Transcript Highlights:

• state plan amendments, there are other documents that we file with Medicare, and with the state with CMS

Bills: HB0004

Keywords: medical assistance, birthing centers, healthcare, Medicaid, Wyoming, 916, all

Transcript Highlights:

• with the payment structure, we have to submit a state plan amendment, which then opens the door for CMS

Keywords: 908, all

Summary: The Human Services Committee met in interim session and first approved the previous meeting minutes before receiving a series of presentations on homelessness and housing stability. Jennifer Henderson of the North Dakota Housing Finance Agency updated members on the new Interagency Council on Homelessness, describing its executive-order mandate to review resources, gather input from stakeholders, identify gaps, and develop recommendations. She said the council’s first work is building a statewide program matrix of existing homeless services and funding sources, with attention to youth, tribal communities, and other vulnerable populations. Members raised concerns about youth homelessness, homeless veterans, and how the council will stay focused on a practical framework rather than getting lost in details. The committee also discussed possible connections to the rural health transformation grant and agreed to continue the topic later in the spring. Beth Olson of Presentation Partners in Housing described the organization’s housing-first model in Cass County and Clay County, including homeless prevention/diversion, housing navigation, and Cooper House, a 42-unit permanent supportive housing building in Fargo. She said the organization focuses on people with long-term and chronic homelessness, many with mental health, addiction, health, domestic violence, and Indigenous identity-related barriers, and reported strong outcomes: 85 of 86 people housed in 2025, 91% still housed after one year, and major reductions in emergency room use, ambulance rides, jail stays, detox days, and shelter use. She also explained that state funding has grown from a small share of the budget to about $1.1 million in state-connected funding for fiscal 2026, largely through contracts tied to supportive services. Members asked about vouchers, rent contributions at Cooper House, length of stay, and whether similar projects could be expanded elsewhere. Andrea Olson of the Community Action Partnership of North Dakota outlined statewide homeless and housing-related services delivered through six community action agencies in all 53 counties. She explained the Community Services Block Grant structure, said housing was identified as the top need in the most recent statewide needs assessment, and described programs including Supportive Services for Veteran Families, North Dakota Homeless Grant services, and Home ARP supportive services. She emphasized that the end of North Dakota Rent Help has increased pressure on the system, that the current $2 million annual homeless grant is far smaller than prior rent-help assistance, and that community action is using case management and financial assistance to move households toward self-sufficiency. Members asked about funding formulas, rural service delivery, and coordination with Presentation Partners to avoid duplication. YouthWorks then began a presentation on youth homelessness, describing services for ages 12 to 24, the special needs of youth and former foster youth, and the organization’s use of federal and state funds to support transitional housing, emergency shelter, maternity housing, and diversion services.

Transcript Highlights:

• CMS requires us to pay those state-directed payments through our MCOs.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services heard a presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses. The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness. Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.

Transcript Highlights:

• We've invited other entities that can come and be stationed there at this facility, including UNM, CM

Transcript Highlights:

• DHS certifies those Dollars to CMS, and then those dollars are sent through the federal government.

Transcript Highlights:

• CDSS, and we serve as the project sponsor for the CWS Cares build, as well as the oversight over CWS/CMS

