Transcript Highlights:

• The Senate Committee on Health and Human Services will come to order.
• Thank you for what you do in your service to our state.

Bills: SB 227 , SB 269 , SB 407 , SB 463 , SB 527 , SB 547 , SB 1283 , SB 1380 , SB 1383 , SB 1511 , SB 1640 , SB 1784 , SB 2069

Committee: Senate Health & Human Services

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• Inadvertently, hospice services, personal assistance services, and habilitation services were left out
• Health care services with an A or B recommendation from the United States Preventive Services Task Force
• Pediatric hospice services; treating newborns experiencing withdrawal; and health care services provided
• Our services are free to families.
• This bill is expanding their scope and their licensure to outpatient services past ER services.

Bills: SB227 , SB269 , SB407 , SB463 , SB527 , SB547 , SB1283 , SB1380 , SB1383 , SB1511 , SB1640 , SB1784 , SB2069

Committee: Senate Health & Human Services

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Summary: The Senate Committee on Health and Human Services met with several members initially absent, then later established a quorum. The committee heard multiple bills, with most testimony focusing on access to care, insurance practices, senior safety, and health care worker protections. Several bills were laid out with committee substitutes, and public testimony was limited to two minutes per witness. Most bills were left pending after testimony, with no final votes taken in the portion provided. Senate Bill 2069 would create a work group to study the feasibility of a statewide acute psychiatric bed registry; the substitute shifts appointment authority to the Health and Human Services Commissioner and extends reporting and sunset dates. Senate Bill 463 would expand workplace violence protections to additional hospice, home and community support, intermediate care, and state-supported living center settings. Senate Bill 1283 would require background checks and transparency measures for senior retirement communities after testimony about the Dallas-area serial killings of elderly residents. Senate Bill 1784 would require 60 days’ written notice before medical debt is sent to collections. Senate Bill 527 would require medical insurance coverage for general anesthesia for medically necessary pediatric dental procedures for children under 13 with qualifying conditions; pediatric dentists testified that denials delay needed care. A major portion of the meeting centered on prior authorization. Senate Bill 1380 would eliminate prior authorization for a broad list of services, including emergency, primary, mental health, substance use, chemotherapy, preventive, pediatric hospice, and certain chronic-condition care. Physicians and hospice advocates supported the bill, describing delays, administrative burden, and patient harm, while health plans opposed blanket exemptions and argued prior authorization helps prevent unnecessary care and control costs. Relatedly, Senate Bill 547 would require insurers to report gold-card prior authorization exemptions to TDI and create a centralized database and annual report; TMA supported better tracking, while health plans warned of duplicative reporting and administrative cost. Senate Bill 407 would require health care facilities to honor conscience- and religion-based vaccine exemptions for employees, with testimony from a physician and vaccine-choice advocate supporting the bill. The committee also heard Senate Bill 1383, which would regulate senior living referral agencies, allow more flexible compensation structures, and add disclosure and consumer protections; an out-of-state referral company and A Place for Mom supported it. Senate Bill 1511 would allow freestanding emergency centers to provide outpatient services in addition to emergency care, with consumer protections such as estimates, limits on facility fees, and restrictions on balance billing. The chair repeatedly announced that bills were being left pending after testimony, and no final committee action or recorded votes were taken in the transcript provided.

Transcript Highlights:

• I want to specifically thank both the Department of State Health Services and the Health and Human Services
• So members, we have representatives from the Department of State Health Services, Health and Human Services
• Ambulance service and private contractors come into these rural counties and provide those services in
• Helicopter services that are used for ambulance. I have several counties that use that service too.
• Now, you're not in a county my size with five EMS services right now—five volunteer services.

