Transcript Highlights:

• go on medications to support their transition.
• I'm certain for the particular medication.
• note that these are incredibly inexpensive medications unlike a GLP 1 these are medications that are
• They can get folks into the medical beds faster.
• Medical debt is growing in Massachusetts. We are a high-income state, and medical debt is growing.

Committee: Joint Joint Committee on Ways and Means

Transcript Highlights:

• worker's choice and within the medical network.
• Accident and medical aid accounts, not the general fund. Thank you.
• Alex Wehinger, speaking on behalf of the Washington State Medical Association.
• of procedures that may be necessary for an injured worker.
• As a union member, I did not have medical insurance.

Bills: SB5437 , SB6152 , SB6058 , SB5944 , SB6039 , SB6117

Committee: Senate Labor & Commerce

Keywords: noncompete, noncompetition agreement, restrictive covenant, nonsolicitation, employment contract, worker mobility, labor law, wage suppression, trade secrets, confidentiality agreement, franchise, independent contractor, employee mobility, economic growth, entrepreneurship, job mobility, restraint of trade, customer solicitation, post-employment restrictions, FTC noncompete rule

Transcript Highlights:

• Whereas a healthy and well workforce is critically necessary to ensure access to high-quality care and
• And whereas up to 54% of physicians, 68% of nurses, 60% of medical students and residents, and 61% to
• He earned his medical degree from China Medical University and a PhD in cell biology from the Medical
• to virtually any medical product, and it strips employers of the ability to verify claims or manage
• So that's a radical approach to say you absolutely have to have the choice about your medical care.

Transcript Highlights:

• The medical examiner won't, the county won't, and we can't get a doctor that will sign.
• We have to get permission from the medical examiner in order to cremate.
• Some additional education may be necessary to move. ...or the 120 hours.
• She was in it necessary, but I'm deeming it necessary.
• We deliver life-saving medical supplies like blood to health facilities in Africa.

Committee: House House Commerce Committee of Reference

Summary: The House Commerce Committee heard House Bill 2181, which would extend the deadline for funeral establishments or responsible individuals to complete and submit death certificates. The committee adopted an amendment reducing the maximum extension to 14 days and clarifying that the medical certification deadline for health care providers excludes weekends and holidays. Testimony from a mortuary owner and the sponsor described delays caused by doctors’ schedules, county processing, holidays, and families needing more time; some members argued the bill did not address the underlying accountability problems for doctors and counties, while others supported the added flexibility. HB 2181 was approved 6-4-1 with a due pass recommendation. The committee then heard House Bill 2682, which creates a DES rental assistance program providing up to two months or $5,000 in aid and appropriates $5 million from the general fund for administration. Supporters said the bill would help families facing short-term crises stay housed, reduce evictions, and serve as a preventive measure that could save money downstream; a constituent testified in Spanish about receiving emergency rental help after falling behind. Some members raised concerns about the program’s cost, the limited target population, and whether seniors should be included, while others supported it as a pilot and asked for possible amendments. HB 2682 passed 7-4. House Bill 2698, which creates a rental assistance study committee to evaluate the effectiveness of such programs and repeals the committee in 2028, was heard next and passed on a 7-4 vote. The committee then considered House Bill 2476, revising CPA certification and reciprocity requirements by creating multiple pathways to licensure and updating related rules and fees. Supporters said the bill would help address a CPA workforce shortage and align Arizona with other states; after questions about whether the bill made licensure harder or easier, the committee unanimously approved HB 2476, 11-0. Finally, the committee began House Bill 2308, which would bar dental insurers and certain holding companies from owning dental practices. The sponsor and Arizona Dental Association argued the bill would prevent conflicts of interest and preserve separation between payers and providers, while Delta Dental opposed the measure as overbroad and potentially burdensome for nonprofit insurers and investors. After discussion about private equity, nonprofit charity care, and vertical integration, the bill was approved 8-0 with three members present. The committee then started House Bill 2118 on mobile food vendors, with the sponsor and food truck operators arguing it would streamline duplicate local permitting, while cities and some vendors opposed it as a loss of local oversight and control; testimony continued, but no final action on HB 2118 appears in the excerpt.

