Transcript Highlights:

• And then there was also a requirement that they operate the facility for a minimum of 10 years.
• with that okay I'll remove that part and then there was also a requirement that they operate the facility
• We might have a deliverable of you're going to train all of our staff because we all have.
• really hard to train, you know, all of the people at the county level or the zone level that would be
• So we might need training tools for them. That would be a deliverable, that you will meet this.

Bills: SB2015

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The Senate Appropriations Human Resources Division met to finalize changes to the human services budget bill and related amendments. Members discussed several items, including a proposed $5 million appropriation for the Altru Hospital project to address inflationary costs, with the rest of the funding question left for conference committee. They also agreed to keep the 10-year operating requirement language for the project and remove a matching-funds provision that was no longer needed. The committee spent considerable time on the OASIS child welfare IT system. Donna Auckland explained that the project is still in the RFP stage, with vendor selection and contract negotiation likely taking months, and that the system will require 50-50 federal matching authority. Based on that testimony, the committee agreed to reduce the general fund amount from $14 million to $6 million and use a line of credit for the remaining authority, while preserving the federal match authority so the contract can be signed and the project can proceed. Members also approved a technical fix to add governor’s designee language for the Children’s Cabinet, which had been missed in another bill already on the governor’s desk. Keith reviewed updated long sheets showing additional budget adjustments, including provider inflation changes, a $50,000 Family Voices grant, reductions to CARES Act COVID funds, and moving the $5-per-day basic care rate increase from ongoing to one-time funding. No formal votes were recorded in the transcript, and the committee adjourned with plans to reconvene Monday if the final bill version was ready.

Transcript Highlights:

• I'm the director for the Division of Municipal Facilities at the North Dakota Department of Environmental
• Chairman, is to have this four-plex facility available to all different kinds of needs.
• appropriation that it only So is your concern regarding the appropriation that it only funds one facility
• What program does the Manchester House use to construct their facilities?
• may be provided separately from the facility ownership interest.

Bills: SB2015

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The committee first discussed a wastewater infrastructure bill, centered on whether state support should be provided as a grant or through the existing Clean Water State Revolving Fund as a low-interest loan program. Department of Environmental Quality official David Brushwine explained that the SRF already finances wastewater projects, can leverage federal funds with state bond proceeds, and could accommodate the Washburn, Lincoln, and Peasant projects if they are ready to proceed. Members noted that losing federal grant support would make projects harder for local residents to afford because costs would be recovered through utility rates or special assessments, but the projects would still be eligible for loans. Senator Magrum indicated he would likely concur with the budget after this discussion, and the bill was set aside for later consideration. The committee then turned to a proposed amendment for a four-plex housing project for people with disabilities or other special needs. Senator Mathern described Sections 7 and 8 as creating a design consultation appropriation and a revolving loan fund modeled on existing hospital and nursing home loan programs, while Section 9 would transfer $3.3 million from the state infrastructure fund. Members debated ownership, rent subsidies, repayment terms, and whether the state should finance the project directly or leave it to a private developer with Department of Human Services oversight. Concerns were raised that the state should not own the housing and that the proposal needed more work to be workable, but the committee ultimately reached consensus to adopt Sections 7 and 8 and leave out Section 9 for further conference committee discussion. The committee also reviewed provider inflation and long-term care rate issues, with members discussing whether to support a 2% and 1.5% inflation adjustment and how to handle the $5-per-day basic care rate. Staff explained that the $5 payment was already in the base budget, but members debated whether it should remain ongoing or be treated as one-time funding and paired with a study of rate rebasing. The committee agreed to have draft language prepared to remove the $5 from the base budget and add study language, then moved the bill forward for drafting.

Transcript Highlights:

• doing, and that would save the whole discussion on the floor about having another behavioral health facility
• is the provider rate increase, and we're going to get more information; the other is the All True facility
• And nobody talked about any ICF facilities intending to build in the coming biennium.
• I think some of the concern of the facilities or the providers is that this may be just a start and preclude
• And nobody talked about any ICF facilities intending to build in the coming biennium.

