Transcript Highlights:

• These are two bills dealing with certificates of need.
• These are two bills dealing with certificates of need.
• certificates of need. certificates of need.
• One of the one of certificate of need.
• <00:39:17.040> And granted a certificate of need. And granted a certificate of need.

Keywords: Public Health and Welfare - Room 216, 3 February, 2026; 3:00 PM, 925, all

Summary: The committee met with a quorum and first took up several bills described as vehicles to keep options open for pending rural health issues, especially the rural health transformation fund and the Greenwood Hospital situation. The chair explained that Greenwood Hospital is struggling financially and operationally, including a Medicaid overpayment dispute in which Medicaid planned to recoup $2 million from a December payment, threatening payroll and continued operation. The committee discussed a proposed committee substitute that would delay recoupment until May 1 and preserve legislative flexibility to help Greenwood if a workable plan emerges. The committee adopted motions for title sufficiency and due pass on the block of bills, including the committee substitute and reverse repealer provisions. The committee then turned to two certificate-of-need bills. One bill, 2474, was presented as a rural hospitals measure that would let certain rural hospitals obtain certificates of need for services such as outpatient dialysis units, ambulatory surgical facilities, and geriatric psychiatric units, with definitions aimed largely at Delta and other rural counties. The chair also included a provision making the state health officer’s licensing decision final and not subject to judicial review, with only a short reconsideration process available. Senator Hill objected, arguing the bill concentrated too much power in the health department, eliminated meaningful court review, and unfairly picked winners and losers instead of letting the market work. The chair responded that the goal was to reduce costly, repetitive litigation and preserve access to care in areas where hospitals struggle financially. The committee then considered Senator Blackwell’s broader CO bill, which would address appeals and litigation more generally by shifting costs to the losing party in CO disputes. A reverse repealer was adopted first, and the chair explained that the bill was intended to reduce endless and expensive appeals while still allowing a limited opportunity for reconsideration. Senators Hill and others raised concerns about limiting judicial review and expanding health department power, while the chair said many states have no judicial review in this area and that the committee was exploring the issue further. The chair said he had asked several members to study the matter and contact the National Council of State Legislatures. The committee ultimately adopted the motions on the bills and amendments by voice vote, with the ayes prevailing each time.

Transcript Highlights:

• HB 4504 by Bonnen, ruling in the restrictions of the covenants not to compete for physicians and certain
• Culture Recreation and Tourism HB4539 by Tronson relates to the dispensing of certain drugs by physicians
• AG 4667, by my enrollment, relating to the pre-authorized. authorization and pre-certification, repair
• HB 4895 by Vasute, really in the of a number and certificates of the issues.
• HB 4956 by Isaac, relating to the requiring... the certification for peace officers to conduct certain

Bills: HB9, HB22, HB908, HB1392

Keywords: property tax, ad valorem tax, tangible personal property, income-producing property, business personal property, tax exemption, local government finance, appraisal district, chief appraiser, rendition statement, property tax relief, small business, commercial property, leased property, related business entity, unified business enterprise, tax situs, Texas Tax Code, local taxing unit, constitutional amendment

Transcript Highlights:

• AB 2386, Alvarez, foreign trained physicians, do pass on a B roll call.
• AB 2386, Alvarez, foreign trained physicians, do pass on a B roll call.
• AB 1934, Bennett, home hardening certification, do pass out on an A roll call.
• AB 1971, Bennett, home hardening certification, holding committee.
• AB 2311, Chavo, health care districts physician employment, do pass. That's out on a roll call.

