Video & Transcript Research : 'training services'

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AZ

Arizona 2026 Regular Session

01/28/2026 - House Science & Technology

Science & Technology

Transcript Highlights:
  • I staffed them on Health and Human Services and Science and Technology, and this is my 10th session.
  • from the Arizona University, and I'm on the Science and Technology Committee and the Health Union Services
  • a way to modify something on this phone that then up-channels and somehow affects Apple's iCloud service
  • we've had many opportunities to meet businesses and other opportunities that can provide the same services
  • we've had many opportunities to meet businesses and other opportunities that can provide the same services
Summary: The House Committee on Science and Technology convened for its first meeting of the session, with members and staff introducing themselves and the chair reviewing committee rules and amendment deadlines. The committee then heard several bills focused on technology policy, infrastructure security, and a new study committee on assistive technology. Testimony was generally supportive of the bills’ goals, though several members raised concerns about implementation, costs, and the role of the Arizona Corporation Commission on the infrastructure bill. HB 2121 would prevent manufacturers from disabling consumer electronic devices when owners make modifications, such as using third-party parts or firmware changes, and would allow owners or the Attorney General to sue for damages. After discussion about consumer ownership, security, and possible manufacturing impacts, the committee adopted the Fink amendment narrowing the bill to consumer products and gave HB 2121 a do pass recommendation by a 7-1 vote with one present. HB 2134 would restrict Chinese-produced equipment from critical infrastructure and limit contracts with Chinese companies; the sponsor and supporters framed it as a national security measure, while opponents focused on cost, implementation, and utility coordination. The committee heard testimony from the Arizona Corporation Commission, which said the bill would require new staff and resources, and from outside witnesses who said the bill was prospective and aligned with federal restrictions. HB 2134 passed 5-4. HB 2451 would adjust Arizona Space Commission board terms, extend the strategic plan deadline, and add astronautic educational opportunities to the commission’s duties. Supporters described the commission as a bipartisan effort to grow Arizona’s space industry, and the bill passed 8-0. HB 2700 would create a Technology Study Committee focused on assistive technology and technology-first approaches for people with disabilities. The sponsor and a constituent advocate described how assistive technology can improve independence and service delivery, and members expressed support for the concept. After adopting the Connolly amendment, the committee approved HB 2700 as amended by an 8-0 vote. The committee then adjourned.
LA

Louisiana 2026 Regular Session

Education May 14th, 2026

Education

Transcript Highlights:
  • They should be a dispute over the contracted services.
  • They should be a dispute over the contracted services.
  • We do safe environment training and criminal background checks.
  • How can we permit more group training, similar to the ethics annual training?
  • How can we permit more group training, similar to the ethics annual training?
Summary: The Senate Education Committee met with four members present and took up a long agenda of education-related bills. Early items included SCR 65, which would create a K-12 student success task force to study statewide career and academic pathway advising; the committee adopted a substantive amendment adding designees and then reported the resolution favorably. The committee also reported favorably on SCR 119, honoring Coach D.D. Breaux, after brief remarks about her LSU gymnastics legacy and the request that LSU study naming its gymnastics training facility in her honor. Several bills affecting school operations and student support were heard and reported favorably, including HB 434 on probationary school bus driver employment and superintendent authority over dismissal; HB 484 expanding scholarship benefits for children and spouses of fallen or disabled firefighters and police officers; HB 749 and HB 1059 on savings accounts and TOPS math eligibility alignment; HB 218 adding food insecurity questions to student questionnaires, which was amended and reported favorably; HB 325 expanding TOPS Tech eligibility through dual enrollment and part-time use; HB 476 requiring Safe Haven law postings in middle and high school restrooms; HB 1249 clarifying access to school-based health centers, with an amendment adopted; HB 1242 allowing more than one early learning center license at the same location under certain circumstances; HB 632 improving data protections and functionality for LA First; and HB 352 on behavioral health services for public school students, which was amended to address IEP and dispute-process concerns before being reported favorably. Two bills drew extended debate over transparency, privacy, and school autonomy. HB 608 would create confidentiality for intercollegiate athletics revenue-sharing documents; LSU representatives argued the bill was needed to protect student-athletes and competitive information, while PAR and the Louisiana Press Association opposed it as an improper secrecy carve-out for state-generated revenue. Despite the opposition, the committee reported HB 608 favorably. HB 1112, which would exempt BESE-approved non-public pre-K programs from certain licensure and safety requirements and adjust related definitions, was amended and then heard with testimony from the Pelican Institute in support, arguing it corrects overreach from prior law and protects private school autonomy and parental choice.
FL

