Transcript Highlights:

• Of dental anesthesia care and have enacted measures to ensure coverage for general anesthesia for pediatric
• Senate Bill 527 addresses the gap of anesthesia care during dental procedures by requiring medical.
• Insurance plans to cover general anesthesia for medically necessary dental procedures for children under
• Benefit coverage for general anesthesia in connection with certain pediatric dental services.
• Senate Bill 527, relating to health benefit coverage for general anesthesia in connection with certain

Bills: SCR46, SB31, SB39, SB227, SB330, SB401, SB407, SB467, SB482, SB500, SB506, SB512, SB527, SB584, SB619, SB636, SB646, SB647, SB648, SB659, SB663, SB715, SB732, SB758, SB801, SB816, SB847, SB870, SB884, SB1020, SB1055, SB1065, SB1137, SB1169, SB1181, SB1283, SB1383, SB1395, SB1410, SB1433, SB1490, SB1558, SB1574, SB1626, SB1666, SB1718, SB1727, SB1756, SB1757, SB1845, SB1924, SB1964, SB1972, SB2018, SB2031, SB2075, SB2076, SB2080, SB2111, SB2117, SB2154, SB2161, SB2173, SB2206, SB2225, SB2253, SB2268, SB2314, SB2322, SB2351, SB2371, SB2476, SB2533, SB2540, SB2570, SB2589, SB2623, SB2658, SB2660, SB2692, SB2693, SB2717, SB2722, SB2753, SB2779, SB2877, SB2880, SB2900, SB2920, SB3031, HJR4, SB5, SB260, SB1786, SJR3, SJR18, SB1, SJR36, SJR50, SJR63, SJR84, SJR59, SCR12, SCR39, SCR46, SCR48, SCR19, SB2023, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB1502, SB507, SB1026, SB1433, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB619, SB1122, SB732, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB529, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB1924, SB2253, SB2018, SB2206, SB584, SB1085, SB1490, SB2314, SB2046, SB1975, SB2717, SB1262, SB1524, SB1137, SB636, SB2056, SB1558, SB884, SB227, SB517, SB1200, SB1410, SB1626, SB1845, SB1863, SB2681, SB2200, SB2199, SB1757, SB2050, SB2458, SB2201, SB1055, SB2660, SB2662, SB1065, SB801, SB2533, SB3014, SB3013, SB758, SB648, SB647, SB512, SB1721, SB2268, SB2366, SB1013, SB2692, SB2570, SB2797, SB2111, SB2371, SB2383, SB646, SB1169, SB1754, SB1718, SB2779, SB2004, SB1756, SB2119, SB527, SB2322, SB2448, SB1777, SB1283, SB407, SB2392, SB2076, SB2786, SB3031, SB2877, SB2876, SB2284, SB2225, SB1540, SB2920, SB2929, SB1395, SB1972, SB2540, SB2742, SB2595, SB2217, SB2117, SB715, SB2330, SB1964, SB1383, SB500, SB1640, SB2001, SB2080, SB2722, SB506, SB2514, SB2623, SB2658, SB1574, SB2900, SB2753, SB2398, SB401, SB1241, SB2927, SB2173, SB2538, SB898, SB467, SB1449, SB2529, SB1531, SB2846, SB2476, SB2031, SB986, SB1181, SB2075, SB2154, SB2864, SB31, SB2880, SB1359, SB2386, SB771, SB2844, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB2807, SB2351, SB410, SB659, SB816, SB2776, SB2693, SB2580, SB1980, SB1886, SB1234, SB739, SB482, SB456, SB127, SB1666, SB2843, SB2801, SB800, SB2055, SB784, SB2986, SB735, SB1012, SB324, SB2926, SB2938, SB2007, SB2138, SB1242, HJR4, HB135, HB1109, SCR30, SCR3, SB2615, SB1049, SB2310, SB1224, SB2972, SB1568, SB2841, SB2885, SB3016, SB2858, SB2610, SB2139, SB1856, SB2035, SB2308, SB2306, SB2041, SB1528, SB1681, SB1141, SB2401, SB2530, SB2375, SB547, SB1266, SB1373, SB1467, SB2069, SB2269, SB2480, SB2544, SB672, SB904, SB2695, SB2891, SB2422, SB2543, SB1854, SB317, SB2539, SB2532, SB2925, SB1250, SB2082, SB2203, SB457, SB2357, HCR35, HCR64