Keywords: 988, house, all

Transcript Highlights:

• >> Uh, medical certification of disability. >> Okay.
• So when you say, what are the certifications? What do they need?
• So when you say, what are the certifications? What do they need?
• Is that what you said, students that are qualified just by the certification of the identification by
• Is that what you said, students that are qualified just by the certification of the identification by

Keywords: 1189, house, all

Summary: The commission to study the cost of special education met, confirmed a quorum, introduced members and guests, and approved the minutes from the October 29 meeting. Members noted the commission’s mandate under Senate Bill 57 and emphasized the need to focus on recommendations and findings by July 1, 2026. The chair also distributed additional handouts, including materials related to the Education Freedom Account (EFA) program and administrative rules tied to differentiated aid and disability determinations. The main discussion centered on how students qualify for differentiated aid under the EFA program. Matt Sutherton of the Children’s Scholarship Fund explained that the organization, which contracts with the state to administer EFAs, accepts either school-district/IEP documentation or a medical certification of disability (MCD) from a licensed medical professional. Members questioned how this process relates to the state’s special education rules and whether the school-district examiner standards in ED 107/1107.04 apply to EFAs. Sutherton said the MCD form, created with the department, requires the medical professional to sign that they are qualified to make the determination and to identify the disability. Several members expressed concern that the EFA process is less rigorous than the school-district IEP process and may be inflating disability counts. One member argued that the administrative rules cited are primarily for school districts, not EFAs, and said the Department of Education may not know how many of the roughly 890 EFA students receiving differentiated aid came through school-district documentation versus the MCD pathway. Another member said the EFA system appears more generous than the school system and raised concerns about oversight, auditing, and whether the program’s data are accurate. Sutherton said the organization reviews signed documentation, credentials, and diagnosis information, and may request additional records to help adjudicate expenses. No votes or formal actions were taken beyond approving the prior minutes.

Transcript Highlights:

• a question for you all, but I'm just going to go ahead and put it out there that, you know, the physicians
• a question for you all, but I'm just going to go ahead and put it out there that, you know, the physicians
• That type of care must be ordered by a physician or a non-physician provider, such as a nurse practitioner
• Once a person earns a certificate of completion for that seminar course, he or she can be listed on a
• And is the part of the certification include.

Transcript Highlights:

• They could be a nurse physicians.
• certificate has already been completed. certificate has already been completed.
• and do the cremation certificate. and do the cremation certificate.
• And there there is certificate.
• . certificate. certificate.

Keywords: 928, house, all

Summary: The House Judiciary Committee opened a hearing on Senate Bill 146, which would remove the requirement that a medical examiner physically view a body before issuing a cremation certificate. The prime sponsor, Sen. Suprentice, and Chief Medical Examiner Dr. Jenny Duval explained that the bill would not change the death certificate process or the existing waiting period before cremation; it would only eliminate the in-person viewing step. They said the current review of death certificates already catches the vast majority of cases that should be reported to the medical examiner, and that the physical view changes outcomes in less than 1% of cremation cases. The witnesses emphasized that the bill is intended to improve efficiency and reduce delays for families and funeral homes, while freeing deputy medical examiners to focus on homicides, suicides, accidents, and unexpected natural deaths. Dr. Duval cited an example where review of a death certificate, not the body, uncovered a long-ago strangulation-related homicide, arguing that the key safeguard is review of records and cause of death, not the physical view. She also said the change would save travel time and some costs for the department. Committee members asked about how death certificates list primary and contributing causes of death, whether the low percentage of findings means the current process has a deterrent effect, why cremation is treated differently from burial, and whether identification concerns are adequately addressed. The sponsors responded that identification is handled earlier by hospitals, families, and funeral directors, and that any questionable identification would already fall under medical examiner jurisdiction. They also said the bill would not alter the two-day cremation delay or other existing safeguards. No vote or final action was taken in the portion of the hearing provided.

Transcript Highlights:

• Members, Senate Bill 2422 simply seeks to resolve some of the harm done to the reputation of physicians
• Many courageous physicians and nurses who were working hard in a very tough environment soon realized
• Members, I hope that we can all agree that this unwarranted harm done to physicians by the state, either
• Committee Substitute for Senate Bill 2480, relating to the Texas Physician Health Program.
• He promised that MedtoMarket works closely with physicians, he said, quote-unquote, first responders,

