Transcript Highlights:

• In 2024, the substance use grant shifted from the newly established Office of Cannabis Management to
• So 45% of our spending on medical assistance is through managed care.
• financial uh it originally the managed financial uh it originally the managed care<01:25:45.199>
• So, another item in audit preparedness.
• um there's a risk that a future audit um there's a risk that a future audit could<01:41:03.679><

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

Transcript Highlights:

• audit situation.
• frequency or audit scope.
• frequency or audit scope.
• So they can audit me while owning their own stores.
• Right now we see a lot where they'll call an audit a fraud, waste, or abuse audit and use that to kind

Bills: S0326, S0598, S0632, S0786, S1110, S1256, S1380, S1588, S7042, S7044

Keywords: curators, estates, court appointment, fiduciary duty, bond requirements, removal, surrogate, funeral homes, cemetery law, cremation, embalmer, funeral director, preneed contract, preneed funeral, human remains, unclaimed cremated remains, disposition of remains, hospice, palliative care, end-of-life care

Summary: The Banking and Insurance Committee met with a quorum present and temporarily postponed SB 7042 on legal tender and SB 1380 before taking up the remaining agenda. The committee first reported favorably C.S. for SB 326, which modernizes Florida’s curator statute in probate law by clarifying when curators may be appointed, what they may do, and what oversight applies. It then reported favorably SB 1256, which standardizes PBM pharmacy audits by requiring uniform audit standards, scope, frequency, penalties, and due process protections for pharmacies; testimony from pharmacists emphasized concerns about conflicts of interest, excessive audits, and disproportionate penalties, while preserving fraud investigations. The committee also reported favorably C.S. for SB 598 on funeral and cemetery services after adopting an amendment that removed provisions on civil damages caps and phasing out direct disposers; the bill updates licensure and contract rules and addresses unclaimed remains. SB 632, which sets insurance requirements for transportation network companies during the period after a ride is accepted but before pickup, was reported favorably despite opposition from an attorney who argued the existing coverage framework should not be reduced. C.S. for SB 786, creating a nonjudicial process to close out undisputed trusts and discharge trustees, was also reported favorably. The committee then took up SB 1110, a major bill expanding Medicaid and private insurance coverage for medically necessary orthotics and prosthetics, including activity limbs, and requiring annual reporting. After adopting an amendment clarifying eligible recipients, the committee heard extensive emotional testimony from amputees, parents, and advocates describing the medical, developmental, and financial importance of prosthetic coverage, and members spoke in strong support before the bill was reported favorably. Later, the committee considered SB 1588, which implements last session’s legal tender law by refining definitions, narrowing custodian provisions, eliminating unnecessary examination requirements, and repealing the sunset clause; members raised questions about verification and anti-money-laundering concerns, but the bill was reported favorably. Finally, the committee approved SPB 7044 as a committee bill to expand public records exemptions to records relating to newly regulated custodians of gold and silver. The meeting concluded with senators recording additional affirmative votes on selected bills and adjourning.

Transcript Highlights:

• must first consider applicants who were employed by the Lottery Commission when hiring employees to manage
• printing machines at any single location, and the state auditor must conduct an annual comprehensive audit
• Each audit must specifically identify any lottery actions or activities that differ from previous audits
• of all lottery division actions. each audit must specifically comprehensive audit of all lottery division
• Each audit must specifically identify any lottery actions or activities that differ from previous audits

Bills: HB668, HB677, HB766, HB3133, SB3070

Keywords: HB 668, Texas, handgun license, license to carry, LTC, concealed carry, open carry, firearm permit, gun license renewal, public safety, Department of Public Safety, DPS, Government Code Section 411.185, renewal fee, handgun permit, Second Amendment, carry permit, firearms regulation, HB 677, Texas Election Code

