Transcript Highlights:

• Over 50% of the projects focus on drug resistance, precision therapies, and novel treatment strategies
• This includes microbiome-guided therapies, immune-based relapse prevention, and guided care using data

Summary: The committee first received an update from the Department of Health on the Cancer Connect Collaborative, the Cancer Innovation Fund, and the new Cancer Connect Collaborative Research Incubator, created and expanded by recent legislation. The department reported that the Cancer Innovation Fund has awarded $80 million to 95 researchers to date, with $60 million available in the current cycle and 65 projects funded across 28 institutions in 16 cancer areas last year. The new pediatric cancer incubator received $30 million and awarded four Florida children’s hospitals $7.5 million each. Senators asked about outreach to oncologists statewide, peer review and accountability, funding for National Cancer Institute-affiliated institutions, and whether underserved and rural areas are being prioritized; the department said it uses website notices, listservs, collaborative outreach, and eligibility criteria favoring rural and high-cancer-care providers, and that it monitors projects through reports, expenditures, and contract provisions. The committee then heard Senate Bill 312 on patient-directed medical orders, which would create a voluntary, portable, physician-authorized electronic registry for patients to document end-of-life and serious-illness treatment preferences. Supporters, including nurses, hospice and emergency care advocates, and medical professionals, said the bill would help ensure patient wishes are accessible in emergencies, reduce unwanted interventions, and improve continuity of care. Opponents, including Florida Right to Life, argued the bill could broaden end-of-life decisions too far, raise privacy and coercion concerns, and allow withdrawal of care inappropriately. The sponsor said the measure is intended to support patient autonomy and is not anti-life, and noted she was open to amendments. After public testimony, the committee voted on SB 312 and reported it favorably. The roll call showed support from Senators Berman and Harrell, with the bill passing on the committee vote. The meeting then adjourned.

Transcript Highlights:

• GENE THERAPY ANALYSIS.
• DIRECTED TO COMPLETE AN ANALYSIS EVALUATING OPTIONS TO SUPPORT ACCESS TO PRESCRIPTION DRUGS USING THERAPIES

Transcript Highlights:

• About what medical therapy they can take, without having to worry.
• The only medical therapy that we get in between a doctor and the patient is this.

Bills: SB5, SB11, SB12, SB5, SB11, SB12

Keywords: hemp regulation, consumable products, cannabinoids, occupational licenses, criminal offenses, SB 11, Texas attorney general, election crimes, election law enforcement, criminal prosecution, Election Code, Government Code Chapter 402, local prosecutors, county attorney, district attorney, grand jury, probable cause reports, state election offenses, voter fraud, election integrity

Transcript Highlights:

• cancers collectively, there are more than 10,000. rare diseases, but only 5% have an FDA approved therapy
• research, California's life sciences sector is also leading the way in transforming treatments and therapies

Keywords: 988, house, all

Transcript Highlights:

• Schools are not diagnosing mental health conditions, providing clinical services, or collecting therapy

Keywords: 1189, house, all

Transcript Highlights:

• They work along the same rubric when it comes to billing for therapies.
• > that<03:50:20.080> therapy<03:50:20.479> plan.
• <03:50:21.359> As they were working that therapy plan.
• As they were working that therapy plan.
• So, and don't get billing for therapies.

Keywords: 1189, house, all

Summary: The commission met to approve the May 18, 2026 minutes and then focused on how SB 57’s special education cost study should inform HB 1099, which creates a separate study committee on residential placements and related education costs. Members discussed sending the commission’s minutes and findings to that new committee, noting the short timeline for its work and the need to be specific about unresolved issues so the new group does not duplicate the same questions. A major topic was the cost and responsibility for students placed at Spalding and similar residential programs, especially transportation and whether costs are paid through the Department of Education’s episode-of-treatment (EOT) fund, local districts, DHS, or Medicaid. Staff explained that for students with disabilities, EOT funds cover special education and transportation costs tied to the placement, while students without disabilities are handled through DHS care-management and best-interest meetings. Members raised concerns about whether some students at Spalding are receiving no schooling, whether transportation costs are substantial, and whether Medicaid reimbursement could offset some expenses. The commission also discussed confusion over district responsibility when students placed in residential programs attend school in another district, using Winnisquam as an example. Several members said the receiving district was not notified that DHHS-approved programs could bring in additional students and costs, and they suggested DHHS or its care-management entity should notify both the district of residence and the receiving district when a program is approved. The group agreed this notification issue, along with transportation funding, privacy concerns in Medicaid-to-schools billing, and the distinction between special education placements, EOT placements, and other voluntary residential placements, should be passed to the HB 1099 study committee for further work.

