Transcript Highlights:

• It's accessible without a prescription in many countries around the world and in four states in the U.S
• Expanding access to Ivermectin would especially help rural Texans and those who have trouble accessing
• just want to take a moment to speak directly to Texans who've used Ivermectin and advocated for its access
• Preying on fear, profiting from rural access isolation, and selling cures with pharmaceutical advertising
• Expanding retail access to proven, safe therapeutic... ...interventions is good and a goal worthy of

Bills: HB25

Keywords: ivermectin, pharmacist authority, prescription-free, healthcare regulation, patient access, 1185, senate, all

Transcript Highlights:

• Tariffs can advance American interests in market access.
• Obviously, we want to have more market access in Japan.
• That's an access economy.
• And I know you heard a lot about market access today.
• Just specifically discuss market access for American beef.

Keywords: tariffs, Trump administration, economy, public testimony, trade policy, market access, export controls

Summary: The meeting focused on various significant topics concerning the recent tariff policies and their wide-ranging implications on the American economy. Members expressed their concerns regarding the negative impact of increased tariffs as proposed by the Trump administration, with specific emphasis on how families might suffer from higher costs and market access issues. The discussion was lively, with members questioning the clarity of the tariff plan and raising concerns about its potential effects on small businesses and American exports.

Bills: HB3790, HB2941, HB2959, HB3087, HB3974, HB3500, HB3697, HB3262, HB3582, HB4226, HB3037, HB4139, HB4143, HB4144, HB2936, HB3322, HB4296, HB3278, HB4202, HB4176, HB3303, HB3648, HB4119

Keywords: home repairs, consumer protection, contracts, homeowner rights, rescission, fentanyl, overdose, first responders, drug reporting, immunity, controlled substances, penalties, school abuse reporting, child abuse, neglect, mandatory reporting, student safety, school employee misconduct, administrator reporting, superintendent

Bills: SB8

Keywords: sex designation, restroom access, civil penalties, private civil right of action, women's privacy

Transcript Highlights:

• SBA administers programs and services falling into three main buckets— counseling, contracting, and access
• Previously, he served as the Acting Associated Administrator in the SBA's Office of Capital Access and
• Access to capital, contracting, and counseling small businesses to grow.
• the policies of the small business administration with access to capital and targeting some of these
• And you really want to get access to new data that reflects the current situation.

Keywords: SBA, small business, nominations, Bill Briggs, Casey Mulligan, regulations, capital access, public support

Summary: The Committee on Small Business and Entrepreneurship convened to consider the nominations of Bill Briggs for Deputy Administrator of the SBA and Dr. Casey Mulligan for Chief Counsel for Advocacy. The discussions highlighted the critical role of the SBA in promoting small businesses, with emphasis on overcoming challenges posed by excessive regulations and the need for improved access to capital. Several committee members expressed their concerns over recent layoffs within the SBA and the closure of district offices, which they believe undermine support for small businesses across the nation. The committee meeting saw extensive dialogue about the implications of regulations on small business operations and how the nominees plan to address these issues if confirmed. Public support for the nominees was acknowledged through letters from various stakeholders who advocate for small business interests.

Transcript Highlights:

• Arizona families covered by Access deserve that level of care too.
• Families enrolled in Access represent half of all births in Arizona, yet many cannot access covered lactation
• She shared that access to an IBCLC saved her.
• House Bill 2051 helps address this gap by ensuring families covered by Access can access breastfeeding
• We know access is still unequal.

Bills: HB2051, HB2114, HB2127, HB2134, HB2207, HB2574, HB2700, HB2800, HB2916

Keywords: AHCCCS, lactation care, breastfeeding, health services, healthcare access, motorcycle registration, safety fund, education, awareness programs, low-income scholarships, motorcycle training, special license plates, transportation, funding, nonprofits, charitable contributions, critical infrastructure, foreign adversaries, China, communications

