Transcript Highlights:

• Enrollees may face long wait times or travel times.
• I just want to say thank you, Chair Tumbling, for your time.
• It was filed on time. Other questions?
• Thank you for your time this morning. I really appreciate it.
• It has, a HIPAA approval has a limited time frame.

Summary: The committee met to consider a large agenda of health and human services bills, moving quickly because of a two-hour time limit. Early measures reported favorably included SB 976 on challenges to court-appointed psychologists in family law cases, SB 306 on Medicaid provider network access and after-hours availability, and SB 584 on housing supports for college students and youth in extended foster care. SB 1412 on home health regulation modernization also passed, with one support appearance from the Home Care Association. Members then approved several bills focused on research and care delivery, including SB 1800 creating a Parkinson’s disease research consortium at USF with an adopted amendment adding academic medical centers, SB 524 adding Duchenne muscular dystrophy to newborn screening, SB 1156 revising a Medicaid home health aide program for medically fragile children, and SB 1490 transferring and redesigning the managed care program for critically ill children. SB 1174 on foster home licensure transfers, SB 1620 implementing mental health and substance use commission recommendations, SB 1568 revising e-prescribing exemptions, and SB 788 on veterans nursing home beds were also reported favorably. The committee had more extensive debate on SB 1270, the Department of Health agency package, which included provisions on vaccination status, medical marijuana background screening, licensing and compact issues, and sovereign immunity for volunteer dental workers; it passed after an amendment and several members voiced concerns about patient treatment and “voting power” language. SB 1606 on patient access to records drew strong opposition from providers and health information professionals over privacy, HIPAA, and administrative burdens; it was initially reported unfavorably, then reconsidered and ultimately passed after a motion to reconsider. Other bills reported favorably included SB 1736 on insulin administration by direct support professionals and relatives, SB 1808 on patient refunds from providers, SB 1842 on referral disclosure of network status, SB 1354 on behavioral health managing entity oversight, SB 1768 on stem cell therapies with informed consent requirements, and SPB 7032 on presumptive Medicaid eligibility for permanently disabled individuals, which was submitted and reported as a committee bill. The meeting ended after all agenda items were handled and the committee adjourned.

Transcript Highlights:

• No doctor ever checked to see, of course, at that time.
• Now, I also am a three time pre-eclamptic birth survivor.
• So that is the efficacy, timely manner.
• Timing, when was this? This happened.
• I promise you, I've heard it time after time after time after time.

Bills: HB46

Keywords: local government spending cap, expenditure limit, political subdivision, property tax, ad valorem tax, budget cap, taxpayer protection, spending restraint, inflation adjustment, population growth, voter approval, supermajority vote, county budget, municipal budget, school district finance, junior college district, hospital district, special district, attorney general enforcement, local fiscal limits

Transcript Highlights:

• Time? That's what we probably need to work on.
• Born screenings performed by DSHS.
• This enhances efficacy in a timely manner.
• That has happened multiple times.
• I promise you I've heard it time after time after time after time.

Bills: HB514, HB1652, HB2117, HB2298, HB3269, HB46, HB46

Keywords: maternal health, maternal care, pregnancy, labor and delivery, postpartum, doula, birth worker, midwife, obstetric care, women's health, rural health, health workforce, workforce development, trauma-informed care, public outreach campaign, health equity, minority health, underserved communities, Texas Department of State Health Services, HHSC

Transcript Highlights:

• Good morning, everyone, and thank you for being here at 8:15 on time.
• Consultation Services provide screening Consultation Services provide screening assessment<00:33
• Chair. or um at least four times in the past or um at least four times in the past three three three
• <01:11:06.239> and investigations provider screening and investigations provider screening
• <01:15:07.159> um<01:15:07.480> of or different times um of or different times um of

Keywords: 1183, house

Summary: The committee met for an introductory overview of its jurisdiction and staff roles. Nonpartisan House Research and House Fiscal staff explained that they draft bills and amendments, prepare bill summaries and background research, answer legal and fiscal questions, and help track revenue and budget effects. They also distributed a Budget Overview Brief intended to condense the larger budget materials into a more usable format for members. Staff then walked through the Human Services budget and the committee’s areas of responsibility. They described the department structure, noting that DHS oversees administration, compliance, rulemaking, and county support, and that the overall Human Services budget is large, with medical assistance as the dominant program. They also explained recent and upcoming reorganizations: many children and family-related functions are moving to the new Department of Children, Youth, and Families, Direct Care and Treatment is becoming its own agency, and some homelessness-related functions remain at DHS. Staff reviewed how the budget is organized by program and budget activity, the difference between direct appropriations and standing appropriations, and how forecasted programs and “tails” work in the budget process. The presentation also covered Medicaid financing and long-term care. Staff explained the federal-state FMAP match, including Minnesota’s current 51.16% federal match for most Medicaid spending, the CHIP match, and the 90% federal share for the expansion population. For long-term care, they outlined Medical Assistance services for elderly and disabled people, state-funded long-term care supports, and Board on Aging programs. They highlighted the personal care assistance program’s phaseout and replacement by Community First Services and Supports, and reviewed the five home- and community-based waivers. Members asked one question about refugee resettlement funding, specifically whether it covers flights; staff said they would need to follow up on the exact use of the federal funds. No bills were heard, and no formal votes or other committee actions were taken during this meeting.

