Transcript Highlights:

• Now, um there's a letter from the Minnesota Academy of Eye Physicians and Surgeons in your packet, and
• and Surgeons in your packet, Physicians and Surgeons in your packet, and<00:27:00.799> I'm<00
• They are surgeons, doctors, physicians, and surgeons.
• in healthcare than more certifications in healthcare than just<00:48:30.079> EMT.
• We did this for physician assistants.

Keywords: 1183, house

Transcript Highlights:

• <00:03:18.000> assistants no more than four physicians assistants no more than four physicians
• of that supervising physician?
• for physician assistance. for physician assistance.
• Now, when it comes to physician assistants, of course these are physician assistants who are licensed
• This is just allowing physician This is just allowing physician [clears throat]<00:15:48.720>

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services heard Senate Bill 18, a bill described by the sponsor and podiatry witnesses as a modernization of Kentucky’s podiatry laws. The bill would recognize and regulate podiatric assistants, podiatric residents, and supervising podiatrists; allow podiatrists to supervise physician assistants in podiatry practices with approval from the relevant licensing boards; require new podiatrists licensed after January 1, 2027 to complete at least two years of residency; and extend disciplinary authority to the new categories. Witnesses said the measure would improve access to foot and ankle care, especially in rural areas, without expanding scope of practice. The Kentucky Medical Association was said to be neutral after working on the language with the sponsors. Committee members raised concerns about the meaning of “supervision,” whether it required direct or indirect oversight, and whether the bill could broaden billing or coding privileges. Dr. Roberts said supervision could mean direct supervision or indirect supervision, including being available by telephone, and noted the bill mirrors language used in allopathic PA supervision. He also said the bill would not change office staff billing roles and that podiatric assistants would not bill separately. Several senators said they supported moving the bill forward but remained concerned about workforce, cost, and scope creep. The committee adopted a committee substitute, then voted on the bill. The motion passed unanimously with favorable expression. After the vote, the committee moved on to a presentation on outpatient pediatric therapies, where providers described Medicaid reimbursement pressures, workforce turnover, and long waiting lists for children’s therapy services, but no action was taken on that presentation in the portion provided.

Transcript Highlights:

• but he also holds memberships in the American Medical Association, the American Academy of Family Physicians
• According to an American Medical Association survey of over 1,000 physicians, more than one in four physicians
• In fact, 40% of the physicians surveyed reported having hired staff whose only job is to process prior
• Further, physicians complete about 39 prior authorizations every week.
• Committee Substitute Senate Bill 865 requires CPR training and the maintenance of a CPR certificate for

Summary: The Senate convened with a quorum present, heard an invocation, adopted the prior day’s journal, received House messages, and adopted several resolutions and recognitions, including Senate Resolution 496 honoring Leadership Garland and resolutions 503 and 504. The chamber also recognized guests, including a North Dakota senator and the Doctor of the Day, and received gubernatorial nominations for the Texas Economic Development Corporation Board and the Nueces River Authority Board. The Senate then took up and passed a series of bills, often by suspending the regular order and the constitutional three-day rule. Measures approved included SB 614 on Texas Forensic Science Commission referrals to the Office of Capital and Forensic Writs; SB 250 on municipal annexation across railroad rights-of-way; SB 1660 on toxicological evidence retention and destruction procedures; SB 2586 requiring property owners associations to file governing documents with the Texas Real Estate Commission; SB 1588 increasing penalties for certain failures to report child sexual abuse; HB 912 on compensation for distributed renewable generation outside ERCOT; SB 1957 setting eligibility standards for civilian oversight boards; HB 2525 clarifying a charitable property tax exemption; SB 1525 limiting repeated prior authorization for neurodegenerative disease drugs; SB 865 requiring CPR/AED training and cardiac emergency response planning in schools; SB 1212 elevating human trafficking penalties; SB 2690 on solicitations for Secretary of State documents; SB 1802 on landlord repair duties for ramps, elevators, and handrails; SB 905 on licensing rules for speech-language pathologists and audiologists; SB 2929 allowing removal of disruptive spectators at school athletic events; SB 2675 creating a narrow McAllen-specific parkland conveyance exception; SB 872 increasing punishment for burglary of a vehicle involving firearm theft; and SB 1113 clarifying sales rules for certain converter-license holders. Several bills drew extended debate. SB 2487, dealing with crisis and mental health services for homelessness, was amended to make the county model permissive rather than mandatory and to remove state funding/assistance requirements before passing 28-3. SB 2138, barring higher education funds from contracting with firms that boycott fossil fuels through ESG policies, also passed after questions about fiscal effects and First Amendment concerns. SB 2615, restricting remote work at public institutions of higher education, advanced 22-9. The Senate also began consideration of SB 3016, which would expand enforcement tools against local governments that fail to comply with state law, but the transcript cuts off before action on that bill is completed.

