Transcript Highlights:

• The massage therapy industry in Texas operates under a framework of state regulations designed to uphold
• violations... ...play in prosecuting these cases, civil penalties levied for violations of massage therapy
• occupational licensure compacts, which Texas is already a member of, including nursing, psychology, physical therapy
• occupational licensure compacts, which Texas is already a member of, including nursing, psychology, physical therapy

Bills: HB111

Summary: The committee heard a long series of House bills, with most measures laid out by Senate sponsors and then left pending after brief public testimony. Early bills focused on construction and licensing issues, including HB 305 on prompt payment for public construction audits, HB 5093 on restoring public access to notary contact information, HB 2037 on updating landlord-tenant repair and security deposit rules, HB 4214 on a centralized public information request contact database, and HB 5435 exempting higher education institutions from a 90-day notice requirement for certain public-private partnership projects. Testimony was generally supportive on these bills, and no votes were taken; each was left pending. The committee also considered several transparency and regulatory bills. HB 111 would expand the Public Information Act to certain nonprofit state associations and narrow some attorney-client and working-paper exceptions, with supporters arguing it would improve oversight of public funds and critics questioning the scope and thresholds. HB 5129 would protect occupational license holders’ personal identifying information from disclosure without consent, HB 4350 would allow peace officers to redact personal information from online real property records, HB 4748 would authorize multiple-award state purchasing contracts, and HB 4765 would clean up code enforcement officer licensing rules. HB 4134 would allow motor vehicle creditors to charge limited fees for electronic payment options while requiring a free alternative, and HB 1043 would direct a study of blockchain-based property title records; both drew testimony, with some concern about the practical effects and vendor implications of the blockchain study. Several bills addressed insurance, workforce, and digital-asset regulation. HB 3520 would reduce the insurance coverage required for transportation network companies during the period when a driver is en route to pick up a passenger, drawing support from Texans for Lawsuit Reform and opposition from trial lawyers who argued the higher coverage better protects the public. HB 3320 would create a self-insurance pool for religious institutions, with TDI explaining it would still be regulated but operate under a special statutory framework. HB 4233 would modernize rules for digital asset service providers by removing certain auditor-access requirements and updating reporting and licensing provisions. HB 3923 would reduce bachelor’s-degree requirements for some state jobs, though Every Texan argued low pay, not degree requirements, is the main driver of turnover. HB 4518 would create a legal structure for decentralized unincorporated nonprofit associations tied to blockchain governance; business law experts opposed it as unnecessary and potentially risky, while crypto advocates supported it. Finally, HB 1803 would join an interstate compact for dentists and dental hygienists, with supporters citing workforce shortages and opponents saying Texas already licenses quickly and that the compact could weaken state oversight. Throughout the hearing, the committee repeatedly closed testimony and left bills pending, and a quorum was eventually established before later items were heard.

Transcript Highlights:

• Speech language services, occupational therapy, physical therapy, primarily delivered in a remote manner
• the staff because you need an adult there to proctor a 3 year old on a laptop trying to do speech therapy
• But despite the challenges that we face, right, trying to do physical therapy on Zoom is a hoot and a

Transcript Highlights:

• other MLD families don't have to feel the pain of losing a child to MLD, with the ascendancy of gene therapy
• child to MLD with the ascendency<00:26:45.559> of<00:26:45.679> gene<00:26:45.960> therapy
• <00:26:46.279> and<00:26:46.440> genetic ascendency of gene therapy and genetic ascendency
• of gene therapy and genetic testing<00:26:47.880> uh<00:26:48.000> things<00:26:48.240

Keywords: 1187, senate, all

Transcript Highlights:

• Given that 70% of all office visits involve some drug therapy, utilizing pharmacists as medication experts
• 00:29:19.960> involve<00:29:20.519> some<00:29:20.840> drug<00:29:21.279> therapy
• office visits involve some drug therapy office visits involve some drug therapy utilizing<00:29:

Keywords: Meeting Start: 00:00 Roll Call: 00:13 HB423 Discussion: 01:38 HB423 Vote: 12:30 HB415 Discussion: 13:50 HB415 Vote: 15:13 HB390 Discussion: 16:30 HB390 Vote: 21:48 HB3 For Discussion Only: 23:15, 958, all

Summary: The committee first took up House Bill 423, a prior authorization reform measure sponsored by Representative Kim Moser. A committee substitute was adopted to clarify that the bill’s prior authorization exemption program does not apply to Medicaid. Supporters, including the Kentucky Medical Association, said the bill would reduce red tape, improve transparency, and let providers spend more time on patient care. The bill would create a framework for insurers to establish a gold carding or waiver program for certain health services, exclude prescription drugs, prohibit retrospective reviews based solely on an exemption, and require annual reporting by the Department of Insurance and the Department for Medicaid Services. After questions about how exemptions would work and whether the bill addressed repeat prior authorizations, the committee voted to pass HB 423 with favorable expression. The committee then considered House Bill 415, sponsored by Representative Pollock and supported by AFLAC representatives. The bill was described as clarifying that health insurance coverage mandates are generally intended to apply only to primary major medical policies. With no substantive opposition or questions, the committee voted to pass HB 415 with favorable expression. Finally, the committee heard House Bill 390 from Chair Meredith, presented with support from multiple insurance industry representatives and the Department of Insurance. The bill would move motor vehicle insurance verification data from the old system to the CAVIS database and shorten the reporting turnaround from 30 days to a ceiling of seven days, with the possibility of a shorter period by regulation. After brief discussion and no objections, the committee voted to pass HB 390 with favorable expression. The committee also heard House Bill 3 for discussion only, sponsored by Representative Neighbors and supported by the Kentucky Pharmacists Association. The bill would require Kentucky Medicaid to reimburse pharmacists for covered clinical services they already provide, aligning Medicaid with existing commercial insurance policy. Supporters argued it would improve access, especially in underserved areas, and could reduce emergency room use and improve outcomes; the bill was not voted on during this meeting.

Transcript Highlights:

• I do have concerns about the dental hygienist and the laser therapy.
• I do have concerns about the dental hygienist and the laser therapy.
• We were juggling Therapies, denials, behaviors, medical appointments, paperwork, and constant uncertainty

Transcript Highlights:

• Dana Gray, Executive Director of Desert State's Physical Therapy Network, said the network represents
• continue to face recruitment and retention challenges, and there are more patients seeking physical therapy
• Hallie Taylor, M.S., said she is a doctor of occupational therapy and has worked as an occupational therapist

Keywords: 996, all

Transcript Highlights:

• My local branch, the Houston Public Library System, is hosting a. music therapy drumming program for
• I don't have anything against music therapy or drumming, but I personally don't think it belongs in a
• Just because I don't like music therapy drumming doesn't mean other people don't like it, and that it

Bills: SB34, SB75, SB330, SB1535, SB18, SB 18, SB 34

Keywords: wildfire, wildfire mitigation, wildfire prevention, volunteer fire department, Texas A&M Forest Service, West Texas A&M University, prescribed burning, fuel loading, fuel reduction, firefighting equipment database, emergency communications, disaster preparedness, rural fire protection, asset hardening, natural resource management, emergency management, large wildfire risk, fire grant funding, fire suppression, Texas Legislature

Transcript Highlights:

• She's an active member of the Texas Occupational Therapy Association and a member of T.W.'
• She earned a B.S. in Biology and a Master's in Occupational Therapy from T.W.U.
• I finished my Master of Occupational Therapy at the T.W.U.

Keywords: 1185, senate, all

Transcript Highlights:

• The lack of therapy meant I was only addressing part of the problem.
• continued to try to get help, as well as many of my other guys that I served with, and actually avoided therapy
• even now, I still talk to my brothers in arms who are now also going through different levels of therapy

Transcript Highlights:

• We’re providing family therapy, family counseling, and anger management.
• We offer family therapy. We offer services and supports to try to get them back into their homes.
• We offer the family therapy.
• serve to help case managers identify when a resident might need additional support like grab bars or therapy
• Like grab bars or therapy. The role of the case manager and ombudsman was discussed.

