Transcript Highlights:

• This body has been instrumental in championing issues such as the Feather Alert and forming positions
• And because of his leadership, we have the Feather Alert and so much more.
• I know the Feather Alert, and I know there's been other things to show some progress to this population

Keywords: 988, house, all

Summary: The Assembly convened after a quorum call, prayer, and pledge, then handled a long daily file with several procedural motions and guest introductions. Members also adopted a resolution recognizing CASA volunteers and welcomed student, school, sports, and community groups to the chamber. The body approved a motion to suspend rules for several procedural purposes, including moving bills between committees and allowing a bill to be heard on shortened notice. On the floor, the Assembly concurred in Senate amendments to AB 1389, which ratifies and extends a tribal-state gaming compact with the Yurok Tribe through December 31, 2026. Members then passed a series of bills on third reading, including AB 1632 on removing the notarization requirement for trespass letters, AB 2380 on county pest control fee authority, AB 2080 on county investment delegation, AB 2149 on reporting pupil achievement gaps, AB 1625 on Sacramento Regional Transit board meeting and stipend changes, AB 2179 on expanding e-filing for workplace violence restraining orders, and AB 2753 barring registered sex offenders from running for or holding elected office. AB 2636, AB 1544, AB 1637, AB 2534, and AB 2595 also passed, addressing juvenile firearm possession, court access, medical record integrity, forced marriage protections, and local e-bike restrictions for children under 12 in San Mateo County. The Assembly adopted several resolutions, including ACR 173 reaffirming California’s sister-state relationship with Jalisco, ACR 163 designating May as Missing and Murdered Indigenous People Awareness Month, ACR 180 designating Compost Awareness Week, and ACR 182 establishing Youth Mental Health Awareness Week. These resolutions drew extensive supportive remarks from members across caucuses, with strong emphasis on Indigenous justice, mental health, agriculture, and environmental stewardship. AB 108, a budget bill providing up to $25 million in emergency bridge funding for distressed hospitals, received broad bipartisan support and was sent to the Governor immediately after concurrence in Senate amendments. The chamber also added coauthors to multiple resolutions and removed AB 2512 and AB 1956 from the consent calendar at the author’s request.

Transcript Highlights:

• . $6.4 million to continue providing school districts access to a mobile panic alert system that is capable
• first responder agencies. $3.4 million to continue providing school districts access to a mobile panic alert
• management coordinators. $3.4 million to continue providing school districts access to a mobile panic alert

Summary: The Senate took up the 2026-2027 budget package, beginning with an overview of the $115 billion General Appropriations Bill (SB 2500/HB 500). Appropriations Chair Hooper said the budget is smaller than last year’s, maintains strong reserves, and includes a 3% pay raise for all state employees and 5% raises for state law enforcement, firefighters, correctional officers, and park rangers. Committee chairs then highlighted major spending in their areas, including $34.9 billion for Pre-K-12 education, $11.9 billion for higher education, a $2.1 billion-plus increase in health and human services, $7.9 billion for criminal and civil justice, $16.8 billion for transportation/tourism/economic development, and major environmental and regulatory investments such as Everglades restoration, water quality, and land acquisition. Members asked detailed questions about several items. Topics included the Emergency Management Trust Fund, arts and cultural grants, Florida Forever land acquisition versus conservation easements, teacher salaries and charter school funding, New College funding, ADAP/HIV drug assistance, Medicaid rate reductions for non-critical access hospitals, DOC operational deficits and inmate health/food costs, judicial staffing, and school enrollment supplements. Chairs explained that some reductions reflected shifts in how scholarship and categorical funds are tracked, that the ADAP appropriation would take effect immediately upon enactment but would only cover part of the year, and that hospital reductions were tied to a broader DPP funding increase. Questions also covered lottery staffing, concealed carry licensing workload, and whether vacant positions were being eliminated as part of budget right-sizing. After the budget discussion, the Senate substituted House bills for the Senate budget bills and adopted amendments placing the Senate language onto the House vehicles. The chamber then passed HB 500, HB 503, and HB 5201, and agreed to conference on each. It also passed SB 7028/HB 5205 on retirement, SB 2506 on fuel taxes, SB 2508 on the state agency law enforcement radio system, SB 2510/HB 5401 on court trust funds, SB 2512 on judgeships, SB 2514 on K-12 education, SB 2516 on higher education, and SB 2518 on health, with each bill passing by unanimous or near-unanimous votes and then being sent to conference or requested of the House for concurrence.