Transcript Highlights:

• We have to recognize that replacing physicians with rest less trained.
• Without physician supervision.
• His practice HB 301 news, Florida away from physician.
• I'm a physician president of the Florida chapter of American College of Physicians.
• I want to reiterate this for physicians.

Transcript Highlights:

• And then also a very important component of our program is to have the EMS physicians who are medical
• It does also allow us, though, because we write the instructions with the physician approval, we can
• With physician approval, we can kind of really hone in on that.
• Are the parents given login information, and can they share that with the physician then?
• Physician then? No, so actually, and unfortunately, the parents don't have access.

Keywords: 959, house, all

Summary: The Committee on Health and Mental Health met with a quorum and first voted in executive session to give House Bills 2370, 3278, and 1638 due pass, with recorded votes of 13-9, 15-0, and 17-0 respectively. The committee then moved to public testimony on Senate Bill 1015, which would create a court process for assisted outpatient treatment for adults with serious mental illness who cannot voluntarily engage in care and are at risk of deterioration, hospitalization, or harm. Senator Maggie Nuremberg and supporters from the Missouri Behavioral Health Council and the Missouri Association of Public Administrators said the bill would help people stay stable in the community, reduce hospitalization and incarceration, and save costs; there was no opposition testimony. The committee also heard a presentation on the STARS program from SSM Health, which was described as a Missouri-based emergency planning system for medically complex children. Witnesses explained that STARS provides physician-approved, electronic emergency care plans for EMS and emergency departments, with education and quality improvement components, and that it is funded by participating children’s hospitals rather than families or EMS agencies. Members asked about costs, access, and how the program differs from the bill previously discussed by Representative Burns; the witness emphasized that STARS is an EMS program and not the same as the proposed hospital-flagging requirement. House Bill 2903, sponsored by Representative Don Mayhew, would change rules for county and district hospitals to make them more competitive with private hospitals by narrowing Sunshine Law exposure for sensitive business information, adjusting board qualifications, and aligning financial reporting deadlines. Supporters from Phelps Health said the bill would reduce administrative burdens and protect proprietary information, while still preserving public transparency for core financial information. Finally, House Bill 3379, sponsored by Representative David Dolan, would expand and strengthen the employee disqualification list and mandated reporting rules for abuse, neglect, and financial exploitation of vulnerable adults, including adding certain bank personnel and first responders as reporters and creating penalties for failure to report. DHSS supported the bill, while the Missouri Bankers Association supported the goal but raised concerns about mandatory reporting obligations for bank staff when customer participation in adult day programs may be unknown; the committee took no final action on the public testimony bills before adjournment.

Transcript Highlights:

• or providers in that physicians or providers in that community,<00:27:07.039> then<00:27:07.279
• training uh or certification training uh or certification necessarily.<00:54:55.760> And<
• or if that some sort of a certification or if that already<00:55:05.040> exists.
• um 17% of our primary care physicians um 17% of our primary care physicians are<01:05:56.960>
• and now injections for uh physicians and now we're<01:07:23.920> going<01:07:24.000> to

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 CRISP Shared Services 00:01:39 Rural Health Transformation Plan 00:30:55, 958, all

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.

Transcript Highlights:

• just have to go through the certificate just have to go through the certificate of<00:08:24.479>
• provide as many child care certificates provide as many child care certificates as<00:16:46.720>
• one-year certificate.
• one-year certificate.
• certificate program. certificate program.

Keywords: Public Health and Welfare - Room 216, 21 January, 2026; 3:30 PM, 925, all

Summary: The committee first took up House Bill 3, a certificate-of-need measure that had passed last year but was vetoed by the governor because of one objectionable provision. The chair explained that the House had just passed the bill unanimously and urged quick Senate action so it could be sent to the governor again. He said the bill is intended to restore the prior law, with the main policy focus on rural hospitals and other future certificate-of-need changes. A question was raised about language affecting the University of Mississippi Medical Center’s academic exemption; the chair said the intent was to preserve the teaching hospital’s core exemption around its main campus while requiring certificate-of-need review for facilities it operates elsewhere, and the committee then voted title sufficient, due pass. The committee then considered Senate Bill 2476, requested by the Board of Pharmacy. Senator Hill explained that it would let licensed pharmacists self-report substance abuse or mental health issues and enter treatment before disciplinary action, similar to programs already available for nurses and with comparable provisions for physicians and dentists. Board representatives said participants would have to stop practicing until cleared, and that failure to comply would trigger discipline; the bill was described as an alternative to professional discipline, not immunity from criminal law. After questions about definitions and how many times a person could use the program, the committee voted title sufficient, due pass. The meeting concluded with an informational presentation from Mr. Anderson on child care funding and program operations. He said the state used ARPA funds during the pandemic to support child care certificates and providers, but those funds were exhausted, leading to a pause and a waiting list of about 20,000 families; the program currently serves about 18,000 children. He said the department is continuing $15 million in state support, is converting 30% of the TANF state assistance grant to child care, and is exploring additional TANF direct-assistance options, though cautiously because the state has not done that before. He also discussed child care tax credits, employer-based child care, and efforts to expand capacity through provider support and technical assistance.