Keywords: Texas beef, cattle industry, agricultural heritage, Texas strip steak, economic growth, SB 31, Life of the Mother Act, Texas abortion law, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, spontaneous abortion, miscarriage, unborn child, abortion exception, abortion ban, physician liability

Transcript Highlights:

• Guide Anesthesia, headquartered right here in Phoenix. Okay. Madam Chair, please.
• I'm the chief financial officer for Greater Anesthesia Solutions, an independent anesthesia group providing
• anesthesia coverage to various hospitals and ambulatory centers.
• I'm the Chief Financial Officer for Greater Anesthesia Solutions for an independent anesthesia group
• providing anesthesia coverage to various hospitals and ambulatory centers.

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:

• I've been practicing anesthesia in Texas.
• I also practice office-based anesthesia in dental offices for pediatrics.
• My treatment in anesthesia evolves as the minutes go by.
• For most of my practice, I personally delivered anesthesia to one patient at a time.
• that have... ...and not had training in anesthesia since their rotation in medical school.

Bills: HB46, HB35, HB4490, HB4454, HB2188, HB3078, HB4743, HB2556, HB46, HB5342, HB4783, HB3785, HB5278, HB1639, HB2581, HB4224, HB4070, HB4099, HB4882, HB3794

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:

• However, they are not authorized to administer injectable anesthesia, IV sedation or general anesthesia
• While topical anesthesia may be sufficient for the routine procedures, there are complications that require
• escalation to injectable anesthesia, systemic medications, and emergency interventions So HB 213 authorizes

Keywords: 996, all

Transcript Highlights:

• rule changes aimed at restricting qualified dental professionals from administering sedation and anesthesia
• sedation the same as moderate sedation, increased cost of care by requiring a second person and anesthesia
• Currently, oral and maxillofacial surgeons and other anesthesia providers in the state of New Hampshire
• safely provide deep sedation and general anesthesia to patients of all ages.
• Continue to allow the safe delivery of anesthesia, which is currently in accordance with the national

Keywords: 1191, senate, all

Transcript Highlights:

• Surgeons’ dental services, including anesthesia.
• ability to have an increased rate as it relates to those types of surgeries because it includes anesthesia
• And you have to use a level of anesthesia.”
• “It includes anesthesia and you have to use a level of anesthesia if you’re treating those patients.