Transcript Highlights:

• medical personnel.
• medical personnel.
• Certainly, in a hospital bed these patients are safe, but they're no longer medically necessary to be
• </c><02:30:14.000><c> necessary</c><02:30:14.560><c> to</c> they're no longer medically necessary to
• they're no longer medically necessary to be<02:30:14.920><c> in</c><02:30:15.040><c> a</c><02:30:15.200

Committee: Senate Health and Human Services

Transcript Highlights:

• Medical treatments, often unrelated to those workplace injuries.
• That's alongside injury, medical conditions, and disability.
• What the employee got was assured medical care on the same basis that they would have gotten medical
• Under a civil lawsuit, the standard to get more medical care is that it must be necessary to help cure
• So when you get a jury verdict, you receive reimbursement for medical bills that were for treatment necessary

Committees: House Insurance , House Insurance and Banking

Transcript Highlights:

• medical director, EMS TEI primary medical director, and EMSI associate medical director. >> Would you
• </c> medical director and EMSI medical director and EMSI associate<01:12:09.920><c> medical</c><01:12
• </c> medical actions. medical actions.
• Um, the language in 10:23 also says medically necessary.
• necessary.

Summary: The committee first approved the minutes and then recognized a staff member’s birthday and a guest shadowing Senator Adams. It then moved into informational review of Education and Labor Cabinet, Department of Education regulation 702 KAR 3:30, which sets insurance coverage requirements for school district buildings and structures. Department of Education officials explained that districts are expected to carry coverage at replacement cost and said they understand some districts participate in self-insurance pools with backup policies, but they deferred detailed insurance questions to the Department of Insurance. Senators raised concerns that pooled coverage could leave districts exposed if claims exceed pool limits, and the chair asked KDE to follow up with DOI to confirm districts are adequately covered, especially for bondholders. No vote was taken on the informational review. The committee then reviewed emergency ABC regulations 804 KAR 130:01 through 130:04 implementing Senate Bill 100’s new licensing requirements for tobacco, nicotine, and vapor product businesses. ABC and Public Protection Cabinet representatives outlined the emergency rules governing enforcement, license applications, denial criteria, and transitional licenses. Retail industry witnesses Shannon Stiglet and Brian Clark said they support licensure in principle but argued the rules add duplicative requirements borrowed from alcohol licensing, create confusion about transitional licenses, and may be too burdensome for the roughly 7,000 affected businesses to meet by the January 1 deadline. They also said guidance has been inconsistent and requested the agency revise the regulations, remove requirements not grounded in law, and provide clearer, separate processes for new and existing businesses. Committee members asked whether the industry had worked directly with ABC and noted the public comment period was still open. Witnesses said they had communicated with ABC and the Public Protection Cabinet, but responses had been uneven and they wanted written guidance. Members expressed concern about the short timeline and the need to avoid disruption so businesses can operate legally on January 1. Representative Marzian asked for clarification that the discussion concerned emergency regulations already in effect while ordinary regulations remain in process. No formal action was taken beyond receiving the informational testimony and discussion.

Transcript Highlights:

• preventative medication costs.
• Last year, I hit the out-of-pocket maximum on medical expenses for the first time.
• And what might be necessary for a specific location. Thank you. Great. Thank you.
• Bipolar 1 and detoxing alone with no medical oversight.
• The modular building where the medical unit will be is still almost done.

Bills: SB6346 , SB6347 , SB6147 , SB6246 , SB5940 , SB5882 , SB6223 , SJR8206 , SB5762 , SB5828

Committee: Senate Ways & Means

Keywords: millionaires tax, wealth tax, income tax, state revenue, tax reform, Washington estate tax, estate tax, inheritance tax, death tax, probate, decedent, gross estate, taxable estate, exclusion amount, tax rate, estate planning, heirs, beneficiaries, RCW 83.100, Department of Revenue

Transcript Highlights:

• Again, I believe the HB 1041 is necessary to ensure medical decisions are voluntary, informed, and free
• It was more and more medications.
• It was more and more medications.
• I didn't think it was necessary.
• Fate Jobert, medical doctor. Dr.

