Transcript Highlights:

• more than 80% of all patients patients, more than 80% of all patients served<00:03:51.920><c> by</c>
• and uninsured patients.
• and uninsured patients.
• </c> paid by uh patients and taxpayers. paid by uh patients and taxpayers.
• </c> which do you prefer? which do you prefer?

Committee: House Health Finance and Policy

Transcript Highlights:

• And I want to thank them and thank the members of the public who participated and were patient with us
• It seeks to retain and ensure our undocumented patients stay in managed care for non-emergency services
• We understood that there are a lot of folks in politics who would have preferred to kick the can down
• the Be Home Soon California proposal that recognizes keeping people in community is not just the preferred
• in particular to Subcommittee 1 and all the hard work all year to protect and limit the harm to patients

Committee: House Budget

Transcript Highlights:

• We would prefer to make this administrative decision and continue to require appraisals, business plans
• We would prefer<00:02:42.319><c> to</c><00:02:42.400><c> make</c><00:02:42.560><c> this</c><00:02:42.800
• ><c> administrative</c> prefer to make this administrative prefer to make this administrative decision
• I think around here everyone's patient with it. Everyone's happy with how it's gone.
• </c> &gt;&gt; I think around here everyone's patient &gt;&gt; I think around here everyone's patient

Bills: HF3474 , HF3475 , HF3508

Committee: House Agriculture Finance and Policy

Transcript Highlights:

• </c><00:43:16.640><c> to</c><00:43:16.800><c> be</c> um, I think we would prefer to be um, I think we
• As we renovate, there are opportunities to look at different unit mixes based on student preferences
• </c> mixes uh based on student preferences mixes uh based on student preferences that<00:53:34.240><c
• Thank you for being patient with us today.
• </c> being patient with us today. Oh, yeah. being patient with us today. Oh, yeah.

Summary: The committee heard three University of Hawaiʻi-related measures. HB 718 HD1 would appropriate funds for faculty and staff positions at the John A. Burns School of Medicine in cardiovascular, law, biology, tropical medicine, quantitative health/biostatistics, and environmental health and safety. Testimony was in support, including from university representatives and others who submitted written testimony. Members asked whether the positions were additional and how they would affect enrollment; the university said the hires would teach medical students and conduct biomedical research, helping increase the class size to about 77 and eventually 80, and noted a workforce paper requested by the committee would be provided soon. The committee then discussed SB 1170 HD1, which would grant resident tuition at any UH campus to certain graduates of Hawaiʻi high schools enrolling in undergraduate programs. UH supported the bill and said it had adjusted its testimony in response to prior committee concerns. Members focused on the proposed four-year window, asking why that timeframe was chosen and whether the change was needed at all. UH explained that four years would allow students who left the state to return and still complete an undergraduate degree or prepare for graduate school, and said the bill would help students who come back after one or two years but otherwise would have to wait a year to reestablish residency under current rules. UH also said it was discussing possible administrative rule changes as an alternative if the bill did not pass. Finally, the committee heard HB 1300 HD1, which would fund a University of Hawaiʻi Cancer Center pilot study on cancer disparities among Native Hawaiians, Pacific Islanders, Filipinos, and people living near landfills in Nanakuli, focusing on social determinants of health, lifestyle, environmental exposures, and resilience factors. Testimony from researchers and advocates strongly supported the measure, saying the study could help explain cancer disparities and support future research funding. Members questioned the cost, the reliance on future federal or foundation funding, and the practical outcome of the study. The Cancer Center said the pilot would cost about $500,000 per year for two years, with later funding sought from federal, nonprofit, or private sources; it said the study would produce longitudinal data that could help identify at-risk groups and provide evidence for policy decisions, though members expressed concern that the project needed a clearer end goal and stronger case for public investment.

Transcript Highlights:

• It is different for every patient, and it is not consistent within one patient all of the time.
• It is different for every patient, and it is not consistent within one patient all of the time.
• </c> meds patients taking these meds patients meds patients taking these meds patients who<00:43:03.520
• , patients with gestational diabetes, patients in rehab settings, etc., etc., etc.
• ><c> gestational</c> 2 patients patients with gestational 2 patients patients with gestational diabetes