Bills: HB3000 , HB2622 , HB2283 , HB541 , HB1776 , HB1803 , HB1669 , HB2588 , HB220 , HB3415 , HB50 , HB1314 , HB 107 , HB220 , HB50 , HB107

Committee: House Public Health

Keywords: ambulance service, rural healthcare, grants, financial assistance, qualified counties, mental health, patient transport, female attendants, security measures, healthcare regulation, epinephrine, anaphylaxis, health care, school safety, training, emergency response, direct patient care, healthcare, physicians, medical services

Bills: HB4 , HB1 , HB2 , HB18 , HB19 , HB20 , HB4 , HB1 , HB 2 , HB20 , HB19 , HB18 , HB 4 , HB 1 , HB 2 , HB 18 , HB 19 , HB 20

Keywords: redistricting, congressional districts, Texas Legislature, elections, 2020 Census, disaster response, emergency management, mass fatality, justices of the peace, training programs, emergency manager license, volunteer management, justice of the peace training, criminal history checks, state health services, emergency communication, interoperability, grant program, first responders, state council

Bills: HB4 , HB1 , HB2 , HB18 , HB19 , HB20 , HB4 , HB1 , HB 2 , HB20 , HB19 , HB18 , HB 4 , HB 1 , HB 2 , HB 18 , HB 19 , HB 20

Keywords: redistricting, congressional districts, Texas Legislature, elections, 2020 Census, disaster response, emergency management, mass fatality, justices of the peace, training programs, emergency manager license, volunteer management, justice of the peace training, criminal history checks, state health services, emergency communication, interoperability, grant program, first responders, state council

Transcript Highlights:

• And the reason is it wraps people in services.
• And the reason is it wraps people in services.
• And the majority of these households do not need any further services.
• Not the delivery driver who verified the ID, and not the bill that made the service possible.
• programs, externships, and pro bono services, which involve students and community service.

Bills: AB102 , AB108 , AB117 , AB213 , AB220 , AB221 , AB251 , AB259 , AB331 , AB336 , AB375 , AB379 , AB409 , AB475 , AB476 , AB550 , AB575 , AB594 , SB466

Committee: Senate Finance

Keywords: emergency medical services, ambulance, licensing, health district, paramedic, training requirements, outdoor education, recreation, grant program, environment, funding, special license plates, vehicle registration, custom plates, state revenue, transportation, public works, prevailing wage, custom fabrication, nonstandard materials

Transcript Highlights:

• So, this just expands the services to include gender-affirming care.
• So, this just expands<00:35:24.079><c> the</c><00:35:24.320><c> services</c><00:35:24.720><c> to</c><
• the services to include gender affirming<00:35:26.079><c> care.
• We already provide the same protection for reproductive services.
• The intent behind this measure services.

Bills: HB2139 , HB1892 , HB1893 , HB1890 , HB2335 , HB2468 , HB2091 , HB2092 , HB1878 , HB2297 , HB2127 , HB1785 , HB2345 , HB2344 , HB1780 , HB1891 , HB2398 , HB1764 , HB2564 , HB1783 , HB2567 , HB1934 , HB1778 , HB1781 , HB2621 , HB2019 , HB1803 , HB2454 , HB1811 , HB1943 , HB1589 , HB1607 , HB1851 , HB2490 , HB2546 , HB2568 , HB1972 , HB2391 , HB2575 , HB1896 , HB2399 , HB2004 , HB1894 , HB2397 , HB2498 , HB2560 , HB2310 , HB2214 , HB2167 , HB2197 , HB2116 , HB1879 , HB1596 , HB2096 , HB2298 , HB2343 , HB2566 , HB1518 , HB2044 , HB2336 , HB1603 , HB1718 , HB1740 , HB1616 , HB2171 , HB2022 , HB2347 , HB1882 , HB1708 , HB2086 , HB2154 , HB2027 , HB2179 , HB1620 , HB1913 , HB2159 , HB1597 , HB2121 , HB1864 , HB2305 , HB2576 , HB1713 , HB1729 , HB1756 , HB2122 , HB2559 , HB1743 , HB1733 , HB1868 , HB1723 , HB1711 , HB1812 , HB2515 , HB1724 , HB1604 , HB2270 , HB1722 , HB1727 , HB1920 , HB1593

Keywords: invasive species, Queensland longhorn beetle, agriculture, environmental impact, University of Hawaii, Board of Education, Hawaii public schools, teacher representative, nonvoting member, bargaining unit 5, HSTA, teachers union, education governance, school board, executive session, collective bargaining, public school teacher, policy-making body, student representative, military representative

Transcript Highlights:

• . services. services.
• </c><01:30:33.000><c> here,</c> um services here, um services here, then<01:30:34.360><c> that</c><01
• We have terrific services here. here. We have terrific services here.
• . services. services.
• </c> Environmental Health Services Division. Environmental Health Services Division.

