Transcript Highlights:

• For instance, the Medicaid and CHIP Payment and Access Commission found that physicians are significantly
• 670 allows Texans to use the sunscreen they want after consultation with their doctor. with their physician
• A physician is determined that the standard FDA-approved products are less... effective, may recommend
• The bill uses the same qualific is the current right to try statute before a physician can prescribe
• patients using these products and the Texas Medical Board is not allowed to take action against a physician

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• nice uptake in this program, and over 14% of moms have been referred back either to their primary physician
• mother who is going to her doctor's appointment can be educated on that program by a nurse or a physician
• And then for the supplemental funding program, we have the physician incentive program, what we refer
• And then we also have physicians on call who are available to talk to the OBGYNs about medication titration
• And so we have on call two physicians, one who's board certified in OB-GYN psychiatry and substance use

Summary: The Senate Health Policy Committee met to discuss maternal and infant health, beginning with a presentation from New Jersey’s Maternal and Infant Health Innovation Authority (MiHA). Pamela Taylor described New Jersey’s statewide effort to reduce maternal mortality and racial disparities through the Nurture New Jersey campaign, a strategic plan with more than 80 recommendations, universal home visiting, Medicaid-covered doula care, hospital report cards, limits on non-medically indicated early elective C-sections, and a new maternal and infant health innovation center. Senators asked about doula certification, funding, home visiting, and how New Jersey coordinates across agencies; Taylor said the authority uses quarterly stakeholder meetings, annual summits, and a tracker for recommendations, and that community input helped shape its programs. Florida Agency for Health Care Administration Deputy Secretary Brian Meyer then outlined Florida Medicaid’s maternal coverage and managed care structure. He reviewed eligibility and services for pregnant women, labor and delivery, postpartum coverage, newborn coverage, and family planning, noting 12 months of postpartum coverage, expanded benefits in managed care plans, and new contracts launching February 1 with more maternal-health-focused benefits, quality measures, and a new quality withhold incentive structure. Senators questioned doula certification and duplication with Healthy Start, provider access and network adequacy, kick payments, quality reporting, and whether Florida should consider broader eligibility standards; Meyer said many details are still plan-driven, that quality metrics are public, and that the agency is working on maternal-health work groups and incentives. Department of Health Division Director Shea Holloway followed with an overview of Florida’s maternal and child health programs and data. She cited Florida CHARTS data showing pregnancy-related deaths, severe maternal morbidity, and infant mortality trends, and described the Title V block grant, the Maternal Mortality Review Committee, the Florida Perinatal Quality Collaborative, the electronic prenatal risk screen, Healthy Babies, BH Impact for perinatal mental health, Healthy Start, WIC, family planning, telehealth maternity care, and the Pregnancy Care Network. Senators asked about delays in mortality review reporting, preterm birth, substance use disorder in pregnancy, WIC participation, cesarean rates, and the impact of the abortion ban; Holloway said the department is continuing to monitor outcomes, expand screening and telehealth, and use data and hospital partnerships to improve care. The committee then adjourned without further business.

Transcript Highlights:

• Madam Chair, members, Senate Bill 1123 requires a licensed physician to be trained rather than board
• students, residents, or fellows in pathology training who are under the supervision of a licensed physician
• To become a licensed medical physician in Arizona, one must complete four years of medical school, perform
• To become a licensed medical physician in Arizona, one must complete four years of medical school, perform

Bills: SB1113, SB1115, SB1122, SB1123, SB1125, SB1165, SB1188, SB1193, SB1243, SB1318, SB1477

Keywords: mental health, involuntary evaluation, service of process, court-ordered treatment, evaluation agencies, AHCCCS, remote work, state agency, employment, public health, healthcare, behavioral health, prior authorization, American Indian health program, medicaid, medical examiner, death investigation, body disposal, autopsy, veteran burial

