Transcript Highlights:

• And she's a permanent resident of Santa Fe, one of seven children.
• of our larger national initiative that we launched called the Collaborating for Youth and Public Safety
• The ACLU belongs to the All-Safe Public Safety Coalition, made up of behavioral health, direct service
• , and advocacy organizations committed to root cause solutions to community safety problems.
• I'm here as a citizen, a resident of Albuquerque, a lawyer who's been practicing here since 1973.

Bills: SM20, SM9, SJR6, HB124

Keywords: youth violence, violence prevention, violence intervention, community violence intervention, credible messengers, peer support, restorative justice, violence interrupters, juvenile justice, at-risk youth, high-risk youth, public safety, Department of Health, New Mexico, statewide summit, data collection, reporting, interagency coordination, community-based organizations, law enforcement

Transcript Highlights:

• And she's a permanent resident of Santa Fe, one of seven children.
• The ACLU belongs to the All-Safe Public Safety Coalition, made up of behavioral health, direct service
• , and advocacy organizations committed to root cause solutions to community safety problems.
• On behalf of the ACLU... ...to root cause solutions to community safety problems.
• I'm here as a citizen, a resident of Albuquerque, a lawyer who's been practicing here since 1973.

Bills: SM20, SM9, SJR6, HB124

Keywords: youth violence, violence prevention, violence intervention, community violence intervention, credible messengers, peer support, restorative justice, violence interrupters, juvenile justice, at-risk youth, high-risk youth, public safety, Department of Health, New Mexico, statewide summit, data collection, reporting, interagency coordination, community-based organizations, law enforcement

Summary: The committee first considered the appointment of Mary Patricia Roman to the State Investment Council. Senator Campos presented her as highly qualified, citing more than 34 years in global investing, leadership at J.P. Morgan, and prior service on the SIC investment committee. Roman described her experience with asset allocation, fiduciary responsibility, and the SIC’s vetting process. Senators asked about the council’s role in pension investments, staffing levels, and whether personal values could influence decisions. Roman said the SIC process is robust, heavily staff-driven, and insulated from individual value judgments. The committee reported broad support and voted 8-0 to advance her nomination to the full Senate. The committee then heard the reappointment of John F. Bingaman to the SIC. Senator Worth praised his leadership as SIC chair and his background in private equity, public service, and economics. Bingaman emphasized the growth of New Mexico’s sovereign wealth funds to more than $70 billion, the importance of staffing and asset allocation, and the SIC’s role as a fiduciary for New Mexicans. Senators asked about protecting the funds in a weaker market and about the Blackstone/PNM matter; Bingaman declined to comment on the memorial because he had not read it. The committee voted 9-0 to send his reappointment to the full Senate. The committee next took up Senate Memorial 20, calling for a statewide youth violence summit. Senator Lopez and an expert from the Council of State Governments said New Mexico lacks a cohesive statewide infrastructure for youth violence prevention and intervention, limited data collection, and enough evidence-based services. Supporters from the ACLU, behavioral health organizations, youth-serving nonprofits, and youth advocates backed the memorial as a way to center lived experience, community engagement, and research-based solutions. Some members raised concerns that victims’ families were not explicitly included in the planning group, but the memorial passed on a 6-3 vote. Finally, the committee debated Senate Memorial 9, which asked the Legislative Finance Committee to study whether New Mexico should invest in equity stakes in PNM and New Mexico Gas Company and requested that the PRC pause consideration of the private-equity acquisitions while the study was completed. Supporters argued the state should examine whether utility ownership value could remain in New Mexico, protect ratepayers, and diversify revenue, while opponents from PNM, Blackstone’s representatives, chambers of commerce, and utility advocates said the proposal would duplicate the PRC’s review, create uncertainty, and risk higher rates and delayed investment. The committee adopted an amendment removing references to the PRC, but the memorial then failed on a 4-4 tie after a motion for due pass as amended.