Summary: The Senate convened with a quorum, received the House message that HB 35 had passed, and heard a gubernatorial message submitting Trinity River Authority board appointments for Senate confirmation. The chamber also adopted a slate of Senate resolutions by voice vote and later postponed reading and referral of bills and resolutions until the end of the calendar. Several members introduced bills with brief explanations before the Senate took them up under suspension of the regular order. The body then considered and passed a series of measures, often by wide margins, including SB 2846 on wildlife disease control and quarantine authority; CS SB 1224 requiring school superintendents or directors to report certain employee misconduct to local law enforcement; CS SB 2310 on transparency for degree and transfer requirements at public colleges; SB 1502 limiting school districts’ ability to exceed voter-approval tax rates after a failed TRE; CS SB 1141 on notice requirements before full adversary hearings in child-protection cases; CS SB 2568 exempting certain flood-control reservoirs from TCEQ permitting; SB 1524 on confidentiality of information about weapons in foster homes; CS SB 2925 creating a task force on modernizing manufacturing; CS SB 2269 on dispute resolution and enforcement for long-term care facilities; CS SB 1266 on Medicaid provider enrollment and disenrollment notices; SB 243 on migrant labor housing standards; SB 2200 on overweight vehicles transporting hazardous materials; CS SB 2480 on the Texas Physician Health Program; CS SB 1585 restricting government contracts with companies tied to foreign adversaries; CS SB 2357 establishing maternal health training; and SB 1551 requiring accessible AED placement in public schools. The Senate also debated more contested bills. CS SB 2019, which would extend vaccine exemption rules to medical and veterinary students, advanced only partway after a divided vote. CS SB 1442, directing a study on veterinary telemedicine relationships, and CS SB 1241, which would allow the Higher Education Coordinating Board to study alternative college entrance exams, prompted extended questioning about agency authority and whether changes should return to the legislature before taking effect. CS SB 2753, which would integrate early voting and election day voting into a single in-person voting period, was amended and passed to engrossment despite opposition. CS SB 2201, dealing with gang and foreign terrorist organization intelligence databases, and CS SB 2514, creating a DPS hostile foreign adversaries unit, drew detailed debate over civil liberties and national security. CS SB 2422, aimed at limiting Texas Medical Board discipline related to COVID-19 treatments and practices, also advanced after lengthy discussion and a close vote.

Transcript Highlights:

• . 9 by Eckhart relating to the prohibited report or disclosure of certain health information by physicians
• to choice of law and assignment or acquisition of claims and demands and can in connection with certificated
• certain municipalities that use certain tax revenue. and floor is relating to the access by a certificated
• credentialing. processes to Health and Human Services Senate Bill 1267 by Alvarado relating to certificates
• of number and certificates of time.

Bills: SJR36, SJR3, SB616, SB565, SB384, SB5, SJR52, SJR53, SJR54, SJR55, SCR18, SCR19, SCR22, SB27, SB29, SB35, SB1151, SB1152, SB1153, SB1154, SB1155, SB1156, SB1157, SB1158, SB1159, SB1160, SB1161, SB1162, SB1163, SB1164, SB1165, SB1166, SB1167, SB1168, SB1169, SB1170, SB1171, SB1172, SB1173, SB1174, SB1175, SB1176, SB1177, SB1178, SB1179, SB1180, SB1181, SB1182, SB1183, SB1184, SB1185, SB1186, SB1187, SB1188, SB1189, SB1190, SB1191, SB1192, SB1193, SB1194, SB1195, SB1196, SB1197, SB1198, SB1199, SB1200, SB1201, SB1202, SB1203, SB1204, SB1205, SB1206, SB1207, SB1208, SB1209, SB1210, SB1211, SB1212, SB1213, SB1214, SB1215, SB1216, SB1217, SB1218, SB1219, SB1220, SB1221, SB1222, SB1223, SB1224, SB1225, SB1226, SB1227, SB1228, SB1229, SB1230, SB1231, SB1232, SB1233, SB1234, SB1235, SB1236, SB1237, SB1238, SB1239, SB1240, SB1241, SB1242, SB1243, SB1244, SB1245, SB1246, SB1247, SB1248, SB1249, SB1250, SB1251, SB1252, SB1253, SB1254, SB1255, SB1256, SB1257, SB1258, SB1259, SB1260, SB1261, SB1262, SB1263, SB1264, SB1265, SB1266, SB1267, SB1268, SB1269, SB1270, SB1271, SB1272, SB1273, SB1274, SB1275, SB1276, SB1277, SB1278, SB1279, SB1280, SB1281, SB1282, SB1283, SB1284, SB1285, SB1286, SB1287, SB1288, SB1289, SB1290, SB1291, SB1292, SB1293, SB1294, SB1295, SB1296, SB1297, SB1298, SB1299, SB1300, SB1301, SB1302, SB1303, SB1304, SB1305, SB1306, SB1307, SB1308, SB1309, SB1310, SB1311, SB1312, SB1313, SB1314, SB1315, SB1316, SB1317, SB1318, SB1319, SB1320, SB1321, SB1322, SB1323, SB1324, SB1325, SB1326, SB1327, SB1328, SB1329, SB1330, SB1331, SB1332, SB1333, SB1334, SB1335, SB1336, SB1337, SB1338, SB1339, SB1340, SB1341, SB1342, SB1343, SB1344, SB1345, SB1621, SJR57

