Transcript Highlights:

• You know, I never thought about primary care, but I'd like to give it a try.
• to be exposed to primary care.
• But that's the only area that they could do that—primary care?
• And they could potentially become primary care physicians, which we need a lot of.
• care, there are a lot of primary care residency programs around the state.

Bills: HB 44, HB 2200, HB 1612, HB 2747, HB 2038, HB 3717, HB 1431, HB 3800, HB 3801, HB 3560, HB 3246

Keywords: HB 44, Life of the Mother Act, abortion exceptions, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, miscarriage, spontaneous abortion, fetal survival, Texas abortion law, abortion ban, physician liability, health care provider, disciplinary action, aiding and abetting, emergency abortion, obstetric care

Summary: The meeting of the public health committee focused on the pressing issue of opioid addiction in Texas, with a particular emphasis on House Bill 3717. Chairman Harris detailed the bill's intent to fund a grant program for Ibogaine clinical trials, framing it as a critical response to the ongoing opioid crisis. He shared poignant testimonies highlighting the struggles of families and veterans battling addiction and mental health issues. The conversation underscored the necessity of innovative treatments, like Ibogaine, which showed promising results in studies for reducing symptoms of withdrawal and PTSD.

Transcript Highlights:

• So there's a young woman who is about to age out of foster care now.
• We think that we should be moving in that direction.
• At least we're traveling in the right direction.
• We were doing everything possible, and I have a great primary care physician, and we argued over this
• I'm the Director of Child Protection Policy at Texans Care for Children.

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:

• Henderson, regarding primary care, I've got five rural hospitals that provide services in my district
• Do you all utilize nurse practitioners for primary care? Yes, sir. Yeah.
• Henderson, regarding primary care, I've got five rural hospitals that provide services in my district
• Do you all utilize nurse practitioners for primary care? Yes, sir. Yeah.
• The bill ensures that parents have the right to direct the medical care of their children, which has

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:

• I have been providing care for both... primary care and mental health care in the rural areas for over
• This bill allows for these contracts only for primary care physicians or primary care physician groups
• So this is, one of the easy ways to think about this in primary care; it's kind of like direct primary
• Texas Primary Care Consortium.
• I'm a local practicing physician with a Direct Primary Care Clinic.

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301

Transcript Highlights:

• Basically, a consumer can go to anyone, as opposed to directing the care to the ones that we've...
• No, I'm not going to say it, but anyway—but they’ll still have their... primary care doc.
• Having a health care plan is better than not having a health care plan.
• Inpatient care, okay?
• To me, any care is better than no care. Does that make sense?

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301

Transcript Highlights:

• Our center is currently under the direction of an OB.
• care industry?
• But I can tell you this: trauma-informed care is...
• When we're talking about patient safety and them understanding who's giving them care and what that care
• The proposed name change does not improve quality of patient care, reduce costs, increase access to care

Bills: HB611, HB897, HB902, HB931, HB1030, HB1092, HB1100, HB1118, HB1138, HB1143, HB1160, HB1185, HB1216

Keywords: pregnancy help centers, healthcare services, licensure, Department of Health, medical services, counseling, regulatory compliance, public health, healthcare data, privacy, pregnancy services, confidentiality, client rights, Louisiana Pregnancy and Baby Care Initiative, trauma-informed, child education, mental health, training program, adverse childhood events, religious instruction

Transcript Highlights:

• ,</c> &gt;&gt; Before I wasn't looking this direction, &gt;&gt; Before I wasn't looking this direction
• From a treasurer's perspective, this bill does two primary things.
• year if the primary residence is sold year if the primary residence is sold and<01:01:40.799><c> another
• </c><01:04:16.079><c> tax</c> that is your now your primary tax that is your now your primary tax residence
• </c> residence, primary residence to live in. residence, primary residence to live in.