Transcript Highlights:

• , if, say, for example, I were a small business person and I decided to open a legitimate massage therapy
• place and I were massage therapy place and I were employing<01:21:23.120> five<01:21:23.840><
• <01:22:28.000> The<01:22:28.239> same a massage therapy license.
• The same a massage therapy license.
• Quite frankly, I was focused on making sure that we could also get this massage therapy out.

Keywords: 1189, house, all

Transcript Highlights:

• Um, is the department going to ask providers whether they have, you know, been in therapy or treatment
• and say they had therapy or treatment when they were a teenager?
• <01:29:42.320> Uh have received treatment or therapy.
• Uh have received treatment or therapy.
• or treatment and say they had therapy or treatment and say they had when<01:29:53.199> they<01

Keywords: 1183, house

Transcript Highlights:

• different focus, when we were more focused on services that require participation in mental health therapy
• You could not require mental health therapy; you could not require drug treatment.
• as cognitive behavioral therapy, EMDR, and things like that.
• But again, from there, they had nowhere to send her until... ...the physical therapy that she needed.
• Many young adults aging out of foster care will have an ongoing need for therapy services, which they

Keywords: 1184, house, all

Transcript Highlights:

• Group therapy takes place six days per week and includes evening sessions.
• , creating a softening of existing jail units. intensive mental health and substance use disorder therapy
• Group therapy takes place six days per week and includes evening sessions.
• Daily programs, daily program operations also offer individual patient therapy sessions, daily administration
• centers, domestic violence programs, child advocacy centers, homicide bereavement services, general therapy

Keywords: 995, all

Summary: The hearing was held in Clinton Town Hall as part of the Joint Committee on Ways and Means’ budget review, with local officials welcoming legislators and noting the long agenda of many panels. The main presentation was from Secretary Terrence Reedy of the Executive Office of Public Safety and Security, who outlined the Healey-Driscoll administration’s FY26 proposal for the secretariat, including a $1.7 billion budget and a 7% increase over FY25. He described investments in emergency preparedness, hate-crime prevention, reentry programming, technology modernization, internships, and public safety training, while also noting some reductions driven by resource constraints, including cuts to certain grant programs and administrative costs. Committee members also raised concerns about federal uncertainty and how it could affect state budgets and public safety planning. A major portion of the questioning focused on the Department of Correction. Secretary Reedy and Commissioner Sean Jenkins said the biggest challenges are staffing, officer wellness, facility safety, and contraband—especially K2. They described steps taken at MCI Souza and other facilities, including reducing population at the maximum-security unit, changing management, removing metal products and free weights, improving screening and roll calls, adding a rapid response team, and increasing investigative and technological efforts to combat K2. They also discussed the closure of MCI Concord, saying it was driven by high maintenance costs and staffing needs, and explained that savings are being used to improve staffing patterns and address deferred maintenance over time rather than producing immediate large budget reductions. Members also questioned the budget’s impact on police training and community policing. The administration defended the increase in police academy tuition from $3,200 to $6,000 as reflecting true training costs and said it would still be subsidized by the state, while acknowledging the burden on small municipalities. They said the MPTC is expanding regional training and considering proposals such as Greenfield Community College’s. On community policing, officials emphasized uniform statewide training, de-escalation, and communication skills. The State Police also announced an outside review of the academy by the International Association of Chiefs of Police and said the next class will be split into two smaller groups to improve oversight and allow quicker implementation of recommendations. Other topics included ICE and federal immigration enforcement, with Reedy saying state law prohibits Massachusetts law enforcement from acting in a civil immigration capacity and that no state dollars were used in the Tufts-related ICE operation mentioned by a member. Senators and representatives also raised the upcoming FIFA World Cup, warning that it will require significant public safety resources and likely federal funding. Additional discussion covered restorative justice and juvenile diversion, health care costs in DOC, electronic health records, and the need for more diverse and culturally competent public safety staffing. No votes were taken during the hearing.

