Transcript Highlights:

• In 2023, Senator Miles and the Texas Legislature In 2023, Senator Miles and the Texas Legislature passed
• Health and Safety Code.
• Hospitality Health ER are three health care facilities operating in Texas, two in East Texas and one
• Texas can lead the way with this bill, and Texas is a leader.
• First, the bill amends the Texas Family Code to require parents whose rights have been terminated and

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The committee first reopened testimony on House Bill 2216, which would strengthen child welfare requirements by expanding “active efforts” to help families avoid removal and support reunification, while also raising standards related to removals and terminations. Supporters from child welfare and family defense groups said the bill would better protect families and align Texas more closely with ICWA-style principles, but several warned it would require significant new funding, staffing, and community services such as mental health care, housing, child care, and substance use treatment. The committee then left HB 2216 pending. The committee next heard Senate Bill 1782, aimed at boarding and group homes. Senator Miles said the bill closes enforcement gaps left by prior law by requiring retention of background-check records and creating misdemeanor penalties for failing to conduct or keep them, or for knowingly hiring people with serious convictions. Harris County sheriff’s investigators testified in support, describing illegal boarding homes, operators who evade permits and background checks, and exploitation of vulnerable residents; the bill was left pending. The committee also took up Senate Bill 481 on emergency preparedness for nursing facilities and assisted living facilities, adopted a new committee substitute that softened some requirements and removed the fiscal note, and left the bill pending. The committee then heard House Bill 388, which would require the Texas Department of Insurance to create a single standardized coordination-of-benefits form for dual health plans to reduce errors and surprise bills; it was left pending. Senate Bill 1590 would move paternity registry searches for adoptions to an electronic process with a 10-day target, and House Bill 2809 would track child suicide attempts in managing conservatorship and require related reporting and parental notice; both were left pending. The committee also heard Senate Bill 1887, which would prohibit administering mRNA-containing products for immunization for 10 years, with exceptions for cancer and genetic disorders. Supporters argued the bill was needed for safety, informed consent, and medical freedom, while opponents from the medical, research, and public health communities said mRNA vaccines are well-studied, save lives, and that the bill would harm access, research, and Texas’s biotech economy. The bill remained under discussion as testimony concluded.

Transcript Highlights:

• Can quality health care be delivered in rural Texas? And does rural Texas deserve...
• The state of Texas.
• Texas parents should never have to fight the government for the right to raise their own children.
• Texas parents should never have to fight the government for the right to raise their own children.
• House Bill 2216 seeks to incorporate the principles of ICWA directly into the Texas Family Code.

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.

Transcript Highlights:

• Opportunity Austin understands that the Texas economy runs on talent.
• This will strengthen educational outcomes and economic outcomes for Texas.
• , Temple College, Texas A&M, and UT Austin.
• investment of the Texas CHIPS Act.
• The Texas TRUE Initiative, the Texas Reskilling and Upskilling Initiative, and we put about $50 million

Bills: SB1998, SB646, SB2786, SB2076, SB2615, SB1961, SB1418, SB2647, SB1322, SB2788

Keywords: pediatrics, medical education, subsidiary, preceptorship, medical training, student programs, mental health, loan repayment, education funding, mental health professionals, healthcare access, Texas Success Initiative, exemption, public officers, employees, higher education, Capitol view, Austin, urban planning, construction

Transcript Highlights:

• SB 1322 supports Texas' higher education institutions by establishing a Texas Higher Education Accreditation
• The bill amends the Texas Education Code by establishing the Texas Higher Education Accrediting Commission
• market demands as identified by the Texas Workforce Commission.
• Courses, especially for dual credit in the Texas Success Initiative.
• I own two businesses here in Texas.

