Transcript Highlights:

• Just as a follow-up, Madam Chairman, so in looking at DSH payments, those...
• So in looking at DSH payments, those come from Medicaid and Medicare. Is that a correct statement?
• DSH payments. Is that something you're familiar with?
• >> Madam Chair, are you talking about DSH payments, Mr. Red?
• Red, um, DSH payments, disproportionate share, so that's a payment that only a handful of our hospitals

Keywords: 916, all

Transcript Highlights:

• hospitals to enroll, and over 200 around the state have already received training and support from DSHS
• We urge the Senate Finance Committee to prioritize fighting tobacco use in the budget by increasing DSHS
• notarized copy of the exemption affidavit to the campus, and it's to be developed and maintained by DSHS
• Yet, DSHS continues to burden taxpayers with unnecessary expenses related to the processing, printing
• envelopes, along with multiple. other printed informational materials, all processed by two full-time DSHS

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• This contract is part of our disproportionate share, or DSH, program.
• As you probably are aware, DSH provides payments to hospitals that serve a large number of Medicaid and

Keywords: 924, joint, all

Transcript Highlights:

• requirement. for a food manufacturer's license to extract and sell honey, changes in regulation. by the DSHS
• It was actually recommended to the Texas Beekeepers Association. by DSHS.

Bills: HB294, HB405, HB519, HB294

Keywords: food production, property owners' association, home gardening, cottage food, urban agriculture, livestock, community standards, renewable energy, ethanol, biodiesel, incentives, agriculture, grants, honey production, beekeeping, food safety, local regulation, energy efficiency, tax exemption, residential properties

Transcript Highlights:

• Thank you for this opportunity to comment on the DSHS budget.
• I wanted to urge this committee to prioritize reducing tobacco use in the budget by any increasing DSHS

Keywords: 1184, house, all

Transcript Highlights:

• So in terms of the resources that we provide at DSHS, it is a birth worksheet, which is a voluntary data
• So when DSHS registers the birth, it is after the reporting facility or birth certifier When DSHS registers
• DSHS appreciates the opportunity...
• To present today on surrogacy information, DSHS appreciates the opportunity to share this data with the
• Building on yesterday’s hearing, say Senator Perry passed a bill that now makes, is it DSHS, I think,

Keywords: 1185, senate, all

Transcript Highlights:

• No matter how grievous an infraction is during an inspection, DSHS is prohibited from issuing a violation
• DSHS has stated that no one has ever applied for this waiver, so this is a cleanup section that we don't
• DSHS says that they, that's how they treat it, but we would like to codify that.
• When DSHS is not selecting friends and insiders to oversee the boards, oversight cannot exist when the
• I don't, I don't work for DSH, but as an advisory board, we advise, we give information, and particularly

Bills: HB 265, HB25

Keywords: youth camp, safety regulations, advisory committee, child welfare, health standards, summer camp, camp safety, child abuse reporting, child neglect, mandatory reporting, background check, criminal history check, sex offender registry, CPR training, first aid, public health, child protection, camp operator, camp counselor, Health and Safety Code

Transcript Highlights:

• We have agencies like the FDA, TABC, and DSHS.
• The first thing I did was go to the DSHS website to find out what's going on.
• Well, I went to the DSHS website, looked up how are kids being affected by this?
• That question is for DSHS, and he was up here earlier. You have to ask him.
• You have to ask DSHS to do that. That's your own opinion.

Bills: HB5

Keywords: hemp, cannabinoids, regulation, occupational licenses, consumable products, marketing, criminal offenses, labeling requirements, health and safety, 997, house, all

Transcript Highlights:

• Federal law requires that state Medicaid programs make DSH payments to qualifying hospitals, and this
• Medicaid Services to Individuals budget entity would grant the federal budget authority to make these DSH