Keywords: 908, all

Summary: The Human Services Committee met in interim session and first approved the previous meeting minutes before receiving a series of presentations on homelessness and housing stability. Jennifer Henderson of the North Dakota Housing Finance Agency updated members on the new Interagency Council on Homelessness, describing its executive-order mandate to review resources, gather input from stakeholders, identify gaps, and develop recommendations. She said the council’s first work is building a statewide program matrix of existing homeless services and funding sources, with attention to youth, tribal communities, and other vulnerable populations. Members raised concerns about youth homelessness, homeless veterans, and how the council will stay focused on a practical framework rather than getting lost in details. The committee also discussed possible connections to the rural health transformation grant and agreed to continue the topic later in the spring. Beth Olson of Presentation Partners in Housing described the organization’s housing-first model in Cass County and Clay County, including homeless prevention/diversion, housing navigation, and Cooper House, a 42-unit permanent supportive housing building in Fargo. She said the organization focuses on people with long-term and chronic homelessness, many with mental health, addiction, health, domestic violence, and Indigenous identity-related barriers, and reported strong outcomes: 85 of 86 people housed in 2025, 91% still housed after one year, and major reductions in emergency room use, ambulance rides, jail stays, detox days, and shelter use. She also explained that state funding has grown from a small share of the budget to about $1.1 million in state-connected funding for fiscal 2026, largely through contracts tied to supportive services. Members asked about vouchers, rent contributions at Cooper House, length of stay, and whether similar projects could be expanded elsewhere. Andrea Olson of the Community Action Partnership of North Dakota outlined statewide homeless and housing-related services delivered through six community action agencies in all 53 counties. She explained the Community Services Block Grant structure, said housing was identified as the top need in the most recent statewide needs assessment, and described programs including Supportive Services for Veteran Families, North Dakota Homeless Grant services, and Home ARP supportive services. She emphasized that the end of North Dakota Rent Help has increased pressure on the system, that the current $2 million annual homeless grant is far smaller than prior rent-help assistance, and that community action is using case management and financial assistance to move households toward self-sufficiency. Members asked about funding formulas, rural service delivery, and coordination with Presentation Partners to avoid duplication. YouthWorks then began a presentation on youth homelessness, describing services for ages 12 to 24, the special needs of youth and former foster youth, and the organization’s use of federal and state funds to support transitional housing, emergency shelter, maternity housing, and diversion services.

Transcript Highlights:

• which provides diagnostic and treatment services, case management, and physical and occupational therapy
• which provides diagnostic and treatment services, case management, and physical and occupational therapy
• and occupational therapy providers, and challenges with securing space and equipment for SELPAs for
• the county CCS medical therapy services.
• We have very different therapies going on, and we are located in residential... ...residential areas,

Summary: The committee heard a budget oversight hearing on the Department of Health Care Services, focusing first on the overall Medi-Cal budget and a March General Fund loan to cover a current-year shortfall. DHCS said the 2025-26 budget proposal totals $193.4 billion, with Medi-Cal projected at $188.1 billion total funds and $42.1 billion General Fund, driven by higher enrollment, pharmacy costs, managed care growth, and costs tied to eligibility expansions and the COVID-era redetermination unwinding. The department said the $3.44 billion loan was needed to manage cash flow and ensure timely payments to providers and plans, while the LAO noted Medi-Cal’s cash-basis budgeting creates volatility and that more detailed estimates would come with the May Revision. Members discussed federal Medicaid threats, the need for transparency on cost drivers, and the impact of pharmacy spending, long-term care, and immigration-related coverage expansions. The second major topic was family health programs, including California Children’s Services, the continuous coverage unwinding, and opioid settlement fund spending. DHCS described CCS funding methodology changes, ongoing county stakeholder work, and a delayed rollout of CCS monitoring and oversight until July 1, 2025, while county representatives and advocates argued the program is underfunded and asked for more technical assistance and a delay in implementation. On the unwinding, the department explained that federal redetermination flexibilities helped maintain coverage after the pandemic, but the Governor’s budget proposes ending them at the end of June 2025; advocates urged making the flexibilities permanent to avoid coverage losses. For opioid settlement funds, DHCS and Finance said the budget increases funding for naloxone distribution while reducing other harm-reduction spending based on updated settlement revenues, prompting criticism from members and public commenters who argued the change would weaken effective harm-reduction programs. The hearing also included an update on Proposition 35 implementation. DHCS said the voter-approved measure continuously appropriates MCO tax revenues beginning in 2025, with up to $4.6 billion annually available for specified Medi-Cal and provider investments in 2025 and 2026, but implementation depends on consultation with the required stakeholder advisory committee. The department and LAO noted uncertainty about future federal rules affecting the MCO tax after 2026. Public testimony largely supported maintaining Medi-Cal expansions, protecting immigrant coverage, preserving harm-reduction funding, and increasing support for community health workers, pediatric dental care, and CCS county administration. No votes were taken during the portion of the hearing provided.

