Transcript Highlights:

• Uh, with the evaluation management codes, are there separate evaluation and management codes for Teller
• Uh, with the evaluation management codes, are there separate evaluation and management codes for Teller
• Uh, with the evaluation<00:37:45.440> management<00:37:45.839> codes,<00:37:46.400>
• are<00:37:46.560> there evaluation management codes, are there evaluation management codes
• <00:37:49.119> codes separate evaluation and management codes separate evaluation and management

Keywords: 958, all

Summary: A presenter from Fast Health Corporation described a proposed Kentucky Health Command System tied to Senate Bill 175, which would create a state-sanctioned AI platform for rural hospitals and telehealth. The company said the system would help rural residents get health information remotely, triage minor issues, and escalate more serious cases to Kentucky providers, with use cases including blood pressure, diabetes, maternity care, smoking cessation, and other preventive-care topics. The presenter argued the system would help rural hospitals compete with out-of-state telehealth companies and keep patients connected to local care. The presentation also emphasized a commercial model the sponsor said would generate new revenue through ads and branded interactions, with the bill reportedly directing 80% of that revenue to rural hospitals and 20% to the state to maintain the system. The presenter said the technology would augment, not replace, doctors and nurses, and claimed it could improve access and convenience in underserved areas. Committee members raised concerns about liability, whether the AI could provide medical advice, and whether there was evidence it had reduced emergency room visits; the presenter said the system could not give medical advice and acknowledged the technology is still very new. The sponsor of the bill said the goal was to help transform rural health care, reduce unnecessary ER use, and capture revenue that would otherwise go to commercial search engines and out-of-state companies. No vote or final action was taken during the portion of the meeting provided, and the discussion ended with questions about branding, loyalty, and the legal limits of the AI system.

Transcript Highlights:

• Chairman and Representative Tolman, we approved last session, I think it was five program evaluators
• It's not front-loading the evaluation here. ...be a collaborative effort at some point when we get those
• So we don't know how to evaluate it. We don't know what to give you.
• are passed, to evaluate and see if that's doing what it is intended to do.
• The governor's office may need to hire their own program evaluators at some point in time or staff to

Keywords: 908, all

Summary: The committee opened with roll call and a review of special-session procedure: bills would be heard in filing order, with related school-lunch bills grouped together, and any bill advancing would require a motion, second, and majority vote to be introduced. Members also discussed that the committee was functioning much like a delayed-bills committee, with final referral to either Appropriations or Policy depending on the bill’s fiscal impact. The first major proposal was Senator Schibley’s bill to create a narrow, statewide Bank of North Dakota bridge-loan program for struggling nonprofit medical facilities, prompted by Jacobson Memorial Hospital’s financial crisis. He argued the hospital and surrounding EMS services could close without short-term help, while committee members questioned the added language, the population cap, the $10 million fund with $5 million per applicant limit, and whether the program could open the door to future requests. Representative Headland then presented two cleanup bills from the prior property-tax session: one to fix notice and tax-certification issues for local taxing districts, and another to correct how the primary residence credit is applied so taxpayers receive the full benefit rather than counties retaining part of the reimbursement. Members asked about township hearing timing, the estimated $10–15 million annual impact, and whether the credit issue could be fixed retroactively; Headland said the bill was intended to correct the problem going forward. Three school-lunch bills drew extensive discussion. Representative Vetter proposed a small administrative appropriation to add an FTE to help eligible families enroll in the existing free/reduced lunch program, saying the goal was to ensure needy children are signed up and that the state should not subsidize meals for wealthy families. Representative Nathe offered a broader bill mirroring the pending initiated measure but placing the program in statute instead of the Constitution, moving implementation up a year, and funding it with a one-time $65 million from the strategic investment fund; he said this would preserve legislative flexibility and avoid constitutional entrenchment. Representative Dressler proposed raising the state-funded eligibility threshold from 225% to 300% of poverty, arguing it would expand access while still preserving federal reimbursements and encouraging better enrollment systems. Members debated costs, future budget pressure, whether the bills set a precedent for responding to ballot measures, and whether the program should include breakfast and other operational details. Other proposals included Senator Powers’ bill to create a hyperbaric oxygen board and support rural access to hyperbaric chambers for wounds, concussions, PTSD, and other conditions; Representative Tolman’s reporting-requirements bill to force new or expanded programs to justify purpose, alternatives, evaluation methods, and full implementation costs; Representative Frelich’s bill addressing the ongoing redistricting litigation and what happens if the Supreme Court or lower courts alter the current map; and a bill requested by the Public Service Commission and ITD for FERC litigation support and ADA website/document compliance. The committee also heard a rural-health eligibility bill from Representative Twait aimed at steering federal rural health dollars toward rural providers, with questions focused on whether the mileage limits would exclude some communities. One Holocaust education item was deferred until the sponsor could be located.

