Transcript Highlights:

• Is there some sort of standardized training?
• Standards of care are what we all adhere to.
• There are anesthesia standards of practice.
• I attend a program that meets those standards, is accredited to meet those standards.
• I said that there are two standards of care.

Bills: HB35 , HB4490 , HB4454 , HB2188 , HB3078 , HB4743 , HB2556 , HB46 , HB5342 , HB4783 , HB3785 , HB5278 , HB1639 , HB2581 , HB4224 , HB4070 , HB4099 , HB4882 , HB3794 , HB46

Committee: House Public Health

Keywords: peer support, first responders, mental health, confidentiality, emergency services, disclosure, next of kin, public information, deceased persons, privacy rights, patient solicitation, marketing practices, healthcare regulation, task force, deceptive advertising, nurse aide, certification, Texas Board of Nursing, healthcare workforce, nursing standards

Transcript Highlights:

• And let's be sure we keep these standards high.
• But your standard is about five years. Yes. So the bill does not set a standard at all.
• You're exactly right; there are two standards of care.
• The standard of care in other states is one year.
• Our standard here is writing a prescription for a year.

Bills: HB46 , HB35 , HB4490 , HB4454 , HB2188 , HB3078 , HB4743 , HB2556 , HB46 , HB5342 , HB4783 , HB3785 , HB5278 , HB1639 , HB2581 , HB4224 , HB4070 , HB4099 , HB4882 , HB3794

Committee: House Public Health

Keywords: local government spending cap, expenditure limit, political subdivision, property tax, ad valorem tax, budget cap, taxpayer protection, spending restraint, inflation adjustment, population growth, voter approval, supermajority vote, county budget, municipal budget, school district finance, junior college district, hospital district, special district, attorney general enforcement, local fiscal limits

Transcript Highlights:

• A family law case to circumvent the legal standards for termination of parental rights.
• This tool, parental reunification therapy, has no requirements, no standards, no certification, no test
• Under the constitutional framework and guardrails, one alternate would be to raise the standard of findings
• What standard would you use to make that determination? Clear and convincing.
• Absent a pretty high standard for the courts or for anybody to do that, I agree.

Bills: HB168 , HB 1044 , HB1534 , HB1914 , HB2240 , HB2530 , HB3284 , HB3395 , HB3515 , HB3783 , HB4034 , HB4213 , HB168

Committee: House S/C on Family & Fiduciary Relationships

Keywords: marriage age, minors, family law, void marriage, rights of minors, Texas marriage law, marriage ceremony, authorized officiants, family code, judges, religious leaders, parent-child relationship, Department of Family and Protective Services, legal rights, notice requirements, HB 1914, Texas Family Code, Chapter 156, conservatorship, custody

Transcript Highlights:

• That's clear and convincing, or some standard.
• Than that standard.

Bills: HB168 , HB 1044 , HB1534 , HB1914 , HB2240 , HB2530 , HB3284 , HB3395 , HB3515 , HB3783 , HB4034 , HB4213 , HB168

Committee: House S/C on Family & Fiduciary Relationships

Keywords: marriage age, minors, family law, void marriage, rights of minors, Texas marriage law, marriage ceremony, authorized officiants, family code, judges, religious leaders, parent-child relationship, Department of Family and Protective Services, legal rights, notice requirements, HB 1914, Texas Family Code, Chapter 156, conservatorship, custody

Transcript Highlights:

• </c> 2319 funds the minimum wage standard 2319 funds the minimum wage standard proposed<00:41:09.640>
• The goal of the Standards Board is to raise the standards for those who work in our nursing homes and
• The goal of the Standards Board is to raise the standards for those who work in our nursing homes and
• The goal of the Standards Board is to raise the standards for those who work in our nursing homes and
• </c><00:43:11.680><c> for</c> Board is to raise the standards for Board is to raise the standards for

Bills: HF2367 , HF2319 , HF2523 , HF1742 , HF671 , HF2331 , HF2722 , HF2406 , HF1674

Committee: House Human Services Finance and Policy

Keywords: HF2367, Community First Services and Supports, CFSS, personal care assistance, PCA, consumer-directed community supports, CDCS, home and community-based services, HCBS, direct support professionals, direct care workers, caregivers, support workers, SEIU Healthcare Minnesota & Iowa, collective bargaining agreement, retention stipend, health care cost stipend, training stipend, orientation program, retirement trust

Transcript Highlights:

• New standards at any time? New indicators at any time?
• adopt new standards or new indicators at any time new standards at any time right new indicators at any
• The ability to adjust those standards. notice for that change.
• The ability to adjust those standards.
• It is truly to give him a set standard that he's working towards.