Summary: The committee held a public hearing on House Bill 552, which would remove the “full-time student” requirement for children ages 19 to 25 covered under the state retiree health insurance plan. The prime sponsor said the change would align retiree coverage with state employee and ACA plans, would not cost taxpayers because retirees pay the premiums, and could even reduce administrative burden and possibly state costs. The chair noted the bill simply removes the words “if full-time student” from statute and said the proposal affects very few retirees and has no cost to the state. No opposition was presented, and the chair closed the hearing on HB 552 after no further testimony. The committee then opened a public hearing on House Bill 648, which would require commercial insurance coverage for glucose monitoring devices and supplies for people with diabetes. The prime sponsor, a retired dietitian and diabetes educator, gave extensive testimony describing diabetes as common, costly, and serious, and argued that continuous glucose monitoring is important for managing type 2 and gestational diabetes, preventing hypoglycemia, and improving safety and decision-making. She said CGMs can alert users to dangerous blood sugar changes, help people understand how food, activity, and medication affect glucose, and save lives while offering a strong return on investment. During questions, a committee member asked whether the bill should specify that the monitoring be tied to prescribed treatment, and the sponsor agreed that adding “prescribed” would be appropriate. The member also asked about the proper threshold for coverage and whether the bill should be tied to fasting-test diagnosis; the sponsor responded that A1C is only one measure of control and does not show daily fluctuations, and said she was not prepared to recommend a specific threshold but could provide clinical guidelines later. No vote was taken during the hearing, and the sponsor indicated support for the bill’s general approach to broader CGM access.

Transcript Highlights:

• </c> is is that but the this consumer prefers is is that but the this consumer prefers to<01:17:40.320
• Um this patient patient, a new pharmacy.
• The patient, the patients do not get their medications. Um, I probably lose a patient.
• </c> that statement um it does patients that statement um it does patients absolutely<01:43:29.760><c
• </c> for treating these um this patient for treating these um this patient population<01:49:56.320><c

Summary: The committee first heard Senate Bill 47, sponsored by Sen. Regina Birdsell at the request of the Insurance Department. The bill would codify the department’s interpretation that a birth mother’s health insurance is the primary coverage for a newborn, unless the mother has no insurance or coverage under an employer-sponsored plan. Birdsell and Insurance Commissioner DJ Benton Court said the measure is a clarification of existing practice and intended to protect vulnerable newborns; a question from Rep. Miles clarified that if a young woman is on her parents’ policy, the newborn would generally be covered under that family coverage. The hearing on SB 47 was then closed. The committee then took up Senate Bill 121, introduced by Grant Bosi for Sen. Kevin Avard, which would require insurers to notify the Insurance Department when they stop writing an entire line of business or, in some cases, Medicare Advantage plans. Commissioner Benton Court said the bill arose from disruption in the Medicare Advantage market, where consumers, brokers, and the department were confused by carriers changing or ending offerings; he said the department wanted a simple notification requirement so it could better advise consumers. Members discussed network adequacy, county-based service areas, and the fact that the bill would make notice a condition of licensure, with possible fines or license action for noncompliance. Witness Paula Rogers of AHIP said her group supported the bill if amended, and the department indicated it would support a change from a 120-day notice period to 90 days to align with state rules; the committee planned to work on an amendment in subcommittee. Finally, the committee heard Senate Bill 247, introduced by Rep. Brian Cole, which would prohibit network exclusion of pharmacies that refuse to dispense prescriptions when PBM reimbursement is below acquisition cost. Cole argued the bill is meant to stop pharmacies from being forced to sell drugs at a loss, describing PBMs as middlemen and saying the measure is a compromise that protects local pharmacies. Members questioned whether consumers would pay more and whether pharmacies voluntarily enter PBM contracts; Cole responded that the bill would let pharmacies refuse unprofitable fills while consumers could still obtain the drug through mail order or other channels. He also said the issue has changed over time because the practice now affects a much larger share of generics and is concentrated among a few PBMs. The hearing remained open as questions continued, with no vote taken in the excerpt.

Transcript Highlights:

• You can do either, but roll call is probably preferred. But okay? Okay. All right.
• Thank you all who are here to testify for your patients.
• For the record, Desire Anamly, again, Substitute Senate Bill 5827 relates to the Veterans Preference
• As background, current law grants a certain degree of preference to veterans seeking state employment
• As background, current law grants a certain degree of preference to veterans seeking state employment

Bills: SB5000 , SB5325 , SB6044 , SB6313 , SB6084 , SB6137

Committee: House State Government & Tribal Relations

Keywords: state nickname, evergreen state, identity, cultural heritage, tourism, state cactus, symbolic designation, ecological significance, state symbols, SB 6044, Diwali, Bandi Chhor Divas, Washington state holidays, RCW 1.16.050, state holiday recognition, religious observance, Hindu holiday, Sikh holiday, cultural recognition, paid holiday

Transcript Highlights:

• Representative Cross, you've been patient. You're recognized. Thank you, Mr. Chair.
• My preference is infill.
• My preference is more connectivity for public transportation systems to work.
• You know, my preference is infill.
• My preference is more connectivity for public transportation systems to work.