Keywords: dementia, Alzheimer's disease, Parkinson's disease, research funding, state budget, prevention, healthcare, medical research, Dementia Prevention and Research Institute, aquifer, water management, Edwards Aquifer, sustainability, regulatory framework, SB 565, Texas Water Code, TCEQ, Texas Commission on Environmental Quality, compliance agreement, enforcement suspension

Transcript Highlights:

• exam. ...certified verbatim stenotype certification exam.
• I earned my certification in 2007.
• So over time, the standard tied to the certification has been lowered.
• I earned my certification in 2007.
• So over time, the standard tied to the certification has been lowered.

Keywords: 987, senate, all

Transcript Highlights:

• And then North Texas College has over 60 degree certifications, and it's highly regarded for equipping
• In a physician from sharing the test results immediately without a move suspension.
• a change of sex on the birth certificate.
• a change of sex on the birth certificate.
• Senate Bill 2482 by Alvarado, relating to... purposes of certification is a peer specialist to health

Summary: The Senate convened with a quorum, heard an invocation, and adopted the previous day’s journal. Members then adopted Senate Resolution 358 honoring the University of Texas Rio Grande Valley on its 10th anniversary, with remarks highlighting UTRGV’s growth, degree production, research expansion, medical school, and role in serving the Rio Grande Valley and South Texas. The chamber also recognized the doctor of the day and adopted additional resolutions, including one for Denton County Days at the Capitol and another recognizing Texas HBCU Day. The Senate gave extensive recognition to outgoing Texas A&M University System Chancellor John Sharp through Senate Resolution 368. Senators from both parties praised his long public career, leadership of the A&M System, support for regional universities, and bipartisan approach. The resolution was adopted after multiple members added their names. The chamber also heard from advocates with the Texas Streets Coalition, and received gubernatorial nominations for the State Board of Examiners of Professional Counselors and the Texas Commission on Fire Protection. On legislation, the Senate passed several major bills. Committee Substitute Senate Bill 27, relating to rights and support for public school educators, was debated and amended to address teacher vacancies, bilingual certification testing, paid leave options, classroom removals, and appeal rights, then passed unanimously. Senate Joint Resolution 12, proposing a constitutional amendment on parents’ right to direct a child’s education, advanced on a 22-9 vote. Committee Substitute Senate Bill 1741, aimed at preventing foreign influence and intellectual property theft at public institutions of higher education, passed unanimously. Committee Substitute Senate Bill 29, the business entities bill, also passed after debate over corporate governance and shareholder protections. Senate Bill 857, authorizing law enforcement to tow certain vehicles driven by unlicensed or uninsured drivers, passed despite some concern about towing abuses during disasters. The Senate also took up Committee Substitute Senate Bill 1536 on dementia and Alzheimer’s training for certain guardians, but the transcript ends as that bill is being laid out.

Transcript Highlights:

• But there is no certification, which is why we want to put in a certification so that they will have
• When it comes to certification, we are hoping that this legislation creates that certification.
• As we said, most that certification.
• <01:15:52.719> will that therapy dog uh certification will that therapy dog uh certification
• <04:28:40.960> that physician to get a prescription. that physician to get a prescription.