Florida 2026 Regular Session

Appropriations Committee on Criminal and Civil Justice Feb 4th, 2026

Appropriations Committee on Criminal and Civil Justice

Transcript Highlights:
  • This training helps officers distinguish ASD-related behaviors from defiance, and This training helps
  • Secondly, the training component and the fact that it would mandate training is very, very important.
  • Secondly, the training component and the fact that it would mandate training is very, very important.
  • And then, of course, have law enforcement trained about it.
  • The officer was in a training by ASGO, which is one of the trainings for individuals with autism spectrum
Bills: S0132, S0418, S0646, S0820, S1734
Summary: The Appropriations Committee on Criminal and Civil Justice met with a quorum and took up several bills. SB 646, relating to drug paraphernalia, was presented by President Gates as a narrow measure to allow drug testing tools such as fentanyl test strips and reagent kits to detect dangerous adulterants and help prevent overdose deaths. Senator Osgood spoke in strong support, describing the bill as important for people in recovery. The bill had one support appearance and was reported favorably by unanimous roll call. The committee then heard SB 418 on law enforcement interactions with individuals with autism spectrum disorder. Senator Jones explained that the bill requires autism awareness and communication/de-escalation training for officers and creates a voluntary Blue Envelope Program for drivers with ASD. Multiple advocates, including Disability Rights Florida, an Autism Society representative, parents, and a retired federal officer, testified in support, emphasizing safety, communication, and the need to avoid tragic misunderstandings during police encounters. Senators also discussed whether broader disability training should be considered in the future. SB 418 was reported favorably unanimously. Next, the committee considered SB 132 on restoration of voting rights, which would require the Florida Commission on Offender Review to create and maintain a public database to help people determine whether they have completed sentence requirements for rights restoration and to publish clearer instructions for eligible individuals. An amendment was adopted to make the database subject to legislative appropriation. The bill was then reported favorably. The committee also approved SB 1734, which recognizes juvenile probation and detention officers as officers under state law and extends training, certification, and certain benefits, and CS/SB 820, which strengthens reporting requirements for problem-solving courts and sets annual reporting deadlines. Both bills were reported favorably after brief discussion and support appearances.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 14th, 2025 at 02:00 pm