Transcript Highlights:

• a med-peds doctor at Hattiesburg Clinic, but he is also a director of the Office of Mississippi Physician
• <00:08:41.360> workforce<00:08:42.479> and<00:08:42.880> he Mississippi physician
• workforce and he Mississippi physician workforce and he brings<00:08:43.599> with<00:08:43.839
• A lot of times we're giving certifications or >> It's multiple disciplines, gentlemen.
• <00:22:26.000> or Of times we're giving certifications or certificates in training instead

Keywords: MS House Floor - 9 February, 2026; 4:00 PM, 925, all

Summary: The House opened with prayer and the Pledge of Allegiance, then established a quorum, dispensed with reading the journal, and welcomed several guests, including Dr. Richard Calderon and medical student Sam Buckley, along with hospital and judicial visitors in the gallery. The chamber then moved to floor action on several bills, mostly from the Workforce Committee. House Bill 622 was brought back on reconsideration, amended to align code sections with changes made by House Bill 3, and passed 119-0. House Bill 329, a reverse-auction option for local school boards and local governments, passed 113-1. House Bills 1401 and 1588, both workforce-related measures extending repeal or exemption dates and adjusting reporting requirements, passed 121-0 and 118-0, respectively. House Bill 562 created the Mississippi Career and Technical Education tuition guarantee program for CTE students and passed 116-0. House Bill 1696 transferred apprenticeship program oversight to a state advisory structure; members questioned how it would work, whether it would affect existing programs, and how it related to specific trades, but the bill passed 113-4 after an amendment to conform to federal requirements. House Bill 338 established a construction training assistant fund supported by a reduced designated contractor contribution rate; members asked about the funding source, whether it was state money, and how it would interact with existing training efforts such as Build Mississippi and Habitat for Humanity. After adopting a committee amendment reducing the contribution percentage, the bill passed 128-0. The House also concurred in a Senate amendment on another bill, making it effective immediately so a state health department hygienist could begin work right away; that motion passed 128-0. The session ended with memorial announcements for several individuals, a request for a rules meeting after adjournment, and adjournment until 10:00 a.m. the next day.

Transcript Highlights:

• It requires all emergency departments to designate a physician, nurse paramedic or physician, assistant
• How will physicians know that time?
• I mean, I've had physicians speak to me on this issue.
• So you are not saying are you, senator, that a physician has to know whether or not the physician to
• , including an arcade industry certification funding list.

Keywords: 999, senate, all

Transcript Highlights:

• I think it's the intention of both of us to have certificate of need bills beyond this. status for a
• <00:08:37.200> I<00:08:37.440> think regarding certificates of need.
• I think regarding certificates of need.
• .<00:13:49.600> And<00:13:49.839> the<00:13:50.079> language physician.
• And the language physician.

Keywords: Public Health - Room 216, 27 January, 2026; 3:00 PM, 925, all

Summary: The committee first took up House Bill 3, a Medicaid and certificate-of-need measure described as a revised version of a bill vetoed by the governor the previous year. The bill would remove a prohibition on a psychiatric residential treatment facility in one county from Medicaid participation, add 20 beds for a Madison County facility, allow crossover status for a Harrison County hospital, require MC to obtain a certificate of need for facilities outside the original Jackson campus area, increase capital expenditure limits, and remove the provision the governor had objected to. Members discussed whether the bill was really a study item or a substantive new requirement, especially a provision tied to acute adult psychiatric units treating uninsured patients or paying a fee. The chair explained the policy concern as preventing “cherry-picking” of insured patients and shifting more uncompensated care to public facilities. The committee voted that the title was sufficient and the ayes appeared to have it, then voted to rise and report. The committee then heard Senate Bill 2453, a clarifying bill on window tinting/glazing exemptions. The sponsor explained that current law requires a physician’s affidavit for an exception, and the bill would clarify that licensed optometrists, along with physicians, may sign the affidavit for people whose eyes are sensitive to light. After brief questions, the committee again voted that the title was sufficient and the ayes appeared to have it. The chair said the two bills were being moved quickly to the docket room for processing and that the committee would reconvene immediately afterward. The final portion of the meeting was a hearing on Senate Bill 2566 involving the Board of Cosmetology and Barbering. The chair explained that the hearing was prompted by complaints from last session about inspectors being overly aggressive, fines for technical violations, and delays or problems with licensing. Board representatives said the newly appointed board had met for the first time, elected officers, and intended to focus on workforce development, easing burdens on the industry, and protecting public health and safety. They said the board had already restored prior passing scores for exams, adjusted work-permit timing to help students, reviewed contracts and staffing, and planned further meetings. Members and the chair discussed possible legislative changes, including mobile barber establishments, reducing fines, and extending license terms from two years to three years, with the chair asking the board to work with Senator Johnson on amendments before the deadline.