Bills: HB414 , HB786 , HB1041 , HB1052 , HB1118 , HB1139 , HB1182 , HB1185 , HB1214 , HB1217 , HB1231 , SR63 , SCR27 , SB5 , SB194 , SB415 , SB433 , SB451 , SB462 , SB516

Committee: House Health and Welfare

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, Medicaid, claim payments, extrapolation, provider audits, medical freedom, discrimination, access, medical intervention, child protection, confidentiality, multidisciplinary teams, child advocacy centers, public records, investigations, hospital

Transcript Highlights:

• Once those undergraduate medical students get into graduate medical education and they do their residencies
• Are we going to purchase a medical school?
• Are we going to purchase a medical school?
• I mean, medical education, as well as the whole, I mean, it's really key to the entire medical system
• I mean, medical education as well as the whole, I mean, it's really key to the entire medical system

Summary: The meeting focused first on a legislative working group report created under House Bill 368 from the prior session on medical education in Idaho. The presenter described Idaho’s physician shortage, noting the state ranks 50th per capita in physicians and would need roughly 1,400 additional physicians to reach the national average. The group’s unanimous recommendations included maintaining current state-supported medical school seats, adding 10 new non-WAMI seats this year, expanding graduate medical education by 15 seats, prioritizing in-state training, and creating a dedicated health education coordination role to manage undergraduate and graduate placements, clinical sites, and data. Members discussed whether WAMI should also expand, the quality of WAMI graduates, the need for more clinical preceptors and residency sites, rural recruitment incentives, and whether the plan should include other health professions such as nurse practitioners and physician assistants. The presenter said the plan includes benchmarks and timelines, and estimated costs of about $350,000 for coordination, $350,000 to $485,000 for 10 new UME seats depending on placement, and $900,000 for the GME request. The committee then heard from Legislative Audit Division Manager April Renfro on the state’s 2024 single audit and related accountability work. She reported $5.4 billion in federal assistance audited, 21 major federal programs across 15 agencies, 45 findings, seven repeat findings, $2.4 million in known questioned costs, and $2 million in projected questioned costs. Major issues were concentrated at the Department of Health and Welfare, including Medicaid findings involving delayed health and safety surveys, managed care provider eligibility and roster controls, and capitation payments tied to ineligible members; Child Care and Development Fund reporting and cost-allocation errors; and repeat issues in vocational rehabilitation and low-income home energy programs. She also noted Department of Environmental Quality problems with indirect cost proposals and a duplicate grant draw, while Transportation had no findings. Members asked about accountability for repeat findings, the role of Luma in reporting errors, fraud detection, and how to prioritize corrective action; Renfro said agencies, federal management decisions, and legislative oversight all play a role, and she planned to send a prioritized list of key findings to the co-chairs. A later presentation by budget analyst Brooke Dupree introduced front-end reports in the legislative budget book, explaining state government structure, the constitutional limit of 20 executive departments, and how the Legislature uses decision units to build appropriations. She walked through the original appropriation, reappropriations, supplemental appropriations, and how those pieces roll into the current-year total appropriation, with members asking brief questions about departmental divisions and the budget model.

Transcript Highlights:

• </c> >> Board of Medical Licensure, 201 KAR 9:086 and 9:305.
• </c><00:07:53.600><c> for</c> establishes instructions necessary for establishes instructions necessary
• We had the equine dental was one... the K Kentucky um Board of Medical the K Kentucky um Board of Medical
• This is necessary due to the cost of these genetic tests continuing to increase.
• </c> you know, whatever's billed for medical you know, whatever's billed for medical necessity<00:18:

Summary: The committee met with a quorum, approved the prior meeting’s minutes, and then reviewed a series of administrative regulations from multiple agencies. Most of the regulations were presented as technical updates or policy clarifications, and in each case the committee approved staff-suggested amendments without objection. The Department of Revenue regulation would delete a section on tax credits for trusts and estates to align with statute. The Kentucky Public Pensions Authority package updated definitions, sick leave credit rules, hazardous/non-hazardous employment participation, refund procedures, contribution limits, mortality table references, and incorporated federal tax references. The Board of Medical Licensure regulations addressed renewal and activation of inactive physician-assistant licenses and renewal/reinstatement timelines for athletic trainer licenses. The Fish and Wildlife regulations revised rules for Otter Creek and Peabody areas by deleting definitions and creating shooting-range permit exemptions. The committee also heard emergency vocational rehabilitation regulations that would clarify definitions, due process rights, federal compliance, service fees, in-state service preferences, and service-specific requirements; a workforce insurance regulation updating contribution/reporting rules for professional employer organizations; and a horse racing regulation adding license categories for allied animal health professionals, animal chiropractors, and equine dental providers, while updating fees, application timing, and special events licensing. Members asked questions about the horse racing licensure changes, and the agency explained they were responding to prior session changes and adding guardrails, including veterinarian sign-off for equine therapist licensure on the back side of a racetrack. The Department for Public Health package made several personnel and salary-related changes for local health departments, including salary ranges for new hires, probation and evaluation rules, salary increases after probation, and limits on certain leave payouts for employees who separate without proper notice or are dismissed for cause. The Office of Inspector General regulation added electronic prescription references and removed authority to create a new prescription number for partial dispensing of Schedule II prescriptions. The Department for Medicaid Services regulations updated provider group definitions, removed some service limits, required prior authorization for all genetic testing for non-MCO recipients, changed physician fee schedule updates from quarterly to annually, and added reimbursement for department-approved vaccines. Members asked detailed questions about genetic testing prior authorization and sleep disorder coverage; the agency said prior authorization is intended to take two to five days and that sleep disorder services generally involve sleep apnea-related treatments such as CPAP machines and sleep studies. The committee then adjourned and announced its next meeting for Tuesday, May 12 at 1:00 p.m.

Transcript Highlights:

• Medical examiners need the next-of-kin information for a variety of important reasons.
• Within two days of this information being posted at the medical examiner's office, House Bill 4490 will
• I'm just wondering why this bill is necessary.
• I move to suspend all necessary posting rules to add House Bill 2853, sponsored by Senator Blanco, to
• I move to suspend the posting rules and all necessary rules.