Appropriations - Human Resources Division

Transcript Highlights:
  • as a partnership between Human Services and DPI.
  • , medical services, and public health.
  • , medical services, and public health.
  • Juvenile justice diversion services, $500,000.
  • DOCR and $750,000 to Human Services to provide services to people in that program.
Bills: SB2015
Summary: The Senate Appropriations Human Resources Division met with all members present and took up several bills, focusing most of the discussion on SB 1577 and SB 1619, along with a detailed review of the HHS budget bill draft. On SB 1577, Senator Magrum explained that the bill was being revised to focus on wastewater rather than raw water, possibly shifting the Washburn project to the Department of Water Resources so it could access matching funds, and potentially converting the bill into a line of credit if federal money is restored later. Members discussed whether to keep an emergency clause or instead use a date-based approach, and agreed the bill would likely be handled through the full committee and possibly reconsidered later. On SB 1619, Senator Davison said amendments were still being worked on, including changes requested by the Bank of North Dakota, and the committee planned to hold it for possible amendment before full committee consideration. The bulk of the meeting was a section-by-section review of the HHS appropriations bill draft. Members discussed one-time funding items such as technology projects, child care programs, housing programs, behavioral health facility grants, infant and toddler care provider support, juvenile justice diversion, medical housing, and other public health and human services projects. Several adjustments were noted, including reductions or changes to IMD-related funding, incarcerated-person treatment funding, the child welfare technology project, and the provider rate increase. The committee also discussed the FTE block grant structure at length, with staff explaining that the apparent increase in positions reflected budgeting mechanics, zero-dollar “phantom” positions, and positions approved previously but not counted in the FTE total. Members raised concerns about transparency and whether the bill should list FTE numbers, but staff said the block grant was intended to give the department flexibility while quarterly reporting would provide oversight. Other topics included Medicaid expansion funding and provider reimbursement rules, the move toward certifying human service centers as certified community behavioral health clinics, a moratorium on new ICF beds, and studies or reports on Medicaid, obesity, disability services, truancy, and behavioral health facility grants. The committee also discussed removing or revising broad intent language in Section 31 so the department would report findings rather than implement changes without further legislative action. No final votes were taken in the transcript; instead, members agreed to make a few technical adjustments, continue reviewing the bill, and likely revisit it the next day before moving it to conference committee.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 11th, 2025 at 09:30 am

Appropriations - Human Resources Division

Transcript Highlights:
  • And it's all related to human services, so I should be looking for an amendment in here? Okay.
  • We might have a deliverable of you're going to train all of our staff because we all have.
  • really hard to train, you know, all of the people at the county level or the zone level that would be
  • So we might need training tools for them. That would be a deliverable, that you will meet this.
  • On page 8, medical services in the blue section there, we also have provider inflation adjustment to
Bills: SB2015
Summary: The Senate Appropriations Human Resources Division met to finalize changes to the human services budget bill and related amendments. Members discussed several items, including a proposed $5 million appropriation for the Altru Hospital project to address inflationary costs, with the rest of the funding question left for conference committee. They also agreed to keep the 10-year operating requirement language for the project and remove a matching-funds provision that was no longer needed. The committee spent considerable time on the OASIS child welfare IT system. Donna Auckland explained that the project is still in the RFP stage, with vendor selection and contract negotiation likely taking months, and that the system will require 50-50 federal matching authority. Based on that testimony, the committee agreed to reduce the general fund amount from $14 million to $6 million and use a line of credit for the remaining authority, while preserving the federal match authority so the contract can be signed and the project can proceed. Members also approved a technical fix to add governor’s designee language for the Children’s Cabinet, which had been missed in another bill already on the governor’s desk. Keith reviewed updated long sheets showing additional budget adjustments, including provider inflation changes, a $50,000 Family Voices grant, reductions to CARES Act COVID funds, and moving the $5-per-day basic care rate increase from ongoing to one-time funding. No formal votes were recorded in the transcript, and the committee adjourned with plans to reconvene Monday if the final bill version was ready.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 10th, 2025 at 02:00 pm