Transcript Highlights:

• And House Bill 759 should pass, an act relating to teacher certification.
• And House Bill 759 should pass, an act relating to teacher certification. Thank you, Mr. Clerk.
• So, anybody that has any physician has lost their license.
• different though because a physician different though because a physician could<00:36:21.680>
• > engineers, Many serve as physicians, engineers, Many serve as physicians, engineers, university

Keywords: 958, all

Summary: The House convened with prayer and the Pledge of Allegiance, then approved the journal, excused absent members, and suspended rules to allow co-sponsorships and vote modifications. The clerk reported Senate Bills 156, 173, and 193 had passed the Senate and requested concurrence. Committee reports were then read, advancing a number of bills on banking and insurance, judiciary, licensing/occupations, and primary/secondary education, including measures on insurance, fraudulent practices, virtual currency kiosks, eminent domain, DUI, legal representation, costs and fees, barbering, fire protection, licensing background checks, dentistry, school reporting, teacher certification, and educator placement. Those favorable reports were treated as first readings and placed on the calendar. The chamber then took up House Bill 307, the “My Kentucky Future Act,” on proactive post-secondary admission. Sponsors explained that the bill would send opt-in letters from public universities to eligible high school juniors, include a common application for the state’s public institutions, and share data with KY Stats to track outcomes. Members asked about scholarships, the target student group, and privacy; the sponsor clarified that participation is voluntary, the letters do not guarantee admission, and the program is meant to streamline college access. House Committee Substitute 2 and House Floor Amendment 2 were adopted, and HB 307 passed 97-0. House Bill 418 on domestic violence was then considered. The sponsor said the bill prioritizes the non-offending parent, requires abusive parents to address violent behavior before unsupervised visitation, and gives courts more tools to consider false abuse allegations and victim advocates’ testimony. House Committee Substitute 1 was adopted, and after brief discussion the bill passed 96-1. House Bill 593 on data centers followed; its sponsor said the measure is intended to support data center development while protecting ratepayers from subsidizing infrastructure risk, requiring companies to bring their own generation, buy power on the open market, or prepay certain costs. After adopting House Committee Substitute 1, the bill passed 90-8. The House also passed House Bill 5 on prison educational programs, with a committee substitute and a floor amendment adding data collection on post-release employment; it passed 99-0. Finally, House Bill 584 on licenses for prescribing or dispensing controlled substances was debated. The sponsor said the bill removes a permanent ban so a physician who has regained licensure may apply for DEA registration, while opponents raised concerns about repeated misconduct and the ability to practice without DEA authority. The transcript cuts off before final disposition on HB 584.

Transcript Highlights:

• Is a state, if you're aware of, are they tracking, are we tracking job placements or certifications or
• Is a state, if you're aware of, are they tracking, are we tracking job placements or certifications or
• For rural communities like ours, even the loss of a single physician or specialist has enormous impact
• Recently, our community, Madam Chair, members of the committee, we saw two wonderful family physicians
• The state has made great strides in pushing for vocational training and career certification programs