Transcript Highlights:

• We can share our data on how we are evaluating the performance measures.
• I would like to work together to determine how we're evaluated from the front end so that we have the
• And so, the evaluation shop within the LFC, we divided it up. We called all of the providers.
• evaluation will look somewhat at how you...
• That'll be from the evaluation unit in December, I believe.

Transcript Highlights:

• While SSCC performance is evaluated continuously in compliance with the Texas Government Code, DFPS has
• The Quad Agency comprises TWC, HHSC, and TEA, and is tasked with evaluating and resolving duplicative
• Quad agency comprises TWC, HHSC, and TEA, and is tasked with evaluating and resolving duplicative or
• First of all, the evaluation period currently is six months to achieve the 90% threshold to be exempt
• The bill that we're discussing will enable a one-year evaluation period, which we think will make it

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

Keywords: epinephrine, healthcare, emergency response, administration, medical policy, health care, itemized billing, patient rights, provider regulations, Texas Health and Safety Code, cost disclosure, insurance, benefit plan, administrators, chemical dependency, treatment facilities, minor admissions, parental notice, mental health, medical licensing

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

Transcript Highlights:

• We can and should return to a human-centric system of evaluating these potential denials and working
• We can and should return to a human-centric system of evaluating these potential denials and working
• We can and should return to a human-centric system of evaluating these potential denials and working
• We can and should return to a human-centric system of evaluating these potential denials and working
• We can and should return to a human-centric system of evaluating these potential denials and working

Keywords: 1183, house

Transcript Highlights:

• entity that receives public funds to ensure compliance with applicable laws, conduct inspections, evaluations
• entity that receives public funds to ensure compliance with applicable laws, conduct inspections, evaluations
• c> inspections, applicable laws, conduct inspections, applicable laws, conduct inspections, evaluations
• and<00:04:01.960> investigations<00:04:02.760> of<00:04:02.880> state evaluations
• , and investigations of state evaluations, and investigations of state executive<00:04:03.600> branch

Keywords: 1183, house

Transcript Highlights:

• We will be evaluating how the weapon screening process works and we'll make adjustments as needed to
• We will be evaluating how the weapon screening process works and we'll make adjustments as needed to
• We<00:03:09.040> will<00:03:09.280> be<00:03:09.440> evaluating<00:03:10.080>
• how<00:03:10.319> the<00:03:10.480> weapon We will be evaluating how the weapon We
• will be evaluating how the weapon screening<00:03:11.280> process<00:03:11.760> works<

Keywords: 919, house, all

Summary: Minnesota Department of Public Safety Commissioner Bob Jacobson and State Patrol Colonel Christina Bogey announced that weapon screening will begin Tuesday at the Minnesota State Capitol at the start of the 2026 legislative session. They said the change is based on an independent security assessment and the Axtell report’s top recommendation, and framed it as an added layer of protection rather than a weapons ban or a change in state law. Both emphasized that the Capitol will remain open, accessible, and welcoming while reducing preventable risks, citing heightened threats to public officials and the recent murders and shootings involving Minnesota lawmakers and their families. Bogey outlined the screening plan: visitors will use four public access points, with the south ground-level entrance as the primary entry, while other exterior doors will not be open for public entry. She said the process should take only seconds for most people, with bags going through separate scanners and additional screening only if needed. The Capitol will close to the general public at 4:30 p.m. on weekdays, though accommodations will be made when hearings or floor sessions run later. She also said the entrances and screening areas are ADA accessible and that staff will be available to help guide visitors. In questions, officials said prohibited items are defined by statute and administrative rules and referred reporters to the State Patrol website for the full list. They confirmed that lawful permit-to-carry holders may still bring firearms, but must declare the permit, show government ID, and go through screening; elected officials are exempt, while staff are not. They also said the State Patrol will fund the rollout from its own budget, with costs to be evaluated over time, and that tunnel key-card access will be restricted to everyone. The briefing ended with a plan to demonstrate the screening equipment upstairs.