Summary: The committee heard and advanced a series of health and human services bills, with most receiving unanimous or near-unanimous support. SB 1113 would allow screening or evaluation agency employees, under contract with a county, to personally serve court documents in involuntary mental health proceedings instead of requiring police officers; supporters said it would reduce burdens on law enforcement and be less disruptive for patients. An amendment clarifying county contracts and reimbursement was adopted, and the bill passed 12-0. SB 1122 would limit AHCCCS from imposing over-100% prepayment review on certain behavioral health providers serving American Indian Health Program members unless a corrective action plan is in place; AHCCCS was neutral and said it could implement the bill with additional staffing, and it passed 12-0. SB 1123 would remove a board-certification requirement so trained, licensed forensic pathologists can supervise pathology trainees during the period before board exam results are available; Maricopa County supported it as a workforce and efficiency measure, and it passed 12-0. SB 1125 would require DCS to make annual efforts to enter MOUs with Arizona tribes and improve communication on tribal children in state care; DCS said it was already working on several pending MOUs, and the bill passed 12-0. The committee also approved several bills related to cancer screening and mental health. SB 1165 would prohibit cost-sharing for diagnostic and supplemental breast cancer screening services in the commercial market; the sponsor and advocates said it would remove financial barriers that delay diagnosis, and it passed 12-0 amid personal testimony from members and the chair. SB 1243 would require notice to a patient’s guardian before discharge from court-ordered treatment and allow guardians to seek continuation of treatment; supporters said it closes dangerous gaps when treatment orders expire, and it passed 10-0 with two absent. SB 1318 would repeal a state breast-density notice requirement that now overlaps with a federal FDA standard; ADHS said the change would reduce confusion and duplicate notices, and it passed 11-0 with one absent. SB 1188 would align Arizona controlled-substance schedules with federal FDA/DEA scheduling changes; supporters said it would speed access to new treatments, while one member voted no over concerns about relying on federal review, and it passed 8-2. Additional bills addressed privacy and assisted-living referrals. SB 1193 would bar DHS from selling or disclosing EMT personal identifying information for commercial purposes without consent, while still allowing de-identified data; the sponsor’s representative said the bill arose after DHS said vendor access to licensee data was not prohibited, and members discussed whether broader privacy protections should apply to other workers as well. It passed 10-0 with two absent. SB 1477 would require referral agencies serving assisted living facilities or homes to verify background-screening practices, maintain insurance, and provide documentation regarding APS registry status; the bill’s supporters said it raises standards for senior placement services, a technical amendment was adopted, and the bill passed 10-0 with two absent.

Transcript Highlights:

• It assumes physicians and pharmacists will risk being dragged into court even without a conviction for
• Once again, due to House Bill 7, physicians and other providers will probably delay care.
• Physicians and pharmacists may, with good reason, be too scared to provide life-saving treatment as a
• The drugs don't even have to be prescribed by a physician anymore.

Bills: SB 8, SB 1, SB 2, SB 5, SB 10, HB27, HB7, HB17, HB1, SB 9, SB 7, SB 17, SB 4, HB20, HB18, HB7, HB17, HB1, HB20, HB18, SB9, SB7, SB17, SB4, SB1, SR85, SR87, SB8, SB5, SB2, SB10, HB27

Keywords: sex designation, restroom access, civil penalties, private civil right of action, women's privacy, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, disaster relief, flood preparedness, emergency funding, local government support, meteorological forecasting, abortion, healthcare, jurisdiction, civil action, qui tam

Transcript Highlights:

• I will tell you, I had to reach out to OPEC. to bring in physicians because of the lack of physicians
• , or the physicians that are being used in New Mexico are overloaded, trying to help everybody in New
• So most of my physicians come out from El Paso. Mr.

Transcript Highlights:

• My name is Yuri Chandra, and I'm a physician with Cardia Health and strong support. Thank you.
• Tim Madden, representing the California chapter of the American College of Emergency Physicians, in support
• contrary to the goals of the emergency services law, which encourages emergency departments and physicians
• contrary to the goals of the emergency services law, which encourages emergency departments and physicians

Summary: The Assembly Health Committee met on March 25, 2025, with Chair Mia Bonta presiding and initially operating as a subcommittee until quorum was established. The committee heard several health-related bills, including AB 73 on creating a Black Mental Health Navigator certification, AB 499 on lowering the state reimbursement trigger for the Robert F. Kennedy Farm Workers Medical Plan, AB 843 on aligning California health insurance language-access rules with federal standards, AB 257 on a specialty care network using telehealth and virtual services for Medi-Cal and underserved communities, AB 64 on allowing diacritical marks on vital records, AB 315 on the Home and Community-Based Alternatives waiver, and AB 40 on clarifying that emergency services include reproductive health services such as abortion. Testimony generally emphasized disparities in access, culturally competent care, language access, rural provider shortages, and the importance of preserving or expanding programs that help vulnerable populations. Supporters included authors, state and local health organizations, advocacy groups, and affected individuals. AB 73 was backed as a way to address stigma, mistrust, and culturally competent mental health access for Black Californians. AB 499 was described as helping keep a self-insured farmworker health plan operational while maintaining a low-cost, labor-management model. AB 843 was supported as a way to prevent children and families from having to translate sensitive medical and insurance information and to protect limited-English-proficient Californians. AB 257 drew support as a demonstration project to improve specialty care access through California-based clinicians and virtual care, with examples of reduced wait times and costs. AB 64 received emotional testimony from the author, a child and his family, and others about the importance of accurately recording names with accents and other marks. AB 315 was presented as a cost-neutral or cost-saving way to expand home- and community-based care for medically fragile people, with strong support from disability, health, and provider groups. AB 40 drew support from reproductive health and medical organizations, while one opposition witness argued it could conflict with emergency care standards and overburden emergency departments. The committee took roll-call votes and advanced AB 499, AB 73, AB 843, AB 257, AB 64, AB 315, and AB 40 to Appropriations, with AB 40 receiving some no votes. The committee also adopted its 2025-26 rules and approved a consent calendar that included AB 225, AB 304, AB 403, AB 688, and AB 951. Several measures were initially placed on call and later lifted and recorded as passing out of committee before adjournment.

