Transcript Highlights:

• I'm spending all my money in therapy. I'm spending all my money at my psychiatrist.
• She's currently not going to therapy. She went in the past. She's been in inpatient insurance.
• On October 29, 2024, I arrived to pick up Caleb early for an occupational therapy appointment.
• I asked for was a third-party investigation into their hiring practices, as well as trauma and/or therapy

Bills: HB4, HB20

Keywords: district composition, congressional election, Texas, legislature, voting districts, fraudulent solicitation, disaster relief, nonprofit organizations, criminal penalties, consumer protection, fraud prevention, charitable donations

Summary: The committee first took up House Bill 2853, which would allow the UT System Board of Regents to adjust the University of Texas at El Paso student union fee above the current statutory cap, subject to student approval, to help fund a new student union building. Senator Blanco explained the bill and the committee substitute, there were no questions or witnesses, public testimony was closed, and the committee adopted the substitute and left the bill pending subject to the call of the chair. The committee then heard House Bill 610, which would limit severance payments for terminated independent school district superintendents to six months’ salary and benefits. Senator Paxton described large severance payouts and said the bill had passed the House overwhelmingly. There were no witnesses, public testimony was closed, and the bill was left pending. A lengthy hearing followed on House Bill 4623, which would waive school district immunity in certain cases involving negligent hiring, supervision, or employment of professional school employees who commit abuse or related misconduct against students. Senator Paxton and several witnesses, including survivors and parents, argued the bill was needed to address cover-ups, delayed reporting, and repeated failures to remove dangerous employees; some members raised concerns about liability caps, litigation, and how the bill would interact with the Tort Claims Act. The committee also heard from TEA staff and employee-group witnesses who discussed possible injunctions and stronger no-hire protections. Public testimony was then closed and the bill was left pending. Finally, the committee heard House Bill 4, an accountability and assessment bill that would restore A-F ratings, change the state testing system, and replace STAAR with shorter, more instructionally useful assessments. Senator Bettencourt explained the committee substitute, including annual ratings, limits on taxpayer-funded lawsuits, and a phased-in testing redesign with beginning, middle, and end-of-year assessments. Testimony was generally supportive from education and business groups, though some witnesses favored norm-referenced testing while others emphasized criterion-referenced, TEKS-aligned assessments; one witness noted social studies assessments were restored in the bill. The hearing concluded with additional invited testimony and no final vote reported in the transcript.

Transcript Highlights:

• And they chose to go with 3 and a half years, minus probably some time he gets going through therapy
• 00:15:35.839> gets<00:15:36.160> going<00:15:36.480> through<00:15:36.880> therapy
• some time he gets going through therapy some time he gets going through therapy and<00:15:37.519

Keywords: 1191, senate, all

Transcript Highlights:

• challenges requiring pain management, a hip replacement, a knee replacement, hydrotherapy, stem cell therapy
• knee replacement, hydrotherapy,<00:04:25.040> stem<00:04:25.280> cell<00:04:25.600> therapy
• <00:04:26.080> with<00:04:26.320> a hydrotherapy, stem cell therapy with a hydrotherapy
• , stem cell therapy with a cost<00:04:26.639> of<00:04:26.880> over cost of over cost of

Keywords: 1183, house

Transcript Highlights:

• She walks with a limp and has had years of therapy, but she ran a marathon. Pretty cool.
• walks with the limp and has had<00:30:49.799> years<00:30:50.279> of<00:30:51.000> therapy
• but<00:30:52.159> she<00:30:52.360> ran<00:30:52.640> a had years of therapy
• but she ran a had years of therapy but she ran a marathon<00:30:55.200> pretty marathon pretty

Keywords: 1183, house

Transcript Highlights:

• Through years of therapy, I deconstructed that this was a love story. I then questioned, what now?
• In 2003, I had no choice but to give up seeking justice, but I remained in therapy.
• research does show that it takes up to, I said I saw 50, but around 50 to 52 years old with a lot of therapy
• , what's the difference between one year, two years, three years, ten years if it all comes up in therapy

Transcript Highlights:

• Do all schools have this opportunity to provide speech therapy?
• Do all schools have this opportunity to provide speech therapy?
• opportunity to provide speech therapy? opportunity to provide speech therapy?
• It's controlled in the family, the home. >> Therapy outside the school. >> Rep. Murray.
• >> therapy outside the school. >> therapy outside the school.

