Transcript Highlights:

• Uh, it will this audit have anything to do with maternity leave and school districts that may be taking
• >> So, uh, the audit request didn't have anything to do with the maternity leave part, Senator, but,
• Senate Bill 9 also addressed maternity Senate Bill 9 also addressed maternity leave.<00:25:24.080>
• to do with maternity leave and school<00:25:28.640> districts<00:25:29.120> that<00:25
• leave part, Senator, but, um, maternity leave part, Senator, but, um, if<00:25:39.120> that's

Keywords: Meeting Start: 00:07 Attendance Roll Call: 00:13 Approval of Minutes: 02:28 2025 RS SB 9: TRS Leave Audit Requirements & Process: 03:05 2025 RS SB 10: Overview of Enacted Legislation & Discussion: 28:38 Adjournment: 42:13, 958, all

Summary: The meeting opened with roll call, a quorum was confirmed, and the minutes were approved. The committee then heard testimony on Senate Bill 9, which concerns TRS sick leave audit requirements and process. Auditor Allison Ball’s staff said the audit is an information-gathering review of how teacher sick leave is accumulated, current balances, how many employers use the sick leave function, and the policies and procedures governing sick leave. Members discussed how unused sick leave affects retirement calculations, the distinction between the state’s financial responsibility and school districts’ responsibility, and whether the audit would also examine related leave categories such as personal leave, annual leave, and leave of absence. Committee members emphasized that Senate Bill 9 was intended to add accountability and standardize reporting, including preventing annual leave from being rolled into sick leave. Several members asked for clarification on how sick leave is factored into retirement benefits. Witnesses and members explained that, under the system described, accumulated sick leave can be converted into retirement credit based on a teacher’s daily rate and then multiplied by a percentage, with the school district often bearing the cost. Members also noted nuances in the law, including different accumulation limits by hire date and tier, and that the audit may help the public better understand why some educators retire relatively young. The auditor’s office said it is still early in the process, has met with TRS leadership, and will report back once the audit progresses. The committee also asked whether maternity leave would be included; the auditor’s office said it was not specifically mandated but could be examined if the body requests it. The committee then received an overview of Senate Bill 10 from KPA representatives Ryan Barrow and Rebecca Atkins. They explained that the bill enhances retiree health insurance benefits for certain CRS members who are non-Medicare participants and meet specified career thresholds, with different rules for hazardous and non-hazardous service. They described the benefit as $40 per month per year of service for non-hazardous service and $50 per month per year for hazardous service, both inflated annually, and clarified that these amounts are not cumulative with prior benefit formulas. Members asked about the interaction between the new amounts and existing benefits, and the presenters explained that the bill also changes current employee health insurance contribution rates effective July 1, 2026, with different impacts by tier and hazardous status. The committee discussed the need for clear communication to affected employees and reviewed example calculations showing how the new contribution structure would work.

Transcript Highlights:

• HB514 by Lalani, relating to a maternal healthcare workforce campaign. Dr. Lalani. Thank you, Mr.
• implement a public outreach campaign using available resources to increase the number of trained maternal
• HB 426 by Bernal relates to Medicaid and child health plan program coverage and reimbursement for childhood
• SB 2357 by Perry relating to the maternal health training program for certain health care providers.