Transcript Highlights:

• This bill would authorize DSHS through its regional medical directors or other DSHS physicians to issue
• they don't have the their options for obtaining that state prescription are not limited to local physicians
• officer to delegate the authority to issue a standing order to a regional medical director or other physician
• Because they would be doing this under a physician, a standing order by the doctor.

Bills: SB207, SB611, SB920, SB1174, SB1207, SB1325, SB1396, SB1551, SB1619

Keywords: SB 207, Texas Education Code, public school attendance, excused absence, mental health appointment, mental health care, behavioral health, school district, student absenteeism, same-day return, health care professionals, physician certification, religious holy days, court appearance, DFPS, foster care, education policy, student wellness, school mental health, attendance policy

Transcript Highlights:

• <00:30:06.880> assistant<00:30:07.440> or<00:30:07.600> nurse physician assistant
• or nurse physician assistant or nurse practitioner,<00:30:08.640> you<00:30:08.720> know,<
• Now there needs to be a physician or a physician's assistant or a nurse practitioner.
• So, if a child is going to an EFA program and they find a physician that's willing to say they have a
• I mean, it's pretty fluid if you just find a physician that's willing to say a child has a condition

Keywords: 1189, house, all

Summary: The commission to study special education costs under SB 57 met for its second meeting, with members introducing themselves and reviewing background materials on New Hampshire special education identification rates, NAEP results, and a Wall Street Journal article about the rise in autism diagnoses. The chair explained that the commission is examining special education aid formulas, including how New Hampshire’s current catastrophic aid threshold works and how changes to that threshold might affect school districts, but noted that the needed data on how many students would shift into the aid system at lower thresholds is not yet available. The main testimony came from Henry Litman of HHS on Medicaid reimbursement in schools. He explained that school-based Medicaid funding is tied to health-related services, not all special education services, and that federal rules are changing in state fiscal year 2027. Under the new approach, schools will move away from an in-kind methodology to a certified public expenditure model that may also allow recovery of some overhead costs, such as support staff time. He said the state won a federal grant to help build the new system, hired a vendor, and is setting up training and a help center for districts. Members asked about why Medicaid claims have declined and whether districts are leaving money on the table. Litman said claims are down about 25% from pre-pandemic levels, with declines tied to federal and state rule changes, documentation requirements, provider qualification rules, and the end of temporary pandemic flexibilities. He said some districts adapted better than others depending on local medical-provider access and administrative capacity. He also said the new federal legislation does not directly affect schools, while New Hampshire’s return to pre-pandemic eligibility rules has reduced enrollment somewhat. No votes were taken, and the discussion ended with agreement that the commission needs better data to determine how much special education spending is truly Medicaid-eligible and whether additional legislation is needed.

Transcript Highlights:

• This provides civil immunity for physicians assigned to combatants. I move passage.
• When combative sports events are held, currently right now, there needs to be... ...to physicians at
• This is according to the physicians who have declined to participate in the program.
• It permits the use of inhalers when prescribed by a physician.
• And you know, Lord, we know you are the great physician. We know that you know all things.