Summary: The committee heard a lengthy presentation from the New Mexico Rural Library Initiative in support of fully funding the rural library endowment with an additional $29.5 million. The presenters described rural libraries as essential community infrastructure that provide not only books and internet access, but also early childhood programs, adult education, workforce support, telehealth, disaster response, and civic meeting space. They argued that the endowment would provide stable annual support for staffing and operations, help sustain libraries in very small towns and tribal communities, and support new or developing libraries. Members asked about eligibility, county coverage, how funds are distributed, and whether the state tracks broader outcomes such as job placements or certifications; the presenters said the State Library administers the funds and that the initiative itself is a nonprofit capacity-building organization, not the fund manager. Some members raised concerns about whether an endowment is the best long-term model versus recurring annual appropriations, and about the need for better reporting and state-library involvement. The committee then heard from food bank leaders Jill Dixon and Katie Anderson about food security and its economic impact. They said New Mexico’s five food banks and more than 500 partner agencies serve all 33 counties, distribute over 45 million meals, and rely mostly on philanthropy, with some state and local support. They emphasized that SNAP is a major economic driver, supporting grocery access, jobs, and local spending, and that recent legislative growth funding helped food banks respond to a surge in demand during a SNAP disruption. They also highlighted food banks as community hubs that can connect people to health care, job training, and other services, including through clinic referrals and closed-loop systems. In response to questions, they said food access gaps remain in some rural areas, that clients can generally seek food at other distribution sites without barriers, and that longer-term solutions should include more grocery access, healthy corner stores, and stronger broadband and health care infrastructure. The final presentations came from the Gallup-McKinley County Chamber of Commerce and the Artesia Chamber of Commerce. Gallup-McKinley described a shrinking workforce, youth outmigration, crime, health care shortages, malpractice costs, and gross receipts tax burdens as major barriers to rural economic growth, and urged action on workforce pipelines, housing, public safety, malpractice reform, and tax/regulatory changes. Artesia highlighted its murals, library, sports tradition, oil and gas, agriculture, federal training center, and refinery, while also noting workforce shortages, health care recruitment challenges, housing constraints, and the need for quality-of-life investments and more flexible regulation. The committee also briefly heard a bill presentation proposing a New Mexico-Ireland Trade Commission to promote bilateral trade and investment, especially in technology, agriculture, and energy sectors. No votes were taken because quorum was not reached, and the endorsement item was not acted on.

Transcript Highlights:

• Will there be an ability to streamline early childhood director certification for those early childhood
• Will there be an ability to streamline early childhood director certification for those early childhood
• These programs provide fee-for-service supplemental payments and directed payments for physicians...
• These programs provide fee-for-service supplemental payments and directed payments for physicians and
• This program provides fee-for-service supplemental payments and directed payments for physicians and

Keywords: 999, senate, all

Transcript Highlights:

• Will there be an ability to streamline early childhood director certification for those early childhood
• Okay. with utilizing this grant will there be an ability to streamline early childhood director certification
• current GAA and implementing bill direct the agency to request budget authority to implement the physician
• These programs provide fee-for-service supplemental payments and directed payments for physicians...
• These programs provide fee-for-service supplemental payments and directed payments for physicians and

Summary: The Legislative Budget Commission considered 21 budget amendments, most of them routine authority adjustments tied to federal grants, Medicaid payment programs, and trust fund realignments. The Department of Education received $14.751 million for a Preschool Development Grant to support early learning system improvements, workforce credentialing and training, IT modernization, and related early childhood certification work. The Department of Veterans Affairs shifted $2.2 million within its trust fund to cover higher nursing home occupancy, replace contract nursing with OPS staff, and meet rising operating costs. The Department of Health moved about $9.1 million to support Disability Determinations, where roughly 140,000 cases were pending or in process, and said the change would help reduce backlog and avoid a deficit. The Agency for Health Care Administration presented multiple amendments for Medicaid-related programs, including $766 million for indirect medical education, $1.9 million for managed care network adequacy audits, $209 million for the Rural Health Transformation Program, and several large supplemental payment programs for hospitals and physicians; members asked about CMS approval delays, provider access, and how rural funds would be distributed. The commission also adopted an amendment realigning KidCare funds, placing a $32.1 million surplus into reserve, though several members objected that the state had not yet implemented the 2023 KidCare expansion and that children remained on a wait list. Another Medicaid amendment placed a $376 million surplus into reserve after updated estimating conference projections. Other agencies also received approvals. FDLE received $16.26 million to buy counter-unmanned aircraft systems equipment such as radar and RF sensors to detect and mitigate drone threats. The Department of Juvenile Justice received $1.6 million for the Florida Scholars Academy and a Social Services Block Grant realignment, with staff confirming corrective action had been taken after prior audit findings about allowable SSBG spending. The Division of Emergency Management received federal pass-through authority for FIFA World Cup security and counter-UAS funds, both controlled by the Miami host committee, and members noted the state had little direct oversight over how those local grants would be used. The Department of Commerce received $148.4 million for Community Development Block Grant Disaster Recovery work, with questions focused on the split between housing, infrastructure, and administrative costs. The Department of State received $408,377 for arts and culture federal grant obligations. All amendments were adopted, generally without objection, after brief questioning and no public testimony.