Summary: The committee met with a quorum and took up a long agenda of bills, many of them amended. Early action included PCS for CS for HB 639, which would expand an existing Fraternal Order of Police specialty license plate to all Floridians, tighten specialty plate rules for future applicants, require financial projections and reporting, and create several new specialty plates. After questions about Florida nexus requirements and a successful amendment adding a Florida Film Legacy plate, the bill was reported favorably 26-0. PCS for CS for HB 1169, limiting local governments’ use of excess building-code enforcement funds for construction of the code-enforcement building, also passed unanimously after testimony from the Florida Home Builders Association. The committee then approved HB 139, expanding whistleblower protections for state, local, and contract employees who file ethics complaints, with support from the Florida Commission on Ethics. PCS for HB 273, which would make special districts eligible for certain state and federal grants and direct pay options, passed 24-1 after testimony from both supporters and opponents. Members also approved CS for HB 1087, a public-records exemption for certain stablecoin issuer information, and CS for HB 1085, updating the local government cybersecurity grant program by moving it to Cyber Florida at USF, adding a sunset, and limiting consecutive awards. Several environmental and local-government transparency measures drew extended debate. CS for CS for HB 1417, a broad environmental bill, was amended to remove several provisions, retain others on the Environmental Regulation Commission, springs, solar facilities, Indian River Lagoon septic deadlines, and coastal resiliency partnerships, and then passed 24-0 amid mixed testimony from DEP, water management districts, and environmental advocates. CS for HB 1457, creating a framework for regional stormwater management systems and water quality enhancement areas, passed 24-0 after discussion of port impacts. CS for HB 1329, requiring local budgets to be posted earlier, retained longer, and made searchable, and adding a 10% budget-cutting exercise, passed 17-6 after strong opposition from local-government groups who argued it would be costly and duplicative. The committee also approved CS for HB 4091 creating a special district for stormwater and flood control in Sarasota and Manatee counties, and then took up CS for HB 995, a major overhaul of Public Employees Relations Commission and union-related procedures, including registration, dues disclosure, election rules, leave-time limits, and expedited bargaining over legislatively appropriated salary increases; that bill was still under questioning when the transcript ended.

Transcript Highlights:

• </c> prescriptions for my patient population. prescriptions for my patient population.
• The patients do not get their medications. Um, I probably lose a patient.
• The patients do not get their medications. Um, I probably lose a patient.
• The patients do not get their medications. Um, I probably lose a patient.
• The patients do not get their medications. Um, I probably lose a patient.

Summary: The committee first heard Senate Bill 47, sponsored by Senator Regina Birdsell at the request of the Insurance Department. The bill would clarify that a birth mother’s health insurance is the primary policy for a newborn’s care unless the mother has no coverage or no employer-sponsored coverage. Birdsell and Insurance Commissioner DJ Benton Court said the measure simply codifies the department’s long-standing interpretation of existing law. Representative Miles asked whether the coverage would extend to a grandchild if a young woman on her parents’ plan had a baby, and Birdsell said it would. The hearing on SB 47 was then closed. The committee next heard Senate Bill 121, introduced by Grant Bosi for Senator Kevin Avard. The bill requires insurers to notify the Insurance Department when they stop writing an entire line of business or, in some cases, when they change Medicare Advantage offerings. Benton Court said the bill was prompted by disruption in the Medicare Advantage market, where consumers and the department were confused by carriers exiting, changing plans, or narrowing offerings. He said the department does not regulate Medicare Advantage itself, but does license the carriers, and the notice requirement would help the department advise consumers; he also said noncompliance could affect a carrier’s license and could lead to fines. Members discussed the notice period, and the department and AHIP indicated support for changing it from 120 days to 90 days to align with federal timing. The hearing was closed with plans to work on an amendment in subcommittee. Finally, the committee heard Senate Bill 247, introduced by Representative Brian Cole, which would prohibit network exclusion for pharmacies that refuse to dispense prescriptions when PBM reimbursement is below acquisition cost. Cole said the bill is meant to stop pharmacies from being forced to sell at a loss. Members questioned whether pharmacies voluntarily enter PBM contracts, whether the bill would raise consumer prices, and whether it would mainly affect independent pharmacies. Cole and others said the issue has changed over time because PBMs now control a much larger share of the market, and that the bill would let pharmacies refuse loss-making fills and direct patients to mail order instead. The discussion also noted that the bill excludes Medicare and Medicaid and that the current proposal does not create a middle-ground option for patients to pay a premium at the counter.

Transcript Highlights:

• Most of my patients are not going to be able to get to cooling centers.
• We have a few people who have been patiently waiting in person.
• Well, maybe they're not that patient, and maybe they left. We will go ahead.
• We've got a few people that have been patiently waiting in person.
• Well, maybe they're not that patient, and maybe they left.

Committee: House Housing

Transcript Highlights:

• This is the investment income the patient compensation fund makes.
• This is a revenue machine for the patient compensation fund.
• Meanwhile, my patient was suffering.
• And it's not the patient, it's the hospital, not the nurses.
• the PCF patient compensation fund picks up the rest if he's awarded more.