Summary: The Assembly Budget Subcommittee on Human Services held an informational hearing on child welfare, foster care, child support, and related prevention efforts. The chair opened by emphasizing mandated reporting reform, foster care system improvements, and community-based prevention, and noted that no votes would be taken. Public testimony focused first on mandated reporting, where a lived-experience advocate and several organizations argued that the current system overreports families, especially Black, Native, and Latino families, causes trauma, and should be reformed through standardized training, clearer thresholds, and stronger community supports rather than more hotline referrals. Casey Family Programs cited data showing nearly 90% of reports are unsubstantiated, while CDSS said it is already forming a Mandated Reporting Advisory Committee, updating training, and exploring community pathways and possible changes to the list of mandated reporters. CWDA and SEIU supported training and alternative response concepts but stressed child safety, county capacity, funding, and the need for careful implementation and accountability. The committee then discussed a proposal to create a foster care multi-agency office within the California Health and Human Services Agency, led by a chief foster youth advocate with authority to coordinate across departments. Advocates said foster youth often need services from education, health, housing, and behavioral health systems that do not coordinate well, and argued that a central office with real authority could improve placement stability and access to services. CDSS responded that existing structures already provide coordination, including AB 2083 interagency teams, the Child Welfare Council, complex care steering committees, and the foster care ombudsperson, but said it was open to technical assistance. Members raised concerns about whether the new office would have enough authority and funding to avoid becoming another layer of bureaucracy, and the chair emphasized the need for real “teeth” and better interagency action. The final major topic was the continuation and expansion of Promise Neighborhoods. A community leader described strong early results from the state-funded neighborhoods, including improved kindergarten readiness, reduced chronic absenteeism, higher graduation rates, food access, housing supports, and mental health services, but warned that current funding sunsets in June 2025 and that a fiscal cliff could jeopardize staff and services. CDSS said the four funded neighborhoods have reported positive outcomes and valuable flexibility, but also noted challenges with one-time funding, student mental health, and long-term planning. Assemblymember Mia Bonta urged continued investment, saying the place-based model is difficult to rebuild once lost, and the chair asked LAO to help identify the minimum funding needed to preserve the existing infrastructure while evaluation results are still pending.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, June 9, 2026, 1012, house, all

Transcript Highlights:

• Uh, we were required by CMS, the Centers for Medicaid and Medicaid Services, to vaccinate all employees
• Uh, we were required by CMS, the Centers for Medicaid and Medicaid Services, to vaccinate all employees
• Uh, we were required by CMS, the Centers for Medicaid and Medicaid Services, to vaccinate all employees
• Uh, we were required by CMS, the Centers for Medicaid and Medicaid Services, to vaccinate all employees

Keywords: 928, house, all

Summary: The committee first heard House Bill 199, which would extend the statute of limitations for civil actions seeking damages from PFAS contamination from six years to 20 years. The prime sponsor and other supporters argued that PFAS contamination in southern New Hampshire has long-term and often delayed health and property impacts, making the current six-year period too short for victims to discover harm, connect it to exposure, and seek relief. Supporters described contamination in places such as Merrimack and surrounding communities, cited health concerns including cancer, developmental issues, and other illnesses, and said a longer period would better preserve legal rights while still requiring proof of causation. The Department of Environmental Services said it was not taking a position but acknowledged the contamination and ongoing work to address it. The Business and Industry Association opposed the bill, arguing that evidence becomes stale over time, memories and documents fade, and a longer window would make it harder to determine causation when other exposures or intervening factors may be involved. Committee members questioned both sides about causation, the difficulty of proving PFAS-related illness, and whether a 20-year period was necessary if a plaintiff already knows of the injury and its source. Supporters responded that PFAS effects can emerge slowly, that scientific understanding continues to develop, and that current knowledge is still incomplete. Opponents said the existing discovery rule already starts the clock when harm and causal connection are known, and that extending the period would reduce clarity and fairness in litigation. After testimony and questions, the chair closed the hearing on HB 199. The committee then opened House Bill 268 FN, which was described as a technical measure to confirm that the Board of Tax and Land Appeals may hold hearings in its Concord hearing rooms. The sponsor indicated the bill reflects current practice and does not require additional facilities. With only one witness listed and no apparent opposition, the discussion was brief and focused on why the authorization should be placed in statute rather than left to practice.

Transcript Highlights:

• .<03:47:42.560> Wheeler<03:47:42.960> from<03:47:43.199> CM<03:47:43.520> then
• Wheeler from CM then from CMC Dr.
• Wheeler from CM then from CMC suggested<03:47:44.880> the<03:47:45.040> bill.