Transcript Highlights:

• Should you select to waive your speaking time?
• percent for first-time participants.
• Ecg heart screenings, we'll save students life.
• We have been doing these hard screens in Florida for a long time and we have saved over 400 kids that
• And I think it's come around multiple times.

Keywords: 999, senate, all

Transcript Highlights:

• ONLY A TWO-HOUR TIME SLOT WITH NO OPTION TO EXTEND.
• IT FURTHER ALIGNS US WITH BACKGROUND SCREENING REQUIREMENTS.
• CHAIRMAN AND AS YOU KNOW WE HAVE VARIOUS TYPES OF NEWBORN SCREENING.
• IT WAS TIMELY FILED. I DON'T HAVE ANY OTHER APPEARANCE FORMS OR DEBATE.
• INFINITE TIME FRAME.

Keywords: 999, senate, all

Transcript Highlights:

• I got this darn pillar here, so it gets me every time.
• If an employee tests positive, refuses to submit to a drug screening, or tampers with the screening assessment
• But this time, a true investigation occurred.
• At the same time, we were in family court.
• At the same time, we were in family court.

Bills: HB2035, HB2086, HB2434, HB2611, HB2732, HB2733, HB2830, HB2923, HB2932, HB4004

Keywords: kinship care, child welfare, foster care, relative placement, child protection, vaccination mandates, mask requirements, public health, government entities, COVID-19, controlled substances, prescription monitoring, opioid crisis, healthcare regulations, patient safety, group homes, children's rights, safety protocols, employee training, mental health

Summary: The committee heard a presentation from the University of Arizona College of Medicine Phoenix on its new tuition-free, three-year regional medical school branch in Yuma, which is intended to address Arizona’s primary care shortage by training students in a rural setting and linking them to rural residency opportunities. Members asked about who could apply, whether out-of-state applicants were eligible, and whether graduates would be required to remain in rural Arizona; the presenter said there is no post-graduation practice commitment, but the program is designed to encourage retention through rural training and residency placement. The committee then considered several child welfare and behavioral health bills. HB 2923 would expand judicial review procedures for court-ordered mental health treatment, adding timelines, notice, counsel protections, and a clear-and-convincing standard for continued treatment; the sponsor and a retired judge said it fills gaps in a 1974 statute. HB 2035 would expand kinship foster care to extended family members, require more notice and written findings when kin placement is denied, and strengthen presumptions favoring placement with relatives or other significant adults; DCS said the bill largely reflects current policy but raised a timing concern about a required report before preliminary protective hearings. HB 2611 would create a Youth Safety Rights and Mental Health Protection Act for foster youth and group homes, adding rights related to immediate and unbiased health care, anti-bullying protections, retaliation safeguards, drug screening, and safety rules; foster youth and former foster youth testified strongly in support, while DCS was neutral and noted possible implementation and fiscal impacts. The committee also heard HB 4004, which would require DCS to investigate credible abuse or neglect reports even when one parent is considered protective, and to take protective action when warranted. Several parents testified that DCS had previously closed or minimized cases because a protective parent existed, leaving children exposed to abuse; DCS did not testify against the bill, and members later said the agency should not use the presence of a safe parent as a reason not to investigate. The committee also considered pharmacy and AHCCCS-related bills: HB 2434 would revise the controlled substances prescription monitoring program and reporting requirements; HB 2732 would continue the State Board of Pharmacy; HB 2733 would make several pharmacy regulation changes including delivery, continuing education, and change-of-ownership rules; and HB 2932 would require AHCCCS contractors to reimburse noncontracting labs referred by contracting providers, which health plans opposed as undermining managed care tools while a lab provider argued it would improve fair payment and competition. On the floor, the committee also took up HB 2086, which would prohibit government and business mask and vaccination mandates, HB 2830, which would require instruction on fetal and prenatal development and bar abortion-related curriculum materials, and HB 2035, HB 2434, HB 2611, HB 2732, HB 2733, HB 2923, HB 2932, and HB 4004. Amendments were adopted on several bills, including HB 2086, HB 2611, HB 2830, and HB 2932. Final committee votes gave HB 2035, HB 2086, HB 2434, HB 2611, HB 2732, HB 2733, HB 2830, HB 2923, HB 2932, and HB 4004 do-pass recommendations, with HB 2086, HB 2611, HB 2830, and HB 2932 reported as amended.