Bills: HB2 , HB6 , HB18 , HB43 , HB138 , HB180 , HB300 , HB581 , HB647 , HB748 , HB762 , HB 1240 , HB1393 , HB1397 , HB1584 , HB1734 , HB2011 , HB2254 , HB2286 , HB2434 , HB2467 , HB2468 , HB2495 , HB2516 , HB2518 , HB2529 , HB2564 , HB2712 , HB2713 , HB2715 , HB2765 , HB2898 , HB3146 , HB3161 , HB3348 , HB3800 , HB4044 , HB4341 , HB4370 , HB4384 , HB4386 , HB4396 , HB4490 , HB4809 , HB5057 , HB5323 , HB5534 , HB5668 , SB203 , SB317 , SB719 , SB731 , SB801 , SB867 , SB1071 , SB1232 , SB1798 , SB2082 , SB2363 , SB2603 , SB2607 , SB2717 , SB2797 , SB2841 , SB2919 , SB3038 , SJR5 , SB4 , SB9 , SB21 , SB23 , SB27 , SB34 , SB40 , SB75 , SB213 , SB458 , SB482 , SB493 , SB647 , SB648 , SB840 , SB841 , SB843 , SB912 , SB1241 , SB1253 , SB1350 , SB1388 , SB1423 , SB1535 , SB1559 , SB1709 , SB1789 , SB1951 , SB2037 , SB2143 , SB2155 , SB2544 , SB1 , SB17 , SB260 , SB509 , SB1506 , SB1637 , SB1833 , SB2308 , HB2525 , HJR133 , HB1393 , HB26 , HB388 , HB2712 , HB1633 , HB685 , HB2286 , HB1606 , HB1458 , HB 1240 , HB2791 , HB3146 , HB1397 , HB2061 , HB647 , HB4738 , HB2563 , HB 128 , HB581 , HB766 , HB2259 , HB2358 , HB4384 , HB748 , HB1734 , HB5180 , HB3806 , HB3804 , HB3803 , HB1522 , HB3597 , HB1612 , HB4224 , HB1314 , HB 1237 , HB3126 , HB2856 , HB3114 , HB3505 , HB5652 , HB2025 , HB3395 , HB2495 , HB18 , HB2516 , HB2713 , HB24 , HB519 , HB609 , HB1592 , HB3348 , HB 120 , HB6 , HB1533 , HB2421 , HB2273 , HB2464 , HB2011 , HB5057 , HB5084 , HB5534 , HB5668 , HB3424 , HB2715 , HB2564 , HB2765 , HB2898 , HB3800 , HB4396 , HB4341 , HB43 , HB5686 , HB2467 , HB2468 , HB2518 , HB4310 , HB4386 , HB4490 , HB180 , HB5323 , HB2 , HB149 , HB4945 , HB2434 , HB2529 , HB3161 , HB3745 , HB4044 , HB5155 , HB5667 , HB4996 , HB2697 , HB2492 , HB2355 , HB2282 , HB2001 , HB1902 , HB1866 , HB1445 , HB1443 , HB 1306 , HB 1024 , HB908 , HB305 , HB285 , HB449 , HB171 , HB47 , HB3464 , HB2637 , HB4263 , HB5436 , HB4429 , HB3986 , HB3966 , HB3510 , HB2560 , HB2026 , HB2688 , HB4076 , HB5246 , HB3487 , HB3486 , HB4226 , HB216 , HB742 , HB2402 , HB143 , HB5033 , HB4413 , HB4042 , HB2440 , HB4426 , HB49 , HB4112 , HB3233 , HB2310 , HB5515 , HB3627 , HB2674 , HB322 , HB1481 , HB 126 , HB3062 , HB3421 , HB3180 , HB2530 , HB2524 , HB1916 , HB3153 , HB5650 , HB4894 , HB3120 , HB1629 , HB 103 , HB3234 , HB3680 , HB5698 , HB3171 , HB5693 , HB2694 , HB5664 , HB3732 , HB2508 , HB2293 , HB1991 , HB2014 , HB5331 , HB5247 , HB4751 , HB4690 , HB4668 , HB4464 , HB4395 , HB4063 , HB3833 , HB3623 , HB3214 , HB3512 , HB3250 , HB3016 , HB2520 , HB2221 , HB2213 , HB3824 , HB2067 , HB1732 , HB1562 , HB700 , HB1545 , HB252 , HB146 , HB5596 , HB1851 , HB3619 , HB3071 , HB3556 , HB851 , HB4230 , HB5320 , HB5651 , HB5670 , HB5665 , HB5437 , HB5679 , HB5699 , HB5661 , HB5662 , HB5654 , HB5672 , HB5656 , HCR141 , HCR118 , HCR127 , HCR40 , SJR36 , SJR50 , SJR63 , SCR12 , SCR39 , SB2023 , SB62 , SB666 , SB847 , SB284 , SB854 , SB810 , SB1505 , SB583 , SB507 , SB1434 , SB1772 , SB2016 , SB1122 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB1882 , SB393 , SB1791 , SB209 , SB2429 , SB1085 , SB1975 , SB2717 , SB1262 , SB636 , SB2056 , SB884 , SB1200 , SB1845 , SB2458 , SB801 , SB3014 , SB3013 , SB758 , SB2797 , SB2076 , SB2876 , SB1640 , SB1449 , SB1181 , SB1234 , SB2926 , SB2841 , SB1528 , SB1854 , SB317 , SB1250 , SB2082 , SB1237 , SB2819 , SB629 , SB2608 , SB1602 , SB2009 , SB867 , SB640 , SB1698 , SB2680 , SB913 , SB1071 , SB1086 , SB1087 , SB1483 , SB1444 , SB1553 , SB1556 , SB1703 , SB2133 , SB2297 , SB2298 , SB2622 , SB2955 , SB2334 , SB1367 , SB2044 , SB2363 , SB2565 , SB1888 , SB3036 , SB3057 , SB3043 , SB3063 , SB3035 , SB203 , SB2688 , SB2522 , SB2459 , SB2655 , SB2251 , SB1884 , SB2928 , SB2566 , SB1749 , SB2549 , SB2553 , SB2919 , SB1944 , SB1232 , SB1798 , SB2603 , SB2607 , SB2683 , SB1319 , SB3038 , SB3045 , SB1538 , SB3071 , SB3065 , SB823 , SB3062 , SB3074 , SB1380 , HB6 , HB581 , HB1393 , HB1734 , HB2286 , HB2467 , HB2468 , HB2495 , HB2529 , HB2564 , HB2765 , HB2898 , HB3146 , HB3348 , HB3800 , HB4341 , HB4386 , HB4490 , HB5057 , HB5323 , HB5534 , HB5668 , HB2 , HB2715 , SR530 , SR552 , SB482 , SB493 , SB841 , SB912 , SB1241 , SB1350 , SB1388 , SB1559 , SB1951 , SB2143 , SB2155 , HB205 , HB220 , HB561 , HB2078 , HB2300 , HB2652 , HB3335 , HB3441 , HB4212 , HB4879 , HB5228 , HB5616 , HB205 , HB220 , HB561 , HB2078 , HB2300 , HB2652 , HB3335 , HB3441 , HB4212 , HB4879 , HB5228 , HB5616