Keywords: 1189, house, all

Transcript Highlights:

• AB 1143, Bennett, home hardening certification program: do pass out with Republicans not voting.
• AB 429, Davies, AOD program certification: hold in committee.
• AB 360, Papan, menopause physician training: holding committee.
• AB 1187, Celeste Rodriguez, firearm safety certificates: holding committee.
• AB 531, Rogers, geothermal plant certification: do pass out on an A roll call.

Summary: The Assembly Appropriations Committee held its May 23, 2025 suspense hearing and opened by emphasizing the difficult budget environment, rising costs for constituents, and the need to make tough choices. The chair said many bills would be held, amended to reduce costs, or made two-year bills because the state could not afford broad program expansions this year. The committee also noted the agenda was organized alphabetically by author and that results would be posted later that day. The committee then acted on a large suspense file, taking up hundreds of Assembly bills across topics including housing, health care, education, labor, public safety, climate, water, transportation, elections, and technology. Many bills were held in committee, while many others were approved with cost-saving, clarifying, or author’s amendments. Examples included measures on CalABLE, Covered California enrollment, wildfire and insurance issues, reproductive health, school and college programs, prison and juvenile justice matters, AI and data privacy, and local government and utility regulation. Several bills were converted to two-year bills to continue discussion. Throughout the hearing, the committee repeatedly voted on bills by A roll call or B roll call, often with Republicans not voting on amended measures. Some bills were advanced with notable amendments, such as narrowing scope, removing appropriations, delaying implementation, or striking costly provisions. The committee also approved a number of committee bills and omnibus measures, including emergency management, judiciary, insurance, and water-related bills. At the end of the hearing, the chair stated that the committee had moved 435 bills to the Assembly floor, either as do pass or do pass as amended, and adjourned the meeting.

Transcript Highlights:

• You are the great physician, and with you all things are possible.
• production sites, to require certain procedure requirements, provide for certificates of compliance,
• If you are a treating physician, you're not prohibited from testifying as an expert.
• for parasites and skin issues, and physicians were sending it over, and then other physicians or pharmacists
• Why does the bill only target qualified physicians? We fixed that in the amendment. Oh, I'm sorry.

Bills: HR223, HR224, HR225, HR226, HR227, HR228, HR229, HR230, HR231, HR232, HR233, HR234, HR235, HR236, HR237, HR238, HR239, HR240, HR241, HR242, HR243, HCR94, HCR95, HCR96, HCR97, HCR98, HCR99, HCR100, HR218, HR219, HR220, HR221, HR222, HCR91, HCR92, HCR93, SCR41, SCR42, SCR43, SCR44, SCR45, SCR46, SCR47, SCR48, SCR49, SCR50, SCR51, SCR52, SB259, SB347, SB398, SB469, SB483, SB518, HR37, HCR64, SCR11, SCR22, HB89, HB341, HB451, HB456, HB541, HB579, HB595, HB621, HB818, HB841, HB1064, HB1101, HB1165, HB1191, SB1, SB23, SB32, SB42, SB43, SB46, SB51, SB110, SB113, SB150, SB154, SB161, SB218, SB220, SB221, SB253, SB289, SB310, SB351, SB399, SB404, SB502, SB123, SB125, SB387, SB401, HB730, HCR41, HCR76, HCR77, HCR63, HCR69, HCR86, HR171, HCR49, HCR65, HCR72, SCR19, SCR3, SCR6, SCR18, HB64, HB68, HB92, HB130, HB175, HB198, HB437, HB457, HB488, HB646, HB763, HB909, HB971, HB981, HB1066, HB1089, HB1125, HB1154, HB1231, HB1246, HB1248, HB1249, HB276, HB508, HB512, HB599, HB632, HB656, HB998, HB1052, HB1084, HB1171, HB1193, HB1194, HB1204, HB1209, HB1250, SB47, SB82, SB106, SB206, SB210, SB248, SB305, SB376, SB397, SB441, SB2, SB19, SB24, SB50, SB70, SB96, SB101, SB103, SB104, SB114, SB122, SB159, SB160, SB173, SB180, SB182, SB260, SB412, SB418, SB424, SB442, SB460, SB476, HCR32, HB911, HB1223, HB798, HB824, HB989, HB1140, HB1166, HB1244, HB459, HB617, HB804, HB926, HB225, HB955, HB901, HB79, HR20, HR74, HB59, HB284, HB306, HB366, HB393, HB458, HB577, HB582, HB605, HB614, HB682, HB733, HB752, HB773, HB996, HB1035, HB1069, HB1113, HB1180, HB1203, HB1234, HB1240, SB89