Transcript Highlights:

• I just want to alert committee members that if you have questions, you'll be able to ask her questions
• I might be alert or not, but I do want to participate, obviously.
• Maybe I'll be better if I'm not alert. I don't know. Nancy and I will take note.

Transcript Highlights:

• “They told us that there was a high alert, like there was only certain people that could check them out
• I am to alert the office if someone’s potentially being checked out or, you know, they’re missing a lot
• If I’m alerted by things, I’m to go straight to my counselor to let them deal with it.”
• If I'm alerted by things, I'm to go straight to my counselor to let them deal with those things.

Summary: The committee first approved the March 9 and 10 minutes, then heard a presentation from the Arkansas Excellence in Teaching Fellowship Program featuring three third-grade teachers from Poyen, Drew Central, and Cabot, along with Department of Education Secretary Jacob Oliva. The teachers described the fellowship as a year-long collaboration among 23 merit-pay recipients from across the state, focused on sharing classroom strategies, data use, and professional support. Members asked about teacher experience, how the fellowship information is shared locally, the role of merit pay, and how teachers are addressing third-grade reading and retention concerns under the ATLAS assessment system. The teachers emphasized early intervention, relationships with students, small-group instruction, progress monitoring, and communication with families; they also described community supports such as churches, food backpacks, and local donations. Several members raised broader questions about poverty, trauma, social services, DHS involvement, and whether similar professional learning should be expanded to more teachers. Secretary Oliva said the fellowship is a small subset of a larger merit-pay program, that participation was voluntary, and that the state is working to improve literacy supports, clarity, and alignment across grades. He also said ATLAS results are now available to schools and families much faster than in the past, often within 24 to 72 hours, and that the state is using the data to identify at-risk students earlier and support intervention before retention decisions are made. The committee then moved to the adequacy/resource allocation presentation from the Bureau of Legislative Research. Staff explained that the report is part of the statutory adequacy review and focuses on state funding sources beyond foundation aid, including categorical and supplemental funds. They noted that districts and charters spent more than $7 billion in the 2025 school year, with roughly 49% from foundation funding and 51% from other sources over the last three years. The presentation outlined the four categorical funds—Alternative Learning Environment, English Learners, Enhanced Student Achievement, and Professional Development—describing their restricted uses, student-based funding formulas, and the ability of districts to transfer some money among categoricals while keeping it within allowable purposes. Staff said categorical funds account for about 4% of total spending, or less than $300 million, and reviewed superintendent feedback on whether those funds met district needs, with responses varying by category and district.

Transcript Highlights:

• I want to thank my counsel, Elon Silver, for putting together our agendas this year, and both main counsel

Keywords: 993, senate, all

Summary: The Elections Committee held its final meeting of the session, with Chair Senator Gonzalez thanking members and staff for their work. The committee considered several election-related bills, including a voter ID proposal, protections against voter challenges and purging, a measure to address election disruptions, sample ballot posting, absentee ballot deadline notices for students, military and overseas voting changes, and notice requirements for expired address confidentiality protections. Senate Bill 2574, requiring government-issued photo ID to vote, drew opposition from Senators Walczyk and Myrie, who argued it would create barriers to voting and that there was no evidence of widespread voter fraud; the bill was reported from committee with opposition. Senate Bill 3233A, dealing with illegal voter purging and challenges, prompted extended discussion about citizenship verification, privacy of citizenship data, and whether information should be shared publicly; it was reported to the floor with Senators Borrello and Walczyk voting no. Senate Bill 4602A, on remedies for election disruptions, was discussed in terms of county and state board roles and bipartisan decision-making, and it was reported to the Finance Committee with a no vote from one member. The remaining bills were advanced with little or no substantive debate: Senate Bill 6253A on posting sample ballots, Senate Bill 6259 on notifying students of absentee ballot deadlines, Senate Bill 6995 on voting by mail, Senate Bill 7689B on overseas military and special federal voters, and Senate Bill 9857 on notice when address confidentiality protections expire. Most were reported either to the floor or to the Finance Committee, and the meeting concluded with a motion to adjourn.

