Transcript Highlights:

• Senate Bill 1863 will strengthen our audits.
• Unlike other types of post-election audits, these procedural audits are a unique tool to make sure to
• to be audited.
• The bill also gives the audited party an opportunity to address findings made after an audit, requires
• We made sure that we had an audit...

Bills: SB801, SB1200, SB1410, SB1717, SB1862, SB1863, SB2216, SB2681, SB506, SB2626, SJR63

Keywords: SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission

Summary: The Senate Committee on State Affairs heard testimony on several bills, with most measures left pending after public testimony closed. SB 801, by Sen. Menéndez, would require DSHS and local clerks to issue birth certificates at no cost to people experiencing homelessness. The author and Maria Benavides of SA Youth said the fee and mailing requirements are major barriers to obtaining ID, housing, and work, and Benavides described clients who were able to secure housing and employment after getting birth records and IDs through her program. The bill was left pending. The committee also heard a set of bills related to the Gulf of Mexico/Gulf of America naming issue: SB 1410 would require state agencies to use “Gulf of Mexico” in official documents, SB 1717 would conform state law to the federal renaming to “Gulf of America,” and SJR 63 would amend the Texas Constitution to match that change. Support testimony for the latter two emphasized alignment with federal action and the use of different geographic names by different countries. All three measures were left pending. Members then heard SB 1200, which would require plaintiffs suing defense contractors to disclose in discovery whether they are receiving litigation funding from adversarial nations such as China, Russia, or Cuba. The author and Texans for Lawsuit Reform said the bill targets third-party litigation funding and foreign influence on lawsuits, especially those affecting defense contractors; the committee substitute narrowed the definition of defense contractor and expanded applicability to actions involving defense contractors’ activities. SB 2626, which requires continuing medical education on pregnancy-related emergencies for OB-GYN physicians and nurses, drew support from witnesses who said it would reduce confusion about Texas abortion law and improve care in emergencies. SB 506, SB 2681, SB 1862, SB 1863, and SB 2216 all focused on elections, including ballot language standards, voter registration challenges, interstate voter-roll cleanup, procedural audits, and election equipment security; testimony split between supporters who said the bills improve transparency and integrity and opponents who warned of vague standards, added costs, and possible voter disenfranchisement. Each of those bills was left pending after testimony.

Transcript Highlights:

• We're actually in the department within, but they actually manage those funds now, those grants now,
• whole true-up in a traditional hospital setting on these patients and contractuals they have with the managed
• Okay, but a lot of these are done through contracts with MCOs that are managing that whole risk...
• A lot of these are done through contracts with MCOs that are managing that whole risk pool.
• So it should be managed throughout the whole risk pool.

Bills: HB198, HB325, HB488, HB719, HB749, HB755, HB797, HB823, HB1028, HB1194, HB1222

Keywords: Medicaid, reimbursement, ambulatory surgical centers, gastroenterology, ophthalmology, otolaryngology, healthcare funding, Louisiana Department of Health, surgical procedures, TOPS-Tech, scholarship, education, eligibility, college credit, dual enrollment, state funding, HB 488, Belle Chasse Bridge, Belle Chasse Bridge Merit-Based Special Fund, Plaquemines Parish

Transcript Highlights:

• > program<00:10:36.800> shall facility management lease program shall facility management
• projects in the special management area. projects in the special management area.
• So that's the larger management area.
• . management. management.
• Requires preparation of management plans and procedures.

Bills: SB2982, SB2367, SB2818, SB2944, SB2022, SB2240, SB2986, SB2547, SB2401, SB3031, SB3035, SB3032

Keywords: foreign influence, campaign finance, contributions, state elections, transparency, election integrity, Ala Wai Small Boat Harbor, Ala Wai Harbor, DLNR, BLNR, Department of Land and Natural Resources, Board of Land and Natural Resources, state boating facility, small boat harbor, public-private partnership, PPP, marina management, harbor lease, fast lands, submerged lands

Summary: The committee heard testimony on several measures, beginning with SB 2982 on campaign finance, which would prohibit foreign entities and foreign-influence businesses from making contributions and expenditures. The Attorney General’s office testified first, followed by the Campaign Spending Commission, which supported the bill but asked for clarification on constitutional review authority and additional implementation time for certifications, forms, and procedures. Common Cause also supported the measure, arguing it would help protect elections from dark money and foreign influence. No vote was taken. The committee then took up SB 2367 on a state boating facilities lease program for the Ala Wai small boat harbor. DLNR supported the bill, while UPW opposed it, warning about privatization of a public asset and possible job displacement. Several members of the public supported the concept but urged amendments to protect public access, affordability, youth ocean programs, and state employee jobs. Committee members questioned DLNR about the scope of the lease, the role of the Board of Land and Natural Resources, and whether public access and existing concessions would remain protected. DLNR said current leases would remain, the board would retain approval authority, and employees would not necessarily be displaced, but members indicated more discussion and possible amendments were needed. For SB 2818 on boating penalties, DLNR testified in support and there was no opposition testimony. The committee also heard SB 2944 on conservation, which would require wildlife viewing guidelines that substantially conform to NOAA guidance and reporting requirements; DLNR said it stood on its written testimony. SB 2022 on water code penalties drew support from DLNR’s Commission on Water Resource Management, which said the bill’s two-tiered penalty structure would preserve deterrence while keeping the current $5,000 penalty for first-time or non-harmful violations. The Board of Water Supply submitted comments, and Ulupono Initiative supported the measure as a needed enforcement tool. Committee members discussed whether the higher penalty ceiling should be phased in and asked for stakeholder input on the amount of the penalties. Finally, the committee began SB 2240 on land use, which would require water availability certification from the Commission on Water Resource Management before a district boundary amendment proceeds to the Land Use Commission. DLNR supported the bill and said it often reviews project documents that lack sufficient information on water needs and availability, so the measure would allow earlier review and comment. The committee also indicated it would seek amendments and further feedback on the water penalty bill before it moved to the next committee.

Transcript Highlights:

• And now we've come full circle back to risk management. how to look for fraud.
• And now we've come full circle back to risk management. ...practice cover-up.
• And now we've come full circle back to risk management.
• It is the main core structure of Medicaid managed care.
• My name is Carolina Cano, and I serve as a government relations manager at the Houston Food Bank.

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001

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.

Transcript Highlights:

• Senate Bill 1863 will strengthen our audits.
• Unlike other types of post-election audits, these procedural audits are a unique tool to ensure to the
• to be audited.
• The bill also gives the audited party an opportunity to address findings made after an audit, requires
• But if you have a good internal audit yourself, you will find...

Bills: SB801, SB1200, SB1410, SB1717, SB1862, SB1863, SB2216, SB2681, SB506, SB2626, SJR63, SB 3

Keywords: SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission

Bills: SB801, SB1200, SB1410, SB1717, SB1862, SB1863, SB2216, SB2681, SB506, SB2626, SJR63, SB 3

Keywords: SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission

Transcript Highlights:

• Additionally, under the One Big Beautiful Bill, there are going to be new penalties when the audits come
• We, the Bridge Center for Hope, recently conducted a study with Health Management Associates and found
• We conducted a study with Health Management Associates and found that the actual cost of providing care
• Previously, it required that it would be the medical director and another person who would manage the
• website and manage all fatality information to the ombudsman.”

Bills: HR267, HCR105, HCR107, HCR110, HCR113, HCR114, SB4, SB52, SB57, SB145, SB152, SB194, SB237, SB333, SB433, SB483, SCR37

Keywords: diabetes, amputation, amputations, diabetic foot ulcer, peripheral artery disease, PAD, wound care, podiatry, vascular disease, endocrinology, limb salvage, health policy, public health, healthcare costs, insurance coverage, Louisiana Department of Health, University of Louisiana at Lafayette, Louisiana Center for Health Innovation, patient education, screening

Transcript Highlights:

• AND MANAGING HEALTH CRISIS, NAVIGATING HEALTHCARE, AND SCHOOL AT THE SAME TIME.
• PERFORMANCE AUDITS EVALUATE THE EFFECTIVENESS OF PUBLIC PROGRAMS AND FINANCIAL AUDITS TO ENSURE FINANCIAL
• SO TOO WOULD THE AUDIT FINDINGS AND RECOMMENDATIONS.
• WE TALK ABOUT INSPECTORS GENERAL AND AUDITING.
• OTHER STATES ARE JEALOUS OF FLORIDA LEGISLATURE AND AUDIT.

Bills: SB 2, HB 2, HB 2000, HB 2196, HB 213, HB 222, HB 645, HB 1458, HB 1022, HB 141, HB 502, HB 643, HB 3093, HB 1700, HB 117, SB 503, SB 2, HB 120, HB 20, HB 150, HB 6, HB 100, HB 210, HB 215, HB 1393, HB 1151, HB 1268, HB 142, HB 451, HB 124, HB 2, HB 2000, HB 2196, HB 213, HB 222, HB 645, HB 1458, HB 1022, HB 141, HB 502, HB 643, HB 3093, HB 1700, HB 117

Keywords: public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, child grooming, sex offender registration, criminal justice, reportable conviction, law enforcement, virtual education, hybrid learning, school funding, average daily attendance

Transcript Highlights:

• to make the point that the surplus that we boast about so much is not the result of careful management
• They call themselves not non-profit, but somehow they manage to pay enormous salaries to people for managing
• We improve auditing provisions to improve accountability and transparency in the program.
• Well the comptroller will certainly decide the the organizations that will manage the program and the
• Classroom management is a lost art. in the teaching profession, having clear consequences, clear rules

Bills: SB2, HB2, HB2000, HB2196, HB213, HB222, HB645, HB1458, HB 1022, HB141, HB502, HB643, HB3093, HB1700, HB 117, SB503, SB2, HB 120, HB20, HB150, HB6, HB 100, HB210, HB215, HB1393, HB 1151, HB 1268, HB142, HB451, HB 124, HB2, HB2000, HB2196, HB213, HB222, HB645, HB1458, HB 1022, HB141, HB502, HB643, HB3093, HB1700, HB 117

Keywords: public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, child grooming, sex offender registration, criminal justice, reportable conviction, law enforcement, virtual education, hybrid learning, school funding, average daily attendance

Transcript Highlights:

• ...And now we've come full circle back to risk management.
• We represent all of the Medicaid managed care organizations that contract with the state of Texas to
• Another common one that you'll see is outsourcing transportation management organization services.
• Medicaid managed care organizations can pay for nutrition counseling and instruction in lieu of other
• And I serve as a government relations manager at the Houston Food Bank.

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001, HB136

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

Transcript Highlights:

• Reauthorization is a process used by health plans to manage costs and the use of services.
• In the system or to a utilization management or review, prior authorization is only one of those.
• This ensures that patients are better informed and can manage their medical expenses more effectively
• In the phrase "managing employees for consistent enforcement purposes."
• VAERS is co-managed by the Centers for Disease Control and Prevention (CDC).

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Bills: SB 227, SB 269, SB 407, SB 463, SB 527, SB 547, SB 1283, SB 1380, SB 1383, SB 1511, SB 1640, SB 1784, SB 2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• Pre-authorization is a process used by health plans to manage costs and the use of services.
• There are a number of additional checks within what we loosely refer to as utilization management or
• pain, experiencing significant emotional and physical distress, and require immediate medications to manage
• VAERS is co-managed by the Centers for Disease Control, or CDC, and the U.S.
• It does not stop them from requiring PPE or implementing infection control measures or managing risk

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Summary: The Senate Committee on Health and Human Services met with several members initially absent, then later established a quorum. The committee heard multiple bills, with most testimony focusing on access to care, insurance practices, senior safety, and health care worker protections. Several bills were laid out with committee substitutes, and public testimony was limited to two minutes per witness. Most bills were left pending after testimony, with no final votes taken in the portion provided. Senate Bill 2069 would create a work group to study the feasibility of a statewide acute psychiatric bed registry; the substitute shifts appointment authority to the Health and Human Services Commissioner and extends reporting and sunset dates. Senate Bill 463 would expand workplace violence protections to additional hospice, home and community support, intermediate care, and state-supported living center settings. Senate Bill 1283 would require background checks and transparency measures for senior retirement communities after testimony about the Dallas-area serial killings of elderly residents. Senate Bill 1784 would require 60 days’ written notice before medical debt is sent to collections. Senate Bill 527 would require medical insurance coverage for general anesthesia for medically necessary pediatric dental procedures for children under 13 with qualifying conditions; pediatric dentists testified that denials delay needed care. A major portion of the meeting centered on prior authorization. Senate Bill 1380 would eliminate prior authorization for a broad list of services, including emergency, primary, mental health, substance use, chemotherapy, preventive, pediatric hospice, and certain chronic-condition care. Physicians and hospice advocates supported the bill, describing delays, administrative burden, and patient harm, while health plans opposed blanket exemptions and argued prior authorization helps prevent unnecessary care and control costs. Relatedly, Senate Bill 547 would require insurers to report gold-card prior authorization exemptions to TDI and create a centralized database and annual report; TMA supported better tracking, while health plans warned of duplicative reporting and administrative cost. Senate Bill 407 would require health care facilities to honor conscience- and religion-based vaccine exemptions for employees, with testimony from a physician and vaccine-choice advocate supporting the bill. The committee also heard Senate Bill 1383, which would regulate senior living referral agencies, allow more flexible compensation structures, and add disclosure and consumer protections; an out-of-state referral company and A Place for Mom supported it. Senate Bill 1511 would allow freestanding emergency centers to provide outpatient services in addition to emergency care, with consumer protections such as estimates, limits on facility fees, and restrictions on balance billing. The chair repeatedly announced that bills were being left pending after testimony, and no final committee action or recorded votes were taken in the transcript provided.

