Transcript Highlights:

• emergency action plans for large and small events, and routinely partner with accounting, national EMR
• on July 4th and, within 24 hours, had a unified command established with the county, TDEM, national EMR
• , and many... ...established with the county, TDEM, national EMR, and many local, state, and federal

Summary: The joint Senate and House disaster preparedness hearing convened in Kerrville with quorum, public testimony limited to three minutes and invited testimony to 10 minutes. Leaders from both chambers, along with the lieutenant governor and speaker, framed the hearing as an unprecedented joint effort focused on learning from the July 4 flood, honoring victims, and identifying actions to reduce future loss of life. The committee also heard opening remarks about decorum, logistics, and the intent to continue work in future sessions. The first panel included Kerr County Judge Rob Kelly, Sheriff Larry Leitha, Emergency Management Coordinator William B. Thomas IV, Kerrville Mayor Joe Herring Jr., Kerrville City Manager Dalton Rice, Upper Guadalupe River Authority representative William Rector, Kendall County Judge Shane Stolarczyk, and Real County Judge Bella Rubio. They described the flood as sudden and catastrophic, with Kerr County reporting 108 deaths and two missing. Local officials emphasized that they received no timely warning of the scale of the event, that responders and volunteers acted heroically under extreme conditions, and that communications, cell coverage, and rural emergency resources were strained. Several witnesses said the county’s existing alert systems were limited by geography, sparse broadband, and the speed of the flood. Testimony focused on possible improvements, including real-time flood gauges and predictive monitoring, stronger rural emergency management staffing and training, better interoperability and alerting tools such as IPAWS, CodeRED, WENS, and sirens, and expanded broadband and radio coverage. Kerrville asked for a flood warning system before next summer and state help for stormwater, floodplain, and disaster recovery funding. UGRA described its past and current flood-warning and mitigation efforts, including gauge funding, a new software-based flood prediction project, and consideration of additional retention dams. Kendall and Real counties highlighted successful or needed alerting and evacuation practices, while also stressing the difficulty of funding and maintaining such systems in small rural counties. Members asked detailed questions about the timeline of the flood response, low-water crossings, communications failures, sirens, bridges, and whether regional consolidation or additional infrastructure could improve future preparedness.

Transcript Highlights:

• feedback we've heard is that providers at times get irritated that they can't copy and paste from an EMR

Keywords: 908, all

Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.

Transcript Highlights:

• EMRs allow this stuff to be done actually fairly easily. Thank you. Thank you.

Bills: SB500, SB719, SB912, SB1232, SB1467, SB1777, SB1864, SB2023, SB2119, SB2458

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Summary: The committee first took up several pending bills and reported them favorably: SB 968, SB 636 as substituted, SB 1137, and SB 1138 as substituted. Each was advanced by roll call vote, and the committee also recommended the approved bills for the local and uncontested calendar. The chair then moved to the posted agenda and heard SB 719, a mental health bed-capacity study bill by Senator Eckhart, with a committee substitute that refined the data collection to distinguish state and non-state beds, child and adult beds, include two point-in-time counts, and capture jail diversion data. Testimony on SB 719 was largely supportive from Integral Care, NAMI Texas, and the Children’s Hospital Association of Texas, all of whom said Texas needs better data on inpatient psychiatric capacity, workforce needs, and future demand. Several witnesses described long waits for beds, especially for forensic restoration, and argued the study would help target future investments. Senator Perry and others noted the state has already made major investments in new beds and urged the bill to account for beds already coming online; the committee ultimately withdrew the substitute and left SB 719 pending after public testimony closed. The committee then heard SB 1864, which would allow small egg producers to sell ungraded eggs more broadly, including to restaurants and retailers, with the substitute increasing the weekly sales threshold and addressing sanitation and labeling. Supporters said grading is about size, not safety, and that the bill would help small farms reach new markets; opponents from the Texas Poultry Federation argued grading and candling help identify cracks and defects that can affect safety and quality. The committee adopted the substitute and left the bill pending. It also heard SB 1467, requiring DSHS to share death record information with hospitals for record accuracy and quality review, and SB 912, which would modernize continuing education tracking for health licensing agencies; both bills drew supportive testimony and were left pending. Finally, the committee heard SB 2023, which would create an HHSC grant program to help counties pay for indigent burial costs, with county representatives testifying in support.