Bills: SF0110, SF0044, SF0046

Keywords: property tax, residential real estate, tax assessment, primary residence, tax revenue, gambling, lotteries, raffles, social relationships, charitable gaming, gaming, liquor establishments, skill based amusement games, regulations, age restrictions, 916, all

Transcript Highlights:

• Again, hospice care is end-of-life care, and she was able to graduate off of that care.
• We're updating the advanced care directives as discussed during mobile crisis response.
• Uh we're updating the advanced care<00:48:31.200><c> directives</c><00:48:31.760><c> as</c><00:48:32.079
• ><c> dis</c><00:48:32.480><c> uh</c><00:48:32.720><c> discussed</c> care directives as dis uh discussed
• care directives as dis uh discussed during<00:48:33.599><c> mobile</c><00:48:34.079><c> crisis</c><00

Bills: HF4210, HF4212, HF4549, HF4464, HF4546, HF4447

Keywords: senior nutrition, older adults, aging services, home-delivered meals, congregate dining, meal delivery, grocery delivery, food insecurity, nutrition support, area agencies on aging, Minnesota Board on Aging, human services, special revenue fund, nonprofit grants, SNAP outreach, medically tailored meals, rural nutrition, food access, transportation services, elderly

Transcript Highlights:

• In a direct primary care model, they're not. That's right.
• Advertising for direct primary care, but I would if you've never tried it.
• In a direct primary care model, where you're paying on a monthly basis, they are...
• Our 200 employees, the vast majority of people have chosen a direct primary care model.
• I'm a direct primary care physician. Are you registered to testify? Thank you.

Bills: HB3000, HB2622, HB2283, HB541, HB1776, HB1803, HB1669, HB2588, HB220, HB3415, HB50, HB1314, HB 107, HB220, HB50, HB107

Keywords: ambulance service, rural healthcare, grants, financial assistance, qualified counties, mental health, patient transport, female attendants, security measures, healthcare regulation, epinephrine, anaphylaxis, health care, school safety, training, emergency response, direct patient care, healthcare, physicians, medical services

Bills: HF2431

Keywords: higher education, college affordability, student aid, state grants, North Star Promise, scholarships, financial aid, Minnesota State, University of Minnesota, Office of Higher Education, tuition relief, work-study, child care grants, hunger-free campus, food insecurity, student parents, pregnant students, parenting students, sexual misconduct, Title IX

Bills: HF2431

Keywords: higher education, college affordability, student aid, state grants, North Star Promise, scholarships, financial aid, Minnesota State, University of Minnesota, Office of Higher Education, tuition relief, work-study, child care grants, hunger-free campus, food insecurity, student parents, pregnant students, parenting students, sexual misconduct, Title IX

Bills: HB816, HB1535, HB1537, HB1541, HB1562, HB1574, HB1591, HB1853, HB1854, HB1871, HB1965, HB1966, HB1969, HB1973, HB1974, HB2315, HB2343, HB2501, HB2505, HB1577, HB2443, HB2498, HB2581, HB2622

Keywords: HB816, Hawaii, opioid overdose, opioid crisis, buprenorphine, naloxone, Narcan, paramedics, emergency medical services, EMS, first responders, substance use disorder, addiction treatment, withdrawal management, overdose reversal, pilot program, Department of Health, DOH, county population under 100,000, rural health

Transcript Highlights:

• It's carved out of most of the Affordable Care Act.
• That's all taken care of by the professional dispensing fee.
• and risks increasing cost and limiting access to care.
• Nothing in our health care system comes by magic. It comes by work.
• We want the best care we can possibly get for our constituents.

Bills: HB591, HB765, HB826, HB870, HB938, HB1151, HB1162, HB1176, HB1196, HB1236, HB1241

Keywords: family leave, insurance, paid leave, employment benefits, caregiver support, liability insurance, coverage defenses, direct action, judgment enforcement, legal procedures, insurance referrals, compensation, non-licensed agents, consumer protection, insurance products, HB 870, Act 907, Louisiana insurance, health insurance, prescription drugs

Transcript Highlights:

• Direct Care and Treatment or the executive board have been added so that once Direct Care and Treatment
• Care and Treatment or the Direct Care and Treatment executive board.
• Direct Care and Treatment or the executive board have been added so that once Direct Care and Treatment
• Care and Treatment or the Direct Care and Treatment executive board.
• Care and Treatment or the Direct Care and Treatment executive board.

Bills: HF1662, HF2115, HF2159, HF1095, HF2160

Keywords: veterans, veterans affairs, State Soldiers Assistance Program, Veterans Stable Housing Initiative, MAXIS, human services data, data sharing, eligibility verification, informed consent, private data, benefits coordination, veteran housing, veteran assistance, Department of Human Services, Children Youth and Families, state benefits, federal benefits, privacy, public assistance, human services

Transcript Highlights:

• We take care of relinquished pets that have been brought in by law enforcement, lab, experimental retired
• So we take care of these guys, and we're honored to do that.