Bills: HB46, HJR35, HJR47, HJR182, HB 113, HB983, HB4847, HB1449, HB3833, HB5151, HB265, HB1845, HB782, HB 108, HB1960, HB158, HB1954, HB1955, HB2512, HB605, HB2581, HB2803, HB627, HB2667, HB1738, HB636, HB3679, HB2638, HB2655, HB871, HB2438, HB 1107, HB1765, HB1822, HB2153, HB4099, HB3732, HB3171, HB3178, HB3182, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2132, HB2658, HB2413, HB2757, HB2080, HB3154, HB3063, HB3009, HB3448, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3946, HB3460, HB3405, HB475, HB3463, HB3441, HB3520, HB2060, HB4731, HB4991, HB1991, HB5596, HB2014, HB2142, HB2673, HB2731, HB2417, HB2399, HB2301, HB3335, HB3234, HB3320, HB5573, HB4848, HB4748, HB4769, HB4795, HB2086, HB2234, HB2203, HB4916, HB5624, HB4505, HB139, HB5093, HB5302, HB5402, HB5606, HB2333, HB4630, HB4701, HB2583, HB2983, HB4924, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5430, HB5561, HB5611, HB5043, HB5064, HB3733, HB3781, HB3219, HB32, HB4515, HB5348, HR559, HB4506, HB1646, HB3185, HB3388, HB2761, HB3233, HB1534, HB5129, HB5394, HB3619, HB2867, HB3672, HB2434, HB4903, HB3687, HB3675, HB4609, HB4582, HB3866, HB4534, HB2446, HB3984, HB700, HB4088, HB229, SB2419, SB842, SB1257, SB2550, SB996, HB 1186, HB4327, HB3221, HB2588, SB552, HB4870, HB2494, HB3940, HB4838, HB3177, HB1441, SB1841, HB3962, HB2225, HJR112, HB897, HB2695, HB4670, HB3602, HB3317, HB3717, HB3138, HB3704, HB1403, HJR218, HB4921, SJR37, HJR138, HJR144, HB3892, HB4, HB46, HJR35, HJR47, HJR182, HB4234, HB722, HB4136, HB4105, HB4413, HB170, HB551, HB2858, HB3053, HB3142, HB3180, HB3722, HB2200, HB1794, HB1784, HB1581, HB2530, HB4308, HB1896, HB2974, HB3359, HB4580, HB2458, HB2215, HB3332, HB2278, HB3015, HB3151, HB1368, HB40, HB 101, HB 112, HB146, HB168, HB214, HB413, HB1523, HB493, HB521, HB594, HB557, HB305, HB549, HB854, HB 1057, HB 1052, HB842, HB3174, HB3311, HB2486, HB3196, HB824, HB 1039, HB2529, HB2713, HB4936, HB4995, HB4830, HB4864, HB5219, HB5263, HB5154, HB2674, HB5525, HB5623, HB2545, HB2587, HB2625, HB5520, HB5436, HB4926, HB1573, HB5165, HB4811, HB5081, HB4755, HB3179, HB4310, HB4611, HB2159, HB4626, HB3637, HB3153, HB3066, HB2786, HB2966, HB638, HB640, HB876, HB497, HB5539, HB4809, HB5308, HB4687, HB4070, HB4421, HB4412, HB3284, HB3369, HB3420, HB3449, HB4098, HB4281, HB4120, HB4504, HB4370, HB 1106, HB2370, HB2404, HB3863, HB2407, HB2253, HB2273, HB2040, HB1586, HB3788, HB3993, HB4690, HB4309, HB4696, HB2308, HB 1142, HB1533, HB1621, HB2242, HB2012, HB2193, HB2442, HB2464, HB2348, HB2313, HB2289, HB1942, HB2011, HB1629, HB2993, HB3592, HB3824, HB4076, HB4535, HB4623, HB4773, HB 1091, HB5115, HB5515, HB3372, HB5659, HB 127, HB386, HB 115, HB2868, HB 1249, HB4766, HB3720, HB4656, HB4879, HB 105, HB5383, HB4621, HB5431, HB5678, HB5534, HB4174, HB4212, HB3954, HB3966, HB3636, HB3918, HB1422, HB4765, HB4732, HB4742, HB5122, HB4518, HB5084, HB3986, HB4045, HB4144, HB3911, HB3976, HB4473, HB3425, HB3641, HB3642, HB3475, HB3509, HB3424, HB3383, HB4744, HB4531, HB4539, HB3159, HB5228, HB5370, HB4359, HB4398, HB4443, HB4466, HB3861, HB3849, HB4240, HB4706, HB4685, HB5354, HB5141, HB5686, HB3629, HB3554, HB3567, HB2015, HB3575, HB5381, HB1431, HB3514, HB4614, HB4546, HB4683, HB5681, HB5673, HB5663, HB4271, HB4350, HB4035, HB3807, HB3812, HB3552, HB3540, HB3715, HB3710, HB3664, HB4196, HB4233, HB4173, HB1998, HB3333, HB3510, HB4222, HB2070, HB2854, HB2347, HB 113, HB983, HB4847, HB1449, HB3833, HB5151, HB265, HB1845, HB782, HB 108, HB1960, HB158, HB1954, HB1955, HB2512, HB605, HB2581, HB2803, HB627, HB2667, HB1738, HB636, HB3679, HB2638, HB2655, HB871, HB2438, HB 1107, HB1765, HB1822, HB2153, HB4099, HB3732, HB3171, HB3178, HB3182, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2132, HB2658, HB2413, HB2757, HB2080, HB3154, HB3063, HB3009, HB3448, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3946, HB3460, HB3405, HB475, HB3463, HB3441, HB3520, HB2060, HB4731, HB4991, HB1991, HB5596, HB2014, HB2142, HB2673, HB2731, HB2417, HB2399, HB2301, HB3335, HB3234, HB3320, HB5573, HB4848, HB4748, HB4769, HB4795, HB2086, HB2234, HB2203, HB4916, HB5624, HB4505, HB139, HB5093, HB5302, HB5402, HB5606, HB2333, HB4630, HB4701, HB2583, HB2983, HB4924, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5430, HB5561, HB5611, HB5043, HB5064, HB3733, HB3781, HB3219, HB32, HB4515, HB5348, HCR76, HCR127, HCR9, HCR40, HCR118, HR559