Transcript Highlights:

• Members, House File 413 is a bill that would allow a resident age 65 or older to fish without a license
• Under current law, a resident age 90 or older may fish without a license.
• My name is Roger, and I reside in Alexandria, Minnesota, Douglas County, for the last 80 years.
• age 65 or older would allow a resident age 65 or older to<00:03:25.840><c> fish</c><00:03:26.280><c>
• age 90 or older fish law a resident age 90 or older fish without<00:03:30.519><c> a</c><00:03:30.920

Bills: HF276, HF413, HF411

Keywords: human services, Medical Assistance, Medicaid, long-term services and supports, LTSS, public assistance, application process, eligibility determination, customer service survey, wait times, form complexity, lead agencies, Department of Human Services, Department of Children Youth and Families, streamlining, administrative reform, case management, reassessment, intake system, adaptive eligibility form

Bills: HB85, HB94, HB276, HB323, HB374, HB586, HB656, HB998, HB1204, SB42, SB46, SB51, SB87, SB110, SB154

Keywords: animal abuse, registry, law enforcement, felony offenses, public notification, firearms, due process, confiscation, law-abiding citizen, government funding, self-defense, bail, contradictory bail hearing, Gwen's Law, pretrial detention, criminal procedure, child sexual abuse, child rape, sexual battery, oral sexual battery

Transcript Highlights:

• So in her in her instance, it was a it was a resident that was I assume an IDD adult that was a resident
• The legislation is about dignity, safety, and responsibility.
• are typically held on the campus of the CAC, and that's a place of safety for them.
• , extra layer of safety.
• Childcare workers are responsible for the safety and growth of some of our youngest Texans.

Bills: HB 2510, HB 3589, HB 4611, HB 4655, HB 4665, HB 4666, HB 4670, HB 4700, HB 4730, HB 4798, HB 4838, HB 5136, HB 5243, HB 5302, HB 5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• The staff was giving these drugs to the residents.
• and well-being of the residents.
• It is crucial to Ensure that the physical, emotional, and psychological safety of residents in these
• Neglect and exploitation ultimately safeguard the well-being of residents and support public safety.
• There is a life safety code.

Bills: HB2510, HB3589, HB4611, HB4655, HB4665, HB4666, HB4670, HB4700, HB4730, HB4798, HB4838, HB5136, HB5243, HB5302, HB5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• In her instance, it was a resident that was, I assume, an individual with developmental disabilities
• The legislation is about dignity and safety... ...and responsibility.
• First of all, for the safety. concerns and well-being of child victims of crime.
• If you open these facilities to the public, would it raise significant safety concerns, including the
• Necessary funds without providing any extra layer of safety.

Bills: HB2510, HB3589, HB4611, HB4655, HB4665, HB4666, HB4670, HB4700, HB4730, HB4798, HB4838, HB5136, HB5243, HB5302, HB5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• For non-resident tuition, it would raise it from 5% to 20% for... certain institutions, and they would
• Another one is for the safety of... employees, guests, neighbors, and wildlife.
• Pre-harvest intervals that cause safety concerns, food safety concerns, record. keeping and prevent pest
• And then, of course, gentlemen, y'all had mentioned, sir, you had mentioned, safety for the farmers,
• Farmer safety. Farmer safety. Farmer safety.

Bills: HB3032, HB3434, HB3574, HB5339, HB5646

Keywords: nursing education, clinical sites, health facilities, Texas Higher Education Coordinating Board, legislative study, healthcare training, tuition, financial assistance, higher education, public institutions, student support, nonresident students, Texas Education Code, resident tuition, scholarships, regenerative agriculture, grants, sustainable farming, soil health, bioremediation

Transcript Highlights:

• Residents will be required to leave their homes and possibly return to a community living where safety
• Residents will be required to leave their homes and possibly return to a community living where safety
• We share DPH's commitment to resident safety, dignity, and high-quality care, and we have worked collaboratively
• We appreciate the Department of Public Health's long-standing commitment to resident safety, quality
• I appreciate the department and committee's commitment to resident safety, dignity, and quality of care

Bills: H5243, H5376, S3056, S3057

Keywords: rest home, rest homes, medication administration, medication management, assisted living, long-term care, elder care, older adults, senior care, nursing home, resident care, self-administration, licensed facility, Chapter 111, section 71, Responsible Person, caregiver, direct care staff, care facilities, funding

Transcript Highlights:

• We continue to hear concerns about health care costs from our residents.
• Now, without LifeWise, all of these residents had to choose Coordinated Care or go without coverage.
• Now, without LifeWise, all of these residents had to choose Coordinated Care or go without coverage.
• House Bill 2564 can help simplify the shopping experience for residents in oversaturated counties like
• The purpose of this bill is to provide more transparency, both for prospective residents and current

Bills: HB2564, HB2599, HB1809, HB2242, HB2261, HB2384, HB2505

Keywords: healthcare, insurance, certification, state regulation, health plan, therapy, psychotherapy, mental health, regulation, professional standards, behavioral health, mental health crisis, crisis response, co-response, co-responder, first responder, EMS, emergency medical services, paramedic, EMT

