Video & Transcript Research : 'informed consent'
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HI
Transcript Highlights:
- information campaign for youth.
- million for a public youth information million for a public youth information campaign,<00:56:24.559
- , just for me members information, just for me members information, um<00:59:15.599>
we <00 - send that information to this committee. send that information to this committee.
- So, the fact that that parental consent.
Keywords:
emergency funding, food assistance, healthcare, federal shutdown, Hawaii, DHS, jury duty, advanced practice registered nurses, physician assistants, exemption, patient care, financial hardship, medication abortion, anonymous prescription, pregnancy rights, healthcare privacy, pharmacy regulations, chiropractic education, clinical training, student supervision
Summary:
The House Committee on Health held its first hearing of the session and opened with housekeeping notes, introductions of members, and an explanation that the agenda would be taken out of order to accommodate a sign language interpreter. The committee first heard HB 469, relating to parking for disabled persons. Testimony from the Disability and Communications Access Board and the State Council on Developmental Disabilities supported the bill, explaining that a travel placard would help people with disabilities who must travel interisland or to the mainland for medical care. Members asked about emergency travel, misuse prevention, and how to distinguish the travel placard from existing disabled parking placards; witnesses said the bill would need to be tied to administrative rules, and agreed the placard should clearly show an expiration date and likely be a different color. No vote was taken.
The committee then heard HB 218, relating to hospital surgical smoke. The Department of Health supported the measure, and the Healthcare Association of Hawaii supported it with amendments, saying hospitals already follow existing standards but that any new policy should account for different procedures and provider safety. A committee member questioned the proposed amendment language and whether it was too flexible; the witness explained the intent was to allow case-by-case application because some procedures generate only brief exposure. Members also asked what surgical smoke is, and the witness explained it is produced when electrical or cauterizing tools are used on tissue and creates vapor or fumes. The bill remained under discussion with no final action reported.
The committee next took up HB 814, which would fund a public information campaign and related services on cannabis use among youth. The Department of the Attorney General said the bill should be amended to clarify whether the funding would be used for contracts or grants and to include proper grant standards if grants are intended. The Department of Health supported the bill and said the funds would expand prevention, treatment, recovery, and public education efforts, including social media outreach, PSAs, and school-based youth services. Multiple organizations and individuals testified in support, emphasizing the harms of youth cannabis use and the need for prevention and treatment resources. Members asked what the department currently does, whether it is fulfilling existing law on science-based cannabis information, and what kinds of treatment would be provided; the department said services would mainly be intensive outpatient, outpatient, counseling, and related youth-focused supports. No vote was taken during the hearing.
AL
Transcript Highlights:
- Their consent.
- Information, that's a crime. So, genetic information is as sensitive as a social security number.
- I obtained it without someone's express consent. So, is express consent in writing? Is that verbal?
- In our code, we use the term express consent. We have consent and express consent.
- Your actions would show that you consented. I mean, I think that... You consented.
Keywords:
preliminary hearing, criminal procedure, Aniah's Law, pretrial detention, defendant rights, property rights, law enforcement, removal procedures, unauthorized occupancy, trespassing, liability, off-roading, parks, participant safety, risk management, DNA, genetic testing, privacy, consent, criminal penalties
AL
Alabama 2025 Regular Session
Alabama Senate Children and Youth Health Committee Feb 27th, 2025
Children and Youth Health
Transcript Highlights:
- If you'll read the bill, there's nowhere in there it's got a section that says parental consent, but
- apps their teen uses. ...information to each of the 40 apps their teens use one by one.
- That's information the tech companies can use to know this is a minor, not an adult.
- A minor needs parental consent or the consent of an adult who's responsible before they sign the contract
- I mean, small bills are not thick but contain a lot of information, which you know.
Keywords:
internet filtering, child protection, obscene content, civil liability, manufacturers, app store, app store provider, app developer, mobile app, age verification, parental consent, minor safety, child online safety, parental controls, age gating, digital privacy, data protection, in-app purchases, online consumer protection, deceptive trade practice
AL
Alabama 2025 Regular Session
Alabama House Children and Senior Advocacy Committee Feb 26th, 2025
Children and Senior Advocacy
Transcript Highlights:
- Second, minimal information about age range and affirmative consent would be shared with the individual
- informed decisions about the apps their children use.
- today’s digital age. to keep parents informed.
- However, I got to look at this bill and I'm informed that Meta... ...this bill, and I'm informed that
- If that... ...also require parental consent, right?
Keywords:
HB285, TJ's Law, traffic infraction, traffic ticket, uniform traffic ticket and complaint, minor driver, juvenile driver, parent notification, guardian notification, emergency contact, law enforcement, citing agency, traffic citation, driver safety, youth safety, Alabama traffic law, Section 12-12-56, Children and Senior Advocacy, House Judiciary, reasonable effort
MN
Minnesota 2025-2026 Regular Session
House Children and Families Finance and Policy Committee 3/11/26
Children and Families Finance and Policy
Transcript Highlights:
- Then we'll be able to gather that information. Of course, you're always welcome to submit it early.
- This is what it looks like when stakeholders come together to compile this information and get the bill
- the bill and aligned it with inform the bill and aligned it with community<01:17:27.320>
needs. - Um otherwise, uh Travis from Youth Pride also has a number of information.
- a lot of um duplicative uh information a lot of um duplicative uh information that<01:30:36.720>
Keywords:
public authorities, dissolution cases, court system, child protection, legal notice, foster care, child welfare, enrollment priority, education programs, child care assistance, foster youth, extended foster care, bill of rights, out-of-home placement, Minnesota Statutes chapter 260C, social services agency, caseworker, permanency team, sibling visitation, relative contact
AL
Transcript Highlights:
- Um, we've also got information from uh Illinois and Yolo information from uh Illinois and Yolo information
Keywords:
resisting arrest, penalties, criminal justice, law enforcement, public safety, youthful offender, capital murder, victims' rights, SB254, Alabama, statute of limitations, civil procedure, civil action, sex offense, sexual abuse, child sexual abuse, survivor rights, tolling, disability, minor plaintiff
TX
Texas 89th Regular
S/C on Family & Fiduciary Relationships Apr 22nd, 2025 at 02:04 pm
S/C on Family & Fiduciary Relationships
Transcript Highlights:
- Today, I'm honored to present House Bill 2159, which addresses the gap in our health care consent.
- Currently, Texas law allows for young people to consent to their own prenatal care, but none of their
- It ensures a more consistent, trauma-informed, and accessible process statewide.
- written consent confers parentage upon you when a child is born.
- It can also be established by written consent in advance of the birth.
Keywords:
fatherhood, family support, fatherlessness, community engagement, youth development, social policy, male role models, child development, policy reform, role models, mental health, parenting, single-parent homes, welfare reform, economic opportunity, mentorship, community initiatives, children, welfare programs, education
AL
Transcript Highlights:
- me that they got some they did inform me that they got some they did inform me that they got some great
- that's going giving them the information that's going giving them the information that's going on uh
- uh my source for the some information uh my source for the some information uh my source for the information
- was continuing to dig and information was continuing to dig and information was continuing to dig and
- uh you know and we get that information uh you know and we get that information uh you know I'll make
Bills:
SJR 36, SJR 2, SB 4, SR 45, SR 47, SR 63, SR 66, SR 70, SR 85, SCR 14, SB 10, SB 11, SB 10, SB 11
Keywords:
SJR 2, Senate Joint Resolution 2, constitutional amendment, homestead exemption, property tax relief, school property tax, ad valorem tax, residence homestead, school district taxes, Texas Constitution Article VIII, public school finance, homeowner exemption, elderly exemption, senior tax relief, disabled exemption, tax year 2025, voter approval, November 2025 ballot, local government, Ways & Means
TX
Transcript Highlights:
- Message from the governor to the Senate of the 89th legislature. session I ask the advice consent and
- Texas Department of Criminal Justice lands Aaron E Lunsford Houston members of the Department of Information
- Choice, is celebrating their 10th anniversary. this year, advocating for and advancing to protect informed
- consent.
Keywords:
SJR 2, Senate Joint Resolution 2, constitutional amendment, homestead exemption, property tax relief, school property tax, ad valorem tax, residence homestead, school district taxes, Texas Constitution Article VIII, public school finance, homeowner exemption, elderly exemption, senior tax relief, disabled exemption, tax year 2025, voter approval, November 2025 ballot, local government, Ways & Means
TX
Keywords:
SJR 2, Senate Joint Resolution 2, constitutional amendment, homestead exemption, property tax relief, school property tax, ad valorem tax, residence homestead, school district taxes, Texas Constitution Article VIII, public school finance, homeowner exemption, elderly exemption, senior tax relief, disabled exemption, tax year 2025, voter approval, November 2025 ballot, local government, Ways & Means
FL
Florida 2025 Regular Session
Senate in Special Session C Feb 11th, 2025
Florida Senate Floor Meeting
Transcript Highlights:
- VALIDATE INFORMATION WITH INTERACTIONS WITH THE STATE. AGE.
Keywords:
SJR 2, Senate Joint Resolution 2, constitutional amendment, homestead exemption, property tax relief, school property tax, ad valorem tax, residence homestead, school district taxes, Texas Constitution Article VIII, public school finance, homeowner exemption, elderly exemption, senior tax relief, disabled exemption, tax year 2025, voter approval, November 2025 ballot, local government, Ways & Means
AZ
Transcript Highlights:
- Where did you get your information from?
- Without clear state standards, patients face risks from inconsistent sourcing, inadequate informed consent
- Okay, mainly the same information.
- I provided the last known information for him.
- I was later informed that when they emailed him, my home address, phone number, and other contact information
Bills:
SB1052, SB1115, SB1118, SB1120, SB1121, SB1124, SB1171, SB1172, SB1174, SB1175, SB1214, SB1233, SB1235, SB1316, SB1345, SB1372, SB1399, SB1458, SB1494, SB1496, SB1564, SB1602, SB1621, SB1628, SB1630, SB1631, SB1668, SB1672, SB1814, SB1821
Keywords:
assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent, AHCCCS, remote work, state agency, employment, public health, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes, townhomes, historic preservation, radiation protection
Summary:
The committee first heard Senate Bill 1121, which would prohibit hospitals from requiring lead aprons for cardiac catheterization staff when a radiation protection system is in place, while still allowing hospitals to require aprons outside the designated safety zone or when exposure levels warrant additional protection. An amendment added flexibility for radiation safety officers to require lead or other PPE if exposures approach occupational limits and removed expedited rulemaking language. Supporters, including the sponsor and interventional cardiologists, argued the devices reduce radiation and orthopedic injuries and improve recruitment and retention; hospital groups shifted to neutral after the amendment. The committee adopted the amendment and passed SB 1121 on a 9-2 vote.
The committee then considered Senate Bill 1120, which would require hospitals performing cardiac catheterization procedures to equip at least 50% of those rooms with radiation protection systems by 2027. Supporters said the systems protect clinicians from radiation and long-term injury, while opponents, including hospital and radiology groups, argued the bill was overly prescriptive, could create a captive market, and might not fit all rooms or procedures. After adopting a children’s hospital exemption amendment, the committee passed SB 1120 on a 6-6 vote, with the chair breaking the tie in favor of the bill.
Senate Bill 1118, an appropriation measure tied to the radiation protection system proposal, was also advanced after brief discussion, passing 6-5. The committee then took up Senate Bill 1214, which would create guardrails for non-FDA-approved stem cell and regenerative therapies, including provider standards, informed consent, advertising limits, reporting requirements, and a private right of action for violations. Supporters described it as a patient-protection and access bill, while testimony emphasized concerns about unregulated “bad actors” and patients traveling out of state for treatment. The committee adopted an amendment removing a reference to the National Law and passed SB 1214 on a 9-3 vote. The transcript then began discussion of SB 1630, which would create a Medicaid-funded home and community-based service benefit for adults with serious mental illness, with AHCCCS taking a neutral position and estimating a significant fiscal impact.
TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part I) Mar 5th, 2025
Health & Human Services
Transcript Highlights:
- Every time somebody applies, we do send their information over to Condesa.
- Patients have to sign a written, informed consent outlining the potential risks, benefits, and consequences
- Formed consent for products that have been proven to work elsewhere.
- DFPS issued a request for information to better understand these challenges.
- I had no, was not informed that I was placed. placed in emergency detention.
Keywords:
SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare
TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part II) Mar 5th, 2025
Health & Human Services
Transcript Highlights:
- Everyone's going to be... be informed and working together to ensure that it works.
- I'm excited that we'll have outside evaluation that can help us stay informed about what's working well
Keywords:
SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare
TX
Transcript Highlights:
- Everyone's going to be informed and working together to ensure that it works.
- And, um, I'm excited that we'll have an outside evaluation that can help us, um, stay informed about
Keywords:
SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare
AZ
Transcript Highlights:
- , after being served with a writ of restitution, remains or returns to a living space without the consent
- , after being served with a writ of restitution, remains or returns to a living space without the consent
- It is fully within the government's power to inform citizens how to exercise their rights to the fullest
- consent statutes and rely on civil remedies rather than clear criminal penalties. 2411 closes this gap
- Instead, it focuses on protecting her autonomy, safety, and the right to informed consent.”
Keywords:
forcible entry, detainer, writ of restitution, criminal trespass, judgment enforcement, civil terrorism, disorderly conduct, vandalism, political activism, public order, subversion, government security, criminal records, sealing records, civil rights, expungement, rehabilitation, coerced abortion, abortion-inducing drugs, felony
Summary:
The committee heard several bills dealing with criminal penalties, probation, record sealing, fraud jurisdiction, reproductive coercion, and family court evidence. HB 2047 would elevate trespass after service of a writ of restitution from third-degree to first-degree criminal trespass; supporters, including the Arizona Constables Association, said the current misdemeanor classification leads law enforcement to deprioritize unsafe eviction-related situations. The bill passed with a do pass recommendation on a 6-2 vote. HB 2136 would create offenses for civil terrorism and subversion, expand racketeering predicates, and increase penalties for certain coordinated disorderly conduct and highway obstruction; supporters said it targets organized intimidation and violent disruption, while opponents from the ACLU and immigrant-rights groups argued it is vague, viewpoint-discriminatory, and would chill protest. After extensive debate over January 6th, ICE protests, and Arizona protest examples, it also received a do pass recommendation, 6-3.
HB 2970 would clarify that Arizona can prosecute fraudulent schemes and artifice even if every act occurred outside a single county or subdivision, so long as there is an Arizona nexus. The sponsor said local law enforcement and the FBI often decline smaller mortgage-fraud cases because the bank is out of state; opponents said existing law already provides jurisdiction and warned of forum shopping. The bill passed 6-3. HB 2411 would make secretly administering abortion-inducing drugs to a pregnant woman without her knowledge or consent a class 2 felony; supporters framed it as a protection against coercion and abuse, while opponents said existing assault laws already cover the conduct and warned about unintended effects on access to miscarriage care. It also passed 6-3.
HB 2198 would allow people convicted of petty offenses to petition to seal their records immediately after completing their sentence. Supporters described it as a cleanup measure to extend sealing relief to minor offenses like truancy or low-level misdemeanors, and the bill passed unanimously. HB 2966 would prohibit early termination of probation for people convicted of dangerous crimes against children; the sponsor argued that child victims should not have to repeatedly return to court, while opponents raised ex post facto concerns, juvenile-offender issues, and resource burdens. After testimony from victims, defense advocates, and the Maricopa County Attorney’s Office, it passed 5-4. Finally, HB 2662 would tighten expert-evidence standards in parenting-time cases involving alleged domestic violence or abuse by requiring qualified experts, empirically supported methods, and excluding polygraph-type evidence; the sponsor and a domestic violence advocate said it would reduce reliance on junk science in family court.
AL
Alabama 2025 Regular Session
Alabama House State Government Committee May 7th, 2025
State Government
Transcript Highlights:
- The way that this works is first, parents must give consent.
Keywords:
education, national anthem, patriotism, school policy, constitutional amendment, SB278, released time, religious instruction, elective credit, public schools, K-12 education, Alabama Released Time Credit Act, church-state separation, First Amendment, school choice, parental consent, elective course, off-campus instruction, private religious entity, State Board of Education
US
US Federal 2025-2026 Regular Session
Hearings to examine S.222, to amend the Richard B. Russell National School Lunch Act to allow schools that participate in the school lunch program to serve whole milk. Apr 1st, 2025 at 09:00 am
Agriculture, Nutrition, and Forestry Committee
Transcript Highlights:
- I don't have information related to that.
- the end of the day, their recommendation� and I�ll note that that�s advice to the departments for informing
- I don't have information to that regard. Okay. I'd be interested in that.
- I appreciated the information you provided in your testimony about the impacts of dairy consumption on
Bills:
SB222
Keywords:
whole milk, school lunch, school meals, National School Lunch Program, Richard B. Russell National School Lunch Act, Child Nutrition Act, USDA, nutrition standards, dairy, nonfat milk, low-fat milk, reduced-fat milk, lactose-free milk, nondairy beverages, plant-based milk, milk substitution, parental consent, legal guardian, food allergies, allergic reaction
Summary:
This meeting of the committee focused primarily on the Whole Milk for Healthy Kids Act, S222, which aims to permit schools to offer a fuller range of milk options, including whole, reduced, and low-fat varieties, that have garnered bipartisan support. Chairman Bozeman opened the session by highlighting concerns over children's nutrition and the obesity epidemic, emphasizing the significance of nutritious school meals in addressing these issues. Experts from various organizations were invited to discuss the implications of this bill as well as the current challenges facing school meal programs, including budget constraints and food supply issues. The meeting included passionate testimonies about the direct impacts of current dietary guidelines and federal funding reductions affecting schools' abilities to provide healthy meal options.
HI
Hawaii 2026 Regular Session
HSH Public Hearing - Tue Mar 24, 2026 @ 10:00 AM HST
Human Services & Homelessness
Transcript Highlights:
- more information. more information.
- So we can try to find that information for you.
- We definitely would like to see this information gathered.
- <00:20:42.600>
Um <00:20:43.320>we see this information gathered. - Um we see this information gathered.
Keywords:
criminal procedure, family violence, dating violence, child abuse, evidence admissibility, reduced sentencing, homelessness, reporting requirements, statewide office, housing solutions, kauhale projects, public oversight, SB2861, Hawaii, Office of Wellness and Resilience, OWR, Department of Human Services, DHS, Kakou Pilot Program, Kakou
Summary:
The committee heard testimony on several measures related to criminal procedure, homelessness, family resilience, Medicaid-funded services, and school Medicaid reimbursement. On SB 2479 SD2, the Judiciary testified in neutral opposition with concerns that the bill could require imprisonment even for probation-eligible defendants, expand sentence reconsideration in ways that could undermine finality for victims, conflict with existing sentencing statutes, and require additional judicial resources. The Office of the Public Defender supported the bill’s intent but asked for language changes so people serving sentences could raise the new evidence in Rule 40 petitions and so probation would remain available in appropriate felony cases. Written testimony also included opposition from several county prosecutors and police, and support from the Office of Hawaiian Affairs. The chair later deferred SB 2479 SD2, citing unintended consequences and problems with the bill.
For SB 2557 SD1, which would require annual reporting by the State Office on Homelessness and Housing Solutions, the office said it supported the intent but noted it already produces annual and quarterly reports, that some requested data is already available, and that staffing and cost constraints could make the new reporting burdensome. The State Council on Mental Health supported the measure and suggested narrowing the reporting language to data on individuals with serious mental illness or co-occurring behavioral health conditions, to the extent practicable and in collaboration with relevant agencies. A committee member asked about the availability of point-in-time count data, and the office explained that some figures may not be available every year and may need to be generated through HMIS. Dr. Jack Lewin testified in support, saying the data would be useful for understanding health care costs. The committee passed SB 2557 SD1 with amendments, including a deferral of the effective date.
The committee also heard SB 2861 SD2 and SB 3204 SD1, both family resilience pilot program measures. For SB 2861 SD2, the Office of Wellness and Resilience and DHS supported the bill but requested amendments to clarify that the office’s role is planning and advisory, that DHS is a key partner, and that federal compliance safeguards are included. The chair raised concerns about overlap with DHS’s existing Ka Ohana program and asked for language to avoid redundancy while allowing the bill to cover other at-risk children; decision-making was deferred to the next hearing. For SB 3204 SD1, which would create a peer-navigator-based family resilience pilot, the Office of Wellness and Resilience and DHS supported the measure, with the office requesting a two-year pilot period, and both agencies and several advocacy groups submitted support. The committee discussed funding, the proposed five peer navigators, and whether the pilot should be limited to one or two geographic areas; no final action was taken in the portion provided. The committee also heard and supported SB 3324 SD1 on Medicaid home and community-based services, with the Department of Health emphasizing caregiver shortages and the cost-effectiveness of community care, and SB 3325 SD1 HD1 on public school Medicaid reimbursement, where DOE and the Attorney General requested clarifying amendments to reporting language and position titles.
TX
Transcript Highlights:
- And frankly, I think a lot of the times the informed consent process is what's missing.
- Actually, actually, I think a lot of the times the informed consent process is what's missing, actually
- Most disputes settle informally.
- They lack access to the right information and resources.
- They lack access to the right information and resources.
Keywords:
Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening
Summary:
The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending.
The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending.
The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending.
Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.