Summary: The Arkansas Administrative Rules Subcommittee met to review a large set of agency rules and reports. Early items were routine filings: emergency-rule reports, subcommittee review reports, and administrative directive reports were filed without objection. One rule from the Department of Agriculture on maternal health providers and remote monitoring was noted as pulled by the agency and not considered. The committee then reviewed and approved several Agriculture rules, including repeal of equine ID-chip rules after Act 703 of 2025, updates to finance rules adding a new water and sewer treatment facilities grant and consolidating revolving-fund rules, and a pesticide rule creating a Class J pesticide category for feral hog toxicant use. It also approved a Commerce/Insurance rule removing duplicative workers’ compensation plan provisions, and a Corrections rule creating a unified visitation rule for correctional facilities and community correction centers. A member asked about prison visitation hours during COVID, and staff said they would check on that. The committee next approved multiple Department of Human Services rules. These included marketing rules for provider-led organizations under Act 301 of 2025, a comprehensive revision of the DCFS policy manual, changes to Medicaid eligibility to include fictive kin placements and to expand ABLE account eligibility under Act 875, presumptive eligibility changes for pregnant women to align with federal rules, and a follow-up SNAP/TEA/Work Pays rule with updated work requirements, mandatory employment and training, alien eligibility changes, and job-search requirements for certain applicants. DHS also presented a rule implementing federal coverage for certain incarcerated youth before and after release, and the committee approved it. Another DHS rule updated nurse aide training requirements to match federal CNA hour standards and moved criminal-records-check procedures to the agency website. The most extended discussion involved DHS Division of Medical Services’ dental rate rule under Act 1025. The agency explained that it was increasing pediatric dental rates and certain oral-surgery-related rates, but not orthodontic rates or a broader special-needs benefit limit because CMS would not approve a diagnosis-based limit. Members debated whether the statutory language was intended to cover general dentists performing oral surgery procedures, with legislators, the Dental Association, and DHS discussing legislative intent, fiscal impact, and whether a future fix or emergency rule might be needed. Despite the disagreement, the committee approved the rule. The committee also approved other DHS medical rules: adverse-decision appeal changes and prior-authorization posting requirements, an increased RSV administration fee for children, expanded emergency treat/triage/transport ambulance authority, and clinic-based physical and occupational therapy coverage. Later, the committee approved permanent rules for the new state insurance program under Shared Administrative Services, procurement rule revisions recommended after an ACASO review, and commodity-management rule updates including a new revenue distribution model. Under Act 595 of 2021, the committee granted two Department of Commerce/Insurance requests to be excluded from rulemaking requirements: one for Act 772 on forced organ harvesting, and one for restorative reproductive medicine, with the department saying it would promulgate rules later when clinical guidelines are available. Finally, the committee accepted a recommendation to keep and extend the Department of Education, Division of Career and Technical Education rules, filed outstanding rulemaking updates, and adjourned without further business.

Transcript Highlights:

• We believe in respect and we believe without apology that patients undergoing anesthesia deserve physician
• Registered Carson S that is with a three-decade professional career, spanning an anesthesia, clinical
• It further makes available the availability of all qualified anesthesia providers to provide anesthesia

Transcript Highlights:

• This right here is Miller's anesthesia.
• Over the last few years, there's been a significant shortage of anesthesia providers in the state of
• shortages in our state environment, the kind of mandates the way that we have to configure our anesthesia
• I'll close with, you know, the passage of this bill will allow seized to kind of and align their anesthesia

Transcript Highlights:

• Anesthesia Partners for Senate Bill 2805.
• Anesthesia Partners? I am not. I'm independent. I didn't know that you all existed.
• And just so you know, ma'am, anesthesia is not the largest user of the arbitration process in Texas.
• I think the largest provider of anesthesia...
• Hospital-only anesthesia costs statewide and 43% of the cases in Texas. And it's not against USAP.

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Summary: The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending. The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending. The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending. Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.

Transcript Highlights:

• Since the last legislative session, the board has been busy with a new anesthesia for local anesthesia
• together, divide and conquer all communication that the agency receives and often have to pull in anesthesia
• together divide and conquer all communication that the agency receives and often have to pull in anesthesia

Bills: SB1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure

Summary: The Senate Finance Committee met to review Article 8, regulatory agencies, and began Article 9, general provisions, before recessing for floor action. The committee first heard budget presentations from the Public Utility Commission (PUC) and the Office of Public Utility Counsel (OPUC). The PUC budget recommendation was about $5.07 billion in all funds, including an additional $5 billion for the Texas Energy Fund, plus funding for staffing and technology needs tied to contested cases, infrastructure resiliency, and outage mapping. PUC witnesses emphasized the agency’s growing workload, the need for more staff and modern systems, and oversight of the Texas Energy Fund. OPUC’s recommendation was about $6.9 million, with a reduction in authorized FTEs to better match actual staffing; the agency requested additional funding for salaries, expert witnesses, and budget flexibility, and members highlighted OPUC’s role representing residential and small commercial consumers in utility proceedings. The committee then heard from the Behavioral Health Executive Council (BHEC), whose recommendation was just over $11.2 million. BHEC’s main requests included funding to fill vacant positions, money for continuous National Practitioner Data Bank queries, and a proposed Texas-owned psychology licensing exam in response to concerns about changes to the national exam. Agency leaders also discussed a rider request that would shift responsibility for certain judgments or settlements to the comptroller. Members asked about prior complaint backlogs, and BHEC said those backlogs had been cleared. The Board of Chiropractic Examiners followed, with a recommendation of just under $2.4 million; the board sought support for staffing, training, broadband, and salary retention, and described its work regulating chiropractors and workers’ compensation-related doctors. The Board of Dental Examiners was the last agency heard before the committee recessed. Its recommendation was just under $10 million, and it requested a 10% salary increase for eligible staff, three additional licensing staff, one staff member to handle required background checks, an additional attorney, and an executive director salary adjustment. Dental board witnesses said licensure growth, increased complaints, and low salaries were straining licensing and enforcement operations, even though the agency reported strong performance and high case completion rates. The chair ended the hearing early because the Senate had to return to the floor, and the committee remained in recess.