Transcript Highlights:

• This will broaden access within the veterinary medical profession.
• An often result individuals stranded at home, missing medical appointments, or being unable to have a
• So, for those of you that might not be as familiar with how getting durable medical equipment and power
• So you're not even talking about in relation to the community, although that's very necessary to get
• I have seen and know of people that have had serious medical complications because of ill-fitting chairs

Committee: House Commerce Committee

Summary: The committee took up eight bills and memorials and reported each favorably. It first passed HM 4063, a memorial urging Congress to lay the groundwork for a federal sovereign wealth fund. Sponsor Rep. Anderson described it as a long-term economic security measure, while several members questioned how such a fund would be structured, governed, and balanced against paying down debt. Ranking member Hunschofsky and Rep. Spencer raised concerns about transparency, market disruption, and the lack of specific parameters. The memorial passed on a recorded vote. The committee then approved CS/HB 139, allowing pawnbrokers to use digital transaction forms, with SMG testifying in support as a modernization and pro-business change. It also adopted an amendment and passed HB 1157, which tightens reemployment assistance requirements by adding work-search, interview, identity, immigration, and availability checks; the amendment added protection for missed interviews due to emergencies and removed an email reporting requirement. The Florida AFL-CIO and Florida Center for Fiscal and Economic Policy opposed the bill, arguing Florida’s unemployment system is already overly restrictive and that the proposal would further limit access to benefits, while supporters said it would ensure claimants are actively seeking work and verify eligibility. Members also passed CS/HB 497 to create nonprofit agricultural organization medical benefit plans for farmers and ranchers, with support from Americans for Prosperity, the Florida Hospital Association, and the Farm Bureau; CS/HB 729 to authorize veterinary professional associates to perform limited duties under veterinarian supervision, with testimony from veterinarians and advocates citing access and workforce shortages; and HB 311, a right-to-repair bill for motorized wheelchairs, which drew strong support from disability advocates who described long repair delays, high costs, and the impact on independence and health. Rep. Tramont praised the wheelchair repair bill during debate, and the committee voted it favorably. Finally, the committee passed CS/HB 1549, an Office of Financial Regulation agency bill intended to help regulate financial institutions more efficiently, and CS/HB 715, which allows licensed roofing contractors to perform roof-to-wall connections during reroof or repair projects and extends the emergency cancellation window to 180 days after a declared emergency. HB 715 was amended to require a contract notice advising property owners to verify insurance coverage before signing when the work is tied to an insurance claim. Roofing industry groups and home inspection representatives supported the measure as a way to reduce costs and improve wind mitigation. At the end of the meeting, the chair announced the agenda was complete and the committee rose.

Transcript Highlights:

• There are two approved medications.
• But no medicated feed?
• I thought I heard you say there are two medications that so there are approved two medications that are
• But no medicated feed.
• take by landowner is necessary.