Summary: The Legislative Budget Commission met with a quorum present to hear the constitutionally required Long-Range Financial Outlook and consider a series of budget amendments. Amy Baker of the Office of Economic and Demographic Research presented the outlook, describing Florida’s continued population growth, strong wage growth, an aging population, housing-market softening, and low consumer sentiment. She said the general revenue forecast was largely unchanged from March, but the state’s funds available had improved because of legislative actions in 2025 that increased the balance forward. She also noted strong reserves, a projected current-year Medicaid deficit of about $125 million, and a three-year outlook that remains positive in the first year but turns negative in years two and three. She highlighted the risk of co-occurring catastrophic events, using a normalized Great Miami Hurricane scenario to illustrate potential state losses. The outlook was adopted after brief comments from House and Senate members emphasizing fiscal restraint and efficiency. The commission then approved multiple budget amendments, mostly without objection. The Agency for Health Care Administration received amendments to realign funding for Florida KidCare based on estimating conference results, to provide $85 million in budget authority for disproportionate share hospital payments, and to adjust Medicaid and long-term care appropriations, including placing surplus funds into reserve. The Department of Health received $6.3 million in additional authority for newborn screening. The Department of Corrections and the Department of Management Services each received $2.2 million in Private Inmate Welfare Trust Fund authority for repair invoices and pending projects. The Department of State was authorized to release $2.5 million in nonrecurring general revenue for cultural and museum grants and America 250 commemorative grants. The Department of Transportation received approval for a project roll-forward and for work program changes, including advancing I-95 widening in Duval County and the I-4 corridor in Polk and Osceola counties. The meeting ended with a motion to adjourn.

Transcript Highlights:

• DSHS is much better equipped to regulate the hemp industry and has experience in doing so.
• Under SB 3, DSHS will create a product registration that will require a product to be approved by the
• “We have been inspected by DSHS four times in the last year and a half.
• DSHS came to our shop the following week. We passed the inspection easily again.
• So why is DSHS trying to mess with businesses like ours?

Bills: SB 3, HB28, SB3

Keywords: flash flood, flood warning, outdoor warning siren, emergency alert, disaster preparedness, flood mitigation, Hill Country floods, Texas Water Development Board, municipalities, counties, local government mandate, public safety, grant program, backup power, weather siren, emergency management, flood-prone area, warning system, hemp regulation, consumable products

Transcript Highlights:

• this list that I thought I would highlight for you is this one dealing with exponential growth in the DSHS
• And so the purpose of this audit is really just to dive further and work with DSHS to make sure we understand

Summary: The committee meeting began with a brief explanation of the renamed Joint Legislative Audit Review Committee subcommittee, now called the Committee to Hear SAO Performance Audits, and a presentation from the State Auditor’s Office on its current biennium performance audit work plan. The auditor described how topics are selected from a large pool of potential audits and highlighted several ongoing or planned audits, including the Liquor and Cannabis Board, oversight of authorized entities serving students with disabilities, the Quality Home Care Initiative, Medicaid managed care versus fee-for-service costs, the Housing Commission tenant ownership follow-up, DSHS vendor payment patterns, implementation of the Since Time Memorial curriculum, and the Washington State ferry system. Members asked about coordination with JLARC to avoid duplication, and the auditor said the offices exchange work plans, monthly updates, and quarterly coordination meetings. The committee then heard the State Auditor’s performance audit on how charter schools identify and support at-risk students. Auditors reviewed four charter schools—Catalyst Public Schools, Innovation High School, Pinnacles Prep, and Rainier Prep—and focused on English language learners, homeless students, and special education students. The audit found the schools met nearly all legal requirements reviewed, with only one area where two schools partially met a language-access requirement. The schools also used several promising practices, including small-group instruction, culturally responsive environments, and multi-tiered systems of support, though the auditors recommended better documentation of procedures to improve consistency. Families interviewed generally reported positive experiences, while noting resource constraints. Committee members asked about how the four schools were selected, whether the audit compared charter populations to home districts, and how MTSS requirements applied to the schools reviewed. The State Auditor’s Office said the sample was chosen for geographic diversity, student population characteristics, and representation from both authorizers, and that K-2 MTSS requirements were not evaluated because they applied to only one school. Representatives from the Charter School Commission and charter school advocates responded positively, emphasizing technical assistance, collaboration, and sharing best practices across schools. Two public testifiers also supported the report and said it highlighted effective practices that could be expanded across charter and traditional public schools.