Bills: HB1535, HB 123, HB 111, HB180, HB342, HB 1027, HB 1178, HB610, HB 1277, HB1615, HB1620, HB5342, HB4885, HB4751, HB4689, HB4530, HB4488, HB2149, HB2041, HB2071, HB1813, HB2282, HB2248, HB2243, HB2522, HB2310, HB2513, HB2300, HB1902, HB3719, HB4284, HB4327, HB3743, HB3778, HB3801, HB5153, HB5147, HB4877, HB4850, HB3158, HB3261, HB3005, HB3033, HB3138, HB3099, HB2849, HB2967, HB3488, HB3477, HB3466, HB3396, HB3469, HB2594, HB2776, HB2564, HB2298, HB5331, HB5646, HB5247, HB5323, HB2015, HB4384, HB3896, HB4014, HB3627, HB3594, HB2524, HB510, HB561, HB5111, HB5446, HB 1181, HB3963, HB2785, HB1661, HB2460, HB24, HJR138, HB3800, HB42, HB 129, HB677, HB668, HB2128, HB2038, HB2316, HB3686, HB2563, HB 1160, HB3883, HB2788, HB2663, HB3305, HB3474, HB 1105, HB3490, HB3597, HB 1295, HB3512, HB3783, HB2017, HB3010, HB3112, HB4215, HB3223, HB3464, HB3120, HB4214, HB4081, HB4783, HB4063, HB2783, HB5085, HB2510, HB3426, HB4361, HB 1169, HB2516, HB4700, HB3560, HB3860, HB3146, HB184, HB198, HB247, HB367, HB449, HB1778, HB514, HB632, HB2582, HB766, HB2715, HB2712, HB3069, HB3505, HB 1269, HB4224, HB5032, HB2240, HB5180, HB3348, HB4668, HB4665, HB3395, HB3157, HB4395, HB4325, HB4386, HB4273, HB2760, HB2820, HB1828, HB1579, SB2349, SB1268, SB610, SB1577, SB1369, SB2032, SB2034, SB1057, SB1044, SB922, SB1759, SB1143, SB1506, SB1403, SB2361, SB870, SB372, SB72, SB1583, SB2314, SB1267, SB1273, SB765, SB552, HB2145, HJR112, HB1804, HJR110, HB 1194, HB1531, HB5008, HB3421, SCR27, HB5398, HB1407, HB426, HB1535, HB 123, HB1773, HB1871, HB2035, HB2448, HB2492, HB1411, HB4753, HB4666, HB4529, HB1499, HB1610, HB2028, HB1506, HB886, HB3546, HB796, HB223, HB1475, HB3556, HB4638, HB 111, HB180, HB342, HB 1027, HB 1178, HB610, HB 1277, HB1615, HB1620, HB5342, HB4885, HB4751, HB4689, HB4530, HB4488, HB2149, HB2041, HB2071, HB1813, HB2282, HB2248, HB2243, HB2522, HB2310, HB2513, HB2300, HB1902, HB3719, HB4284, HB4327, HB3743, HB3778, HB3801, HB5153, HB5147, HB4877, HB4850, HB3158, HB3261, HB3005, HB3033, HB3138, HB3099, HB2849, HB2967, HB3488, HB3477, HB3466, HB3396, HB3469, HB2594, HB2776, HB2564, HB2298, HB5331, HB5646, HB5247, HB5323, HB2015, HB4384, HB3896, HB4014, HB3627, HB3594, HB2524, HB510, HB561, HB5111, HB5446, HB 1181, HB3963, HB2785, HB1661, HB2460, HCR98, HCR92, HCR126

Keywords: Trinity River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, board of directors, governor appointment, public water authority, regional water authority, water resources, local government, natural resources, board training, ethics, open meetings, public information, conflict of interest, complaint procedures, public comment, director removal, governance reform

Transcript Highlights:

• are they given the option do are do they are they given the option of electing out of of of the coverage
• of electing out of of of the coverage? of electing out of of of the coverage? Not to my knowledge.
• This bill is the companion to the companion to the companion to HB89, the Alabama Maternal Health Care
• HB89, the Alabama Maternal Health Care HB89, the Alabama Maternal Health Care Act, which we passed unanimously

Bills: HB 10, HB 12, HB 147, HB 1522, HB 422, HB 675, HB 204, HB 748, HB 912

Keywords: regulatory reform, government efficiency, administrative law, rulemaking, agency deference, judicial review, de novo review, Texas Government Code, Administrative Procedure Act, state agencies, plain language, regulatory burden, regulatory reduction, cost-benefit analysis, fiscal note, public benefits and costs, contested case, rule challenge, Texas Regulatory Efficiency Office, advisory panel

Transcript Highlights:

• Further lack of investment has resulted in a higher rate of maternal and infant mortality.
• Congress should support improving maternal and infant outcomes for Native Americans.
• Mothers and children should provide the funding set aside in the Maternal Child Health Service Block
• Investing in a robust maternal and birth health workforce will improve data for the American Indians
• And you have mentioned in your comments the alarmingly high maternal mortality rates that we see for.

Keywords: tribal sovereignty, healthcare, education, public safety, Economic Development, Tax Parity Act, PROTECT Act, trust obligations, bipartisan support, Indian Health Services

Summary: The committee meeting focused on crucial issues facing tribal nations, particularly emphasizing the federal government's trust and treaty obligations. The discussions highlighted ongoing challenges such as disparities in healthcare, education, and public safety within Native communities. Chair Murkowski underscored the importance of listening to Native leaders and aligning congressional efforts with community needs, advocating for legislative actions that support tribal sovereignty and economic development. Various initiatives, including the Tax Parity Act and the PROTECT Act, aimed at addressing jurisdictional and financial disparities, were discussed in detail. A call for bipartisan support to alleviate the funding shortages affecting Indian Health Services was made several times during the meeting. Testimonies from tribal leaders and representatives emphasized the dire need for legislative support to enhance infrastructure, healthcare access, and public safety initiatives in tribal communities.