Transcript Highlights:

• It is a masterpiece of Mexican culture, showing the chef holding a silver spoon, not just as a tool,

Keywords: 1182, all

Summary: The House convened with prayer, the Pledge of Allegiance, approval of the prior journal, and recognition of the Doctor of the Day, Dr. James Nakbar. Members also introduced numerous guests, including Pastor Jeff McAfee, representatives of Arizona Citizens for the Arts, and several artists and arts advocates present for Arizona Creative Economy Day. The day’s opening remarks emphasized the importance of arts and culture in Arizona, with members highlighting murals, museums, music, and the creative sector’s economic impact. The chamber then resolved into Committee of the Whole and considered several Senate bills. SB 1113 was amended and recommended do pass; SB 1165, dealing with breast cancer testing and removing financial barriers to diagnosis, was recommended do pass; SB 1477 was amended and recommended do pass, with discussion describing it as a transparency and accountability measure for senior referral agencies; and SB 1479 was amended and recommended do pass. The Committee of the Whole report was adopted, and the measures were properly engrossed or placed on third reading as appropriate. On third reading, the House passed SB 1092, relating to probation, after debate focused on sex offenses against children and lifetime probation, by 39-17. SB 1181, relating to certified public accountants and licensing requirements, passed 47-9 after some members objected that rulemaking could create unclear barriers to entry. SB 1473, relating to municipal and county zoning, passed 49-7. The House also received Senate messages, recognized Representative Gillette’s birthday, and heard personal privilege remarks honoring farm workers, Women’s History Month, and Transgender Day of Visibility before adjourning until April 1, 2026.

Transcript Highlights:

• She has worked all over the state doing civil engineering in Clayton, Artesia, Silver City, and Tucumcari

Transcript Highlights:

• One of the areas that we could learn from, I think, is important, especially because of our silver tsunami

Bills: SB629, SB1015, SB2501, SB2933

Keywords: child support, interest accrual, family law, delinquency, financial judgment, statutory probate courts, probate court fees, judicial fund, county reimbursement, comptroller, Texas Government Code, Local Government Code, court fees, fee allocation, excess contributions, judicial education and support fund, presiding judge salary, county finance, court administration, Texas judiciary

Transcript Highlights:

• It's not a silver bullet.

Bills: SB2007, SB2104, SB2543, SB2545, SB2926, SB2938

Keywords: military status, vehicle registration, veterans, Texas transportation, state records, discrimination, employment rights, spouses of service members, labor code, SB 2543, Texas veterans cemeteries, state veterans cemetery, Texas Veterans Commission, Veterans Land Board, Natural Resources Code, veterans land fund, veterans housing assistance fund, veterans burial, burial eligibility, cemetery location

Transcript Highlights:

• c><00:09:01.320> and puts out and contains the fire and puts out and contains the fire and alerts
• :02.279> building<00:09:03.279> we<00:09:03.399> need<00:09:03.560> a alerts
• the entire building we need a alerts the entire building we need a paradigm<00:09:04.160> shift
• <00:36:57.119> a<00:36:57.240> pot point of not wanting to alert a pot point of not
• wanting to alert a pot potential<00:36:58.839> uh<00:36:59.640> individual<00:37:00.160

Keywords: 1183, house

Transcript Highlights:

• My name is Jay Silver, and I'm with the Hawaii State Council on Developmental Disabilities.
• Shay Silver, come on up. This is your bill. >> Okay, I do. Shay Silver, come on up.
• Shay Silver,<00:23:47.039> come<00:23:47.120> on<00:23:47.280> up.

