Transcript Highlights:

• about the services our members provide. about the services our members provide.
• providing service. providing service.
• But they have done extremely poor at<00:37:46.760> providing at providing at providing the<00:
• Um, we had individual providers. We had provider associations.
• Um, we had individual providers. We had provider associations.

Bills: HF4110, HF4101, HF4144, HF3546

Keywords: workplace regulations, employee rights, meal breaks, rest breaks, exemptions, medical assistance, data matching, eligibility, reporting, human services, assisted living, health regulations, inspection authority, vulnerable adults, local government, program integrity, high-risk providers, enrollment requirements, fraud prevention, compliance

Transcript Highlights:

• Members of the committee, thank you for allowing me to provide testimony today on House Bill 2216.
• and then fail to provide the resources necessary to do that.
• Chair Kolkhorst, members, thank you for the opportunity to provide testimony today.
• And I want to provide an example of what that looks like.
• What did you say on the internet or on Facebook you can be trained to defraud the state?

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

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

Summary: The committee first reopened testimony on House Bill 2216, which would strengthen child welfare requirements by expanding “active efforts” to help families avoid removal and support reunification, while also raising standards related to removals and terminations. Supporters from child welfare and family defense groups said the bill would better protect families and align Texas more closely with ICWA-style principles, but several warned it would require significant new funding, staffing, and community services such as mental health care, housing, child care, and substance use treatment. The committee then left HB 2216 pending. The committee next heard Senate Bill 1782, aimed at boarding and group homes. Senator Miles said the bill closes enforcement gaps left by prior law by requiring retention of background-check records and creating misdemeanor penalties for failing to conduct or keep them, or for knowingly hiring people with serious convictions. Harris County sheriff’s investigators testified in support, describing illegal boarding homes, operators who evade permits and background checks, and exploitation of vulnerable residents; the bill was left pending. The committee also took up Senate Bill 481 on emergency preparedness for nursing facilities and assisted living facilities, adopted a new committee substitute that softened some requirements and removed the fiscal note, and left the bill pending. The committee then heard House Bill 388, which would require the Texas Department of Insurance to create a single standardized coordination-of-benefits form for dual health plans to reduce errors and surprise bills; it was left pending. Senate Bill 1590 would move paternity registry searches for adoptions to an electronic process with a 10-day target, and House Bill 2809 would track child suicide attempts in managing conservatorship and require related reporting and parental notice; both were left pending. The committee also heard Senate Bill 1887, which would prohibit administering mRNA-containing products for immunization for 10 years, with exceptions for cancer and genetic disorders. Supporters argued the bill was needed for safety, informed consent, and medical freedom, while opponents from the medical, research, and public health communities said mRNA vaccines are well-studied, save lives, and that the bill would harm access, research, and Texas’s biotech economy. The bill remained under discussion as testimony concluded.

Transcript Highlights:

• To assist hospitals, the department may provide staff training, bereavement devices, maintenance support
• To assist hospitals, the Department of State Health Services may provide staff training, bereavement
• Providing bereavement training and cooling devices is more than a basic health care measure for Texas
• Providing bereavement training and cooling devices is more than a basic health care measure for Texas
• We would provide training on budgeting and provide support for home maintenance and housekeeping.

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

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

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

Transcript Highlights:

• Madam Chair, Senator Kavanaugh, the national standards already incorporate AED training in the CPR training
• Arizona already requires CPR training before graduation, and the training includes instruction on using
• the training without the equipment?
• This is why training matters. An AED on the wall doesn’t save lives, but a trained person does.
• Simple research that I looked up says AED training is highly recommended to complement CPR training because

Bills: SB1009

Keywords: cardiopulmonary resuscitation, AED training, high school curriculum, public school, safety training, emergency response, 1182, all

Transcript Highlights:

• and patterns identified through provider and patterns identified through provider audits,<00:12:
• <00:19:20.400> the going to continue to not provide the going to continue to not provide the
• , financial impacts both to uh providers, financial impacts both to uh providers, hospitals<00:31
• legislature did include a provider legislature did include a provider enrollment<01:16:07.360>
• <01:40:42.880> in sure that we can support providers in sure that we can support providers

Bills: HF3379

Keywords: housing stabilization, disability services, predatory funding, provider requirements, housing accessibility, 1183, house

Transcript Highlights:

• One, it provides stronger accountability for people who cause harm, physical harm, and death in order
• <00:48:22.720> appropriate<00:48:23.760> protections<00:48:24.240> to providing
• person providing health care services. person providing health care services.
• <00:54:54.960> security you assault somebody providing security you assault somebody providing
• Use of force training money was session.