Bills: SB2015

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The committee met to review revised long sheets and section-by-section language for a human services/health budget bill, with much of the discussion focused on how to present block grant funding and full-time equivalent (FTE) positions for behavioral health clinics and CCBHCs. Members debated whether to keep FTE counts in the budget at all, ultimately leaning toward removing or zeroing out the FTE references while keeping the dollar authority, and reducing the salaries-and-wages block grant by about $4.75 million. They also discussed public health federal authority, agreeing to remove about $60 million in unused federal spending authority tied to COVID-era funds, and clarified that if federal money later becomes available it could be requested through the Emergency Commission. A major topic was the provider inflation increase. The House version had 2% and 2%, while members debated alternatives and appeared to settle, at least for further work, on 2% in the first year and 1.5% in the second year, with staff asked to recalculate the fiscal impact. The committee also reviewed FMAP changes, noting a revised 2027 FMAP estimate and its effect on general fund and other funds, and discussed whether to adjust public health and other line items accordingly. Several members emphasized that many of these numbers are still tentative and will be refined before final action. The committee also touched on several policy items and capital-related provisions, including behavioral health services, Medicaid expansion, the moratorium on new ICF beds, and a proposed amendment for a medical homes/fourplex-related item that would show a $400,000 legislative investment with repayment from a developer. There was extended discussion of the All True hospital/facility proposal, with some members favoring leaving it in with a smaller initial commitment and others preferring to remove it and revisit later in conference committee. The meeting ended with staff asked to continue updating the bill language and members instructed to review remaining sections before the next meeting; no final votes were taken in the portion provided.

Transcript Highlights:

• Intermediate care facilities.
• Is this outline here for one facility?
• This is for one facility, about a 5,000-square-foot facility, which would house four individuals.
• care facilities that we've done out in Dickinson or the hospice facilities.
• care facilities that we've done out in Dickinson or the hospice facilities.

Bills: SB2015

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The Senate Appropriations Human Resources division met with a quorum and spent much of the meeting on a proposed “medical home” concept for people with significant disabilities and medical needs. Matt Schwartz described the need for small, community-based homes so adults like his daughter could live in a least-restrictive setting without losing housing if service providers change. Architect Jeff Eubel presented a conceptual budget for one roughly 5,000-square-foot facility for four residents, explaining that the design would likely include four large sleeping units, common space, support areas, and medical infrastructure such as emergency power, oxygen, sprinklers, and accessibility features. Committee members and George Sink, joining by phone, raised questions about layout, zoning, ownership, staffing, and whether families would actually move loved ones into such facilities if they were far from home. The department said the concept was not in the governor’s budget and identified staff who could continue discussions; the committee did not take final action and instead discussed refining the language with interested members. The committee then turned to amendments related to long-term care and behavioral health funding. One amendment would reduce a planned $4 million general fund incentive payment and instead create a withhold-based quality program for nursing facilities, to be developed collaboratively by the department and providers and reported to Legislative Management by September 2026. The department said it could live with the language but preferred the governor’s timing; several senators questioned whether the committee should be directing an operational policy change and whether the study would simply delay implementation. No vote was taken, and the amendment was set aside for later consideration. A second amendment would clarify use of an existing $2 million general fund item for behavioral health services in nursing homes and basic care facilities, directing it toward training, technical assistance, consultation, and direct patient care for residents with medically based behavioral health disorders. Members noted the funding was already in the bill and discussed it in the context of other budget items, but again deferred action. The committee also clarified that a separate $750,000 juvenile justice diversion appropriation in House Bill 1425 was distinct from a similar amount in the budget and should likely remain in that separate bill. The chair indicated a goal of having amendments ready by the end of the week, and the committee recessed without final votes on the discussed items.

Transcript Highlights:

• Across different providers and facilities.
• Health care facility.
• If a patient is trying to get an estimate from a facility, what happens if that facility doesn't cooperate
• Trainings be listed on the agency's website.
• So, y'all already have training programs?