Transcript Highlights:

• Senate Bill 1578, a bill to be entitled: An act relating to coverage for mammograms and supplemental
• Senate Bill 1160 expands the circumstances in which eligibility for such coverage is provided to include
• Senate Bill 1160 gives some peace of mind to those who protect and serve that health care coverage for
• Senate Bill 1160 expands the circumstances in which eligibility for such coverage is provided to include
• I also think about how that money could be used to strengthen our education systems, for maternal health

Summary: The Senate convened with a quorum, prayer, pledge, and several recognitions, including remarks from Senator Berman on Democratic priorities and introductions of military leaders and an intern. The chamber then moved through a long special-order calendar, with many bills substituted to House companions, amended, and passed, while several others were temporarily postponed. Major measures approved included the dangerous dogs/Pam Rock Act (SB 572/HB 593), which tightened penalties and procedures for dog attacks and passed 36-0; local government land regulation (SB 1080), which was amended to remove agricultural enclave language and passed 26-8; vessel/freedom-related legislation (SB 1388/HB 1137), which passed 35-0; blood clot screening and treatment (SB 890/HB 1421), which added registry and training provisions and passed 36-0; fleeing or eluding law enforcement (SB 468/HB 113), which increased offense levels and passed 36-0; concealed carry/licensing for certain officers and service members (SB 490/HB 383), which passed 33-3; timeshare management (SB 496/HB 897), which clarified governance and annual meeting requirements and passed 36-0; background screening education (SB 614/HB 531), which created a public webpage and passed 36-0; utility service restrictions (SB 1002/HB 1137), which preempted local energy-source restrictions and passed 36-0; Medicaid oversight (SB 1060), which created a joint oversight committee and passed 35-0; health facilities authorities (SB 68), amended to make fentanyl urine screening more discretionary, and passed 36-0; and veterans’ nursing home beds (SB 78/HB 797), which authorized veteran- and spouse-designated beds and passed 36-0. The chamber also passed disability history and awareness instruction (SB 540/HB 447), a highly personal bill honoring Evan Hartzell that drew extended debate about disability language, inclusion, and education; it passed 35-0 after 35 co-sponsors were added. Manufacturing policy bills SB 600 and SB 602 were approved after amendments to add reporting, ranking metrics, and fee-use restrictions, both passing 35-0. Educational opportunities for military children (SB 1528) passed 36-0 after testimony from student sponsors and senators praising the bill’s origin. Several other bills, including Medicaid oversight, mammograms, Parkinson’s disease, condominium/cooperative associations, waste management, human trafficking, and Bright Futures, were postponed or not taken up during this segment.

Transcript Highlights:

• Senate Bill 1578, a bill to be entitled an act relating to coverage for mammograms.
• Senate Bill 1160 expands the circumstances in which eligibility for such coverage is provided to include
• Senate Bill 1160 gives some peace of mind to those who protect and serve that health care coverage for
• Senate Bill 1160 expands the circumstances in which eligibility for such coverage is provided to include
• I also think about how that money could be used to strengthen our education systems, for maternal health

Summary: The Senate convened with prayer, the Pledge of Allegiance, and several recognitions, including remarks from Senator Berman outlining Democratic priorities such as education, health care, environmental protection, and opposition to rollbacks on child labor, book access, and gun safety. The chamber also recognized military guests and an intern before moving to the special order calendar. Several bills were temporarily postponed, including measures on human trafficking, waste management, Bright Futures, Medicaid oversight at one point in the flow, and mammogram coverage, though the Medicaid oversight bill was later taken up and passed. The Senate passed a series of bills, often after substituting House companions and adopting technical amendments. Among the major measures approved were the dangerous dogs bill (the Pam Rock Act), which tightened penalties and procedures after fatal attacks; a local government land regulation bill that streamlined comp plan review and defined impact-fee circumstances, though members raised concerns about quasi-judicial hearing limits and local costs; a vessel-related bill combining boating safety and voter-freedom provisions; a blood clot screening and treatment bill creating the Emily Adkins Family Protection Act; fleeing and eluding penalties; concealed carry and firearm possession rules for certain officers and service members; timeshare management reforms; and public education on background screening requirements. The chamber also approved bills on disability history and awareness instruction, manufacturing and a related fee bill, utility service restrictions, educational opportunities for military children, health facilities authorities, and veteran and spouse nursing home beds. The disability instruction bill drew extended debate about the use of the term “disability,” inclusion, and whether the measure was consistent with broader DEI debates; it passed unanimously after emotional testimony from the sponsor and families. The manufacturing and utility bills focused on statewide economic policy and preemption of local restrictions, while the military children bill was presented as a student-driven proposal. Most measures passed with strong bipartisan support, with recorded votes ranging from unanimous to 33-3 on the firearm bill and 26-8 on the land regulation bill.