Keywords: 1189, house, all

Transcript Highlights:

• address whose hospital physical address whose hospital physical address qualifies for the definition of CMS
• qualifies for the definition of CMS qualifies for the definition of CMS rural for rural health clinics

Bills: SJR 59, SCR 30, SCR 46, SB 31, SB 127, SB 324, SB 401, SB 407, SB 467, SB 482, SB 506, SB 529, SB 584, SB 619, SB 636, SB 646, SB 647, SB 659, SB 715, SB 732, SB 735, SB 771, SB 784, SB 800, SB 801, SB 816, SB 1013, SB 1026, SB 1049, SB 1055, SB 1065, SB 1137, SB 1169, SB 1181, SB 1383, SB 1395, SB 1410, SB 1433, SB 1524, SB 1531, SB 1568, SB 1640, SB 1666, SB 1681, SB 1718, SB 1754, SB 1757, SB 1972, SB 1980, SB 2004, SB 2007, SB 2041, SB 2046, SB 2050, SB 2075, SB 2076, SB 2154, SB 2173, SB 2206, SB 2225, SB 2253, SB 2268, SB 2306, SB 2308, SB 2314, SB 2322, SB 2330, SB 2351, SB 2366, SB 2371, SB 2392, SB 2398, SB 2476, SB 2533, SB 2540, SB 2544, SB 2589, SB 2610, SB 2623, SB 2660, SB 2662, SB 2693, SB 2707, SB 2717, SB 2722, SB 2742, SB 2753, SB 2779, SB 2807, SB 2843, SB 2844, SB 2858, SB 2877, SB 2880, SB 2885, SB 2920, SB 2938, SB 2986, HJR 4, HCR 35, SJR 3, SJR 18, SB 5, SB 260, SB 1786, SB 914, SB 963, SB 1197, SB 1415, SB 1437, SJR 36, SJR 50, SJR 63, SJR 84, SJR 59, SCR 12, SCR 39, SCR 46, SCR 48, SCR 19, SCR 30, SCR 3, SB 2023, SB 1433, SB 2322, SB 2877, SB 407, SB 1718, SB 1395, SB 62, SB 666, SB 847, SB 284, SB 854, SB 1073, SB 810, SB 1505, SB 583, SB 1502, SB 507, SB 1026, SB 1434, SB 1376, SB 1585, SB 1772, SB 2016, SB 1163, SB 619, SB 1122, SB 732, SB 731, SB 397, SB 508, SB 1436, SB 287, SB 261, SB 1882, SB 393, SB 1791, SB 529, SB 209, SB 2429, SB 1999, SB 511, SB 2309, SB 510, SB 2253, SB 584, SB 1085, SB 2314, SB 2046, SB 1975, SB 2717, SB 1262, SB 1524, SB 1137, SB 636, SB 2056, SB 884, SB 517, SB 1200, SB 1410, SB 1845, SB 1863, SB 2681, SB 2200, SB 2199, SB 1757, SB 2050, SB 2458, SB 2201, SB 1055, SB 2660, SB 2662, SB 1065, SB 801, SB 2533, SB 3014, SB 3013, SB 758, SB 647, SB 1721, SB 2268, SB 2366, SB 1013, SB 2797, SB 2371, SB 2383, SB 646, SB 1169, SB 1754, SB 2779, SB 2004, SB 2119, SB 2448, SB 1777, SB 1283, SB 2392, SB 2076, SB 2786, SB 2876, SB 2284, SB 2225, SB 1540, SB 2920, SB 2929, SB 1972, SB 2540, SB 2742, SB 2595, SB 2217, SB 715, SB 2330, SB 1383, SB 500, SB 1640, SB 2001, SB 2080, SB 2722, SB 506, SB 2514, SB 2623, SB 2753, SB 2398, SB 1241, SB 2927, SB 2173, SB 