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:

• The existing roadway is a high-speed rural roadway with limited trail facilities. city of Sock Rapids
• with limited high-speed rural roadway with limited trail<00:02:24.640> uh<00:02:24.840> facilities
• <00:48:41.520> which<00:48:41.680> have major athletic facilities which have major
• athletic facilities which have been<00:48:41.920> in<00:48:42.079> the<00:48:42.240>
• <01:14:15.120> and amazed to hear uh tour the facility and amazed to hear uh tour the facility

Bills: HF1569, HF460, HF850, HF707, HF798, HF852, HF366, HF365, HF836, HF866, HF885, HF959, HF1196, HF1788, HF1349, HF2272, HF2652, HF1251, HF607

Keywords: transportation, bond issuance, capital investment, infrastructure, road improvements, HF460, Sibley County, Highway 21, County State-Aid Highway, bonding bill, state bonds, bond proceeds fund, transportation grant, infrastructure improvements, sanitary sewer, water main, storm sewer, stormwater, public works, local infrastructure

Transcript Highlights:

• Supplemental Nursing Services Agency updates, assisted living facility updates, and medication training
• Section 7 modifies adult mental health case management service provider training and qualifications.
• Often, people have very high needs; that's why they're in the IRTS facility.
• Cloud facility, and House File 1579 would allow this facility, as well as the Minneapolis Village, to
• rate on top of that, and those rates vary by facility.

Bills: HF2115, HF2276, HF1644, HF99, HF2068, HF2707, HF2704, HF2406, HF1674, HF1579

Keywords: human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator

Transcript Highlights:

• , and medication facility updates, and medication training<00:05:10.639> program<00:05:11.199>
• training program approvals. training program approvals.
• Cloud facility, and House File 1579 would allow this facility, as well as the Minneapolis facility, to
• And those rates vary by facility.
• And those rates vary by facility.

Bills: HF2115, HF2276, HF1644, HF99, HF2068, HF2707, HF2704, HF2406, HF1674, HF1579

Keywords: human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator

Transcript Highlights:

• law enforcement response training centers.
• It's an existing facility, existing training, you know, this is the first responder training. out of
• That's correct, and that training is excellent.
• So it's a training. detection and so forth, so those individuals are trained to recognize someone who
• I'd be interested in getting some of the training.

Bills: HB33, HB45, HB48, HB1261, HB1465, HB1778, HB2596, HB5238, SB2969, HB45, HB48

Keywords: HB 48, oilfield theft, organized theft, petroleum products, oil and gas equipment, DPS, Department of Public Safety, Texas, Railroad Commission, criminal justice, energy resources, theft prevention, organized crime, border region, El Paso, law enforcement task force, asset recovery, pipeline theft, drilling equipment, equipment theft

Transcript Highlights:

• Madam Chair, Senator Kavanaugh, the national standards already incorporate AED training in the CPR training
• Arizona already requires CPR training before graduation, and the training includes instruction on using
• This is why training matters. An AED on the wall doesn’t save lives, but a trained person does.
• Simple research that I looked up says AED training is highly recommended to complement CPR training because
• Simple research that I looked up says AED training is highly recommended to complement CPR training because

Bills: SB1009

Keywords: cardiopulmonary resuscitation, AED training, high school curriculum, public school, safety training, emergency response, 1182, all

Summary: The committee meeting began with member and staff introductions, followed by consideration of SB 1009, which would expand Arizona high school emergency response training to include instruction on using automated external defibrillators (AEDs) alongside CPR. The sponsor, Senator Kavanaugh, argued the bill would improve school safety, cost schools nothing because it would be folded into existing CPR instruction, and would help students and staff respond to sudden cardiac arrest. Supporters included the American Heart Association and student witnesses, who emphasized that AED and CPR training can save lives and should be available in schools. The Arizona Education Association opposed the bill, saying it adds an unfunded mandate, could take instructional time away from core subjects, and may require staff time and resources that schools do not have. The Arizona School Boards Association was neutral but raised concerns about funding and implementation, especially for rural districts. During questions, senators debated whether AED instruction is already included in existing CPR standards and whether the bill would create new costs. Senator Kavanaugh said many programs already include AED training and that the bill simply ensures it is part of all school CPR instruction. Opponents questioned the lack of a fiscal note and the reliance on tax credit funding. After discussion, the committee voted on SB 1009 and passed it with a due pass recommendation by a 5-2 vote. Senators Diaz and Brown voted no, while Senators Dunn, Mesnard, Miranda, Werner, and Angius voted yes.