Transcript Highlights:

• I'm the assistant division director for maternal and child health in the department for public health
• I'm the assistant division director for maternal and child health in the department for public health
• <00:03:36.400> That maternal child health block grant.
• That maternal child health block grant.
• and child health title 5 block maternal and child health title 5 block grant. grant. grant.

Keywords: 958, all

Summary: The committee met with a quorum and first heard brief presentations on Kentucky’s 2025 Preventive Health and Health Services Block Grant and Title V Maternal and Child Health Block Grant. Department for Public Health staff explained that the preventive health block grant provides about $2.3 million annually and supports programs such as accreditation and performance improvement, local health department grants, community health workers, prescription assistance, asthma and COPD programs, workforce development, and a sexual assault programs set-aside. They said the Title V block grant provides about $11.7 million, with 35% directed to children and youth with special health care needs and 65% to maternal and child health populations, largely through local health departments and a five-year needs assessment process. After no questions, a motion was made and seconded to approve both block grants. The roll call vote passed 19-0, and the two block grants were approved. The committee then approved the minutes from the prior meeting. The next item was a discussion of the child waiver created in House Bill 6. Committee members raised concerns that the proposed 1915(c) waiver did not match the legislature’s intent, which they said was to move children from the Michelle P. waiver to free slots for adults. Cabinet officials from DCBS, behavioral health, and Medicaid described the proposed “Community Health for Improved Lives and Development” waiver as a targeted home- and community-based program for children under 21 with severe behavioral health or developmental needs, including those stepping down from inpatient or residential care or at risk of out-of-home placement. They said the waiver is designed for about 100 slots, uses a standardized needs-based assessment, and includes case management, community living supports, home modifications, respite, supervised residential care, and clinical therapeutic services. Officials said the public comment period ended July 15, responses are being compiled for August submission to CMS, and the waiver is part of the broader Families First initiative.

Transcript Highlights:

• An example of that: when the maternal health team was talking, they were saying, 'Well, wait a minute
• So, while we won't solve for every scenario, the hope would be, like for maternal health with doulas
• health with doulas and like for maternal health with doulas and other<01:00:54.720> types<01:
• access to maternity care for Kentuckians?
• things about trying to improve maternal things about trying to improve maternal health<01:07:29.640

Keywords: 958, all

Transcript Highlights:

• We hear a lot about maternity deserts and those issues.
• We've seen four or five maternity units shut off service around Wyoming, which really is a challenge
• Chairman, we both with maternity care, critical access hospital services, EMS or ambulance services,
• You can see that in the provision of maternity care. It's very intensive on the staffing.
• <00:58:33.680> care<00:58:33.920> and<00:58:34.079> OB systems, our maternity

Bills: HB0111, HB0112, HB0122

Keywords: capital construction, state funding, Wyoming, major maintenance, community colleges, task force, legislative services, budget appropriation, unexpended funds, sunset clause, healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, 916, all

Transcript Highlights:

• Texas leads the nation in maternal mortality, in pregnancy sepsis rates, and in infant deaths.
• Um, we, we set up a maternal mortality and, um, And morbidity review committee in this state.
• Um, just after Roe was overturned, and so if you look at the period between. 2019 and 2023, maternal
• Um, uh, Roe returned in 2022, the maternal mortality rates in Texas increased by 33%.
• In terms of maternal mor mortality and morbidity.

Bills: SB 6, SB 11, SB 33

Keywords: electric power, interconnection, utilities, ERCOT, large load customers, water supply, sewer service, demand management, school prayer, Bible reading, religious text, public schools, Texas Education Code, student prayer, silent prayer, meditation, religious liberty, First Amendment, Establishment Clause, church and state

Transcript Highlights:

• Texas leads the nation in maternal mortality in pregnancy, sepsis rates, and in infant deaths.
• From a surge in maternal deaths, a rise in sepsis, and a dramatic increase in infant deaths.
• We set up a maternal mortality and morbidity review committee in this state.
• And so if you look at the period between 2019 and 2023, the maternal mortality rates in Texas, and this
• The maternal mortality rates in Texas increased by 33%. Is that your data? Yes.

Bills: SB6, SB11, SB33

Keywords: electric power, interconnection, utilities, ERCOT, large load customers, water supply, sewer service, demand management, school prayer, Bible reading, religious text, public schools, Texas Education Code, student prayer, silent prayer, meditation, religious liberty, First Amendment, Establishment Clause, church and state

Transcript Highlights:

• The purpose of these programs is to promote child and maternal health, help parents build strong parent-child
• particularly looking at ECECD and the Home Visiting Program: how much did infant deaths fall, or even maternal
• the sum of all those things, including the shift right in agency responsibility for health care coverage

Keywords: 996, all

Transcript Highlights:

• They need vacation coverage. So then some of us will work that week for them.
• Based on the coverage. So if it's Medicaid and CHIP and then private pay.
• Based on the coverage. So if it's Medicaid and CHIP and then private pay.
• Based on the coverage. So if it's Medicaid-inship and then private pay.
• And you fought for health insurance coverage to cover the care that he needed.