Transcript Highlights:

• On line 721 is behavioral health and therapy.
• The occupational therapy. Yeah, I think it's occupational therapist.
• The occupational therapy. Yeah, I think it's occupational therapist.
• The board of occupational therapy practice has Senator Coopek's Senate File 2571. Which one?
• The occupational therapy. Yeah, I think it's occupational therapist.

Keywords: 1187, senate, all

Transcript Highlights:

• it from a biological perspective and then use that biology information to design new innovative therapies
• One success we've had in that area, working with our Department of Psychiatry colleagues, is a new therapy
• colleges program in in uh Dental therapy colleges program in in uh Dental therapy the<01:02:55.440
• <01:13:53.920> rmt<01:13:54.920> uh restorative microbiome therapy rmt uh restorative
• microbiome therapy rmt uh and<01:13:55.880> because<01:13:56.239> it<01:13:56.400>

Keywords: 1187, senate, all

Transcript Highlights:

• Our flagship majors include nursing, physical therapy, occupational therapy, social work, and teaching
• Our flagship majors include nursing, physical therapy, occupational therapy, social work, and teaching
• Our flagship majors include nursing, physical therapy, occupational therapy, social work, and teaching
• Our flagship majors include nursing, physical therapy, occupational therapy, social work, and teaching
• Our flagship majors include nursing, physical therapy, occupational therapy, social work, and teaching

Keywords: 1187, senate, all

Summary: The committee received an informational presentation from the Minnesota Office of Higher Education on the State Grant program and governor-recommended changes, with some discussion of North Star Promise. Staff explained that State Grant is the state’s largest financial aid program, intended to promote college access and choice for students with the highest financial need, and that it works alongside Pell Grants. They reviewed program eligibility, award calculation, and participation rules, and noted that the program serves a large share of low- and middle-income students, including many dependent students, student parents, BIPOC students, and adult learners. They also described how awards and spending are distributed across public and private institutions and how the agency projects spending using enrollment, tuition, and FAFSA data. A major focus was the current fiscal-year deficit in State Grant. Staff said the program is experiencing a shortfall driven by higher-than-expected enrollment, more students with greater financial need, and major FAFSA formula changes that increased the number of applicants with zero or negative student aid index values. They said the office has already rationed awards where allowed and imposed a FAFSA deadline for spring awards, and does not expect to fund some awards. Officials explained that if the program projects a surplus, they typically adjust the living and miscellaneous expense allowance to spend down funds; if it projects a deficit, they can increase student and family responsibility to reduce award sizes, but the program must stay within its appropriation. Senator Duckworth asked several questions about whether unused funds could be transferred between State Grant and North Star Promise, and how the two programs are treated. Staff said State Grant funds revert to the general fund at the end of the biennium, while North Star Promise uses a special revenue account, and that transfers may be possible but would need clarification under current authority. They referenced a prior legislative transfer from North Star Promise funds to cover a shortfall in the Fostering Independence Grant and said they would follow up on the exact transfer authority. No votes or formal actions were taken during the presentation and discussion.

