Transcript Highlights:

• House File 2732 offers a real solution: to provide direct ongoing support to rural providers, helping
• providers face.
• I've been a licensed family child care provider in St.
• It has raised wages for providers and helped keep more providers in work and more centers open.
• We provide training and support for county and community-based foster care licensing organizations. .

Bills: HF1367, HF2732, HF1897, HF1424, HF1383, HF2728, HF2863, HF1685, HF2929

Keywords: child maltreatment, child abuse, neglect, physical abuse, sexual abuse, sex trafficking, labor trafficking, human trafficking, child protection, local welfare agency, county social services, Minnesota Department of Human Services, judicial review, district court appeal, venue, out-of-state abuse, cross-border investigation, Minnesota child welfare, family assessment, maltreatment determination

Transcript Highlights:

• I've been a licensed family child care provider in St.
• family child care I've been a licensed family child care provider<00:35:32.920> in<00:35:33.079
• and license the relative caregiver and provide background studies to the household.
• license uh and license the relative caregiver<01:36:05.480> and<01:36:05.639> provide<
• We provide training and support for county and community-based foster care licensing organizations and

Bills: HF1367, HF2732, HF1897, HF1424, HF1383, HF2728, HF2863, HF1685, HF2929

Keywords: child maltreatment, child abuse, neglect, physical abuse, sexual abuse, sex trafficking, labor trafficking, human trafficking, child protection, local welfare agency, county social services, Minnesota Department of Human Services, judicial review, district court appeal, venue, out-of-state abuse, cross-border investigation, Minnesota child welfare, family assessment, maltreatment determination

Transcript Highlights:

• They can go out into the field and work in a clinic under a licensed therapist, providing services for
• We had some issues with providing licenses and actually ending licenses early this last legislative session
• from foreign nationals who are getting those licenses.
• It has less to do with the number of licenses.
• license due to criminal activity.

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:

• Freestanding Psychiatric Hospitals licensed under Chapter 576.7 of the Health and Safety Code provide
• Because you can license physicians in this state, but if you don't provide them a pathway to board eligibility
• Giving them a license is not the end goal by itself, but we’re providing them a pathway toward board
• licensing pathway.
• And there's a growing part of the workforce that is... are not licensed healthcare providers.

Bills: HB 44, HB 2200, HB 1612, HB 2747, HB 2038, HB 3717, HB 1431, HB 3800, HB 3801, HB 3560, HB 3246

Keywords: HB 44, Life of the Mother Act, abortion exceptions, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, miscarriage, spontaneous abortion, fetal survival, Texas abortion law, abortion ban, physician liability, health care provider, disciplinary action, aiding and abetting, emergency abortion, obstetric care

Summary: The meeting of the public health committee focused on the pressing issue of opioid addiction in Texas, with a particular emphasis on House Bill 3717. Chairman Harris detailed the bill's intent to fund a grant program for Ibogaine clinical trials, framing it as a critical response to the ongoing opioid crisis. He shared poignant testimonies highlighting the struggles of families and veterans battling addiction and mental health issues. The conversation underscored the necessity of innovative treatments, like Ibogaine, which showed promising results in studies for reducing symptoms of withdrawal and PTSD.

Transcript Highlights:

• So this allows certain types of individual providers, specifically licensed professional counselors,
• LBHPs, and licensed alcohol and drug counselors, to be eligible providers working in a federally qualified
• workers to these other provider types.
• It also puts providers in a bad position.
• So if they provide their services for any agencies, Yes. Understood.

Bills: SJR50, SJR51, SJR52, SJR53, SJR54

Keywords: Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, healthcare regulations, Oklahoma Health Care Authority, permanent rules, joint resolution, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs

Summary: The Senate Committee on Administrative Rules met with a quorum and considered five Oklahoma Health Care Authority and OMMA rules resolutions. Senate Joint Resolution 50 was presented as a federal-law conformity change allowing licensed professional counselors, LBHPs, and licensed alcohol and drug counselors to work as eligible providers in federally qualified health centers and rural health clinics; despite questions about the fiscal estimate, it passed 9-0. SJR 51 was amended to correct rule citations related to human genome sequencing, then failed on a 4-5 vote after members noted an estimated $860,000 fiscal impact tied to legislation. SJR 52, removing physician visit limits in Medicaid, was described as an access-to-care and rural health measure that could reduce ER use; it passed 8-1. The committee then took up SJR 53 from the Oklahoma Medical Marijuana Authority, which would align rules with statutes requiring prepackaging of medical marijuana products and other provisions. Members questioned OMMA extensively about the economic impact, the discrepancy between the agency’s estimate and Loft’s much larger estimate, and whether the rules were already being implemented under emergency authority. OMMA said the rules mirrored existing statutes and that the cost would fall on the industry and ultimately consumers, not the agency. After debate about regulatory fairness and the effect on the industry, the resolution passed 5-4. Finally, SJR 54, a non-major OMMA rule change renaming the adjudicator from administrative law judge to hearing examiner to match the Administrative Procedures Act, drew concerns about independence and whether OMMA should be required to contract for outside adjudicators. The director said the change was only a terminology alignment and would not alter current practice, and Senator Bergstrom said he would pursue legislation next year to require outside contracting. An amendment changed the committee’s position from disapprove to approve, but the underlying resolution still failed 4-5. The committee then adjourned.

Bills: SB 95, SB 268, SB 493, SB 619, SB 660, SB 922, SB 984, SB 1098, SB 1188, SB 1307, SB 1332, SB 1822

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, conscience protection, health care services, civil remedy, health care providers, patient access, hospital safety, emergency room, bollards, traffic protection

Transcript Highlights:

• the licensing process and for the agencies.
• the cost of licensures raise their license fees.
• A license has a list of authorized CPE providers, and if I punch in. a vendor that I took a class on
• . make a difference is the imposition of a unique provider number that will provide that transparency
• health care providers.

Bills: SB500, SB719, SB912, SB1232, SB1467, SB1777, SB1864, SB2023, SB2119, SB2458

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Transcript Highlights:

• number that will provide that transparency of where specifically the service was provided, and that
• number that will provide that transparency of where specifically the service was provided, and that
• number that will provide that transparency of where specifically the service was provided, and that
• number that will provide that transparency of where specifically the service was provided, and that
• number that will provide that transparency of where specifically the service was provided, and that

Bills: SB500, SB719, SB912, SB1232, SB1467, SB1777, SB1864, SB2023, SB2119, SB2458

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Summary: The committee first took up several pending bills and reported them favorably: SB 968, SB 636 as substituted, SB 1137, and SB 1138 as substituted. Each was advanced by roll call vote, and the committee also recommended the approved bills for the local and uncontested calendar. The chair then moved to the posted agenda and heard SB 719, a mental health bed-capacity study bill by Senator Eckhart, with a committee substitute that refined the data collection to distinguish state and non-state beds, child and adult beds, include two point-in-time counts, and capture jail diversion data. Testimony on SB 719 was largely supportive from Integral Care, NAMI Texas, and the Children’s Hospital Association of Texas, all of whom said Texas needs better data on inpatient psychiatric capacity, workforce needs, and future demand. Several witnesses described long waits for beds, especially for forensic restoration, and argued the study would help target future investments. Senator Perry and others noted the state has already made major investments in new beds and urged the bill to account for beds already coming online; the committee ultimately withdrew the substitute and left SB 719 pending after public testimony closed. The committee then heard SB 1864, which would allow small egg producers to sell ungraded eggs more broadly, including to restaurants and retailers, with the substitute increasing the weekly sales threshold and addressing sanitation and labeling. Supporters said grading is about size, not safety, and that the bill would help small farms reach new markets; opponents from the Texas Poultry Federation argued grading and candling help identify cracks and defects that can affect safety and quality. The committee adopted the substitute and left the bill pending. It also heard SB 1467, requiring DSHS to share death record information with hospitals for record accuracy and quality review, and SB 912, which would modernize continuing education tracking for health licensing agencies; both bills drew supportive testimony and were left pending. Finally, the committee heard SB 2023, which would create an HHSC grant program to help counties pay for indigent burial costs, with county representatives testifying in support.

Transcript Highlights:

• I appreciated the edification that you provided.
• And I mean, I think the explanation you provided for me.
• Was that this will better enable these service providers, these nonprofit service providers for the most
• So, just wanted to provide that clarification.
• I'm actually Mom's Meals is one of those providers.