Bills: SR116 , SR117 , SR118 , SR119 , SCR68 , SCR69 , SCR12 , HB682 , HB766 , HB769 , HB775 , HB783 , HB824 , HB926 , HB1186 , HB1201 , HB1223 , HB1245 , HB1247 , HB1253 , HB1258 , HB221 , HCR53 , HCR62 , HCR72 , HCR58 , HB54 , HB137 , HB180 , HB192 , HB310 , HB321 , HB396 , HB512 , HB552 , HB578 , HB638 , HB663 , HB708 , HB717 , HB718 , HB1009 , HB1082 , HB1104 , HB1107 , HB1194 , HB1198 , HB1246 , HB1250 , SB29 , SB30 , SB32 , SB41 , SB42 , SB43 , SB47 , SB84 , SB93 , SB113 , SB192 , SB199 , SB219 , SB220 , SB221 , SB222 , SB241 , SB253 , SB255 , SB289 , SB292 , SB306 , SB314 , SB351 , SB399 , SB404 , SB14 , SB102 , SB133 , SB151 , SB165 , SB169 , SB170 , SB200 , SB217 , SB280 , SB291 , SB300 , SB303 , SB330 , SB449 , SB489 , SB521 , SB424 , SCR9 , SB25 , SB250 , SB348 , SB405 , SB444 , SB485 , SB35 , SB65 , SB132 , SB215 , SB246 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , HCR26 , HCR45 , HCR61 , HCR77 , HCR31 , HB649 , HB665 , HB681 , HB721 , HB746 , HB757 , HB781 , HB835 , HB844 , HB857 , HB872 , HB886 , HB889 , HB892 , HB982 , HB987 , HB1037 , HB1068 , HB1072 , HB1078 , HB1085 , HB1132 , HB1137 , HB1167 , HB1174 , HB1232 , HB1238 , HB23 , HB136 , HB17 , HB21 , HB51 , HB55 , HB74 , HB106 , HB108 , HB133 , HB140 , HB159 , HB168 , HB215 , HB226 , HB263 , HB296 , HB299 , HB322 , HB364 , HB519 , HB535 , HB538 , HB568 , HB571 , HB622 , HB635 , HB676 , HB772 , HB784 , HB1006 , HB1018 , HB1043 , HB1070 , HB1134 , HB1239 , HB62 , HB193 , HB203 , HB210 , HB220 , HB228 , HB246 , HB420 , HB475 , HB486 , HB574 , HB584 , HB750 , HB813 , HB815 , HB826 , HB870 , HB949 , HB953 , HB1045 , HB1092 , HB1151 , HB1162 , HB1176 , HB1177 , HB1196 , HB1214 , HB1241 , HB36 , HB73 , HB119 , HB126 , HB129 , HB166 , HB211 , HB245 , HB271 , HB280 , HB337 , HB351 , HB354 , HB399 , HB677 , HB712 , HB723 , HB726 , HB728 , HB759 , HB789 , HB850 , HB956 , HB966 , HB1036 , SB149 , SB382 , SB441 , HB258 , HB842

Keywords: SR116, Senate Resolution 116, Louisiana Senate, condolences, memorial resolution, tribute, Tyler Marie Grezaffi, law enforcement, corrections officer, deputy sheriff, master sergeant, investigator, Louisiana State Penitentiary, Pointe Coupee Parish, Iberville Parish, public service, bereavement, sympathy, SR117, Senate Resolution 117

Transcript Highlights:

• I have conducted numerous studies evaluating both my own patients and patients at the national level
• So we want to keep our patients safe.
• However, my patients do prefer to see me for that due to the risks and side effects of those injections
• This request does not help patients, and it jeopardizes the safety of our Massachusetts patients.
• We already have seen these patients, and we're still going to see MassHealth patients.

Committee: Joint Joint Committee on Consumer Protection and Professional Licensure

Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure focused on health care and human services, reviewed testimony logistics, and then heard a long series of witnesses on several bills. Much of the testimony centered on interstate licensure compacts for dentistry, social work, and occupational therapy, with supporters arguing these compacts would improve workforce mobility, continuity of care, and access while preserving state oversight and public protection. Dental witnesses were split on H.455/S.257, with supporters backing the AADB dental compact for its hands-on exam, background checks, and disciplinary safeguards, while opponents argued a competing compact would better promote portability and avoid conflicts tied to proprietary testing and outside commissions. Social work witnesses strongly supported H.380/S.252, emphasizing continuity of care for clients who move across state lines, reduced costs and delays for practitioners, and the compact’s public-protection features; occupational therapy witnesses similarly supported H.427/S.256, citing access, telehealth, military families, and maintained standards. The committee also heard testimony on S.242, which would expand licensure for lactation care providers. Supporters, including lactation counselors and health center staff, said adding certified lactation counselors and related credentials would expand access, improve breastfeeding support, and allow reimbursement for services now often provided without billing. They described the training required and said the bill would help families, especially in underserved communities. Representative James O’Day also testified in support of the social work compact, and a Council of State Governments witness provided background on compact mechanics and state participation. Another major topic was H.419/S.214 on medical debt. Physicians and researchers testified that cancer patients experience long-lasting medical debt and collections burdens, and they supported limits on the sale and collection of medical debt, bans on reporting it to credit bureaus, and related consumer protections. The hearing also included H.465 on a pathway to special licensure for certain long-term limited-registration dentists serving MassHealth patients, which Representative Senna supported as a way to allow immigrant dentists to practice independently. Finally, the committee heard sharply divided testimony on H.444/S.284, which would allow trained dental hygienists to administer Botox and dermal fillers: supporters framed it as a safe, preventive, and access-expanding tool for TMJ, bruxism, and pain management, while dermatologists opposed it as outside hygienists’ training and a patient-safety risk. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• , Unnecessary hospitalizations, patient satisfaction plummets, and we don't have positive patient outcomes
• But we're in the business of changing health care and making positive patient outcomes, making sure patient
• satisfaction is there, and assisting Patient outcomes, making sure patient satisfaction is there, and
• It's can you see my patients or not?
• Our goals are that we want good patient care and that patients are served well.

Committees: House Local Government , House Local Government, Elections and Pensions

Transcript Highlights:

• and patient outcomes.
• </c><00:02:58.319><c> access</c><00:02:58.720><c> patient</c> improve the patient access patient improve
• the patient access patient outcomes outcomes outcomes um<00:03:00.680><c> so</c><00:03:00.840><c> we
• </c><00:10:50.680><c> so</c> of their long-term State patients so of their long-term State patients so
• </c> be interested but we really would prefer be interested but we really would prefer to<00:27:12.320

Summary: The joint Ways and Means and Health and Human Services committees heard Hawaii Health Systems Corporation’s biennium budget request, with testimony from HHSC leadership on the Hilo/Big Island region (HTH 212) and the Oahu region (HTH 215), plus discussion of capital improvement projects and systemwide partnerships. HHSC described its role as the rural healthcare safety net, serving a high share of Medicare, Medicaid/Quest, and uninsured patients, and said its costs are elevated by state employee fringe benefits, which it said are about 64% compared with roughly 30% in the private sector. HHSC also said pandemic-era federal aid, including relief funds and PPP loans totaling about $100 million, reduced the need for general fund support in prior years. For HTH 212, HHSC said its general fund request for fiscal years 2026 and 2027 was higher than the governor’s recommendation because of rising insurance, pharmaceutical, and contractor labor costs, and because it includes $13.2 million in FY 2026 and $2.3 million in FY 2027 for Epic electronic medical record implementation in East Hawaii. For HTH 215, HHSC said the requested general funds were aligned with the governor’s recommendation, in part because of increased Medicaid reimbursement rates for long-term care facilities under prior legislation. HHSC also said it was restoring a special fund ceiling so the region could spend its cash collections on operations. Members asked about the 64% fringe rate, and HHSC explained the difference was mainly due to defined-benefit pension and retiree health insurance costs, which private hospitals generally do not bear at the same level. Members also asked about the Daniel K. Akaka State Veterans Home, and HHSC said operations would be funded through the general fund corporation for the home when it opens, with management by Ohana Pacific, but no additional legislative operating funds were being requested at that time. Other questions focused on staffing and vacancies, including an abolished procurement position and an ongoing IT help desk recruitment need. HHSC highlighted several capital and partnership projects, including a $25 million state CIP request matched by $25 million from the Benioff family for the Benioff Health Center, an ER expansion and reconfiguration at Corner Community Hospital, and $7.5 million in each fiscal year for Kauai EMR capital funds to join the Epic platform. Testimony also described collaborations with Queen’s, the University of California San Francisco, Hawaii Pacific Health, the Hawaii Cancer Consortium, the Department of Health, and the state hospital to improve specialty access, clinical trials, behavioral health, and patient placement across the system.