Transcript Highlights:

• They are not low-risk therapies.
• They are not low-risk therapies.

Keywords: 1182, all

Transcript Highlights:

• They are not low-risk therapies.
• They are not low-risk therapies.

Summary: The House met in regular session, opened with prayer and the Pledge of Allegiance, approved the prior journal, and recognized several guests and personal privileges, including introductions of students and family members. The chamber also took up a motion to request the Senate return SB 1160 for reconsideration, and then moved into Committee of the Whole to consider measures on the calendar. In Committee of the Whole, members considered SB 1118, SB 1178, and SB 1419. SB 1118 received an appropriations committee amendment and a floor amendment related to balancing housing affordability with historic preservation, and was recommended do pass as amended. SB 1178, dealing with naturopathic medicine accreditation and scope issues, drew debate: supporters said it would protect patient access and provider supply by updating accreditation-related definitions, while opponents argued it expanded scope too far and sidestepped federal accreditation concerns; the bill was ultimately recommended do pass as amended. SB 1419, concerning solar energy devices and disclosure protections for residential, multifamily, commercial, and industrial units, was also amended and recommended do pass as amended. SB 1497 was retained on the calendar. The House then entered an additional Committee of the Whole for SB 1242 and SB 1270. SB 1242, which allows audio and audio-visual technology for mental health evaluations or treatment hearings, was amended to modify the definition of a mental health treatment agency and recommended do pass as amended. SB 1270 also received a floor amendment and was recommended do pass as amended. The House adopted the Committee of the Whole and additional Committee of the Whole reports, properly engrossing SB 1118, SB 1178, SB 1419, SB 1242, and SB 1270, while retaining SB 1497. On third reading, the House passed SB 1162, SB 1274, SB 1426, SB 1552, and SB 1814. SB 1814, which establishes a substance use disorder treatment standards and oversight study committee, drew remarks in support of a study committee to address fraud, waste, abuse, and treatment reform. The House also announced upcoming committee and caucus meetings and adjourned until 10 a.m. Wednesday, April 29, 2026.

Transcript Highlights:

• children that are deaf or hard of hearing access to a language acquisition program, which means speech therapy
• licensed midwives with specific pharmacology training to dispense and administer certain medications, therapies

Keywords: 1182, all

Summary: The meeting was a caucus-style review of two packets of bills, with staff reading summaries and members briefly explaining several measures. Topics included appropriations for pregnancy resource centers, home- and community-based services for the elderly and people with disabilities, veteran specialty courts, child care grants and infrastructure, language acquisition services for deaf or hard-of-hearing infants and toddlers, ambulance service regulation, short-term rental rules, tourism improvement areas, manufactured home installer licensure, CPR/AED training in schools, veterans’ park fee exemptions, and multiple child welfare and family-court bills. Several Senate bills were also reviewed, including optometry standards, behavior analyst licensure transfer, virtual mental health hearings, and assisted-living residency rules. Members speaking for bills emphasized themes such as supporting aging in place, improving rural ambulance access and reporting, protecting children in DCS cases, preventing poverty alone from being treated as neglect, and expanding access to health screenings and services. Other sponsors described measures to help veterans, strengthen school safety, and create local funding or improvement mechanisms for tourism and child care. Some bills were described as technical or administrative changes, such as post-nuptial agreement rules, tax lien procedures, and local government contract posting requirements. No formal votes were taken in the transcript excerpt, but many bills were noted as being on the consent calendar or third-read consent calendar, while a few had been removed from consent or were not yet on a calendar. The meeting concluded after the final bill on the second packet, HB 4025, was summarized as creating a study committee on gasoline and petroleum refinery feasibility.