Keywords: 928, house, all

Summary: The commission met to review and amend the minutes from its previous meeting, correcting the date, several spelling and wording errors, and clarifying references to a scholarship fund and a member’s title. The minutes were then approved as amended, with some members abstaining because they were not present at the prior meeting. The chair then turned to the commission’s work plan under SB 57, emphasizing the need to prioritize the statutory topics and identify which issues require additional research, documentation, and possible spreadsheets. Members discussed a broad range of special education cost drivers and policy questions, including student referral rates, why students are classified as other health impaired, whether referrals increased after COVID school closures, intervention processes before referral, the cost of services required under IEPs and 504 plans, differences between federal law, state law, and DOE rules, reporting of special education costs, out-of-district and residential placements, district sharing of resources, dispute resolution, graduation rates, and adult learning outcomes. Several members raised concerns that school environments, mental health, bullying, and possible overidentification may be contributing to rising special education numbers and costs, while others cautioned that some reported district percentages may be inflated or unclear because of how the data are counted. A major portion of the meeting focused on HB 742, which would eliminate prorated special education aid when state appropriations are insufficient and require the governor to draw a warrant to cover shortfalls. Representative Ames explained that the bill had been recommended for interim study because the commission is already examining special education costing, and he highlighted the gap between FY24 special education costs of about $977.1 million and state aid of $33.9 million for catastrophic aid, $67.4 million for differentiated aid, and $50.8 million in federal IDEA funds, leaving local districts to cover about $825.1 million. He argued the commission should ultimately make clear that both the federal government and the state should contribute more. The Department of Education, through Melissa White, answered questions about data and oversight. She said special education counts come from IEPs entered into the state system using SASIDs, that DOE monitors districts through both desk audits and on-site visits, and that billing is checked against the services listed in each student’s IEP. She also said DOE’s special education work is largely federally funded, with roughly $56.7 million received through IDEA this year and about $49.1 million flowing through to LEAs, while the department retains a small amount for administration and statewide support activities. Members also discussed how adequacy calculations use special education counts from the state system and how those figures are reported.

Transcript Highlights:

• Amelia is excelling in occupational therapy, physical therapy, and speech therapy.
• Amelia is excelling in occupational therapy, physical therapy, and speech therapy.
• Amelia is excelling in occupational therapy, physical therapy, and speech therapy.

Keywords: 1187, senate, all

Transcript Highlights:

• So if you need physical therapy following a broken hip, you might also need occupational therapy to,
• c> for<01:17:17.199> at<01:17:17.360> following<01:17:17.679> a physical therapy
• for at following a physical therapy for at following a broken<01:17:18.120> hip<01:17:18.360>
• c> to<01:17:21.600> uh<01:17:21.920> you<01:17:22.040> know occupational therapy
• to uh you know occupational therapy to uh you know regain<01:17:23.320> some<01:17:23.480>

Keywords: 1187, senate, all

Transcript Highlights:

• individual, that specific medication must be covered without cost sharing, prior authorization, or step therapy
• , Senator Pinkney, and others, an act to amend Title 18 of the Delaware Code relating to the step therapy