Transcript Highlights:

• had with utilizing this grant: will there be an ability to streamline early childhood director certification
• you. with utilizing this grant will there be an ability to streamline early childhood director certification
• current GAA and implementing bill direct the agency to request budget authority to implement the physician
• These programs provide fee-for-service supplemental payments and directed payments for physicians...
• These programs provide fee-for-service supplemental payments and directed payments for physicians and

Summary: The Legislative Budget Commission met to consider 21 budget amendments, beginning with the Department of Education’s request for $14.751 million in federal grant authority for the Preschool Development Grant. Members asked whether any funds would support VPK or provider payments; the department said the money is for birth-to-kindergarten early learning work, including IT modernization, workforce credentialing, training, and streamlining director certification. The amendment was adopted without objection. The commission then approved amendments for the Department of Veterans Affairs to shift $2.2 million within its trust fund to cover higher nursing home occupancy and reduce staffing agency use, and for the Department of Health to realign about $9.1 million for disability determinations amid a backlog of roughly 140,000 cases. The Agency for Health Care Administration presented multiple Medicaid-related amendments, including $766 million for indirect medical education, $1.9 million for managed care network adequacy audits, $209 million for the Rural Health Transformation Program, and several large supplemental payment programs for KidCare, hospitals, physicians, cancer hospitals, nursing IME, and public hospital payments. Members questioned network adequacy, rural access, and the KidCare surplus and expansion; the KidCare realignment drew debate, with some members objecting because the 2023 eligibility expansion has not been implemented, but the amendment passed on a roll call vote. Other amendments adopted included FDLE’s $16.3 million for counter-UAS detection and mitigation equipment, DJJ’s $1.6 million for Florida Scholars Academy and a Social Services Block Grant realignment, and emergency management pass-throughs for FIFA World Cup security and counter-drone funding to the Miami host committee. The Department of Commerce received $148.4 million for disaster recovery under the CDBG-DR program, with questions about the split between housing, infrastructure, and administrative costs. The Department of State also received $408,377 for arts and culture grant authority. Most amendments were adopted without objection, and the commission adjourned after completing the agenda.

Transcript Highlights:

• <00:19:52.640> trained practice medicine to a physician trained practice medicine to a physician
• Certificates of birth, license identification cards, sex designation, birth certificate modernization
• The original bill did have several statements when it was a physician, and the physician had to attest
• c> had<02:20:27.280> to a physician, and the physician had to a physician, and the physician
• attest to those facts that the physician attest to those facts that the physician had<02:20:29.600

Keywords: Senate streaming session for Monday, March 23, 2026, 960, senate, all

Summary: The Senate first handled routine announcements, including welcoming a new group of pages and noting donations of donuts and chicken from local businesses, along with a citation planned for Mr. Herman’s Bakery, which is closing after 103 years. The chamber then took up Senate Bill 858, establishing a Department of Budget and Management Audit and Finance Compliance Unit. A senator moved to send the bill back to second reading to add an amendment, which was adopted without objection, and the bill was reprinted for third reading. The Finance Committee then reported several bills. Senate Bill 84, concerning collective bargaining for graduate assistants at UMCP and UMBC, was laid over after questions about whether graduate assistants are employees or students. Senate Bill 455, creating a transformational project financing program tied to tax increment financing districts, had two committee amendments adopted and was ordered printed for third reading. Senate Bill 623, creating a premium cigar lounge alcoholic beverage license, also received two committee amendments and was ordered up, but a later Howard County amendment was proposed and the bill was laid over. Senate Bill 777, directing workforce development support in hospital closures and related events, was adopted and sent to third reading. Senate Bill 831, addressing child labor penalties, private-sector labor relations, and state labor standards, was adopted with two amendments and sent to third reading. Senate Bill 932, requiring social media platforms to display users’ general geographic location, was laid over after questions. The committee also advanced Senate Bill 340, requiring at least $2 million annually for the Long-Term Care Ombudsman office, with two amendments adopted and the bill sent to third reading. Senate Bill 489, creating a limited license pathway for physicians trained abroad and repealing the fifth pathway program, was adopted with two amendments and sent to third reading. Senate Bill 496, expanding Medicaid coverage for obesity treatment, prompted extended debate over the fiscal note and who would bear the costs; the sponsor argued the estimate was overstated and did not account for likely lower utilization or health-care savings, while an opponent pressed concerns about the state share and structural deficit. The discussion continued without a final vote in the excerpt provided.

Transcript Highlights:

• President, I'd like to speak to the certification motion. certification motion. certification motion.
• And once we get a certification notice out and you get a certification notice out and you get a certification
• And so, certification motion. And so, certification motion.
• list of qualified physicians provided by the qualified physicians provided by the qualified physicians
• The certification abstension. The certification abstension. The certification resolutions adopted.