Keywords: 912, senate, all

Summary: The joint HHS and LBT meeting opened with accessibility concerns, as several blind attendees arrived after the general public had already been seated. The chair apologized and said future hearings would try to seat blind members earlier. The committee also announced the hearing was being streamed on YouTube, testimony would be limited to one minute, and written testimony was available online. The first bill heard was SB 2281, relating to the use of artificial intelligence in healthcare. The Department of Health supported transparency for patients but preferred disclosure through provider websites and office signage rather than a new regulatory program. The Hawaii Medical Association and Healthcare Association of Hawaii generally supported the bill’s intent but raised concerns about administrative burden and suggested a working group or model policies. Hawaii Pacific Health said it already uses AI for note-taking and patient portal functions and worried that written notice requirements could create too much consumer information. In response, the chair emphasized that patients should be informed when AI is used, especially if it affects diagnosis or consequential decisions, and said AI should not be making medical decisions. The committee later voted to recommend SB 2281 pass with amendments, including narrowing the definition of consequential decisions, removing certain language requested by DOH, adding a two-year implementation period, and setting a far-future defective date for further discussion; both committees adopted the recommendation, with the chair voting aye and the vice chair voting with reservations. The second major bill was SB 2852, a civil rights measure focused on digital access for people with disabilities. The Hawaii State Council on Developmental Disabilities, Hawaii Civil Rights Commission, Hawaii Disability Rights Center, and the National Federation of the Blind of Hawaii all supported the bill, arguing that existing law clearly protects physical access but should also make digital access explicit. Blind testifiers described how accessible technology, such as VoiceOver on iPhones, allows them to participate independently in public processes and warned that inaccessible digital systems can create barriers for thousands of blind residents. One testifier, an attorney with disability-law experience, supported the bill’s intent but said the draft had flaws, including no exceptions for archived materials, no distinction between small and large businesses, and concerns about the timing and choice of accessibility standards; he suggested delegating regulatory authority to the Hawaii Civil Rights Commission. The bill’s sponsor said he supported DAB’s proposed amendments, and the committee indicated those amendments would address many of the concerns raised. No final vote on SB 2852 was taken in the portion provided. The committee then took up SB 2751, which defines compounded prescription drugs for workers’ compensation purposes. The Department of Labor and Industrial Relations supported the bill but requested clarifying amendments to keep pharmacists as the primary professionals authorized to compound in licensed pharmacies and to limit any physician compounding authority to the physician’s own patient. Supporters included the Work Injury Medical Association of Hawaii, while Solera Integrated Medical Solutions opposed the measure, arguing the current definition was already broad enough and warning about cost inflation, especially with 503B bulk compounding facilities and physician dispensing. In questioning, members asked about rural access, reimbursement for 503B products, and late testimony suggesting definitions for 503A and 503B facilities, limits on physician dispensing to 30 days post-injury, and pre-approval for non-FDA-approved drugs. DLIR said not every rural community has licensed pharmacists available, that products with a national drug code are reimbursed at 140%, and that 503B facilities raise concerns because they are bulk manufacturers rather than patient-specific compounding operations. The meeting then moved into decision-making on SB 2281; the chair’s pass-with-amendments recommendation was adopted by both committees, with the vice chair voting with reservations.

Transcript Highlights:

• And you can do your job as well in notifying, getting new members alerted to the need for a COLA, and
• Alerted to the need for a COLA and doing our work here on this committee, if you think we should pass

Keywords: 904, all

Transcript Highlights:

• And you can do your job as well in notifying, getting new members alerted to the need for a COLA and
• Alerted to the need for a COLA and getting, doing our work here on this committee, if you think we should