2538, SB 898, SB 467, SB 1449, SB 2529, SB 1531, SB 2846, SB 2476, SB 986, SB 1181, SB 2075, SB 2154, SB 2864, SB 31, SB 2880, SB 1359, SB 2386, SB 771, SB 2844, SB 2550, SB 1351, SB 1423, SB 1931, SB 2245, SB 2589, SB 2707, SB 2807, SB 2351, SB 410, SB 659, SB 816, SB 2776, SB 2693, SB 2580, SB 1980, SB 1886, SB 1234, SB 739, SB 482, SB 456, SB 127, SB 1666, SB 2843, SB 2801, SB 800, SB 2055, SB 784, SB 2986, SB 735, SB 1012, SB 324, SB 2926, SB 2938, SB 2007, SB 2138, SB 1242, SB 2615, SB 1049, SB 2310, SB 1224, SB 2972, SB 1568, SB 2841, SB 2885, SB 3016, SB 2858, SB 2610, SB 2139, SB 1856, SB 2035, SB 2308, SB 2306, SB 2041, SB 1528, SB 1681, SB 1141, SB 2401, SB 2530, SB 2375, SB 547, SB 1266, SB 1373, SB 1467, SB 2069, SB 2269, SB 2480, SB 2544, SB 672, SB 904, SB 2695, SB 2891, SB 2422, SB 2543, SB 1854, SB 317, SB 2539, SB 2532, SB 2925, SB 1250, SB 2082, SB 2203, SB 457, SB 2357, HJR 4, HB 135, HB 1109, HCR 35, HCR 64, SB 2721, SB 243, SB 1285, SB 2568, SB 1959, SB 1442, SB 1454, SB 2520, SB 2541, SB 1708, SB 1237, SB 1844, SB 1586, SB 1, SB 260, SB 31, SB 467, SB 482, SB 647, SB 732, SB 816, SB 1055, SB 1137, SB 1169, SB 2004, SB 2253, SB 2268, SB 2314, SB 2351, SB 2371, SB 2623, SB 2722, SB 2779, SB 2920, HJR 4, SB 407, SB 1395, SB 1433, SB 1718, SB 2322, SB 2877, SB 619, SB 646, SB 1026, SB 2742, SB 2880, SR 443, SR 449, SR 456, SR 460, SR 465, SCR 46, SB 260, SB 3062, HJR 8, HJR 31, HJR 72, HJR 99, HJR 133, HB 29, HB 33, HB 50, HB 107, HB 116, HB 125, HB 140, HB 141, HB 155, HB 171, HB 227, HB 255, HB 363, HB 368, HB 491, HB 609, HB 630, HB 745, HB 767, HB 913, HB 917, HB 1135, HB 1188, HB 1238, HB 1242, HB 1261, HB 1318, HB 1404, HB 1495, HB 1507, HB 1606, HB 1708, HB 1748, HB 1851, HB 1922, HB 2002, HB 2003, HB 2198, HB 2355, HB 2358, HB 2415, HB 2457, HB 2495, HB 2546, HB 2637, HB 2763, HB 2765, HB 2798, HB 2818, HB 3228, HB 3307, HB 4116, HCR 29, SB 1410, SB 3062, HJR 8, HJR 31, HJR 72, HJR 99, HJR 133, HB 29, HB 33, HB 50, HB 107, HB 116, HB 125, HB 140, HB 141, HB 155, HB 171, HB 227, HB 255, HB 363, HB 368, HB 491, HB 609, HB 630, HB 745, HB 767, HB 913, HB 917, HB 1135, HB 1188, HB 1238, HB 1242, HB 1261, HB 1318, HB 1404, HB 1495, HB 1507, HB 1606, HB 1708, HB 1748, HB 1851, HB 1922, HB 2002, HB 2003, HB 2198, HB 2355, HB 2358, HB 2415, HB 2457, HB 2495, HB 2546, HB 2637, HB 2763, HB 2765, HB 2798, HB 2818, HB 3228, HB 3307, HB 4116, HCR 29, SB 1410