Transcript Highlights:

• We also represent the resident registered nurse anesthesia students at Northeastern University and Boston
• The issues that we are monitoring include perceived staffing shortages in anesthesia and issues with
• We work in all areas of anesthesia care, including operating rooms, GI centers, outpatient surgery centers
• control CMS and the Centers for Medicare and Medicaid Services, and they reimburse CRNAs 100% for anesthesia
• care and anesthesia cases.

Keywords: 995, all

Summary: The committee held an informational opening hearing for the Financial Services Committee, with Chair Murphy and Senator Feeney introducing new and returning members and explaining that no bills were being heard that day beyond brief introductory testimony. Commissioner of Banks Mary Gallagher thanked the committee for last session’s money transmission modernization law, and several members echoed appreciation for her office’s work. The hearing then featured a long series of stakeholder introductions and overviews of their priorities for the session. Testimony covered a wide range of financial, insurance, housing, health care, and consumer issues. Banking and mortgage groups discussed housing affordability, foreclosure delinquencies, flood insurance, regulatory changes, and the impact of federal policy shifts. Insurance representatives raised concerns about auto and homeowners market pressures, labor rates, tariffs, rebates, e-titling, third-party litigation funding, and public adjuster restrictions. Consumer and advocacy groups highlighted debt collection reform, earned wage access, retirement savings access, public banking, and consumer protections in financial services. Several speakers also emphasized the need for committee expertise and offered themselves as resources for future bills. Health-related organizations focused on insurance mandates, prior authorization, behavioral health access, pharmacy benefit manager reform, community health center funding, maternal health and midwifery reimbursement, and anesthesia reimbursement parity. Other groups, including credit unions, retailers, auto dealers, dental and medical associations, and behavioral health providers, described their roles in the Commonwealth and previewed legislation or policy areas they expect to follow this session. No votes were taken; the meeting was informational and ended after testimony from the sign-up list and a few late additions.

Transcript Highlights:

• This bill affirms CRNAs' ability to provide anesthesia services independently, consistent with their
• In California, this bill affirms CRNAs' ability to provide anesthesia services independently, consistent
• AB 876 helps maintain access to anesthesia care in hospitals, rural, and underserved communities.
• The physician-led anesthesia care team model is the right solution.