Bills: HB2323 , HB2324 , HB1509 , HB2164 , HB2165 , HB2367 , HB2619 , HB1765 , HB2187 , HB1864 , HB1452 , HB2314 , HB1898 , HB2558 , HB2319 , HB1643 , HB2121

Committee: House Consumer Protection & Commerce

Keywords: workers' compensation, treatment plans, vocational rehabilitation, electronic submission, reporting requirements, occupational safety, hoisting machines, discrimination protection, Department of Labor, safety standards, treatment plan, injured worker, medical treatment authorization, employer response deadline, secure electronic transmission, facsimile, fax, mail submission, denial of care, medical necessity

Summary: The committee heard several administration bills related largely to workers’ compensation and unemployment insurance. On HB 2323 HD1, which would modernize workers’ compensation notice and filing procedures, DLIR and other agencies testified in support of the original bill language but said HD1 removed key components and weakened the bill’s clarity and continuity. HB 2324 HD1, which would repeal state hoisting-machine certification requirements and the separate crane operator certificate, drew support from DLIR; members asked about whether the change would affect safety or local operators, and DLIR said OSHA-compliant certifications already exist and the union supported the change. HB 1509 HD1, which would require faster employer responses to treatment plans and impose penalties for nonresponse, received support from DLIR and others, while DHRD said it wanted an amendment. The committee also took up HB 2164 HD1 on compounded prescription drugs in workers’ compensation. DLIR supported the bill as a way to define compounded drugs and curb inflated pricing, but DHRD and a medical provider opposed it and asked for amendments. Testimony focused heavily on whether the definition should include 503B compounding facilities and whether physician dispensing should be limited to the first 30 days after injury. HB 2165 HD1, dealing with unemployment insurance eligibility and removing the two-year limit on recouping overpayments, was supported by DLIR but opposed by Unite Here Local 5, which argued it would make it harder for striking workers and other claimants. Members questioned the impact of changing reporting deadlines from calendar days to business days and raised concerns about future benefit offsets; DLIR said the bill was needed for federal conformity and that the committee would revisit the offset percentage and effective date. Later, the committee heard HB 2367 on pay transparency, requiring salary ranges in job postings and removing the small-employer exemption. The Hawaii Civil Rights Commission, AAUW, Hawaii Women Lawyers, and an individual testifier supported the bill, saying pay transparency promotes fairness, trust, and pay equity; one testifier described being underpaid compared with a predecessor and said posting ranges would save applicants’ time. HB 2619 HD1, concerning homemade food products and farm kitchens, received generally supportive comments from the Department of Health, which requested an amendment to preserve flexibility in future rulemaking. HB 1765 HD1, on spear-fishing safety warnings, drew support from a safety educator and comments from DLNR; supporters said warning labels would help prevent hypoxic blackout deaths and were low-cost and easy to implement. No votes or final committee actions were taken in the portion of the meeting provided.

Transcript Highlights:

• And examples of that is the resilience hubs, Kōkua for Keiki, Iliahu, and our social service navigators
• </c> Iliahu, and our social service Iliahu, and our social service navigators.<00:09:02.720><c> And</
• And we also provide help with human services, social services, education, everything from keiki to kūpuna
• We walk through and we have a presentation at the onset of the summit from National Weather Service.
• They provide us the hurricane Service.