Summary: The House Health Care & Wellness Committee held public hearings on House Bill 2564, concerning the health benefit exchange, and House Bill 2599, concerning the use of AI in therapy services. HB 2564 would let the exchange adopt annual market-factor certification criteria to address access and affordability issues, including requiring more meaningful plan differences, broader county participation, and availability of lower-premium options. Supporters, including the exchange, former Sen. Karen Kaiser, consumer advocates, rural and tribal representatives, and some brokers, said the bill could help prevent bare counties, improve affordability, and reduce confusing plan duplication. Opponents, including carrier groups, insurers, the hospital association, and insurance producers, warned it could reduce carrier participation, create uncertainty, overlap with OIC authority, and raise provider costs. HB 2599 would restrict licensed therapy providers from using AI to make independent therapeutic decisions, directly interact with clients, generate treatment plans without review, or advertise AI as therapy; supporters said it was needed to prevent deceptive or dangerous chatbot therapy, while several professional groups and Teladoc supported the intent but asked for narrower definitions and clearer carveouts for routine clinician-supervised tools. The committee also heard testimony on the bills’ details and possible amendments, but took no public-hearing votes on either bill. In executive session, the committee considered five bills. HB 1784, on certified medical assistants entering and activating orders, passed with a proposed substitute that added standing written protocols, annual review requirements, and a 24-hour countersignature deadline; it was reported out 18-0. HB 2242, on preventive services and immunization recommendations, had three amendments considered: two were rejected and one JLARC study amendment was adopted, after which the substitute bill passed 11-7. HB 2384, on actuarial reviews for continuing care retirement communities, passed as a substitute after technical changes and was reported out 16-2. HB 2505, creating an exemption from adult family home licensure for certain foster family situations, adopted an amendment adding disqualifying conditions and then passed 18-0. The committee deferred action on HB 1809 and HB 2261, and adjourned after completing its work.

Transcript Highlights:

• House Bill 3312 is a bill on firearm safety instruction in all public schools.
• It provides an annual age-appropriate firearm safety instruction starting in the 2026-2027 school year
• This is a big deal to be able to teach safety in the schools is a big deal for our kids because so many

Bills: HB3312, HB3700, HB2981, HB2961, HB3016, HB4478, HB4326, HB3025, HB3710

Keywords: firearm safety, public schools, education policy, student safety, gun control, opt-out option, grading system, student assessment, academic integrity, state funding, opinion conduct, open meetings, school boards, transparency, public access, education governance, HB2961, TSgt Marshal Dakota Roberts Gold Star Survivor Act, Gold Star family, Gold Star recipient

Transcript Highlights:

• House Bill 3312 is a bill on firearm safety instruction in all public schools.
• It provides annual age-appropriate firearm safety instruction, starting in the 2026–2027 school year.
• To be able to teach safety in the schools is a big deal for our kids because so many of them aren’t getting

Bills: HB3312, HB3700, HB2981, HB2961, HB3016, HB4478, HB4326, HB3025, HB3710

Keywords: firearm safety, public schools, education policy, student safety, gun control, opt-out option, grading system, student assessment, academic integrity, state funding, opinion conduct, open meetings, school boards, transparency, public access, education governance, HB2961, TSgt Marshal Dakota Roberts Gold Star Survivor Act, Gold Star family, Gold Star recipient

Summary: The Senate Education Committee met and first recognized visiting students and staff from Putnam City North and Edmond Public Schools. The committee then took up several House bills, beginning with HB 3312, which would require annual age-appropriate firearm safety instruction in public schools starting in the 2026–2027 school year, with CLEET and the Department of Education developing the curriculum. The bill was advanced on a 9-2 vote after the author described it as a safety measure and cited a personal tragedy involving children and a firearm. The committee also passed HB 3700, requiring colleges and universities to adopt policies ensuring grades are based only on academic performance, and HB 2981, requiring school districts to post school board meeting minutes within two weeks of approval. HB 2961, creating the Tech Sergeant Marshall Dakota Roberts Gold Star Surviving Act to provide tuition, fees, and room and board for spouses and children of Gold Star recipients at state public universities or career tech schools, passed unanimously after discussion of a possible fiscal impact. HB 3016, establishing a two-year pilot vision screening program for about 12 schools to identify convergence insufficiency disorders linked to literacy, also passed. Later, HB 4478 passed to raise the daily deposit threshold for school districts and sites from $100 to $500 while still requiring weekly deposits. HB 4326, a cleanup bill related to Oklahoma’s Promise deadlines, certified teacher definitions, and a contingent T-SET-related provision, passed after debate about its unfinished status and funding concerns. HB 3025 passed with a change excluding donations from general fund collections for carryover balance purposes for one year, and HB 3710 passed to make a new higher education program cohort-based, requiring students to begin eligibility as freshmen. The chair closed by noting the committee had moved quickly, and announced upcoming executive nominee meetings and another committee meeting the following week.