Transcript Highlights:

• After those three years of funding are exhausted, that program goes through an accountability evaluation
• , and LESC for what you all could put into the Public Education Reform Fund for that three-year evaluation
• As I just mentioned, the Public Education Reform Fund's whole purpose is to evaluate the impact of programs
• It's really difficult to evaluate the impact of a program if it can be a lot of different things depending
• We still need to think about how we evaluate special education in particular and how we improve special

Transcript Highlights:

• recommends continued study of the 520 system, including assessing recruitment and retention trends, evaluating
• am pleased to say that the agency is currently in the third RFP phase, and I can report that the Evaluation
• also establish updated licensure requirements, competency expectations, mentorship provisions, and evaluation
• progress. leadership team at least twice a month, which must include meeting with school leadership to evaluate
• Next month, I'll bring forward an opportunity for you to do an evaluation.

Keywords: 996, all

Transcript Highlights:

• and water use fee rates, which will increase DNR's permitting responsiveness and the ability to evaluate
• The report also evaluated lead solder and key fobs and found that lead-free alternatives are available
• I think because this was not a topic that we worked directly on in our report, we're still evaluating
• In order to properly evaluate the potential long-term health concerns arising from exposure to adults
• Therefore, bioavailability is an important factor that should be considered when evaluating the level

Transcript Highlights:

• We need to evaluate, do they still meet the goals? Do they still improve water quality?
• Risk screenings help our staff evaluate the likelihood that a species will cause harm to Florida, and
• And to date, we have conducted risk evaluations on 246 species, and some of these we do in-house and
• platform is coordinated across multiple entities, and when a report is received, it is verified and evaluated
• platform is coordinated across multiple entities, and when a report is received, it is verified and evaluated

Summary: The committee meeting began with quorum, member introductions, and an overview of the Agriculture, Environment, and General Government budget process. The chair emphasized using the committee resource book and performance metrics to review the base budget and invited members to identify areas of interest for later discussion. Members were also reminded about appearance forms and speaking procedures. Wes Gregory of the Department of Agriculture and Consumer Services presented on agricultural best management practices and water policy. He said the office had updated all nine commodity BMP manuals and added a manual for small farms and livestock, expanded enrollment by 742 producers covering 677,000 acres, and used GIS and data analysis to target areas such as the Indian River Lagoon. He also described cost-share projects, a new field application for enrollment and inspections, cross-training staff, and a request for $20 million for regional water quality projects. Members asked about BMP enrollment, compliance, and enforcement; Gregory said noncompliance is uncommon and cases can be referred to DEP. Adam Blaylock of DEP reviewed environmental grant programs, saying the state has appropriated $2.9 billion since 2018 for water quality projects, with about 1,100 projects reducing nitrogen and phosphorus statewide. He described the Water Quality Improvement Grant, Indian River Lagoon, Biscayne Bay, Springs, Alternative Water Supply, and Resilient Florida programs, including a planned public dashboard and a water-quality monitoring portal. Senators asked about the application window, award timing, and the high cost of septic-to-sewer conversions, with Blaylock estimating a blended average of about $35,000 per home. Chief Conservation Officer George Worthing of the Fish and Wildlife Conservation Commission then presented on invasive animal control. He discussed prevention, risk screening, law enforcement at ports, public outreach programs such as the Python Challenge, Lionfish Challenge, and Exotic Pet Amnesty Program, and early detection tools like the Ive Got One reporting system. He also described control efforts for Burmese pythons, tegus, and lionfish, along with research and partner coordination. Members asked about the most harmful invasive species and whether iguanas may be taken; Worthing said iguanas are open for take, subject to other laws. The meeting ended after members briefly identified priorities such as water quality, recreation water quality, sustainability, sea level rise, and septic-to-sewer infrastructure, and the committee adjourned without any formal votes.