Bills: HB2437 , HB1815 , HB1614 , HB1613 , HB1612 , HB2411 , HB2597 , HB2583 , HB2474 , HB1863 , HB2590 , HB1813 , HB1838 , HB2138 , HB1967 , HB1576 , HB2139 , HB1605 , HB2113 , HB812 , HB1831 , HB1707 , HB2561 , HB1805 , HB2469 , HB2472 , HB2387 , HB1658 , HB1661 , HB1664 , HB1859 , HB2276 , HB2335 , HB1656 , HB2116 , HB2272 , HB2273 , HB2340 , HB2158 , HB2339 , HB2489 , HB2159 , HB2171 , HB2338 , HB2005 , HB1952 , HB1872 , HB1676 , HB2384 , HB2614 , HB20 , HB1776 , HB1565 , HB2310 , HB1975 , HB1801 , HB1668 , HB2114 , HB1972 , HB1546 , HB1518 , HB1131 , HB2208 , HB2156 , HB2268 , HB2622 , HB2581 , HB2498 , HB2443 , HB1577 , HB2033 , HB2031 , HB2023 , HB1969 , HB1973 , HB1974 , HB2315 , HB2343 , HB2501 , HB2505 , HB816 , HB1562 , HB1591 , HB1853 , HB1854 , HB1871 , HB1965 , HB1966 , HB1537 , HB1541 , HB276 , HB2606 , HB2270 , HB1920 , HB1756 , HB1727 , HB1718 , HB1715 , HB1713 , HB1711

Keywords: arts education, student engagement, cultural literacy, public schools, funding, State Foundation on Culture and the Arts, SFCA, Performing Arts Grants Program, arts grants, culture and the arts, history and the humanities, King Kamehameha Celebration Commission, Works of Art Special Fund, one percent for art, public art, art in public places, relocatable works of art, DBEDT, Department of Business, Economic Development, and Tourism, DAGS

Transcript Highlights:

• Assembly Bill 514 comes from the Joint Interim Standing Committee on Health and Human Services.
• see in paragraph two, there's the federal share that we'll be able to draw down to pay for these services
• We have an extraordinary technical services unit that does all the physical work of taking all of the
• There was testimony in opposition from the Nevada Coalition of Legal Service Providers.
• that they provide for adoption assistance programs to each agency that provides such services.

Bills: AB49 , AB93 , AB108 , AB169 , AB188 , AB212 , AB221 , AB224 , AB251 , AB282 , AB284 , AB296 , AB304 , AB331 , AB356 , AB366 , AB375 , AB409 , AB467 , AB475 , AB476 , AB479 , AB494 , AB514 , AB515 , AB533 , AB542 , AB550 , AB558 , AB567 , AB568 , AB571 , AB581 , AB583 , AB584 , AB585 , AB595 , AB596 , AB597 , SB170 , SB427 , SB460 , SB508

Committee: Senate Finance

Keywords: educational personnel, teacher licensing, reciprocal licensure, provisional teaching, school counselors, school nurses, school social workers, state education standards, public employees, police officers, benefits, appropriation, law enforcement, outdoor education, recreation, grant program, environment, funding, health insurance, speech-language pathology

Transcript Highlights:

• Upon retiring after 20 years of service, he was awarded the Distinguished Service Medal.
• Craig, born July 1st, 1940, in Tulsa, Oklahoma, has lived a life defined by service, leadership, and
• Medal and whereas following his military service, Doctor Craig continued his dedication to others by
• nightly care to first responders and recovery personnel, exemplifying extraordinary compassion and service
• Thank you for your service, sir. Madam leader, thank you, Mr. President.

Bills: HB1675 , HB3242 , HB1739 , HB3320 , HB3047 , HB4434 , HJR1089 , HB4432 , HB3718 , HB3705 , SR43 , HB1933 , HB4248 , SB1847 , SB1778 , HJR1086 , HB3001 , HB3002 , HB3003 , HB3004 , HB3005 , HB3007 , HB3008 , HB1590 , HB1242 , HB3818 , HB4305 , HB1979 , HB1225 , HB3931 , HB4454 , HB3849 , HB1746 , HB3720 , HB4275 , HB4300 , HB3586 , HB2268 , HB3755 , HB4117 , HB4294 , HB3650 , HB4298 , HB3270 , HB3145 , HB3056

Keywords: emergency management, severe weather, youth camp, summer camp, overnight camp, day camp, outdoor education, adventure camp, wilderness program, campground safety, tornado preparedness, flooding, flash flood, high winds, hail, lightning, extreme heat, extreme cold, wildfire smoke, evacuation plan

Transcript Highlights:

• Upon retiring after 20 years of service, he was awarded the Distinguished Service Medal.
• And whereas, following his military service, And whereas, following his military service, Dr.
• example of leadership and service to the state of Oklahoma and the nation.
• example of leadership and service to the state of Oklahoma and the nation.
• Thank you for your service, sir.