Transcript Highlights:

• WANTED TO SHOW YOU WHAT AND ONE TIME SHOT AND WE ARE DONE.
• CHAIRMAN THANK YOU FOR YOUR TIME.
• ARE NOTIFYING ENROLLEES TIMELY THROUGHOUT EACH STEP OF THE PROCESS.
• HAVING A HARD TIME WRAPPING MY HEAD AROUND HOW YOUR HOLDING PLANS ACCOUNTABLE.
• THIS WILL BE THE LAST TIME WE MEET FOR THE CALENDAR YEAR SO THE NEXT TIME WE SEE EACH OTHER IT WOULD

Transcript Highlights:

• I am, I will join you when it's the proper time, but you can make it the proper time by making that motion
• Ultimately rising to the rank of captain, he flew 1600 hours in combat and was shot down 6 times.
• place in the state of Texas to live with very little traffic, uh, we have sunshine almost all the time
• , lipoprotein genetic screenings, kidney screenings, glucose screenings, and lipid panels, which, uh,
• which is cholesterol panel screening.

Transcript Highlights:

• make it proper time by making that motion right now.
• Captain Fitzgerald lent his time and expertise to the U.S.
• Very little traffic, we have sunshine almost all the time.
• . lipoprotein genetic screenings, kidney screenings, glucose screenings, and lipid panels. which is cholesterol
• panel screening.

Keywords: 1184, house, all

Transcript Highlights:

• THIS MANDATED THE HUMAN TRAFFICKING SCREENING TOOL INVALIDATING THE SAME IF POSSIBLE.
• I THINK YOU VERY MUCH FOR YOUR TIME TODAY. >> THANK YOU VERY MUCH.
• THEY HAVE ALREADY HAD A DIFFICULT TIME AND THESE PREDATORS ARE OUT THERE GROOMING.
• THE TIME.
• IT IS FOR THE TIME PERIOD OF THE CALENDAR YEAR OF 2023.

Keywords: 999, senate, all

Transcript Highlights:

• Chair, Representative, do you see this during redistricting time?
• It is a point in time count. I would appreciate your Advice on that.
• I hope we'll have an opportunity to try this one more time.
• We certify them to administer the screening tools.
• and the time they go to court.

Bills: HB2993, HB3850, HB3595, HB3763, HB3760

Keywords: rural law enforcement, grant fund, public safety, financial assistance, coordination districts, grant funding, law enforcement coordinators, municipal assistance, education, inmates, literacy, high school equivalency, Department of Corrections, parole, rehabilitation, law enforcement, mandatory training, mental health, domestic violence, peace officer certification

Transcript Highlights:

• The bill is left pending at this time. Thank you.
• In 1998, it's been around a long, long time.
• Whose screen is that? That's a screen from a Travis County election worker.
• Both, whenever the time comes to vote.
• Okay, we're out of time.

Bills: HB186, HB201, HB229, HB796, HB1506, HB2702, HB2885, HB3225, HB3909, HB4285, HB5138

Keywords: social media, children, account verification, data privacy, parental control, financial crime, card fraud, motor fuel theft, law enforcement, criminal activity, skimmers, prevention, training, biological sex, government information, definitions, sex-based distinctions, public health, federal directives, state authority

Transcript Highlights:

• at the ballot by voters, so at the appropriate time...
• And I'll defer the rest of my time.
• And I guess that at any point in time, Mr.
• And at the proper time, I'd like to move it favorably.
• And at the proper time, I'd like to move it favorably.