Bills: SB1998, SB646, SB2786, SB2076, SB2615, SB1961, SB1418, SB2647, SB1322, SB2788

Keywords: pediatrics, medical education, subsidiary, preceptorship, medical training, student programs, mental health, loan repayment, education funding, mental health professionals, healthcare access, Texas Success Initiative, exemption, public officers, employees, higher education, Capitol view, Austin, urban planning, construction

Transcript Highlights:

• For example, if the political subdivision has adopted Chapter 143 of the Local Government Code, or if
• the peace officer is employed by the Texas Department. a Public Safety Chapter 411 of the Government
• Furthermore, the adoption of Chapter 140 Local Government Code must be accomplished via an election,
• For the thousands of Texas police officers who work under Chapter 143 of the Local Government Code, personal
• Local Government Code, their personal information remains exposed.

Bills: HB1583, HB1775, HB1832, HB1836, HB1837, HB1866, HB1983, HB2029, HB2217, HB2318, HB2363, HB2486

Keywords: mental health, emergency detention, peace officer, mental illness, prevention of harm, border security, private landowners, study and report, General Land Office, participation, controlled substances, opioid antagonists, law enforcement training, substance abuse prevention, Texas-Mexico border, criminal justice, public safety, law enforcement, National Park Service, arrest powers

Transcript Highlights:

• of business leaders advancing policies to support of globally competitive Texas.
• Hill, the Texas Association of Builders.
• Mike Maroney for the Texas Association of Manufacturers. Thank you.
• This is what you hear from businesses all across Texas, from aircraft industries, to the people of Texas
• And I believe that this is going to be a good bill for Texas and a good.

Bills: HB20, HB 120, HB20, HB120

Keywords: applied sciences, career education, high school diploma, certificate program, work-based learning, job placement, high-growth jobs, technical training, career readiness, education reform, workforce training, public schools, financial aid, fraudulent solicitation, disaster relief, nonprofit organizations, criminal penalties, consumer protection, fraud prevention, charitable donations

Transcript Highlights:

• That you would direct this government in the state of Alabama.
• Direct this government in the state of Alabama for Your glory to benefit our constituents, and we commit
• Signed, John Treadwell. is referred to the committee on County and Municipal Government.
• They have requested that we actually consider the existing code now in another section related to the
• possession and adopt that existing code section. ... adopt the existing code section that we have now

Bills: SB 26, SJR 36, SB 26, SB 616, SB 565, SB 384, SB 28, SR 109, SR 122, SR 126, SR 130, SR 136, SR 137, SR 141, SR 142, SCR 20

Keywords: teacher compensation, education funding, public school educators, teacher retention, teacher designation, aquifer, water management, Edwards Aquifer, sustainability, regulatory framework, SB 565, Texas Water Code, TCEQ, Texas Commission on Environmental Quality, compliance agreement, enforcement suspension, utility consolidation, regionalization, water supply, sewer

Transcript Highlights:

• This is called deadly conduct under the Texas Penal Code.
• The Texas Penal Code on non-livestock animal cruelty states that a person commits an offense if the person
• The Texas Penal Code on non-livestock animal cruelty states that a person commits an offense if the person
• I'm a captain with the Texas Rangers.
• integrity unit with the Texas Rangers.

Bills: HB47, HB171, HB285, HB305, HB449, HB908, HB 1024, HB 1306, HB1443, HB1445, HB1741, HB1866, HB1902, HB2001, HB2282, HB2355, HB2492, HB2637, HB2697, HB3464, HB4263, HB4996, HB5667

Keywords: sexual assault, victim rights, forensic examination, medical care, trauma-informed care, crime victims compensation, evidence retention, chemical dependency, court-ordered treatment, mental health, health care, treatment facility, juvenile justice, criminal justice reform, animal cruelty, nonlivestock, prosecution, veterinary defense, animal welfare, pretrial hearings