Keywords: low-THC cannabis, dispensing organization, Texas Compassionate-Use Program, medical use, patient access, registration, healthcare, legislation, Grow Texas fund, economic stabilization, infrastructure, oil and gas, constitutional amendment, severance tax, Texas STRONG defense fund, funding, public health, workforce development, revenue transfer, Veterans' Land Board

Transcript Highlights:

• I'm a family physician at the Indian Health Board.
• I'm a family physician<00:02:09.759> uh<00:02:09.840> at<00:02:10.080> the<00:02
• physician uh at the Indian Health Board. physician uh at the Indian Health Board.
• I'm a family physician on Rice Street right here in St. Paul, right up the street.
• I'm a family physician on Rice Street right here in St. Paul, right up the street.

Keywords: 1183, house

Transcript Highlights:

• I have worked there for over 15 years, first visiting CUHCC as a family medicine physician resident.
• I have worked at CUHCC for over 15 years, first visiting as a family medicine physician resident.
• For decades, we have been training nurses, physicians, dentists, social workers, therapists, dieticians
• this would likely require us Physicians this would likely require us to<01:36:40.800> purchase
• <01:41:37.239> and ago stated that trust in Physicians and ago stated that trust in Physicians

Keywords: 1187, senate, all

Transcript Highlights:

• gets into a little bit more technical, but the risk models that we're talking about are based on physician
• Are based on physician diagnoses coding.
• you know, they have armies of people out there making sure that the coding is correct from the physicians

Summary: The committee received an update from Grant Wallace on the state employee Medicare Advantage group plan and the ongoing rebid with UnitedHealthcare. Wallace said the agency is exploring “decoupling” the medical and pharmacy portions of the plan, and that preliminary estimates suggested potential savings of about $100 to $200 per participant per month. He said the final CMS rate-setting process would conclude in April, with a revised contract amendment likely to come before the committee in May or June after review by the EBD Advisory Commission and State Board of Finance. He also clarified that the plan covers post-65 teacher and state employee retirees, including retirees from state agencies and K-12 public schools. Representatives from Segal Consulting then gave a broader presentation on Medicare Advantage and Part D market trends, reviewing Arkansas’s prior decision to adopt a Medicare Advantage prescription drug plan and the savings generated since the 2023 RFP. They explained that the Inflation Reduction Act significantly changed Part D financing by shifting more federal support into a direct subsidy tied to risk scores, which makes accurate risk adjustment more important and creates a larger difference between Medicare Advantage prescription drug plans and standalone Part D plans. They said this has led to a growing divergence in funding, especially for standalone Part D, and is the main reason decoupling medical and pharmacy coverage is being considered. Committee members asked about how the risk-score changes affect costs and members. Segal said the new structure has reduced member out-of-pocket costs, with the annual cap now at $2,000 and many members reaching it after roughly $600 to $800 in spending, but that the plan absorbs more of the cost. They also said the market appears to be adjusting through annual bids, and that a decoupled structure could allow the state to capture more favorable funding on the Part D side. No votes were taken, and the committee adjourned after being told to expect further information once the April rate notice and renewal proposal are available.

Transcript Highlights:

• addresses issues with the prior diversion program while not changing any of the requirements for physicians
• AB 967 seeks to expedite licensures for out of state physicians.
• During a time when we were experiencing delay. in the licensure process and we have a physician shortage

Keywords: 988, house, all

Transcript Highlights:

• DPC allows physicians to focus more on patient care, leading to better satisfaction and healthier patients
• Uh, I'm a practicing physician locally using the direct primary care model actually.
• So the, the physician is the one who sets up the fee schedule, correct? That would be correct.