Bills: HB216

Keywords: HB216, Texas abortion law, abortion-inducing drug, medication abortion, mifepristone, misoprostol, telemedicine, in-person exam, physician presence, out-of-state physician, reproductive healthcare, abortion regulation, Health and Safety Code, Occupations Code, consultation services, remote prescribing, pro-life, pro-choice

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.

Transcript Highlights:

• Members, this bill is biomarker testing for coverage for cancer patients and just makes sure that they
• can have coverage so they can get their biomarker testing done.
• Members, SB 489 authorizes third-party vendors to verify motor vehicle insurance coverage on behalf of
• Members, SB 489 authorizes third-party vendors to verify motor vehicle insurance coverage on behalf of
• Members, SB 489 authorizes third-party vendors to verify motor vehicle insurance coverage on behalf of

Bills: HR265, HR266, HR267, HR268, HR269, HR270, HR271, HR272, HR273, HCR107, HCR108, HCR109, HCR110, HCR111, HR257, HR258, HR259, HR260, HR261, HR262, HR263, HCR105, HCR106, SCR30, SB57, SB157, SB202, SB237, SB276, SB450, SB465, SB501, SB525, HR3, HR80, HR197, HR243, SCR5, SCR35, HB4, HB623, HB944, HB986, HB1098, HB1222, SB34, SB164, SB172, SB198, SB208, SB232, SB281, SB286, SB317, SB322, SB334, SB380, SB385, SB409, SB417, SB421, SB430, SB439, SB447, SB458, SB510, SB398, HB646, HR84, HR188, HR205, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, SCR20, SCR24, HCR6, HB301, HB359, HB657, HB675, HB680, HB727, HB302, HB819, HB1257, HB1258, SB8, SB10, SB11, SB12, SB13, SB14, SB16, SB17, SB18, SB20, SB21, SB22, SB40, SB48, SB55, SB69, SB75, SB77, SB78, SB85, SB102, SB115, SB133, SB140, SB148, SB151, SB165, SB169, SB170, SB185, SB197, SB200, SB217, SB235, SB278, SB280, SB291, SB300, SB303, SB315, SB324, SB330, SB411, SB416, SB420, SB436, SB438, SB449, SB455, SB456, SB477, SB489, SB521, SB45, SB58, SB71, SB81, SB92, SB100, SB109, SB141, SB156, SB181, SB203, SB204, SB205, SB207, SB213, SB214, SB216, SB229, SB257, SB274, SB290, SB304, SB374, SB379, SB396, SB410, SB425, SB427, SB429, SB479, SB522, HCR72, HB633, HB603, HB940, HB251, HB775, HB998, HB1191, HB625, HB1255, HB901, HR20, HR74, HCR65, HCR71, HB284, HB306, HB341, HB366, HB393, HB458, HB577, HB582, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, HB258, HB842, SB149, SB382, SB441

Keywords: Pineville High School, Lady Rebels, softball, LHSAA, Louisiana High School Athletic Association, Class 5A, state championship, high school sports, student athletes, commendation, resolution, athletics, girls softball, championship team, Pineville, school recognition, sportsmanship, coach Allison Frye, Louisiana legislature, House Resolution