Transcript Highlights:

• This bill creates a deliberate multi-stakeholder process to evaluate how behavioral health treatment,
• But it's an evaluation of the staff.
• AB 46 was a monumental step in the right direction because it gave judges more discretion to evaluate
• Even after applying that law faithfully and evaluating all the facts and forensic interviews, the parole
• Additionally, one provision of the bill would also deal with the evaluation of suitability of sexually

Summary: The committee heard several bills, though no final votes were taken because a quorum had not yet been established. SB 493 by Senator Becker would add war or armed conflict to California’s price-gouging emergency triggers, with the author and supporters arguing it would protect consumers from gas-price spikes tied to international conflict. Opponents, including business and housing groups, warned the bill could over-trigger emergency powers and create broad, ongoing price controls. The chair indicated support for an aye-as-amended recommendation once quorum was reached. SB 1056 by Senator Grayson would require protective orders for disclosure of sexually explicit material involving adult victims in specified criminal cases. Denise Huskins-Quinn and Aaron Quinn testified in support, describing how sensitive evidence in their case was copied and handled without adequate safeguards; supporters said the bill would extend privacy protections similar to those already used for child sexual abuse material. Criminal defense attorneys supported the goal but raised concerns about notice procedures and how the bill would apply when material is in the public domain. The chair said the bill filled a gap in existing law and would receive an aye recommendation. SB 1208 by Senator Grayson would let law enforcement seize and return crypto assets used in scams and fraud to victims. The Attorney General’s office and law enforcement groups supported the bill as a tool to recover losses from transnational crypto fraud, while the ACLU and public defenders argued it lowered the burden of proof, raised constitutional concerns, and could be misused against unbanked or low-level defendants. The chair nevertheless said the bill aligned with existing law for stolen property and would be recommended aye. SB 874 by Senator Weber-Pearson would strengthen oversight of Medi-Cal behavioral health treatment services, including requiring background checks for employees of providers and convening a stakeholder workgroup; it drew support from the California Association for Behavior Analysis and no opposition was heard. Later, SB 1266 by Senator Stern would change how the value of stolen copper and related infrastructure damage is calculated, aiming to address copper theft and its costs to cities and utilities. Supporters said the bill would better capture the real harm from thefts that disrupt streetlights, telecom, and emergency services, while opponents argued it would inflate charges, turn many misdemeanors into felonies, and increase court and incarceration costs. The author said he would continue discussions and accept the amendments. Senator Cervantes presented SB 1379, which would separate the Riverside County sheriff and coroner offices and create an independent medical examiner; supporters cited in-custody death concerns and conflicts of interest, while opponents said the problem was not unique to Riverside and that the bill would override local control. Cervantes also presented SB 1418 to extend ballot-custody protections to other election records and equipment after a Riverside County ballot seizure, with support from the Attorney General’s office. Finally, Senator Blakespear began presenting SB 936 on nitrous oxide misuse, describing public health, impaired-driving, and disposal concerns, but the transcript cuts off before the bill’s testimony concluded.

Transcript Highlights:

• Health boards evaluations notice. Unless you want to skip to a...
• And if someone was going to order a psych evaluation on an individual that has had no history of any
• So it's very unrelated to a psych evaluation, and they have every opportunity to drug test them.
• So it's very unrelated to a psych evaluation and they have every opportunity to drug test them.
• ...place and only for psych evaluations.