Bills: HF2358, HF3496, HF3504, HF2169, HF3440

Keywords: public safety, coercion, criminal penalties, law enforcement, victim protection, HF3496, supervision abatement, earned compliance credit, earned compliance credits, conditional release, supervised release, corrections, Minnesota Department of Corrections, restitution, willful nonpayment, probation-like supervision, release supervision, community supervision, lifetime conditional release, early termination of supervision

Transcript Highlights:

• The TML risk pool lawsuits have provided a lot of uncertainty.
• with eligible training providers to equip new workers with in-demand skills or upgrade the skills of
• We thought that this was a way to provide that opportunity for them.
• I think this is a good thing we can do to provide.
• Child care for six months would be provided by licensed child care providers in their own homes. ...rather

Bills: HB1654, HB1691, HB2545, HB2652, HB3799, HB4144, HB5008

Keywords: peace officers, firefighters, employment protection, worker's compensation, job security, maximum medical improvement, government employment, firefighter cancer benefits, emergency medical technicians, compensation claims, cancer exposures, firefighting hazards, workforce training, rural development, grant program, job-specific training, Texas Workforce Commission, child care, single-parent, subsidized

Transcript Highlights:

• But my next question is how school nurses are trained to do this, and I mean, what kind of specialized
• training do they have?
• to undergo any kind of training to do these exams? I will. Thank you for that question as well.
• Then we may look at outside vendors and training there, but obviously, implementing anything within the
• In fact, that was the case In my own family, 25 years ago, through training of the teachers, an issue

Bills: HB4329, HB3016, HB4118, HB3066, HB3649, HB3650

Keywords: dental insurance, claims, medical necessity, appeal procedures, dentist reimbursement, education, vision screening, binocular vision, kindergarten, elementary education, health, family caregiver, tax credit, activities of daily living, elderly care, Oklahoma tax law, HB3066, Health Care Workforce Training Commission, workforce recruitment, health care workforce

Transcript Highlights:

• This will be providing valuable training and cross-training for our first responders.
• The center will provide state-of-the-art training for law enforcement and first responders, including
• This will be providing valuable training and cross-training for our first responders.
• The center will provide state-of-the-art training for law enforcement and first responders, including
• The center will provide state-of-the-art training for law enforcement and first responders, including

Bills: HF1833, HF148, HF1127, HF1227, HF1681, HF1974, HF1106, HF1016, HF2197

Keywords: sales tax, education funding, construction, Aitkin Public Schools, tax exemption, refundable credit, HF148, use of force training, deadly force, peace officer training, police training, law enforcement, POST Board, Board of Peace Officer Standards and Training, scenario-based training, de-escalation, defensive tactics, force-on-force training, stress management, officer wellness

Transcript Highlights:

• You asked earlier about the training police training equipment fund? This is it. Thank you.
• training lieutenant for the West Valley Law Enforcement Training Academy.
• training lieutenant for the West Valley Law Enforcement Training Academy.
• A new system, he said, would allow the department and its training partners in the regional training
• The regional model, he said, maximizes training value at the Glendale Regional Public Safety Training

Bills: SB1046, SB1317, SB1376, SB1416, SB1448, SB1471, SB1493, SB1498, SB1502, SB1504, SB1538, SB1544, SB1550, SB1579, SB1581, SB1584, SB1624, SB1673

Keywords: telecommunications, broadband, internet infrastructure, critical infrastructure, cybersecurity, national security, foreign adversary, China, Chinese equipment, supply chain security, network equipment, microchips, Arizona Corporation Commission, telecommunications provider, communications infrastructure, Huawei, ZTE, state-owned enterprise, sanctions, infrastructure security

Transcript Highlights:

• He said the difference is training.
• He said that is less than one-twentieth the training of a physician.
• Both exist primarily to provide emergency care, often with only one healthcare provider on site.
• /c><00:34:52.560> care, primarily to provide emergency care, primarily to provide emergency care
• often with only one healthcare provider often with only one healthcare provider on<00:34:55.359>