Bills: HB4 , HB20

Committee: Senate Education K-16

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

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

Transcript Highlights:

• There are certainly opportunities for bottle sanitation that I've got and all sorts of stuff to help

Bills: SB38 , SB46 , SB18

Committee: Senate Senate Conservation

Keywords: SB38, pet food, registered pet food, registration fee, fees, sunset repeal, repeal of repeal, revenue, state fee, business regulation, animal feed, pet food registration, New Mexico, SB46, organic waste, solid waste, waste diversion, composting, compost feedstock, waste characterization study

Transcript Highlights:

• on the same day that we got together last week I was meeting with some members of the Tri-City Sanitation

Committee: Senate Natural Resources

Keywords: 1182, all

Transcript Highlights:

• permitting can help open that up if you're thinking more towards performance orientation, or just safety standards
• and sound standards and things like that, and less being less narrow about exactly what the activities
• services, and folks who, for a variety of reasons, and I think increasingly, because hours are not so standardized
• for a lot of— Increasingly because hours are not so standardized for a lot of folks now.
• Police, fire, health, buildings, transportation, sanitation, economic development, working in concert

Keywords: 988, house, all

Transcript Highlights:

• To my understanding, the goal of the amendment is to ensure that there are clear, uniform standards across
• And within the past few months, ICE has rescinded all of the minimum required standards that had been
• a facility that has a long history of violations of basic human dignity, staffing, safety, and sanitation
• CV&M support holding these corporate bad actors to a basic standard of care for our communities, our
• Second, we have a pretty standard approach to how we would tackle any job losses that happen.

Bills: SB100

Committee: House House Judiciary

Keywords: burglary, aggravated burglary, dwelling, criminal law, property rights, 996, all

Transcript Highlights:

• The capability is there, and with some additional monitoring, I think the system can be up to the standard
• But what about for the cities or sanitation districts or any number of those that have the, like for
• Design standards for elevation.
• to regulate the industries that are most polluting, I’m thinking cap-and-trade, low carbon fuel standard
• , etc., continuing to stay the course on that regulation is key... ...low carbon fuel standard, etc.,

Summary: The hearing of the Select Committee on Sea Level Rise and the California Economy focused on infrastructure, pollution, climate resilience, public health, access, and economic impacts of sea level rise in California, with an emphasis on San Diego and the Bay Area. Chair Tasha Boerner Horvath opened by describing the committee’s purpose, the state’s sea level rise action planning, and the need for better monitoring and early warning systems. She also referenced her prior bills AB 66 and AB 72, which supported Scripps research on coastal bluff collapse warning capabilities. Assembly Members David Alvarez and Jessica Caloza later joined and emphasized that sea level rise affects not only coastal communities but inland areas as well, and that the issue should inform future legislative and budget decisions. In the first panel, Dr. Mark Merrifield of Scripps Institution of Oceanography described observed sea level rise of roughly 0.8 to 0.9 feet since the early 1900s, with acceleration expected by mid-century and potentially much greater rise by 2100 depending on emissions. He highlighted flooding, groundwater rise, beach and cliff erosion, salinization, and risks to transportation, sewage, ports, and national security. Dave Gibson of the San Diego Regional Water Quality Control Board discussed how sea level rise affects wastewater systems, stormwater, contaminated sites, wetlands, and coastal groundwater basins, and said the board is requiring climate adaptation planning, updating stormwater permits, and seeking more flexible state permitting and mitigation tools. Members and witnesses also discussed the need for better mapping, more monitoring, and more state funding, especially if federal support from NOAA and other agencies declines. The second panel addressed public health, equitable access, and local economies. Ramon Chiras of Un Mar de Colores described how sea level rise, pollution, and access barriers threaten the Tijuana River Valley and Imperial Beach, especially for underserved communities and youth programs that rely on safe, welcoming access to the ocean. He stressed the cultural and spiritual importance of coastal access and the need for water safety and environmental education. Jessica Fane of the San Francisco Bay Conservation and Development Commission explained that the Bay Area faces major economic exposure from sea level rise, citing a regional estimate of $96 billion in adaptation costs versus $230 billion in potential losses from inaction, and said BCDC is working with local governments under SB 272 on shoreline adaptation planning, funding, and regulatory innovation. Members discussed the tension between environmental permitting and the need to move projects faster, including the possibility of planned retreat in some areas and the use of simultaneous permitting and longer-term state authority to streamline adaptation work. In the final panel, Philip Gibbons of the Port of San Diego described the port’s climate adaptation efforts and its vulnerability assessments under AB 691. He said the port manages state tidelands, supports maritime commerce and recreation, and is already seeing flooding at king tides and during El Niño events, including storm-drain backflow and damage to bikeways and parks. He explained that future sea level rise could inundate major port areas and disrupt operations, underscoring the need for continued planning, mitigation, and infrastructure investment. The hearing did not take formal votes, but it concluded with a clear call for more science, funding, coordination, and regulatory streamlining to prepare California’s coast and nearby communities for worsening sea level rise impacts.