Keywords: education funding, Texas State Technical College System, capital projects, infrastructure, higher education, Birding Capital, Matagorda County, wildlife, conservation, Texas Legislature, Texas beef, cattle industry, agricultural heritage, Texas strip steak, economic growth, SB 31, Life of the Mother Act, Texas abortion law, medical emergency, reasonable medical judgment

Transcript Highlights:

• address whose hospital physical address whose hospital physical address qualifies for the definition of CMS
• qualifies for the definition of CMS qualifies for the definition of CMS rural for rural health clinics

Bills: SJR 59, SCR 30, SCR 46, SB 31, SB 127, SB 324, SB 401, SB 407, SB 467, SB 482, SB 506, SB 529, SB 584, SB 619, SB 636, SB 646, SB 647, SB 659, SB 715, SB 732, SB 735, SB 771, SB 784, SB 800, SB 801, SB 816, SB 1013, SB 1026, SB 1049, SB 1055, SB 1065, SB 1137, SB 1169, SB 1181, SB 1383, SB 1395, SB 1410, SB 1433, SB 1524, SB 1531, SB 1568, SB 1640, SB 1666, SB 1681, SB 1718, SB 1754, SB 1757, SB 1972, SB 1980, SB 2004, SB 2007, SB 2041, SB 2046, SB 2050, SB 2075, SB 2076, SB 2154, SB 2173, SB 2206, SB 2225, SB 2253, SB 2268, SB 2306, SB 2308, SB 2314, SB 2322, SB 2330, SB 2351, SB 2366, SB 2371, SB 2392, SB 2398, SB 2476, SB 2533, SB 2540, SB 2544, SB 2589, SB 2610, SB 2623, SB 2660, SB 2662, SB 2693, SB 2707, SB 2717, SB 2722, SB 2742, SB 2753, SB 2779, SB 2807, SB 2843, SB 2844, SB 2858, SB 2877, SB 2880, SB 2885, SB 2920, SB 2938, SB 2986, HJR 4, HCR 35, SJR 3, SJR 18, SB 5, SB 260, SB 1786, SB 914, SB 963, SB 1197, SB 1415, SB 1437, SJR 36, SJR 50, SJR 63, SJR 84, SJR 59, SCR 12, SCR 39, SCR 46, SCR 48, SCR 19, SCR 30, SCR 3, SB 2023, SB 1433, SB 2322, SB 2877, SB 407, SB 1718, SB 1395, SB 62, SB 666, SB 847, SB 284, SB 854, SB 1073, SB 810, SB 1505, SB 583, SB 1502, SB 507, SB 1026, SB 1434, SB 1376, SB 1585, SB 1772, SB 2016, SB 1163, SB 619, SB 1122, SB 732, SB 731, SB 397, SB 508, SB 1436, SB 287, SB 261, SB 1882, SB 393, SB 1791, SB 529, SB 209, SB 2429, SB 1999, SB 511, SB 2309, SB 510, SB 2253, SB 584, SB 1085, SB 2314, SB 2046, SB 1975, SB 2717, SB 1262, SB 1524, SB 1137, SB 636, SB 2056, SB 884, SB 517, SB 1200, SB 1410, SB 1845, SB 1863, SB 2681, SB 2200, SB 2199, SB 1757, SB 2050, SB 2458, SB 2201, SB 1055, SB 2660, SB 2662, SB 1065, SB 801, SB 2533, SB 3014, SB 3013, SB 758, SB 647, SB 1721, SB 2268, SB 2366, SB 1013, SB 2797, SB 2371, SB 2383, SB 646, SB 1169, SB 1754, SB 2779, SB 2004, SB 2119, SB 2448, SB 1777, SB 1283, SB 2392, SB 2076, SB 2786, SB 2876, SB 2284, SB 2225, SB 1540, SB 2920, SB 2929, SB 1972, SB 