Transcript Highlights:

• So, if workforce development program.
• information there about that workforce information there about that workforce development<01:30:
• The first one is our mobile meography.
• <01:37:49.520> mammogram this, we launched a mobile mammogram this, we launched a mobile mammogram
• covering that cost um for the mobile covering that cost um for the mobile unit.<01:40:59.679>

Keywords: 958, all

Summary: The task force opened with a moment of silence for the Louisville UPS plane tragedy, approved the October 15 minutes, and reminded members to submit policy recommendations before the December 16 meeting, when the group will discuss its report to LRC. The first informational presentation, from the Department for Public Health, focused on youth vaping. Elizabeth Good and Julie Brooks cited a recent Surgeon General report warning that youth vaping can harm brain development, mental health, lungs, asthma, and hormones, and noted Kentucky survey data showing 8.7% of students reported daily vaping and 19.7% used vaping products in the prior 30 days. They described prevention and cessation resources including Catch My Breath, I Can End the Trend, Not on Tobacco, My Life, My Quit, Quitline services, and the Kentucky TRUST retailer education program, which trained 3,371 individuals in 2024 and distributed 253 Tobacco 21 toolkits. The next presentation came from Kentucky ABC on implementation of SB 100, which created the division of tobacco, nicotine, and vapor product licensing. Commissioner Scotty Tracy and Jamar Carter said all retailers selling tobacco, nicotine, or vapor products must be licensed, regulations were filed October 31, 2025, and the online application portal is live. In response to questions about sales to minors, they said violations carry escalating fines for clerks and owners, with a fourth violation resulting in no license renewal for two years and unpaid fines also blocking renewal. They said complaints can be submitted through the portal, by phone, or on the ABC website, and enforcement investigates tips and may use underage compliance checks. The committee then heard from Kim McKenna Johnson of One Cross Community Health, who argued for a “deficiency-first” and holistic approach to care centered on nutrition, lifestyle, and targeted supplementation. She said her clinic serves more than 7,000 patients in Taylor and Marion counties and described a model that includes primary care, behavioral health, functional medicine, addiction recovery, and chronic care. She cited Kentucky health rankings, claimed nutritional deficiencies cost the state billions, and said many children are overprescribed while undernourished. She urged broader insurance coverage for nutritional testing and supplements, rural demonstration grants, and Medicaid pilots for clinically prescribed supplements. Members asked about testing costs, dietitian support, long-term cost savings, compliance, and whether medications are often used to prevent damage from noncompliance; the presenter said the lab tests are generally covered, supplements are the main cost barrier, and seeing lab results can improve family buy-in. No votes were taken during the meeting.

Transcript Highlights:

• the institute is to strengthen the mental resilience and well-being of the state's public safety workforce
• The insurance workforce in Florida, along with the depth of knowledge in their field, is aging out of
• The insurance workforce in Florida, along with the depth of knowledge in their field, is aging out of
• the workforce.
• They support their breathing, their swallowing, their communication, their positioning, and their mobility

Summary: The Senate Committee on Banking and Insurance met with a quorum present and took up a full agenda of bills, beginning with SB 1286 by Sen. Wright. That bill expanded the state recruitment bonus program to include newly employed firefighters, created a DFS grant review panel, and established a PTSD institute within DFS for first-responder behavioral health. Fire chiefs, the Florida League of Cities, and others supported the measure, and the committee reported it favorably. The committee then considered SB 198 on virtual currency kiosks by Sen. Rousan. A substitute amendment was adopted that clarified daily transaction limits, registration requirements, expiration rules, and OFR authority to deny registrations. Testimony focused on protecting seniors from crypto-ATM scams while giving the industry regulatory certainty. The committee also favorably reported CS/SB 198. Members next approved CS/SB 772, which allows portable electronics limited licensees to sell eyewear insurance, and CS/SB 1504, which updates insurance customer representative licensing pathways by allowing a high school insurance and personal finance course to count toward pre-licensure education. The committee also favorably reported Sen. Gruters’ CS/SB 1038 and CS/SB 1040, which together create the Florida Strategic Cryptocurrency Reserve and its trust fund framework, and CS/SB 1440, which expands public records exemptions and cybersecurity-related protections for financial institutions, loan originators, money service businesses, and credit unions. Sen. Burton’s SB 1668 on the NICA program drew extensive testimony from a NICA board member and family advocate, who urged stronger funding to preserve lifelong care for catastrophically injured children; the bill was reported favorably despite concerns from the Florida Justice Association about benefit restrictions and retroactivity. Finally, the committee approved CS/SB 570, creating a DFS task force on payment scams, after an amendment reduced FDLE’s required representation. At the end of the meeting, Sen. Burton requested to be recorded in the affirmative on SB 1286, and Sen. Passidomo requested affirmative votes on tabs 3, 5, and 9; the committee then adjourned.