Bills: SB1052, SB1115, SB1118, SB1120, SB1121, SB1124, SB1171, SB1172, SB1174, SB1175, SB1214, SB1233, SB1235, SB1316, SB1345, SB1372, SB1399, SB1458, SB1494, SB1496, SB1564, SB1602, SB1621, SB1628, SB1630, SB1631, SB1668, SB1672, SB1814, SB1821

Keywords: assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent, AHCCCS, remote work, state agency, employment, public health, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes, townhomes, historic preservation, radiation protection

Summary: The committee first heard Senate Bill 1121, which would prohibit hospitals from requiring lead aprons for cardiac catheterization staff when a radiation protection system is in place, while still allowing hospitals to require aprons outside the designated safety zone or when exposure levels warrant additional protection. An amendment added flexibility for radiation safety officers to require lead or other PPE if exposures approach occupational limits and removed expedited rulemaking language. Supporters, including the sponsor and interventional cardiologists, argued the devices reduce radiation and orthopedic injuries and improve recruitment and retention; hospital groups shifted to neutral after the amendment. The committee adopted the amendment and passed SB 1121 on a 9-2 vote. The committee then considered Senate Bill 1120, which would require hospitals performing cardiac catheterization procedures to equip at least 50% of those rooms with radiation protection systems by 2027. Supporters said the systems protect clinicians from radiation and long-term injury, while opponents, including hospital and radiology groups, argued the bill was overly prescriptive, could create a captive market, and might not fit all rooms or procedures. After adopting a children’s hospital exemption amendment, the committee passed SB 1120 on a 6-6 vote, with the chair breaking the tie in favor of the bill. Senate Bill 1118, an appropriation measure tied to the radiation protection system proposal, was also advanced after brief discussion, passing 6-5. The committee then took up Senate Bill 1214, which would create guardrails for non-FDA-approved stem cell and regenerative therapies, including provider standards, informed consent, advertising limits, reporting requirements, and a private right of action for violations. Supporters described it as a patient-protection and access bill, while testimony emphasized concerns about unregulated “bad actors” and patients traveling out of state for treatment. The committee adopted an amendment removing a reference to the National Law and passed SB 1214 on a 9-3 vote. The transcript then began discussion of SB 1630, which would create a Medicaid-funded home and community-based service benefit for adults with serious mental illness, with AHCCCS taking a neutral position and estimating a significant fiscal impact.

Transcript Highlights:

• and registrations change, like it just seems like it's something that is going to need further evaluation
• and registrations change, like it just seems like it's something that is going to need further evaluation
• and registrations change, like it just seems like it's something that is going to need further evaluation
• and registrations change, like it just seems like it's something that is going to need further evaluation
• and registrations change, like it just seems like it's something that is going to need further evaluation

Keywords: 919, house, all

Summary: The working group approved the prior meeting minutes with one correction to reflect Laura Ziggler’s attendance. Staff then outlined the report due February 13, 2026, which must summarize the group’s activities and include findings and recommendations adopted by the group; the report will go to the governor and legislative transportation leaders. The chair emphasized that the group’s charge is broad and includes analyzing electricity used as vehicle fuel infrastructure opportunities and barriers, developing policy and funding recommendations for sustainable transportation funding, and reviewing other states’ laws and policies. Discussion focused heavily on how to replace declining gas tax revenue as more vehicles become electric. The chair framed the issue as a fairness and implementation challenge, noting that EVs are a growing share of the fleet and that the group should consider both policy and funding, not just one or the other. Members and guests raised several ideas already submitted, including a road user charge, changes to the EV charging tax, ending or modifying the EV surcharge, broadening the tax to publicly owned charging stations, reducing the charging level threshold to level 2, ending sales tax on electricity, addressing off-road use, and expanding the definition of auto parts to include charging equipment. Representative Elkins argued that charging based on electricity used at home is impractical for most vehicles, that public charging is already much more expensive than home charging, and that the current sales tax plus surcharge amounts to double taxation for public-charging users. He said a mileage-based user charge modeled on Utah’s approach is workable, could be phased in, and could preserve privacy by allowing a voluntary or alternative method for home charging estimates. Senator Howe responded that home electricity use can be estimated similarly to mileage deductions on taxes and said the state should tax all electricity used as fuel, regardless of charger level, if it can be identified. Other speakers echoed that all road users should pay a fair share and that the main challenge is implementation. Tony Kis of Quick Trip asked that a late letter be included in the record and urged clarification of the sales, use, excise tax, and collection rules to avoid double taxation and reduce administrative burden, noting the current monthly collection date and suggesting the group should streamline collection methods. No final policy decisions or votes were taken beyond approval of the minutes.