Transcript Highlights:

• DPC allows physicians to focus more on patient care, leading to better and healthier patients.
• Additionally, I represent myself as a practicing physician locally using the direct primary care model
• So the physician is the one who sets up the fee schedule, correct? That would be correct.

Bills: HB3015, HB3521, HB5632, HJR182, SJR57

Keywords: healthcare, direct primary care, insurance deductibles, Texas Health Benefit Plans, telemedicine, police retirement, disability pension, municipalities, law enforcement, retirement benefits, retirement, beneficiary, Employees Retirement System of Texas, divorce decree, beneficiary designation, Veterans' Land Board, general obligation bonds, constitutional amendment, veterans, housing assistance

Transcript Highlights:

• to staff serve the funds for physicians to staff serve as<00:41:46.079> medical<00:41:46.400>
• We have a physician, previously it was on this contract.
• has to be a physician and has to<00:42:40.960> have<00:42:41.040> certain<00:42:41.359
• We have a physician um public health.
• But uh we had a physician<00:43:02.960> who<00:43:03.119> was<00:43:03.200> over

Keywords: 958, all

Summary: The committee first approved the April 13 minutes and then turned to a large agenda of contracts. Chairman Douglas said there were 52 contracts totaling about $369.3 million, and noted that most vendors were registered with the Secretary of State except for item 118 on the routine personal services green list and item 19 involving Morehead State University and Kentucky State University. The committee voted to defer item 118 to the June 26 meeting and later also deferred the Kentucky State University contract on the deferred list to the June 26 meeting. The main discussion centered on a deferred personal services contract for the Kentucky Board of Optometric Examiners, involving outside legal counsel. Senator Meredith raised concerns about KRS 320 and whether the board had authority to hire outside counsel when the statute says the Attorney General shall provide legal services to the board. Dr. Mary Beth Morris, the board president, and Christopher Thacker of the Attorney General’s office testified after being sworn in. Thacker explained that the statute and related law allow both Attorney General assistance and independent counsel, and argued that outside counsel is appropriate for day-to-day legal work because it avoids conflicts, especially on open records issues, regulatory advice, and disciplinary hearings. Senator Meredith said he agreed with approving the contract but questioned how the board had reached this point and whether the current statutes reflect modern practice. He raised concerns about transparency and accountability, referencing a prior advisory opinion involving the board’s handling of exam requirements during COVID and saying the board should have consulted the Attorney General before acting. Thacker responded that the Attorney General’s office serves the Commonwealth as a whole, not as counsel to one board, and that the board’s use of outside counsel is a reasonable and economical arrangement. The exchange ended with Meredith suggesting that broader legislative action may be needed to clarify reporting relationships and oversight for the board.

Transcript Highlights:

• It's just guidance for the physician. The physician can still treat the injury anytime they want.
• The physicians that kill can still treat the injury anytime they want. That's part of my confusion.
• The physician always ultimately makes the decision on what kind of treatment they get.
• And again, the physician has the ultimate responsibility to decide, but this is guidance for them.
• It takes an annual bunch of gathering of a bunch of physicians to even change it.

Bills: HR275, HR276, HR277, HR278, HR279, HR280, HR281, HR282, HR283, HR284, HCR112, HCR113, HR265, HR266, HR267, HR268, HR269, HR270, HR271, HR272, HR273, HCR107, HCR108, HCR109, HCR110, HCR111, SCR63, SCR66, SCR67, SB414, SB484, SB513, HR168, HR174, HR194, HR216, HR264, HCR54, HCR74, HCR79, HCR85, HCR87, HCR94, HCR95, HCR97, HCR98, HCR104, SCR23, SCR29, SCR33, SCR38, HB75, HB705, SB54, SB56, SB72, SB79, SB97, SB105, SB123, SB125, SB129, SB163, SB171, SB252, SB287, SB375, SB386, SB461, SB466, HR84, HR188, HR205, HR3, HR197, HR243, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, SCR20, SCR24, SCR35, HCR6, HB301, HB359, HB657, HB675, HB680, HB727, HB39, HB58, HB112, HB134, HB155, HB187, HB287, HB462, HB782, HB825, HB846, HB903, HB904, HB929, HB941, HB962, HB1200, HB4, HB623, HB944, HB986, HB1098, HB1222, SB45, SB58, SB71, SB81, SB92, SB100, SB109, SB141, SB156, SB181, SB203, SB204, SB205, SB207, SB213, SB214, SB216, SB229, SB257, SB274, SB290, SB304, SB374, SB379, SB396, SB410, SB425, SB427, SB429, SB479, SB522, SB34, SB164, SB172, SB198, SB208, SB232, SB281, SB286, SB317, SB322, SB334, SB380, SB385, SB409, SB417, SB421, SB430, SB439, SB447, SB458, SB510, HB842, HB633, HB1191, HB625, HB1255, HB251, HB582, HB646, HB819, HB998, HB1257, SB197, SB436, SB78, HB901, HR20, HR74, HCR65, HCR71, HB284, HB302, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, HB258, SB149, SB382, SB441