Bills: SB63, SB80, SB63, SB80

Keywords: immigration, law enforcement, fingerprints, DNA collection, illegal aliens, Alabama state law, SB80, Buddy Sharpless Education Institute, Alabama Local Government Training Institute, county commissioner training, local government training, ethics training, State Ethics Commission, county commissioners, Association of County Commissions of Alabama, local emergency management director, public officials, municipal officials, Alabama Code Title 11, Alabama Code Title 31

Transcript Highlights:

• At times, it's important to ensure that coverage... is provided.
• Since Representative Paul brought up, it provides the benefit as well.
• the potential benefit is to providing those coverage to the health care.
• It would just provide additional information if you wanted it.
• Claims that the providers have. turn to us that we pay them.

Bills: HB138, HB335, HB388, HB138

Keywords: health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers

Transcript Highlights:

• This bill aligns with with what the AP ECD is was intended to do is to provide better information to
• Do you do that mandate by the providers? No, I think we're having...
• Uh, and administrative cost apply both to the plans and to the physician. and health care providers.
• We have Texans who, for example, are covered by Medicaid and Medicare. care so this will just provide
• That way, when it comes to billing, the providers know, okay, we're going to talk to...

Bills: HB138, HB335, HB388, HB138

Keywords: health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers

Transcript Highlights:

• Amendment 948932 is technical and was provided by staff. Other questions on the amendment?
• So that's really why it's important for me to provide youth with these leadership opportunities, to see
• This organization taught me that agriculture affects every aspect of my urban life, and it provided the
• First is classroom or laboratory instruction, which provides students with contextual learning.
• And as our vision states, FFA provides the next generation of leaders who will change the world.

Bills: S0806

Keywords: right to repair, repairability, consumer repair, independent repair provider, authorized repair provider, portable wireless device, smartphone repair, cell phone repair, mobile device, agricultural equipment, farm equipment, tractor, combine, diagnostic information, repair manuals, parts availability, tools, embedded software, firmware, security module

Summary: The Committee on Agriculture took up SB 806, a consumer and agricultural equipment right-to-repair bill sponsored by Senator Truenow. The bill was described as expanding repair options for portable wireless devices and farm equipment while protecting trade secrets. Two amendments were adopted: one clarified that portable devices do not include motor vehicles, and another was a technical staff amendment. Testimony included support for the general goal of repair access, but opposition from a John Deere dealership representative, who warned the bill could weaken local dealer support, reduce parts inventory, increase downtime, and create emissions-compliance risks. The Consumer Technology Association also opposed the bill in its current form, citing concerns about a patchwork of state laws, a private right of action against manufacturers, and inconsistencies with other states’ repair laws. After closing remarks from Senator Truenow, the committee voted to report CS for SB 806 favorably. The committee then heard a presentation from Florida 4-H state officers and alumni, who highlighted 4-H’s role in youth development, leadership, agriculture, STEM, and healthy living. They described statewide participation of more than 216,000 youth, the impact of camps and hands-on programs, and efforts to raise funds for facility improvements, including Camp Cherry Lake and Camp Timpoochee. Members asked about how youth discover 4-H, what drives participation, and the organization’s growth goals, including reaching 300,000 youth. Next, Florida FFA state officers presented on agricultural education and FFA’s role in preparing students for careers in agriculture and related fields. They emphasized the three-part model of classroom instruction, supervised agricultural experience, and FFA leadership activities, and noted Florida’s membership growth to more than 65,000 students, supported by state funding that allows all agricultural education students to participate at no cost. Members discussed the need for technology and AI to help meet future food-production demands, and the presenters stressed innovation, urban agriculture, and efficiency as key to feeding a growing population. The meeting concluded with general comments of support and a request for a group photo with the students.

Transcript Highlights:

• In Texas, implicit bias training is required for new police officers.
• What should we expect the outcome of this training to be?
• And so, having this training where perhaps...
• So more training, better training, training on implicit bias makes us all better, our judiciary, and
• And unfortunately,... our legal system can provide that access.

Bills: HB 1181, HB3704, HB1363, HB1610, HB1615, HB1620, HB3223, HB1317, HB2884, HB2176, HB4027, HB1664, HB933, HB2613, HB3353, HB2086, HB4101, HB3441, HB4145, HB3455

Keywords: judiciary, judges, justices, retired, legal assignments, judicial conduct, notary public, criminal offense, education requirements, official documents, record retention, implicit bias, bias training, judicial training, judge education, court personnel, continuing legal education, CLE, state bar, Texas Court of Criminal Appeals

Transcript Highlights:

• you didn't provide the bills to the patient, you provide it to their attorney and we're not the responsible
• And so the perception by... doctors providing treatment in personal injury cases that we have provided
• are providing those billing records to the attorney, the assumption is... have provided that to the
• I mean, from what I understand, No, in fact, providers are not even required to provide informed consent
• I'm required to have paternity testing, I'm sorry, affidavit of paternity. training and seizures training

Bills: HB 1181, HB3704, HB1363, HB1610, HB1615, HB1620, HB3223, HB1317, HB2884, HB2176, HB4027, HB1664, HB933, HB2613, HB3353, HB2086, HB4101, HB3441, HB4145, HB3455

Keywords: judiciary, judges, justices, retired, legal assignments, judicial conduct, notary public, criminal offense, education requirements, official documents, record retention, implicit bias, bias training, judicial training, judge education, court personnel, continuing legal education, CLE, state bar, Texas Court of Criminal Appeals

Transcript Highlights:

• House File 2732 offers a real solution: to provide direct ongoing support to rural providers, helping
• providers face.
• One way we can do that is by providing due process to providers who have received correction orders.
• It has raised wages for providers and helped keep more providers in work and more centers open.
• We provide training and support for county and community-based foster care licensing organizations. .

Bills: HF1367, HF2732, HF1897, HF1424, HF1383, HF2728, HF2863, HF1685, HF2929

Keywords: child maltreatment, child abuse, neglect, physical abuse, sexual abuse, sex trafficking, labor trafficking, human trafficking, child protection, local welfare agency, county social services, Minnesota Department of Human Services, judicial review, district court appeal, venue, out-of-state abuse, cross-border investigation, Minnesota child welfare, family assessment, maltreatment determination

Transcript Highlights:

• of of investment for Rural providers I of of investment for Rural providers I think<00:24:40.720>
• It would provide direct, ongoing support to rural providers.
• we can do to support um rural providers we can do to support um rural providers but<00:30:06.600
• <00:32:23.360> who providing due process to providers who providing due process to providers
• We provide training and support for county and community-based foster care licensing organizations and

Bills: HF1367, HF2732, HF1897, HF1424, HF1383, HF2728, HF2863, HF1685, HF2929

Keywords: child maltreatment, child abuse, neglect, physical abuse, sexual abuse, sex trafficking, labor trafficking, human trafficking, child protection, local welfare agency, county social services, Minnesota Department of Human Services, judicial review, district court appeal, venue, out-of-state abuse, cross-border investigation, Minnesota child welfare, family assessment, maltreatment determination

Transcript Highlights:

• Each public witness will have two. minutes to testify and provide his or her testimony.
• Yes, center Higginbough just is there any training? Goes along with it?
• entails, who needs to receive that training.
• So you have to be trained to, most people who would use it would have. that basic simple training.
• Would be trained just like what Senator Dr. Campbell said.

Bills: SB207, SB611, SB920, SB1174, SB1207, SB1325, SB1396, SB1551, SB1619

Keywords: SB 207, Texas Education Code, public school attendance, excused absence, mental health appointment, mental health care, behavioral health, school district, student absenteeism, same-day return, health care professionals, physician certification, religious holy days, court appearance, DFPS, foster care, education policy, student wellness, school mental health, attendance policy

Transcript Highlights:

• What we found is that some of the providers actually are on the same service type or on the same provider
• 00:02:47.599> a normally we revalidate providers, a normally we revalidate providers, a handful
• Providers need to update their provider record that's on file with us.
• I have over 30 years' experience in substance use disorder providing treatment and training for staff
• I have over 30 years' experience in substance use disorder providing treatment and training for staff

Bills: HF729

Keywords: human services, provider enrollment, medical assistance, healthcare, housing stabilization, substance use disorder, vulnerable adults, fraud prevention, 1183, house