Transcript Highlights:

• Medical Facility Infrastructure Loan Fund.
• , generation facilities, and transmission facilities that cross state lines and have to be paid for by
• And then we are coordinating training efforts with Molly Harrington.
• , locker room facilities on site.
• So some of the dollars could be used to build facilities.

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:

• So training pipelines. I know there's tribal residency in the program. I know training in place.
• We can fund training in place, grow your own.
• That includes board training. So we have great governance going on. And it includes even Training.
• The charity or the health care facility with the most friends wins.
• So it's not indirect, it's directly connected to health care facilities.

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:

• restitution payments when people are incarcerated, including taking 10% of money coming into the facility
• of any money that is coming<00:38:07.119> into<00:38:07.440> the<00:38:07.680> facility
• Use of force training money was established for those funds, and they were only available until 2026
• Use of force training money was session.
• Use of force training money was established<01:06:10.720> for<01:06:10.880> those<01:06

Bills: HF2358, HF3496, HF3504, HF2169, HF3440

Keywords: public safety, coercion, criminal penalties, law enforcement, victim protection, HF3496, supervision abatement, earned compliance credit, earned compliance credits, conditional release, supervised release, corrections, Minnesota Department of Corrections, restitution, willful nonpayment, probation-like supervision, release supervision, community supervision, lifetime conditional release, early termination of supervision

Transcript Highlights:

• with eligible training providers to equip new workers with in-demand skills or upgrade the skills of
• House Bill 5008 will expand access to cutting-edge bio-manufacturing training and address the talent
• half with about a dozen community colleges around the state to create a common curriculum and a training
• program. program, a hands-on training program in that lab to prepare entry-level manufacturing workers
• Parents will also be connected to short-term training programs through our partner Workforce Solutions

Bills: HB1654, HB1691, HB2545, HB2652, HB3799, HB4144, HB5008

Keywords: peace officers, firefighters, employment protection, worker's compensation, job security, maximum medical improvement, government employment, firefighter cancer benefits, emergency medical technicians, compensation claims, cancer exposures, firefighting hazards, workforce training, rural development, grant program, job-specific training, Texas Workforce Commission, child care, single-parent, subsidized

Transcript Highlights:

• So we train them and they leave for other higher-paying positions.
• , critical incident stress management-trained, and peer counseling-trained. ...is going to have their
• critical incident stress management-trained, and peer counseling-trained.
• It’s a lot of training.
• It's for peace officer training equipment.

Bills: SB1161, SB1215, SB1270, SB1400, SB1537, SB1538, SB1580, SB1584, SB1627

Keywords: appropriation, public safety, Yuma County, funding exemption, family advocacy center, firefighters, occupational disease, workers compensation, cancer presumption, police officers, hazardous duty, SB1270, Arizona retirement system, public safety personnel, defined contribution plan, correctional officers, corrections officers, retirement contributions, supplemental contributions, retention incentive