Summary: The House convened with prayer, the pledge, roll call, and several personal privileges recognizing visitors and special observances, including Transportation Day and a day without child care at the Capitol. Members also honored the Southern University Laboratory School track teams, early childhood educators, and later offered condolences and tributes, including a memorial resolution for Derek Butler’s family and birthday recognitions for members and staff. The chamber received Senate messages, committee reports, and introduced or adopted several resolutions and bills throughout the day. A major portion of the floor was devoted to retirement-system cleanup and funding bills, including Senate Bills 8, 10, 11, 13, 14, 16, 17, 18, 20, and 21. Members and authors explained these measures as technical changes to simplify contribution formulas, separate funding for COLAs and benefit increases from debt paydown, and update reemployment or benefit rules for retirees in various systems. Most of these bills passed with large margins after brief questions about whether they would affect automatic debt reduction; authors repeatedly said they would not stop debt paydown. Other measures passed on topics such as emergency vehicle procedures, international driving reciprocity with Ireland, seat belt use, port commission appointments, GOHSEP cybersecurity authority, storage facility rental rules, biomarker testing coverage, DNA sample collection procedures, and a law-institute bill on movable-property leases. The House also adopted HCR 72, the Jonas A. Feeley Act, which memorializes Congress to expedite research and treatment development for acute myeloid leukemia in honor of a deceased veteran, and H.B. 1258, which directs the Department of Wildlife and Fisheries on handling unlawfully possessed sick, injured, or orphaned wildlife. Another notable bill, Senate Bill 200, created a process for expropriating property tied to foreign adversaries near military bases, with amendments allowing voluntary divestment before expropriation. Most measures were adopted by wide margins, with co-author votes taken on some resolutions and bills tabled or returned to the calendar when requested. The most extended debate centered on Senate Bill 217, which would reduce the number of judges in Orleans Parish courts based on a statewide workload study. Supporters said the National Center for State Courts study showed Orleans had more judges than comparable parishes and that the bill would right-size the courts and save about $2.1 million. Opponents questioned the study’s methodology, the lack of Orleans delegation involvement, the counting of cases, the absence of uniform statewide clerk-of-court standards, and whether reducing criminal judges made sense given crime concerns. Despite the criticism, the bill was advanced after lengthy questioning, while the chamber continued to move other bills and resolutions forward.

Transcript Highlights:

• One is maternal health. July 4th, HR1 was signed into law. Then a series of events unfolded.
• One is maternal health.
• One is maternal just there were five.
• One is maternal health.<00:03:55.519> Um<00:03:56.480> the<00:03:56.720> one<00:
• For<00:35:33.599> maternal<00:35:34.079> health, For maternal health, For maternal health

Keywords: 958, all

Summary: The Health Services Committee heard a presentation from Dr. Steven Stack, Secretary of the Cabinet for Health and Family Services, on Kentucky’s Rural Health Transformation Program. He said Kentucky received about $213 million in federal funding, among the highest awards nationally, after a fast application and negotiation process. He emphasized that the grant is time-limited, must be used for the specific goals in the state’s application, and cannot be treated as a general bailout or replacement for existing funding. He also noted the state will use a website, ruralhealthplan.ky.gov, to share the full application, award terms, and future opportunities. Dr. Stack outlined five focus areas: maternal health and prenatal/early childhood supports; EMS and trauma response workforce and transfer capacity; behavioral health crisis care through the EMPATH model and mobile crisis services; oral health access through more hygienists, telehealth, and hub-and-spoke models; and rural community hubs for chronic disease prevention and innovation, including food-as-medicine and healthier lifestyle interventions. He stressed that the program is meant to be transformative, not duplicative, and that it cannot pay clinician salaries, fund new construction, replace EMR systems broadly, or duplicate billable services. He said the state will work with community partners, hospitals, universities, and others, including the Foundation for a Healthy Kentucky, to begin implementation. Members responded positively overall. Senator Berg praised the award and the goal of integrating care across the state, but raised concerns about access to prenatal care and about possible future changes to water fluoridation, warning both could harm children and rural families. The chair and other members thanked Dr. Stack for the update and congratulated him on the award. No votes or formal committee actions were taken during this portion of the meeting.

Transcript Highlights:

• House Bill 909 by Representative Spell is an act to amend Title 22 relative to health insurance coverage
• , to require coverage for behavioral health crisis services.
• House Bill 909 by Representative Spell is an act to amend Title 22 relative to health insurance coverage
• , to require coverage for behavioral health crisis services.
• While we still have the highest minority maternal fatality rate in the nation, but we're still the most