Summary: The Committee on Appropriations met with all members present, approved the March 17, 2026 minutes, and announced its final hearing would be the following Tuesday at 8:30 a.m. The committee first heard HB 2134, the Arizona Critical Infrastructure Protection Act, which would bar state and critical infrastructure entities from contracting with Chinese companies for access to critical infrastructure, prohibit Chinese-produced software and equipment in certain systems, require annual certifications and reporting, and direct the Corporation Commission and DEMA to implement oversight and emergency communications measures. The sponsor and a witness argued the bill was a targeted national-security measure and a companion to federal efforts; concerns were raised about cost, overlap with federal law, and staffing, but the bill received a do-pass recommendation on a 6-4 vote. The committee then considered HB 2051, which would require AHCCCS contractors, subject to CMS approval, to provide breastfeeding and lactation care services in multiple settings. Testimony from lactation consultants, researchers, advocates, and tribal representatives emphasized maternal and infant health benefits, access gaps, and potential Medicaid savings; AHCCCS and ADHS were neutral, with AHCCCS estimating a $1.8 million general fund cost and ADHS saying it could not absorb implementation costs. The committee adopted a 15-page amendment creating a voluntary state certification for lactation care providers and a DHS advisory committee, then passed the bill as amended on a 9-0 vote. HB 2700, creating a technology-first study committee on assistive technology for people with disabilities, also passed unanimously after testimony from disability advocates and a proposed amendment to add minority-party appointments was discussed but not voted on. HB 2800, which increases the penalty for knowingly lending a vehicle to a person with a DUI-related driving restriction if that person causes serious injury or death, drew extensive debate over whether the felony penalty was appropriate when the lender may not know the eventual outcome; after testimony from the sponsor and the victim’s widow, the bill passed 9-1. HB 2114, which uses motorcycle safety fund money for scholarships for rural and low-income riders and requires ADOT to issue motorcycle registrations only when an owner has a class M license, passed 10-0 amid concerns that the license language may need clarification on the floor. The committee then began HB 2127, an omnibus special-plates bill with multiple amendments, but discussion centered on whether one amendment was hostile and whether a community-college plate should be offered later; no final action on HB 2127 was taken in the portion provided.

Transcript Highlights:

• This is an important measure to ensure patients have access to the necessary resources to support their
• Accessing the necessary resources to alleviate financial burdens due to health care costs is an important
• I consider myself fortunate because I have access to a car. I live here in Delaware.
• We have a uniquely growing and aging population that needs access to more health care.
• Access to summer camp should not depend on whether a parent can pay in January or whether they receive

Bills: SB313, SB296

Keywords: Delaware Health Fund, healthcare access, preventive care, tobacco settlement, public health initiatives, grant program

Summary: The House Health and Human Development Committee met and considered a series of health, human services, and related bills. The committee heard and advanced House Substitute 1 for Senate Bill 13, which standardizes hospital charity care and financial assistance statewide, and Senate Bill 296 with Senate Amendment 1, which restructures the Delaware Health Fund grant process with a more formal, transparent competitive rubric. Both measures received supportive testimony from DHSS, the Delaware Healthcare Association, and the Delaware Nurses Association, and both were released by committee on roll-call votes. The committee also released Senate Bill 313 with Senate Amendment 1, which places a temporary moratorium on acquisitions of nonprofit acute care hospitals by for-profit entities and expands notice/review requirements for sales of hospital real estate; Senate Bill 340 with Senate Amendment 1, which requires long-term care facilities to carry specified liability insurance, with questions raised about the exemption for state-owned facilities; Senate Joint Resolution 20, which directs DHSS to study independent assessment tools for Medicaid home- and community-based services; and Senate Bill 341, which updates Delaware Health Information Network law and formally recognizes DIN as the state’s health data utility. Testimony on these bills was generally supportive, with some discussion on constitutional concerns, insurance coverage, and the rationale for the state exemption in SB 340. Later, the committee advanced Senate Bill 257, which requires new animal shelters to be licensed and inspected before operating and removes a prior exception for certain rescue organizations; and Senate Substitute 1 for Senate Bill 278 with House Amendment 1, which allows earlier pre-authorization for summer child care enrollment and lowers copays for half-day care. Public testimony on these measures came from animal welfare advocates, YMCA representatives, and other stakeholders, all largely in support. Each bill was released by committee, with several votes walked for absent members, and the meeting adjourned after all agenda items were addressed.

