizations, health care associations, and educators emphasized workforce shortages, the need for preceptor stipends and training, and the bill’s potential to help students complete programs and remain in Delaware. Members asked about eligibility and reporting, and several senators asked to be added as co-sponsors. Public comment was uniformly supportive, and the bill was advanced out of committee. The committee then considered House Bill 424, which repeals Delaware’s Autism Surveillance and Registration Program and requires DHSS to expunge protected health information collected through the registry. The sponsor and DHSS said the registry is no longer used for research or policy development and that repeal would reduce outdated reporting burdens; Autism Delaware, the Delaware Health Care Association, and the State Council for Persons with Disabilities support the change. A committee member raised the question of whether families would be notified before records are expunged, and DHSS said that process was not yet clear and would need further verification. Members discussed the issue, and the bill also moved forward. House Bill 419 was next, making children in foster care automatically eligible for the Purchase of Care child care subsidy and extending the same treatment to certain kinship and safety-plan placements through House Amendment 1. The Children’s Department and advocacy groups said the bill would provide immediate stability for children and caregivers, reduce delays from applications and income verification, and support working foster and kinship families. The committee also heard House Bill 359, which would allow cremation as an option for unclaimed and indigent remains when there is no family objection or next of kin cannot be found, addressing a shortage of burial plots and lowering costs; funeral industry testimony focused on preserving next-of-kin rights. Finally, the committee heard House Bill 475, creating a Delaware Nursing Advancement Fund financed by a $10 surcharge on nursing licenses and disciplinary fines to support workforce data collection and analysis through a nonprofit partner, and House Bill 165, authorizing physician associates, occupational therapists, and APRNs to perform dry needling under training and practice standards set by the Board of Medical Licensure and Discipline. All of the bills received supportive testimony, several members added their names as co-sponsors, and the committee adjourned after moving through the agenda.

Transcript Highlights:

• individuals with disabilities in the state of Texas, with a focus on disabled veterans and people with mobility

Bills: HB 408, HB 787, HB 1029, HB 1126, HB 1136, HB 1607

Keywords: cultural attractions, highway signs, Texas Department of Transportation, travel guidance, Museum of the Big Bend, traffic control, tourism, sunscreening devices, motor vehicle, judicial specialty license plate, vehicle safety, Texas Transportation Code, disability, parking, Governor's Committee, mobility impairment, disabled veterans, legislative recommendations, license plates, vehicle registration

Bills: HB408, HB787, HB 1029, HB 1126, HB 1136, HB1607

Keywords: cultural attractions, highway signs, Texas Department of Transportation, travel guidance, Museum of the Big Bend, traffic control, tourism, sunscreening devices, motor vehicle, judicial specialty license plate, vehicle safety, Texas Transportation Code, disability, parking, Governor's Committee, mobility impairment, disabled veterans, legislative recommendations, license plates, vehicle registration

Bills: HB818, HB1514, HB1648, HB2138, HB2323, HB2494

Keywords: Waiakea peninsula, community development, economic revitalization, cultural preservation, infrastructure improvement, workers' compensation, vocational rehabilitation, injury recovery, employment services, return to work, nonprescription drugs, over-the-counter medications, healthcare providers, reimbursement rates, Hilo-Kona, transportation, pilot program, economic development, mobility, treatment plans

Bills: SB36, SB2202, SB 36

Keywords: homeland security, border security, critical infrastructure, Department of Public Safety, intelligence operations, public-private partnerships, SB 2202, firearm trafficking, gun trafficking, terrorism, foreign terrorist organization, Texas-Mexico border, United Mexican States, Mexico, DPS, second-degree felony, weapons transfer, illegal firearms transfer, arms smuggling, cross-border crime

Bills: SB36, SB2202, SB 36

Keywords: homeland security, border security, critical infrastructure, Department of Public Safety, intelligence operations, public-private partnerships, SB 2202, firearm trafficking, gun trafficking, terrorism, foreign terrorist organization, Texas-Mexico border, United Mexican States, Mexico, DPS, second-degree felony, weapons transfer, illegal firearms transfer, arms smuggling, cross-border crime

Transcript Highlights:

• The Mobility Authority also partnered with us.
• Smith Act as it does apply to other sidewalk users like bicyclists and pedestrians. ...people in mobile
• The committee substitute clarifies that the applicant must have a mobility problem that substantially

Bills: SB 682, SB 1013, SB 1369, SB 1422, SB 2001, SB 2080, SB 2366, SB 2705, SB 2841

Keywords: memorial highway, Captain Kevin Williams, Firefighter Austin Cheek, Smith County, transportation, pedestrian right-of-way, sidewalk users, bicycle safety, micromobility, electric scooter, motor-assisted scooter, electric personal assistive mobility device, skateboard, roller skates, driveway crossing, alley crossing, traffic safety, yield law, Texas Transportation Code, vehicle-pedestrian collision

Summary: The meeting of the committee focused on several bills aimed at enhancing the operational efficiency of Texas transportation and port authorities. Key discussions included the implications of SB2080, which seeks to streamline operations for navigation districts by raising procurement authority, exempting security discussions from recording requirements, and aligning Texas ports with national standards to foster economic growth. Senator Alvarado advocated fervently for the bill, emphasizing its positive impact on competitiveness with ports in states like Virginia and New Jersey. Public testimony reflected mixed responses, with strong support from industry representatives but opposition from some municipal authorities concerned about the potential overreach of port authorities into local development.