Transcript Highlights:

• They need classrooms that are cleaned and sanitized, so it can't be just teachers.
• Our teachers work hard every single day to set a standard for our students.
• Our teachers work hard every single day to set a standard for our students.
• Fine arts participation is linked to higher standardized test scores and improved reading and math performance
• Fewer than half of Texas students meet grade-level standards in math and reading by third grade.

Bills: HB2

Committee: Senate Education K-16

Keywords: disaster preparedness, emergency management, flooding, mass fatality, mass casualty, fatality tracking, body recovery, autopsy, justice of the peace, medical examiner, county judge, sheriff, mayor, emergency coordinator, emergency manager license, volunteer management system, volunteer registration, criminal history check, background check, Texas Division of Emergency Management

Summary: The committee continued public testimony on House Bill 2, which would make major changes to public school funding, teacher pay, special education, early learning, school safety, and related programs. Many superintendents and education advocates supported the bill’s overall direction but urged changes, especially a larger basic allotment and more flexible funding for rural and small districts. Witnesses from Paint Creek, West Hardin, Cushing, Blooming Grove, Mildred, Buffalo, Plano, and rural school groups said the bill’s targeted raises and new requirements would not fully cover inflation, TRS/Medicare costs, transportation, insurance, or support staff salaries, and several asked the committee to restore the House version’s higher basic allotment and small-school allotment. Charter school representatives supported the facilities funding changes and said charter schools need state help because they cannot levy taxes, while also noting the funding gap with ISDs. Fine arts advocates asked the committee to restore the fine arts allotment, arguing arts improve engagement, attendance, and academic outcomes, especially in rural and at-risk communities. Early learning and special education witnesses supported parts of the bill but raised concerns about pre-K restrictions, disability-related pre-K access, and the need to preserve or clarify special education provisions and mental health oversight language. Several witnesses praised the teacher pay raise, teacher incentive allotment expansion, and teacher preparation investments, saying they would help recruit and retain educators and improve student outcomes. Others, including counselors and support staff advocates, argued the bill should also include raises for counselors, nurses, librarians, bus drivers, custodians, aides, and other non-teaching employees who keep schools running. One witness from the Texas Counseling Association opposed the substitute because it removed a counselor pay provision, warning of counselor shortages and inequities. A parent and special education advocate said the bill’s structure creates too many strings attached and asked for a larger basic allotment instead of more targeted funding. Another witness from Mental Health America urged keeping the collaborative task force on public school mental health services through 2031, and a disability rights advocate said the committee substitute appears to omit some special education items that were in the House version. The committee also briefly took up House Bill 6, a school discipline bill. After questions about automatic mandatory expulsion for vape possession and concerns about younger students, the committee adopted the substitute and voted to report HB 6 favorably to the full Senate by a 9-1 vote, with Senator Menendez voting no and Senators West and Menendez expressing reservations but supporting further discussion. After that vote, testimony on HB 2 resumed. Senators used the hearing to ask about the bill’s cost, the difference between the basic allotment and the bill’s targeted funding buckets, and whether the permanent teacher pay increase shifts pressure off districts. The bill’s supporters emphasized that it represents an historic, roughly $8 billion investment and that many of the new funding streams are intended to be permanent or to address specific district needs.

Transcript Highlights:

• Pass meaningful camp safety standards this session in the form of SB... One.
• It's kind of a national standard.
• Standardization, Chairman.
• So it's about timing, decisive, quick action, and objective standards.
• Do you feel the other camp owners near and around you can meet that standard?

Keywords: 1185, senate, all

Transcript Highlights:

• That's more your standard kind of equality definition of it.
• So did the cities give you any suggestions on what they would like to maybe see as far as the standards
• Because we've made a number of changes to design standards through the years, and it has driven up the
• of changes to design standards through the years and it has driven up the cost of that road mile.
• It analyzes it, it cleans it, and it allows for data anonymization, which sanitizes that information

Committee: Joint Joint Transportation Committee

Summary: The committee began with member introductions, then heard a presentation on a draft final report studying alternative funding mechanisms for sidewalks and related pedestrian infrastructure. Consultants said current local funding sources are insufficient, with most jurisdictions unable to complete planned sidewalk networks within 50 years. They evaluated four options: a sidewalk utility fee, a modified transportation benefit district sales tax, a new real estate excise tax option, and expanded stormwater fee use for ADA sidewalk ramps. The consultants recommended authorizing the modified TBD sales tax and new REET option, considering a sidewalk utility despite legal uncertainty, broadening any authorization to all pedestrian improvements, and not pursuing the stormwater fee option. Members asked about legal authority, fairness, revenue adequacy, and whether jurisdictions had been consulted; the presenters said state enabling legislation would likely be needed for a sidewalk utility and that fairness could be defined either by direct benefit or by need. The committee then received an update on the 2025 assessment of city transportation funding needs. The consultants reported that city transportation revenues have grown in some local and federal categories since 2019, but state revenues have remained relatively flat and smaller cities are especially affected by declining fuel tax revenues and limited tax bases. They estimated annual city transportation needs at $4.25 billion, average annual spending at $1.89 billion, and a funding gap of $2.37 billion, larger than in the prior study because of updated data, inclusion of system improvements, and higher preservation costs. Draft recommendations focused on reducing costs and improving efficiency, preserving and increasing state support, and expanding local funding options, including preservation-first spending, a permanent federal fund exchange program, streamlined review processes, better coordination with WSDOT, possible property tax flexibility, and exploration of new local tools. Members raised questions about design standards, the role of density and transit, federal compliance, and whether the report would identify specific consolidation or process changes. The committee also heard a project update on evaluating zero-emission vehicle and electrification programs funded by the Climate Commitment Act. Consultants said they had reviewed roughly 23 programs and projects across seven agencies and were now evaluating options to improve delivery, including process improvements, reorganizing programs, or consolidating governance and administrative functions. Early findings highlighted staffing shortages, duplication and variation across agencies, differing levels of risk, and the challenge of coordinating climate priorities across agencies with other core missions. Members asked about program outcomes, administrative costs, whether some programs should have exit strategies, and how to strengthen the EV Coordinating Council. Finally, WSDOT provided an implementation update on its new public-private partnership authority under SB 5801, saying work is underway to prepare governance, legal, policy, and organizational structures ahead of the January 1, 2027 effective date.

Transcript Highlights:

• for for intent or the legal standards for for intent or the legal standard<04:06:21.640><c> for</c><
• </c><05:47:02.680><c> that</c> and the Constitutional standards that and the Constitutional standards
• because Community standards standards because Community standards evolve<05:50:43.040><c> and</c><05
• Certainly the constitutional standards change, right, and the standards, you know, change.
• Certainly the constitutional standards change, right, and the standards, you know, change.

Keywords: 928, house, all

Summary: The committee first took up House Bill 763, an early bill concerning AED access at athletic events and venues. Representative Morris offered amendment 0743H to clarify the bill by removing charter schools from the language and tying AED placement to American Heart Association guidance, emphasizing that AEDs should be readily accessible within a reasonable walking distance rather than mandated on every field. The amendment and then the bill as amended both passed 17-0, and the bill was reported out as Ought to Pass with Amendment. The committee then considered House Bill 781, requiring school districts to adopt cell phone-free education policies, and a related bill, House Bill 131. HB 781 was amended to include charter public school boards, cover other personal electronic communication devices, require at minimum restrictions on student personal cell phones during class instruction, allow superintendent-approved exceptions for medical or language needs, protect students with medical needs or disabilities under Section 504, and set an effective date of July 1, 2025. Some members argued the amendment was too prescriptive and limited local control, while supporters said it still left districts flexibility outside classroom instruction. The amendment passed 16-1, and the bill then passed Ought to Pass as Amended 16-1. HB 131, described as a mirror bill, was then retained by a 17-0 vote. House Bill 398, a title bill requiring Holocaust and genocide studies to include impacts on people with disabilities, was moved to ITL after Representative Selig reported the genocide commission believed the topic was already being covered. That motion passed 17-0. The committee also agreed to hold several bills for later consideration, including HB 754, HB 1221, HB 360, and HB 699, citing the need for more review or missing copies. Finally, the committee took up House Bill 361, prohibiting mandatory mask policies in schools. Supporters argued the bill would preserve individual choice while preventing statewide or districtwide mandates in future public health emergencies, and cited a Department of Health and Human Services letter saying masks remain effective but decisions should be based on individual choice and risk assessment. Opponents emphasized local control and the need for districts to respond to different public health conditions. The transcript cuts off before the final vote on HB 361 was completed.

Transcript Highlights:

• Creating the single statewide permit with consistent and standard safety standards still lets cities
• So, under the pilot program, one countywide permit, according to state standards... standards.
• Why do we need all these different county standards?
• Why not just have one standard and then let the counties enforce it?
• A state standard.

Bills: HB1106 , HB3284 , HB541 , HB713 , HB1403 , HB1586 , HB1942 , HB2070 , HB2844 , HB2851 , HB3151 , HB3749 , HB3940 , HB3963 , HB4454 , HB4466 , HB4795 , HB5154 , HB5394 , SB1357 , HB1052 , HB4099 , HB4638 , HB5147

Committee: Senate Health & Human Services

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• the public, ensuring that every professional entering these fields has met the training and safety standards
• Our investigators ensure that sanitation standards are met in every establishment across the state.
• The bill requires that conflict to be resolved... ...through a clear-and-convincing standard of evidence
• And then further, Arizona is the gold standard when it comes to marijuana regulation with our vertical
• And then further, Arizona is the gold standard when it comes to marijuana regulation with our vertical

Committee: House House Commerce Committee of Reference

Summary: The committee took up a series of Senate bills, beginning with SB 1421, a contentious measure restricting financial institutions and check cashers from accepting certain identification from unauthorized immigrants and limiting remittance transfers without proof of lawful status. An attempted strike-everything amendment by Rep. Villegas would have redirected the bill to authorize tax-deeded property sales for affordable housing, but the committee rejected that amendment. After public testimony both for and against the underlying bill, the committee voted 6-2 to give SB 1421 a due pass recommendation. The committee then approved SB 1254, which revises Industrial Commission of Arizona statutes, including renaming certain positions, shifting boiler and elevator oversight, and requiring fee schedules to be posted online. It also passed SB 1515, which creates a public safety parity fund for retention pay and benefits for DPS and corrections employees using investment earnings from the budget stabilization fund; supporters cited vacancies, turnover, and pay gaps, while opponents argued the state should fund raises through the general fund. Both bills received due pass recommendations after amendment adoption and roll call votes. Other measures considered included SB 1206, which restricts adjusters and contractors from soliciting work during active loss events or emergency responses, with an exception for essential services; SB 1563, which continues the Barbering and Cosmetology Board and lowers certain fee caps; and SB 1649, which creates a digital assets reserve fund, though an amendment to turn it into a transparency measure on employers receiving public assistance was rejected. The committee also passed SB 1290 after rejecting an amendment on emergency price controls and adopting a Carter amendment clarifying HOA executive sessions may be closed only for discussion without action; testimony on that bill focused heavily on HOA transparency versus privacy concerns. Finally, the committee approved SB 1670, a contractor licensing preemption bill, and SB 1671, which continues the Department of Gaming and related commissions and updates reporting and conflict-of-interest requirements, with the department supporting the continuation and amendment language.

Transcript Highlights:

• As a CPA in the state meets our standards, I believe there are someone here who can answer technical
• Reflects the standards that businesses should have the freedom to decide what works best for them based
• One of these hours must be in sanitation, while the other 3, have greater flexibility.
• Many members of TSPE are concerned that HB 2418 could diminish the high standards that Texas engineers
• The three-tier system is widely viewed as the gold standard by most mem industry members throughout the

Committee: House Licensing & Administrative Procedures

Transcript Highlights:

• SB 777 by Hughes relating to the compensation and employment condition standards by municipal charter
• They have not been done by weight ever before, and it allows for a more fair prosecution standard.
• They're held to accreditation standards that demand broad-based knowledge and workforce readiness.
• And while we have the Jail Standards Committee, the Commission on Jail Standards, I would say that the
• . ...of the state, regardless of the application of contemporary community standards.

Summary: The House convened, established a quorum, heard an invocation and pledges, and approved several routine motions, including excuses for absent members, permission for committees to meet while the House was in session, and postponements of some bills. The chamber also received a Senate message listing measures passed by the Senate and adopted a memorial resolution honoring the 21 victims of the Robb Elementary School shooting in Uvalde, with remarks entered into the House Journal after a moment of silence. The House then took up a long third-reading calendar and passed a series of Senate bills on topics including criminal justice and corrections sunset provisions (SB 2405, 2406, 2407), election equipment testing (SB 2166), electric grid reliability and attack-preparedness exercises (SB 2148), firefighter collective bargaining (SB 777), DFPS and foster care procedures (SB 1141 and SB 1398), Medicare durable medical equipment billing (SB 1330), property tax administration (SB 1453), probate cleanup and record transfers (SB 1448 and SB 1839), mental health filing procedures (SB 53), school residency for children in safety placements (SB 226), diabetes-related amputation study (SB 1677), rapid DNA analysis (SB 1723), utility rate transparency and capacity cost recovery (SB 1664 and SB 1856), community supervision eligibility (SB 552 postponed), and other measures. Several bills passed with broad support, while others drew notable opposition and narrower margins, including SB 777, SB 2137, SB 2111, SB 1677, SB 1936, SB 1453, and SB 38. Two bills drew especially extensive debate. SB 2148, dealing with electricity supply chain reliability and tabletop exercises for critical facilities, was discussed as a grid-security measure aimed at coordinating utilities, law enforcement, ERCOT, and the PUC in the event of physical attacks; it passed unanimously. SB 1936, changing how LSD is measured for criminal prosecution from dosage-based to weight-based calculations, prompted extended discussion about lab consistency, carrier mediums, and fairness in charging, with supporters saying it would help crime labs and law enforcement and opponents warning it could distort penalties depending on the medium used; it passed 108-26. The House also passed SB 36, creating a Homeland Security Division within DPS, after questions about overlap with TDEM and the cost of adding personnel. Late in the day, the House debated SB 38 on eviction procedures, with supporters saying it targeted squatters and streamlined removal of unauthorized occupants, and opponents arguing it would make evictions too easy and worsen homelessness; it passed 85-44. The chamber also began debate on SB 37, a major higher-education governance bill that would expand governing-board oversight of curriculum, hiring, and faculty senates; members raised concerns about academic freedom, faculty governance, and the impact on humanities programs, and debate was still underway at the end of the transcript.

Transcript Highlights:

• specialized equipment needed for these folks because a lot of these folks have been turned away from your standard
• Commonwealth of Kentucky and practically every county, city, and town, and the majority of garbage or sanitation
• majority of city, and town, and the majority of garbage<01:57:31.440><c> or</c><01:57:31.760><c> sanitation
• </c><01:57:32.560><c> companies</c><01:57:33.520><c> pay</c> garbage or sanitation companies pay garbage
• or sanitation companies pay their<01:57:34.080><c> employees</c><01:57:34.800><c> $17</c><01:57:35.760

Keywords: During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used. The lost footage was recovered from backup, and the other issues corrected in post production editing. 1. 00:00:41 Call to Order 2. 00:01:02 Roll Call 3. 00:02:54 Approval of Minutes 4. 00:05:06 Statutory Reports and Data Requests 5. 00:35:14 2025 and 2026 Session Update 6. 01:03:10 Board Structure Updates and Subcommittees 7. 01:05:20 Public Comment 8. 02:23:14 Adjournment, 958, all

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.