Appropriations - Human Resources Division

Transcript Highlights:
  • Section 7 gives $200,000 to the Department of Human Services.
  • This doesn't encompass what I heard, and the Human Services...
  • However, ...than the Department of Human Services.
  • It's certainly totally different services.
  • So if we build new homes and don't change the services... ...build new homes and don't change the services
Bills: SB2015
Summary: The committee first discussed a wastewater infrastructure bill, centered on whether state support should be provided as a grant or through the existing Clean Water State Revolving Fund as a low-interest loan program. Department of Environmental Quality official David Brushwine explained that the SRF already finances wastewater projects, can leverage federal funds with state bond proceeds, and could accommodate the Washburn, Lincoln, and Peasant projects if they are ready to proceed. Members noted that losing federal grant support would make projects harder for local residents to afford because costs would be recovered through utility rates or special assessments, but the projects would still be eligible for loans. Senator Magrum indicated he would likely concur with the budget after this discussion, and the bill was set aside for later consideration. The committee then turned to a proposed amendment for a four-plex housing project for people with disabilities or other special needs. Senator Mathern described Sections 7 and 8 as creating a design consultation appropriation and a revolving loan fund modeled on existing hospital and nursing home loan programs, while Section 9 would transfer $3.3 million from the state infrastructure fund. Members debated ownership, rent subsidies, repayment terms, and whether the state should finance the project directly or leave it to a private developer with Department of Human Services oversight. Concerns were raised that the state should not own the housing and that the proposal needed more work to be workable, but the committee ultimately reached consensus to adopt Sections 7 and 8 and leave out Section 9 for further conference committee discussion. The committee also reviewed provider inflation and long-term care rate issues, with members discussing whether to support a 2% and 1.5% inflation adjustment and how to handle the $5-per-day basic care rate. Staff explained that the $5 payment was already in the base budget, but members debated whether it should remain ongoing or be treated as one-time funding and paired with a study of rate rebasing. The committee agreed to have draft language prepared to remove the $5 from the base budget and add study language, then moved the bill forward for drafting.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 10th, 2025 at 09:30 am

Appropriations - Human Resources Division

Transcript Highlights:
  • So then below that, we had the Behavioral Health Services. We talked about that yesterday.
  • Behavioral Health Services. We talked about that yesterday. What did we decide? Mr.
  • That's $1.9 million for Human Services. That would be for the DD grants.
  • Section 11, EMS service grants.
  • Is that Human Services? Is that federal funds that flow into that? Human Services Finance Fund?
Bills: SB2015
Summary: The committee met to review revised long sheets and section-by-section language for a human services/health budget bill, with much of the discussion focused on how to present block grant funding and full-time equivalent (FTE) positions for behavioral health clinics and CCBHCs. Members debated whether to keep FTE counts in the budget at all, ultimately leaning toward removing or zeroing out the FTE references while keeping the dollar authority, and reducing the salaries-and-wages block grant by about $4.75 million. They also discussed public health federal authority, agreeing to remove about $60 million in unused federal spending authority tied to COVID-era funds, and clarified that if federal money later becomes available it could be requested through the Emergency Commission. A major topic was the provider inflation increase. The House version had 2% and 2%, while members debated alternatives and appeared to settle, at least for further work, on 2% in the first year and 1.5% in the second year, with staff asked to recalculate the fiscal impact. The committee also reviewed FMAP changes, noting a revised 2027 FMAP estimate and its effect on general fund and other funds, and discussed whether to adjust public health and other line items accordingly. Several members emphasized that many of these numbers are still tentative and will be refined before final action. The committee also touched on several policy items and capital-related provisions, including behavioral health services, Medicaid expansion, the moratorium on new ICF beds, and a proposed amendment for a medical homes/fourplex-related item that would show a $400,000 legislative investment with repayment from a developer. There was extended discussion of the All True hospital/facility proposal, with some members favoring leaving it in with a smaller initial commitment and others preferring to remove it and revisit later in conference committee. The meeting ended with staff asked to continue updating the bill language and members instructed to review remaining sections before the next meeting; no final votes were taken in the portion provided.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 7th, 2025 at 09:30 am