Transcript Highlights:

• The Mobility Authority also partnered with us.
• People in mobile scooters who have disabilities, etc. This gap has created an issue in practice.

Bills: SB682, SB1013, SB1369, SB1422, SB2001, SB2080, SB2366, SB2705, SB2841

Keywords: memorial highway, Captain Kevin Williams, Firefighter Austin Cheek, Smith County, transportation, pedestrian right-of-way, sidewalk users, bicycle safety, micromobility, electric scooter, motor-assisted scooter, electric personal assistive mobility device, skateboard, roller skates, driveway crossing, alley crossing, traffic safety, yield law, Texas Transportation Code, vehicle-pedestrian collision

Transcript Highlights:

• So at what point will the patient be required to see a physician?
• The patient will be referred back to the physician by the physical therapist if the physical Therapist
• So in this scenario, if the pain had continued, would she have Seen the physician or continued therapy
• structured and under what the physical therapist rules, he would have referred them back to the physician
• They go 90 days before they have to go back and see a physician.

Bills: HB4423, HB3342, HB3645, HB3647, HB3887, HB4430, HB4431, HB2964, HB3834

Keywords: Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs

Bills: HF3753, HF4299, HF4700, HF4282, HF4139, HF3530, HF4031

Keywords: school safety, threat assessment, pilot project, education, real-time monitoring, public safety, HF4299, school safety specialists, Minnesota School Safety Center, appropriation, general fund, fiscal year 2026, school security, school violence prevention, student safety, Department of Public Safety, school resource support, education funding, peace officer, training reimbursement

Transcript Highlights:

• I'm also an emergency medicine physician here in Cheyenne.
• at this uh interstate teacher mobility at this uh interstate teacher mobility compact.<01:15:30.719
• compact uh is to facilitate the mobility compact uh is to facilitate the mobility of<01:15:56.800
• streamlined pathway to lensure mobility. streamlined pathway to lensure mobility.
• Um, I'd like teacher mobility compact.

Bills: SF0035, SF0090, SF0072

Keywords: education, cell phones, smart devices, school policy, student conduct, school property, rental fees, youth activities, education policy, Wyoming legislature, teacher licensure, teacher mobility, interstate compact, education compact, licensure reciprocity, reciprocal certification, teacher certification, professional teaching standards board, out-of-state teachers, military spouse

Bills: SF0035, SF0090, SF0072

Keywords: education, cell phones, smart devices, school policy, student conduct, school property, rental fees, youth activities, education policy, Wyoming legislature, teacher licensure, teacher mobility, interstate compact, education compact, licensure reciprocity, reciprocal certification, teacher certification, professional teaching standards board, out-of-state teachers, military spouse

Transcript Highlights:

• What is there, a mobile service unit or...
• Senator Soules, Senate Bill 222, Physician Residency Programs. Physician residency programs.
• We have a problem with physicians. This is a direct way to address that problem.
• In the 90s, they thought we were going to have too many physicians.
• This needs to be something that continues so that New Mexico has plenty of physicians.

Bills: SB211, SB131, SB183, SB222, SB246, SB254

Keywords: appropriation, local government, Las Vegas, Rodriguez Park, public facilities, zoning reform, building regulations, residential apartments, commercial use, multigenerational housing, local government authority, healthcare, urgent care, emergency services, feasibility study, medical facilities, physician training, medical residency, New Mexico, massage therapy

Transcript Highlights:

• Aeronautics as the central node in the clearinghouse for all unmanned aerial systems and advanced air mobilities

Bills: SB1475, SB2049, SB1966, SB1531, SB80

Keywords: memorial, infrastructure, transportation, dedication, Toby Keith, SB 2049, Oklahoma Department of Transportation, ODOT, Transportation Commission, surety bond, surety company, performance bond, contractor nonperformance, construction contract, public works, transportation contracts, bond claim, state transportation projects, Title 69, OMES

Bills: SF0072, SF0104, SJ0005

Keywords: teacher licensure, teacher mobility, interstate compact, education compact, licensure reciprocity, reciprocal certification, teacher certification, professional teaching standards board, out-of-state teachers, military spouse, active duty military, teacher shortage, career and technical education, CTE teacher, background check, disciplinary records, licensure portability, multistate commission, education regulation, school staffing