Transcript Highlights:

• and... ...and to expand insurance for these burn managers.
• managers is the lack or loss of general liability insurance.
• I know one is going to be testifying who is one of the premier burn managers in the state of Texas.
• Can you go into are there other things that the audits are looking at?
• Decrease the timing between audits? I mean, there seems to be a reason that we continue to...?

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301

Transcript Highlights:

• Many older individuals may rely on family members or caregivers to help manage their affairs, and a written
• Vision Benefit Managers, or VBMs, are large, vertically integrated organizations.
• Prescription drugs, preventive and wellness services, and chronic disease management screenings.
• For businesses, it's a management decision.
• The managed care organization negotiates contracts with them to maintain that relationship.

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301

Bills: SB1778, SB1570, SB134, SB1966, SB1636, SB1725, SB1726, SB259, SB504, SB592, SB2030, SB1572, SB843, SB1242, SB1255, SB1262, SB1264, SB1286, SB1581, SB1290, SB1316, SB1319, SB1369, SB1379, SB1381, SB1400, SB1427, SB1436, SB1461, SB1496, SB1509, SB1534, SB1553, SB904, SB1592, SB1645, SB1684, SB1767, SB1772, SB1813, SB1894, SB1928, SB1946, SB1980, SB2040, SB2060, SB2061

Keywords: reading instruction, literacy, educational equity, intervention services, third grade retention, Strong Readers Act, child welfare, child safety, administrative transition, Department of Child Safety and Well-being, Oklahoma Commission on Children and Youth, juvenile justice, foster care, retirement, public employees, reemployment, benefit adjustment, Oklahoma Public Employees Retirement System, memorial highways, bridge designations

Transcript Highlights:

• The Secretary of Education is given authority to perform an audit along with OEQA.
• As I mentioned, those audit provisions, we are entrusting OEQA and the Secretary of Education to ensure
• So again, There are audit provisions.
• But really, the ability to audit those teacher prep programs, we have to do that collaboratively.
• And I think it would be, it would probably be hard for us as a legislature to go audit exactly what is

Bills: SB1778, SB1570, SB134, SB1966, SB1636, SB1725, SB1726, SB259, SB504, SB592, SB2030, SB1572, SB843, SB1242, SB1255, SB1262, SB1264, SB1286, SB1581, SB1290, SB1316, SB1319, SB1369, SB1379, SB1381, SB1400, SB1427, SB1436, SB1461, SB1496, SB1509, SB1534, SB1553, SB904, SB1592, SB1645, SB1684, SB1767, SB1772, SB1813, SB1894, SB1928, SB1946, SB1980, SB2040, SB2060, SB2061

Keywords: reading instruction, literacy, educational equity, intervention services, third grade retention, Strong Readers Act, child welfare, child safety, administrative transition, Department of Child Safety and Well-being, Oklahoma Commission on Children and Youth, juvenile justice, foster care, retirement, public employees, reemployment, benefit adjustment, Oklahoma Public Employees Retirement System, memorial highways, bridge designations

Bills: HCR74, HCR95, HB705, HB1048, SCR23, SCR31, SCR38, SB49, SB233, SB307, SB326, SB387, SB401, SB435, SB495

Keywords: trade commission, international relations, Louisiana, United Kingdom, economic exchange, cultural exchange, infrastructure investment, sales tax, exemptions, credits, rebates, uniformity, legislative rules, fiscal report, contempt, legislature, disorderly conduct, bribery, arrest, legislative privilege

Bills: HB414, HB786, HB1041, HB1052, HB1118, HB1139, HB1182, HB1185, HB1214, HB1217, HB1231, SR63, SCR27, SB5, SB194, SB415, SB433, SB451, SB462, SB516

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, Medicaid, claim payments, extrapolation, provider audits, medical freedom, discrimination, access, medical intervention, child protection, confidentiality, multidisciplinary teams, child advocacy centers, public records, investigations, hospital