Transcript Highlights:

• So in addition to completing a research program, you also complete a clinical practicum at the same time

Bills: HB3000, HB2622, HB2283, HB541, HB1776, HB1803, HB1669, HB2588, HB220, HB3415, HB50, HB1314, HB 107, HB220, HB50, HB107

Keywords: ambulance service, rural healthcare, grants, financial assistance, qualified counties, mental health, patient transport, female attendants, security measures, healthcare regulation, epinephrine, anaphylaxis, health care, school safety, training, emergency response, direct patient care, healthcare, physicians, medical services

Transcript Highlights:

• integrate and apply their learning in a real-world setting, such as an internship, student teaching, or practicum

Keywords: 1189, house, all

Summary: The committee first handled routine business, approving the minutes and consent calendar, then moved to the regular calendar of administrative rules. Department of Energy rule 25-220 was postponed until June at the sponsor’s request so stakeholders would have more time to review revised language. Several Department of Health and Human Services Medicaid-related rules were then considered, including 25-240, 25-265, and 26-33, each of which drew staff comments mainly about expired rule provisions and the agencies’ reliance on federal law, the Medicaid state plan, or other manuals. The committee approved those rules after brief questions, with the agencies stating they were already operating under the relevant federal or state-plan authority and, in one case, that rulemaking was underway to update an expired citation. The most extended discussion was on HHS Bureau of Aging rule 25-304, which had an amended conditional approval request. Staff explained the amendments clarified how case management agencies accept or deny cases, how telehealth participation is evaluated, and that the department sets the timing for accepting or denying cases under its existing authority. Staff also noted a separate issue about whether reimbursement rates must be in rule, but said the agency had long interpreted the statute to allow its approach and that any change would likely require legislation rather than committee objection. A provider representative testified against parts of the rule, arguing the case management agencies should not be required to accept referrals before contacting the participant, that telehealth decisions for other providers should remain with those providers, and that the quality-management section was duplicative and burdensome. Committee members questioned whether the telehealth language merely allowed case managers to say a service fit the client’s plan or instead gave them authority over another provider’s delivery method. The agency responded that case managers may determine what services an individual needs, but should not control how another licensed provider delivers those services. The discussion continued with no final action shown in the excerpt.

Transcript Highlights:

• I did my practicum at MSUM, go Dragons, around what the barriers to academic success outside of academic

Keywords: 1183, house

Transcript Highlights:

• You have practiced it in your various practicums and student teaching, and you have been through some
• You have practiced it in your various practicums and student teaching, and you have been through some

Keywords: 928, house, all

Summary: The committee first heard House Bill 362, which would grant the Department of Education rulemaking authority related to educator licensure and testing requirements, including passing scores on professional education assessments. Representative Ladd said the bill is intended to preserve New Hampshire’s standards for classroom teachers and CTE instructors, while allowing DOE flexibility through rulemaking. He emphasized maintaining high standards, including for career and technical education, and said he was open to DOE clarifying the language further. Committee members raised concerns that the bill, as written, could remove language recognizing industry-recognized credentials for CTE instructors. Department of Education Director Steven Appy said DOE had drafted an amendment to clarify that the requirement applies to an initial New Hampshire license, to exempt CTE teachers from content exams, and to preserve current administrative practice allowing basic academic skills testing and industry-recognized credentials as substitutes. The committee discussed the distinction between basic academic skills tests and content assessments, and Appy said the amendment was meant to avoid conflating those requirements. The chair said the committee would take up executive session on HB 362 and related bills later. The committee then took up House Bill 90, which narrows and defines the rules for part-time teachers, especially in concurrent enrollment settings. Representative Ladd explained that the bill is meant to allow qualified college faculty or adjuncts from the University System or Community College System to teach high school concurrent-enrollment courses when local schools lack a teacher with the needed master’s-level credentials, particularly in math and STEM subjects. He said the bill is intended to expand student access to college-level coursework, save money, and preserve standards, while still requiring background checks and adherence to ethics and conduct rules. Members began asking questions about how the bill would work in practice, including certification and endorsement issues, but the hearing was not concluded in the portion provided.

Transcript Highlights:

• non-employment professional development opportunity, like a volunteer opportunity or a clinical practicum

Keywords: 981, all

Summary: The Senate met with a quorum, approved the journal, and received several committee reports advancing or disposing of bills. Committee actions included favorable referrals for measures such as House Bills 1336, 1069, 1227, 1314, 1132, 1342, 1196, 1224, and Senate Bill 178, while Senate Bill 100 and House Bill 1308 were postponed indefinitely. The chamber also adopted a motion allowing current Joint Budget Committee members to leave while the Senate remained in session. On third reading, the Senate passed Senate Bill 134, a bill concerning fees imposed by payment card networks, after a close 18-17 vote. Supporters argued it would help restaurants and other small businesses by limiting swipe fees on sales tax, while opponents warned it would not lower consumer costs and could trigger litigation and broader conflicts among financial institutions, payment processors, and businesses. The Senate also passed Senate Bill 165 on species conservation funding, Senate Bill 138 on reducing administrative burdens in the health care system, Senate Bill 172 on the Front Range passenger rail district, House Bill 105 on reducing barriers in the Labor Peace Act and eliminating Colorado’s second union-election requirement, House Bill 106 on designating higher education institutions as thriving institutions, and House Bill 1312 on peace officer participation and POST-related changes. The Senate then moved into committee of the whole for second-reading consent calendar bills and adopted House Bills 1235 and 1299. Later, House Bill 1113 on election law modifications was taken up in committee of the whole; amendments were adopted to update terminology, extend Secretary of State review time for petitions, and exempt special districts from a recording fee. The bill’s sponsor and supporters described it as a technical and security-focused update to election administration, emphasizing voter access, anti-intimidation protections, and data safeguards. The transcript ends while debate on House Bill 1113 continues.

Transcript Highlights:

• all of these issues and help them make sure that they can connect them with apprenticeships and practicums

Keywords: MS Senate Floor - 11 March, 2026; 10:00 AM, 925, all

Summary: The Senate convened with a quorum, opened with an invocation by Reverend Anthony Phillips, and dispensed with the reading of the journal and committee reports. The chamber also recognized several guests in the galleries, including family members of senators, medical professionals for Early Childhood Day, and advocates and local officials. After introductions, the Senate moved into the calendar and began considering bills and motions. Among the measures taken up, the Senate passed House Bill 1393 to create the Mississippi Energy Infrastructure Fund, with the sponsor explaining it would allow MDA to support energy projects and require compliance with state procurement laws. The Senate also passed House Bill 420, which provides a full homestead ad valorem tax exemption for honorably discharged veterans age 85 or older and allows an unremarried surviving spouse to keep the exemption; senators asked about eligibility, age limits, and safeguards against improper exemptions. Another bill passed was House Bill 1941 on the Mississippi Outdoor Stewardship Trust Fund, which would allow funding through bonds or other means in addition to direct appropriation and raise the DFA processing cap from 2% to 3%; several senators raised concerns about state debt and the funding mechanism. The Senate concurred in Senate Bill 2906, which gives the Secretary of State additional time to establish minimum cybersecurity standards for county election systems. It also adopted motions to table reconsideration on several House bills, including House Bill 908 on absentee ballot receipt dates, House Bill 525 on mandatory minimum penalties for sexual battery, and House Bill 538 on sanctuary policies and immigration enforcement. The chamber voted to reconsider and then again pass House Bill 1613, described as a bill on aggravated trafficking weight and pill counts that also included a chemical abortion ban, after some senators who were absent earlier asked to go on record. For House Bill 2409, dealing with a comprehensive mitigation program for retrofitting insurable homes, the Senate voted not to concur and invited conference. The Senate also passed and retained numerous other items as it worked through the calendar.

Transcript Highlights:

• And during my practicum, I asked the question, what were the barriers to academic success outside of

Keywords: 919, house, all

Summary: The House met with a quorum present, approved the previous day’s journal, and welcomed an honored guest, Kenyan Parliament member Joshua Aduma Aore, introduced by Representative Momanyi-Hiltsley. The main business of the day was a series of retirement speeches from departing members, with the chamber proceeding in seniority order. Representative Perryman said she was leaving the House to run for the Senate and reflected on four years of service, thanking constituents, family, colleagues, and staff. She emphasized integrity, compassion, and the belief that people in public office share more in common than what divides them. Representative Perez Vega gave a lengthy farewell centered on her identity, district, and legislative priorities, thanking staff and colleagues and highlighting work on drivers’ licenses for all, housing justice, the Read Act, ethnic studies, workforce development, and funding for a Minnesota Latino Museum. She also spoke about the importance of representation, community, and continuing to fight for children, families, and immigrant communities. Representative Weiner said his time in the House had been educational and urged less division, more civility, and a return to public service over party conflict. He cited George Washington’s warnings about factions, said he would carry a calmer voice to the Senate, and argued for more single-subject bills and against careerism in office. Representative Bakeberg thanked members, staff, and his family, spoke about faith and service, and said his work was motivated by constituents and by the example of children visiting the Capitol. Representative Ryer also thanked staff and colleagues, reflected on serving during COVID and after George Floyd’s murder, and listed policy successes and disappointments, including medical debt reform, rare disease treatment, Medicaid dental support, housing and bonding, solar on public buildings, and soil and water funding; she also criticized failures on immigrant protections, disability services, and gun violence measures, and called for protecting human rights, voting rights, and democratic norms. No votes or formal legislative actions were taken beyond the journal approval and recognition of guests and speakers.

Transcript Highlights:

• I have not had a lot of people reach out to me, or for that matter the Innocence Practicum we have at

Keywords: 928, house, all

Summary: The House Judiciary Committee opened a hearing on Senate Bill 141, which would create a narrow exception to New Hampshire’s three-year deadline for motions for a new trial when a petitioner has newly discovered evidence, new forensic testing, or new scientific understanding. The prime sponsor’s representative and advocates from the Innocence Project and New England Innocence Project argued the bill is needed to help wrongfully convicted people access the courts, noting that exonerations often take many years and that outdated forensic science has contributed to wrongful convictions. The chair also said he had drafted a proposed amendment for committee review, but it had not yet been formally submitted. Witnesses supporting the bill emphasized that the measure would not guarantee relief, only allow a petition to be filed and reviewed under existing standards. They discussed examples such as arson science, explaining that some convictions were based on forensic methods later shown to be unreliable. Committee members asked about the scope of habeas corpus, whether the bill would create a new cause of action, and whether additional screening or pleading requirements should be added. The supporters said they would be open to requiring a petitioner to plead innocence, but opposed adding more burdensome preliminary procedures or counsel requirements at the filing stage. Thomas Farardi, from the Attorney General’s Office, testified in opposition or with caution, saying the bill was a “solution looking for a problem” because existing habeas corpus and coram nobis procedures already provide avenues for relief, and prosecutors can act when credible new evidence arises. He argued the current draft could invite additional litigation and create a new cause of action, and said he favored more screening before cases proceed. The discussion also touched on whether the statute applies in criminal cases, the current three-year limitation in RSA 526:4, and questions about posthumous petitions and petitions by deported individuals. No vote or executive action was taken during the hearing.

Keywords: 1189, house, all

Bills: SJR36, SB2, SJR6, SJR7, SJR8, SJR9, SJR10, SJR11, SJR12, SJR13, SJR14, SJR15, SJR16, SJR17, SJR18, SJR19, SJR20, SJR21, SJR22, SJR23, SJR24, SJR25, SJR26, SJR27, SJR28, SJR29, SJR30, SJR31, SJR32, SJR49, SCR1, SCR2, SCR3, SCR4, SCR5, SCR6, SCR8, SCR9, SB9, SB41, SB42, SB43, SB44, SB45, SB46, SB47, SB48, SB49, SB50, SB51, SB52, SB53, SB54, SB55, SB56, SB57, SB58, SB59, SB60, SB61, SB62, SB63, SB64, SB65, SB66, SB67, SB68, SB69, SB70, SB71, SB72, SB73, SB74, SB75, SB76, SB77, SB78, SB79, SB80, SB81, SB82, SB83, SB84, SB85, SB86, SB87, SB88, SB89, SB90, SB91, SB92, SB93, SB94, SB95, SB96, SB97, SB98, SB99, SB100, SB101, SB102, SB103, SB104, SB105, SB106, SB107, SB108, SB109, SB110, SB111, SB112, SB113, SB114, SB115, SB116, SB117, SB118, SB119, SB120, SB121, SB122, SB123, SB124, SB125, SB126, SB127, SB128, SB129, SB130, SB131, SB132, SB133, SB134, SB135, SB136, SB137, SB138, SB139, SB140, SB141, SB142, SB143, SB144, SB145, SB146, SB147, SB148, SB149, SB150, SB151, SB152, SB153, SB154, SB155, SB156, SB157, SB158, SB159, SB160, SB161, SB162, SB163, SB164, SB165, SB166, SB167, SB168, SB169, SB170, SB171, SB172, SB173, SB174, SB175, SB176, SB177, SB178, SB179, SB180, SB181, SB182, SB183, SB184, SB185, SB186, SB187, SB188, SB189, SB190, SB191, SB192, SB193, SB194, SB195, SB196, SB197, SB198, SB199, SB200, SB201, SB202, SB203, SB204, SB205, SB206, SB207, SB208, SB209, SB210, SB211, SB212, SB213, SB214, SB215, SB216, SB217, SB218, SB219, SB220, SB221, SB222, SB223, SB224, SB225, SB226, SB227, SB228, SB229, SB230, SB231, SB232, SB233, SB234, SB235, SB236, SB237, SB238, SB239, SB240, SB241, SB242, SB243, SB244, SB245, SB246, SB247, SB248, SB249, SB250, SB251, SB252, SB253, SB254, SB255, SB256, SB257, SB258, SB259, SB260, SB261, SB262, SB263, SB264, SB265, SB266, SB267, SB268, SB269, SB270, SB271, SB272, SB273, SB274, SB275, SB276, SB277, SB278, SB279, SB280, SB281, SB282, SB283, SB284, SB285, SB286, SB287, SB288, SB289, SB290, SB291, SB292, SB293, SB294, SB295, SB296, SB297, SB298, SB299, SB300, SB301, SB302, SB303, SB304, SB305, SB306, SB307, SB308, SB309, SB310, SB311, SB312, SB313, SB314, SB315, SB316, SB317, SB318, SB319, SB320, SB321, SB322, SB323, SB324, SB325, SB326, SB327, SB328, SB329, SB330, SB331, SB332, SB333, SB334, SB335, SB336, SB337, SB338, SB339, SB340, SB341, SB342, SB343, SB344, SB345, SB346, SB347, SB348, SB349, SB350, SB351, SB352, SB353, SB354, SB355, SB356, SB357, SB358, SB359, SB360, SB361, SB362, SB363, SB364, SB365, SB366, SB367, SB368, SB369, SB370, SB371, SB372, SB373, SB374, SB375, SB376, SB377, SB378, SB379, SB380, SB381, SB382, SB383, SB384, SB385, SB386, SB387, SB388, SB389, SB390, SB391, SB392, SB393, SB394, SB395, SB396, SB397, SB398, SB399, SB400, SB401, SB402, SB403, SB404, SB405, SB406, SB407, SB408, SB409, SB410, SB411, SB412, SB413, SB414, SB415, SB416, SB417, SB418, SB419, SB420, SB421, SB422, SB423, SB424, SB425, SB426, SB427, SB428, SB429, SB430, SB431, SB432, SB433, SB434, SB435, SB436, SB437, SB438, SB439, SB440, SB441, SB442, SB443, SB444, SB445, SB446, SB447, SB448, SB449, SB450, SB451, SB452, SB453, SB454, SB455, SB456, SB457, SB458, SB459, SB460, SB461, SB462, SB463, SB464, SB465, SB466, SB467, SB468, SB469, SB470, SB471, SB472, SB473, SB474, SB475, SB476, SB477, SB478, SB479, SB480, SB481, SB482, SB483, SB484, SB485, SB486, SB487, SB488, SB489, SB490, SB491, SB492, SB493, SB494, SB495, SB496, SB497, SB498, SB499, SB500, SB501, SB502, SB503, SB504, SB505, SB506, SB507, SB508, SB509, SB510, SB511, SB512, SB513, SB514, SB515, SB516, SB517, SB518, SB519, SB520, SB521, SB522, SB523, SB524, SB525, SB526, SB527, SB528, SB529, SB530, SB531, SB532, SB533, SB534, SB535, SB536, SB537, SB538, SB539, SB540, SB541, SB542, SB543, SB544, SB545, SB546, SB547, SB548, SB549, SB550, SB551, SB552, SB553, SB554, SB555, SB556, SB557, SB558, SB559, SB560, SB561, SB562, SB563, SB564, SB565, SB566, SB567, SB568, SB569, SB570, SB571, SB572, SB573, SB574, SB575, SB576, SB577, SB578, SB579, SB580, SB581, SB582, SB583, SB584, SB585, SB586, SB587, SB588, SB589, SB590, SB591, SB592, SB593, SB594, SB595, SB596, SB597, SB598, SB599, SB600, SB601, SB602, SB603, SB604, SB605, SB606, SB607, SB608, SB609, SB610, SB611, SB612, SB613, SB614, SB615, SB616, SB617, SB618, SB619, SB620, SB621, SB622, SB623, SB624, SB625, SB626, SB627, SB628, SB629, SB630, SB631, SB632, SB633, SB634, SB635, SB636, SB637, SB638, SB639, SB640, SB641, SB642, SB643, SB644, SB645, SB646, SB647, SB648, SB649, SB650, SB651, SB652, SB653, SB654, SB655, SB656, SB657, SB658, SB659, SB660, SB661, SB662, SB663, SB664, SB665, SB666, SB667, SB668, SB669, SB670, SB671, SB672, SB673, SB674, SB675, SB676, SB677, SB678, SB679, SB680, SB681, SB682, SB683, SB684, SB685, SB686, SB687, SB688, SB689, SB690, SB691, SB692, SB693, SB694, SB695, SB696, SB697, SB699, SB700, SB1047, SB1048, SJR6, SJR7, SJR8, SJR9, SJR10, SJR11, SJR12, SJR13, SJR14, SJR15, SJR16, SJR17, SJR18, SJR19, SJR20, SJR21, SJR22, SJR23, SJR24, SJR25, SJR26, SJR27, SJR28, SJR29, SJR30, SJR31, SJR32, SJR49, SCR1, SCR2, SCR3, SCR4, SCR5, SCR6, SCR8, SCR9, SB9, SB41, SB42, SB43, SB44, SB45, SB46, SB47, SB48, SB49, SB50, SB51, SB52, SB53, SB54, SB55, SB56, SB57, SB58, SB59, SB60, SB61, SB62, SB63, SB64, SB65, SB66, SB67, SB68, SB69, SB70, SB71, SB72, SB73, SB74, SB75, SB76, SB77, SB78, SB79, SB80, SB81, SB82, SB83, SB84, SB85, SB86, SB87, SB88, SB89, SB90, SB91, SB92, SB93, SB94, SB95, SB96, SB97, SB98, SB99, SB100, SB101, SB102, SB103, SB104, SB105, SB106, SB107, SB108, SB109, SB110, SB111, SB112, SB113, SB114, SB115, SB116, SB117, SB118, SB119, SB120, SB121, SB122, SB123, SB124, SB125, SB126, SB127, SB128, SB129, SB130, SB131, SB132, SB133, SB134, SB135, SB136, SB137, SB138, SB139, SB140, SB141, SB142, SB143, SB144, SB145, SB146, SB147, SB148, SB149, SB150, SB151, SB152, SB153, SB154, SB155, SB156, SB157, SB158, SB159, SB160, SB161, SB162, SB163, SB164, SB165, SB166, SB167, SB168, SB169, SB170, SB171, SB172, SB173, SB174, SB175, SB176, SB177, SB178, SB179, SB180, SB181, SB182, SB183, SB184, SB185, SB186, SB187, SB188, SB189, SB190, SB191, SB192, SB193, SB194, SB195, SB196, SB197, SB198, SB199, SB200, SB201, SB202, SB203, SB204, SB205, SB206, SB207, SB208, SB209, SB210, SB211, SB212, SB213, SB214, SB215, SB216, SB217, SB218, SB219, SB220, SB221, SB222, SB223, SB224, SB225, SB226, SB227, SB228, SB229, SB230, SB231, SB232, SB233, SB234, SB235, SB236, SB237, SB238, SB239, SB240, SB241, SB242, SB243, SB244, SB245, SB246, SB247, SB248, SB249, SB250, SB251, SB252, SB253, SB254, SB255, SB256, SB257, SB258, SB259, SB260, SB261, SB262, SB263, SB264, SB265, SB266, SB267, SB268, SB269, SB270, SB271, SB272, SB273, SB274, SB275, SB276, SB277, SB278, SB279, SB280