Summary: The Assembly Appropriations Committee met on May 7, 2025, considering a large number of bills, with several measures heard in detail before the committee moved through consent and suspense items. Early in the hearing, AB 876 by Assemblymember Flora was heard on CRNA scope of practice and anesthesia access. Supporters said it would clarify that certified registered nurse anesthetists may provide anesthesia services independently, while opponents from physician and medical groups argued that anesthesiologists and CRNAs are not interchangeable and that physician-led care is needed for patient safety. The bill was ultimately voted out, with a later vote change recorded for Mr. Tangipa from not voting to aye. The committee also heard AB 379, a major human trafficking and child exploitation bill, which would expand penalties for solicitation of a minor, create a misdemeanor for loitering with intent to purchase commercial sex, increase fines on businesses that fail to post trafficking notices or knowingly allow trafficking, create a survivor support grant program, and establish a vertical prosecution grant program. The bill drew strong support from the author and some members who emphasized tougher enforcement and victim services, but also significant opposition from sex worker and civil liberties advocates who argued the bill would worsen criminalization, disproportionately harm Black and Brown communities, and fail to address housing and other root causes. After extensive discussion, the committee voted the bill out, with one member later changing from not voting to aye. Other bills heard included AB 435 on child passenger safety, which would adopt a five-step test and update booster-seat and front-seat rules; AB 1415, which would give the Office of Health Care Affordability more access to information from health systems and private equity-related entities; AB 539, the Timely Care Act, which would extend the duration of approved prior authorizations for treatment; AB 1466, relating to groundwater adjudication and sustainability disputes; AB 127, which would tie the cap-and-trade price ceiling to the social cost of carbon; and AB 672, which would require public employers to notify PERB of certain court actions and allow intervention to protect labor rights. The committee also approved a large consent calendar and then deemed the suspense calendar approved, sending many bills onward. The hearing concluded with several bills reported out, some on call, and the committee adjourned.

Transcript Highlights:

• Sometimes they need anesthesia in order to have a simple procedure done.
• So things like cleanings and x-rays are less costly than a surgical procedure with anesthesia at the
• It again... ...anesthesia at the hospital that some of our clients need.
• patients with disabilities whose dental needs commonly require the administration of monitored anesthesia
• Special-needs patients who require anesthesia and/or sedation for dental services, even for dental exams

Summary: The Appropriations Committee on Health and Human Services heard a base budget overview for the 2025-26 fiscal year, which was presented as a $46.8 billion starting point for the silo. Staff explained that HHS accounts for about half of the state base budget and roughly 36% of general revenue, with AHCA and Medicaid making up the largest share. The committee then reviewed the PACE program for the elderly, including its eligibility, service model, growth in applications, slot funding and reversions, and the agency’s plan to move from the federal three-way agreement to a more detailed two-party contract to improve accountability, transparency, and reporting. Members raised concerns about unfilled slots, reversions, rural access, and the need for clearer return-on-investment data; the agency said it would follow up on some of those questions. The committee also heard from the Agency for Persons with Disabilities on its statewide dental program. APD described its history of appropriations, the failed January 2024 solicitation, and a new up-to-$11.5 million solicitation focused on preventive care, community partnerships, teledentistry, and coordination with other services. Members questioned overlap with Medicaid dental coverage, the effect of Medicaid unwinding on APD clients, and whether state dollars were duplicating federally supported services; APD said it tries to act as payer of last resort and that services would continue during procurement. Public testimony from an APD stakeholder and the Florida Dental Association emphasized Medicaid eligibility problems for waiver recipients, low reimbursement rates, limited access to anesthesia and hospital-based dental care, and concerns that proposed Medicaid changes could reduce access for special-needs patients. The Department of Veterans’ Affairs then presented on state veterans service officers and benefits assistance. FDVA highlighted its role in helping veterans access federal benefits, reporting about $27.9 billion in federal dollars flowing into Florida and a high return on state investment. The department said it has increased outreach, claims processing, and services, and has trained staff to identify mental health concerns through its Overwatch program. In response to questions, FDVA discussed plans to expand adult day health care at a new veterans nursing home and possibly at existing locations with additional state funding. At the end of the meeting, the committee completed its presentations and adjourned without objection.