Keywords: 965, house, all

Summary: The House Municipal, Parochial, and Cultural Affairs Committee heard and advanced a series of local and statewide measures. SB 430 would renew, every 12 years by voter approval, the Shreveport-Bossier hotel occupancy tax that supports tourism and sports-related entities; SB 286 updates the New Orleans Downtown Development District statute by clarifying its status as a political subdivision, streamlining tax collection, removing staggered board terms, and clarifying bond-election boundaries; SB 198 requires government projects in historic districts to follow local historic district guidelines for new construction; and SB 172 expands a planning-commission provision so smaller municipalities can waive certain subdivision formalities and costly studies in limited family land-split situations. Each of these bills was described as largely technical or permissive, with supporters emphasizing efficiency, local control, or reduced costs. The committee also advanced SB 439 to add pre-screening for esophageal/Barrett’s esophageal cancer for firefighters and fire service employees, with firefighters’ representatives explaining the test can detect pre-cancerous cells and prevent later, more serious cancer. SB 458 would allow a local tax for a proposed St. Tammany Parish Inspector General/ethics entity to be allocated and, if excess remains, transferred to the district attorney’s office; members discussed the parish-wide referendum process and the connection to state-required funding obligations. SB 447 changes Bossier City Police Department promotional seniority and civil service classification from competitive seniority to promotional seniority, and SB 281 expands the Baker Economic Development District boundary to include additional commercial areas near the airport and support blight removal and growth. Additional measures moved favorably included SB 385, which changes appointments to the New Orleans City Park Improvement Association board and allows City Park to opt out of certain state insurance coverage because it carries private insurance; HR 84, which urges Shreveport to create an interest-free loan program for TSA agents at the regional airport during federal shutdowns; and SB 417, which adds two members to the St. Mary Parish Consolidated Gravity Drainage District No. 2A board. In each case, the committee heard brief testimony from sponsors and local officials or advocates, asked clarifying questions, and then approved the bills without objection. One member, Representative Murray, recused himself from the City Park bill because of his board membership. The committee then took a short recess, noting a few remaining bills would be deferred if sponsors did not appear.

Transcript Highlights:

• Now it's a secret algorithm, and it changes from time to time and from sports book to sports book.
• Now it's a secret algorithm, and it changes from time to time and from sports book to sports book.
• real time so we're talking real time real time so we're talking real time this<00:18:40.880>
• an extra Y into your account often times an extra Y into your account often times the<00:21:37.320
• <00:39:16.400> of different timing of different timing of implementation<00:39:18.960>

Keywords: 1187, senate, all

Transcript Highlights:

• Yeah, having been to the operating room 55 times in my life.
• In some cases, like 100 times with nurses. move to add all senators' names to the resolution.
• , so get those screenings.
• Texas continues to make progress in increasing access to screenings.
• He's been here a long time. It's hard. for me to keep track.

Bills: SJR3, SB5, SJR36, SJR3, SB616, SB565, SB384, SB5, SB21, SB72, SB140, SB262, SB370, SB372, SB495, SB627, SB703, SB764, SB842, SB971, SB790, SB767, SB480, SB1066

Keywords: dementia, Alzheimer's disease, Parkinson's disease, research funding, state budget, prevention, healthcare, medical research, Dementia Prevention and Research Institute, research institute, funding, grants, state health initiatives, aquifer, water management, Edwards Aquifer, sustainability, regulatory framework, SB 565, Texas Water Code

Transcript Highlights:

• So don't waste our time or her time. But she is, she will do a good job. Great.
• The timing, members, could not... The timing, members, could not be more perfect.
• Many times it is the providers.
• It takes time to see that.
• My time started. Okay.

Keywords: 1185, senate, all

Transcript Highlights:

• We've spent a lot of time going over vacancies and agency operations.
• And at that time, all branches of government fit in that building there across the courtyard.
• You see the visitor screening center.
• FDLE has the ability to man that and to screen visitors.
• It will take most of the time between now and next session to do that.

Summary: The State Administration Budget Subcommittee met to receive an overview and tour of Capitol complex construction projects funded through the Department of Management Services (DMS). Deputy Secretary Tom Berger gave a historical and project-by-project presentation on the Capitol campus, explaining the evolution of the historic Capitol and the current tower complex, and describing major ongoing work including the Waller Park west entry/ADA and waterproofing project, the east entry security screening area, Cabinet meeting room modernization, historic Capitol re-roofing, the large Capitol HVAC replacement, window replacement, Memorial Park improvements, the Holocaust Memorial, the North Loading Zone, and Knott Plaza upgrades. He noted that the Capitol windows and HVAC work are intended to address aging systems and improve resilience, security, and accessibility, and said the broader Capitol window project will continue over several years. Members asked questions about the African-American memorial, the old bank/archives building with water damage, the roofing material and expected lifespan, the legal definition of the Capitol complex, and the history of early legislative meetings in Pensacola and St. Augustine. Berger said the African-American memorial base is built and the installation should be completed in March or April, while the archives building is owned and managed by the Department of State. He also explained that the roof uses a slate-like material designed for a 50-year life cycle, though major storms could still damage it, and clarified that the Capitol complex can be defined differently in statute versus operationally. Chair Lopez and other members requested follow-up information, including a rendering of the African-American memorial and a table summarizing the Capitol investments and when the facilities were last updated, so members can better explain the spending to constituents. Berger said he would provide the requested information, and the committee then concluded the presentation and proceeded to the tour.