, SB281, SB282, SB283, SB284, SB285, SB286, SB287, SB288, SB289, SB290, SB291, SB292, SB293, SB294, SB295, SB296, SB297, SB298, SB299, SB300, SB301, SB302, SB303, SB304, SB305, SB306, SB307, SB308, SB309, SB310, SB311, SB312, SB313, SB314, SB315, SB316, SB317, SB318, SB319, SB320, SB321, SB322, SB323, SB324, SB325, SB326, SB327, SB328, SB329, SB330, SB331, SB332, SB333, SB334, SB335, SB336, SB337, SB338, SB339, SB340, SB341, SB342, SB343, SB344, SB345, SB346, SB347, SB348, SB349, SB350, SB351, SB352, SB353, SB354, SB355, SB356, SB357, SB358, SB359, SB360, SB361, SB362, SB363, SB364, SB365, SB366, SB367, SB368, SB369, SB370, SB371, SB372, SB373, SB374, SB375, SB376, SB377, SB378, SB379, SB380, SB381, SB382, SB383, SB384, SB385, SB386, SB387, SB388, SB389, SB390, SB391, SB392, SB393, SB394, SB395, SB396, SB397, SB398, SB399, SB400, SB401, SB402, SB403, SB404, SB405, SB406, SB407, SB408, SB409, SB410, SB411, SB412, SB413, SB414, SB415, SB416, SB417, SB418, SB419, SB420, SB421, SB422, SB423, SB424, SB425, SB426, SB427, SB428, SB429, SB430, SB431, SB432, SB433, SB434, SB435, SB436, SB437, SB438, SB439, SB440, SB441, SB442, SB443, SB444, SB445, SB446, SB447, SB448, SB449, SB450, SB451, SB452, SB453, SB454, SB455, SB456, SB457, SB458, SB459, SB460, SB461, SB462, SB463, SB464, SB465, SB466, SB467, SB468, SB469, SB470, SB471, SB472, SB473, SB474, SB475, SB476, SB477, SB478, SB479, SB480, SB481, SB482, SB483, SB484, SB485, SB486, SB487, SB488, SB489, SB490, SB491, SB492, SB493, SB494, SB495, SB496, SB497, SB498, SB499, SB500, SB501, SB502, SB503, SB504, SB505, SB506, SB507, SB508, SB509, SB510, SB511, SB512, SB513, SB514, SB515, SB516, SB517, SB518, SB519, SB520, SB521, SB522, SB523, SB524, SB525, SB526, SB527, SB528, SB529, SB530, SB531, SB532, SB533, SB534, SB535, SB536, SB537, SB538, SB539, SB540, SB541, SB542, SB543, SB544, SB545, SB546, SB547, SB548, SB549, SB550, SB551, SB552, SB553, SB554, SB555, SB556, SB557, SB558, SB559, SB560, SB561, SB562, SB563, SB564, SB565, SB566, SB567, SB568, SB569, SB570, SB571, SB572, SB573, SB574, SB575, SB576, SB577, SB578, SB579, SB580, SB581, SB582, SB583, SB584, SB585, SB586, SB587, SB588, SB589, SB590, SB591, SB592, SB593, SB594, SB595, SB596, SB597, SB598, SB599, SB600, SB601, SB602, SB603, SB604, SB605, SB606, SB607, SB608, SB609, SB610, SB611, SB612, SB613, SB614, SB615, SB616, SB617, SB618, SB619, SB620, SB621, SB622, SB623, SB624, SB625, SB626, SB627, SB628, SB629, SB630, SB631, SB632, SB633, SB634, SB635, SB636, SB637, SB638, SB639, SB640, SB641, SB642, SB643, SB644, SB645, SB646, SB647, SB648, SB649, SB650, SB651, SB652, SB653, SB654, SB655, SB656, SB657, SB658, SB659, SB660, SB661, SB662, SB663, SB664, SB665, SB666, SB667, SB668, SB669, SB670, SB671, SB672, SB673, SB674, SB675, SB676, SB677, SB678, SB679, SB680, SB681, SB682, SB683, SB684, SB685, SB686, SB687, SB688, SB689, SB690, SB691, SB692, SB693, SB694, SB695, SB696, SB697, SB699, SB700, SB1047, SB1048

Keywords: Medicaid, healthcare expansion, affordable care act, federal funding, medical assistance, constitutional amendment, Texas Constitution, healthcare access, Patient Protection and Affordable Care Act, healthcare, affordable care, state constitution, low-income individuals, Medicaid expansion, federal matching funds, time regulation, daylight saving time, standard time, referendum, Texas constitution