Transcript Highlights:

• residency, is I went to his office and I asked him if he would honor me and my request to not do anesthesia
• residency, is I went to his office and I asked him if he would honor me and my request to not do anesthesia
• residency, is I went to his office and I asked him if he would honor me and my request to not do anesthesia
• residency, is I went to his office and I asked him if he would honor me and my request to not do anesthesia
• residency, is I went to his office and I asked him if he would honor me and my request to not do anesthesia

Keywords: 958, all

Summary: The committee heard testimony on Senate Bill 132, a health care conscience-protection measure. Supporters said the bill would protect health care professionals from being forced to participate in procedures or services that violate sincerely held religious or ethical beliefs, while explicitly excluding emergency care. They argued it would help recruit and retain providers, preserve ethical integrity in medicine, and has worked in several other states. Supporters also emphasized that the bill is aimed at procedures or services, not at denying care based on who a patient is, and noted that the bill includes a civil cause of action to give it enforcement teeth. Several supporters described personal experiences. A nurse said lack of conscience protections affected her career choices and limited her path into women’s health. Dr. Warman said he had requested not to perform anesthesia for abortions and later chose non-narcotic pain management because he objected to heavy opioid prescribing, saying conscience protections allow professionals to practice responsibly. Senators asked about examples, the bill’s scope, whether it could be used to discriminate, and which states have similar laws; Mississippi, Florida, Montana, Ohio, South Carolina, and Arkansas were named. Questions also focused on the bill’s civil enforcement provisions and whether it could be used against patients based on identity or religion. Opponents warned the bill was overly broad and could allow refusals of care by a wide range of health workers, including clerks, ambulance drivers, pharmacists, nurses, and physicians. Dr. Karen Abrams said it could lead to denial of birth control, Plan B, blood transfusions, and other care, especially in rural areas with few alternatives, and could worsen Kentucky’s provider shortages. David Conway said the bill lacked patient protections, could increase delays and discrimination, and could prevent reassignment of objecting staff. The chair noted there were seven people signed up in opposition, limited testimony to two minutes each, and said the committee would return to the bill after hearing additional opposition and other pending bills.

Transcript Highlights:

• This bill affirms CRNA's ability to provide anesthesia services independently, consistent with their
• It helps maintain access to anesthesia care in hospitals, rural, and underserved communities.
• The physician-led anesthesia care team model is the right solution.

Keywords: 988, house, all

Transcript Highlights:

• maxillofacial, forgive me, I'm going to mess up this word, surgeons' dental services, including anesthesia
• Surgeons, dental services, including anesthesia.
• ability to have an increased rate as it relates to those types of surgeries because it includes anesthesia
• , and you have to use a level of anesthesia if you're treating those patients.

Keywords: 1204, all

Transcript Highlights:

• Importantly, they like the safety net because if you've ever had surgery, anesthesia is not...
• So that's how the anesthesia model works that we use in Southeast Texas. I mean, CRNA stands for?
• Then you have a CRNA that specializes... in anesthesia.
• We are not doing surgeries, we are not doing anesthesia, we are not doing things like that.
• I have over 30 years of anesthesia practice.

Bills: SB1888, SB3003, SB2417, SB2459, SB3055, HB1393, HB2884, SB2943

Keywords: grand jury, jury qualifications, jury wheel, small counties, Texas legislation, age verification, obscene devices, online sales, juvenile protection, penalties, antitrust, attorney general, Texas Free Enterprise, business regulations, legal confidentiality, personal identifying information, data brokers, judicial safety, civil rights, data privacy

Transcript Highlights:

• So right now in the HRS, we have a similar certification for anesthesia that's explicitly in the HRS.
• So, like anesthesia, they would be able to see whether they can or can't do the ITR.
• use anesthesia for these processes, processes, processes, >> which<01:12:17.040> is<01:
• So like anesthesia hygienist would have.
• So like anesthesia they<01:12:27.199> would<01:12:27.280> be<01:12:27.360> able<

Bills: HB1697, HB1678, HB1679, HB2282, HB1940, HB1671, HB1481, HB2015, HB2207, HB2486

Keywords: natural hair braiding, registration, Barbering and Cosmetology Licensing Act, public health, sanitation, cumulative voting, associations, unit owners, board of directors, elections, Hawaii Revised Statutes, condominium, association meetings, electronic voting, proxy voting, mail voting, insurance, premium increase, policy cancellation, licensing