Summary: The Senate received a large number of House communications and committee reports, including several nominations and many bills and resolutions returned from House committees or passed by the House. Committee reports covered a wide range of topics, including education, health, judiciary, finance, housing, transportation, emergency management, and business/technology. The Senate also assigned several measures to committees for further consideration and noted upcoming committee meetings. The chamber confirmed three nominations by roll call: Michael T. Scuse to the Delaware Thoroughbred Racing Commission, J. Eric Firewold to the University of Delaware Board of Trustees, and Joan F. Coker to the University of Delaware Board of Trustees. The Senate also passed Consent Calendar 66, which included Senate Concurrent Resolution 223 on DIA broadcast access for playoff and championship games and House Concurrent Resolution 149 designating June 12, 2026, as Loving Day in Delaware. Members discussed Loving Day and the importance of recognizing interracial marriage rights, with Senator Huxstable, Senator Buckson, and Senator Townsend offering remarks. On the floor, the Senate passed House Bill 141, requiring a firearm responsibilities notice for gun purchasers, after debate over gun safety and industry burden; House Substitute 1 for House Bill 200, as amended, expanding insurance coverage for HIV prevention medications PrEP and PEP; House Bill 426, modernizing municipal street-aid reporting; and Senate Resolution 21, directing a study of portable solar generation devices and related safety and utility issues. The Senate also passed Consent Agenda O, a large package of bills covering topics such as money transmission and stablecoins, nursing advancement, pilot licenses, commerce and trade, subaqueous lands, driver’s license loss due to medical issues, residential speed limits, electronic bidding, family court jurisdiction, agency regulations, technical corrections to multiple local charters, and other measures. The Senate then recessed until June 25, 2026.

Transcript Highlights:

• Earlier access to care may reduce the total lifetime therapy hours needed, and the three-tier model could
• for evaluation and treatment, providers are limiting referrals, and children are missing critical therapy

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on several health care bills focused primarily on autism services and kidney disease coverage. Committee chairs John Lawn and Cindy Friedman opened by outlining hearing procedures, testimony rules, and filing deadlines, and noted the hearing would be recorded and written testimony accepted. They said the day’s topics included affordability and access to behavioral health services, provider reimbursement, Medicare coverage for vulnerable populations, and MassHealth eligibility asset exemptions. A major portion of the hearing concerned House Bill 4623, which would add board-certified assistant behavior analysts (BCABAs) as a recognized mid-level supervisory role in the MassHealth reimbursement framework to help address long wait lists for autism spectrum disorder services. Representative Lisa Field, actuaries, clinicians, and autism service providers testified that the current two-tier model limits workforce capacity, contributes to long delays, and leaves families waiting months for care. Supporters said the bill could expand access, improve retention, and potentially reduce MassHealth costs, while also helping providers meet growing demand and new administrative requirements. The committee also heard testimony on House Bill 4425 and Senate Bill 2737, which would allow Massachusetts residents under 65 with end-stage renal disease to purchase Medigap coverage. Legislators, dialysis advocates, and patients described high out-of-pocket costs under Medicare, barriers to kidney transplant eligibility without secondary insurance, and the financial strain on patients and families. Testifiers said the change would affect about 846 residents, could modestly increase premiums, and might reduce Medicaid spending by preventing asset spend-downs. Senator Gomez and others spoke from personal experience with dialysis and transplant care. Finally, the committee heard testimony on House Bill 4353 and Senate Bill 2587, which would require regular data-driven review of MassHealth ABA reimbursement rates. Providers and association representatives argued that reimbursement has not kept pace with inflation, workforce shortages, accreditation costs, and new 2026 MassHealth policy requirements, and said the bills would improve transparency and ensure rates reflect the true cost of care. No votes were taken; the hearing concluded with the chairs thanking participants, inviting additional written testimony, and adjourning the meeting.

Transcript Highlights:

• services such as targeted case management, psychological services, speech-language pathology, physical therapy
• , and occupational therapy.

Keywords: 1204, all

Transcript Highlights:

• us right now as 4867A, and it is one that would prohibit insurers from imposing a first fail step therapy
• BEFORE US RIGHT NOW AS 4867 AND IT IS ONE THAT WOULD PROHIBIT INSURERS FROM IMPOSING A FIRST FAIL STEP THERAPY