Transcript Highlights:

• While incarcerated, inmates have the potential to access health care services, partially through what
• But this doesn't guarantee that they will have any kind of continued access to health care once they're
• Without access to affordable health care services post-release, individuals who were formerly incarcerated
• the aggravated consequences of my actions. of knowing that my trafficker walks free with the same access
• a larger conversation around what it is that we need to do to ensure that survivors have adequate access

Bills: HB153, HB1828, HB2306, HB2498, HB3464, HB3488, HB3636, HB3673, HB3834, HB3860, HB4120, HB4937, HB1515, HB153

Keywords: education, funding, student resources, technology access, equal opportunity, veterans treatment court, mental health, criminal justice, rehabilitation, eligibility criteria, veterans, treatment court, military service, legislation, legislative leave, correctional officers, Texas Department of Criminal Justice, accumulated leave, compensatory time, parole eligibility

Transcript Highlights:

• And then, they of course serve safety purposes for like fire containment and then air and light access
• then<00:38:23.040> air<00:38:23.200> and<00:38:23.320> light<00:38:23.600> access
• then air and light access and so forth. then air and light access and so forth.
• The lack of official government identification is a major barrier for homeless youth in accessing services
• at which minors can obtain a state identification card without parental signature will facilitate access

Bills: HB1700

Keywords: housing, expedited permits, disabilities, access, functional needs, local government, affordable housing, reporting requirements, 912, senate, all

Summary: The joint committees heard several housing, land use, and infrastructure bills. HB 6019 HD2 on electric vehicle infrastructure and HB 1728 HD1 on rainwater catchment systems both drew limited testimony and were advanced. For HB 1728, the chairs said they would designate the Department of Health as the regulator and incorporate suggested technical amendments from plumbing and rainwater industry groups. Both measures were reported out with recommendations to pass, with HB 6019 passed unamended and HB 1728 passed with amendments. HB 1844, which would have required the Land Use Commission to reclassify lands designated for urban growth, drew significant opposition from the Hawaii Farm Bureau and Sierra Club, who argued it would bypass land-use review and threaten agricultural land, water planning, and long-term resilience. Grassroot Institute supported the bill, and the Land Use Commission said the bill raised concerns. After discussion, the chairs deferred the measure in one committee and later the recommendation to pass it with amendments was not adopted in the other committee. HB 1990 on penalties and liens for unresolved residential zoning violations was advanced with amendments. The chairs adopted Grassroot Institute’s suggested changes requiring any county sale of such property to be at no less than fair market value and requiring excess proceeds to be returned to the owner. HB 2424, which would allow county planning agencies to petition for temporary reclassification of certain agricultural lands to rural, also drew mixed testimony; the Land Use Commission raised due process concerns, and agriculture interests opposed it. One committee advanced it with amendments, but in the other committee the recommendation failed after members cited lack of county support. The later portion of the hearing began on HB 1738 and HB 1739. HB 1738 would expand county authority to amend district boundaries for housing on parcels over 15 acres; OHA, Sierra Club, and the Hawaii Farm Bureau opposed it, while Grassroot Institute supported it. HB 1739 would require transit-supportive densities in county TOD areas and limit local restrictions; DPP raised concerns about timing, permitting, and conflicts with existing TOD frameworks, while OPSD and Grassroot supported it. The transcript cuts off before final action on these later bills.

Transcript Highlights:

• So, this results in truly non-accessible housing.
• So, this results in truly non-accessible housing.
• So, this results in truly non-accessible housing.

Bills: HB1700

Keywords: housing, expedited permits, disabilities, access, functional needs, local government, affordable housing, reporting requirements, 912, senate, all

Summary: The joint committees on Housing and Health and Human Services, along with related committees, heard and later took action on three housing bills. HB 1700 HD1, relating to housing and expedited permitting, received support from disability advocates, including the Hawaii State Council on Developmental Disabilities and a self-advocate who said faster permitting would help people with disabilities access more independent living options. The chairs said they would add amendments to ensure expedited permitting would not compromise ADA or Fair Housing Act protections and to require reporting on the number, type, and geographic distribution of projects so the program could be evaluated over time. The measure was recommended and adopted with amendments by the participating committees. HB 1777 HD2, which would require tenant protections for residents displaced by HHFDC-supported redevelopment projects, drew support from HHFDC, the Office of Hawaiian Affairs, Parents and Children Together, and numerous other organizations. Testimony emphasized the need for a right of first offer, replacement housing payments, relocation information, and tracking procedures to reduce displacement harms, especially for Native Hawaiian and public housing residents. In decision-making, the committees amended the bill to incorporate the Senate companion measure, rename the working group as the tenant protection working group, broaden its duties, and include a $75,000 appropriation for working group expenses. The committees also noted concerns about unequal treatment between tenants in publicly supported projects and private redevelopments, and referenced the KPT low-rise redevelopment as an example where required relocation assistance still did not proceed smoothly. The bill was recommended and adopted with amendments. HB 1975 HD1, relating to kupuna housing, would repeal the sunset on the state rent supplement program for kupuna, appropriate funds to HPHA, and add positions to support the program. HPHA, the Executive Office on Aging, OHA, Catholic Charities Hawaii, AARP Hawaii, Aloha Independent Living Hawaii, and others testified in support, with Catholic Charities describing how the subsidy helped a senior remain housed through major medical issues. The committees later recommended passage with amendments, including a technical correction to the number of positions and a date fix, and the recommendation was adopted.