2540, SB 2742, SB 2595, SB 2217, SB 715, SB 2330, SB 1383, SB 500, SB 1640, SB 2001, SB 2080, SB 2722, SB 506, SB 2514, SB 2623, SB 2753, SB 2398, SB 1241, SB 2927, SB 2173, SB 2538, SB 898, SB 467, SB 1449, SB 2529, SB 1531, SB 2846, SB 2476, SB 986, SB 1181, SB 2075, SB 2154, SB 2864, SB 31, SB 2880, SB 1359, SB 2386, SB 771, SB 2844, SB 2550, SB 1351, SB 1423, SB 1931, SB 2245, SB 2589, SB 2707, SB 2807, SB 2351, SB 410, SB 659, SB 816, SB 2776, SB 2693, SB 2580, SB 1980, SB 1886, SB 1234, SB 739, SB 482, SB 456, SB 127, SB 1666, SB 2843, SB 2801, SB 800, SB 2055, SB 784, SB 2986, SB 735, SB 1012, SB 324, SB 2926, SB 2938, SB 2007, SB 2138, SB 1242, SB 2615, SB 1049, SB 2310, SB 1224, SB 2972, SB 1568, SB 2841, SB 2885, SB 3016, SB 2858, SB 2610, SB 2139, SB 1856, SB 2035, SB 2308, SB 2306, SB 2041, SB 1528, SB 1681, SB 1141, SB 2401, SB 2530, SB 2375, SB 547, SB 1266, SB 1373, SB 1467, SB 2069, SB 2269, SB 2480, SB 2544, SB 672, SB 904, SB 2695, SB 2891, SB 2422, SB 2543, SB 1854, SB 317, SB 2539, SB 2532, SB 2925, SB 1250, SB 2082, SB 2203, SB 457, SB 2357, HJR 4, HB 135, HB 1109, HCR 35, HCR 64, SB 2721, SB 243, SB 1285, SB 2568, SB 1959, SB 1442, SB 1454, SB 2520, SB 2541, SB 1708, SB 1237, SB 1844, SB 1586, SB 1, SB 260, SB 31, SB 467, SB 482, SB 647, SB 732, SB 816, SB 1055, SB 1137, SB 1169, SB 2004, SB 2253, SB 2268, SB 2314, SB 2351, SB 2371, SB 2623, SB 2722, SB 2779, SB 2920, HJR 4, SB 407, SB 1395, SB 1433, SB 1718, SB 2322, SB 2877, SB 619, SB 646, SB 1026, SB 2742, SB 2880, SR 443, SR 449, SR 456, SR 460, SR 465, SCR 46, SB 260, SB 3062, HJR 8, HJR 31, HJR 72, HJR 99, HJR 133, HB 29, HB 33, HB 50, HB 107, HB 116, HB 125, HB 140, HB 141, HB 155, HB 171, HB 227, HB 255, HB 363, HB 368, HB 491, HB 609, HB 630, HB 745, HB 767, HB 913, HB 917, HB 1135, HB 1188, HB 1238, HB 1242, HB 1261, HB 1318, HB 1404, HB 1495, HB 1507, HB 1606, HB 1708, HB 1748, HB 1851, HB 1922, HB 2002, HB 2003, HB 2198, HB 2355, HB 2358, HB 2415, HB 2457, HB 2495, HB 2546, HB 2637, HB 2763, HB 2765, HB 2798, HB 2818, HB 3228, HB 3307, HB 4116, HCR 29, SB 1410, SB 3062, HJR 8, HJR 31, HJR 72, HJR 99, HJR 133, HB 29, HB 33, HB 50, HB 107, HB 116, HB 125, HB 140, HB 141, HB 155, HB 171, HB 227, HB 255, HB 363, HB 368, HB 491, HB 609, HB 630, HB 745, HB 767, HB 913, HB 917, HB 1135, HB 1188, HB 1238, HB 1242, HB 1261, HB 1318, HB 1404, HB 1495, HB 1507, HB 1606, HB 1708, HB 1748, HB 1851, HB 1922, HB 2002, HB 2003, HB 2198, HB 2355, HB 2358, HB 2415, HB 2457, HB 2495, HB 2546, HB 2637, HB 2763, HB 2765, HB 2798, HB 2818, HB 3228, HB 3307, HB 4116, HCR 29, SB 1410