Transcript Highlights:

• <00:09:49.279> state for the programs and evaluates state for the programs and evaluates state
• The recommendation also says MDE should evaluate recent statutory changes related to its investigatory
• What we did is we had done decades worth of silo evaluations on how is grants management in this agency
• <00:41:53.240> on decades worth of Silo uh evaluations on decades worth of Silo uh evaluations
• their enforcement tools and evaluating their enforcement tools and authorities<00:49:08.680> and<

Keywords: 1183, house

Summary: The Education Policy Committee met to hear a delayed presentation from the Office of the Legislative Auditor on MDE’s oversight of Feeding Our Future, a report released in June 2024. The chair framed the hearing as an oversight review of how the Minnesota Department of Education handled the nonprofit’s participation in the Child and Adult Care Food Program and the Summer Food Service Program, emphasizing that the hearing was not about criminal charges against agency staff. Legislative Auditor Judy Randall and Director of Special Reviews Katherine Tyson explained that their review focused on state oversight, not the underlying federal fraud case, which involved an alleged $250 million scheme and ongoing criminal proceedings. The auditors concluded that MDE’s oversight was inadequate and created opportunities for fraud. They said MDE failed to act on warning signs before the pandemic, did not effectively use its authority to hold Feeding Our Future accountable, and was ill prepared to respond to problems. Examples included approving applications despite concerns about internal controls and staffing, failing to follow up on earlier review findings, not adequately investigating at least 30 complaints, and in one case referring a complaint back to Feeding Our Future for resolution rather than conducting an independent investigation. They also said MDE deferred serious deficiencies without enough evidence that problems had been fully corrected and approved meal claims despite records showing major inconsistencies. Tyson said MDE had made progress on all eight recommendations in the report, though one recommendation to the legislature had not yet been addressed because the session had not convened since the report’s release. The auditors recommended that the legislature establish clearer statutory criteria or give MDE rulemaking authority for sponsor applications, and that MDE strengthen verification of sponsor information, focus more on high-risk sponsors, improve complaint procedures, and emphasize program integrity if waivers reduce oversight in the future. In response to member questions, the auditors said MDE’s reported progress was partial in some areas and that further review would be needed to fully confirm implementation. No votes or formal committee actions were taken during the hearing.

Transcript Highlights:

• Yeah, we want to take out 224 to 227 because the site evaluation is going to be up in 178; that's where
• So, there's the site evaluation committee section in House Bill 2 that we're going to work from and modify
• :59.760> to<00:41:59.839> be<00:42:00.079> up<00:42:00.240> in site evaluation
• is going to be up in site evaluation is going to be up in 178<00:42:02.800> that's<00:42:03.359
• the there's the site evaluation the there's the site evaluation committee<00:42:23.200> section

Keywords: 1191, senate, all

Transcript Highlights:

• that, for the last 50 or 60 years in cardiology, all of our tests have been really developed to evaluate
• , and people have often said we need to shift the heart evaluation paradigm to something similar to the
• cancer evaluation paradigm.
• It's not covered by insurance because historically we've always been restricted to evaluating patients
• It's not covered by insurance because historically, we've always been restricted to evaluating patients

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.

Transcript Highlights:

• , or if the student is on the IEP, the evaluation that says they qualify for that aid.
• , or if the student is on the IEP, the evaluation that says they qualify for that aid.
• , or if the student is on the IEP, the evaluation that says they qualify for that aid.
• It has to be perform their evaluation.
• That we're not in that position to evaluate that.