Transcript Highlights:

• That forecast is sensitive to wait times at the federal Social Security Administration and also DSHS
• That forecast is sensitive to wait times at the federal Social Security Administration and also DSHS
• staffing levels, shepherding people through the budget. administration and also DSHS staffing levels,

Summary: The Ways and Means Committee held a work session covering the state revenue outlook, caseload forecasts, wildfire costs, budget balance, tort liability, water supply, and pension policy. The Economic and Revenue Forecast Council reported modest near-term U.S. growth, no near-term Washington employment growth in 2026, continued personal income growth, and elevated inflation, with tariffs and federal policy cited as major risks. Revenue forecasts were slightly improved for the current biennium by about $105 million but down about $185 million for the next biennium. Members asked about income inequality and housing permits; staff said personal income is an aggregate measure and housing production remains below long-term needs. The Caseload Forecast Council then reported that most forecasts were unchanged or only slightly changed, but several programs increased, including Washington College Grant, Working Connections, aged/blind/disabled cash grants, nursing homes, home and community services, and developmental disabilities personal care. The largest policy-driven change was in Medicaid low-income adult caseloads, where federal H.R. 1 was projected to reduce coverage substantially through narrower eligibility, community engagement requirements, and shorter eligibility periods. The committee also heard a wildfire funding update and a 2025 fire season review. Staff explained that the state budgets $93 million annually for suppression and uses supplemental appropriations for costs above that level, with an estimated state supplemental need of about $139 million for the current year. Department of Natural Resources officials said 2025 fire activity remained below the 10-year average in acres burned, but fires were more complex and closer to communities, contributing to higher residence loss. They described expanded use of aircraft, firefighters from other states, corrections crews, and the Arcadia 20 hand crew, and said the state did not need National Guard ground support this year. A budget preview then showed that the near general fund outlook had worsened after vetoes, lapses, and forecast changes, and that maintenance-level costs alone would leave a projected negative balance by fiscal year 2027 and about $4.3 billion by fiscal year 2029, before any policy decisions. Jason Seams, the state risk manager, reported a sharp rise in tort claim costs, with indemnity expenses nearly doubling from fiscal year 2023 to 2025 and DCYF accounting for most of the increase. He said the state self-insurance liability account has run deficits for four straight biennia and is now facing nearly $600 million in deficits, driven largely by a surge in DCYF claims, especially juvenile rehabilitation and long-running sex abuse cases. Members asked about the role of old claims, comparisons with other states, excess insurance, and whether more Attorney General staff could reduce special assistant attorney general costs. The committee then shifted to water policy, hearing from tribal leaders, Ecology, and the Washington Water Trust. Tribal witnesses emphasized overappropriation, declining flows, climate impacts, and the need for legislative oversight and tribal participation in water policy. Ecology described major projects in the Odessa sub-area, Yakima Basin, and Dungeness, along with the need for storage, recharge, conservation, and policy changes to support water supply development. The Washington Water Trust argued that climate change is reducing summer flows and that the state needs more funding, enforcement, and long-term commitment to restore instream flows. The final item was a pension update on LEOFF 1 surplus assets; staff reviewed two 2025 bills that would have merged or restructured the plan and used surplus assets, but neither passed, and instead the budget directed the Select Committee on Pension Policy to study the issue and report back.

Transcript Highlights:

• Um, DSHS standards with FDA guidance. So right now there's a misalignment.
• Changes in regulations by the DSHS have been.
• going to be a good cleanup and it was actually recommended to the Texas Beekeepers Association by DSHS

Bills: HB294

Keywords: energy efficiency, tax exemption, residential properties, sustainability, real estate

Transcript Highlights:

• maintain a website listing youth camps with active licenses from the Department of State Health Services (DSHS
• It also repeals outdated and extraneous procedural requirements for DSHS rulemaking applicable only to

Bills: SB 9, SB 7, SB 17, SB 4, SB 1, HB4, HB4, SB9, SB7, SB17, SB4, SB1, SB2, SB5

Keywords: school assessment, public education, accountability, transparency, education standards, STAAR, Texas Education Agency, TEA, public school accountability, school ratings, A-F ratings, assessment reform, student testing, benchmark tests, interim assessments, through-year assessment, diagnostic reports, college career military readiness, CCMR, local accountability plans

Transcript Highlights:

• Probably makes it clear that health departments and folks like DSHS, who are specifically in this, can
• This bill will specify that DSHS may not issue a permit to a person for a bovine producer dairy farm

Bills: HB43, HB519, HB1275, HB1592, HB2842, HB3088, HB3479, HB4163, SB823, HB609

Keywords: agriculture, finance, young farmers, financial assistance, pest control, honey production, beekeeping, food safety, local regulation, bovine producers, dairy farms, permits, bovine tuberculosis, public health, wildlife management, disease prevention, alert system, Texas A&M, white-tailed deer, public safety

Transcript Highlights:

• Department of State Health Services to lease certain property to Travis County. substitute changes DSHS
• Members, we do have resource witnesses from DSHS. if you have questions and would like us to call that
• Okay. questions for DSHS at this time. Okay, thank you.

Bills: HB 3772, HB 1656, HB 4504, HB 1896, HB 4420, HB 4421, HB 4076, HB 3708, HB 2806, HB 3540, HB 1586, HB 5459, HB 4553, HB 4535, HB 3811, HB 3749, HB 4255, HB 4051, HB 5098, HB 3554, HB 4539, HB 5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• highlights show that one rider has been deleted, and this is related to the transfer of funds from CPRIT to DSHS
• As another note, the funding has been increased at DSHS to provide funding for this cancer registry,
• highlights show that one rider has been deleted, and this is related to the transfer of funds from CPRIT to DSHS
• As another note, the funding has been increased at DSHS to provide funding for this cancer registry,
• DIR, DSHS, and the PUC serve as ex officio members.

Summary: The Senate Finance Committee heard budget presentations for the Texas Historical Commission, the Pension Review Board, the Employees Retirement System (ERS), Social Security and benefit replacement pay, the Texas Emergency Services Retirement System (TESSRS), and the Cancer Prevention and Research Institute of Texas (CPRIT). The Legislative Budget Board outlined recommendations and major changes for each agency, including reductions tied to one-time projects at the Historical Commission, continued funding for courthouse grants, heritage trails, and Holocaust/genocide education, as well as new or modified riders and capital items. For the pension-related items, LBB described funding changes for PRB, ERS, Social Security, and TESSRS, including ERS health plan cost growth driven largely by pharmacy costs, the status of pension funding reforms, and TESSRS’s request for additional state support to address its unfunded liability and staffing needs. Members asked extensive questions about the Historical Commission’s one-time funding, unexpended balance authority, courthouse preservation, the Presidio La Bahia and National Museum of the Pacific War projects, and coordination of Texas history messaging across sites such as the Alamo, San Jacinto, Washington on the Brazos, and other heritage locations. The Historical Commission chair emphasized heritage tourism, economic development, and the need for continued investment in historic sites, staffing, IT modernization, and vehicles. On the pension items, senators discussed PRB oversight of local systems, including the Dallas police and fire pension situation, and ERS investment returns, benchmark comparisons, and rising health costs. ERS officials said the plan remains well funded overall, noted a 2021 cash balance reform and a planned supplemental legacy payment, and explained that GLP-1 drugs such as Ozempic and Mounjaro are a major driver of pharmacy spending; they also said the agency is working with the Texas Pharmacy Initiative and that rebates are contractually returned to ERS. For TESSRS, LBB and agency staff said the system serves volunteer and part-paid emergency personnel, is facing an infinite amortization period, and is requesting additional appropriations, staffing, and IT funding, along with a statutory change to allow an actuarially determined state contribution. The agency said it may otherwise need to cut benefits for volunteer firefighters. For CPRIT, LBB reported about $600 million in recommended funding for the biennium and a 10-FTE increase, while the agency described its $6 billion voter-approved program, $3.75 billion in grants awarded to date, and $10.4 million in revenue sharing since 2011. CPRIT’s only exceptional item was a request for a 10% salary increase for two exempt positions. No committee votes or formal actions were taken in the transcript.

Transcript Highlights:

• There is a DSHS person here, so we can ask them. Yeah, okay, we'll do that. Thank you.
• Health Services in terms of... we're seeing over-the-counter medications, not you personally, but DSHS
• Or is it DSHS? Yes, and the department does not approve drugs.
• Does DSHS oversee over-the-counter medicines?

Bills: HB 265, HB25

Keywords: youth camp, safety regulations, advisory committee, child welfare, health standards, summer camp, camp safety, child abuse reporting, child neglect, mandatory reporting, background check, criminal history check, sex offender registry, CPR training, first aid, public health, child protection, camp operator, camp counselor, Health and Safety Code

Transcript Highlights:

• And for that reason, we're really happy and appreciative of DSHS for very recently having collaborated
• and farmers markets and grocery stores, and then supporting healthy aging through partnerships with DSHS
• and farmers markets and grocery stores, and then supporting healthy aging through partnerships with DSHS

Summary: The House Agriculture and Natural Resources Committee held a work session on food systems and food security, with no public testimony. The first panel focused on household food security and data. Marie Spiker of the University of Washington explained what food insecurity means, its health impacts, and the importance of reliable measurement, warning that the federal Census food security data is being terminated and that there is no true replacement. She described Washington’s WaFOOD surveys as a useful complement, not a substitute, and noted that they show food insecurity affects households at a range of income levels. Katie Raines of WSDA described the state’s food systems work, the need for shared data and dashboards, and the role of agriculture in both food production and the hunger safety net. Committee members asked about the $2.2 million state food assistance allocation, the scale of the SNAP gap, and how household size, housing costs, and other factors intersect with food insecurity. The committee then heard from Tracy Roof of the University of Richmond on the history of SNAP and its relationship to agriculture. She traced the program from Depression-era commodity distribution through the modern farm bill, emphasizing that food assistance has long functioned both as anti-hunger policy and as an agricultural and economic stabilizer. She highlighted how SNAP expands during recessions, supports retailers and farmers, and has become more important since the Great Recession because participation stayed high even as the economy recovered. Roof also noted that Washington has relatively high SNAP participation and low payment error rates, but that recent federal changes could reduce eligibility and shift more costs to states. Members asked how Washington compares to other states and why the program is structured as it is. A later panel featured the Washington State Food Policy Forum and a joint systems presentation from the Washington Farm Bureau, Washington Retail Association, and Washington Food Industry Association. The Food Policy Forum described its consensus-based recommendations on food insecurity, climate and water, regional food infrastructure, farmland protection, and farm viability, including more support for producer purchasing, water planning, and farmland conservation. The industry groups presented a systems map showing how agriculture, processing, retail, and transportation are interconnected, and argued that rising costs, regulations, labor and fuel expenses, retail theft, and thin margins make it harder to keep farms and stores viable. They said food security depends on store viability and local agricultural profitability, and promised to provide a more detailed list of policy recommendations. The final panel included state agency staff from DSHS, DOH, and WSDA. Bryce Montgomery said the Basic Food program serves about 920,000 Washingtonians monthly and warned that H.R. 1 could require Washington to pay up to 15% of SNAP benefits, broaden work requirements, and restrict immigrant eligibility. Karen Mullen described DOH nutrition programs, including WIC, farmers market nutrition benefits, fruit and vegetable incentives, and a fruit-and-vegetable prescription program, while noting funding instability and the end of SNAP-Ed. WSDA’s Katie Raines began describing ongoing food assistance and farmer support challenges, including farmer mental health and the need to address food insecurity across both producers and consumers.

Transcript Highlights:

• And back then it was DSH and it was, you know, UC, and now... ...and all the different things.
• And back then it was DSH, and it was, you know, UC, and now we have CHIRP, we have the waivers, we have
• Man, my footnote on that is down here from—we actually got it from 'DSH Hospitals' 340B Profit Exceeds
• think about public education, into the curriculum, higher education, even anything we ever do with DSHS
• Follow-up question to DSHS, which is, you know, I think we're really working.

Keywords: 1185, senate, all