Transcript Highlights:

• For example, we may have a certain population that is more mobile and they live in an urban area, and
• For example, we may have a certain population that is more mobile and they live in an urban area, and
• For example, we may have a certain population that is more mobile and they live in an urban area, and
• For example, we may have a certain population that is more mobile and they live in an urban area, and
• <00:29:58.360> and population that is more Bo mobile and population that is more Bo mobile

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services held its first meeting and received an overview from the Department for Medicaid Services on Medicaid’s behavioral health and substance use disorder services. Commissioner Lisa Lee and CFO Steve Beal said Kentucky Medicaid serves about 1.4 million members, including over half of Kentucky children, with 485,000 expansion members, more than 69,000 enrolled providers, and total fiscal year 2024 expenditures of $18.5 billion. They said Kentucky covers a broad range of behavioral health services, and behavioral health provider enrollment has grown from a little over 4,500 in 2019 to nearly 8,000 in 2024. They also described how Medicaid spending and utilization are tracked through claims and encounter data, with most members served through managed care organizations. Members focused on sharp increases in certain behavioral health billing codes, especially peer-to-peer services, and asked about reimbursement, utilization review, and whether the growth reflected increased need or expanded coverage. DMS said the rise was partly tied to combining facility and nonfacility behavioral health fee schedules in 2023, choosing the higher reimbursement rate to avoid cuts, and that the department has seen an uptick in peer-to-peer services. In response to concerns about overutilization, DMS said it mailed a letter to behavioral health providers, is considering limits and prior authorizations for some services, and plans to create a standardized monthly behavioral health report to monitor trends consistently and identify when controls may be needed. Lawmakers also asked whether the provider network is sufficient and whether access is adequate, especially for children. DMS said provider enrollment has expanded because behavioral health services were added to Medicaid in 2014 and because demand increased after COVID, but acknowledged studies showing children have less access than adults and said that would be an area of focus. The department said managed care organizations are required to ensure access to needed services and that current trends indicate access is available, though one member disagreed and said workforce shortages remain a major concern. Another member asked about non-emergency medical transportation spending, and DMS explained that it is handled through a capitated arrangement administered by the Transportation Cabinet rather than directly by the managed care organizations.

Transcript Highlights:

• These numbers represent real Minnesotans achieving economic mobility through an education that creates
• Paul College is a critical engine of economic mobility and workforce development for Minnesota.
• Paul College, you're investing in Minnesota's future workforce.
• The college has a long-standing reputation for meeting Minnesota's workforce needs.
• So they really come into our workforce prepared to... Take on more as their career may evolve.

Bills: HF2418, HF1666, HF232, HF344, HF402, HF431, HF468, HF547, HF583, HF1476, HF1711, HF2787, HF2788, HF3207

Keywords: capital investment, political subdivisions, state assistance, funding, project grants, child care, Slayton, state bonds, economic development, extended time revenue, school funding, state aid, career and technical education, CTE, STEM, secondary credit, after-school programs, summer school, learning year program, extended day

Transcript Highlights:

• South Alabama and Mobile have a more primary care rural focus.
• Mobile have a more primary care rural focus.
• So, our broad training does allow PAs to adapt quickly to workforce needs and definitely practice in
• <00:14:26.320> needs<00:14:26.800> um<00:14:26.959> and quickly to workforce
• University of South Alabama's PA program is in Mobile. They were founded in 1996.