Appropriations - Human Resources Division

Transcript Highlights:
  • You decide who those services are provided by, but if that goes away, or if the service provider isn't
  • able to provide those services, you don't also lose your home.
  • For example, DD providers, aging services, private duty nursing services, just like one chooses their
  • These services would be coordinated with the case managers of each service provider.
  • of Health and Human Services.
Bills: SB2015
Summary: The Senate Appropriations Human Resources division met with a quorum and spent much of the meeting on a proposed “medical home” concept for people with significant disabilities and medical needs. Matt Schwartz described the need for small, community-based homes so adults like his daughter could live in a least-restrictive setting without losing housing if service providers change. Architect Jeff Eubel presented a conceptual budget for one roughly 5,000-square-foot facility for four residents, explaining that the design would likely include four large sleeping units, common space, support areas, and medical infrastructure such as emergency power, oxygen, sprinklers, and accessibility features. Committee members and George Sink, joining by phone, raised questions about layout, zoning, ownership, staffing, and whether families would actually move loved ones into such facilities if they were far from home. The department said the concept was not in the governor’s budget and identified staff who could continue discussions; the committee did not take final action and instead discussed refining the language with interested members. The committee then turned to amendments related to long-term care and behavioral health funding. One amendment would reduce a planned $4 million general fund incentive payment and instead create a withhold-based quality program for nursing facilities, to be developed collaboratively by the department and providers and reported to Legislative Management by September 2026. The department said it could live with the language but preferred the governor’s timing; several senators questioned whether the committee should be directing an operational policy change and whether the study would simply delay implementation. No vote was taken, and the amendment was set aside for later consideration. A second amendment would clarify use of an existing $2 million general fund item for behavioral health services in nursing homes and basic care facilities, directing it toward training, technical assistance, consultation, and direct patient care for residents with medically based behavioral health disorders. Members noted the funding was already in the bill and discussed it in the context of other budget items, but again deferred action. The committee also clarified that a separate $750,000 juvenile justice diversion appropriation in House Bill 1425 was distinct from a similar amount in the budget and should likely remain in that separate bill. The chair indicated a goal of having amendments ready by the end of the week, and the committee recessed without final votes on the discussed items.
TX

Texas 89th Regular

Public Health May 19th, 2025

Public Health

Transcript Highlights:
  • How did they complete training approved by the State Board of Dental Examiners?
  • the clinical expertise to deliver these services. for safe, effective care.
  • Before I even started training, I spent 10 years in training, including cadaver anatomy training and
  • They aren't trained in full head and neck anatomy.
  • And they do intense surgical training for reconstruction.
TX

Texas 89th Regular

Public Health May 19th, 2025

Public Health

Transcript Highlights:
  • Just because you're a DPM, regardless of how much training you have, you may even train the guys.
  • Vice Chair Campos, Senate Bill 626 is Senator Flores' bill that will update certain in-service training
  • must provide eight hours of in-service training on a daily basis.
  • It curbs needless training and focuses on essential training requirements.
  • other services.
TX

Texas 89th 2nd C.S.

Human Services Apr 15th, 2025

Human Services

Transcript Highlights:
  • Michelle Dion Valhale, and you were with Health and Human Services Health and Human Services Associate
  • , Child Protective Services involved.
  • Currently language Access Service employees are housed in Health and Human Services, System Support Service
  • services.
  • on the training annually, receive random audits to ensure their compliance, and train staff on how to
TX

Texas 89th Regular

Human Services Apr 15th, 2025

Human Services

Transcript Highlights:
  • That is an order that is executed by Health and Human Services.
  • . welfare services.
  • We have previous calls for service at this location.
  • Would that be Health and Human Services? Yes.
  • So we're growing and expanding our services.
TX

Texas 89th Regular

Human Services Apr 15th, 2025

Human Services

Transcript Highlights:
  • Currently, language access service employees are housed in Health and Human Services, System Support
  • Service Operations, Office of Deaf and Hard of Hearing, Community Services, and System Office of Audit
  • Services in the past 10 years.
  • Access any post-adoption services.
  • In terms of what would happen with that service fee if we were to make fee-waived services available
FL