Summary: The Senate Committee on Criminal Justice met with a quorum and heard a long agenda of bills on criminal justice, public safety, mental health, victims’ rights, and related administrative issues. Early bills included HB 47, the omnibus sexual assault survivors bill, which would expand post-assault care, require courts to consider delays for adult survivors, bar sex offenders from rideshare driving, allow lease termination regardless of where an assault occurred, and require more reporting from sexual assault response teams. Testimony was generally supportive, though one witness raised concern that the bill’s reporting requirements could jeopardize county grant funding. HB 171, the Annel Borrego Act, would set a minimum period for court-ordered chemical dependency treatment; NAMI Texas supported it. HB 908 would require missing children reports to be sent to the National Center for Missing and Exploited Children within two hours, and HB 1443 would criminalize possession and promotion of childlike sex dolls; both drew supportive testimony and were left pending. HB 567, changing juvenile board chair selection in Parker County, and HB 4263, a TJJD workforce retention bill, were also heard and left pending after brief discussion and adoption of committee substitutes where applicable. The committee also heard several bills focused on jail and prison safety, court process, and victim protection. HB 2282 would raise the arrest warrant fee from $50 to $75; constables supported it as a cost-recovery measure, while the Texas Fair Defense Project opposed it as a regressive fee that burdens low-income defendants. HB 3464 would increase penalties for correctional employees who bring drugs or alcohol into prisons, with support from Harris County jail officials and a formerly incarcerated advocate who described the dangers of contraband and retaliation. HB 285, “Poncho’s Law,” would add criminal negligence to non-livestock animal cruelty offenses; animal welfare advocates said it would close a loophole that lets pet service businesses avoid accountability, and the bill was left pending. HB 2355 would keep certain Crime Victims Compensation records confidential when held by the Attorney General, and HB 2637 would standardize jury exemption ages and clean up jury disqualification reporting; both were left pending after limited testimony. Mental health and competency-related bills received significant attention. HB 305 would require a pretrial hearing within 14 days after a defendant is restored to competency, aimed at reducing repeated decompensation and the forensic waitlist; NAMI Texas supported it. HB 1741 would tighten procedures for not-guilty-by-reason-of-insanity outpatient commitments by requiring a stronger nexus to the receiving county and clearer supervision authority; law enforcement and mental health witnesses said it would improve public safety and treatment success. HB 2492 would make the four-hour family-violence post-bond cooling-off period mandatory rather than discretionary, and HB 1445 would allow a managed assigned counsel director to designate someone to approve certain payments for indigent defense attorneys; both were left pending. HB 1024 would require prompt execution of warrants for parole violators on superintensive supervision, and HB 1306 would extend first-responder-style benefits to death investigation professionals; neither drew opposition in the hearing. The committee also heard a series of public integrity and technology bills. HB 449 would expand the deepfake sexual content statute to include sexually explicit images, with Public Citizen supporting the change as necessary to address a rapidly growing problem. HB 1902 would create a new offense for “jugging,” or following bank or ATM customers to rob them; the Texas Bankers Association supported it. HB 2697 would require sureties to notify prosecutors before surrendering a felony defendant’s bond, and HB 2001 would sharply increase penalties for misuse of public information for financial gain and related coercion, with prosecutors and Texas Rangers describing bid-rigging and public corruption investigations as difficult to prove under current law because of short limitations periods and limited penalties. HB 1866 would grant Texas peace officer authority to National Park Service rangers within Texas park boundaries, and HB 4996 would increase penalties for fraudulent liens filed against public servants. Throughout the hearing, most bills were left pending after testimony, and several committee substitutes were adopted without objection.

Transcript Highlights:

• So, uh, ma'am, I have you as Jamie Olson with Feeding Texas for the bill. Is that correct?
• I'm Jamie Olson, the vice president of policy and advocacy with Feeding Texas.
• Um, and I do love the initiative to make Texas healthy again. I do.
• I thought this was, I thought Healthy Texas Women was mostly GR funds.
• women's health and preventative healthcare, um, in Texas.

Bills: HB231

Keywords: HB 231, Texas Water Code, TCEQ, permit exemption, dam, reservoir, erosion control, flood control, floodwater control, sediment control, watershed protection, Natural Resources Conservation Service, NRCS, Watershed Protection and Flood Prevention Act, local sponsor, water appropriation, small dam, water diversion, maintenance, rehabilitation

Transcript Highlights:

• , monitored by Texas Parks and Wildlife.
• This bill will protect Texas wildlife and provide Texas with a voice on appropriate siting for wind energy
• Revenue to Texas rural economies. Make no mistake, millions of birds migrate through coastal Texas.
• Most of the wind development in Texas is out in West Texas, in the North Panhandle.
• Texas Parks and Wildlife Department.