Bills: HB31, HB31

Keywords: absentee voting, disabled, blind, voter assistance, voting rights, SNAP, public assistance, nutritional standards, waiver, food regulation, 1136, house, all

Transcript Highlights:

• The pressure on our roads, our housing, and our workforce systems is only increasing, but simply our
• about reducing accidents, It's about reducing accidents and emergency response costs, improving mobility
• This infrastructure will help move people and goods more efficiently while building a stronger workforce
• that we identify what the best opportunity is, how we are going to craft the future of Texas from a mobility

Keywords: House Bill 483, high-speed rail, transportation network, Texas, public testimony, rail connectivity, economic development

Summary: The meeting was a press event in support of House Bill 483 and its Senate companion, SB 424, which would repeal the current state ban on high-speed rail investment and direct TxDOT to partner with a private entity to develop a Dallas-Austin-San Antonio rail line along the I-35 corridor. Rep. John Bucy, County Judge Andy Brown, Rep. Rafael Anchia, Rep. Ray Lopez, and Sen. Sarah Eckhardt all argued that Texas’ population growth and highway congestion make passenger rail a necessary transportation alternative and a long-term economic development tool. They emphasized benefits such as reduced commute times, improved mobility, lower congestion and emissions, stronger workforce access, and better connections between major metro areas. Testimony focused on the Texas Triangle as a strong candidate for high-speed rail because of its population density, flat geography, and existing growth patterns. Speakers cited examples from other places, including Florida’s Brightline and rail systems in other countries, to argue that Texas is behind and could catch up through public-private partnerships. They also discussed transit-oriented development, last-mile connections through local systems like DART and Austin’s Project Connect, and the possibility of future expansion beyond the initial corridor. In response to questions, Bucy said the bill would allow TxDOT to seek bids and keep costs flexible, that the line would likely require dedicated high-speed track, and that express service could reduce Austin-San Antonio travel time to roughly 30 minutes and Austin-Dallas to under an hour and a half, though no launch date was set. No formal vote or committee action was taken in the transcript. The event ended with Bucy saying the bill was a positive step and could become a bipartisan effort to build a more connected Texas.

Transcript Highlights:

• > paranatal well-trained workforce of paranatal well-trained workforce of paranatal health<00:
• <01:20:24.080> development<01:20:24.560> 811,211 workforce development 811,211 workforce
• 26.320> fund Six professional workforce cash fund Six professional workforce cash fund created
• One workforce development council: 12.2 FTE for workforce improvement grants; employment support and
• Workforce Development Council: 12.2 FTE for workforce improvement grants; employment support and job

Keywords: 981, all

Summary: The House convened with a quorum, approved the prior journal, and heard several brief recognitions before moving to business. Members welcomed foster care advocates for Child Abuse Prevention Month, Girl Scouts visiting the Capitol, and participants in Black Maternal Health Week, with remarks emphasizing foster youth voice, leadership development, and the need for culturally competent maternal health care and doula/midwife support. The chamber then took up House Joint Resolution 1026, honoring former Governor Roy Romer and designating a portion of I-25 as the Governor Roy Romer Memorial Highway. Supporters highlighted Romer’s long public service, his work on education and infrastructure, and his role in major state projects. A proposed amendment to strike the word “memorial” was withdrawn, the House suspended the rules to allow Romer to speak from the well, and Romer offered remarks about legislative collegiality and the importance of democracy and listening to opposing views. House Joint Resolution 1026 was adopted on a 60-0 vote, with four excused and one absent. After a brief recess, the House returned to special orders and resumed reading House Bill 1410 at length, continuing through extensive appropriations language for the Department of Human Services, including child welfare, youth services, Medicaid-related transfers, SNAP and benefits administration, and other funding line items. No final action on House Bill 1410 was taken in the portion provided.

Transcript Highlights:

• Many people have been talking about where things are going with air mobility, or AAM, advanced air mobility
• So we have identified multiple sites for advanced air mobility at Tampa International Airport.
• I think it's important to say that the FAA has been leading on advanced aerial mobility.
• Matthew Land, leading gun relations and public policy for EV Air Mobility.
• network. city's transportation networks to help increase the overall mobility network.