Transcript Highlights:

• H 2431, an act prohibiting the requirement of a COVID-19 vaccine, mRNA vaccine, or gene-altering therapy
• My son's needs and therapies, the learning style and strategies, are far beyond my ability.
• These children lost access to services, including occupational therapy, physical therapy, counseling
• therapy, autism therapy, and all pediatric interventions.
• Autism therapy, integration of all pediatric interventions were gone.

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hearing on several vaccination-related bills, including proposals to eliminate non-medical or religious exemptions for school immunizations (notably H. 2554 and S. 1557), a bill to require or improve reporting and administration of immunization data and exemptions (described as the Community Immunity Act, S. 1618), and H. 2431, which would prohibit COVID-19, mRNA, or gene-altering vaccine requirements. The committee also heard testimony on H. 2463, which would classify funeral directors as public health workers for vaccine-priority purposes during emergencies. The chair reviewed testimony rules and repeatedly asked speakers to keep comments orderly and brief so the committee could hear as many people as possible. No votes were taken during the hearing. Testimony on H. 2554 and S. 1557 was sharply divided. Pediatricians, infectious disease specialists, public health advocates, and groups such as the Massachusetts Chapter of the American Academy of Pediatrics, Massachusetts Medical Society, March of Dimes, Massachusetts Families for Vaccines, and several parents supported eliminating religious exemptions, arguing that vaccination protects medically vulnerable children and adults, improves herd immunity, and helps prevent outbreaks of measles, pertussis, and other diseases. They cited local school data showing pockets of lower coverage and incomplete reporting, and several speakers referenced outbreaks in other states and the need for stronger, more consistent reporting and exemption management. Opponents argued the bills would infringe on religious freedom and parental rights, force families to choose between faith and education, and unfairly target a small number of families; some also said Massachusetts already has high vaccination rates and that the real issue is incomplete data or the gap population rather than religious exemptions. H. 2431 drew testimony from supporters who said COVID-era mandates caused job losses, privacy concerns, and harm, and that the bill would prevent future requirements for COVID, mRNA, or gene-altering vaccines in schools, workplaces, and public settings. Supporters described personal experiences with alleged vaccine injury or mandate-related hardship. H. 2463 was supported by the Massachusetts Funeral Directors Association, which argued funeral directors work in infection-facing settings and should be eligible for vaccine priority during public health emergencies. The hearing featured extensive public testimony but no committee action beyond hearing the bills and taking questions from members.

Transcript Highlights:

• So like when we go through, why has Texas been better on ABA therapy, autism services?
• example because most benefits in Medicaid aren't as strictly defined as what I would consider ABA therapy
• So in 2024, it also expanded to home health services, including nursing, occupational therapy, and PT
• I serve as the executive director of the Texas Occupational Therapy Association.
• Also, don't eliminate standing medical rights to weekly therapists' therapies, as interruptions could

Summary: The Senate Committee on Health and Human Services convened to discuss interim charges regarding fraud, waste, and abuse in Texas human services, particularly focusing on Medicaid and childcare programs. The meeting highlighted the importance of preventing misuse of taxpayer funds, with testimony from various stakeholders emphasizing the need for increased oversight and accountability in these programs. Key points included the alarming rise in healthcare fraud in other states, the necessity for Texas to enhance its fraud prevention measures, and the potential financial repercussions of failing to meet federal compliance standards. Several committee members expressed concerns about the impact of fraud on vulnerable populations, particularly those relying on Medicaid services. Testimonies from experts underscored the effectiveness of Texas's Office of Inspector General (OIG) in combating fraud, yet pointed out existing vulnerabilities, such as inconsistent enforcement and the need for better data sharing among agencies. The discussion also touched on the challenges faced by hospice care providers, with a significant increase in the number of hospices in Texas raising concerns about quality and oversight. The committee heard from various witnesses, including representatives from health plans and advocacy organizations, who provided insights into the complexities of managing Medicaid and the importance of maintaining program integrity. The meeting concluded with a commitment to further explore legislative solutions to enhance oversight and ensure that resources are directed to those in genuine need.