Transcript Highlights:

• Act 198 of 2025 established the dialysis patient care technician registry to be regulated by the nursing
• So they can't have them shipped to their office and then hand them to the patient.
• But still, you know, I'll be honest, our preference would be that all wrestling events be regulated so
• I'll be honest, our preference would be that all wrestling events be regulated so we can just provide
• You know, if I had my preference, I'd regulate all professional wrestling just like we do all the other

Committee: All ALC-ADMINISTRATIVE RULES

Summary: The Administrative Rules Subcommittee reviewed a long agenda of agency rules, with most items approved without objection after brief presentations and no public comment. Early items included Department of Energy and Environment rules on landfill post-closure trust fund spending thresholds and liquefied petroleum gas standards, DFA’s electronic odometer disclosure rule, and several Department of Health rules covering ionizing radiation, mobile home and RV parks, lead-based paint, counseling board revisions, hearing instrument dispensers, athletic training, dental examiners, nursing, pharmacy, medical board, speech-language pathology and audiology, radiologic technology, massage therapy, community health workers, doula certification, and cosmetology/body art. Most of these changes were described as updates to match recent acts, federal standards, compact participation, fee adjustments, or cleanup/clarification, and the committee repeatedly approved them without objection. A substantial portion of the meeting focused on the Arkansas State Board of Nursing’s broad set of rule changes implementing multiple 2025 acts. Those changes included creating a dialysis patient care technician registry, updating contact information requirements, expanding APRN authority to delegate certain tasks, clarifying death certificate and pronouncement authority, allowing substitution of therapeutically equivalent medications, permitting purchase of compounded products, and updating certified medication assistant rules and training standards. Members asked detailed questions about the meaning of therapeutically equivalent substitutions, delegation limits, compounded products, and how often medication lists would be updated; the board said it would review rules annually and use future rulemaking as needed. The committee also approved new nursing rules for declaratory orders and the new dialysis registry. The Department of Education’s rules drew the most discussion, especially the Arkansas Children’s Educational Freedom Account Program. The department said the revisions, based on Act 920 of 2025, were intended to add guardrails, clarify eligible expenses, and streamline approvals. Changes included defining core educational expenses, limiting sports-related spending, adding an intentional misuse standard, restricting certain technology purchases and requiring extra justification over $1,000, capping carryover funds at $8,500, and creating a reconsideration process for denied expenses. Members raised concerns about oversight, appeal timelines, sports equipment, provider credentialing, and whether the rules were too restrictive; department officials said the rules were meant to protect taxpayer funds while preserving flexibility, and they noted the program had received extensive public comment. The committee also approved Education rules for scholarships, residency classification, teacher programs, accelerated learning, and graduate medical education, as well as Labor and Licensing rules on wage and hour standards, boiler rules, motor vehicle commission requirements, professional wrestling regulation, appraiser qualifications, and military recruiting incentives.

Transcript Highlights:

• The first one is Part 120, and Act 198 of 2025 established the dialysis patient care technician registry
• So they can't have them shipped to their office and then hand them to the patient; that would...
• Actors, you know, even actors, but still, you know, I'll be honest, our preference would be that all
• You know, if I had my preference, I'd regulate all professional wrestling.
• So, you know, if I had my preference, I'd regulate all professional wrestling, just like we do all the

Committee: All ALC-ADMINISTRATIVE RULES

Transcript Highlights:

• flat-dollar business personal property tax exemption going into statute and into the Constitution preferable
• I much prefer your bill because I think you took all of the concerns, because Texas has an affordable
• You know, I philosophically agree with you, and frankly, I would prefer it if the government just owned
• Senators, this bill is about free speech, whistleblowers, and patient safety.
• encourage our health care workers to tell the truth and let the public know what's happening for patient