Transcript Highlights:

• When the state goes to court to take somebody's children, it's not opening up a collaborative therapy
• When the state goes to court to take somebody's children, it's not opening up a collaborative therapy

Summary: The House and Senate met in joint session under HCR 5 to hear an address from Texas Supreme Court Chief Justice Jimmy Blacklock, with Lieutenant Governor Dan Patrick introducing him. The session included recognition of the justices, judges, law enforcement officers, and interpreters present, and it also marked the formal completion of the joint session once the address ended. Chief Justice Blacklock said the state of the judiciary is strong, while paying tribute to former Chief Justice Nathan Hecht and thanking Governor Abbott for his appointment. His remarks focused on judicial administration and public safety, including a call for a 30% increase in district judge salaries, which he argued is needed to attract and retain qualified judges. He also urged support for law enforcement, backed efforts to keep violent offenders in custody pending trial, and said the court is gathering data to identify underperforming judges and use constitutional remedies where necessary. Blacklock emphasized that Texas courts should interpret statutes and the constitution according to text and original meaning, rejecting the “living constitution” approach. He highlighted reforms to improve efficiency and reduce litigation costs, including changes to docketing practices, civil procedure, and the regulation of legal services, and he urged the State Bar to remain politically neutral. He also discussed family law and child welfare, arguing for stronger legal representation for parents and suggesting repeal of Family Code subsection O, which he said can unfairly lead to termination of parental rights. The joint session concluded after his remarks, and the House stood at ease as guests departed.

Bills: HB4319, HB4317, HB1225, HB3076, HB3081, HB4226, SCR17, HB4432, HB3304, HB3411, HB3435, HB4339, HB4331, HB4341, HB4342, HB1770, HB1016, HB4113, HB2950, HB4141, HB3277, HB2988, HB3029, HB3338, HB1889, HB3834, HB3831, HB2939, HB3045, HB3657, HB1739, HB3759, HB3755, HB4484, HB4486, HB4108, HB1250, HB2961, HB1219, HB3025, HB1782, HB1907, HB3718, HB4459, HB2976, HB3548, HB3545, HB2952, HB2929, HB2956, HB2973, HB3055, HB3086, HB3040, HB3794, HB4336, HB3151, HB1590, HB3581, HB3313, HB3429, HB3448, HB1752, HB2650, HB3584, HB4202, HB3586, HB4321, HB4280, HB3650, HCR1020, HB2116, HB2206, HB4301, HB3625, HB3147, HB3403, HB3498, HB3970, HB3975, HB3976, HB3980, HB4265, HB4266, HB3638, HB3880, HB3930, HB3942, HB3944, HB4191, HB3242, HB3678

Keywords: administrative procedures, rulemaking authority, specific authority, legislative review, agency rules, accounting, CPA, licensure, educational requirements, reciprocity, professional conduct, vital records, birth certificate, birth registration, biological sex, sex designation, male, female, nonbinary, gender identity

Bills: HB4319, HB4317, HB1225, HB3076, HB3081, HB4226, SCR17, HB4432, HB3304, HB3411, HB3435, HB4339, HB4331, HB4341, HB4342, HB1770, HB1016, HB4113, HB2950, HB4141, HB3277, HB2988, HB3029, HB3338, HB1889, HB3834, HB3831, HB2939, HB3045, HB3657, HB1739, HB3759, HB3755, HB4484, HB4486, HB4108, HB1250, HB2961, HB1219, HB3025, HB1782, HB1907, HB3718, HB4459, HB2976, HB3548, HB3545, HB2952, HB2929, HB2956, HB2973, HB3055, HB3086, HB3040, HB3794, HB4336, HB3151, HB1590, HB3581, HB3313, HB3429, HB3448, HB1752, HB2650, HB3584, HB4202, HB3586, HB4321, HB4280, HB3650, HCR1020, HB2116, HB2206, HB4301, HB3625, HB3147, HB3403, HB3498, HB3970, HB3975, HB3976, HB3980, HB4265, HB4266, HB3638, HB3880, HB3930, HB3942, HB3944, HB4191, HB3242, HB3678

Keywords: administrative procedures, rulemaking authority, specific authority, legislative review, agency rules, accounting, CPA, licensure, educational requirements, reciprocity, professional conduct, vital records, birth certificate, birth registration, biological sex, sex designation, male, female, nonbinary, gender identity