Transcript Highlights:

• And when home-based treatment is not available, these babies are receiving that therapy in the hospital
• 16.079> photo this bill will increase access to photo this bill will increase access to photo therapy
• services in the home environment therapy services in the home environment where<01:04:18.960> it<
• <01:05:01.359> in<01:05:01.520> the are receiving that therapy in the are receiving
• that therapy in the hospital<01:05:02.079> setting.

Keywords: 1187, senate, all

Transcript Highlights:

• retaining and building staff capacity, meeting the growing demand for behavioral health and trauma therapy
• retaining and building staff capacity, meeting the growing demand for behavioral health and trauma therapy
• retaining and building staff capacity, meeting the growing demand for behavioral health and trauma therapy
• retaining and building staff capacity, meeting the growing demand for behavioral health and trauma therapy
• The growing demand for behavioral health and trauma therapy, strengthening medical access, and supporting

Keywords: 1191, senate, all

Transcript Highlights:

• We'll move on to the next nominee, Stacie Kealoha Inouye, to the Board of Physical Therapy, term to expire
• Uh, Adrian Stinar, DCCA Board of Physical Therapy, in support. >> Thank you, Chair.
• Governor's Message 751, Stacy Keliinoi, to the Board of Physical Therapy.
• Governor's Message 751, Stacy Keliinoi, to the Board of Physical Therapy.
• Physical Therapy. Physical Therapy.

Keywords: 912, senate, all

Summary: The Senate Commerce and Consumer Protection Committee heard and considered a long list of Governor’s messages for appointments to state boards and commissions, including the Board of Dentistry, Barbering and Cosmetology, Speech Pathology and Audiology, Motor Vehicle Industry Licensing Board, Elevator Mechanics Licensing Board, Real Estate Commission, Board of Naturopathic Medicine, State Boxing Commission, Board of Professional Engineers, Architects, Surveyors and Landscape Architects, Hawaii Medical Board, Board of Physical Therapy, Board of Pharmacy, and the Public Utilities Commission. Most nominees and supporting agencies testified in support, and many nominees simply stood on their written testimony. Several nominees also answered questions about their experience and the issues facing their boards, including dental insurance and Medicaid concerns, condo and real estate disputes, pharmacy regulation and telepharmacy, boxing and MMA rule updates, and medical board service in rural areas. The committee discussed some contested or notable nominations in more detail. Richard Emery’s nomination to the Real Estate Commission drew opposition testimony tied to a condo management dispute, and he responded by emphasizing the need for factual evidence, mediation and complaint data, and better consumer education. Trinette Kahui and Andrea Ushijima were also nominated to the Real Estate Commission, with broad support. For the Boxing Commission, Robin Jumawan described ongoing statutory updates, MMA-related work, and delegation of amateur boxing rules. For the Hawaii Medical Board, Elizabeth Ignacio was strongly endorsed by state and industry witnesses as highly qualified and familiar with rural health issues, while Rebecca Sawai also received support from the board and Kaiser Permanente. In the decision-making portion, the committee moved to advise and consent to nearly all nominees on the agenda. Senator McKelvey stated reservations about Richard Emery due to opposition and possible conflicts, and also about nominees who were not present at the hearing, specifically Corrine Muldrow Soto and Stacie Kealoha Inouye; Senator Lamasao also noted reservations on those absent nominees. The chair disclosed personal acquaintance with Dr. Sawai and Andrea Ushijima. The committee then voted to adopt the recommendations, with the noted reservations and one no vote on GM 697 reflected in the record, and later reconvened to take up Governor’s Message 514/515 for John Etemura as chairperson of the Public Utilities Commission, where additional support testimony was heard from the Governor’s office, DCCA, and former consumer advocacy staff.