Summary: The joint hearing focused on preparedness for the New World screwworm threat and brought together the House Committees on Culture, Recreation, and Tourism and Agriculture and Livestock. USDA officials, Texas Department of Agriculture Commissioner Sid Miller, and Texas Animal Health Commission leadership described the pest as a serious risk to livestock, wildlife, rural economies, and beef prices, and emphasized coordination among federal, state, industry, and Mexican partners. Witnesses repeatedly stressed that Texas is currently seeing no confirmed U.S. detections, but that recent confirmed cases in northern Mexico, including Nuevo León, remain a concern because of their proximity to the border. USDA testimony outlined current surveillance and response efforts, including more than 120 screw worm-specific traps along the Texas border and neighboring states, thousands of additional dual-purpose traps, wildlife inspections, weekly coordination with Mexico’s Senasica, and a new USDA New World Screwworm Directorate. Officials said the existing Panama sterile fly facility is maxed out at about 100 million flies per week, while a dispersal facility in Tampico is helping move flies farther north in Mexico. They also described plans for a retrofitted sterile fly facility in Metapa, Mexico, expected to come online in 2026, and a new domestic production facility at Moore Air Base, with phase one targeted for late 2026 or early 2027 and phase two adding substantially more capacity later. Members pressed USDA on timelines, production capacity, the reliability of Mexican reporting, the risk from wildlife, and whether modular or mobile facilities could be deployed faster. USDA said it is also exploring innovative technologies, including a genetically engineered sterile male fly, but that such tools still require EPA review and field validation. Commissioner Miller highlighted Texas biosecurity efforts, five permanent inspection stations, cooperation with FDA and EPA on treatments such as Exzolt, and other pest issues affecting Texas agriculture. He also noted research into fly bait and private-sector efforts to speed sterile fly production. Texas Animal Health Commission officials described extensive state preparedness work, including weekly coordination calls, field response trainings, outreach to producers and veterinarians, and a Texas Screwworm Response Team. They said Texas has trained more than 100 inspectors and other personnel, with additional trainings planned, and that the state is expanding its cattle fever tick rider program. No votes or formal committee actions were taken during the hearing; the main action was the exchange of testimony and questions about readiness, surveillance, and facility timelines.

Transcript Highlights:

• I'm a medical doctor. I serve as... My name is Dr. Britta Lundberg. I'm a medical doctor.
• Medical staff will be right there... We don't need medical staff. We have our phones.
• So at least have some kind of medical staff.
• Tracks do not have medics on site.
• get the necessary medical care.

Bills: H4697 , S2635 , S2680 , S2681 , H5158

Committee: Joint Joint Committee on Public Safety and Homeland Security

Keywords: constables, civil deputy sheriffs, law enforcement, training, certification, public safety, emergency response, red lights, Barnstable, town management, public health, safety standards, nuclear power, waste management, community protection, BMX, motocross, safety, regulation, insurance

Transcript Highlights:

• </c><00:18:34.520><c> and</c> condemned by every major medical and condemned by every major medical and
• </c> condemned by almost every major medical condemned by almost every major medical and<00:25:48.600
• </c> country including the American Medical country including the American Medical Association<00:25:
• </c><00:26:04.039><c> Association</c> more the American Medical Association more the American Medical
• It completely neglects any professional medical providers in this country and internationally.

Summary: The committee first took up House Bill 9, which would create oversight for Medicaid-related policy through a board modeled after the Public Pension Oversight Board. Sponsor Rep. Adam Bowling said the measure was intended to bring legislative, executive, and stakeholder voices together to vet issues and make better-informed Medicaid policy. Members generally supported the concept, though some questioned the proposed board’s party breakdown and whether the language should be updated now rather than later. After discussion, the committee voted 19-0 to pass HB 9 favorably. The committee then heard House Bill 495, which Rep. Hail said would protect mental health care professionals, institutions, and ordained ministers from discrimination when providing what the bill calls protected counseling services. He described the bill as a parental-choice measure that would allow counseling aligned with family values and said it also creates a civil cause of action for harmed parties. Opponents argued the bill would shield conversion therapy, with Dr. Eric Russ, Brandon Long, Dr. Brandon Creech, Brenda Rosen, Chris Hartman, and Dr. Bobby Glass testifying that conversion therapy is discredited, harmful, and associated with depression, anxiety, self-harm, and suicide risk. They said professional medical and counseling organizations oppose such practices and urged rejection of the bill. During questions, Rep. Layman pressed the sponsor on whether the bill would protect therapies even if a child was not in distress and on whether the committee should be endorsing a practice discredited by professional organizations. Rep. Hail responded that he viewed the issue as a parental choice and said he believed the bill protects providers offering those services. The transcript ends during continued discussion of HB 495, with no final vote shown on that bill.