Keywords: 993, senate, all

Summary: The Senate met on May 6, 2026, approved the prior journal, and accepted a Rules Committee report advancing the government appropriations bill to third reading. The chamber then took up the tenth budget extender, which sponsor Senator Serrano said would keep state government operating through Monday, May 11 and contained $482 million in new spending, bringing the total across extenders to $20.3 billion. In questioning, Senator O’Mara and Senator Helming pressed Serrano for details on the reported $268 billion budget deal, policy outcomes, revenue raisers, and whether local governments, schools, and rural health programs would receive certainty; Serrano said final budget bills were not yet in print and declined to speculate on unresolved issues. The extender passed 60-1, with Senator Weik voting no. The Senate also adopted several previously adopted resolutions honoring the North Tonawanda High School girls varsity basketball team, the Tappan Zee High School girls basketball team, and SUNY student Chriss-Ann Pryce. Members praised the teams’ state championships and Pryce’s academic and leadership achievements through the Educational Opportunity Program. The chamber then returned to legislation and passed a bill designating May 9 as Overdose Awareness Day in New York; Senator Fernandez said it recognized the harm of overdose and the need to continue funding harm reduction and recovery services. Additional bills passed included a statewide domestic violence lethality assessment measure, with Senators Murray, Rolison, Webb, and Ramos describing it as a tool to identify dangerous situations and prevent fatalities; a mental health insurance bill limiting step therapy/prior authorization for serious mental health medications, supported by Senator Fahy; and measures on education, real property tax, election law, general business law, kitchen incubator economic impacts, public buildings, state finance, and mental hygiene. Several bills drew recorded opposition, including the real property tax bill and the election law and general business law measures. The Senate concluded by adjourning until Monday, May 11 at 3:00 p.m., with intervening days designated legislative.

Transcript Highlights:

• I see music therapy album.
• Like, I tried to, you know, get on my phone and look up Too Young to Die, Music Therapy Album, Let's

Summary: The committee heard a series of appropriation requests and contract reviews across multiple sections. In Section B, members approved temporary appropriations for the Court of Appeals, Commerce/Aeronautics, and Insurance-related payments and refunds. Section C ARPA requests from DHS were approved to return unused federal funds. Section D infrastructure-related appropriations, including wildfire preparedness, broadband BEAD funding, forestry support, recycling, and oil and gas sample preservation, were approved after questions about broadband audit controls and performance safeguards. Section E DHS reallocations were approved, including large transfers within Medical Services from hospital medical to private and public nursing home lines, along with smaller transfers for children and family services, developmental disabilities, and youth services; members asked about the source and purpose of the medical services transfer. Sections F and G were reviewed, covering cash fund requests, federal grants, and miscellaneous grants, including community college storm repairs, corrections commissary and maintenance, 911 enhancements, maternal health, disability determinations, state police equipment, digital newspaper archiving, and CDL data improvements. In Section H, the committee reviewed pay plan appropriations and performance fund transfers tied to the new Class and Comp pay plan. Section I reviewed three methods of finance for UA Little Rock, UAMS, and the University of Arkansas system. In Section J, the committee reviewed discretionary grants, including a $1.4 million HIV services grant and nine tobacco prevention subgrants through UAPB. Members questioned the effectiveness, metrics, and addresses of some tobacco-cessation arts-based grantees, especially Arts Absolutely Inc.; after discussion, Representative Kavanaugh moved to expunge the vote on J2 and refer it back for review at a later ALC meeting, and that motion passed. J3, a Department of Energy and Environment grant for propane safety training and e-waste recycling services, was then reviewed. The committee also reviewed contracts in Section K. K-1 ratified emergency management nuclear planning work performed during a transition between agencies. K-2 construction contracts included architectural and engineering services for corrections, National Park College signage, a Razorback Road parking facility, and UAMS cyclotron installation. K-3 intergovernmental contracts covered health, education, autism waiver, stroke, newborn screening, Medicaid evidence review, and radiation testing services. K-4 out-of-state contracts included staffing, IT, tobacco prevention, audit, marketing, planetarium, recruitment, and janitorial services; Senator Irvin noted one contract appeared to belong in the out-of-state list rather than intergovernmental. K-5 in-state contracts covered staffing, cleaning, re-entry and treatment services, foster care and disability services, hearing officers, asbestos abatement, campus IT support, and janitorial work. The meeting ended after a brief personal update from Senator Irvin about tornado damage in Stone County and thanks to members for their concern, followed by adjournment.