Bills: HCR11, HCR181, HCR187, HCR47, HCR44, HCR161, HCR102, HCR107, HCR118, HCR42, HCR176, HCR84, HCR94, HCR195, HR14, HR171, HR177, HR43, HR40, HR151, HR94, HR99, HR110, HR38, HR166, HR76, HR86, HR185

Keywords: charter schools, facilities, school funding, education, Hawaii, student enrollment, policy change, HCR181, House Concurrent Resolution, Department of Education, DOE, temporary positions, position renewal, superintendent-level positions, legislative intent, statutory interpretation, budget accountability, fiscal oversight, government transparency, state employment

Bills: SB66

Keywords: disability, supported decision-making, legal assistance, confidentiality, access to justice, autonomy, civil rights, advocacy, 1184, house, all

Transcript Highlights:

• So Tara, what financial tools would help address the problem of land and capital access?
• So land access is... It continues to be a challenge for our young farmers.
• They write... sure that young farmers can access land, capital markets, capital and markets.
• FSA lending programs, what suggestions do you have to improve access?
• One of those barriers of course is access to credit.

Keywords: farm bill, rural economy, crop insurance, access to credit, young farmers, USDA funding freeze, agricultural policy, risk management

Summary: The meeting of the agricultural committee focused on significant concerns regarding the current state of America's rural economy, highlighting the need for a strong five-year farm bill to address the challenges faced by farmers, particularly young and beginning farmers. Key testimony was given by multiple stakeholders including agricultural leaders and young farmers, emphasizing issues related to crop insurance, access to credit, and the adverse impact of recent USDA funding freezes. Various members discussed the necessity of risk management tools that farmers rely on to secure financing, which is crucial for sustaining agricultural operations and supporting rural communities. The importance of timely legislative action was underscored, as many farmers reported struggles in the current economic climate, raising urgency for reforms within the Farm Bill framework.

Transcript Highlights:

• Thank you. and access like this. So I too am behind and access like this.
• funding, access, and process. funding, access, and process.
• This will impact care capacity overall, or access. My second point is access.
• This will impact care capacity overall, or access. My second point is access.
• improving access to care. improving access to care.

Bills: HF4712, HF4801, HF3756, HF4860, HF4931, HF4289, HF4460

Keywords: residential pools, swimming classes, certification, private business, health safety, health care, prior authorization, managed care, medical assistance, mental health, substance use treatment, chronic conditions, health insurance, insulin, healthcare access, pharmacy regulations, patient assistance, affordable medication, healthcare, pharmacy

Summary: The committee met at 1:00 p.m., confirmed a quorum, and approved the April 8, 2026 minutes. The first bill heard was House File 4712, which was laid over after the committee adopted a DE2 amendment. Representative Schultz said the bill would create a narrow additional exception to public pool limitations so highly certified swimming instructors could use certain pools for specialized infant, youth, and developmental-disability swim instruction. The only testifier, Tessa Seppelt, described ISR instruction as water-safety and drowning-prevention training for very young children and children with developmental delays, and said access to appropriate facilities is the main barrier. Members raised questions about emergency egress, public safety, and insurance coverage, and the author said he would follow up on those concerns. The committee then took up House File 4801, a bill by Representative Nadeau aimed at health care program integrity. He said it would align commercial and Medicaid partners to reduce waste, fraud, and abuse by changing prior authorization and retrospective review processes, improving data sharing on suspected fraud, addressing conflicting or duplicative services, allowing managed care organizations to verify provider credentials, and making risk corridors in MCO contracts permanent. The Minnesota Council of Health Plans supported the bill, saying it would help detect fraud and improve coordination, while the Minnesota chapter of the American Academy of Pediatrics opposed it, arguing that expanded prior authorization would delay care, increase physician burden, and harm children with chronic conditions. Members debated patient safety, fraud detection, and whether the bill would undermine recent prior-authorization reforms. The bill was laid over. House File 3756, a technical update to the insulin safety net program, was also laid over. Representative Backer said the bill clarifies that a hospital-use intravenous insulin product is not part of the program because it is sold only to health care institutions and infused by practitioners, not dispensed to patients for self-use. The Board of Pharmacy testified that the language was drafted to avoid affecting future legitimate uses, and members asked whether the definition could limit new uses if treatments change. The committee then began House File 4860, but the transcript cuts off before the bill’s presentation is completed.

Transcript Highlights:

• > to<00:12:16.399> medical not because of access to medical not because of access to medical
• > care<00:15:34.160> largely now, access to fertility care largely now, access to fertility
• <01:04:21.920> to and age that we haven't had access to and age that we haven't had access
• what networks uh per people can access what networks uh per people can access and<01:22:58.639><
• people who are trying to access people who are trying to access long-term<01:30:32.000> care.

Bills: HF4609, HF4401

Keywords: infertility, fertility treatment, fertility preservation, IVF, assisted reproductive technology, ART, oocyte retrieval, embryo transfer, egg freezing, sperm freezing, reproductive health, maternity coverage, health insurance mandate, health plan benefits, Medical Assistance, Medicaid, MinnesotaCare, family planning, oncology fertility preservation, chemotherapy

Bills: SCR159

Keywords: Waikiki, beach restoration, shoreline management, public access, environmental protection, coastal resources, tourism, economic development, traditional practices, 910, house, all

Transcript Highlights:

• Um, I will say my concern is just making sure people have access to be able to get on those outer walls
• will have an unintended consequence of eliminating educational elective opportunities by limiting access
• alternative approaches that prioritize physical education and wellness while protecting students' access
• I think that we talk a lot about access to nutritional foods and having these labels, um, because we
• Do you think that those are equally programs that we need to be mindful of? Absolutely.

Bills: HB25, HB38

Keywords: ivermectin, pharmacist authority, prescription-free, healthcare regulation, patient access, interest rate, ad valorem taxes, homesteads, property tax, tax deferral

Transcript Highlights:

• Their ability to access food.
• access to healthy foods. access to healthy foods.
• <01:13:56.640> while makes voting more accessible while makes voting more accessible while
• And one of the things access centers.
• It's already written in access to these.

Bills: HB1546

Keywords: Medicaid, health insurance, healthcare access, insurance subsidies, pilot program, affordable care, preventive services, low-income, community engagement, 910, house, all

Summary: The committee heard testimony on HB 2083, which would add homeless shelters to Hawaii’s drug-free/safe-zone protections. The City and County prosecutor’s office strongly supported the bill, saying service providers asked for the change because drug activity near shelters can undermine recovery efforts. The Office of the Public Defender opposed the measure, focusing on a possible notice problem because many shelters are not readily identifiable and the bill’s 750-foot distance requirement could be difficult to apply. The Drug Policy Forum of Hawaii also opposed the bill, arguing it would expand criminalization of poverty and drug use and that drug-free zone laws are ineffective and disproportionately harmful. The prosecutor’s office said it would do more research on the notice concern. The committee then moved on without taking a vote in the transcript provided. The committee next discussed HB 2087, which would change the treatment of abuse of family or household member cases by ending the deferred-acceptance pilot and returning to the prior statute. The prosecutor’s office supported the bill, saying the pilot had not reduced backlog as intended and that domestic violence cases should remain petty misdemeanors without deferral. The Hawaii State Coalition Against Domestic Violence and the Public Defender’s Office both opposed HB 2087, instead urging extension of the pilot for another five years so the legislature can better evaluate how deferred acceptance is working. They said deferrals can be a useful incentive for behavior change and that more data is needed before ending the program. Committee members questioned the prosecutor about why Hawaii should differ from other counties and whether repeat offenders could keep receiving deferrals; the prosecutor said the deferral is available only once and reiterated support for returning to the old statute. The committee then heard HB 2096 on aggravated circumstances in child protective proceedings. The family court and Attorney General’s Office supported the bill, saying current law limits aggravated-circumstances findings to the early return hearing, which can prevent findings in the most serious abuse cases when key evidence is not yet available. They said the bill would allow such findings later in the case and, with proposed amendments, would let the court consolidate aggravated-circumstances and termination-of-parental-rights hearings to reduce delay and appeals. The Libertarian Party of Hawaii opposed the measure, arguing it would expand state power in family matters and could worsen outcomes for parents and children. Committee questions focused on the amended language, including what “another court of competent jurisdiction” means and whether a charge alone would be enough; the judiciary responded that criminal courts are included, but a hearing and opportunity to defend would still be required. Finally, the committee took up HB 1959, another domestic violence measure. The Hawaii State Coalition Against Domestic Violence, the Public Defender’s Office, the Crime Victim Compensation Commission, the Hawaii State Commission on the Status of Women, and county prosecuting offices testified in support. Supporters said the bill would extend the pilot program while keeping deferred acceptance of guilty pleas in place, giving more time to evaluate whether the program is working and whether a more formal diversion model should be developed. The coalition also suggested technical fixes to ensure judiciary data reporting continues and that the deferred-acceptance statute is not inadvertently repealed. No vote or final action was taken in the transcript before the committee moved on to the next bill.