Keywords: education funding, Texas State Technical College System, capital projects, infrastructure, higher education, Birding Capital, Matagorda County, wildlife, conservation, Texas Legislature, Texas beef, cattle industry, agricultural heritage, Texas strip steak, economic growth, SB 31, Life of the Mother Act, Texas abortion law, medical emergency, reasonable medical judgment

Transcript Highlights:

• only have one question in so far as, um, you know, I've heard talk about the one by 10 to the minus 5 cm
• 10<05:38:01.320> to<05:38:01.638> the<05:38:02.160> minus5<05:38:03.160> cm
• <05:38:03.840> per About the one by 10 to the minus 5 cm per second.

Keywords: 928, house, all

Summary: The Environment and Agriculture Committee met in work session on several bills, beginning with HB 153, which would require two or more law enforcement officers in each county to receive animal cruelty training. Members said the bill had been sent to the Animal Protection and Licensing Subcommittee, where Representative Kuttab is expected to schedule a meeting soon to consider possible amendments based on testimony and other ideas. The committee later returned to HB 153 and confirmed a work session was planned for February 14, with discussion also including whether to explore a task force concept raised in testimony. The committee also discussed HB 215 and HB 566, both related to landfill permitting and leachate or harm/benefit reporting. Representative Gerana said he had met with the DES director and was working on amendments that would add a preliminary screening phase for determining net public benefit and expand the list of benefits beyond capacity need to include items such as economic and infrastructure benefits. HB 566 was said to be in the same posture as HB 215, and both were slated for subcommittee review the following Tuesday morning. HB 171 was also added for subcommittee discussion, with members saying the changes would be technical rather than substantive. HB 240, which removes forfeiture penalties for non-payment of dog licenses, drew support for a simple amendment changing a statutory “shall” to “may” so municipal officials would have discretion about issuing a warrant. Representative Bixby said OLS advised that this was the cleanest way to provide flexibility, and he reported that the sponsor was agreeable to the change. The committee also discussed HB 179, concerning hazardous waste accident fees, where the sponsor proposed a revised amendment imposing a $1,000-per-day penalty after 90 days of non-payment. Members raised concerns about homeowners, hobby farmers, and whether the bill could unfairly burden people who were not negligent or whose insurance claims were delayed. The sponsor and others said the intent was to recover costs from responsible parties, especially businesses, and to protect local taxpayers and fire departments from bearing the cost of damaged hazardous materials equipment. No votes were taken; the bills were left for further subcommittee work and amendment drafting.

Transcript Highlights:

• So then you have more complex vehicles like CM at Risk or Design Build, where you have, once you get

Summary: During the meeting, legislative members discussed the practice of municipalities diverting water and sewer revenues to their general funds, which impacts infrastructure maintenance and project delays. Vice Chair Sparks proposed limiting public testimony to two minutes, which was adopted without objection. The committee heard from various witnesses, including Perry Fowler from the Texas Water Infrastructure Network, who emphasized that utility revenues should primarily support water services and that transfers should be transparent and justified. He noted that many utilities face financial pressures that could hinder infrastructure projects. Larry French from the Texas Public Policy Foundation highlighted the significant financial impact of water loss and general fund transfers, estimating the annual loss at $1.5 billion. He argued that these transfers can create disincentives for municipalities to address water loss issues. Brian Butcher, Assistant City Manager of Sugar Land, defended the city's cost allocation model for general fund transfers, asserting that they are necessary for equitable service provision and operational efficiency. The committee also discussed the implications of rising construction costs and the need for better procurement processes to ensure effective use of taxpayer dollars. The second part of the meeting focused on the New World Screwworm and the state's preparedness to manage potential infestations. Dudley Hoskins from the USDA outlined the federal response efforts and the importance of collaboration with state agencies. He emphasized the need for ongoing surveillance and the production of sterile flies to combat the pest. Dr. Philip Kaufman from Texas A&M discussed the historical context of the screwworm and the challenges posed by its potential reintroduction, urging proactive management strategies among livestock producers. The committee acknowledged the need for increased resources and research to effectively address the threat of the screwworm.

Transcript Highlights:

• were also transmitted to the United States Health and Human Services Office of Inspector General and CMS

Summary: The committee first took up SB 1377, a bill on medical exemptions for school immunizations. The author and supporters said the measure was a narrow reform to restore physician discretion and reduce what they described as chilling effects from audits and license discipline; opponents from pediatric, medical, public health, and school groups argued the current system already works, protects against fraudulent exemptions, and should not be weakened. Committee members debated the data, the number of exemptions reviewed or revoked, and the effect of the proposed amendments. The bill was amended in committee, but because there was no quorum it was not formally voted on at that time. The committee then heard SB 995, the Masuma Khan Justice Act, which would create a statewide inspection and compliance framework for large private detention facilities. The author and supporters described severe conditions in immigration detention, including denial of medication, unsafe food and water, and lack of oversight, and the bill was presented as a response to those abuses. The California Hospital Association raised concerns about duplicative regulation and overlapping standards, but said it was continuing to work on a solution. The committee discussed constitutional and jurisdictional issues, and the bill was moved on a do-pass motion to the Committee on Judiciary with a 5-0 vote placed on call. Next, SB 1089 was heard, proposing expanded access through CalPERS and CalRX to GLP-1 medications for chronic weight disease and diabetes prevention. The author and supporters from the American Diabetes Association and medical groups argued the drugs are effective tools to prevent type 2 diabetes, reduce long-term costs, and improve health equity, while the author also shared personal experience with weight loss and medication access barriers. There was no opposition testimony. The bill was moved on a do-pass motion to the Committee on Labor, Public Employment, and Retirement with a 5-0 vote placed on call. Finally, the committee heard SB 1221, dealing with Murphy conservatorships for people found not guilty by reason of insanity or otherwise under criminal-mental health conservatorship. Supporters, including prosecutors and psychiatrists, said the bill addresses a gap created by a court decision and would improve public safety and placement decisions for a small population of high-risk individuals. Opponents from county behavioral health and disability rights groups warned it would turn a civil process into a quasi-criminal one, expand district attorney involvement, and disrupt bed prioritization and least-restrictive-placement principles. The discussion centered on the scope of the bill and its amendments, but no final vote was taken in the portion provided.