Bills: SB1550, SB2065, SB2110, SB2111, SB2114, SB2152, SB2159, SB2172

Keywords: burn ban, drought, emergency powers, county commissioners, fire safety, wildfire prevention, pollinator, state symbols, agriculture, insects, environment, SB2110, eggs, ungraded eggs, graded eggs, egg sales, poultry, farmers market, direct-to-consumer sales, local food

Transcript Highlights:

• I'm the primary care physician for these girls. were adopted from China.
• The person receiving care has the right to make choices and decisions about their medical care.
• Supported by the health plans, primary care consortium and Texas 24.
• Who paid for these prologues and directed donations?
• I don't care how many percentage it is, it's humans.

Bills: SB 53, SB53, SB125, SB315, SB379, SB457, SB541, SB599, SB896, SB921, SB963, SB1038, SB1084, SB1330, SB1461

Keywords: voter registration, election procedures, provisional ballot, change of address, residence requirements, mental health, court proceedings, notice requirements, legal filings, electronic documents, autologous blood donation, direct blood donation, blood bank, hospital, Health and Safety Code, physician order, preoperative blood donation, patient blood reserve, transfusion, surgery

Transcript Highlights:

• Primary Care. Okay, thank you.
• Gerald Davis, Louisiana Primary Care Association; Reagan Carter, Louisiana Primary Care Association;
• Association; Latonia Batisse, Louisiana Primary Care Association; Tamika Henry, Louisiana Primary Care
• Gerald Davis, Louisiana Primary Care Association; Reagan Carter, Louisiana Primary Care Association;
• Lorraine, Louisiana Primary Care Association; Latonia Batisse, Louisiana Primary Care Association; Tamika

Bills: HB624, HB1022, HB1203, SB82, SB206, SB305, SB376, SB441

Keywords: school safety, emergency operations plan, crisis management, active shooter, drills, training, classroom security, primary health services, behavioral health, school health providers, medical necessity, student health care, education, school week, instructional time, public schools, performance score, student athletes, cardiovascular health, sudden cardiac arrest

Transcript Highlights:

• This is just access to care.
• Why would we deny care, and why is it that we deny care for some and not others?
• care that they deserve.
• If I were a provider of this care and I had this bill in front of me, I would not provide the care.
• access to care.

Bills: SB1014, SB1094, SB1146, SB1177, SB1192, SB1194, SB1214, SB1372, SB1390, SB1398, SB1399, SB1494, SB1557, SB1561, SB1564, SB1602, SB1603, SB1621, SB1628, SB1629, SB1713, SB1752, SB1776, SB1813, SB1814, SB1821

Keywords: gender transition, gender detransition, health insurance, medical procedures, insurance claims, official documents, Arizona law, gender reassignment, civil liability, minors, medical consent, detransition, dependent children, foster care, periodic review, court hearings, child welfare, public funds, prohibition, Arizona legislation

Transcript Highlights:

• We treat acute care.
• It's a bill about medical care, correct. about medical care and it is attempting to separate us from
• Who's going to care for them? This child who's now pregnant, who's going to care for the baby?
• care, or in the state for care.
• term would be obstetric care well couldn't have emergency physician provide obstetric care?

Bills: HB44, HB2200, HB1612, HB2747, HB2038, HB3717, HB1431, HB3800, HB3801, HB3560, HB3246, HB44

Keywords: HB 44, Life of the Mother Act, abortion exceptions, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, miscarriage, spontaneous abortion, fetal survival, Texas abortion law, abortion ban, physician liability, health care provider, disciplinary action, aiding and abetting, emergency abortion, obstetric care

Transcript Highlights:

• I would like to direct you first of all to page two. I apologize, I have a little bit of a cold.
• If they're paying rent, they tend to take better care of it. Just a slight aside, Mr.
• This bill also protects primary resident homeowners without creating the sweeping revenue losses that
• This bill<01:28:47.520><c> also</c><01:28:47.840><c> protects</c><01:28:48.320><c> primary</c><01:28:
• 48.960><c> resident</c> bill also protects primary resident bill also protects primary resident homeowners

Bills: SF0061, SF0098, SF0110

Keywords: sales tax, motor vehicle, family transfer, tax exemption, Wyoming legislation, veteran, property tax exemption, Wyoming National Guard, honorable discharge, tax benefits, surviving spouse, military service, property tax, residential real estate, tax assessment, primary residence, tax revenue, 916, all