Summary: The committee met to hear several bills, beginning with House Bill 766, which would require precinct chair applicants to provide an email address, phone number, or both on their applications while keeping that contact information confidential. No one testified for or against the bill, and it was left pending. House Bill 677, a companion to a previously approved Senate bill, would bar county election administrators from simultaneously holding another office or position appointed by an elected official; it also drew no public testimony and was left pending. Members then heard House Bill 3133, which would add explicit deepfake material to the list of content social media platforms must handle through complaint systems, including prompt acknowledgment, investigation, and status updates. Senators discussed concerns about how platforms would verify whether reported content was actually a deepfake, and the sponsor indicated the bill may be held pending while federal law on the subject is reviewed. House Bill 668 would create a one-year grace period for renewing an expired Texas handgun license to carry, codifying an existing DPS practice; it also received no testimony and was left pending. The committee spent the most time on Senate Bill 3070, a major overhaul of the Texas Lottery system. The bill would move oversight from the Lottery Commission to TDLR, dissolve the commission, impose new restrictions on ticket sales and internet play, create a lottery advisory committee, increase transparency and audit requirements, and include a sunset review that could lead to abolishing the lottery if not continued by 2027. The author described the bill as a response to alleged misconduct and illegal practices by the commission, while a witness from the Christian Life Commission testified in favor, supporting changes to prize anonymity and other lottery restrictions. After testimony, the bill was left pending, and the committee recessed subject to the call of the chair.

Transcript Highlights:

• must first consider applicants who are employed by the Lottery Commission when hiring employees to manage
• machines at any single lottery location, and the State Auditor must conduct an annual comprehensive audit
• Each audit must specifically identify any lottery operations or activities that differ from previous
• audits.

Bills: HB668, HB677, HB766, HB3133, SB3070

Keywords: HB 668, Texas, handgun license, license to carry, LTC, concealed carry, open carry, firearm permit, gun license renewal, public safety, Department of Public Safety, DPS, Government Code Section 411.185, renewal fee, handgun permit, Second Amendment, carry permit, firearms regulation, HB 677, Texas Election Code

Bills: SCR 22, SB 53, SB 204, SB 266, SB 268, SB 291, SB 292, SB 296, SB 304, SB 305, SB 413, SB 447, SB 455, SB 462, SB 493, SB 504, SB 519, SB 522, SB 532, SB 541, SB 667, SB 670, SB 673, SB 681, SB 687, SB 711, SB 746, SB 765, SB 783, SB 827, SB 850, SB 860, SB 888, SB 897, SB 901, SB 927, SB 955, SB 963, SB 984, SB 989, SB 993, SB 996, SB 1023, SB 1033, SB 1058, SB 1062, SB 1101, SB 1119, SB 1172, SB 1173, SB 1215, SB 1220, SB 1227, SB 1228, SB 1229, SB 1238, SB 1239, SB 1245, SB 1248, SB 1254, SB 1259, SB 1273, SB 1277, SB 1302, SB 1332, SB 1341, SB 1346, SB 1350, SB 1352, SB 1353, SB 1355, SB 1358, SB 1370, SB 1371, SB 1378, SB 1403, SB 1404, SB 1415, SB 1437, SB 1448, SB 1450, SB 1464, SB 1493, SB 1494, SB 1537, SB 1566, SB 1569, SB 1589, SB 1598, SB 1644, SB 1709, SB 1719, SB 1729, SB 1733, SB 1744, SB 1772, SB 1810, SB 1841, SB 1895, SB 1930, SB 2039, SB 2289, SB 2312, SCR 1, SCR 6, SCR 27, SCR 32, SB 2232

Keywords: mental health, court proceedings, notice requirements, legal filings, electronic documents, parental rights, education, school trustees, training, handbook, tax collection, managed audits, taxpayer rights, dispute resolution, penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement

Transcript Highlights:

• :15:43.880> a<00:15:43.960> federal<00:15:44.440> government<00:15:45.040> audit
• <00:15:45.480> from<00:15:45.680> 2020 And a federal government audit from 2020 And
• <00:58:14.480> and<00:58:14.680> support<00:58:15.080> plan case management
• and support plan case management and support plan development,<00:58:15.920> so<00:58:16.040><
• <00:59:32.960> or<00:59:33.120> the through the case management or the through the

Bills: HF4338

Keywords: human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review, postpayment review, surety bond, compliance training, case management, targeted case management

Transcript Highlights:

• Of custody for post-election audits. Nothing in this bill is groundbreaking or expensive.
• cycle may not be selected in the current audit cycle.
• If a county randomly selected for a post-election audit fails that audit, SB 1541 allows the Secretary
• Post-election audits help them remediate their issues.
• I think this is a great thing to do, to have these hand-counted audits.

