Transcript Highlights:

• Additionally, this bill directs HHSC to monitor the frequency with which recipients request replacements
• But even if this bill passes and HHSC is required to put the photos on these cards, they will also then
• The fact of the matter is, retailers aren't going to be checking these photos, and again, HHSC put...
• And I know that HHSC had talked to my office, part of the skimming conversation.

Bills: SB596, SB961, SB1398, SB1183, SB1952

Keywords: DFPS, Department of Family and Protective Services, child protective services, foster care, child welfare, Family Code, conservatorship, managing conservator, parental child safety placement, authorization agreement, temporary authorization order, child abuse, child neglect, placement reporting, court-ordered removal, investigation, family preservation, transparency, public reporting, data reporting

Transcript Highlights:

• We have started collecting cost reports, and HHSC is going to work on this.
• Second, it directs HHSC to check for.

Bills: SB596, SB961, SB1398, SB1183, SB1952

Keywords: DFPS, Department of Family and Protective Services, child protective services, foster care, child welfare, Family Code, conservatorship, managing conservator, parental child safety placement, authorization agreement, temporary authorization order, child abuse, child neglect, placement reporting, court-ordered removal, investigation, family preservation, transparency, public reporting, data reporting

Bills: HB188, HB265, HJR35, HJR47, SB1901, HB188, HB265, HJR35

Keywords: Texas STRONG defense fund, severance tax revenue, oil and gas revenue, constitutional transfers, rainy day fund, economic stabilization fund, state highway fund, oil and gas production, qualifying county, county grants, water infrastructure, first responders, public safety, DPS staffing, commercial motor vehicle safety, gang violence prevention, human trafficking prevention, economic development, TxDOT grants, school districts

Transcript Highlights:

• The bill would require HHSC to complete the biannual report and include additional reporting information
• The bill would have HHSC contact the family to SNAP-enrolled children, and if the family consents, enroll
• directories of kidney health providers and financial assistance resources to help sustain the program at HHSC
• HB 2298 addresses this urgent public health issue. by establishing a grant program administered by HHSC

Bills: HB514, HB1652, HB2117, HB2298, HB3269, HB46, HB46

Keywords: maternal health, maternal care, pregnancy, labor and delivery, postpartum, doula, birth worker, midwife, obstetric care, women's health, rural health, health workforce, workforce development, trauma-informed care, public outreach campaign, health equity, minority health, underserved communities, Texas Department of State Health Services, HHSC

Bills: HB25, HB38, HB997, HB 1119, HB25, HB38

Keywords: HB 25, Texas nutrition, nutrition education, healthy living, public health, school physical activity, recess, physical education, nutrition and wellness course, health curriculum, State Board of Education, Texas Nutrition Advisory Committee, ultra-processed foods, artificial colors, food additives, chronic disease, metabolic health, culinary medicine, functional medicine, dietary guidelines

Bills: HB25, HB38, HB997, HB 1119, HB25, HB38

Keywords: HB 25, Texas nutrition, nutrition education, healthy living, public health, school physical activity, recess, physical education, nutrition and wellness course, health curriculum, State Board of Education, Texas Nutrition Advisory Committee, ultra-processed foods, artificial colors, food additives, chronic disease, metabolic health, culinary medicine, functional medicine, dietary guidelines

Transcript Highlights:

• It also says that HHSC cannot require managed care organizations... that also have a Medicare Advantage
• The Shopping Guide also directs TDI to collaborate with HHSC to ensure TDI gets sufficient... information
• Finally, the committee substitute allows HHSC to extend the required...
• I am housed within HHSC, but I do... I do not represent HHSC in my testimony.
• HHSC has to review these plans and the annual updates, and we support this.

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:

• And, okay, yes, HHSC can probably answer that better than I can. Hi, I'm Victoria Grady.
• And, okay, yes, HHSC can probably answer that better than I can. Hi, I'm Victoria Grady.
• And, okay, yes, HHSC can probably answer that better than I can. Thank you.
• Madam Chair, my question for HHSC: what do you do with the information once you get it?
• So if they're not required to... to HHSC.

Bills: HB216

Keywords: HB216, Texas abortion law, abortion-inducing drug, medication abortion, mifepristone, misoprostol, telemedicine, in-person exam, physician presence, out-of-state physician, reproductive healthcare, abortion regulation, Health and Safety Code, Occupations Code, consultation services, remote prescribing, pro-life, pro-choice

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.

Transcript Highlights:

• Senator, that's what the Medicaid program already does, and we're here with HHSC.
• Thus, HHSC checking that quarterly would let them know.
• HHSC and the USDA's Food and Nutrition Services.
• The HHSC on the state level does not do that.
• You know, HHSC does not regulate retailers right now; they don't do that.

Bills: SJR37, SJR57, SB7, SB8, SB16, SB108, SB125, SB207, SB318, SB371, SB379, SB396, SB406, SB503, SB533, SB565, SB578, SB599, SB686, SB689, SB707, SB763, SB854, SB857, SB875, SB878, SB920, SB924, SB961, SB965, SB985, SB988, SB1021, SB1024, SB1026, SB1038, SB1059, SB1185, SB1202, SB1207, SB1252, SB1330, SB1396, SB1484, SB1527, SB1535, SB1596, SB1619, SB1697, SB1737, SB1741, SB1841, SJR36, SJR12, SJR57, SJR37, SCR22, SCR12, SB565, SB765, SB62, SB666, SB707, SB888, SB687, SB847, SB1248, SB504, SB857, SB305, SB296, SB284, SB1497, SB1498, SB241, SB304, SB621, SB1023, SB1024, SB686, SB371, SB204, SB609, SB670, SB850, SB854, SB413, SB1346, SB1033, SB1220, SB1073, SB810, SB1539, SB447, SB875, SB406, SB985, SB965, SB1119, SB1505, SB1215, SB1302, SB856, SB583, SB673, SB681, SB1172, SB1252, SB608, SB955, SB957, SB988, SB1021, SB1120, SB251, SB541, SB379, SB1737, SB266, SB1415, SB1527, SB125, SB599, SB1330, SB53, SB1352, SB785, SB472, SB1450, SB1502, SB1566, SB414, SB1062, SB961, SB1038, SB578, SB711, SB746, SB942, SB1404, SB1448, SB1738, SB108, SB8, SB318, SB507, SB533, SB689, SB1026, SB1349, SB1355, SB1433, SB1434, SB1596, SB1403, SB763, SB667, SB1059, SB617, SB1567, SB503, SB16, SB310, SB311, SB396, SB505, SB1209, SB1210, SB1470, SB264, SB924, SB1029, SB1185, SB1202, SB1358, SB1364, SB1569, SB1697, SB1376, SB1228, SB519, SB878, SB1350, SB462, SB1535, SB827, SB1585, SB207, SB1207, SB1619, SB1396, SB920, SB1484, SB1273, SB1741, SB7, SB927, SB1227, SB1229, SB1353, SB1366, SB1464, SB1709, SB1729, SB1733, SB1744, SB1772, SB1816, SB1841, SB2188, SB1147, SB879, SB1008, SJR81, SJR50, SCR39, SB1536, SB2016, SB1453, SB1173, SB1163, SB996, SB27, SB568, SB1370, SB1321, SB1101, SB906, SB860, SB1563, SB993, SB693, SB1610, SB1537, SB836, SB1332, SB1307, SB963, SB493, SB922, SB984, SB1084, SB619, SB1098, SB1122, SB455, SB522, SB1057, SB1239, SB1254, SB1255, SB1259, SB1341, SB1664, SB1877, SB464, SB1277, SB32, SB732, SB660, SB731, SB921, SB268, SB1822, SB1188, SB1939, SB1589, SB397, SB1388, SB2230, SB1058, SB1036, SB1267, SB2112, SB1930, SB532, SB1035, SB2155, SB508, SB29, SB292, SB291, SB901, SB1333, SB1436, SB1494, SB964, SB779, SB1378, SB2312, SB1719

Keywords: voter ID, citizenship, election integrity, constitutional amendment, voting rights, water infrastructure, financial assistance, Texas Water Development Board, water supply, environmental sustainability, immigration enforcement, ICE agreements, sheriff grants, law enforcement, county jail, federal immigration law, voter registration, proof of citizenship, Election Code, criminal offenses

Transcript Highlights:

• Early voting clerks are required to provide written notice to HHSC of mail-in ballot applications when
• HHSC would be required to audit long-term care facilities to ensure that their process fulfills these
• Additionally, the bill would require the HHSC to audit long-term care facilities to monitor compliance
• So HHSC is notified, and they notify the facility, and the facility's ability has to determine whether
• I don't know if there is a set list of care facilities that HHSC provides.

Bills: HB2139, HB2253, HB3632, HB4171, HB4309, HB4508, SB760, SB1470

Keywords: voting access, polling place, disability, caretaker provisions, ballot delivery, election code, HB 2253, Texas Election Code, bond election, bond issuance, local government, election cancellation, disaster declaration, natural disaster, emergency election, county election officer, polling place notice, open meeting, election workers, voter safety

Transcript Highlights:

• I talked to HHSC. They've never seen that kind of increase.
• I talked to HHSC; they've never seen that kind of increase.
• I talked to HHSC. They've never seen that kind of increase.
• I talked to HHSC. They've never seen that kind of in. which had never been done.
• I talked to HHSC, they've never seen that kind of increase.

Summary: The Senate opened with an invocation and then took up several conference committee matters and resolutions. It granted the House request for a conference committee on House Bill 46 and adopted a conference report on Senate Bill 37, which was described as higher education governance reform, including stronger board authority, changes to faculty senates, general education requirements, and a new ombudsman office. Senators also adopted a large package of resolutions and HCRs by voice vote. A major focus was Senate Bill 12, the “Parental Bill of Rights,” whose conference report was adopted after extended questioning. The bill was described as giving parents more access to school materials and grievance procedures, requiring parental consent for student clubs, and restricting school district employees from assisting with social transitioning or related gender-identity instruction. Senators raised concerns about effects on students already socially transitioned and on parental rights in medical or psychological decisions; the author said the House language was retained in key areas and that districts would need policies and parent notification. The report passed 20-11. The Senate then adopted a resolution allowing the conference committee on Senate Bill 1, the state budget for fiscal years 2026-2027, to go outside the bounds, and later adopted the budget conference report. Senators highlighted major funding for public education, property tax relief, public safety, health and human services, child care, water and transportation infrastructure, and the Texas Energy Fund. The budget discussion also covered higher education, mental health facilities, community attendant wages, rural hospitals, DFPS case management, child care assistance, and a study rider on TRS. The report passed unanimously, 30-0. Finally, the Senate suspended rules to take up Senate Bill 8 and adopted its conference report. The bill requires counties with jails or jail contracts to participate in the federal 287(g) immigration enforcement program, with sheriffs choosing among available models and counties receiving tiered grants to help cover costs. Supporters framed it as a public safety measure targeting criminal illegal aliens, while opponents questioned whether it would divert local resources and increase fear in immigrant communities. The report was adopted after debate.

Transcript Highlights:

• Nursing to create an operational plan to transition the Certified Nurse Aid Certification Program from HHSC
• The committee substitute reflects technical changes made in collaboration with HHSC to ensure that the
• Member HHSC will also submit a report to the legislature with the results of the study and also made
• The first was a strategic plan. and for children's mental health that HHSC has created.
• HB 4420 addresses the gap, this bill directs HHSC to conduct a comprehensive statewide assessment of

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:

• this is Vice Chair Manuel's bill that we previously heard relating to streamlining. the deadlines for HHSC
• our rights during the Medicaid fair hearing process under 42 CFR 431.242 is unexcusable. by Texas HHSC
• program is the person does the agents the entity that writes policy but they refuse to show up, and HHSC
• So how Can you tell us how much is currently covered as far as fiscal note goes under HHSC?
• Senate Bill 750 passed during the 86. directed HHSC to apply for federal funding to implement a model

Bills: HB2646, HB3941, HB5153, HB5155, HB5394, HB 1106, HB426, HB4529, HB3984, HB4273, HB 1097, HB3940, HB1941, HB4377, HB3153

Keywords: child care, task force, high-quality care, affordability, prekindergarten partnerships, foster care, transitional living, Medicaid reform, youth assistance, independent living, services for youth, employment training, educational support, mental health services, health care, public health, child health program, reimbursement, local health entities, maternal health

Transcript Highlights:

• replacing references to the Department of Family and Protective Services with HHS to clarify that HHSC
• Is there anything that can be done with HHSC to maybe file complaints about some lack of cooperation
• House Bill 154 requires medical assistants to complete an HHSC-approved training course on identifying
• The FPS and HHSC are...
• believe it was your first bill that you ever passed as a member of the Senate, as well as DFPS and HHSC

Bills: HB35, HB138, HB754, HB1314, HB1612, HB2254, HB2510, HB2789, HB3560, HB3597, HB4224, HB4273, HB4643, HB4783, HB138

Keywords: peer support, first responders, mental health, confidentiality, emergency services, health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, human trafficking, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting

Transcript Highlights:

• a lot of the impacts for uh for HHSC a lot of the impacts for uh for HHSC probably<00:14:27.519>
• > the<00:23:11.520> Medicare impacts to HHSC uh the Medicare impacts to HHSC uh the Medicare
• that it does have some impact to HHSC that it does have some impact to HHSC for<00:23:33.120>
• Martin's question,<00:41:23.760> has<00:41:24.160> HHSC question, has HHSC question, has
• I asked HHSC here this question came up.

Keywords: 910, house, all

Transcript Highlights:

• Quad Agency Child Care Initiative will be governed by the Commission composed of The TWC Chair, the HHSC
• to resolve this issue by reducing the frequency... ...of submission of several reports required by HHSC
• It's just an HHSC DOJ piece of legislation.
• My office is independent within HHSC, and I don't represent HHSC.
• Background checks through the central background unit at HHSC are considered complete.

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

Transcript Highlights:

• Lastly, the bill requires a written report to be submitted quarterly to the legislature. by HHSC.
• Right, I'm not sure that this should be gathered by HHSC; maybe it's the DFPS issue.
• HHSC might have that information, but we would not.
• I don't know that we need to really involve HHSC, but we'll listen to the witnesses.
• We also know, as you all do, that HHSC is scheduled for sunset review.

Bills: SB128, SB640, SB672, SB904, SB1141, SB1263, SB1525, SB1528, SB2041, SB2306, SB2308, SB2357, SB2446, SB2695, SB2857, SB2891, SB2583

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, SB 640, Texas Family Code, Department of Family and Protective Services, DFPS, child welfare, foster care, managing conservatorship, suicide attempt, youth suicide, mental health, child protective services, state custody, annual report, reporting requirements

Transcript Highlights:

• seemingly walked with so there you go So I will just say that the purpose of the bill is to require HHSC
• Chair calls up as a resource witness for members questions HHSC.
• HHSC for resource witness.
• I'm a senior advisor with access and eligibility services at HHSC And I'm here on the bill.
• SB 961 makes strides to ensure that HHSC disenrolls Medicaid. enrollees if voter registration records

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• The Quad Agency comprises TWC, HHSC, and TEA, and is tasked with evaluating and resolving duplicative
• Quad agency comprises TWC, HHSC, and TEA, and is tasked with evaluating and resolving duplicative or
• Quad Agency Child Care Initiative will be governed by a commission composed of the TWC Chair, the HHSC
• seeks to resolve the issue by reducing the frequency of submission of several reports required by HHSC
• My office is independent within HHSC, and I don't represent HHSC.

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

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

Summary: The committee met without a quorum at first, then established a quorum with five members present. Members heard and left pending several House bills, including HB 4743 on allowing hospitals to license mobile stroke units under a hospital license, HB 4129 on earlier DFPS enforcement tools for single-source continuum contractors in community-based foster care, HB 4903 creating a Quad Agency Child Care Initiative to coordinate child care regulations across state agencies, HB 3812 revising the gold card/prior authorization process for physicians, HB 4535 requiring written informed consent before COVID-19 vaccination and a standardized state information sheet, and HB 4666 reducing the frequency of some HHSC reports to the legislature. The chair also noted HB 35 would be voted on later after a subcommittee back was received, and that a large number of bills would be heard the next day. Most of the testimony focused on HB 4535 and HB 4730. On HB 4535, supporters argued the bill would strengthen informed consent for COVID vaccination by requiring written consent and clearer state-level information about risks, manufacturer liability protections, and adverse-event reporting; opponents, including a pediatrician and medical groups, said existing federal and state informed-consent materials already cover these topics and warned the bill could create duplicative paperwork and penalties. On HB 3812, the Texas Medical Association supported changes that would extend the gold-card evaluation period to one year, raise transparency, and make prior authorization exemptions easier to administer, while health plans said they were neutral and viewed the bill as a balance between reducing burden and preventing fraud or unsafe care. HB 4730 drew extensive testimony from adoption professionals, birth mothers, adoptive parents, and child welfare advocates. The bill would require DFPS to create a relinquishment form, train child-placing agency staff, and extend the minimum waiting period for voluntary relinquishment from 48 hours to seven days. Supporters of the current law argued the 48-hour period aligns with hospital discharge, allows informed decisions, and helps birth parents and adoptive families begin healing and bonding without pushing children into foster care or creating legal and Medicaid complications. The author said the bill would be revised and that the seven-day provision was a work in progress. No votes were taken on the bills during the meeting; each bill was left pending after public testimony closed.

Transcript Highlights:

• HHSC has had to roll this out extremely fast. The initiatives target core challenges.
• Here in Texas, it is administered by HHSC, the Health and Human Services Commission.
• The federal match is administered by HHSC, the Health and Human Services Commission.
• Our 600-person agency, which is administratively attached to HHSC, is in the chase part.
• This is funded by the federal government but administered at the state level by HHSC.

Keywords: 1184, house, all