Summary: The executive committee approved the May minutes by roll call vote, then received an actuarial update from Sarah Baker of the State Actuary’s Office. Baker explained the office’s annual work, including the DRS pension actuarial evaluation, support for state financial reporting, cash flow analysis, a six-year pension contribution outlook, interim support for GIT and WAL CARES, and an upcoming actuarial evaluation of the volunteer firefighters pension plan. She also responded to questions about bills allowing members to transfer into PERS, noting that such transfers have historically increased PERS costs and that any added cost would be borne by PERS members and employers depending on bill structure and affected demographics. Kate Adams of the Attorney General’s office reported no new developments in the cases the committee is monitoring. She said the Dawson case is still in its early stages, with a judge assigned and a discovery plan due at the end of July. The committee asked for continued updates on that litigation. The committee then discussed interim work planning, focusing first on animal control officers’ eligibility for PERS and asking staff to continue researching definitions, comparable treatment in nearby states, and the cost and service-credit implications for affected employees. Members also discussed Plan 3 issues, including comparisons of Plan 2 and Plan 3 membership and data, and possible future briefing topics. The largest discussion centered on Plan 1 COLAs: members and retiree representatives debated whether to pursue a permanent COLA or an ad hoc COLA, and whether budget language should require future budget writers to consider a COLA. Retiree groups said they preferred a permanent COLA but were open to further discussion; staff was asked to continue work on possible language and policy options. The committee reviewed correspondence on four topics: Plan 1 COLA requests, a request to study LEOFF 2-style medical reimbursements for Washington State Patrol survivors, and a request to allow certain members to change survivor option elections after the federal Social Security Fairness Act. The committee agreed to bring the State Patrol medical reimbursement issue and the Social Security Fairness Act issue back for July, with staff to gather more information and provide an informational briefing. The July agenda was approved and includes the OSA annual update, the LEOFF 2 Board annual update, a PERS/TRS Plan 1 ad hoc COLA item, and the two survivor-related topics.

Transcript Highlights:

• We're also setting up a process by which we allow the pharmacy, alert the pharmacy, that they cannot
• They would just need to alert us to let us know so that we could get with both of our vendors to try

Keywords: 1204, all

Summary: The committee reviewed a series of Medicaid and health-related administrative rules, most of them tied to 2025 acts. Early items covered presumptive eligibility end dates, adding a definition of fictive kin for foster children, and updating ABLE account disability onset age. The committee also reviewed rules on continuous glucose monitors, RSV vaccine administration fees, ET3 telemedicine exemptions for ambulance services, dental rate increases, physical and occupational therapy access, and the Healthy Moms Healthy Babies and lactation consultant provisions. Most rules were reviewed without objection, though several members asked for fiscal and implementation details, especially on the CGM rule and the dental rate rule. The most extended discussion centered on the dental rate increase under Act 1025. DHS said the rule applies only to oral surgeons’ dental services as written, while the Arkansas State Dental Association and legislative sponsors argued the intent was to raise rates for a broader set of dentists performing the same procedures, especially for adults with special needs. Members discussed the statutory language, CMS constraints, bifurcated rates, and the estimated additional cost of about $1.5 million annually if general dentists were included. The committee ultimately reviewed the rule, but the chair noted the testimony and lawmakers indicated they would work on a fix next session. Another major exchange involved the CGM rule. Members questioned the reported $3 million two-year fiscal impact, the prior authorization process, and whether DME providers would be forced into a pharmacy-based system. DHS explained that the same vendor would handle prior authorizations and that the billing system changes were already live, but one member moved to expunge the earlier review vote and then said he would hold the rule pending further clarification. The committee also reviewed rules on adverse decisions appeals, CNA training, substance abuse and mental health network-status disclosures, new certification rules for doulas and community health workers, cosmetology/body art, massage therapy, lead-based paint, radiation control, radiologic technology licensure, and mobile home/RV park standards. The meeting ended with all remaining items reviewed and the committee adjourned.

Transcript Highlights:

• They're doing a variety of things, including attempting to implement a turquoise alert.
• so far, has taken the lead on a lot of initiatives and efforts, like the Missing Indigenous Persons Alert