Keywords: Southern Soul, Shreveport, tourism, economic development, cultural preservation, music history, Paul Hollis, United States Mint, Louisiana House of Representatives, commendation, honorary resolution, ceremonial resolution, public service, State Board of Elementary and Secondary Education, BESE, former legislator, Louisiana politics, recognition, tribute, House Resolution 224

Summary: The House convened with a quorum, prayer, pledge, and a series of personal privileges recognizing visitors and honorees, including Northside High students, the YMCA’s 175th anniversary, Literacy Day, Special Olympics Louisiana, a 75th wedding anniversary, police jurors, Young Marine Sergeant Valerie Uitt, Elmer’s, and other community guests. The chamber also received Senate messages, including refusal to concur in House amendments to SB 149, concurrence in several House measures, adoption of Senate resolutions, and passage of multiple Senate bills. House resolutions were introduced and many were adopted without objection, including measures honoring local events, organizations, and individuals, as well as resolutions on literacy, municipal day, firefighters appreciation, and sports-related commendations. Committee reports moved numerous House and Senate bills and resolutions forward, and members were urged to monitor the Senate calendar to ensure House bills had Senate sponsors before being returned late in session. Several bills were debated and passed. HB 175 created a Veterans Service Grant Fund funded by $500,000 annually from Louisiana Lottery net proceeds, overseen by a board within the Department of Veterans Affairs to award grants to eligible veteran-serving nonprofits, colleges, JROTC programs, veteran courts, and local governments; it passed after questions about the use of lottery proceeds and the role of nonprofits. HB 198 authorized ambulatory surgical centers to perform certain procedures and be reimbursed at Medicare rates, and HB 437 restricted expert witnesses from receiving contingency-style compensation tied to case outcomes after debate over ethics and whether the bill was necessary. HB 488 created the Bell Chase Bridge Merit-Based Special Fund to support the bridge toll buyback effort. HB 763 required a centralized public database of government settlement agreements and consent decrees, with confidentiality protections preserved, and passed after questions about sensitive cases. HB 989 required commercial health coverage for behavioral health crisis services, HB 971 addressed Medicaid reimbursement parity for rural health clinics, HB 981 created a law enforcement recruitment/retention incentive stipend for campus police at public postsecondary institutions, HB 1066 clarified that campus police are not eligible for state supplemental pay, and HB 1089 established care accounts for future medical expense awards, with amendments limiting certain case types and providing for reversion of unused funds. The House also reconsidered and defeated HB 225, a constitutional amendment to impose a lifetime gubernatorial term limit, and HB 730, concerning airport authority regulation of automatic dependent surveillance broadcast systems. Several resolutions were adopted, including HCR 76 continuing a health inequities task force, HJR 77 urging federal action on H-2B seasonal employer designation for the crawfish industry, HJR 67 creating a task force on military drivers without civilian licenses, and HCR 69 urging DOTD to study Interstate 12 safety improvements. The chamber adopted numerous additional commemorative resolutions and concurred in Senate resolutions recognizing sports figures, Mental Health Awareness Month, state observances, and school achievements. Overall, the day featured a mix of ceremonial recognitions, committee reporting, and floor action on veterans, health care, transparency, labor, transportation, law enforcement, and court-related legislation.