Bills: SCR184, SCR169, SCR47, SCR57, SCR170, SCR163, SCR189

Keywords: SCR184, Senate Concurrent Resolution 184, Hawaii Civil Rights Commission, HCRC, civil rights, anti-discrimination, algorithmic decision making, automated decision making, artificial intelligence, AI bias, machine learning, employment screening, tenant screening, housing discrimination, credit decisions, lending discrimination, public benefits eligibility, state services, equal opportunity, algorithmic discrimination

Summary: The committee met in Room 430 on April 17 at 8:30 a.m. and heard several resolutions focused on Hawaii’s sister-state and international relationships. Measures discussed included SCR 184, SCR 169 SD1, SCR 47, SCR 57 SD1, SCR 170 SD1, and SCR 163 SD1. Testimony generally supported expanding or formalizing ties with Japanese prefectures and other partners, including Yamaguchi, Okayama, and Aotearoa/New Zealand, as well as maintaining the Hawaii-Taiwan relationship. DBED’s Dennis Ling explained that sister-state agreements provide a framework for broader government, nonprofit, and private-sector relationships, and cited existing exchanges in transportation, health, education, culinary rice development, biosecurity, and food innovation. Catherine Stanway of the Division of Forestry and Wildlife supported the Aotearoa measure for predator control, biosecurity, and conservation cooperation. Jerry Chang of the Taipei Economic and Cultural Office testified in support of the Taiwan resolution, noting 33 years of sister-state ties and ongoing cooperation in education, culture, economy, and disaster management. One witness raised a concern about language in SCR 57 SD1 related to double taxation, saying that portion did not relate to the sister-state relationship, but the committee chose not to amend the measure to avoid possible delay or conference issues. A committee member also asked about how sister-state relationships work and whether other states have similar country-level arrangements; Ling said Hawaii has an MOU with Israel and mentioned Singapore as another possible partner, while noting that such arrangements often depend on the governor and are not standardized across states. After testimony, the committee voted to recommend passage of all measures as is. SCR 184, SCR 169 SD1, SCR 47, SCR 57 SD1, SCR 170 SD1, and SCR 163 SD1 were all adopted by the committee without amendments. Some members were excused during the hearing, and the meeting adjourned after the final vote.

Transcript Highlights:

• Basic rights, the rights to safety, equality, of rafity, and justice and equality of all people.
• That's what you call true equality. That's why.
• Our children deserve privacy, equal opportunity. and safety in every facility.
• It's easily accessible. And it is an individual private stall.
• equal treatment under the law.

Bills: SB240, SB1183, SB1184, SB1577, SB2043, SB2051, SCR42, SJR68

Keywords: biological sex, gender identity, public facilities, civil penalties, local government, EBT, electronic benefits transfer, food stamps, SNAP, Supplemental Nutrition Assistance Program, TANF, temporary assistance for needy families, welfare benefits, benefit card fraud, fraud hotline, card replacement, photo ID, recipient photograph, HHSC, Health and Human Services Commission