Keywords: 1189, house, all

Summary: The commission to study the cost of special education met, confirmed a quorum, introduced members and guests, and approved the minutes from the October 29 meeting. Members noted the commission’s mandate under Senate Bill 57 and emphasized the need to focus on recommendations and findings by July 1, 2026. The chair also distributed additional handouts, including materials related to the Education Freedom Account (EFA) program and administrative rules tied to differentiated aid and disability determinations. The main discussion centered on how students qualify for differentiated aid under the EFA program. Matt Sutherton of the Children’s Scholarship Fund explained that the organization, which contracts with the state to administer EFAs, accepts either school-district/IEP documentation or a medical certification of disability (MCD) from a licensed medical professional. Members questioned how this process relates to the state’s special education rules and whether the school-district examiner standards in ED 107/1107.04 apply to EFAs. Sutherton said the MCD form, created with the department, requires the medical professional to sign that they are qualified to make the determination and to identify the disability. Several members expressed concern that the EFA process is less rigorous than the school-district IEP process and may be inflating disability counts. One member argued that the administrative rules cited are primarily for school districts, not EFAs, and said the Department of Education may not know how many of the roughly 890 EFA students receiving differentiated aid came through school-district documentation versus the MCD pathway. Another member said the EFA system appears more generous than the school system and raised concerns about oversight, auditing, and whether the program’s data are accurate. Sutherton said the organization reviews signed documentation, credentials, and diagnosis information, and may request additional records to help adjudicate expenses. No votes or formal actions were taken beyond approving the prior minutes.

Transcript Highlights:

• When an AAR doesn't examine a particular impact, that evaluation process then moves to the appropriate
• We owe it to Minnesotans to take a thoughtful, comprehensive approach to evaluating the siting of data
• the sighting of data centers evaluating the sighting of data centers we<00:47:32.559> are<00:
• <00:48:38.400> these systematic way of evaluating these systematic way of evaluating these
• the impact of enough tool for evaluating the impact of generators<00:56:54.680> similarly<00:

Keywords: 1187, senate, all

Transcript Highlights:

• We just haven't done that evaluation.
• We are evaluating and consulting with the tribes on the two mines that are proposed in their footprint
• government in this case evaluate those areas for traditional environmental knowledge.
• government in this case evaluate those areas for traditional environmental knowledge.
• We're looking to... ...continue to evaluate and refine that as quickly as possible.

Summary: The committee first heard a presentation from the Environment Department on PFAS contamination in private wells in La Cienega, Santa Fe County. Staff said the plume likely came from historic use of firefighting foam associated with airport and National Guard fire-training activities, with possible additional contribution from septic systems and consumer products. They described the contamination as affecting about 200 private wells, the short-term response of providing residential filters through a $2 million legislative appropriation, and ongoing work to define the plume’s full extent, identify responsible parties, and consider longer-term regional water solutions. Members asked about filter costs, replacement schedules, disposal of used cartridges, follow-up testing, health studies, and whether cleanup or containment had begun; the department said cleanup would follow once the plume is fully mapped and that DOH is soliciting interest in a blood study. The committee also discussed the need to track disposal of PFAS filters and the possibility of broader statewide capacity for similar work. The committee then took up abandoned uranium mine cleanup. NMED and EMNRD staff reviewed the new uranium mine reclamation program created by HB 164, the state dashboard tracking sites, and the FY26 appropriation of $20 million for neglected contaminated sites, of which $12 million is being used for neglected uranium mines and the remainder for other contaminated sites. They said six contractors were hired, three priority sites in Grant County are moving forward quickly, and additional sites are being prepared for possible FY27 work. Members pressed for details on how funds are spent, why the revolving fund remains unfunded, how federal, state, tribal, and landowner requirements are coordinated, where contaminated material will be moved, and whether cleanup could also address homes built with contaminated materials. Staff said the work is governed by multiple regulatory layers, that the state is seeking an additional $25 million for FY27-FY28 plus a time extension, and that partnerships with tribes would require longer-term agreements. The committee also discussed federal cleanup efforts and the new Good Samaritan law, with members urging stronger advocacy for New Mexico sites, including tribal lands, and asking whether the Attorney General should pursue legal action against federal parties responsible for legacy contamination. Staff explained that some sites are already covered by settlement funds tied to responsible parties, while neglected sites are those with no responsible party and no other cleanup program. The committee then heard from EMNRD on Class VI carbon sequestration primacy. Staff said New Mexico currently has no operating Class VI wells, about 27 Class II acid-gas injection wells are operating, and only a small number might be candidates for conversion. They explained that the state’s primacy application would require more public outreach than federal rules alone, and that cost estimates for post-injection site care are based on long planning horizons, with some costs borne by operators and some by the state after closure. No votes were taken on the substantive items discussed; the committee approved the prior meeting minutes and took a brief recess between presentations.