Keywords: highway maintenance, signage, transportation safety, DOTD, infrastructure, public safety, federal grants, job creation, carbon storage, carbon dioxide storage, carbon capture and storage, CCS, mineral rights, mineral owners, oil and gas, disposal wells, injection wells, advanced drilling, carbon sequestration, Louisiana energy policy

Summary: The House met with a quorum and began with prayer, the Pledge of Allegiance, and several personal privileges recognizing National Police Week, fallen law enforcement officers, a young Olympic weightlifter, a community sports agent, a deceased coach, Alpha Phi Alpha Fraternity Day, the Louisiana Cattlemen’s Association, aviation professionals, and a birthday tribute. The chamber also received Senate messages, committee reports, and a long series of resolutions and bills, many of which were adopted or concurred in without objection. Several measures were returned to the calendar, while others were advanced with technical or clarifying amendments. A major portion of the meeting focused on resolutions honoring or commemorating people and groups, including National Police Week, Barron Baker, Paul T. Derezel II, Coach Emilio Tese, Alpha Phi Alpha, Louisiana Realtors Day, Special Olympics Louisiana, and various memorial highway designations. The House also adopted or concurred in resolutions on topics such as DOTD signage, shrimp procurement, geothermal energy, opioid settlement reporting, hospital design standards, Medicaid redetermination flexibility, chronic wasting disease management, remote online notarization, and a task force on intestate succession. Testimony on these items was generally supportive and brief, with sponsors explaining that most were technical, commemorative, or requests for study. The chamber also took up several substantive bills and Senate amendments. Among the measures concurred in were bills on peace officer citizenship requirements, post-conviction bail limits, portable benefits for independent contractors, workforce development, construction debris burning, license plate coverings, insurance and captive insurers, oil field indemnification, and rural infrastructure financing. One notable bill, HB 39 on peace officer citizenship, drew questions about National Guard members and legal permanent residents before the House concurred in the Senate amendments by a 74-22 vote. HB 134 on harmful material and interactive computer services had its Senate amendments rejected, while HB 359 on nonaffiliated candidates was temporarily returned to the calendar. The most extended debate came on the conference committee report for HB 842, which addressed Louisiana election law in response to the federal Callais decision. Members questioned how the report would affect the current congressional election cycle, absentee ballots, qualifying dates, signature requirements, and whether the closed party primary for U.S. House races had been canceled in favor of an open primary in the fall. The sponsor explained that the report cancels the current closed party primary for congressional races, voids ballots cast in that canceled election, returns qualifying fees, lowers petition-signature requirements, and sets new dates for the open primary and runoff. The House suspended the rules to consider the report the same day it was received, and the discussion highlighted concerns about election administration, district maps, and the scope of the changes before the chamber moved forward.

Transcript Highlights:

• Hospitals deducted more than 70% of their receipts in 2024, while physician offices deducted just over
• Dentists deducted about 38%, and non-physicians deducted just over half.
• I've got some very good friends of mine that are physicians and doctors, and they tell me I'm a terrible
• doctor and physician, and I tell them they're terrible businessmen.
• I think of physicians might be a larger piece than a 3.3 percent tax rate.

Transcript Highlights:

• but he also holds memberships in the American Medical Association, the American Academy of Family Physicians
• According to an American Medical Association survey of over 1,000 physicians, more than one in four physicians
• In fact, 40% of the physicians surveyed reported having hired staff whose only job is to process prior
• Further, physicians complete about 39 prior authorizations every week.
• bill is going to allow patients to lead productive lives while managing their illnesses and allow physicians

