Transcript Highlights:

• Do we know what the fiscal could possibly be to the health care authority?
• a request bill from DHS to modify and mirror the statutes related to background checks with child care

Bills: HB2947, HB2964, HB3143, HB3144, HB3342, HB3344, HB3519, HB3522, HB3530, HB3645, HB3647, HB3834, HB4300, HB4422, HB4423

Keywords: behavioral health, Medicaid expansion, clinical interns, mental health services, licensing requirements, medical records, patient rights, privacy, fees, healthcare access, legal claims, medical marijuana, license transfer, Oklahoma Medical Marijuana Authority, moratorium, business regulation, commercial grower licenses, licensing restrictions, agriculture, Medicaid

Transcript Highlights:

• Or a fixed fee based on the cost of rent or care.
• We provide assisted living in Alzheimer's certified care.
• Our mission is to provide high quality care in a home-like setting at an affordable price.
• But now referral agencies are the primary way we get our our customers.
• So because they care. OK.

Bills: HB 1531, HB 2667, HB 2809, HB 2865, HB 3589, HB 3151, HB 3748, HB 3750, HB 4419, HB 4643, HB 3597, HB 4129, HB 4130, HB 4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Transcript Highlights:

• from agencies that help families find senior living communities, such as assisted living or memory care
• Per referral or a fixed fee based on the cost of rent or care.
• We provide assisted living and Alzheimer's certified care.
• When I first started my business 20 years ago, we had to take good care of our residents and build a
• These are the primary way we get our customers.

Bills: HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Transcript Highlights:

• Responsibility for certain out-of-network medical care provided to children in foster care.
• Texans rely on highly trained and skilled health care workers to deliver essential medical care.
• For instance, if a personal care attendant does not have a personal care attendant for a day or two,
• Chair Rhoads, Federally Qualified Health Centers (FQHCs) are non-profit primary care providers that serve
• They bring the primary care there that we need.

Bills: HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Transcript Highlights:

• direct primary care is not insurance. direct primary care is not insurance.
• primary care. primary care.
• c> direct<01:23:13.640> primary Direct primary care and direct primary Direct primary care
• primary care. primary care.
• <01:29:51.880> care<01:29:52.680> can primary care and good primary care can primary

Bills: HF4493, HF3133, HF4595, HF4143, HF4142, HF3756, HF4289, HF1724, HF2291, HF4568, HF4547

Keywords: opioid use disorder, OUD, medication-assisted treatment, MAT, pharmacist prescribing, pharmacy practice, controlled substances, Schedule III, Schedule IV, Schedule V, DEA registration, Board of Pharmacy, substance use disorder, addiction treatment, buprenorphine, naltrexone, harm reduction, prescription authority, pharmacist intern, Minnesota pharmacy law

Transcript Highlights:

• shortages in mental health, primary shortages in mental health, primary care,<01:10:04.080> and
• For 23 years, we provided patient-centered integrated primary care and behavioral health services to
• For 23 years, we provided patient-centered integrated primary care and behavioral health services to
• Our team provides integrative primary care, psychiatry, and substance use treatment.
• Our team provides integrative primary care, psychiatry, and substance use treatment.

Bills: HF3521, HF3563, HF82, HF2689, HF1794, HF3544, HF3516, HF1752

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=bLtalKfzrDo, 2026-06-21T07:17:07+00:00, 2.2.24, Data collected via generic collector engine, Roll Call 00:00:29 Consideration of Referred Administrative Regulations 00:03:41 Update on the Landscape of Substance Use Disorders 00:04:19 Kentucky Office of Drug Control Policy Update 00:05:20 Substance Use Disorder Treatment Access 00:22:09 Mapping of Legislation, Policies, Coverage and Resources 00:58:45 Opioid Abatement: Current Programs and Initiatives 01:12:03 Comprehensive Supervised Substance Use Disorder Treatment 01:23:55 Update on the Health Care Workforce Primary Care Psychiatry Fellowship 01:45:11 Healthcare Worker Loan Relief Program of the Commonwealth 02:00:08 Area Health Education Centers Residency Slots 02:06:10 Health Resources and Service Administration 02:23:14, 958, all, 2.2.42, 2.1.47

Transcript Highlights:

• So, there's a young woman who is about to age out of foster care now; she...
• She came into care because her mom was beating her. She came in as a teenager.
• We were doing everything possible, and I have a... great primary care physician, and we, you know, we
• And are financially capable of providing support for children in court-appointed care.
• I'm Kate Murphy, I'm the Director of Child Protection Policy at Texans Care for Children.

Bills: HB18, HB37, HB116, HB18, HB37, HB116, HB388, HB879, HB913, HB1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: HB 18, Texas Legislature, quorum break, quorum-busting, legislative walkout, absent legislators, political contributions, campaign finance, political expenditures, legislative caucus, specific-purpose committee, Texas Ethics Commission, civil penalty, show cause order, district court, Fifteenth Court of Appeals, session fundraising, travel lodging food expenses, legislative session, compelled attendance

Transcript Highlights:

• Mental Health Care Consortium.
• and you don't have a health care system, you don't have a health care system.
• Henderson, regarding primary care, I've got five rural hospitals that provide services in my district
• Do you all utilize nurse practitioners for primary care? Yes, sir.
• to well care, to actual health care, that's what this bill is about, Senate Bill 2744.