Transcript Highlights:

• <00:17:13.280> to<00:17:13.880> treat physician to treat physician to treat um<00:17:17.799
• <01:31:30.760> data extensively with birth certificate data extensively with birth certificate
• and they want to get a birth certificate and they want to get a birth certificate and<01:36:45.800
• > and familiar with the birth certificate and familiar with the birth certificate and if<01:42:25.000
• the the value of the birth certificate the the value of the birth certificate is<01:42:51.719>

Keywords: 1189, house, all

Transcript Highlights:

• or do we not count those certificates?
• Certificates are a little bit odd in the sense that we have a number of certificates that are offered
• Those are for the certificates.
• Madam Chair and Representative Chatfield, the certificates, I did not provide a comparison of the certificates
• Generally speaking, those are compared certificate to certificate, just like when we look at our completion

Bills: SB37, SB29

Keywords: high-quality literacy instruction, science of reading, structured literacy, reading instruction, literacy assessment, dyslexia screening, phonics, phonemic awareness, fluency, vocabulary, comprehension, biliteracy, English language learner, ELL, bilingual education, dual language program, reading intervention, reading difficulty, reading improvement plan, literacy coach

Transcript Highlights:

• 35.320> centers legislation is that birthing centers legislation is that birthing centers Physicians
• obes those that care for Physicians obes those that care for women<00:14:40.120> who<00:14:40.399
• I appreciate it, and the language that we passed made it optional where they would get a birth certificate
• I appreciate it, and the language that we passed made it optional where they would get a birth certificate
• Get a birth certificate because there were several individuals that were requesting that that was not

Keywords: 00:34 Call to Order/Roll Call 02:09 Discussion of 25RS HB 389 04:05 Roll Call Vote on 25RS HB 389 05:16 Discussion of 25RS HB 501 09:31 Roll Call Vote on 25RS HB 501 10:50 Discussion of 25RS HB 414 (Discussion Only) 42:05 Adjournment, 958, all

Summary: The Health Services Committee met with a quorum and first considered House Bill 389, a cleanup measure related to the CASPER prescription monitoring program. Representative Duval and staff explained that the bill addresses implementation issues the Office of Inspector General encountered and aligns the definition of “practitioner” for in-state and out-of-state providers. The committee took no questions, then approved the bill unanimously and reported it favorably. The committee then heard House Bill 501, which would allow a pharmacist to fill a prescription for a limited period after the prescribing provider has died, so patients can maintain continuity of care. Sponsors and a pharmacist witness said the bill is intended to reduce uncertainty and liability for pharmacists, excludes controlled substances to comply with federal law, and leaves professional judgment with the pharmacist. Members asked about documentation and verification, and the sponsor said the bill applies when the pharmacist knows of the death and that pharmacies would document the situation as they normally do. The committee discussed the issue briefly and passed the bill unanimously with favorable expression. Finally, the committee took up House Bill 414 for discussion only. Representative Tate and Adia Wisher described it as “Love Them Both,” a perinatal palliative care proposal meant to provide wraparound support for women and families facing fatal fetal anomalies or other serious pregnancy complications. Testimony emphasized that the bill would encourage referrals to programs offering medical, emotional, spiritual, financial, and bereavement support, with examples such as Footprints at St. Elizabeth. Members discussed access, referrals, counseling, coverage language, and the role of fathers, and supporters stressed that the services would be optional and intended to broaden support rather than impose penalties. No vote was taken on House Bill 414.

Transcript Highlights:

• Tab 12, CS for SB 998 on physician assistant and advanced practice registered nurse services.
• Physician assistant and advanced practice registered nurse services. You're recognized.
• care physicians.
• certificates under a written physician protocol and hospice.
• So this just clarifies that it will be physicians.