Transcript Highlights:

• use screening, screening for clinical depression, diabetes care, controlling hypertension, statin therapy
• care, controlling<00:10:32.880> hypertension,<00:10:33.680> statin<00:10:34.079> therapy
• controlling hypertension, statin therapy controlling hypertension, statin therapy for<00:10:34.640
• If somebody wants to build a new radiation therapy program that duplicates the one that's right across

Keywords: 00:00:00 - Call to Order/Roll Call 00:01:25 - Discussion of 26RS HB 689 00:15:15 - Roll Call Vote on 26RS HB 689 00:17:02 - Discussion of 26RS HB 407 00:45:40 - Roll Call Vote on 26RS HB 407 00:49:25 - Discussion of 26RS HB 713 00:55:50 - Roll Call Vote on 26RS HB 713 00:56:54 - Discussion of 26RS HB 676 01:06:42 - Roll Call Vote on 26RS HB 676 01:08:43 - Adjournment, 958, all

Summary: The committee first took up House Bill 689, which would authorize Kentucky to seek federal approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning in 2026. Rep. Amy Neighbors and witnesses from Owensboro Health and St. Elizabeth Healthcare said the bill would bring in about $29 million in new federal Medicaid dollars without using general fund money, help retain physicians, support rural and underserved access, and tie payments to quality metrics. Witnesses described staffing shortages, rising costs, and the need to sustain services such as OB care, primary care, and preventive outpatient services. After questions about how the funding would work and whether private practices were included, the committee voted on the bill and passed it with favorable expression. The committee then moved to House Bill 407, as substituted, which would streamline Kentucky’s certificate-of-need process. Rep. Marianne Proctor and supporters from the Pacific Legal Foundation and the Institute for Justice said the bill would not repeal CON but would modernize a system they described as outdated and overly restrictive, citing national trends toward reform and arguing that Kentucky’s process has changed little since the 1970s. They said the substitute added language requiring the cabinet to contact a dominant provider when needed for data to make CON determinations. Mark Gilfoil, speaking in opposition for St. Elizabeth Healthcare, argued that CON is not a barrier to care in Northern Kentucky and said the bill would weaken the process by limiting who can request hearings, present evidence, and appeal decisions, effectively giving applicants control and making approvals nearly automatic. He said St. Elizabeth serves as a safety-net hospital for low-income and publicly insured patients and warned the bill could harm that role. Members questioned both sides about the appeal process, the definition of safety-net hospitals, and whether the bill could increase facilities and create waste or abuse. The discussion was still ongoing when the transcript ended.

Transcript Highlights:

• He's taking English as a second language at Santa Fe Community College and preparing for a massage therapy
• He's taking English as a second language at Santa Fe Community College and preparing for a massage therapy
• He's taking English as a second language at Santa Fe Community College and preparing for a massage therapy
• I've been in contact with over the course of my 10 years at RLD, including social work, occupational therapy
• , physical therapy, nursing, because life changes.

Keywords: 996, all

Transcript Highlights:

• And in this specific case, it allows stem cell therapy within meaningful safety, ethical, and legal framework
• talk to me about the benefits of this right now, they are traveling out of this country to have this therapy
• <01:02:32.240> to<01:02:32.480> have<01:02:32.720> this<01:02:32.960> therapy
• of this country to have this therapy. of this country to have this therapy.

Keywords: 916, all

Transcript Highlights:

• House Bill 932 by Walla relating to the Occupational Therapy Licensure Compact authorizing fees.
• HB 932 establishes an occupational therapy licensure compact, enabling licensed occupational therapists
• House bill 932 by WALA relating to the occupational therapy licensure compact authorizing fees. 932 by
• WALA relating to the Occupational Therapy Licensure Compact authorizing fees.
• Speaker Members, HB. 932 establishes an occupational therapy licensure compact, enabling the licensed