Bills: HJR1 , HB9 , HB21 , HB26 , HB30 , HB37 , HB 116 , HB630 , HB879 , HB913 , HB 1151 , HB1318 , HB1593 , HB1899 , HB2703 , HB2809 , HB2890 , HB2970 , HB3307 , HB3526 , HB5092 , SB128 , SB203 , SB317 , SB393 , SB397 , SB644 , SB731 , SB801 , SB913 , SB1071 , SB1073 , SB1086 , SB1087 , SB1232 , SB1250 , SB1262 , SB1285 , SB1310 , SB1359 , SB1444 , SB1483 , SB1705 , SB1782 , SB1861 , SB1897 , SB1944 , SB2023 , SB2043 , SB2082 , SB2133 , SB2215 , SB2297 , SB2298 , SB2309 , SB2532 , SB2549 , SB2566 , SB2617 , SB2619 , SB2639 , SB2688 , SB2696 , SB2717 , SB2790 , SB2841 , SB2847 , SB2850 , SB2857 , SB2891 , SB2919 , SB2928 , SB2972 , SB3052 , SB3053 , SB1 , SB260 , SB1506 , SB1637 , HB37 , HB 109 , HB334 , HB 1130 , HB 1238 , HB1327 , HB1610 , HB1615 , HB1620 , HB1689 , HB2081 , HB2809 , HB2884 , HB2890 , HB4215 , HB5092 , HCR7 , HCR75 , HCR86 , HCR92 , HCR93 , HCR126 , SB644 , SB1086 , SB1230 , SB1310 , SB1361 , SB1553 , SB1778 , SB1790 , SB2344 , SB2460 , SB2515 , SB2600 , SB2747 , SB2751 , SB2785 , SB2790 , SB3047 , SB3048 , SB3050 , SB3051 , SB3052 , SB3053 , SB3056 , SB3058 , SB3061 , HJR1 , HB 1130 , HB1689 , HB2884 , HB1393 , HB2559 , HB26 , HB3012 , HB1327 , HB 109 , HB 1238 , HB2890 , HB9 , HB4215 , HB2970 , HB37 , HB1899 , HB1593 , HB2607 , HB3526 , HB3810 , HB5092 , HB388 , HB2809 , HB 1151 , HB913 , HB3307 , HB879 , HB 116 , HB 12 , HB2703 , HB1610 , HB1615 , HB1620 , HB30 , HB21 , HB2712 , HB2692 , HB1633 , HB1318 , HB685 , HB630 , HB4753 , HB2742 , HB303 , HB198 , HB1535 , HB762 , HB148 , HB1520 , HB5061 , HB2286 , HB1606 , HB 1041 , HB132 , HB 11 , HCR7 , HCR75 , HCR86 , HCR92 , HCR93 , HCR126 , SJR36 , SJR50 , SJR63 , SCR12 , SCR39 , SB2023 , SB1310 , SB2972 , SB1073 , SB2847 , SB2532 , SB2619 , SB62 , SB666 , SB847 , SB284 , SB854 , SB810 , SB1505 , SB583 , SB507 , SB1434 , SB1772 , SB2016 , SB1122 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB1882 , SB393 , SB1791 , SB209 , SB2429 , SB511 , SB2309 , SB1085 , SB1975 , SB2717 , SB1262 , SB636 , SB2056 , SB884 , SB1200 , SB1845 , SB2458 , SB801 , SB3014 , SB3013 , SB758 , SB2797 , SB2076 , SB2876 , SB1640 , SB1449 , SB1181 , SB1359 , SB1234 , SB2926 , SB2841 , SB1528 , SB2891 , SB1854 , SB317 , SB1250 , SB2082 , SB1285 , SB1237 , SB2819 , SB629 , SB2608 , SB1602 , SB2009 , SB2460 , SB867 , SB640 , SB1698 , SB2680 , SB2994 , SB2747 , SB913 , SB1071 , SB1086 , SB1087 , SB1483 , SB1444 , SB1553 , SB1556 , SB1703 , SB2133 , SB2297 , SB2298 , SB2622 , SB2955 , SB2334 , SB1861 , SB2043 , SB1367 , SB2857 , SB128 , SB3058 , SB2044 , SB2363 , SB2565 , SB1888 , SB3048 , SB3052 , SB3053 , SB3036 , SB3057 , SB3056 , SB3043 , SB3050 , SB3063 , SB3035 , SB1790 , SB1778 , SB203 , SB3061 , SB2799 , SB2790 , SB2688 , SB2515 , SB1230 , SB2522 , SB2639 , SB2459 , SB3051 , SB2655 , SB2251 , SB1884 , SB2617 , SB2751 , SB2928 , SB2566 , SB1897 , SB1749 , SB1361 , SB2549 , SB2553 , SB2919 , SB1782 , SB1705 , SB2696 , SB1944 , SB2215 , SB644 , SB1232 , SB2850 , HB45 , HB48 , HB 1261 , HB1465 , HB1778 , HB2596 , HB5238 , HB33 , HB 1188 , HB210 , HB 1022 , HB1458 , HB5560 , HB 1240 , HB1950 , HB2027 , HB2768 , HB2788 , HB2791 , HB3146 , HB3698 , HB3699 , HB1893 , HB3700 , HB4850 , HB4187 , HB1397 , HB4885 , HB4804 , HB3751 , HB3611 , HB2775 , HB2061 , HB2003 , HB1729 , HB 1242 , HB791 , HB2029 , HB647 , HB2522 , HB4738 , HB3033 , HB3594 , HB3474 , HB2563 , HB2802 , HCR90 , SJR87 , SB2969 , SB3073 , SB2497 , SB1798 , SB2603 , SB2607 , SB781