Summary: The committee heard testimony on HB 1697, which would exempt natural hair braiders from licensing requirements under certain conditions. The DCCA Board of Barbering and Cosmetology said it recognizes braiding as within the scope of cosmetology practice but warned that a broad exemption could create consumer protection gaps, especially around sanitation training, tool use, and enforcement. Supporters from the Institute for Justice and the Grassroots Institute of Hawaii argued the current licensing regime is overly burdensome and unrelated to braiding, citing the 1,250-hour training requirement, high tuition costs, barriers for low-income entrepreneurs, and the fact that many other states already exempt braiders. Committee members asked whether a standalone sanitation course or similar training could address the board’s concerns, and the board said it would bring that idea back for discussion. The committee also noted 16 written testimonies in support and 2 in opposition. The committee then took up HB 1678, relating to condominium and planned community association elections using cumulative voting. Supporters, including the Hawaii State Association of Parliamentarians, said the bill would clarify that cumulative voting applies to all candidates, including write-ins, and would help resolve confusion in association elections. One testifier urged the committee to remove proxy voting, calling it an abuse of power in some associations, while another asked whether cumulative voting and proxies could be manipulated to stack votes. In response, the parliamentarian explained that cumulative voting and proxy voting are different, that proxies simply allow someone to vote on another’s behalf, and that existing deadlines and counting procedures reduce opportunities for abuse. Testimony also emphasized that electronic or mail voting can be secure and efficient, and that the bill would make the process clearer and more democratic. Finally, the committee heard testimony on HB 1679, which would clarify an association board’s authority over electronic meetings, electronic voting, voting without a meeting, and mail voting without a meeting. Supporters said the measure would clean up statutory language, make electronic voting optional, and fix problems created by a 2024 change that made written-consent timing rules difficult to use for association actions. They also said the bill would clarify that proxies are only used at meetings, not for actions taken without a meeting. One opponent argued the bill needs further amendment because electronic voting is not well defined and could be abused, and questioned the neutrality of parliamentarians testifying on condominium bills. No votes were taken on any of the measures during the portion of the meeting provided.

Transcript Highlights:

• Anesthesia Partners, and I request your favorable consideration of Senate committee substitute Senate
• Anesthesia for Senate Bill 2805.
• Anesthesia Partners? I'm not, I'm independent. I didn't know that y'all existed. I get that.
• I think the largest providers of anesthesia in Texas are actually the academic institutions.
• They account for only anesthesia costs statewide and 43% of the cases in Texas.

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001, HB136

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Transcript Highlights:

• California has more than 600 anesthesia residents training at institutions throughout the state, growing
• California has more than 600 anesthesia residents training at institutions throughout the state, growing
• California has more than 600 anesthesia residents training at institutions throughout the state, growing

Keywords: 988, house, all

Summary: The Assembly convened after a quorum call and completed routine opening business, including the prayer, pledge, journal approval, and several unanimous-consent procedural motions to suspend rules, re-refer bills, and adjust committee notices. Members also introduced guests, including anesthesia residents, a legislator’s son, and a legislative intern. The chamber then adopted House Resolution 118 welcoming the 2026 FIFA World Cup to California; members spoke in support of the event’s international, cultural, and economic significance, and the resolution received 64 co-authors before passing by voice vote. On the daily file, the Assembly passed and retained or continued a number of second- and third-reading items, then adopted Assembly Concurrent Resolution 193 proclaiming 2026 the International Year of the Woman Farmer. Supporters highlighted women’s role in California agriculture, including farm ownership, production, and leadership, and the resolution received 69 co-authors before adoption. The Assembly also adopted ACR 210 establishing a sister-state relationship with Gauteng, South Africa, with members citing economic ties, educational exchange, and existing partnerships such as an MOU with Sacramento State; it received 65 co-authors before passage. The second-day consent calendar was adopted 73-0 after item 46 was removed, and the remaining consent items passed unanimously. The chamber then observed adjournment-in-memory tributes for Norman L. Ford, Jr. and James McCain, Sr., with family members present in the gallery. The session concluded with announcements about budget-related business and the schedule for the next meeting, then adjourned until Monday, June 15, upon the call of the Speaker.