Florida 2026 Regular Session

Regulated Industries Feb 3rd, 2026

Regulated Industries

Transcript Highlights:
  • On utility services, Senator Martin, there is a late-file delete-everything amendment.
  • But this bill deals with utilities and municipal services, specifically.
  • Into building safety plans, safety drills, and training programs for a specified purpose.
  • Upon application for service, a utility must expand its service territory to a property outside its current
  • service territory if the property is not within the service territory of another water or wastewater
Bills: S0936, S1724, S1014, S1498
Summary: The Committee on Regulated Industries met with a quorum and took up four bills. First, it considered SB 1724 on municipal utility services. Senator Martin offered a late-filed delete-everything amendment that would require annual customer meetings for extraterritorial utility customers, cap use of gross utility revenues for general government at 10%, eliminate a 25% surcharge on customers outside city limits, reduce the rate differential cap from 50% to 25%, remove municipal natural gas utilities from the bill, and preserve certain existing bond-related surcharges until debt is retired or refinanced. The League of Cities raised implementation concerns about the July 1, 2026 effective date and the need for rate studies and budget adjustments. The amendment was adopted and the committee reported CS/SB 1724 favorably. The committee then heard SB 936 on temporary door locking devices from Senator McLean. The bill would define temporary door locking devices, allow them to be installed at any height, require the Florida Building Commission to add standards to the Florida Building Code, and require their use to be incorporated into safety plans, drills, and training. With no opposition or amendments, SB 936 was reported favorably. Next, the committee considered SB 1014 by Senator Mayfield, which would prohibit municipalities from refusing water or wastewater service solely because a property owner will not annex, and would require service expansion when a property is near a municipal main line, not served by another utility, and the utility has capacity. A committee amendment narrowed the bill to properties near a main line and reduced the distance threshold from 2,000 meters to one-half mile. The Florida League of Cities opposed the bill as amended, citing concerns about property size, annexation conflicts, enclave creation, and possible revenue impacts, but the bill was reported favorably. Finally, the committee heard SB 1498 on community associations from Chair Bradley. A strike-all amendment revised technical provisions on video conference recordings, turnover inspection reports, SIRS references, and electronic voting, and added two major policy changes: requiring associations to provide records to law enforcement and prosecutors and creating a second-degree misdemeanor for willful refusal, and prohibiting mandatory club or amenity fee schemes controlled by developers or third parties that generate profit beyond proportional expenses. Testimony in support described homeowner disputes involving concentrated board control, lack of transparency, and mandatory fees in communities such as Rosedale. The amendment was adopted and CS/SB 1498 was reported favorably. At the end of the meeting, Senator Bracey Davis asked to be recorded voting in the affirmative on tabs 1, 2, and 3, and the committee adjourned.
MN

Minnesota 2025 1st Special Session

House Human Services Finance and Policy Committee 3/18/25

Human Services Finance and Policy

Transcript Highlights:
  • has been service providers has been overwhelmingly<00:26:10.240> positive<00:26:11.240> training
  • c> become Focus Services Will services will become Focus Services Will services will become increasingly
  • extensive services.
  • extensive services.
  • , cleaning services, home care, maybe some transportation services.
TX

Texas 89th Regular

S/C on Workforce Apr 15th, 2025

S/C on Workforce

Transcript Highlights:
  • Volunteers make up around 80% of the fire service in the state of Texas.
  • HB 4443 establishes a pilot program through the Texas Workforce Commission to train students and recent
  • Really, thank you for your service and for everything you do throughout the entire state.
  • Additionally, this bill creates a training requirement that employers provide heat illness prevention
  • That company even has heat training, all that stuff, and everybody's well aware of the situation.
TX

Texas 89th Regular

Health and Human Services (Part II) May 7th, 2025

Health & Human Services

Transcript Highlights:
  • The Senate Committee on Health and Human Services will come to order.
  • Again, thank you for your service.
  • They’re all messenger delivery services, correct?
  • these services.
  • In a Child Protective Services case, you can be ordered into services on something less.
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.
TX

Texas 89th Regular

Health and Human Services (Part I) May 7th, 2025

Health & Human Services

Transcript Highlights:
  • That service hasn't come easy.
  • To assist hospitals, the Department of State Health Services may provide staff training, bereavement
  • We looked at their service plans.
  • in more places, we have prevention services, in-home services, a problem.
  • We have more services, in more places, we have prevention services, in-home services, a plethora of laws
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.
NV
Transcript Highlights:
  • includes passing the Praxis Core Academic Skills for Educators exam administered by Educational Testing Service
  • including demographic information and program participants, the success of the professional development services
Bills: SB175, SB277, SB374, SB400