Summary: The Senate convened with a quorum, offered an invocation, approved the previous day’s journal, and received a House message announcing passage of HB 4 on public school accountability and assessment. The chamber also recognized the Doctor of the Day, adopted SR 520 honoring Rosser Coke-Newton Sr. for his biography of former Governor Richard Coke, and adopted SR 518 recognizing Texas Moral Injury Awareness Day, with remarks focused on the impact of moral injury on veterans and first responders. The Senate later adopted SR 395 honoring the ninth class of Governor William P. Clements, Jr. Scholars, and several other resolutions were adopted by voice vote, including college savings awareness recognition and other member-sponsored recognitions. The body then took up several bills and resolutions on the floor. HB 3307, allowing online continuing education for arbitrators in property tax appeals, passed unanimously after suspension of the rules and the three-day rule. HB 913, renaming and reorganizing certain state hospitals, and HB 2970, governing the Gulf Coast Protection District and coastal barrier design, also passed unanimously. HJR 1 and HB 9 advanced a proposed constitutional amendment and statutory change to raise the business personal property tax exemption from $2,500 to $125,000; both measures passed, with HJR 1 receiving one no vote and HB 9 passing unanimously after a clarifying amendment. The Senate also passed HB 1151, which limits child removals and termination of parental rights based solely on parental medical treatment decisions, and HB 116, which revises grounds for involuntary termination of the parent-child relationship by removing the “O grounds” and requiring support from financially able parents whose rights were terminated. HB 1899 lowered the age for pyrotechnic operator licenses and fireworks display permits from 21 to 18. SB 1285, as amended, passed to protect bats by prohibiting entombment while preserving removal options from unoccupied spaces, and SB 2847 passed to promote innovations in core curriculum for faster bachelor’s degrees. On criminal justice, SJR 87, a proposed constitutional amendment requiring denial of bail for certain repeat violent felony offenders, passed after two floor amendments clarifying due process and representation language; Senator Eckhardt spoke against it on final passage, arguing it lacked judicial discretion and a clear-and-convincing standard. SB 3073, requiring magistrates to make written findings in certain criminal proceedings, also passed. Later, SB 128, requiring hospitals to report suspected child abuse-related information to HHSC, advanced on a divided vote, and SB 2619 and SB 2972 passed on public school accountability and expressive activities at public colleges, respectively, with Senator Eckhardt opposing SB 2972 as too restrictive on campus protest rights. The chamber also heard extended debate on HB 21, targeting “traveling” housing finance corporations and their use of tax exemptions for apartment projects, with supporters arguing it curbs abuse of the tax code and critics warning about unintended effects on affordable housing; the discussion continued with questions but no final action shown in the excerpt.

Transcript Highlights:

• Thank you both for your service and for being patient with us today.
• that we serve when an EMS patients that we serve when an EMS provider<01:55:51.480><c> is</c><01:55:
• We started transporting a few blocks after I was in the back with this patient.
• </c><02:01:13.119><c> couldn't</c> compartment and the patient couldn't compartment and the patient couldn't
• You know, I don't have a particular preference one way or the other, but what you said makes sense.

Committee: Senate Judiciary and Public Safety

Transcript Highlights:

• If you were to attach a dollar amount to the caregiving that is given to Alzheimer's patients in our
• So that tells you that these are patients, these are people with many, many needs.
• Parkinson's patients have some of the same attributes as well.
• They are supported by a small amount of patient revenue.
• I have preferences to the Department of Health, clearly.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• It's about patients. It's about health care.
• But we're in the business of changing health care and making positive patient outcomes, making sure patient
• But we're in the business of changing health care and making positive patient outcomes, making sure patient
• It's, can you see my patients or not?
• Our goals are that we want good patient care and that patients are served well.

Committee: House Local Government, Elections and Pensions

Summary: The committee first met in executive session and unanimously voted Senate Substitute for Senate Bill 914 and House Committee Substitute for House Bill 3467 due pass. HB 3467 was amended before passage; the sponsor said the changes clarified that any tax authority would apply only if a tax change is actually approved, corrected county/city references, and fixed ballot-language issues involving sheltered workshops. Members generally praised the sponsor’s work, though one member noted concern about shifting more burden to sales taxes. The main public hearing was on H.J.R. 107, which would place before voters a constitutional question allowing Jackson County to consider separating Kansas City from the county or otherwise altering its charter government. Sponsor Rep. Steinmeyer argued the measure was about voter sovereignty and local control, citing prior Jackson County ballot measures and saying entrenched local power had blocked reform. Supporters echoed that Jackson County residents were frustrated with representation, taxes, and county governance. Opponents, including Kansas City and chamber representatives, argued the proposal was unnecessary, costly, procedurally unclear, and potentially destabilizing; several members also questioned the 10-year resubmission clause, the exclusion of local officials from the transition process, and the statewide fiscal impact. No action was taken on the resolution during the hearing. The committee then heard Senate Substitute for Senate Bill 975, dealing with ambulance district mergers and community paramedic/mobile integrated health services. Senator Black and supporters said the bill would help struggling rural ambulance districts merge without disrupting billing, contracts, or service, and would expand community paramedic care for low-acuity patients and hospital-at-home models. Several witnesses from ambulance and fire districts described successful programs and said the bill would improve patient care and help rural areas. Opponents, including ambulance and fire district representatives, supported the merger provisions but objected to Senate-added language they said would let districts provide community paramedic services across jurisdictional lines without memorandums of understanding, undermining local control and negotiating power. The hearing ended with testimony still ongoing after a recess for floor session; no vote on SB 975 was reported in the transcript.