Bills: HB1675 , HB3242 , HB1739 , HB3320 , HB3047 , HB4434 , HJR1089 , HB4432 , HB3718 , HB3705 , SR43 , HB1933 , HB4248 , SB1847 , SB1778 , HJR1086 , HB3001 , HB3002 , HB3003 , HB3004 , HB3005 , HB3007 , HB3008 , HB1590 , HB1242 , HB3818 , HB4305 , HB1979 , HB1225 , HB3931 , HB4454 , HB3849 , HB1746 , HB3720 , HB4275 , HB4300 , HB3586 , HB2268 , HB3755 , HB4117 , HB4294 , HB3650 , HB4298 , HB3270 , HB3145 , HB3056

Keywords: emergency management, severe weather, youth camp, summer camp, overnight camp, day camp, outdoor education, adventure camp, wilderness program, campground safety, tornado preparedness, flooding, flash flood, high winds, hail, lightning, extreme heat, extreme cold, wildfire smoke, evacuation plan

Summary: The Senate convened with a quorum, opened with prayer and pledges, and recognized several visiting groups and honorees, including students from Wesleyan Christian School, Claremore Day participants, and a tribute to Dr. J. Craig for his Marine Corps service, chiropractic career, and aid to first responders after the Oklahoma City bombing. The chamber also welcomed a Cricket Oak High School AFJROTC unit and the Lincoln Christian wrestling team, both recognized for recent achievements. The Senate then adopted Senate Resolution 43 commemorating the 31st anniversary of the Oklahoma City bombing and honoring victims, survivors, and first responders. The Senate took up House Bill 1933, first rescinding prior action and then adopting a floor amendment to correct a drafting error and shift a penalty provision; the bill then passed 47-0. House Bill 4248, which would require purchasers of hemp beverages to be 21 and treat them similarly to beer for age purposes, passed 45-0 after brief discussion about whether it had medical implications. The Senate also adopted House amendments to Senate Bill 1847, described as a compassion bill that would have saved the state money, and passed it 35-11 before later approving it as an emergency measure with 43 ayes. The chamber next adopted House amendments to Senate Bill 1778, a major literacy bill adding early intervention, teacher training, and optional early ELA testing for second graders, along with good-cause exemptions; it passed 43-2 and then as an emergency measure. The Senate also passed House Joint Resolution 1086, approving rules from several agencies, by 42-4. Finally, the Senate advanced and passed a series of sunset-extension bills for boards and councils, including the Child Death Review Board, county government training commission, Board of Chiropractic Examiners, Board of Examiners in Optometry, Oklahoma Climatological Survey, several environmental advisory councils, and the Board of Tests for Alcohol and Drug Influence, with most later receiving emergency passage. The Senate concluded with announcements of upcoming committee meetings and adjourned until April 25, 2026 at 1:30 p.m.

Bills: HB2391 , HB2294 , HB2374 , HB1997 , HB2147 , HB2185 , HB1641 , HB2195 , HB2023 , HB2031 , HB2033 , HB1937 , HB2586 , HB2575 , HB2030 , HB2115 , HB2233 , HB1801 , HB1546 , HB2132 , HB2102 , HB2356 , HB2457 , HB2292 , HB2554 , HB676 , HB1528 , HB2061 , HB2094 , HB2095 , HB2181 , HB2369 , HB2578 , HB2493 , HB1642 , HB1991 , HB1652 , HB2104 , HB2593 , HB1553 , HB1823 , HB1918 , HB1860 , HB2604 , HB2605 , HB2001 , HB2437 , HB1947 , HB2384 , HB2473 , HB2140 , HB1458 , HB2603 , HB2411 , HB1611 , HB2138 , HB2141 , HB2284 , HB1568 , HB1924 , HB1928 , HB2570

Keywords: tax holiday, school supplies, general excise tax, Hawaii, consumer savings, education, land transfer, public schools, Department of Education, property conveyance, Act 307, Kauai, Maui, shade trees, fruit trees, educational program, climate change, tree canopy, environmental education, native plants