Transcript Highlights:

• Even as states continue to wait for CMS to issue guidance through final rules, it's important to ensure

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone. The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months. Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value. After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.

Transcript Highlights:

• It's based on CMS. Right.

Bills: SB1888, SB3003, SB2417, SB2459, SB3055, HB1393, HB2884, SB2943

Keywords: grand jury, jury qualifications, jury wheel, small counties, Texas legislation, age verification, obscene devices, online sales, juvenile protection, penalties, antitrust, attorney general, Texas Free Enterprise, business regulations, legal confidentiality, personal identifying information, data brokers, judicial safety, civil rights, data privacy

Transcript Highlights:

• administrators, and we act on behalf of. the Centers of Medicare and Medicaid Services, also known as CMS

Keywords: 1184, house, all

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• community-based certification standards are... much less complex, less stringent, and more lenient than CMS

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:

• because significant changes have been made to the program through waiver plan amendments submitted to CMS
• because significant changes have been made to the program through waiver plan amendments submitted to CMS

Keywords: 1187, senate, all

Transcript Highlights:

• were also transmitted to the United States Health and Human Services Office of Inspector General and CMS

Keywords: 987, senate, all

Summary: The committee first heard SB 1377, which would change California’s medical exemption review process for school immunizations. The author and supporters argued the current system has a chilling effect on physicians and can prevent medically vulnerable children from obtaining needed exemptions, while opponents from pediatric, medical, and public health groups said the existing oversight is working and protects against fraudulent exemptions. Committee members debated the data, the bill’s last-minute amendments, and whether the proposal would weaken public health protections; no vote was taken because the committee lacked a quorum, and the bill was held on call. The committee then took up SB 995, the Masuma Khan Justice Act, which would create a statewide inspection and enforcement framework for private detention facilities in California. The author and supporters described alleged medical neglect, unsafe conditions, and lack of accountability in immigration detention, including testimony from Masuma Khan’s daughter about her mother’s treatment at a CoreCivic facility. The California Hospital Association raised concerns about duplicative oversight and possible overlap with already regulated health facilities, but said it was continuing to work on a solution. After discussion about constitutional and jurisdictional issues, the committee voted 5-0 to do pass and re-refer the bill to the Committee on Judiciary, with the vote placed on call. The committee also heard SB 1089, which would expand access to GLP-1 medications for state and local government employees through CalPERS and encourage broader affordability through CalRx. The author framed the bill as a response to chronic weight disease and rising diabetes risk, and the American Diabetes Association and other supporters said GLP-1s can prevent or delay type 2 diabetes and reduce long-term costs. Members discussed the medications’ benefits, side effects, and whether they are a long-term treatment. The bill was moved on a 5-0 vote and placed on call. Finally, the committee began SB 1221, dealing with Murphy conservatorships for people found dangerous due to severe mental illness after serious violent crimes. The author said the bill responds to a court decision that created uncertainty about placement and detention while awaiting state hospital beds, and supporters from prosecutors and psychiatrists said the measure would improve public safety and ensure victims’ voices are heard. Opposition testimony from county behavioral health directors began after the author’s presentation, but the transcript cuts off before the committee completed debate or took action on the bill.