Bills: SR122, SR123, SR124, SCR12, HB940, HB221, HCR109, HCR58, HB27, HB143, HB205, HB259, HB267, HB288, HB308, HB403, HB405, HB414, HB417, HB478, HB546, HB548, HB555, HB557, HB609, HB670, HB672, HB740, HB779, HB786, HB796, HB812, HB848, HB909, HB915, HB917, HB921, HB930, HB933, HB938, HB971, HB1095, HB1096, HB1103, HB1129, HB1154, HB1166, HB1187, HB1195, HB1230, SB121, SCR22, SCR24, SB29, SB30, SB32, SB41, SB42, SB43, SB47, SB84, SB93, SB113, SB192, SB199, SB219, SB220, SB221, SB222, SB241, SB253, SB255, SB289, SB292, SB306, SB314, SB351, SB399, SB404, SB14, SB102, SB133, SB151, SB165, SB169, SB170, SB200, SB217, SB280, SB291, SB300, SB303, SB330, SB449, SB489, SB521, SB45, SB156, SB181, SB203, SB274, SB304, SB379, SB396, SB410, SB425, SB427, SB436, SB424, SCR61, SCR9, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, HCR31, HB296, HB299, HB322, HB364, HB519, HB535, HB538, HB568, HB571, HB622, HB635, HB676, HB772, HB784, HB1006, HB1018, HB1043, HB1070, HB1134, HB1239, HB62, HB193, HB203, HB210, HB220, HB228, HB246, HB420, HB475, HB486, HB574, HB584, HB750, HB813, HB815, HB826, HB870, HB949, HB953, HB1045, HB1092, HB1151, HB1162, HB1176, HB1177, HB1196, HB1214, HB1241, HB22, HB28, HB33, HB41, HB47, HB87, HB115, HB162, HB195, HB214, HB217, HB233, HB283, HB290, HB319, HB324, HB345, HB362, HB363, HB368, HB377, HB380, HB382, HB386, HB392, HB406, HB431, HB441, HB466, HB503, HB533, HB559, HB575, HB590, HB593, HB618, HB636, HB655, HB664, HB685, HB692, HB707, HB715, HB732, HB738, HB741, HB748, HB776, HB807, HB822, HB856, HB860, HB868, HB887, HB888, HB905, HB908, HB961, HB980, HB990, HB992, HB999, HB1000, HB1010, HB1146, HB1157, HB1233, HB1236, HB1243, HB17, HB36, HB73, HB119, HB126, HB129, HB133, HB140, HB159, HB166, HB211, HB226, HB245, HB271, HB280, HB337, HB351, HB354, HB399, HB677, HB712, HB723, HB726, HB728, HB759, HB789, HB844, HB850, HB966, HB1036, SB149, SB382, SB441, HB134, HB258, HB359, HB782

Keywords: SR122, Senate Resolution 122, Metairie Park Country Day School, Country Day Cajuns, Cajuns basketball, LHSAA, Louisiana High School Athletic Association, Division III Select, boys basketball, state championship, high school sports, athletic commendation, sports resolution, Lake Charles, Marsh Madness, Mike McGuire, Brennan White, Kellen Brewer, Calvary Baptist Academy, school recognition

Transcript Highlights:

• How does that become a category in terms of citizenship on getting coverage?"
• citizenship on getting coverage? citizenship on getting coverage?
• We have higher maternal mortality. We have higher infant mortality.
• <01:43:23.040> We We have higher maternal mortality.
• We We have higher maternal mortality.

Keywords: During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used. The lost footage was recovered from backup, and the other issues corrected in post production editing. 1. 00:00:41 Call to Order 2. 00:01:02 Roll Call 3. 00:02:54 Approval of Minutes 4. 00:05:06 Statutory Reports and Data Requests 5. 00:35:14 2025 and 2026 Session Update 6. 01:03:10 Board Structure Updates and Subcommittees 7. 01:05:20 Public Comment 8. 02:23:14 Adjournment, 958, all

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• Prasad, and the clerk will read: An act to amend the Public Health Law in relation to establishing a maternal
• An act to amend the Public Health Law in relation to requiring maternal mortality review boards to share
• Record data and other guidance associated with reported cases of maternal mortality and morbidity.

Keywords: 993, senate, all

Summary: The Women’s Issues Committee met on May 13 at 9:34 a.m. with a quorum present and several members voting by sheet. The committee first considered S-845, which would prohibit drug, cannabis, or alcohol testing and screening of pregnant or postpartum individuals and newborns without informed consent. Supporters emphasized that the bill is about requiring written or oral consent and addressing disproportionate impacts on Black and brown mothers. The bill was reported to the Committee on Alcoholism, with Senator Weik voting no and several members recorded as aye without recommendation or in favor. The committee then advanced several public health measures. S-2121, on education and outreach related to home visiting programs, and a bill directing the Department of Health to create an informational pamphlet about liposcopic power motion surgery technique both moved to first reading. S-3576A, establishing a statewide fibroid study program, was approved and referred to finance. S-8584, requiring two EBT cards for certain WIC households, and S-9084, creating a maternal health monitoring pilot program, were also approved and referred to finance, with Senator Weik recorded as without recommendation on both and one opposition noted on S-9084. The final bill, S-9733, would require maternal mortality review boards to share annual information with New York City and county health departments, including patterns, best practices, and data related to maternal mortality and morbidity. It was approved and referred to health, again with Senator Weik recorded as without recommendation. The meeting ended at 9:49 a.m., and the chair noted another Women’s Issues Committee meeting would be held the following week with bills and a guest speaker.