Bills: HB3097, HB3691, SB108, SB827, SB1541, SB1862, SB2166, SB2216

Keywords: Texas elections, Election Code, uniform election date, November election, local elections, political subdivisions, general election date, election administration, municipal utility district, county elections, local government, ballot scheduling, candidate filing, voter turnout, election calendar, HB 3097, early voting, electronic application, mail-in ballot, voting accessibility

Transcript Highlights:

• My last name is spelled W-I-L-E-T-T, and I'm the senior campaign manager with All Voting Is Local Action
• I'm the government affairs manager with Make the Road Nevada, and in the interest of time, I've submitted
• My name is Chanel Cassinello, C-A-S-S-A-N-E-L-O, and I'm the campaign manager at All Voting Is Local
• This is a blatant power grab by the Secretary of State along his top-down election management bias that
• Our committee secretary, committee assistant, our committee manager, our policy manager, our legal.

Bills: AB534, AB562, AB595, AB597, AB600, SB74, SB226, SB422, SB488

Keywords: election reform, voter accessibility, conditional ballots, voter registration, mechanical voting systems, election audits, voter access grants, provisional ballot, voting technology, AB562, Nevada, Secretary of State, elections, elections management system, HAVA, Help America Vote Act, automatic voter registration, AVR, election technology, state appropriations

Transcript Highlights:

• new language and it requires managed new language and it requires managed care<00:13:59.920>
• <00:14:11.440> care specified claims from managed care specified claims from managed care
• waiver case management. waiver case management.
• victims, which here are DHS, managed victims, which here are DHS, managed care<00:31:31.000>
• vendor to manage this statewide program. vendor to manage this statewide program.

Bills: HF4207, HF4338

Keywords: housing aid, local housing trust, funding projects, income provisions, technical changes, human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review

Transcript Highlights:

• add a new provider, the new clinic or provider is required to be. ...credentialed with the numerous managed
• So this bill simply amends the Texas government code for the Medicaid managed care... ...section, and
• House Bill 4638 addresses Pharmacy Benefit Managers (PBMs) for our ERS, TRS, UT System, and Texas A&M
• parental rights laws, ARS 601-1 and 601-2, yet DFPS selects and employs caseworkers, therapists, and managers
• Campbell, Senator Campbell, and a manager suggested that you weren't sure how she... would prefer to

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• By now, the complexities of the registry and how it's managed by DFPS have become abundantly clear.
• If paramedics can safely manage patients with an advanced scope of practice, then why would they be barred
• Our state's early childhood infrastructure is currently managed across multiple agencies, each operating
• The filtering through is that, for example, the Baylor facility we go to is managed by a corporation
• It's going to be managed through TDEM, and we work very closely with them and the staff of this committee

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• I am the Government Relations Manager with the Houston Food Bank.
• Cooking nutritious meals on a tight budget under food labels or managing dietary restrictions can be
• MNT is a clinical service that includes personalized evidence it's based approach to prevent, manage,
• In these cases the focus is on health promotion rather than an intent to treat. or manage a specific
• We need to manage both ends of the spectrum from obesity to you know severe anorexia as well too and

Bills: HB26, HB140, HB141, HB142, HB215, HB26, HB140, HB141, HB142, HB215

Keywords: Medicaid, nutrition support, maternal health, chronic conditions, pilot program, DFPS, Department of Family and Protective Services, child protective services, child abuse investigations, child neglect, child exploitation, advisory committee, Family and Protective Services Council, council abolition, foster care, due process, investigative procedures, child welfare, parental rights, family preservation services

Transcript Highlights:

• School boards already undergo rather complex audits. Their requirements are strict.
• for school districts by school audit for school districts by school boards.<01:15:14.080> School<
• School boards already undergo rather<01:15:17.120> complex<01:15:17.679> audits.
• <01:15:18.320> Their rather complex audits. Their rather complex audits.
• I just simply don't know who in that agency would have the expertise to manage the funds involved in