Transcript Highlights:

• We have 138 member credit unions representing over 1.3 million Louisiana residents and employing over
• 3,800 full-time Louisiana residents.
• Does this, huh, does this create the potential for food safety risk, from your perspective, or—?
• They also would not be required to have a food safety-certified handler in these facilities.
• We do not have jurisdiction to go in anyone's private residence. What about food trucks?

Bills: HB288, HB403, HB420, HB783, HB815, HB915, HB927, HB933, HB944, HB962, HB971, HR74, SCR3, SCR20, SB5, SB34, SB37, SB190, SB255, SB270, SB273, SB314, SB415

Keywords: medical terminology, documentation, miscarriage, spontaneous abortion, healthcare, medical records, billing, homemade food, food safety, small business, exemption, regulation, Department of Children and Family Services, background checks, child welfare, employee screening, safety regulations, criminal history, non-lactational dairy, labeling requirements

Transcript Highlights:

• safety.
• This comes in response to concerns raised about the safety of mRNA vaccines.
• What many people have recognized is that there's a lack of proven safety and efficacy.
• I support full transparency and safety and efficacy.
• Transparency is lacking, and critical safety questions remain unanswered.

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:

• 65 and older live in urban areas, rural communities carry a disproportionate share of the aging residents
• 65 and older live in urban areas, rural communities carry a disproportionate share of the aging residents
• a little restrictively, and we're going to make those changes, whether it's through this bill, a safety
• But then when she looked at the radiation part, like the safety and efficacy, it wasn't actually going

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:

• let me clarify, as filed, would have absolutely gutted consumer protections for Texas families and residents
• When I first started my business 20 years ago, we had to take good care of residents and build a name
• responsibility if an SSCC does not meet their contractual duties, even when that poses a threat to child safety

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:

• filed—let me clarify, as filed—would have absolutely gutted consumer protections for Texas families and residents
• When I first started my business 20 years ago, we had to take good care of our residents and build a
• responsibility if an SSCC... ...does not meet their contractual duties, even when that poses a threat to child safety

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:

• . health and safety.
• I firmly believe in providing youth with the right tools to set up a residence successfully.
• The situation they described is awful in some of these residences.
• One can simply search the internet for numerous, countless articles related to these residents.
• Fire was reported to be set in the driveway of the residence.

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:

• Residents, especially those with dementia.
• Care residents affected by disasters and emergencies.
• Safety.
• Residents' family members are not alerted when a resident requests an... for a mail-in ballot.
• The resident of the nursing facility or the assisted living?

Bills: SB397, SB481, SB596, SB760, SB855, SB1195, SB1196, SB1233, SB1257, SB1318, SB1368, SB1388, SB1398, SB1524, SB1558, SB1589, SB1677, SB1792, SB2034

Keywords: SB 397, telemedicine, telehealth, teledentistry, remote care, virtual care, consent documentation, patient consent, data collection, data sharing, audio-only telehealth, in-person examination, irreversible medical procedure, health professional regulation, Occupations Code, Texas Health and Human Services, medical records, provider compliance, data privacy, consumer rights

Transcript Highlights:

• Building those residents in that area.
• Thank you for your interest in the safety of nursing home and assisted living residents.
• 15 square feet per resident.
• We believe that this bill can provide stronger measures to protect the health and safety of residents
• for vulnerable residents.

Bills: SB397, SB481, SB596, SB760, SB855, SB1195, SB1196, SB1233, SB1257, SB1318, SB1368, SB1388, SB1398, SB1524, SB1558, SB1589, SB1677, SB1792, SB2034

Keywords: SB 397, telemedicine, telehealth, teledentistry, remote care, virtual care, consent documentation, patient consent, data collection, data sharing, audio-only telehealth, in-person examination, irreversible medical procedure, health professional regulation, Occupations Code, Texas Health and Human Services, medical records, provider compliance, data privacy, consumer rights