Transcript Highlights:

• They're the experts on medicine and medical education, not us.
• We're the experts on medicine and medical education, not us.
• cardiac surgeons have a lot of other things that may be more important to be part of that continuing medical
• </c><00:14:59.120><c> So</c><00:14:59.600><c> I</c> necessary expertise to be doing it.
• So I necessary expertise to be doing it.

Summary: The committee first heard House Bill 538, a Liquor Commission cleanup bill. Chair Joseph Mica and CFO Tina Deir explained that the bill updates outdated statutory titles and positions after the commission’s 2014 restructuring, deleting references to the former commissioner and COO roles, adding a director of administration and a director of finance and audit, and keeping the new positions at the same labor grade pending review by the Joint Committee on Employee Classification (JCEC). Members discussed the proper sequence for JCEC review, but generally treated the bill as housekeeping. The committee then voted ought to pass, and the roll call was unanimous, 16-0. The committee next took up House Bill 493, which would require continuing education related to child abuse/ACE recognition for physicians and other providers. Testimony and committee discussion focused on whether the bill was too vague, whether it improperly intruded on the Board of Medicine’s authority to set professional education requirements, and whether it would effectively mandate a narrow training course that is currently voluntary and free. Supporters argued the bill addressed a real problem and cited testimony about missed abuse cases, while opponents said the board should handle the issue through its own rules and that the bill was poorly drafted. A motion of inexpedient to legislate passed 9-7, and the committee noted a minority report would be needed. The meeting ended with procedural and scheduling announcements, including that the committee would be dealing with budget hearings the following week and had a large number of Senate bills scheduled for later in the month.

Transcript Highlights:

• PUC and the Railroad Commission to take action that is necessary and appropriate to to resolve a hazard
• in order to make a medical evaluation of the patient.
• In Section 2F2, even more loopholes are added, medical psychological and psychiatric.
• It wasn't done and it wasn't necessary.
• I don't expect this carve out to be abuse, but I also don't. think it's necessary.

Bills: HB14 , HB 106 , HB146 , HB267 , HB274 , HB 1127 , HB1359 , HB1393 , HB1584 , HB1640 , HB1710 , HB2152 , HCR101 , HJR8 , HR51

Committee: House State Affairs

Keywords: nuclear energy, advanced reactors, energy security, grant programs, Texas Advanced Nuclear Energy Office, HB 106, oil and gas, Railroad Commission of Texas, overhead electrical lines, electrical distribution system, power line maintenance, administrative penalty, Natural Resources Code, oil and gas lease, well operator, energy safety, utility infrastructure, regulatory compliance, cleanup fund, oil and gas regulation and cleanup fund

Transcript Highlights:

• director for the medical student initiative.
• UC San Diego Health, and he was also the medical director for the medical student initiatives and served
• People kind of dismiss them, think that it's not necessary. Right?
• People kind of dismiss them, think that it's not necessary.
• necessary treatment.

Transcript Highlights:

• The Therapeutic Cannabis Medical Oversight Board is statutorily charged with the medical oversight of
• </c> of the therapeutic cannabis medical of the therapeutic cannabis medical oversight<05:10:35.638><
• </c> the therapeutic Canabis medical the therapeutic Canabis medical oversight<05:10:40.280><c> border
• We provide a critical tool to ensure that children receive medical attention and necessary support services
• receive medical attention and necessary<05:26:24.680><c> support</c> necessary support necessary support

Committee: House Criminal Justice and Public Safety