Bills: HB18, HB37, HB116, HB388, HB879, HB913, HB1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744, HB18, HB37, HB116

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

Bills: SF0110, SF0096

Keywords: property tax, residential real estate, tax assessment, primary residence, tax revenue, tobacco, excise tax, wholesalers, remote retail sales, nicotine products, youth prevention, regulation, licensing, 916, all

Transcript Highlights:

• Additionally, this bill allows these contracts only for primary care physicians or primary care physician
• I'm speaking in support of House Bill 2254 on behalf of myself and the Texas Primary Care Consortium.
• Things like advanced primary care and primary care where doctors receive predictable prospective payments
• We have to have strong primary care. Background or else, yeah, I mean especially in a small town.
• So, primary care is critically important in every community.

Bills: HB35, HB138, HB754, HB1314, HB1612, HB2254, HB2510, HB2789, HB3560, HB3597, HB4224, HB4273, HB4643, HB4783, HB138

Keywords: peer support, first responders, mental health, confidentiality, emergency services, health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, human trafficking, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting

Transcript Highlights:

• From a treasurer's perspective, this bill does two primary things.
• year if the primary residence is sold year if the primary residence is sold and<01:01:40.799> another
• tax residence, primary residence to live in. >> And I think that's the question that remains: is the
• <01:04:16.079> tax that is your now your primary tax that is your now your primary tax residence
• residence, primary residence to live in. residence, primary residence to live in.

Bills: SF0110, SF0044, SF0046

Keywords: property tax, residential real estate, tax assessment, primary residence, tax revenue, gambling, lotteries, raffles, social relationships, charitable gaming, gaming, liquor establishments, skill based amusement games, regulations, age restrictions, 916, all

Transcript Highlights:

• So there's a young woman who is about to age out of foster care now.
• She came into care because her mom was beating her. She came in as a teenager.
• We were doing everything possible, and I have a great primary care physician, and we argued over this
• I'm the Director of Child Protection Policy at Texans Care for Children.
• I'm the Director of Child Protection Policy at Texans Care for Children.

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:

• Henderson, regarding primary care, I've got five rural hospitals that provide services in my district
• Do you all utilize nurse practitioners for primary care? Yes, sir. Yeah.
• Henderson, regarding primary care, I've got five rural hospitals that provide services in my district
• Do you all utilize nurse practitioners for primary care? Yes, sir. Yeah.
• care, to actual health care.

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:

• I have been providing care for both... primary care and mental health care in the rural areas for over
• We provide the only access to primary care and mental health care in those counties.
• This bill allows for these contracts only for primary care physicians or primary care physician groups
• So this is, one of the easy ways to think about this in primary care; it's kind of like direct primary
• Texas Primary Care Consortium.

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301

Transcript Highlights:

• One insurer could care about a particular issue a lot more than another insurer, which may not care about
• No, I'm not going to say it, but anyway—but they’ll still have their... primary care doc.
• Having a health care plan is better than not having a health care plan.
• Inpatient care, okay?
• To me, any care is better than no care. Does that make sense?

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301

Bills: HB611, HB897, HB902, HB931, HB1030, HB1092, HB1100, HB1118, HB1138, HB1143, HB1160, HB1185, HB1216

Keywords: pregnancy help centers, healthcare services, licensure, Department of Health, medical services, counseling, regulatory compliance, public health, healthcare data, privacy, pregnancy services, confidentiality, client rights, Louisiana Pregnancy and Baby Care Initiative, trauma-informed, child education, mental health, training program, adverse childhood events, religious instruction

Transcript Highlights:

• In 2017, the legislature passed SB 654. to help alleviate the lack of primary care providers in Texas
• Texans care about their neighbors, and Texas is better than House Bill 1586.
• Nobody cared. Why is that all of a sudden?
• The threat of an investigation caused providers, including mental health care providers, to cease caring
• We need a resolve to accept and care for all.

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:

• Current state law provides for a direct primary care model, which allows patients to pay an agreed-upon
• It would allow primary care without involving insurance.
• I am available as a resource witness for anyone who has specific questions about how direct primary care
• It's the right thing for patient safety, access to care, and our care workforce. Thank you.
• and permanency care.

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:

• If they're paying rent, they tend to take better care of it. Just a slight aside, Mr.
• This bill also protects primary resident homeowners without creating the sweeping revenue losses that
• This bill<01:28:47.520> also<01:28:47.840> protects<01:28:48.320> primary<01:28:
• 48.960> resident bill also protects primary resident bill also protects primary resident homeowners
• residents and repealing an to primary residents and repealing an exemption<01:28:57.520> that

Bills: SF0061, SF0098, SF0110

Keywords: sales tax, motor vehicle, family transfer, tax exemption, Wyoming legislation, veteran, property tax exemption, Wyoming National Guard, honorable discharge, tax benefits, surviving spouse, military service, property tax, residential real estate, tax assessment, primary residence, tax revenue, 916, all