Bills: SB141, SB124, SB56, SJR116, SB94, SB37, SB127, SB197, SB66, SB70, SB133, SB160, SB214, SB312, SB52, SJR62, SJR75

Keywords: legal advertisements, tax rates, public hearings, transparency, local government, sick leave, education, teacher retirement, benefits, employee compensation, Medicaid, nonopioid analgesics, pain management, health care regulation, utilization controls, physician shortage, health care access, medically underserved areas, medical education, workforce development

Transcript Highlights:

• This requires DHS to share suspected fraud reports from a managed care provider across all Medicaid managed
• care provider across all managed care provider across all Medicaid<00:14:42.839> managed<00:14
• why I got involved with this, no managed why I got involved with this, no managed care,<01:14:47.000
• this up for managed care.
• <01:20:30.320> care Delta Dental, the managed care Delta Dental, the managed care organizations

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:

• I'm huge on financial literacy, not just for our foster children, but for all children, and how to manage
• This provision is especially important for children in the managing conservatorship of the department
• There are serious concerns that Vision Benefit Managers are excluding qualified optometrists from their
• VBMs manage defined vision plans for Texans, and these networks are often closed or selected and limited
• My name is Diana Arevalo, and I am the Managing Director of Advocacy for the ALS Association.

Bills: HB107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655, HB107

Keywords: sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records

Transcript Highlights:

• I'm huge on financial literacy, not just for our foster children, but for all children, and how you manage
• This provision is especially important for children in the permanent managing conservatorship of the
• There are serious concerns that vision benefit managers are excluding qualified optometrists from their
• VBMs manage vision plans for Texans, and these networks are often closed or selectively limited, even
• My name is Diana Arevolo, and I am the managing director of advocacy for the ALS Association.

Bills: HB 107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655

Keywords: sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records

Summary: The committee heard testimony on a series of health and human services bills and left each one pending after public testimony. HB 4655 would expand financial literacy instruction for youth aging out of foster care to include credit scores, predatory lending, scams, banking, budgeting, and related consumer topics; the sponsor and Buckner International described the need to protect foster youth from financial pitfalls. HB 923 would add three public members and one physician to the Texas Medical Disclosure Panel; supporters said it would improve informed consent and patient voice, while a witness raised concerns about a House amendment requiring a physician majority for decisions and senators questioned scope-of-practice limits. HHSC said the panel is an independent body and the bill expressly bars it from changing scope of practice.

Transcript Highlights:

• Chairman, you're familiar with their work, particularly with managed assigned counsel programs, and this
• House Bill 4885 would add managed assigned counsel programs to this list to screen potential counsel
• It's just to make sure that they can operate within the Managed Assigned Counsel Program.
• No, this bill is dealing with the Managed Assigned Counsel Program.

Bills: HB1821, HB1822, HB1943, HB3882, HB4263, HB4476, HB4628, HB4631, HB4885, HB4923, HB5461, HB5483, HB5525

Keywords: juvenile records, sealing, privacy, criminal justice, youth rehabilitation, legal procedures, juvenile court, record sealing, nondisclosure, age jurisdiction, criminal justice reform, juvenile board, compensation, Winkler County, juvenile justice, county funding, grants, career education, technical programs, workforce development

Transcript Highlights:

• It would be to, um, you know, progressive remedies are used, for example, in Medicaid managed care to
• Statute does not grant DFPS the ability to act swiftly, intervene, or resume placement and case management
• House Bill 4131 allows DFPS to petition a court of competent jurisdiction to appoint a receiver to manage

Bills: HB 1531, HB 2667, HB 2809, HB 2865, HB 3589, HB 3151, HB 3748, HB 3750, HB 4419, HB 4643, HB 3597, HB 4129, HB 4130, HB 4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Transcript Highlights:

• It would be to use progressive remedies, for example, in Medicaid managed care to help ensure compliance
• sure they have a buffer period to sort of deal with the transition and ensure that they're really managing
• Statute does not grant DFPS the ability to act swiftly, intervene, or resume placement and case management
• House Bill 4131 allows DFPS to petition a court of competent jurisdiction to appoint a receiver to manage

Bills: HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Transcript Highlights:

• Relating to allowing Medicaid managed care organizations to inform recipients about the availability
• Youth in the managing conservatorship of the Department of Family and Protective Services face unique
• They are required to be enrolled with Medicaid and credentialed with managed care organizations.
• That's the only managed care organization that has done that.

Bills: HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies