Transcript Highlights:

• Thank you. 1101 1102 1103 1104 1105 Members, we have a memorial resolution. Please take your seats.
• Senate resolution 121 by Middleton in memory of Pedro Cuellar Alfaro The chair recognizes Senator Middleton
• Members, this is a memorial resolution for someone that attended many Baytown days, was at this Capitol
• Tuesday February 25th in memory of Congresswoman Eddie Bernice Johnson constituent of Senator West, Carl

Bills: SJR 5, SJR 36, SJR 5, SJR 5, SR 105, SR 121, SB 17, SB 19, SB 25, SB 28, SB 17, SB 19, SB 25, SB 28

Keywords: bail, felony offenses, criminal justice reform, public safety, constitutional amendment, school safety, mental health, emergency response, education policy, law enforcement, SR 121, Senate Resolution 121, Pete Alfaro, Pedro Cuellar Alfaro, Pedro Alfaro, Baytown, Texas Senate tribute, in memory, memorial resolution, condolence resolution

Transcript Highlights:

• Doctors want to be in network.
• Out of the network, right? Has nothing to do with the doctor.
• How many network providers did we have drop out of network?
• in the network.
• We have network leakage. It's very potential.

Bills: HB12, HB145, HB222, HB291, HB430, HB821, HB874, HB909, HB951, HB979, HB1193

Keywords: survivor benefits, law enforcement, reserve officer, auxiliary officer, public safety, firefighters, medical expenses, dental expenses, disability benefits, Medicaid, dental coverage, healthcare access, medical necessity, Louisiana Department of Health, health insurance, provider agreements, contracting actions, participating facilities, network status, survivors benefits

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=PF1ArOYiACI, 2026-06-21T07:17:04+00:00, 2.2.24, Data collected via generic collector engine, 00:00:00 Meeting Start 00:00:11 Roll Call 00:01:45 Consideration of Referred Administrative Regulations 00:02:21 Discussion of The Federal Early Childhood Policy Landscape 00:14:55 Discussion of the Family Child Care Network 00:41:06 Discussion of the YMCA Child Care Realities & Considerations 01:11:11 Discussion of Early Childhood Educator Pathways & Educational Supports 01:31:33 Discussion of the Little Purples Academy, 958, all, 2.2.42, 2.1.47

Transcript Highlights:

• your testimony is done, if you're disconnected, you may attempt to reconnect in the event of a total network
• of<00:09:38.079> a<00:09:38.200> total<00:09:38.640> net<00:09:38.959> Network
• <00:09:39.360> failure event of a total net Network failure event of a total net Network failure
• criminalize dla's lactation<02:15:50.520> special<02:15:51.159> and<02:15:51.320> hanai
• opportunity to do that, so clearly when we can bring and preserve each other's life force and the Hanai

Keywords: 910, house, all

Summary: The joint House Committee on Health and Committee on Consumer Protection and Commerce heard two midwifery bills, with testimony focused primarily on HB 1194. Committee chairs opened the hearing with rules for Zoom testimony and noted the bills relate to midwives. The Department of Commerce and Consumer Affairs said it supported the intent of HB 1194 and offered comments. Supporters of the bill, including the Midwives Alliance of Hawaii, argued that midwifery should remain subject to mandatory licensure to protect consumer safety, citing the state’s regulatory licensing standards and a 2025 state auditor sunset analysis. They said the bill would strengthen educational standards and public protection, and some offered clarifying amendments. Opponents argued HB 1194 would restrict access to care and fail to protect traditional, cultural, and community-based birth practices. Testifiers from the Hawaii Home Birth Task Force, the Hawaii Home Birth Collective, the Libertarian Party of Hawaii, the Center for Reproductive Rights, Pacific Birth Collective, and Papa Ola Lōkahi said the bill would limit licensure pathways, reduce access in rural and underserved areas, and burden Native Hawaiian and traditional practitioners. Several speakers said the measure could worsen Hawaii’s maternal health shortages, especially on Maui, and urged lawmakers to defer HB 1194 or instead advance HB 1328, which they said better protects practitioner access and cultural practices. The Hawaii affiliate of the American College of Nurse-Midwives said it opposed HB 1194 because it did not align with national or state standards for certified midwives and could create conflicts with Medicaid reimbursement and prescriptive authority. The ACLU also opposed the measure, emphasizing reproductive rights, privacy, and the need to preserve apprenticeship pathways to licensure. No vote or final committee action was taken during the portion of the hearing reflected in the transcript.

Transcript Highlights:

• .<00:23:52.640> If<00:23:52.799> my<00:23:52.880> memory<00:23:53.120> serves
• If my memory serves me correctly, >> Right.
• If my memory serves me correctly, uh<00:23:54.480> when<00:23:54.640> I<00:23:54.720>

Keywords: During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used. The lost footage was recovered from backup, and the other issues corrected in post production editing. 1. 00:00:41 Call to Order 2. 00:01:02 Roll Call 3. 00:02:54 Approval of Minutes 4. 00:05:06 Statutory Reports and Data Requests 5. 00:35:14 2025 and 2026 Session Update 6. 01:03:10 Board Structure Updates and Subcommittees 7. 01:05:20 Public Comment 8. 02:23:14 Adjournment, 958, all

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• Um thermal energy networks are builds.
• Thermal energy networks are an innovative technology that Minnesota should continue to advance.
• <00:54:48.880> What's energy networks or TENS. What's energy networks or TENS.
• Thermal energy networks are an innovative technology that Minnesota should continue to advance.
• Thermal energy networks are an innovative technology that Minnesota should continue to advance.

Bills: HF4236, HF4122, HF4377

Keywords: public utility, interim rates, utility rates, rate case, general rate case, Minnesota Public Utilities Commission, PUC, rate increase cap, rate freeze, refunds, customer refunds, ratepayer protection, electric utility, gas utility, regulated utility, ratemaking, return on equity, rate base, test year, rate design

Transcript Highlights:

• it also clarifies that this law does not require any upgrades to the state or local transportation network
• upgrades to the state or local any upgrades to the state or local transportation<00:14:24.079> network
• <00:14:24.800> to<00:14:25.040> accommodate transportation network to accommodate transportation
• network to accommodate the<00:14:26.000> autonomous<00:14:26.560> vehicles.

Bills: SB205, SB222, SB205, SB222

Keywords: appropriation, education funding, priority schools, Alabama education, State Department of Education, medical clinic board, clinic board, hospital bankruptcy, Chapter 11, bankruptcy, debt restructuring, municipal indebtedness, municipal bankruptcy, health care provider, acute care hospital, lease property, board immunity, director liability, civil liability, healthcare finance

Transcript Highlights:

• provider groups... ...and accountability in out-of-network claims.
• claims... ...and accountability in out-of-network claims.
• for out-of-network payments.
• The ability to get a reasonable in-network contracted rate.
• Many do have support networks, but those are in more dire circumstances.

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Summary: The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending. The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending. The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending. Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.

Bills: SJR 5, SJR 36, SJR 5, SJR 5, SR 105, SR 121, SB 17, SB 19, SB 25, SB 28, SB 17, SB 19, SB 25, SB 28

Keywords: bail, felony offenses, criminal justice reform, public safety, constitutional amendment, school safety, mental health, emergency response, education policy, law enforcement, SR 121, Senate Resolution 121, Pete Alfaro, Pedro Cuellar Alfaro, Pedro Alfaro, Baytown, Texas Senate tribute, in memory, memorial resolution, condolence resolution

Transcript Highlights:

• So we have hanai training, which is the initial training that we give to every resource caregiver.
• Sure.<01:37:19.840> So<01:37:20.000> we<01:37:20.239> have<01:37:20.880> hanai
• So we have hanai training which is Sure.
• So we have hanai training which is the<01:37:22.480> initial<01:37:22.960> training<01:

Keywords: 912, senate, all

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=oTkUe8BhO-4, 2026-06-21T07:17:07+00:00, 2.2.24, Data collected via generic collector engine, PLEASE READ - Due to a network outage today's live streams may be unavailable. Should the stream never go live, a recording of the meeting will be uploaded to this channel as soon as possible. We apologize for any inconvenience. Meeting Start: 00:00 Attendance Roll Call: 0:34 Senate Bill 563: 1:08 Votes on Senate Bill 563: 12:21 House Bill 27: 14:00 Votes on House Bill 27: 15:56 House Bill 621: 17:02 Votes of House Bill 621: 18:00 Adjournment: 19:07, 958, all, 2.2.42, 2.1.47

Transcript Highlights:

• I want to begin our program today with a moment of silence in memory of the former House members who
• I want to begin our program today with a moment of silence in memory of the former House members who
• about six different people's districts, but it was The Heights, Montrose, the Museum District, and Memorial
• Memorial Park has the largest amount of urban parkland in any district in the country.
• It's a privilege to be here again with you today in a place that's got so many happy memories for me

Bills: HR33, HR138, HR200, HR243, HR267, HR307, HR353, HR383, HR443, HR446, HR449, HR451, HR453, HR457, HR459, HR460, HR461, HR462, HR464, HR466, HR467, HR474, HR475, HR477, HR479, HR481, HR482, HR483, HR484, HR486, HR487, HR490, HR491, HR497, HR502, HR505, HR509, HR510, HR511, HR512, HR513, HR515, HR516, HR527, HR531, HR532, HR541, HR542, HR547, HR548, HR549, HR550, HR555, HR557, HR564, HR568, HR574, HR575, HR576, HR577, HR578, HR580, HR584, HR586, HR587, HR588, HR589, HR594, HR595, HR597, HR599, HR606, HR607, HR608, HR609, HR610, HR611, HR612, HR613, HR615, HR616, HR617, HR619, HR620, HCR65, HCR119, HR434, HR447, HR450, HR454, HR455, HR458, HR463, HR476, HR478, HR488, HR489, HR492, HR496, HR499, HR522, HR523, HR524, HR533, HR534, HR535, HR536, HR537, HR539, HR546, HR552, HR553, HR554, HR556, HR579, HR582, HR598

Keywords: autism, neurodiversity, awareness, acceptance, public health, HR 138, H.R. 138, House Resolution, Texas House, 89th Texas Legislature, Susan Christian, Houston Mayor's Office of Special Events, MOSE, retirement resolution, congratulatory resolution, ceremonial resolution, Houston, special events, city events, civic events

Transcript Highlights:

• Furthermore, the definition of "out-of-network provider" lacks sufficient clarity regarding how it is
• We strive to be in network with all major carriers, but sometimes that's not always possible.
• settlements for out-of-network payments to be done through arbitration.
• So I just... you know, your in-network rates come down. Fair statement. Fair statement.
• Many do have a support network. But those are in more dire circumstances.

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001, HB136

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Transcript Highlights:

• Since I sit in a hospital and integrated delivery networks, I'm in a largely integrated delivery network
• I mean, just speaking in general, some of these are tools to kind of enforce what we call narrow networks

Bills: HB854, HB 1052, HB1642, HB2076, HB3042, HB3695, HB3787, HB4062, HB4092, SB213, SB493, SB896, HB5519, HB4635

Keywords: insurance, replacement cost, homeowner's policy, renter's policy, condominium insurance, property damage, claims process, telemedicine, teledentistry, telehealth, health benefit plan, insurance coverage, out-of-state services, anxiety, pain management, contraceptive devices, women's health, medical procedures, healthcare, laboratory

Transcript Highlights:

• payment from the provider and/or their practice to cover the difference from the payments for in-network
• . ...and out-of-network benefits if the provider is ultimately denied.
• Even if joining a practice that's already in network, this process can take many months.
• during the credentialing process, so that the patients can receive in-network treatment.
• and out-of-network rates.

Bills: HB854, HB 1052, HB1642, HB2076, HB3042, HB3695, HB3787, HB4062, HB4092, SB213, SB493, SB896, HB5519, HB4635

Keywords: insurance, replacement cost, homeowner's policy, renter's policy, condominium insurance, property damage, claims process, telemedicine, teledentistry, telehealth, health benefit plan, insurance coverage, out-of-state services, anxiety, pain management, contraceptive devices, women's health, medical procedures, healthcare, laboratory

Bills: HB0130, HB0095, HB0096, HB0097, SF0101, SF0106, SF0067, SF0123

Keywords: Second Amendment, firearms, state rights, federal regulation, law enforcement, civil penalties, government liability, concealed carry, public colleges, university facilities, weapons legislation, self-defense, campus safety, weapons, age requirement, permits, HB0097, Wyoming firearms privacy, merchant category code, MCC

Bills: HB0130, HB0095, HB0096, HB0097, SF0101, SF0106, SF0067, SF0123

Keywords: Second Amendment, firearms, state rights, federal regulation, law enforcement, civil penalties, government liability, concealed carry, public colleges, university facilities, weapons legislation, self-defense, campus safety, weapons, age requirement, permits, HB0097, Wyoming firearms privacy, merchant category code, MCC

Transcript Highlights:

• includes those transportation network includes those transportation network drivers,<00:37:30.080
• I don't know that it would be that much of an ask of the legislature to include transportation network
• I don't know that it would be that much of an ask of the legislature to include transportation network
• So, I would presume that it's comparable to other transportation network rides.
• and a direct long-distance network and a direct north-south<01:47:22.040> connection.

Bills: HF4062, HF4063, HF4065, HF3926, HF4216, HF3176, HF3728, HF3988, HF3865

Keywords: vehicle registration, title transfer, rental vehicles, state regulations, motor vehicle laws, school buses, USDOT number, first aid kits, transportation safety, vehicle regulations, transit safety, assault penalties, public transportation, criminal justice, transit workers, transportation, railroad, safety, economic development, public roads

Transcript Highlights:

• then SB 19, the school finance unit value reset, and then SB 44, New Mexico Tech Board monitoring network
• blue and the USGS network shown in red.
• You can see our network coverage is a little better than the USGS network currently in the state.
• But these are really the two public-facing seismic networks that operate in the state.
• So we are going from 17 current stations to 43. ...and our existing network.

Bills: SB64, SB19, SB44, SB83

Keywords: special education, office of special education, deputy secretary, public education department, IEP, individualized education program, students with disabilities, IDEA, Individuals with Disabilities Education Act, dyslexia, dyslexia screening, structured literacy, reading intervention, multilayered system of supports, MTSS, student assistance team, free appropriate public education, FAPE, special education compliance, charter schools

Bills: SB 397, SB 481, SB 596, SB 760, SB 855, SB 1195, SB 1196, SB 1233, SB 1257, SB 1318, SB 1368, SB 1388, SB 1398, SB 1524, SB 1558, SB 1589, SB 1677, SB 1792, SB 2034

Keywords: data privacy, consumer rights, technology, business regulation, cybersecurity, emergency preparedness, nursing facilities, assisted living, resident safety, power outage, voting by mail, legal guardian, electoral process, foster care, medical consent, out-of-network, healthcare access, Medicaid, child protection, expungement