Summary: The Senate convened with a quorum present, heard an invocation, adopted the prior day’s journal, received House messages, and adopted several resolutions and recognitions, including Senate Resolution 496 honoring Leadership Garland and resolutions 503 and 504. The chamber also recognized guests, including a North Dakota senator and the Doctor of the Day, and received gubernatorial nominations for the Texas Economic Development Corporation Board and the Nueces River Authority Board. The Senate then took up and passed a series of bills, often by suspending the regular order and the constitutional three-day rule. Measures approved included SB 614 on Texas Forensic Science Commission referrals to the Office of Capital and Forensic Writs; SB 250 on municipal annexation across railroad rights-of-way; SB 1660 on toxicological evidence retention and destruction procedures; SB 2586 requiring property owners associations to file governing documents with the Texas Real Estate Commission; SB 1588 increasing penalties for certain failures to report child sexual abuse; HB 912 on compensation for distributed renewable generation outside ERCOT; SB 1957 setting eligibility standards for civilian oversight boards; HB 2525 clarifying a charitable property tax exemption; SB 1525 limiting repeated prior authorization for neurodegenerative disease drugs; SB 865 requiring CPR/AED training and cardiac emergency response planning in schools; SB 1212 elevating human trafficking penalties; SB 2690 on solicitations for Secretary of State documents; SB 1802 on landlord repair duties for ramps, elevators, and handrails; SB 905 on licensing rules for speech-language pathologists and audiologists; SB 2929 allowing removal of disruptive spectators at school athletic events; SB 2675 creating a narrow McAllen-specific parkland conveyance exception; SB 872 increasing punishment for burglary of a vehicle involving firearm theft; and SB 1113 clarifying sales rules for certain converter-license holders. Several bills drew extended debate. SB 2487, dealing with crisis and mental health services for homelessness, was amended to make the county model permissive rather than mandatory and to remove state funding/assistance requirements before passing 28-3. SB 2138, barring higher education funds from contracting with firms that boycott fossil fuels through ESG policies, also passed after questions about fiscal effects and First Amendment concerns. SB 2615, restricting remote work at public institutions of higher education, advanced 22-9. The Senate also began consideration of SB 3016, which would expand enforcement tools against local governments that fail to comply with state law, but the transcript cuts off before action on that bill is completed.

Transcript Highlights:

• risk to themselves or others and to have a mental illness, the individual is then detained for a physician
• I was never given the opportunity to speak to a physician about these concerns.
• I'm a board-certified physician in emergency medicine and EMS.
• I'm a board-certified physician in emergency medicine and EMS.
• The reverse is true for mental health physicians and clinicians, and that two-thirds of them need to

Bills: SB1540, SB2225, SB2284, SB2382, SB2487, SB2514, SB2595, SB2876, SB2877, SB3031, SB2753

Keywords: election officials, confidentiality, personal information, government transparency, public safety, spirit beverages, alcoholic beverages, Texas Alcoholic Beverage Code, distribution, taxation, firearms, local regulation, archery equipment, weapons, voter registration, statewide list, county requirements, election integrity, computer services contracts, mental health

Summary: The committee first adopted a committee substitute for Senate Bill 30 and then voted to report the substituted bill favorably to the full Senate; the roll call showed six ayes and one nay, with later unanimous-consent corrections noted for additional aye votes. The committee also reported Senate Bill 801 favorably to the full Senate by an eight-to-one vote. Both bills were left with no further action in the meeting after the votes. The committee then heard Senate Bill 2595 by Senator Middleton and Senate Bill 2876 by Chairman Hughes, both aimed at addressing masked harassment and riot-related conduct. Supporters said the bills would deter intimidation, protect public order, and respond to recent protests and anti-Semitic incidents, while opponents from civil rights, disability, and advocacy groups argued the measures were overly broad, could chill peaceful protest, and would burden people who wear masks for religious, medical, or disability-related reasons. Public testimony was taken on both bills, and both were left pending after testimony closed. Senate Bill 2753, by Senator Hall, proposed consolidating early voting and election day into a single continuous in-person voting period with common procedures and equipment, while preserving countywide voting and mail voting. The Secretary of State’s office said the bill could improve ballot secrecy and simplify administration, though witnesses raised concerns about ballot privacy, logistics, and access for disabled voters; some county election officials were neutral or supportive of the concept, while others opposed it as confusing or potentially burdensome. The bill was left pending after extensive testimony. The committee also heard Senate Bill 2225 on allowing spirit-based ready-to-drink beverages to be sold in grocery and convenience stores, with supporters arguing the law should focus on alcohol content rather than the source of the alcohol and that the bill would modernize an outdated code. Later, Senate Bill 1540, which would add election officials and related workers to confidentiality protections, drew support from county election officials who described threats and harassment, though one witness suggested the bill’s language may need technical adjustment to better match its intent. Finally, Senate Bill 2382, concerning statewide voter registration systems and offline counties, drew opposition from county election administrators and vendors who warned about capacity, cybersecurity, and single-point-of-failure risks, while others suggested a phased approach or API-based integration; the transcript ends with testimony still open on that bill.