Bills: HJR 1, HB 9, HB 21, HB 26, HB 30, HB 37, HB 116, HB 630, HB 879, HB 913, HB 1151, HB 1318, HB 1593, HB 1899, HB 2703, HB 2809, HB 2890, HB 2970, HB 3307, HB 3526, HB 5092, SB 128, SB 203, SB 317, SB 393, SB 397, SB 644, SB 731, SB 801, SB 913, SB 1071, SB 1073, SB 1086, SB 1087, SB 1232, SB 1250, SB 1262, SB 1285, SB 1310, SB 1359, SB 1444, SB 1483, SB 1705, SB 1782, SB 1861, SB 1897, SB 1944, SB 2023, SB 2043, SB 2082, SB 2133, SB 2215, SB 2297, SB 2298, SB 2309, SB 2532, SB 2549, SB 2566, SB 2617, SB 2619, SB 2639, SB 2688, SB 2696, SB 2717, SB 2790, SB 2841, SB 2847, SB 2850, SB 2857, SB 2891, SB 2919, SB 2928, SB 2972, SB 3052, SB 3053, SB 1, SB 260, SB 1506, SB 1637, HB 37, HB 109, HB 334, HB 1130, HB 1238, HB 1327, HB 1610, HB 1615, HB 1620, HB 1689, HB 2081, HB 2809, HB 2884, HB 2890, HB 4215, HB 5092, HCR 7, HCR 75, HCR 86, HCR 92, HCR 93, HCR 126, SB 644, SB 1086, SB 1230, SB 1310, SB 1361, SB 1553, SB 1778, SB 1790, SB 2344, SB 2460, SB 2515, SB 2600, SB 2747, SB 2751, SB 2785, SB 2790, SB 3047, SB 3048, SB 3050, SB 3051, SB 3052, SB 3053, SB 3056, SB 3058, SB 3061, HJR 1, HB 1130, HB 1689, HB 2884, HB 1393, HB 2559, HB 26, HB 3012, HB 1327, HB 109, HB 1238, HB 2890, HB 9, HB 4215, HB 2970, HB 37, HB 1899, HB 1593, HB 2607, HB 3526, HB 3810, HB 5092, HB 388, HB 2809, HB 1151, HB 913, HB 3307, HB 879, HB 116, HB 12, HB 2703, HB 1610, HB 1615, HB 1620, HB 30, HB 21, HB 2712, HB 2692, HB 1633, HB 1318, HB 685, HB 630, HB 4753, HB 2742, HB 303, HB 198, HB 1535, HB 762, HB 148, HB 1520, HB 5061, HB 2286, HB 1606, HB 1041, HB 132, HB 11, HCR 7, HCR 75, HCR 86, HCR 92, HCR 93, HCR 126, SJR 36, SJR 50, SJR 63, SCR 12, SCR 39, SB 2023, SB 1310, SB 2972, SB 1073, SB 2847, SB 2532, SB 2619, SB 62, SB 666, SB 847, SB 284, SB 854, SB 810, SB 1505, SB 583, SB 507, SB 1434, SB 1772, SB 2016, SB 1122, SB 731, SB 397, SB 508, SB 1436, SB 287, SB 1882, SB 393, SB 1791, SB 209, SB 2429, SB 511, SB 2309, SB 1085, SB 1975, SB 2717, SB 1262, SB 636, SB 2056, SB 884, SB 1200, SB 1845, SB 2458, SB 801, SB 3014, SB 3013, SB 758, SB 2797, SB 2076, SB 2876, SB 1640, SB 1449, SB 1181, SB 1359, SB 1234, SB 2926, SB 2841, SB 1528, SB 2891, SB 1854, SB 317, SB 1250, SB 2082, SB 1285, SB 1237, SB 2819, SB 629, SB 2608, SB 1602, SB 2009, SB 2460, SB 867, SB 640, SB 1698, SB 2680, SB 2994, SB 2747, SB 913, SB 1071, SB 1086, SB 1087, SB 1483, SB 1444, SB 1553, SB 1556, SB 1703, SB 2133, SB 2297, SB 2298, SB 2622, SB 2955, SB 2334, SB 1861, SB 2043, SB 1367, SB 2857, SB 128, SB 3058, SB 2044, SB 2363, SB 2565, SB 1888, SB 3048, SB 3052, SB 3053, SB 3036, SB 3057, SB 3056, SB 3043, SB 3050, SB 3063, SB 3035, SB 1790, SB 1778, SB 203, SB 3061, SB 2799, SB 2790, SB 2688, SB 2515, SB 1230, SB 2522, SB 2639, SB 2459, SB 3051, SB 2655, SB 2251, SB 1884, SB 2617, SB 2751, SB 2928, SB 2566, SB 1897, SB 1749, SB 1361, SB 2549, SB 2553, SB 2919, SB 1782, SB 1705, SB 2696, SB 1944, SB 2215, SB 644, SB 1232, SB 2850, HB 45, HB 48, HB 1261, HB 1465, HB 1778, HB 2596, HB 5238, HB 33, HB 1188, HB 210, HB 1022, HB 1458, HB 5560, HB 1240, HB 1950, HB 2027, HB 2768, HB 2788, HB 2791, HB 3146, HB 3698, HB 3699, HB 1893, HB 3700, HB 4850, HB 4187, HB 1397, HB 4885, HB 4804, HB 3751, HB 3611, HB 2775, HB 2061, HB 2003, HB 1729, HB 1242, HB 791, HB 2029, HB 647, HB 2522, HB 4738, HB 3033, HB 3594, HB 3474, HB 2563, HB 2802, HCR 90, SJR 87, SB 2969, SB 3073, SB 2497, SB 1798, SB 2603, SB 2607, SB 781, SJR 34, SB 17, SB 314, SB 455, SB 509, SB 529, SB 541, SB 693, SB 761, SB 963, SB 1023, SB 1968, SB 2122, SB 2308, SB 2371, SB 2420, SB 2544, SJR 87, SB 1285, SB 1359, SB 2857, SB 3073, HJR 1, HB 9, HB 21, HB 116, HB 913, HB 1151, HB 1899, HB 2970, HB 3307, SB 1073, SB 1310, SB 2532, SB 2619, SB 2847, SB 2972, SB 128, SB 2043, SR 393, SR 511, SR 518, SR 520, SB 314, SB 455, SB 761, SB 1023, SB 2122, SB 2371, SB 2420, SB 17, SB 509, SB 644, SB 1230, SB 1361, SB 1778, SB 1790, SB 2460, SB 2515, SB 2747, SB 2751, SB 2790, SB 3048, SB 3050, SB 3051, SB 3052, SB 3053, SB 3056, SB 3058, SB 3061, HB 37, HB 109, HB 1130, HB 1238, HB 1327, HB 1610, HB 1615, HB 1620, HB 1689, HB 2809, HB 2884, HB 2890, HB 4215, HB 5092, HCR 7, HCR 75, HCR 86, HCR 92, HCR 93, HCR 126, SB 1086, SB 1553, HJR 182, HB 4, HB 24, HB 46, HB 101, HB 146, HB 170, HB 214, HB 305, HB 426, HB 549, HB 551, HB 594, HB 722, HB 824, HB 1119, HB 1579, HB 2215, HB 2458, HB 2530, HB 2674, HB 2713, HB 2974, HB 3015, HB 3151, HB 3180, HB 3221, HB 3359, HB 3556, HB 4088, HB 4211, HB 4396, HB 4413, HB 4580, HB 4609, HB 4864, HB 5088, HB 5154, HB 5263, HB 2294, HJR 182, HB 4, HB 24, HB 46, HB 101, HB 146, HB 170, HB 214, HB 305, HB 426, HB 549, HB 551, HB 594, HB 722, HB 824, HB 1119, HB 1579, HB 2215, HB 2458, HB 2530, HB 2674, HB 2713, HB 2974, HB 3015, HB 3151, HB 3180, HB 3221, HB 3359, HB 3556, HB 4088, HB 4211, HB 4396, HB 4413, HB 4580, HB 4609, HB 4864, HB 5088, HB 5154, HB 5263, HB 2294