Transcript Highlights:

• This is for physical and occupational therapy services for clients at the Arkansas State Hospital.
• This is for speech therapy services for the Southeast Arkansas Human Development Center.

Summary: The subcommittee reviewed multiple methods of finance and construction items, including projects for Arkansas State University, Black River Technical College, UAMS, the University of Arkansas at Pine Bluff, and UCA. The UAPB Allied Health and Sciences Building appeared both as a method of finance and as an alternative delivery construction project, with East Harding Construction selected and AMR Architects as designer. Members approved the methods of finance, the alternative delivery project, and several discretionary grants, including Department of Health grants for a heart attack center designation and community health worker training, and DHS grants related to homeless services, behavioral health transition support, and an enabling technology pilot. The committee then reviewed service contracts, including RFQs, construction-related contracts, intergovernmental agreements, and a large number of out-of-state and in-state contracts. Testimony focused heavily on DHS staffing and state hospital contracts, the Arkansas State Police seatbelt survey, AEDC’s lithium supply chain analysis, and Shared Administrative Services’ new SuccessFactors performance-management contract. Members asked detailed questions about contract nursing costs, turnover, hiring timelines, and whether some contracts were being renewed or amended beyond their original projected costs. DHS and Veterans Affairs officials explained staffing shortages, retention incentives, and the use of contract labor as a supplement to state employees. Several contracts drew scrutiny and were held for further review. Representative Wardlaw raised concerns about projected costs and repeated amendments on the Department of Education security contract and on DHS staffing contracts, arguing that some had exceeded their original projected totals. The committee voted to hold contracts 5, 7, and 8 until Friday, while adopting the remaining contracts. The meeting ended after informational reports on service contract amendments without material change, executed contracts, and emergency procurements were presented, with no further business before adjournment.

Transcript Highlights:

• This is for physical and occupational therapy services for clients at the Arkansas State Hospital.
• This is for speech therapy services for the Southeast Arkansas Human Development Center.

Keywords: 1204, all

Transcript Highlights:

• per athletic team per year to provide in good faith effects such as food, transportation, physical therapy
• , and rehabilitation. ...to provide in good faith effects such as food, transportation, physical therapy

Summary: The Education and Employment Committee heard and voted on several education-related bills. HB 129 on Florida Virtual School was presented as a cleanup bill responding to audit-related statutory updates; it would remove priority language, allow all Florida students and eligible overseas military dependents access, clarify teacher employment/retirement status, permit local schools to administer required exams, and authorize direct support organizations. The bill drew support from Seminole State College and Florida Virtual School and was reported favorably 15-0. HB 423 on student elopement, sponsored by Reps. Eskamani and Tramont, would require schools to establish safety teams and procedures to prevent and respond to elopement by students with autism or similar needs. Testimony from the Autism Society of Greater Orlando and a student advocate emphasized safety risks and the need for clear school protocols. Members spoke strongly in support, and the bill passed unanimously 16-0. CS for CS for HB 753 on school counselors removed two certification barriers, kept the master’s degree requirement, and aligned evaluations with Florida school counseling standards; school counselor groups and several members argued it would help address counselor shortages and workload issues. It also passed unanimously 16-0. The committee also approved CS for CS for HB 1253, which would let school-employed coaches use up to $15,000 per team per year of personal funds to support student-athletes with items like food, transportation, therapy, and rehabilitation, with an amendment requiring written parental consent. Several members raised concerns about liability, fairness, and guardrails, but the bill passed 17-0. PCS for CS for HB 833 on private school facilities would allow small private schools of 150 students or fewer to locate in commercial or mixed-use zoning without rezoning and to use certain existing buildings if fire and life-safety standards are met; members discussed traffic, school zones, and proximity to dispensaries, and it passed 15-0. PCS for CS for HB 1325 on the Linking Industry to Nursing Education Fund clarified matching contributions, allowed use of funds for expansion or modernization of existing space, and permitted two-year awards; it passed 16-0. Finally, CS for HB 1437 on conversion charter schools created dispute-resolution options over facility maintenance and, via amendment, allowed capital outlay funding if the charter assumes full maintenance responsibility; despite some opposition, it passed 13-3. The committee then adjourned.