Summary: The House convened with a quorum, heard the invocation and pledges, and then took up a series of memorial resolutions and recognitions. Members adopted memorial resolutions honoring former President Jimmy Carter and Dr. Alice Gail Hudgens, with remarks highlighting their public service and community impact, and adopted resolutions recognizing Victoria College’s 100th anniversary and May 2025 as Mental Health Awareness Month. The chamber also recognized Texas A&M system interns and later granted permission for several committees to meet while the House was in session. The House then moved through a long third-reading calendar, passing a number of bills on wide margins. Measures approved included SB 304 on municipal court jurisdiction over nuisance abatement ordinances, SB 608 on reporting evidence collection kits, SB 2312 creating a Texas Advisory Committee on Geopolitical Conflict, SB 494 creating a petroleum theft task force, SB 530 on postsecondary accreditation, HB 45 giving the Attorney General a role in prosecuting human trafficking cases, HB 35 on peer support for first responders, HB 47 and HB 3073 on sexual assault policy and prosecution, HB 318 and HB 3000 creating rural sheriff and ambulance grant programs, HB 554 on Juneteenth fireworks sales with county opt-in authority restored, HB 705 and HB 932 joining licensure compacts for cosmetology and occupational therapy, HB 849 allowing county park boards to meet by video conference, HB 1119 on mental health bed reporting, HB 3041 on students with nontraditional secondary education, HB 713 on maternal mortality review reporting, HB 3104 on Webb County bailiff appointments, HB 3970 on electricity planning for large loads, HB 4042 on Railroad Commission safety provisions for gas distribution pipelines, HB 4490 protecting next-of-kin information, HB 1731 on the physician assistant compact, HB 2607 on Walker County Hospital District governance, HB 3689 on Texas Windstorm Insurance Association funding, HB 1788 on continuing education for barbers and cosmetologists about abuse and trafficking, HB 1612 on hospital direct payments for uninsured patients, and HB 138 on health impact cost and coverage analysis. Several bills drew extended debate or amendments. HB 353, creating a trespass offense near schools and daycares, prompted questions about constitutional concerns and property rights before passing. HB 3211 on optometrists in managed care plans received a perfecting amendment and a Medicaid-related amendment setting a minimum payment level. HB 1056 on gold and silver specie and a state-based currency prompted detailed questioning about its mechanics and fees, followed by a point of order challenging the caption. The House also adopted or postponed a number of items, including postponing HB 2520 and HB 1359 until later in the calendar before later passing both, and laying several bills on the table subject to call. Many measures passed overwhelmingly, while a few, including HB 3326 on loan forgiveness for adjunct professors and HB 3237 on energy consumption goals, passed with narrower margins.

Transcript Highlights:

• that, that's more or less being able to transport people to, like, doctor's appointments, physical therapy
• that, that's more or less being able to transport people to, like, doctor's appointments, physical therapy
• So they're going to doctor's visits, they're going to physical therapy, they may be going to outpatient
• So they're going to doctor's visits, they're going to physical therapy, they may be going to outpatient
• So they're going to doctor's visits, they're going to physical therapy, they may be going to outpatient

Keywords: 958, all

Summary: The committee met after several reschedulings due to flooding, welcomed a new assistant, and confirmed a quorum. It first approved the March 11 minutes, then reported that the day’s agenda included 310 items totaling about $139.4 million, with all vendors registered with the Secretary of State. The committee then approved deferred items involving the Transportation Cabinet/Department of Highways, including one routine PSC green-list item and one PSC amendment item, after hearing from the Transportation Cabinet’s Division of Professional Services and noting prior questions had been answered. The bulk of the meeting focused on Department of Education contracts tied to reading and literacy initiatives. Officials described a competitive grant program for high-quality instructional resources and related professional learning, explaining that resources are selected through evidence-based reviews and a quality curriculum task force, and that districts apply using an instructional resources alignment rubric. Members questioned the program’s reach, whether districts opt in, how many schools applied, and whether the effort is producing measurable reading gains. Department witnesses said about 155 schools applied and were awarded, the program is voluntary, and the University of Louisville’s Reading Research Center is collecting qualitative and quantitative data to evaluate effectiveness. Several members expressed concern that the state has repeatedly funded literacy efforts without improving reading scores, though the committee ultimately approved the education items, with Senator Meredith noting support but frustration about the lack of progress. The committee also approved an MOA amendment item supporting the Principal Partnership Project, which provides tools, resources, and professional learning for administrators and helps meet statutory evaluation-training requirements. Members asked about the use of nonrecurring federal funds and whether the arrangement affects retirement benefits; staff said the contract pays districts based on daily wage and additional workdays, which does increase retirement packages. Representative McCool voted yes but voiced caution about possible supplanting. Finally, the committee took up an Office of the Controller contract for a brokered insurance-related procurement. Representative Balman moved to disapprove the contract, arguing the winning broker was not the low bidder and that the committee lacked answers about how technical scoring outweighed a roughly $600,000 price difference. The motion to disapprove did not prevail, and the contract was approved after further discussion about procurement scoring and the committee’s limited information.