Bills: HB4422, HB4117, HB4300, HB4298, HB2984, HB3344

Keywords: immigration, public assistance, legal status, food assistance, state benefits, family resource center, community support, employment services, kinship families, social connections, child care, criminal history, background checks, child safety, licensing, Oklahoma laws, advisory committees, daycare, licensed child care facility, child care subsidy

Bills: SB45, SB61, SB222, HB385

Keywords: athlete agents, commission, state regulation, Alabama, higher education, athletics, membership diversity, school psychologist, school psychology, interstate compact, licensure compact, license reciprocity, portable license, equivalent license, professional licensing, psychology board, school mental health, student services, educational services, interstate practice

Transcript Highlights:

• License plates.
• and HHSC to the local government provider with jurisdiction over the services. the providing facility
• Around to take them, then, yes, they might end up in the county jail, either provided or not, providing
• the provider.
• And are there licensed health care providers there? Yes. OK, what type of license do they have?

Bills: SB670, SB1388, SB627, SB912, SB269, SB528, HB2711, HB4819, HB5248, HB4175

Keywords: SB 670, investigational sun protection products, sun protection, sunscreen, FDA approval, clinical trial, phase one trial, patient access, informed consent, physician prescription, Texas Health and Safety Code, Texas Medical Board, compassionate use, experimental treatment, medical freedom, patient autonomy, healthcare regulation, dietitian, dietitians, licensed dietitian

Transcript Highlights:

• Chair, also wanted to know when a provider is with temporary license, why they are excluded from the
• with a temporary line that a provider with a temporary license<00:13:47.960> under<00:13:48.120
• So, for how long does a provider hold the temporary license?
• So, that to me means no temporary-license provider will be paying into fines because they may be excluded
• c><00:15:02.800> uh that no temporary license uh that no temporary license uh provider<00:15:04.320

Bills: HF3526, HF3375, HF3469

Keywords: home care, licensing, fines, advisory council, grant program, client safety, healthcare regulation, HF3375, Minnesota disability waiver, waiver rate system, human services, individualized home supports, individualized home supports with training, individualized home supports with family training, positive support services, employment support services, employment development services, employment exploration services, billing limits, service authorization year

Transcript Highlights:

• <00:20:00.320> currently investigations into providers currently investigations into providers
• Thank you, Miss Mock, for the discussion. amendment um this provides that um the amendment um this provides
• The 9-violation provider did get put under conditional licensing, and I think this bill will help the
• did get put under conditional licensing did get put under conditional licensing and<00:32:30.960
• It is to provide help for child care facilities, right?

Bills: HF1169, HF1916

Keywords: child protection, child welfare, paperwork reduction, social services information system, SSIS, Department of Children, Youth, and Families, foster care, children in placement, county social services, Tribal governments, private child placing agencies, case management, administrative burden, information technology, human services, welfare administration, Minnesota tribes, child care assistance, CCAP, program integrity

Transcript Highlights:

• residence is in Texas, and two, the provider must be licensed to practice in Texas and maintain a physical
• House Bill 3151 designates FQHCs and FQHC providers as providers eligible for expedited credentialing
• This is then also able to provide some risks and benefits.
• I've also been licensed for 35 years.
• The threat of an investigation caused providers, including mental health care providers, to cease caring

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:

• And when you take a setting that is not a licensed entity, A through D are all entities that are licensed
• Licensed paramedics are often the first on the scene in emergencies.
• I also have that to provide. You don't get a call on your own accord.
• There's an in-between between us dispatching a provider and sending a provider to you.
• Yes, I'm a licensed paramedic.

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:

• I've seen what happens when we fail to provide that chance.
• providing over 19,000 1,000 abortion drugs to our state every single year.
• What we are seeking to avoid is additional liability on providers who are not providing elective abortions
• But this state has attacked prenatal care providers, defunded education, doesn't provide free school
• I'm an attorney licensed in the state of Texas.

Bills: SB10, SB16, SB6, SB 6, SB 10, SB 16

Keywords: trafficking, prostitution, affirmative defense, victims, criminal justice reform, victim rights, criminal justice, judicial reform, court procedures, mental health services, criminal penalties, court security, SB 6, Woman and Child Protection Act, abortion, abortion-inducing drugs, medication abortion, mifepristone, misoprostol, pro-life

Transcript Highlights:

• Providers truly need to have a voice at the table. Licensing needs to exist.
• Current state prohibits licensed child providers and licensed exempt centers from being reimbursed under
• Current state prohibits licensed child providers and licensed exempt centers from being reimbursed under
• Current state prohibits licensed child providers and licensed exempt centers from being reimbursed under
• create that crisis nursery licensing. create that crisis nursery licensing.