Transcript Highlights:

• you aware that there was a study done in 2024 that showed that Florida denied access to use the MAT therapy
• HB 169 updates point injection therapy and prohibits the use of controlled substances, antibiotics. vaccines

Transcript Highlights:

• I PROVIDE CYCLE THERAPY TO THE POPULATION AND STARTED THREE PROGRAMS TO HELP COPS IN FLORIDA.
• AND KIDS WERE LINING UP FOR GROUP IT IS DAILY MAYBE IT'S NOT INDIVIDUAL DAILY BUT THERE'S A GROUP THERAPY

Transcript Highlights:

• Efforts are underway to roll back marriage equality rights and force LGBTQ people into conversion therapy
• They want to enact laws to force gays into conversion therapy.

Summary: The Assembly convened after a quorum call, heard a prayer and the Pledge of Allegiance, and approved the previous day’s journal. Procedural motions were adopted to allow certain members to speak on adjournment in memory and to host guests on the floor, and the chamber suspended Joint Rule 61 to allow the Appropriations Committee to meet and consider AB 1533. The majority leader also requested that SB 272 and HR 44 be removed from the consent calendar. The main floor action was the Assembly’s Pride Month observance, centered on HR 43, which recognizes June 2025 as Lesbian, Gay, Bisexual, Transgender, and Queer Pride Month. Assembly Member Ward and members of several caucuses spoke in support, emphasizing LGBTQ+ history, civil rights, community contributions, and current political attacks on LGBTQ+ rights. Assembly Member DeMaio spoke in opposition, arguing the resolution was divisive and included controversial policy references. After debate, 49 coauthors were added and the resolution was adopted by voice vote. The chamber then held a Pride Month ceremony honoring 14 distinguished individuals for contributions to the LGBTQ+ community, followed by guest introductions recognizing APICA fellows, family members, educators, and community leaders. The Assembly later adopted the consent calendar, with SB 61, SB 66, SB 846, SB 229, and SCR 3 approved, and then heard adjournment-in-memory tributes for John E. Brison and former Assembly Member William T. Bagley. The House adjourned until Thursday, June 26, 2025, at 9 a.m.

Transcript Highlights:

• which psychiatric treatment and psychiatric placement is not appropriate, but intensive behavioral therapies
• These are tailored interventions that are intensive therapy, intensive behavior management, intensive

Summary: The Health Care Budget Subcommittee met to review agency budgets, vacant positions, and possible efficiencies across several health and human services agencies. Members were asked to identify savings and potential areas for increased funding, and the discussion repeatedly focused on whether long-vacant FTEs, reversion of funds, and staffing shortages reflect true operational needs or broader budgeting and recruitment problems. The chair and members emphasized that the exercise was intended to help the committee make more informed budget decisions and to identify structural issues that may require legislative action. For the Agency for Persons with Disabilities, members highlighted a large waiting list, including individuals in crisis and children, and discussed whether vacant positions and unspent funds could be redirected to services. Several members raised concerns about delays in crisis applications, the use of paper applications, and whether the issue is staffing, process, or both. For the Department of Children and Families, the presenters discussed vacant positions, the use of staff augmentation in state hospitals, support for expanding behavioral qualified residential treatment program beds, and concerns raised by audits of the managing entities, which showed procurement and financial management problems. They recommended continued oversight, reporting requirements on Medicaid enrollees receiving mental health services through managing entities, and support for the governor’s proposed funding items. Other agencies reviewed included Elder Affairs, where members questioned the need for multiple divisions, CARES assessments, and supervisory overhead; the Department of Health, where vacancies, turnover, pay gaps, and units of rate were discussed as barriers to recruitment and retention; and the Department of Veterans’ Affairs, where the presenters said vacancies were tied to new nursing homes and recommended shifting a major priority into general revenue rather than trust funds. Throughout the meeting, members generally agreed that the vacancy review was eye-opening and suggested deeper, possibly separate, reviews of agency staffing, pay parity, and fund reversion practices. No formal votes were taken during the transcript.