Transcript Highlights:

• They have a grant from the Centers for Medicare and Medicaid Services for a transforming maternal health
• project that aims to improve maternal and infant health through evidence-informed interventions, sustained
• They have a grant for, from Medicare and Medicaid services for a transforming maternal health project
• that aims to improve maternal and infant health through evidence-informed interventions, sustained by
• Department of Health with UAMS, it amends an existing contract for maternity care for low-income Arkansas

Summary: The committee heard a series of appropriation requests and contract reviews across multiple sections. In Section B, members approved temporary appropriations for the Court of Appeals, Commerce/Aeronautics, and Insurance-related payments and refunds. Section C ARPA requests from DHS were approved to return unused federal funds. Section D infrastructure-related appropriations, including wildfire preparedness, broadband BEAD funding, forestry support, recycling, and oil and gas sample preservation, were approved after questions about broadband audit controls and performance safeguards. Section E DHS reallocations were approved, including large transfers within Medical Services from hospital medical to private and public nursing home lines, along with smaller transfers for children and family services, developmental disabilities, and youth services; members asked about the source and purpose of the medical services transfer. Sections F and G were reviewed, covering cash fund requests, federal grants, and miscellaneous grants, including community college storm repairs, corrections commissary and maintenance, 911 enhancements, maternal health, disability determinations, state police equipment, digital newspaper archiving, and CDL data improvements. In Section H, the committee reviewed pay plan appropriations and performance fund transfers tied to the new Class and Comp pay plan. Section I reviewed three methods of finance for UA Little Rock, UAMS, and the University of Arkansas system. In Section J, the committee reviewed discretionary grants, including a $1.4 million HIV services grant and nine tobacco prevention subgrants through UAPB. Members questioned the effectiveness, metrics, and addresses of some tobacco-cessation arts-based grantees, especially Arts Absolutely Inc.; after discussion, Representative Kavanaugh moved to expunge the vote on J2 and refer it back for review at a later ALC meeting, and that motion passed. J3, a Department of Energy and Environment grant for propane safety training and e-waste recycling services, was then reviewed. The committee also reviewed contracts in Section K. K-1 ratified emergency management nuclear planning work performed during a transition between agencies. K-2 construction contracts included architectural and engineering services for corrections, National Park College signage, a Razorback Road parking facility, and UAMS cyclotron installation. K-3 intergovernmental contracts covered health, education, autism waiver, stroke, newborn screening, Medicaid evidence review, and radiation testing services. K-4 out-of-state contracts included staffing, IT, tobacco prevention, audit, marketing, planetarium, recruitment, and janitorial services; Senator Irvin noted one contract appeared to belong in the out-of-state list rather than intergovernmental. K-5 in-state contracts covered staffing, cleaning, re-entry and treatment services, foster care and disability services, hearing officers, asbestos abatement, campus IT support, and janitorial work. The meeting ended after a brief personal update from Senator Irvin about tornado damage in Stone County and thanks to members for their concern, followed by adjournment.

Transcript Highlights:

• Senate Bill 1578, a bill to be entitled, An act relating to coverage for mammograms and supplemental
• A bill to be entitled, an act relayed to coverage for mammogram.
• Senate Bill 1578, a bill to be entitled, Nacrelane 2 coverage for mammograms and supplemental breast
• Bill 1160 gives some peace of mind to those who protect and serve, that health care coverage for their
• I also think about how that money could be used to strengthen our education systems for maternal health

Summary: The Senate convened with a quorum, opened with prayer, and heard several announcements and recognitions, including remarks from the new Democratic caucus leader, Senator Berman, who emphasized bipartisan work on education, health care, the environment, and family issues. The chamber also recognized military leaders, an intern, and guests connected to later bills. No committee reports or executive messages were on the desk at the start of the session. The Senate then took up a series of bills, many of them with House companion substitutions and technical amendments. Major measures included the Pam Rock Act on dangerous dogs, which passed 36-0; a local government land regulation bill that was amended after questions about quasi-judicial hearings, impact fees, and county costs, then passed 26-8; a vessels/boating bill that incorporated related legislation and passed 35-0; a blood clot screening and treatment bill creating the Emily Adkins Family Protection Act, which passed 36-0; a fleeing or eluding law enforcement bill, amended to remove vehicle impoundment in the House version, which passed 36-0; a concealed carry/firearms bill for certain law enforcement and military personnel, which passed 33-3; and a timeshare management bill, which passed 36-0. The chamber also passed a disability history and awareness instruction bill, the Evan B. Hartzell Act, after extensive debate about language and the meaning of disability versus “unique abilities”; it received 35 co-sponsors and passed 35-0. Other bills passed included manufacturing and related fee legislation, public education on background screening requirements, utility service restrictions, educational opportunities for military children, Medicaid oversight, health facilities authorities, and veteran and spouse nursing home beds, most by unanimous or near-unanimous votes. Several bills were temporarily postponed, including measures on human trafficking, waste management, Bright Futures, mammogram coverage, Parkinson’s disease, and others.