Summary: The House State Government and Tribal Relations Committee held a field hearing on the Puyallup Reservation, where members first received an overview of sports betting in Washington. Tribal casino representatives and the Washington State Gambling Commission explained that sports betting became legal in 2020 under HB 2638 and is currently limited to tribal casinos through sportsbook, kiosk, and on-premise mobile wagering. Testimony covered how odds are set, compliance with federal anti-money-laundering rules, and the role of third-party vendors. Tribal representatives said sports betting supports tribal economic development and asked to expand betting to include Washington college teams, while warning that prediction markets and other unregulated products pose a threat. Committee members asked about geo-fencing, betting limits, in-state college betting restrictions, and regulatory oversight. No votes were taken. The committee then heard from Vicki Lowe of the American Indian Health Commission on tribal data sovereignty and health data. She described tribal sovereignty and the federal trust responsibility, and said tribes should have equitable access to their own health data and control over how it is used. She explained that during COVID, tribes often lacked direct access to state health data, which complicated case tracing and other public health work. Lowe said the Department of Health stopped collecting tribal affiliation in some contexts because of Public Records Act concerns, and she argued that this is inconsistent with tribal data-sharing principles adopted through the Governor’s Indian Health Advisory Council. Members asked for clarification about what counts as tribal data and how public records concerns affected data collection. No formal action was taken. Finally, Lucy Smartlut gave an update on the Washington State Missing and Murdered Indigenous Women and People Task Force. She reported on the task force’s structure, its extension through 2027, and progress on recommendations including a fully funded cold case investigation unit in the Attorney General’s office, an updated missing persons resource, and forensic genetic genealogy work on unidentified remains. She said the cold case unit has active investigations, has helped locate missing Indigenous people, and made its first homicide arrest. She also presented data showing Native people are disproportionately represented among homicide and missing persons cases, and noted survey findings that many law enforcement agencies rely on officer observation for race data and have limited consultation with tribes. Committee members asked about funding, interagency coordination, and whether the task force is shifting toward prevention. The presenter said sustainability, continued awareness, and stronger collaboration remain priorities, and no vote was taken.

Transcript Highlights:

• I alerted the school and asked why, and they said that's common in the Dallas Fort Worth Metroplex due
• Teachers and students were scared, and our school is on constant high alert.

Bills: SB614, SB872, SB1199, SB1212, SB1278, SB1573, SB1588, SB1602, SB1660, SB1704, SB1723, SB1833, SB1858, SB1946, SB2009, SB2146, SB2177, SB2373, SB2460, SB2785

Keywords: forensic science, capital writs, criminal justice, case review, Texas Forensic Science Commission, SB 872, burglary of a vehicle, vehicle burglary, theft of a firearm, stolen gun, firearm theft, Penal Code Section 30.04, third-degree felony, Class A misdemeanor, criminal penalty enhancement, gun theft, vehicle break-in, property crime, sentencing enhancement, Texas criminal law

Transcript Highlights:

• I alerted the school and asked why, and they said that's common in the Dallas-Fort Worth metroplex due
• Teachers and students were scared, and our school was on constant high alert.

Bills: SB 614, SB 872, SB 1199, SB 1212, SB 1278, SB 1573, SB 1588, SB 1602, SB 1660, SB 1704, SB 1723, SB 1833, SB 1858, SB 1946, SB 2009, SB 2146, SB 2177, SB 2373, SB 2460, SB 2785

Keywords: forensic science, capital writs, criminal justice, case review, Texas Forensic Science Commission, SB 872, burglary of a vehicle, vehicle burglary, theft of a firearm, stolen gun, firearm theft, Penal Code Section 30.04, third-degree felony, Class A misdemeanor, criminal penalty enhancement, gun theft, vehicle break-in, property crime, sentencing enhancement, Texas criminal law

Transcript Highlights:

• If we can receive email alerts within minutes after there has been movement on our bills here in the
• legislature, how hard does it need to be to alert victims when there is an update in the court's schedule

Bills: HB115, HB 115, HB507, HB1765, HB1847, HB2046, HB2239, HB2328, HB2309, HB2417, HB2728, HB2794, HB3206, HB3566, HB3694, HB3744, HB4254, HB4697, HB4733, HB4915, HB5465, HB2813

Keywords: public funds, lobbying, political subdivision, government spending, transparency, HB 115, taxpayer-funded lobbying, local government lobbying, county association dues, municipal lobbying, lobbyist registration, Chapter 305, Government Code Section 556.0056, Local Government Code Section 89.002, county government, city government, injunctive relief, attorney's fees, state association of counties, sheriffs association

Transcript Highlights:

• set in the criminal context because an individual who's born elsewhere, there is an obligation to alert
• And at magistration, the documents alerting OCA to that information aren't forwarded at this time, but

Bills: SB825

Keywords: illegal immigration, economic impact, environmental impact, financial impact, annual study, Texas, government report

Summary: The Senate Committee on Border Security heard testimony on Senate Bill 825 by Senator Middleton, as substituted, which would require an annual or biennial study of the economic, environmental, and financial impacts of illegal immigration in Texas. Middleton said the bill is intended to provide lawmakers with comprehensive data on costs to law enforcement, health care, education, infrastructure, and taxpayers, and to support possible federal reimbursement claims. Several senators, including Hinojosa and Eckhardt, agreed that a study is needed but raised concerns about bias, the scope of the study, and whether the Comptroller’s Office rather than the governor’s office should conduct it. Middleton argued the governor’s office was the best coordinating entity because it could direct multiple agencies to provide data, while Hinojosa and others emphasized the Comptroller’s expertise and prior 2006 study. Public testimony was generally supportive of the idea of a study but critical of the bill’s framing. Sarah Cruz of the ACLU of Texas said the study should be a full cost-benefit analysis and warned that focusing only on costs could create an anti-immigrant narrative. Danny Woodward of the Texas Civil Rights Project also supported the concept but recommended moving the study to the Comptroller or, alternatively, creating a neutral commission. Jaime Pointe of Every Texan likewise supported updating the 2006 analysis and said state agencies should be able to cooperate with a governor-led study. Resource witnesses from the governor’s office, HHSC, TEA, OCA, TDCJ, and DPS explained that data collection would be uneven across agencies. HHSC and TEA said they often do not collect immigration status and, in TEA’s case, federal law limits schools from requesting such information; OCA and TDCJ said they could provide only partial or indirect data unless new reporting requirements were added. DPS said it already has Operation Lone Star data but would need to collect additional information if tasked with the broader study. The chair asked the governor’s office to provide a follow-up answer on separation-of-powers and related authority questions by the following Tuesday, and the committee recessed subject to the call of the chair without taking a vote on the bill.

Transcript Highlights:

• Do you contemplate also alerting that patient orally?
• Do you contemplate also alerting that patient orally?

Summary: The Health Care Facilities and System Subcommittee met with a quorum and considered five bills. HB 1101 on out-of-network providers drew the most discussion; Rep. Albert said it would require written notice when a patient is referred to an out-of-network provider and would count certain insurer payments toward deductibles. Several members and the Florida College of Emergency Physicians raised concerns about placing the burden on doctors’ offices, possible delays in referrals, and unclear enforcement, but the bill was reported favorably 16-2. Public testimony included support from AARP and concerns from emergency physicians about ER workflow and insurance-network transparency. The committee then unanimously approved PCS for HB 475, reducing fines for ambulatory surgery centers that violate good-faith estimate requirements from $1,000 to $250 per day, with a lower maximum penalty. The bill sponsor said the change was intended to right-size penalties for smaller facilities; witnesses from surgery centers and HCA supported it. HB 797, which would allow a nonprofit retirement community serving veterans and spouses to create veteran-and-spouse nursing home beds and transfer a certificate of need within 100 miles, also passed unanimously after members discussed whether it could affect access for veterans; the sponsor said it would create additional private beds rather than displace existing ones. HB 1085 on the Children’s Medical Services Program was amended and reported favorably 14-3. The bill would move managed care plan operations for medically fragile children from the Department of Health to AHCA, keep clinical eligibility at DOH, and shift PPEC services fully into managed care. The adopted amendment changed the waiver provision to require AHCA to develop and present a comprehensive redesign plan for the Medicaid model waiver for children receiving private duty nursing. Several members supported the goal but raised concerns about eliminating family choice and the impact on medically fragile children. Finally, HB 1353 on home health care services passed unanimously. The bill would remove geographic limits on home health administrators, allow more licensed RNs including contract RNs to perform visits, and revise the home health excellence award program. Supporters said it would address workforce shortages and improve access, while one member warned it could increase costs and competition for nurses. The committee adjourned after reporting all five bills favorably.