Transcript Highlights:

• Control of our PBM services.
• What's our cost to provide a rebate aggregation service or rebate administration service?
• It's around what's our cost for us to provide that service.
• What's our cost to provide a rebate aggregation service or rebate administration service?
• We run our rebate aggregation services through Prime, who then services under Ascent, which is part of

Bills: SB511 , SB512 , HB591 , HB909 , HB938 , HB1154 , HB1187

Committee: Senate Insurance

Keywords: automobile repairs, insurance transparency, repair shop liability, non-OEM parts, policyholder rights, automobile insurance, appraisal process, insurance policyholders, dispute resolution, claim valuation, family leave, insurance, paid leave, employment benefits, caregiver support, behavioral health, crisis services, mental health care, insurance coverage, healthcare access

Transcript Highlights:

• These folks include service<00:09:13.640><c> workers,</c><00:09:14.480><c> people</c><00:09:14.840><c
• > who</c><00:09:15.000><c> work</c><00:09:15.200><c> in</c> service workers, people who work in service
• We are one of the largest providers of homeownership services in the state.
• ,</c><00:57:16.160><c> and</c><00:57:16.320><c> navigate</c> engage with their servicer, and navigate
• engage with their servicer, and navigate options<00:57:17.120><c> that</c><00:57:17.240><c> can</c><

Bills: HF3279 , HF1879 , HF1417 , HF2462

Committee: House Housing Finance and Policy

Keywords: housing, sales tax, homeownership, rent assistance, community stability, education, counseling, financial assistance, housing development, culturally appropriate services, HF1417, manufactured home parks, manufactured housing, mobile home parks, housing development fund, Minnesota Housing Finance Agency, MHFA, infrastructure grants, infrastructure loans, affordable housing

Transcript Highlights:

• That's $275 million serving your constituents with broadband cable services.

Bills: HB542 , HB542

Committee: Senate Transportation and Energy

Keywords: HB542, district attorney, prosecutor, supernumerary district attorney, Employees' Retirement System, ERS, Alabama retirement, public employee retirement, pension, retirement benefits, post-retirement employment, salary cap, dual participation, double dipping, District Attorneys' Plan, assistant district attorney, deputy district attorney, state pension, survivor benefits, Office of Prosecution Services

Bills: SB332 , HB362 , HB323 , SB332 , HB362 , HB323

Committee: Senate Veterans, Military Affairs, and Public Safety

Keywords: public works, construction management, project delivery methods, alternative delivery, administrative rules, public advisory council, contracting, bidding procedures, protests, transparency, local government, public meetings, accountability, education, electric utility, transportation, oversize vehicles, transport permits, state highway system, firefighters

Bills: HB0122 , SF0004 , SF0012 , SF0013 , SF0067 , SF0070 , SF0124

Committee: Senate Appropriations

Keywords: healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, Medicaid, emergency medical services, ground ambulance, healthcare funding, reimbursement rates, military, national guard, reenlistment, extension bonus, Wyoming, Wyoming National Guard, recruitment

Bills: HB0122 , SF0004 , SF0012 , SF0013 , SF0067 , SF0070 , SF0124

Committee: House Appropriations

Keywords: healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, Medicaid, emergency medical services, ground ambulance, healthcare funding, reimbursement rates, military, national guard, reenlistment, extension bonus, Wyoming, Wyoming National Guard, recruitment

Transcript Highlights:

• </c> the reimbursement rate uh for services the reimbursement rate uh for services as<00:01:12.640><c
• ><c> really</c> ambulance services uh are really ambulance services uh are really struggling<00:02:15.040
• . service. service.
• </c> significant boost to services. significant boost to services.
• We have<00:13:38.240><c> two</c><00:13:38.720><c> services</c> have two services have two services and

Bills: HB0122 , SF0004 , SF0012 , SF0013 , SF0067 , SF0070 , SF0124

Committee: House Appropriations

Keywords: healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, Medicaid, emergency medical services, ground ambulance, healthcare funding, reimbursement rates, military, national guard, reenlistment, extension bonus, Wyoming, Wyoming National Guard, recruitment