Summary: The Senate Transportation Committee met and first received an update from FDOT on the Sun Trail shared-use nonmotorized trail program. FDOT said the program, created in 2015 and expanded by 2023 legislation, now includes connections to the Florida Wildlife Corridor and received a one-time $200 million appropriation plus increased annual funding. The department reported programming about $180 million of that funding, completing 42 construction projects totaling nearly 95 miles in 21 counties, and installing trail counters and QR-code surveys to measure usage and economic impact. Members expressed support for the program and asked no substantive questions. The committee then heard a presentation on FDOT’s locally administered state transportation funding programs, including SCOP, SCOPM, SCRAP, SIGP, and TRIP. FDOT explained these programs support local roadway resurfacing, bridge repair, drainage, paving unpaved roads, and safety or capacity improvements, with varying state match levels depending on the program and eligibility. FDOT said its adopted five-year work program includes more than $1.4 billion for local transportation improvement projects. A member asked whether toll revenues from Miami-Dade, Broward, and Palm Beach counties fund these programs; FDOT said it would research the funding source and follow up. The committee’s main discussion was a panel on advanced air mobility (AAM), including FDOT and industry representatives from Supernal, Joby, Atlantic Aviation, Hillsborough County Aviation Authority, and Eve Air Mobility. FDOT described its AAM planning work, advisory committee, local government guidebook, and upcoming training, while panelists emphasized Florida’s leadership, the likely use of existing airport and heliport infrastructure first, and the expectation that private investment will fund much of the early vertiport buildout. Members raised concerns about community acceptance, privacy, zoning, airspace congestion, security, and lessons from scooters and drones. Panelists repeatedly stressed a “crawl, walk, run” rollout, local government coordination, multimodal connectivity, and public outreach. No votes were taken, and the committee adjourned after the panel.

Transcript Highlights:

• Workforce, material prices and workforce. shortages, and then inflation in equipment.
• That's your workforce.
• This is a workforce issue.
• We know that childcare is a workforce. needs, a workforce need, and we've seen over the past year and
• will be critical to aligning local and regional workforce needs with educational workforce programming

Keywords: 1184, house, all

Transcript Highlights:

• We also heard loud and clear from Californians who have asked for things like mobile crisis, reproductive
• and gender-affirming care, physician workforce, counties that are facing down these monumental workloads
• It is a workforce issue, an economic issue, and a critical support for children's development.
• These investments will help working families remain in the workforce and ensure children continue to
• Investing in child care means investing in our workforce, our businesses, and our economy.

Summary: The Assembly Budget Committee met to consider the 2026 Budget Act, which leaders said was the negotiated compromise with the Senate and was expected to move to the floor that evening. Opening remarks emphasized that the plan balances the budget over two years, reduces the structural deficit, and builds reserves, while also protecting core services in the face of federal cuts. Jason Sisney outlined the legislative budget framework and the likely floor bills, including AB 109, SB 110, SB 122, and SB 125. Department of Finance representative Eric Khali said the administration appreciated the two-year balanced approach and supported the modification in SB 122, while noting the package uses additional revenues and new spending to soften or reject some proposed cuts. Most of the discussion focused on major spending areas. Members and subcommittee chairs highlighted protections and additions for health care and human services, including rejecting the proposed Medi-Cal asset limit change, delaying premium increases, restoring clinic and dental funding, supporting distressed hospitals and county indigent care, and expanding county eligibility staffing to handle H.R. 1-related workload. Education members described record or expanded support for TK-12 schools, child care, special education, community colleges, teacher recruitment, and higher education, including a change to extend Cal Grant eligibility to age 30 for some community college students. Housing and homelessness funding was increased for HAP, multifamily housing, and the low-income housing tax credit, while public safety members pointed to investments in victims’ services, restorative justice, and prison closure savings. Several members also raised concerns or priorities tied to the budget deal. Some praised the package as a moral document that protects vulnerable Californians, immigrant communities, LGBTQ residents, seniors, and people with disabilities. Others noted unresolved issues, including the MCO tax’s impact on districts, the need for more support for local journalism, arts, biotech R&D incentives, transit and GGRF-related concerns, and the need for continued work on Prop. 98 and long-term fiscal resilience. The vice chair cautioned that despite the current progress, the state remains vulnerable to revenue volatility and warned that the budget should build more resilience against a possible downturn. No formal vote was taken in the portion provided, but the committee was preparing the budget package for floor action and final negotiations.

Transcript Highlights:

• Part of that is the cost of operating a mobile unit. It's very expensive.
• I think where the challenge would come in is we're talking a lot about workforce, right?
• So I don't think workforce would be an issue. Thank you. Chairman Cloud and Senator Mathern, yes.
• And again, how many mobile units? ...versus where it is today.
• And again, how many mobile units were there then versus today?

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• We did user testing and piloted that with the help of the Central Florida Local Workforce Board last
• This is an issue that every state workforce agency is wrestling with.
• Every state workforce agency, like us, is wrestling with the funding.
• At local workforce boards or other agencies, employees do.
• There is a singular system that is connected to the other agencies' different workforce tools.