Summary: The committee first heard SB 1161, which would prevent lapse of a $750,000 FY2026 appropriation to DPS for the Yuma County Family Advocacy Center (Amberly’s Place). Testimony described the center’s 24/7 crisis response, forensic interview and medical services, and satellite offices in nearby communities. The bill was moved and received a do pass recommendation on an 11-0 roll call, with three members absent. The committee then considered SB 1215, a clarifying bill on the list of cancers covered by the occupational disease presumption for firefighters and peace officers, with a retroactivity amendment to June 30, 2021. Firefighters’ representatives said the measure corrects a drafting issue involving adenocarcinoma and would prevent denials of claims; members asked about peace officer coverage, independent medical exams, and workers’ compensation impacts. The amendment was adopted and the bill received a do pass recommendation, with 11 ayes, one present, and two absent. SB 1270, dealing with supplemental employer contributions to defined contribution accounts for corrections employees, drew testimony focused on severe retention problems in corrections and county detention. Supporters said the bill would allow optional incentive payments at service intervals to help keep trained officers on the job; members discussed vesting, recruitment versus retention, and whether the program could be funded without a new appropriation. The committee adopted the amendment and gave the bill a do pass recommendation, with ten ayes, one nay, two present, and one absent. The committee also heard SB 1400, authorizing law enforcement wellness and crisis response programs and setting confidentiality rules. Police association testimony supported the concept but noted concerns about the breadth of the privilege carve-outs, especially if licensed therapists are involved; several members said they would support the bill after an amendment clarifying privilege protections. The bill was reported do pass with ten ayes, one nay, and two present. SB 1538, as a strike-everything amendment, would require workers’ compensation coverage for PTSD treatment for firefighters and peace officers and allow one MDMA treatment course if federal approval and rescheduling occur by January 1, 2029. Supporters described promising clinical trial results and argued it could help severe PTSD cases, while county representatives opposed the mandate and raised cost and approval concerns. The amendment was adopted and the bill received a do pass recommendation, with seven ayes, three nays, and one present. Finally, the committee considered SB 1537, renaming the peace officer training equipment fund as the public safety de-escalation and life safety fund and repealing its advisory commission. Testimony explained the change was meant to reduce confusion between similar funds and reflect the fund’s use for de-escalation and safety equipment; some members noted opposition from the Arizona Police Association and concerns about whether the money might be better used for raises. The bill passed on a 7-4 vote with three absent. The committee then began SB 1580, which would appropriate Peace Officer Training Equipment Fund money for fire incident management support and other public safety equipment, including pepperball equipment, simulators, records management software, and retention/recruitment efforts. Testimony supported the equipment and data-sharing investments, but members also questioned accountability, ongoing costs, and whether the listed uses were the best use of the fund.

Transcript Highlights:

• I mean, it wasn't the way we were trained.
• in those facility complaints?
• in those facility complaints?
• And generally, doctors do not go into facilities or attempt to go into facilities to treat patients where
• It’s not a medical facility. It’s a home.

Bills: SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care

Summary: The committee heard testimony on Senate Bill 883, which would protect physicians’ ability to prescribe off-label medications and treatments, framed by the author as a “Right to Treat” measure tied to COVID-19 care. Supporters, including physicians and patient-choice advocates, said the bill would safeguard the doctor-patient relationship and prevent interference by boards, pharmacies, or hospitals. Several witnesses described using hydroxychloroquine, ivermectin, budesonide, antibiotics, steroids, and monoclonal antibodies during the pandemic, and said they faced complaints, board scrutiny, or pharmacy refusals for those prescriptions. The bill was left pending after public testimony closed. The committee then took up Senate Bill 331, which would extend hospital price-transparency requirements to additional health care facilities such as freestanding ERs, urgent care and retail clinics, ambulatory surgical centers, outpatient clinics, and birthing centers. Proponents argued that broader disclosure of prices for shoppable services would help consumers compare costs and reduce surprise billing, while opponents from ambulatory surgery centers said the bill would impose costly compliance burdens on small providers and that insurers or the state already have much of the needed data. The bill was also left pending. Senate Bill 2422 would expunge Texas Medical Board records and impose reparations for disciplinary actions tied to COVID-era treatment decisions, including references to ivermectin, hydroxychloroquine, budesonide, and masks. The author and supporters argued that doctors were unfairly targeted for trying to save patients and should be made whole; the Texas Medical Board representative said most pandemic complaints were dismissed, that actions generally involved broader issues such as privileges, documentation, or informed consent, and that no physician was disciplined solely for prescribing off-label COVID medications. The bill was left pending. Finally, the committee heard Senate Bill 2207, which would loosen Texas Medical Board rules on physicians advertising themselves as board certified, especially by reducing barriers tied to maintenance of certification requirements. Supporters said the current rule is overly restrictive, inconsistent, and costly, and that it drives physicians out of practice; they also said Texas is one of only a few states with such a rule. Witnesses described hospitals using the rule against physicians and said the change would improve transparency and competition. The bill remained pending after testimony.

Transcript Highlights:

• This kind of training facility is an important recruitment and retention asset.
• This kind of training facility is an important recruitment and retention asset.
• This kind of training facility is an important recruitment and retention asset.
• This kind of training facility is an important recruitment and retention asset.
• This kind of training facility is an important recruitment and retention asset.