Transcript Highlights:

• We give law enforcement the access and mobility that they need to do their jobs effectively.
• An article was published stating that mobility leaders are moving forward on a study to extend US 290
• HB4888 would empower regional mobility authorities to finance transportation projects for other entities
• This bill ensures that projects funded contribute to broader regional and state mobility goals.
• When the legislature created regional mobility authorities in 2003, they were always intended to be more

Bills: HB1589, HB2208, HB2297, HB2560, HB2725, HB3080, HB4417, HB4473, HB4520, HB4662, HB4888, HB4905, HB4906

Keywords: HB 1589, toll road, toll project, toll project entity, voter approval, local control, county election, commissioners court, Transportation Code, Chapter 372, road construction, highway funding, infrastructure, public referendum, ballot measure, transportation policy, Texas toll roads, regional mobility, toll collection, vehicle registration

Transcript Highlights:

• This bill would introduce more prior authorization in Minnesota than the number one cause of physician
• And again, I'm not a physician, so maybe we want to have a physician come back, but it's my understanding
• ,<00:34:18.640> so care And again, I'm not a physician, so care And again, I'm not a physician
• <00:34:20.159> come maybe we want to have a physician come maybe we want to have a physician
• model under uh the physician model under uh the physician anesthesiologist.<01:40:36.720> And

Bills: HF4712, HF4801, HF3756, HF4860, HF4931, HF4289, HF4460

Keywords: residential pools, swimming classes, certification, private business, health safety, health care, prior authorization, managed care, medical assistance, mental health, substance use treatment, chronic conditions, health insurance, insulin, healthcare access, pharmacy regulations, patient assistance, affordable medication, healthcare, pharmacy

Summary: The committee met at 1:00 p.m., confirmed a quorum, and approved the April 8, 2026 minutes. The first bill heard was House File 4712, which was laid over after the committee adopted a DE2 amendment. Representative Schultz said the bill would create a narrow additional exception to public pool limitations so highly certified swimming instructors could use certain pools for specialized infant, youth, and developmental-disability swim instruction. The only testifier, Tessa Seppelt, described ISR instruction as water-safety and drowning-prevention training for very young children and children with developmental delays, and said access to appropriate facilities is the main barrier. Members raised questions about emergency egress, public safety, and insurance coverage, and the author said he would follow up on those concerns. The committee then took up House File 4801, a bill by Representative Nadeau aimed at health care program integrity. He said it would align commercial and Medicaid partners to reduce waste, fraud, and abuse by changing prior authorization and retrospective review processes, improving data sharing on suspected fraud, addressing conflicting or duplicative services, allowing managed care organizations to verify provider credentials, and making risk corridors in MCO contracts permanent. The Minnesota Council of Health Plans supported the bill, saying it would help detect fraud and improve coordination, while the Minnesota chapter of the American Academy of Pediatrics opposed it, arguing that expanded prior authorization would delay care, increase physician burden, and harm children with chronic conditions. Members debated patient safety, fraud detection, and whether the bill would undermine recent prior-authorization reforms. The bill was laid over. House File 3756, a technical update to the insulin safety net program, was also laid over. Representative Backer said the bill clarifies that a hospital-use intravenous insulin product is not part of the program because it is sold only to health care institutions and infused by practitioners, not dispensed to patients for self-use. The Board of Pharmacy testified that the language was drafted to avoid affecting future legitimate uses, and members asked whether the definition could limit new uses if treatments change. The committee then began House File 4860, but the transcript cuts off before the bill’s presentation is completed.

Transcript Highlights:

• Which can already be dispensed by a pharmacist with a prescription from a physician, but what other things

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Transcript Highlights:

• So on the ultrasound, are those read by a physician? The bill. Are you finished?
• So on the ultrasound, are those read by a physician or just who reads the results of those ultrasounds
• way that states that the ultrasound tech cannot be the one that interprets the results and that a physician

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Transcript Highlights:

• You're a physician on the bill. Yeah. I'm Zeke Silva.
• It allows patients and physicians to address concerns together.
• As Senator mentioned, we see a physician shortage.
• , and I want physicians in Texas.
• There is not a primary care physician within an hour of her community.

Bills: HB163, HB216, HB721, HB2035, HB2038, HB3057, HB3153, HB3233, HB3595, HB3801, HB3812, HB4076, HB4129, HB4377, HB4535, HB4666, HB4730, HB4743, HB4903, HB5149, HB5155, HB1534, HB163, HB216

Keywords: epinephrine, healthcare, emergency response, administration, medical policy, health care, itemized billing, patient rights, provider regulations, Texas Health and Safety Code, cost disclosure, insurance, benefit plan, administrators, chemical dependency, treatment facilities, minor admissions, parental notice, mental health, medical licensing