Transcript Highlights:

• Just how fleeting time is, how quickly they grow. It's just a lesson in time.
• Appreciate your time. Thank you. Good job. Thank you. Appreciate your time. Thank you very much.
• That's a hot topic right now about how much screen time and things like that.
• Same time, yeah.
• That was one, a long time ago.

Summary: The committee met to approve prior minutes and then heard a presentation from Dr. Ramona Danielson on adverse childhood experiences (ACEs), focusing on the economic and public-system impacts in North Dakota. She explained that ACEs are a population-level measure, not a diagnostic tool for individuals, and said higher ACE exposure is consistently associated with more chronic illness, mental health challenges, child welfare involvement, justice-system contact, and reduced workforce participation. She emphasized that precise dollar estimates are difficult because of the many interacting factors across a person’s life course, but said the direction of the impact is clear and that evidence-based prevention and protective factors can reduce harm. Members asked about definitions of a “healthy family,” same-sex couples, divorce, substance abuse, historical trends in ACEs, and the role of positive childhood experiences and home visiting. The committee then heard from Allison Mahoney and Missy Barranco about evidence-based home visiting programs in North Dakota, including Healthy Families, Early Head Start, Nurse-Family Partnership, and Parents as Teachers. They described home visiting as voluntary, relationship-based, and tailored to family needs, with referrals coming from hospitals, WIC, human service zones, pregnancy navigators, self-referrals, and other community sources. A parent, Abby, shared that home visiting helped her family after premature births and NICU stays by providing support with postpartum mental health, breastfeeding, developmental screenings, referrals, and parenting guidance. The presenters said the programs are funded through a mix of federal MIECHV/Title IV-E dollars, Medicaid targeted case management, state and tribal funds, philanthropy, charitable gaming, and grants, and they noted that current funding is fragmented and insufficient to serve all eligible families statewide. Members discussed whether the state should expand or better fund these services and how to improve outreach and referrals. Later, the committee received a memorandum on artificial intelligence and sexual exploitation, followed by a presentation from a BCI special agent on how AI is already affecting child exploitation investigations in North Dakota. The memo and testimony described AI-generated child sexual abuse material, deepfakes, sextortion, and risks posed by chatbots, along with relevant federal and state law and recent executive orders. The agent said North Dakota saw 2,698 cyber tips in 2025, the highest on record, and that investigators are increasingly encountering AI-assisted exploitation that is harder to detect and verify. Members discussed the need for child-safety protections, the limits of executive orders, and broader concerns about AI undermining critical thinking and spreading misinformation. No votes were taken on the AI materials during the portion provided, and the committee recessed briefly after the report.

Transcript Highlights:

• We will now take up HB 531 relating to child care facility program background screening requirements.
• I just wanted to say thank you for taking the time to answer my questions. I had several.
• I think this is the first time, Mr.
• All right, members, I think we did record time today with these three bills.
• All right, members, I think we did record time today with these three bills.

Summary: The Human Services Subcommittee considered three bills and reported all of them favorably by unanimous votes. HB 355, by Rep. Jay Alvarez, would allow public K-12 schools and postsecondary institutions to purchase, use, and maintain FDA-approved emergency opioid antagonists rather than being limited to naloxone. The bill was described as giving schools more flexibility and a lower-cost option for overdose response; it received supportive public testimony and passed 18-0. HB 531, by Rep. Hanchowski, expands background screening requirements for child care facilities and programs to include certain recreational enrichment programs, and creates a statewide public awareness campaign about screening requirements. An amendment narrowed the definition of recreational enrichment programs to in-person dance, gymnastics, and martial arts lessons and conformed a statutory cross-reference; the amendment was adopted without objection. The bill then passed 18-0, with support from Florida Smart Justice Alliance and some discussion about strengthening enforcement against bad actors. HB 1127, by Rep. Weinberger, addresses child welfare by creating a treatment foster care pilot program for high-acuity children, directing DCF to study residential treatment capacity, and improving data collection on commercially sexually exploited children. The bill also includes recruitment and funding proposals for foster parents and workforce strategies for DCF. Members praised the bill’s focus on difficult cases and system gaps, public testimony was supportive, and the bill passed 18-0. The meeting then adjourned.