Bills: HF1833, HF148, HF1127, HF1227, HF1681, HF1974, HF1106, HF1016, HF2197

Keywords: sales tax, education funding, construction, Aitkin Public Schools, tax exemption, refundable credit, HF148, use of force training, deadly force, peace officer training, police training, law enforcement, POST Board, Board of Peace Officer Standards and Training, scenario-based training, de-escalation, defensive tactics, force-on-force training, stress management, officer wellness

Transcript Highlights:

• that trains initial first responders.
• training.
• We train them for that in particular.
• I'm also alert training.
• I'm also alert training.

Bills: HB1455, HB1777, HB2101, HB2136, HB2609, HB3142, HB3552, HB3846, HB4155, HB4514, HB4879, HB4995, HB5014, HB5139, HB5228, HB5436, HCR40

Keywords: mental health, jail diversion, law enforcement, reporting requirements, criminal justice, data collection, criminal justice reform, intellectual disability, mental illness, data reporting, public safety, reporting, substance abuse, sex offender, driver's license, identification, gunshot detection, unreported gunshots, municipal police, crime investigation

Summary: The committee met with a quorum and heard several bills, generally leaving them pending after testimony. HB 4995 would create a training/certification program allowing licensed physicians and certain EMS personnel assigned to tactical units to carry firearms during high-risk deployments, with supporters saying it would protect tactical medical staff and improve emergency care; the committee substitute was withdrawn and the bill left pending. HB 2609 would repeal the OmniBase/failure-to-appear-or-pay license hold program; the author and supporters argued it unfairly compounds debt and traps drivers in noncompliance, while judges and municipal court representatives said it is an effective, voluntary tool that prompts court appearances and reduces warrants. HB 4879 would create a grant program to help local law enforcement pay for lab testing of suspected hemp/THC substances, and HB 5436 would allow licensed auto recyclers to purchase certain untitled vehicles for scrap or parts to curb illegal sales, VIN cloning, and chop shop activity; both bills drew supportive testimony and were left pending. The committee also heard HB 1777, which would place a discrete sex-offender designation on driver’s licenses and state IDs for registrants under Chapter 62. The author said the marker would help law enforcement and businesses quickly identify potentially dangerous offenders and cited other states and research in support, while opponents argued it would function as a scarlet letter, increase harassment, and punish people who are already complying with the law. HB 4155 would create a Family Violence Criminal Homicide Prevention Task Force in the Governor’s Office to study risk factors, coordinate agencies, and recommend policy changes; the author, HHSC, TCFV, and a survivor testified in support, emphasizing the number of family violence homicides and the need for coordinated, data-driven prevention, and the bill was left pending. Finally, HB 4514 would authorize DPS to use facial image verification, with consent and confidentiality protections, to help businesses verify identities and combat fraud. Supporters from the lumber and identity-verification industries said it would reduce losses from fake IDs and organized theft, while the author stressed privacy safeguards and limited, consent-based use. The committee substitute was withdrawn and the bill was left pending.

Transcript Highlights:

• that trains initial first responders.
• Have you done training on it? Anything like that talked about?
• safety. exact same training as paid school marshals.
• And how would that training go from that point on?
• These veterans are among the most highly trained individuals on the planet.

Bills: HB1455, HB1777, HB2101, HB2136, HB2609, HB3142, HB3552, HB3846, HB4155, HB4514, HB4879, HB4995, HB5014, HB5139, HB5228, HB5436, HCR40

Keywords: mental health, jail diversion, law enforcement, reporting requirements, criminal justice, data collection, criminal justice reform, intellectual disability, mental illness, data reporting, public safety, reporting, substance abuse, sex offender, driver's license, identification, gunshot detection, unreported gunshots, municipal police, crime investigation

Transcript Highlights:

• What did you say on the internet or on Facebook you can be trained to defraud the state?
• and assisted living facilities.
• Assisted living facilities.
• First of all, it no longer requires facilities to maintain fuel on site or generation.
• Where are the assisted living facilities on this newest substitute?

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.