Keywords: constitutional amendment, property tax, ad valorem tax, tax exemption, tangible personal property, income-producing property, business personal property, equipment exemption, machinery, local government finance, school district revenue, county taxes, Texas Constitution, Article VIII, tax relief, commercial property, appraisal district, chief appraiser, rendition statement, property tax relief

Transcript Highlights:

• Both these certifications would be through the Texas Board of Legal Specialization.
• For context, the Texas Medical Board has 12 physicians and seven public members.
• I do think it's very important to have physician...
• On this panel, and the bill does nothing to change the composition of the physicians.
• We're not here to remove that balance between lawyers and physicians.

Bills: HB32, HB15, HB171, HB421, HB581, HB644, HB745, HB349, HB917, HB204, HB923, HB15, HB171, HB204

Keywords: eviction, landlord rights, tenant rights, justice court, property law, court procedures, chemical dependency, court-ordered treatment, mental health, health care, treatment facility, juvenile justice, criminal justice reform, deep fake, digital impersonation, age verification, private cause of action, explicit content, consumer protection, HB 581

Transcript Highlights:

• Who are employers and owners of physician practices, as well as physicians who are employees of practices
• . undue hardship or burden on physicians.
• their former physicians. follow a physician if they move 40 minutes from their location.
• and for physicians alike.
• I think health care is unique in that respect; you should have access to your physician, and physicians

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:

• Against physicians?
• Physician claims is what I was looking at, yes.
• And I'm not just saying about hiring their physicians; they put good physicians in bad places.
• I don't think physicians know.
• yes and one of the physicians voting no.