Bills: HB3129, HB3251, HB3556, HB3724, HB3887

Keywords: construction, wildlife impact, height restrictions, national wildlife refuge, environmental regulations, HB 3887, Texas Parks and Wildlife Department, Parks and Wildlife Code, performance bond, payment bond, contractor bonding, public works, construction contracts, public building, procurement, bid security, subcontractors, suppliers, contractor payment protection, project completion

Transcript Highlights:

• The Committee on Regulatory Affairs and Government Efficiency called the meeting to order.
• or the governing body.
• the city or town's fire code is not substantially less stringent than the current state fire code.
• Specifically, whether it should be the city's fire code or the state's.
• an entirely new code.

Bills: HB2051, HB2324, HB2439, HB2457, HB2686, HB2837, HB2875, HB2953

Keywords: AHCCCS, lactation care, breastfeeding, health services, healthcare access, HB2324, fire code, fire marshal, state fire marshal, municipalities, cities and towns, county-owned buildings, county buildings, intergovernmental agreement, IGA, fire inspection, occupancy certificate, building inventory, local government, county government

Summary: The Committee on Regulatory Affairs and Government Efficiency approved the March 11, 2026 minutes and then heard several bills. HB 2686, a patient-protection measure for outpatient surgical facilities, would require surgeons to file and update a call-coverage plan for hospital complications; the sponsor said it would improve continuity of care and reduce emergency room confusion, and the committee recommended it do pass. HB 2051 would require AHCCCS contractors, subject to CMS approval, to cover breastfeeding and lactation services in multiple settings; supporters described it as a maternal and infant health measure, AHCCCS was neutral and noted a projected state cost of about $1.8 million, and the bill received a do-pass recommendation on a 6-0 vote with one member not voting. The committee also approved HB 2837, which requires compensation disclosure for testimony or written comments in municipal zoning matters and requires certain municipal board members or hearing officers to disclose and recuse for recent conflicts involving entities they served; the sponsor framed it as a transparency and conflict-of-interest bill, and it passed 6-0 with one not voting. HB 2875, concerning commercial drone delivery systems, was amended to allow local regulation of drone facilities near medium and large hub airports within a 2.5-mile buffer and to require consultation with airports; Zipline and industry groups supported the measure as providing regulatory clarity, and the committee adopted the amendment and recommended the bill do pass. HB 2324 would let cities with their own fire codes, through an intergovernmental agreement, have city fire inspectors enforce those codes on county-owned buildings in city limits when state enforcement is burdensome; county and fire officials said it would resolve jurisdictional confusion, and the bill passed 6-0 with one not voting. HB 2439 would exempt single-user public or semi-public cold plunges from ADEQ spa rules, and an amendment removed ADEQ rulemaking authority; county health representatives said the change would reduce confusion, but one member raised public-health concerns, and the amended bill passed 4-2 with one not voting. HB 2457 would allow utilities to bypass the certificate of environmental compatibility process for new plants co-located with large electricity users after notice and a public comment session; the Sierra Club opposed it as reducing public review, while supporters said it preserved some local input and improved efficiency, and it passed 4-2 with one not voting. Finally, HB 2953 would cap certain nondisciplinary and civil penalties imposed by the Board of Pharmacy at $25,000 and allow lower penalties based on prior activity; a supporter said it matched limits used in other regulatory contexts, and the committee recommended it do pass unanimously.