Transcript Highlights:

• And we're not sure if the workforce exists to meet that.
• Mobile crisis has three phases, so this isn't a change, just clarification that all three phases of mobile
• receive mobile crisis services. receive mobile crisis services.
• <01:24:12.400> So<01:24:12.639> this mobile crisis has three phases.
• So this mobile crisis has three phases.

Bills: HF3935, HF2216, HF4354, HF4210, HF4212

Keywords: assisted living, healthcare, training, unlicensed personnel, resident rights, safety regulations, nursing home, long-term care, guardian, conservator, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services

Transcript Highlights:

• Uh, those toll lanes were operated and maintained by North Tarrant Express Mobility Partners.
• It supports workforce mobility, and it attracts companies that are looking to expand here in central
• The moment to invest in a wide range of infrastructures and mobility options in Texas is now.
• I'm the chairman of the Alamo Regional Mobility Authority and I represent that entity. Um.
• Without mobility we really have no commerce.

Transcript Highlights:

• for workforce for workforce housing<00:19:30.799> because<00:19:31.039> we can't.<
• <00:29:31.760> housing infrastructure and workforce housing infrastructure and workforce housing
• for greater Minnesota workforce housing. for greater Minnesota workforce housing.
• And they're in a better place to have upward mobility.
• For our place to have upward mobility.

Keywords: 1183, house

Transcript Highlights:

• We understand that the behavioral health workforce is a very important workforce in the state, and we
• One is the chip EBT card and mobile wallet option.
• Training and workforce support.
• the provider workforce has to be robust enough to serve everybody.
• At the same time, workforce pressures have intensified.

Keywords: 1184, house, all

Transcript Highlights:

• What we want to tell you is that the early care and learning workforce is experiencing a huge workforce
• It eases workforce burdens, keeps our classrooms accessible, and increases access for those 2 million
• To close, AB753 reduces workforce barriers and keeps passionate early career professionals working in
• It eases workforce burdens, keeps our classrooms accessible, and increases access for those 2 million
• That's the goal of economic opportunity mobility.

Summary: The Assembly Committee on Human Services heard a long agenda of bills focused largely on child welfare, foster care, child care, CalWORKs, mandated reporting, and public benefits. Early items included AB 890, which would ease county transfer rules for nonminor dependents in extended foster care; AB 461, which would replace punitive truancy-related penalties with supportive services for families; and AB 753, which would create an interim associate teacher pathway to help address the child care workforce shortage. Testimony on these bills emphasized barriers faced by foster youth, low-income families, and child care providers, and members expressed support for the general policy direction. The committee also heard AB 926 on foster care visitation, AB 563 on early childhood planning and reporting, AB 601 on standardized mandated reporter training, AB 1074 on CalWORKs reunification aid, AB 822 extending the Commission on the State of Hate, AB 970 creating a Los Angeles County mandated reporter pilot, AB 1161 protecting public benefits during disasters, AB 1172 allowing trained staff to administer emergency seizure medication in community care settings, and AB 363 expanding CalWORKs student supports and work-study. Witnesses generally supported these measures as ways to reduce trauma, improve reunification, modernize reporting and training, and expand access to services. County welfare and child welfare groups, advocacy organizations, and providers largely testified in support, while some bills drew concerns from county representatives about implementation or needed amendments. Several bills were voted out of committee, often unanimously and sometimes as amended, including AB 926, AB 563, AB 601, AB 1074, AB 822, AB 970, AB 1161, and AB 1172; AB 1172 was reported on call. The committee also took up consent items and later voted on subcommittee-held bills AB 461, AB 753, and AB 890, leaving them on call. At the end of the hearing, the committee heard AB 1211, which would protect CalFresh benefits from federal cuts and require a feasibility study on increasing benefits and eligibility; testimony stressed rising food insecurity and the economic importance of food assistance, but the transcript ends before a final vote on that bill.