Transcript Highlights:

• Yeah, the state uses EMRs and KCTCS uses PeopleSoft.
• Yeah, the state uses EMRs and KCTCS uses PeopleSoft.

Keywords: Call to Order and Roll Call- 00:00:14 Staff Report on the Firefighter Commission Minimum Training Standards and Administrative Spending- 00:02:02 Response from the Kentucky Fire Commission-00:32:06 Judge Testimony on Child Removal-00:42:47 Update on Child Removal and Reunification-01:11:19 Staffing at Kentucky Veteran Centers-01:40:15 Adjournment-02:05:55, 958, all

Summary: The Legislative Oversight and Investigation Committee met without a quorum, so no votes were taken. Staff presented a study of the Kentucky Fire Commission focused on firefighter minimum training standards and administrative spending. The presentation explained that Kentucky’s training standards are built from NFPA guidelines, that the commission currently requires 115 hours for volunteer firefighters and 300 hours for paid firefighters, and that those reduced hours were adopted by removing electives and other non-NFPA content. Staff also said the commission’s IFSAC certification testing for firefighter 1 and firefighter 2 aligns with NFPA standards, but the commission cannot require local departments to train or certify firefighters. Staff recommended that the commission formally promulgate regulations establishing the reduced training hours and work with KCTCS to better separate administrative costs for certain programs so compliance with the statute can be demonstrated. The finance portion of the report said the commission is funded by general fund appropriations for State Fire Rescue Training and by an insurance premium surcharge that supports the Firefighter Foundation Program Fund. Staff reported that the commission stayed within the 5% administrative cap tied to the overall surcharge allotment, but could not confirm compliance with a separate 5% cap for specific programs because KCTCS accounting does not break out those costs in enough detail. Staff suggested the General Assembly may want to clarify what counts as administrative cost in statute. Members asked about investment returns, local fire department funding, and whether training documentation is required; staff said some of those topics were outside the study scope and that IFSAC testing relies on chief certification that a candidate is ready to test. Representatives from the Fire Commission then responded, saying they agreed with the report’s recommendations and would work to clarify the 5% issue with legislators and KCTCS. They explained that the reduction in training hours was intended to remove electives, better align with NFPA standards, and address the difficulty volunteer departments have in getting members to complete lengthy training. Commission officials said training is documented through rosters and annual compliance reviews, and that IFSAC-certified firefighter testing is based on demonstrated skills rather than a required number of training hours. They also said the difficulty in tracking the second 5% cap stems from the way KCTCS’s PeopleSoft system records reimbursements as single transactions, making it hard to isolate administrative costs by program.

Transcript Highlights:

• So, having solved EMR systems and practice management systems and insurance systems and integration systems

Keywords: 1189, house, all

Summary: The committee first approved the March 20 minutes and then adopted the remainder of the consent calendar, after removing two items for separate discussion. On item 26071, members questioned a $95,000 DoubleTree Manchester contract for a two-day conference. Department staff said the hotel was the only bidder, the conference typically draws more than 500 attendees, most of the cost is food offset by registration fees, and attendees pay their own lodging except for presenters. The committee then approved the item. On item 26068, members asked for clearer reporting on remaining federal funds in continuing items. DHHS said about $10.3 million remained as of February 28, 2026, and agreed to provide the original award amounts and a reconciliation later. The committee approved the item. The committee then took up a DHHS transfer item for the developmental disability system, where officials said projected costs had risen because of delayed pandemic-era billings, new individuals entering the system, and higher individual service budgets. They said the budget was built on older assumptions, that carryforward funds had fallen from about $94 million to $72 million, and that the transfer would not affect lapse because it shifts general funds while federal Medicaid funds are accepted in return. The item was adopted. The committee also approved a hiring request and then a late Corrections item tied to overtime and recruitment. Corrections officials said the department is about 50% staffed for corrections officers, typical overtime is an eight-hour shift, inmate populations are beginning to rise again, and the department is using academy blitzes, out-of-state recruiting, targeted advertising, and a $10,000 sign-on bonus paid after academy completion and one year of service. Senator Gray said the late item was intended to help reduce a larger request expected in June, and the committee adopted the item. Finally, members questioned DHHS item 26074 on the New Hampshire Care Connection system and its interoperability with provider and managed care systems. DHHS said the system already has SMART on FHIR integration, single sign-on, and deeper integration options, and that managed care organizations are working with the contractor on use cases and data exchange. Officials said the project has been multi-phase, including the 988 crisis-response migration, privacy/security work, a provider network of more than 100 organizations, and a searchable resource portal managed by Granite United Way. They said the closed-referral solution is funded largely with Medicaid federal funds and is planned to continue in the base budget, not the rural health grant. The discussion ended without further action noted in the excerpt.

Transcript Highlights:

• We use Athena as our EMR, or we can use their EMR. So those care summaries are passed.

Keywords: 1184, house, all

Transcript Highlights:

• partnered with emergency response professionals, National Emergency Management Response, or National EMR
• Looking ahead, we will work with National EMR to develop any additional needed templates or guidance

Keywords: 1184, house, all

Transcript Highlights:

• emergency action plans for large and small events, and routinely. partner with the county, National EMR
• . on July 4th and within 24 hours had a unified command established with the county, TDEM, National EMR

Keywords: 1185, senate, all

Transcript Highlights:

• emergency action plans for large. and small events and routinely partner with accounting, National EMR
• p.m. on July 4th and within 24 hours had a unified command established with the county TDEM, National EMR

Keywords: 997, house, all

Transcript Highlights:

• for making the rooms I'm in more EMF-safe, just like I and many others like me diagnosed with EMF or EMR

Keywords: 995, all

Summary: The Joint Committee on the Judiciary held a lengthy public hearing on a wide range of civil rights, immigration, hate crimes, and reparations bills. Chair Edwards and Chair Day opened with strict testimony rules, including two-minute limits, written testimony options, and decorum requirements. Attorney General Andrea Joy Campbell testified in strong support of S. 1126/H. 1920, the Combating Hate in the Commonwealth bill, saying Massachusetts needs stronger tools to address rising hate and bias incidents. Her Civil Rights Division chief explained that the bill would give the division civil investigative demand/subpoena power, expand civil rights enforcement, close loopholes in the Massachusetts Civil Rights Act, add protected classes to the hate crimes law, and require better hate-crime data reporting. The committee also heard support for H. 1954 on access to counsel in immigration proceedings, H. 4684 on law enforcement identification and public trust, and H. 1927 to exonerate individuals accused of witchcraft in colonial Massachusetts. Several bills focused on discrimination and civil rights enforcement. Supporters of S. 1248 on organizational standing said fair housing nonprofits need explicit authority to bring discrimination complaints in their own names, especially as federal protections are under attack. On H. 1246, advocates urged adding sex and gender as protected classes in the hate crimes statute, arguing women are not protected under current state law. H. 1820 drew testimony for protections against height and weight discrimination. H. 1995 would regularize sentencing for hate crimes by requiring diversity awareness training for both convictions and continuances without a finding, and H. 1056/H. 1589 would broaden hate-crime victim standing and require restitution to be used to repair harm. H. 1886 would clarify that defense-based social service staff are exempt from mandated reporter obligations when working under attorney-client privilege. The committee also heard testimony on H. 1889/S. 1064, a bill to eliminate disparate impact. Environmental justice advocates, fair housing attorneys, and community members argued that neutral policies can still produce discriminatory outcomes and that Massachusetts should allow state-court claims and a private right of action to address them. Committee members raised concerns about litigation floodgates, punitive damages, and the scope of protected classes, while supporters said the bill would mainly target systemic harms and injunctive relief. Additional testimony supported H. 1922/S. 119, the Fair Investment Act, which would create civil rights protections in venture capital and other investment settings for founders and investors, especially women and minority entrepreneurs. The hearing also included testimony on H. 1683, the Sex Trade Survivor Act, which would expand vacatur and expungement relief for trafficking survivors, remove archaic offenses from the code, and create an interagency commission; supporters emphasized reducing barriers to housing, employment, and reentry. Finally, the committee heard extensive support for H. 1753/S. 1181, establishing a commission to study reparations in Massachusetts. Testifiers described the state’s history of slavery, redlining, and ongoing racial disparities, and urged the committee to report the bill favorably. No votes or final actions were taken during the hearing.

Transcript Highlights:

• state solution and other times it could be maybe there's additional functionality they need from an EMR

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:

• Programs include automotive technology, graphic communication, health science, law enforcement, EMR,

Bills: HF2178, HF942, HF2470, HF1043, HF1287, HF1229, HF1230, HF424, HF571, HF404, HF910, HF1055, HF318, HF319, HF401, HF609, HF306, HF1599, HF1881

Keywords: HF2178, Cohasset, capital investment, bonding bill, state bonds, public infrastructure, water tower, water infrastructure, sanitary sewer, storm sewer, street reconstruction, municipal infrastructure, Public Facilities Authority, bond proceeds fund, Minnesota bonding, local government aid, utility infrastructure, public works, infrastructure, stormwater

Transcript Highlights:

• That note goes from my EMR in something called a clearinghouse, which is a pipe that goes to the payer

Keywords: 1185, senate, all

Transcript Highlights:

• state solution, and other times it could be maybe there's additional functionality they need from an EMR

Keywords: 1185, senate, all

Transcript Highlights:

• I learned that when Senator Perry called me a few weeks back and asked me, do you know about the EMR?

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• We thought that would be best managed through our office of EMS, and it's an EMR-like pathway appropriation

Keywords: 1187, senate, all

Summary: The Health and Human Services Finance and Policy Committee met on February 6, 2025, for an update on emergency medical services (EMS) policy and implementation. Senator Seberger described the work of the EMS Task Force, which traveled statewide to hear concerns from providers about staffing, reimbursement, and retention. She said the task force led to the Sprint Medic model and two innovation zones in Otter Tail and St. Louis counties, and she urged continued monitoring and possible reconstitution of the task force to evaluate what is working and what could be expanded statewide. She also said future EMS work should continue to explore alternative response models and telemedicine, but that the most immediate need is additional funding, especially to address unpaid non-transport calls. Dylan Ferguson, director of the newly formed Minnesota Office of Emergency Medical Services, gave a detailed update on the office’s structure and priorities after the transition from the Emergency Medical Services Regulatory Board. He described the office’s three divisions, the appointment of deputy directors, the first meetings of the advisory councils, and work on a statewide EMS strategic plan. He also reviewed the $24 million emergency ambulance aid program, explaining its 40-40-20 formula, the emphasis on rural services, the reporting and spending deadlines, and the positive response from ambulance providers. He noted that the $6 million Sprint paramedic grant program is underway, with Otter Tail County moving forward and St. Louis County still finalizing its application. Ferguson also outlined the office’s budget request for modest staffing and contract-cost increases, two rulemaking efforts to update outdated ambulance vehicle standards and expand medication options for basic life support services, and ongoing data collection on workforce needs, violence against EMS providers, and ambulance crashes. He highlighted the paramedic scholarship program administered by the Office of Higher Education, saying nearly 300 scholarships have been awarded. Members and Senator Seberger praised the EMS reforms and emphasized that non-transport calls create significant unreimbursed costs, especially for rural and volunteer services, but no votes or formal committee actions were taken during the meeting.

Transcript Highlights:

• If an organization or business wants better trained agents with EMR-qualified agents and the latest on

Bills: HF1082, HF1042, HF1295, HF1686, HF1998, HF1775, HF1163

Keywords: public safety, law enforcement, mental health, domestic violence, appropriations, criminal justice, Minnesota corrections, victim services, task force, personal safety, Independent Use of Force Investigations Unit, criminal sexual conduct, sexual assault, peace officers, law enforcement oversight, Minnesota National Guard, U.S. armed forces, military installation, armory, air base

Transcript Highlights:

• could we have an exception so that if somebody could not send them electronically, even if they have an EMR
• could we have an exception so that if somebody could not send them electronically, even if they have an EMR

Keywords: 1189, house, all

Transcript Highlights:

• wonderful vertically integrated thing gets five stars all the time because his physicians are on the same EMR

Keywords: 910, house, all

Transcript Highlights:

• It's not as simple as, like, the EMR mission is to try to pull that electronic health record.

Keywords: 910, house, all