Bills: HF4382, HF2929

Keywords: child care, day care, child care center, family child care, family day care, group family day care, licensed child care, licensing modernization, early childhood education, preschool, infant care, toddler care, school-age care, drop-in child care, night care, sick care, community-based child care, provider training, staff ratios, group size

Transcript Highlights:

• care to victims may not provide or offer to provide drugs or devices which terminate pregnancy.
• to provide health care in Texas.
• It's my understanding that the legal language provided in this bill as filed will provide im- important
• This bill provides additional and necessary clarity that we believe will be helpful to provide the best
• Physician license to practice medicine under the occupations code who provides obstetrics care so the

Bills: HB44, HB2200, HB1612, HB2747, HB2038, HB3717, HB1431, HB3800, HB3801, HB3560, HB3246, HB44

Keywords: HB 44, Life of the Mother Act, abortion exceptions, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, miscarriage, spontaneous abortion, fetal survival, Texas abortion law, abortion ban, physician liability, health care provider, disciplinary action, aiding and abetting, emergency abortion, obstetric care

Transcript Highlights:

• This bill allows a hospital to have a mobile stroke unit licensed under the hospital's license.
• Again, testifying in favor of HB 216, which would require health care providers to provide an itemized
• You know, you're the licensing board. We are the licensing board. We have Texas standards.
• We have a license called FTL, which is a faculty temporary license.
• It is not a health insurance provider.

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

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

Summary: The committee met without a quorum at first, then established a quorum with five members present. Members heard and left pending several House bills, including HB 4743 on allowing hospitals to license mobile stroke units under a hospital license, HB 4129 on earlier DFPS enforcement tools for single-source continuum contractors in community-based foster care, HB 4903 creating a Quad Agency Child Care Initiative to coordinate child care regulations across state agencies, HB 3812 revising the gold card/prior authorization process for physicians, HB 4535 requiring written informed consent before COVID-19 vaccination and a standardized state information sheet, and HB 4666 reducing the frequency of some HHSC reports to the legislature. The chair also noted HB 35 would be voted on later after a subcommittee back was received, and that a large number of bills would be heard the next day. Most of the testimony focused on HB 4535 and HB 4730. On HB 4535, supporters argued the bill would strengthen informed consent for COVID vaccination by requiring written consent and clearer state-level information about risks, manufacturer liability protections, and adverse-event reporting; opponents, including a pediatrician and medical groups, said existing federal and state informed-consent materials already cover these topics and warned the bill could create duplicative paperwork and penalties. On HB 3812, the Texas Medical Association supported changes that would extend the gold-card evaluation period to one year, raise transparency, and make prior authorization exemptions easier to administer, while health plans said they were neutral and viewed the bill as a balance between reducing burden and preventing fraud or unsafe care. HB 4730 drew extensive testimony from adoption professionals, birth mothers, adoptive parents, and child welfare advocates. The bill would require DFPS to create a relinquishment form, train child-placing agency staff, and extend the minimum waiting period for voluntary relinquishment from 48 hours to seven days. Supporters of the current law argued the 48-hour period aligns with hospital discharge, allows informed decisions, and helps birth parents and adoptive families begin healing and bonding without pushing children into foster care or creating legal and Medicaid complications. The author said the bill would be revised and that the seven-day provision was a work in progress. No votes were taken on the bills during the meeting; each bill was left pending after public testimony closed.

Transcript Highlights:

• education to keep that license.
• education to keep that license.
• age verification providers association. age verification providers association.
• Um I think the the and provider.
• We also must follow Minnesota Statute 62M.09, which also makes these requirements that a licensed provider

Bills: HF357, HF3389, HF1434, HF2500, HF1606

Keywords: HF357, hasenpfeffer, card games, social skill game, Minnesota gambling law, tournament, contest, prize limit, low-stakes gaming, card game exemption, gambling exemption, cribbage, bridge, euchre, pinochle, Texas hold'em, whist, skat, sheepshead, gin