Transcript Highlights:

• The Economic Development and Workforce Investment Committee has met and reports House Bill 392 should
• The Economic Development and Workforce<00:07:16.080> Investment<00:07:16.560> Committee
• <00:07:16.960> has<00:07:17.120> met Workforce Investment Committee has met Workforce Investment
• <00:07:34.080> and<00:07:34.319> Aviation<00:07:34.960> Economic Air Mobility
• and Aviation Economic Air Mobility and Aviation Economic Development<00:07:36.080> Task<00:07

Keywords: Convene 00:00 Calendar/2nd Readings 06:06 Report of Committees 07:10 Orders of the Day 09:21 HB 253 09:35 HB 508 16:18 HCR 44 29:09 HB 436 31:53 Motions, Petitions, and Communications 35:50 Introduction of New Bills and Resolutions 41:19 Recess for ConC/Rules Meeting 43:02 ConC/Rules Report 46:27 Floor Amendments 47:56 Adjournment 48:34, 958, all

Summary: The House convened with an invocation, the Pledge of Allegiance, a quorum present, and approval of the prior day’s journal. Committee reports were read for a range of bills and resolutions, including measures on privacy protection, theft by deception, social work, licensed occupations, an adult workforce diploma pilot program, parole board changes, alternative high school diplomas, campaign finance, child care, mental health treatment, gubernatorial transitions, unclaimed property, and state contracts. Those items received first reading and were placed on the calendar. The chamber then considered House Bill 253, relating to reading and language arts instruction. Supporters said the bill follows the earlier Read to Succeed law by requiring instruction grounded in the science of reading and phasing out the three-cueing system, which they argued encourages memorization rather than phonics. A member from House District 93 opposed the prohibition, saying teachers need flexibility and that some district-approved methods remain useful in classrooms. The House adopted the committee substitute and passed the bill 94-1, then laid a motion to reconsider on the table. House Bill 508, relating to the protection of veterans benefits, was also debated and passed unanimously 93-0. The sponsor said the bill regulates paid veterans-claims services, requires clear disclosures about free services, limits fees, bars certain practices, and adds annual reporting, while exempting attorneys and law firms. Several members spoke in support, citing personal experiences and the need to protect veterans from bad actors, though some also expressed concern about access to help and urged future federal accreditation language. House Concurrent Resolution 44, urging Congress to create a VA accreditation pathway for private claims companies, was adopted 95-0, and House Bill 436, creating a PGA HOPE-related state parks benefit for veterans and active-duty military participants, passed 94-0. At the end of the session, the House received Senate Bill 172, relating to utility fuel adjustments and declaring an emergency, for first reading and return to committee. Members also made announcements about upcoming breakfasts, meetings, guest groups, and other events.

Transcript Highlights:

• And then you turn them over to workforce that has never been trained to care for them.
• then you turn them over to workforce then you turn them over to workforce that<00:04:58.880>
• Going on to our third program, the Care Mobile. Um, I love the Care Mobile.
• Um, could you go back to your slide on the mobile dental services?
• And if there's any the mobile units.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the July 15 minutes, and heard a presentation from Dr. Matthew Holder and Dr. Henry Hood of the Lee Specialty Clinic in Louisville. The clinic serves people with complex intellectual and developmental disabilities through a transdisciplinary model that combines medical, dental, behavioral, psychiatric, therapy, and other services under one roof. The presenters argued that this population is large-cost but small in number, often receives little provider training, and is vulnerable to diagnostic overshadowing, overmedication, and missed medical or dental problems. The clinic reported that in Tennessee, payer data showed average costs of about $5,200 per member per month before clinic involvement, with a 44% reduction in overall health care spending after patients were seen, including lower emergency room use, inpatient admissions, and prescription use. They said those savings were measured by the payer, not the clinic, and that the savings accrued to Medicaid or managed care payers rather than the clinic itself. They also shared a case example of a patient who had been placed on hospice but improved after diagnosis and treatment at the clinic. Patient and parent satisfaction were described as very high, generally above 95%. The clinic asked for roughly $5 million to expand into Northern Kentucky, estimating 500 to 700 patients would use the new site and projecting annual savings of about $13 million to $19 million once mature. Members asked about the budget, startup and operating costs, where the savings go, and whether the clinic had considered taking full risk or another value-based model. Senator Meredith and others encouraged the clinic to explore an accountable care or risk-based arrangement, while the presenters said they were open to that discussion but had not pursued it yet. The exchange ended with follow-up questions about the clinic’s overall budget structure and public-private funding mix.

Transcript Highlights:

• growing population, but we also need to review and understand the working dynamic. of our agency's workforces
• Also, provided a sample response from the Texas Workforce Commission as a sample.
• planning program, which is a net increase of $23.5 million to provide funding to... preventative mobile
• Then we have our mobile workforce, a lot of that's going to be under.
• So I would say those the expansion of the youth mobile crisis teams was funded in HHSC's base bill.

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