Summary: The committee took up a series of bills, beginning with SB 1422 on unmanned aircraft systems. The bill increases penalties for flying drones over critical infrastructure, prohibits drones equipped with weapons or explosives, creates a first-degree felony for drones carrying a weapon of mass destruction, and includes a law enforcement exception. A lay-filed amendment by Senator Pizzo warning against the use of force to shoot down drones was debated but failed, and the bill was then reported favorably. The committee also reported favorably on SB 846 addressing notary public fraud in immigration-related services, SB 650 on hazardous walking conditions for school transportation, SB 922 on employment agreements including non-compete and garden leave provisions, and SB 1820 on motor vehicle manufacturer and dealer relations, covering performance measures, retaliation, and franchise termination standards. Several bills focused on education, health care, and disability issues. SB 540, the Evan B. Hartzell Act, would require disability history and awareness instruction across grade levels; it drew emotional testimony from the bill sponsor, family members, and supporters, and was reported favorably. SB 998 would allow advanced practice registered nurses to certify deaths and file death certificates in hospice settings under physician protocol, and SB 1412 would modernize home health agency rules by expanding administrative flexibility and contract service use; both passed. SB 1736 would allow direct support professionals and relatives to administer insulin in group home settings for individuals with developmental disabilities, and it was also reported favorably. The committee also advanced several regulatory and court-related measures. SB 1650 expands Florida’s vexatious litigant law, including allowing designation based on conduct in a single case and extending the look-back period, while SB 1652 creates a public records exemption for certain stricken non-criminal court filings; both were approved. SB 1076 on roofing contractors was amended to require continuing education for roof-to-wall connections and then passed, and SB 1078 on fire prevention was amended with stakeholder-agreed language before being reported favorably. SB 1080 on local government land regulations, after multiple amendments and significant debate over agricultural enclaves and local control, was also approved. Other major measures included SB 818 on utility relocation, which creates a relocation fund funded by a portion of communications services tax revenue and was supported by multiple industry and local-government groups after a compromise amendment; SB 868 on social media use by minors, which would require a decryption mechanism for law enforcement access under subpoena and prohibit disappearing messages for minors, remained under discussion as the transcript ended. The committee also heard SB 96, a claims bill for Jacob Rogers against the City of Gainesville, and reported it favorably after testimony that the city would pay the settlement amount.

Transcript Highlights:

• A site of practice for the physicians and physician and healthcare trainees of the OSU Center for Health
• We get the veteran in the right place for the right level of care by the right physician and not have
• Physicians, yeah, training our residents and the services it provides to the community.
• Am not a certif. Am not certified.
• Increasing the number of physicians and nurses as we talked about.

Keywords: 914, all

Transcript Highlights:

• That's your physician. is kind of split between what we call like a supervisory level.
• X is not the treating physician of patient, does this presume that it is the actual treating physician
• 130 physicians that I oversee in their work.
• As a physician, I can access anyone's information in PDMP, but I do not.
• SAMHSA updated the certification requirements for CCBHCs in 2023.

Summary: The Joint Committee on Administrative Rules met to consider a Missouri Prescription Drug Monitoring Program rule proposal after the Department of Natural Resources withdrew its items. The hearing focused on 1 CSR 60-1.010, which would expand delegate-level PDMP access to additional licensed behavioral health professionals, including licensed clinical social workers, licensed master social workers, marital and family therapists, professional counselors, and psychologists, while also correcting prior rule language involving medical assistants and clinical nurse specialists. Testimony from the PDMP executive director and supporters from Compass Health and the Department of Mental Health argued the change would improve care coordination, medication reconciliation, and safety in multidisciplinary behavioral health settings, especially CCBHCs. They said access would remain limited to licensed professionals working under a prescriber/dispenser relationship, with individual logins and penalties for misuse. Opponents and some committee members raised concerns that the rule would expand access beyond the original statutory framework without legislative change, could be used beyond treatment purposes, and should instead be addressed through statute rather than rulemaking. After public testimony, the committee debated whether the proposal exceeded statutory authority and whether the expansion was too substantive for rulemaking alone. A motion was made to disapprove the rule on grounds including lack of statutory authority, conflict with state law, and arbitrariness. The motion passed by a roll call vote of 7-1, and the committee disapproved Rule 1 CSR 60-1.010 before adjourning.

Transcript Highlights:

• The Physician Assistant Licensure Compact is an occupational licensure compact that allows physician
• The Physician Assistant Licensure Compact has 16 members so far.
• For over 40 years, physician assistants at the University of Texas M.D.
• I believe in the power of physician-led teams.
• They must follow the Texas Medical Board rules, including physician supervision.

Bills: HB111

Keywords: 1185, senate, all