Transcript Highlights:

• While SSCC performance is evaluated continuously in compliance with the Texas Government.
• Government code, DFPS has limited enforcement authority for poor contractor performance.
• in Texas.
• Code.
• ALF rules and the Texas Administrative Code do not permit a person to be bedfast when they are admitted

Bills: HB163, HB216, HB721, HB2035, HB2038, HB3057, HB3153, HB3233, HB3595, HB3801, HB3812, HB4076, HB4129, HB4377, HB4535, HB4666, HB4730, HB4743, HB4903, HB5149, HB5155, HB1534, HB163, HB216

Keywords: epinephrine, healthcare, emergency response, administration, medical policy, health care, itemized billing, patient rights, provider regulations, Texas Health and Safety Code, cost disclosure, insurance, benefit plan, administrators, chemical dependency, treatment facilities, minor admissions, parental notice, mental health, medical licensing

Bills: SB200, SB206, SB200, SB206

Keywords: accountability courts, drug offenders, mental health, substance abuse, veterans, court reform, recidivism reduction, treatment programs, veterans benefits, advising, deceptive trade practices, accreditation, compensation, minority affairs, civic engagement, Alabama office, community outreach, government affairs, codification, laws

Transcript Highlights:

• risks and problems with blind trust in pharmaceutical companies and their relationships with our government
• There are limited avenues for seeking compensation from the federal government.
• There are very few instances where a government provides this level of blanket immunity to any company
• I'm Tom Glass with Texas Constitutional Enforcement, and we're in favor of this bill.
• But this is a fantastic way for the people of Texas to start reclaiming.

Bills: HB220, HB783, HB2240, HB3336, HB4202, HB4449, HB4904, HB3441, HB4284

Keywords: sexual assault, healthcare facilities, forensic examination, survivor support, emergency contraceptive, online impersonation, civil liability, social media, identity theft, defamation, counseling damages, injunctive relief, public health, safety regulations, community health, state standards, healthcare access, HB 3336, alcoholic beverage tax credit, spent grain

Transcript Highlights:

• While certain forms of online impersonation are criminalized under the Texas Penal Code, there is currently
• Attorney General and the Texas A&M Health Center of Excellence in Forensic Nursing created the Texas
• Members, the Texas Administrative Code allows a notary to identify a credible witness if the witness
• House Bill 4202 would align the Civil Practice and Remedies Code with the Texas Administrative Code.
• ...the administrative code was saying.

Bills: HB220, HB783, HB2240, HB3336, HB4202, HB4449, HB4904, HB3441, HB4284

Keywords: sexual assault, healthcare facilities, forensic examination, survivor support, emergency contraceptive, online impersonation, civil liability, social media, identity theft, defamation, counseling damages, injunctive relief, public health, safety regulations, community health, state standards, healthcare access, HB 3336, alcoholic beverage tax credit, spent grain

Bills: HB 322, HB 331, HB 673, HB 1147, HB 1154, HB 2488

Keywords: JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, first responders, acute myocardial infarction, stroke, benefits, compensation, presumption of disability, emergency services, healthcare, Medicaid, mental health, substance abuse, treatment access, cost, insurance coverage

Bills: HB 322, HB 331, HB 673, HB 1147, HB 1154, HB 2488

Keywords: JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, first responders, acute myocardial infarction, stroke, benefits, compensation, presumption of disability, emergency services, healthcare, Medicaid, mental health, substance abuse, treatment access, cost, insurance coverage

Bills: HB 322, HB 331, HB 673, HB 1147, HB 1154, HB 2488

Keywords: JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, first responders, acute myocardial infarction, stroke, benefits, compensation, presumption of disability, emergency services, healthcare, Medicaid, mental health, substance abuse, treatment access, cost, insurance coverage

Bills: HB 322, HB 331, HB 673, HB 1147, HB 1154, HB 2488

Keywords: JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, first responders, acute myocardial infarction, stroke, benefits, compensation, presumption of disability, emergency services, healthcare, Medicaid, mental health, substance abuse, treatment access, cost, insurance coverage

Transcript Highlights:

• My name is Mary Elizabeth Castle, and I'm the Director of Government. Relations for Texas Values.
• I would say that is wholly lacking under Texas code. And who had to bear the fine?
• I'm Director of Government Relations for Texas Values, and I'm testifying in favor of SB11.
• Let me see, that's under the Texas Medical Code under 159.
• What we do is go to a requested amendment to Texas Administrative Code 90.8(a).

Bills: SB95, SB268, SB493, SB619, SB660, SB922, SB984, SB1098, SB1188, SB1307, SB1332, SB1822

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit