Transcript Highlights:

• wouldn't turn them down at a hospital or emergency room.
• So they end up... ...in a much more expensive setting in an emergency room, which gets less, now, to
• These services are critically important, and they provide an alternative to emergency rooms and incarceration
• room in a hospital.
• It's something that, as you mentioned, offsets the burden and the extreme costs in our emergency rooms

Committee: House Health and Welfare

Summary: The committee first heard SB 145, which would require adult residential care providers, especially assisted living centers, to have generators or other backup power arrangements and to submit preparedness plans to LDH. After technical amendments and testimony from the sponsor, LDH, and the assisted living industry clarifying the bill’s scope and cost concerns, the committee adopted the amendments and reported the bill favorably. It then took up SB 433, which would require Medicaid coverage of medically necessary FDA-approved weight loss drugs, including GLP-1 medications, subject to appropriations and fiscally sustainable coverage criteria; the bill was reported favorably after discussion of current Medicaid coverage and costs. The committee also approved SB 52, which requires better coordination between DCFS and LDH so SNAP and Medicaid benefits can follow children more quickly when they are removed from or returned to a home. Technical amendments changed reporting deadlines and required written notice, and the bill was reported favorably. SB 4 on public water fluoridation was amended to allow local governments or voters to opt out through a petition and election process, with support from the Louisiana Dental Association and others after compromise language was adopted; it was reported favorably with amendments. SB 152, which would prohibit the sale of cultured or lab-grown food products for human consumption, was also reported favorably with amendments after brief testimony in support and opposition. The committee next approved SCR 37, which asks the Surgeon General to review Louisiana’s informed consent laws and report back on any gaps, after discussion that the existing medical disclosure panel had not met since 2018. It then considered SB 194, a public assistance bill aligning Louisiana Medicaid and SNAP rules with recent federal changes on non-citizen eligibility and tightening Medicaid’s reasonable opportunity period for citizenship verification. After extensive debate over immigration, emergency care, and whether the bill could harm eligible applicants or rural hospitals, the committee adopted an amendment allowing LDH discretion for emergency health care services and reported the bill favorably by an 8-3 vote. Finally, HCR 113 created a task force to study gestational carrier agreements and assisted reproductive regulation; after debate over surrogacy, ethics, and referral to Civil Law, the committee rejected the referral motion and then reported the resolution favorably, and the meeting moved on to SB 333 on child-in-need-of-care proceedings and legal representation funding.

Transcript Highlights:

• ; second, whether users could mark themselves safe during an emergency using system functionality; or
• I feel like this would be a really important tool, especially to text during an emergency.
• In an emergency, such a lack of training could delay an effective emergency response.
• And the voice communications is like somebody standing in the room.
• What about basic—there's a teacher inside of a room in one of your schools in Apache County.

Committee: Joint Joint Legislative Audit Committee

Transcript Highlights:

• HB number seventy-one by Gerben Hawkins relates to the emergency preparedness requirements for youth
• No. 86 by Ward Johnson relating to emergency evacuation instruction and notice requirements for youth
• No. 94 by Toth, relating to creating a grant program administered by the Texas Division of Emergency
• No. 112 by Zwiener relating to the emergency response planning and emergency preparedness of youth and
• No. 171 by Hicklin relating to emergency safety certification requirements, providing civil penalties

Transcript Highlights:

• were part of, probably everybody in this room was part of.
• Emergency room and teaching hospital model.
• We deal directly with men, women, emerging adults.
• So we're scheduled for this room from one to three.
• Those are the rooms we've reserved.

Summary: The meeting was the third public session of the Special Commission on Correctional Consolidation and Collaboration. Members introduced themselves, and the commission approved the prior meeting minutes. The main presentation came from the Massachusetts Sheriffs’ Association, led by several sheriffs, who described the role of sheriffs’ offices as independently elected county institutions that operate jails and houses of correction, regional lockups, civil process, 911 communications in some counties, school resource officers, and investigative units. They emphasized that most of their population is pretrial, that admissions and releases are far higher than the Department of Correction’s, and that their facilities now house more people overall than DOC despite having a smaller budget. The sheriffs argued that their work has shifted toward rehabilitation, reentry, and public health, highlighting extensive programming in mental health, substance use treatment, medication-assisted treatment, education, vocational training, and gender-specific, trauma-informed services. They said standardized risk/needs assessments and better funding would help make services more consistent across counties. They also described specialized units and models such as regional evaluation and stabilization units, older-adult housing, emerging adult and gang-intervention programs, and reentry centers that connect people to housing, employment, family support, and community services. Several examples were cited, including Suffolk’s Project Evolve, Middlesex’s older-adult unit, Hampden’s MAGIC program, Worcester’s STOP program, and county reentry centers across the state. A major theme was that these programs are expensive but, in the sheriffs’ view, reduce recidivism and improve safety by stabilizing people before release and supporting them afterward. They pointed to COVID-19 as a period when sheriffs adapted facilities for quarantine and medical care, and said they continue to work with public health partners. They also stressed that their facilities are heavily audited by state and federal agencies and that maintaining humane, safe conditions requires significant staffing and operating costs. Commission members responded favorably at points, noting the importance of the turnover in sheriff populations and the need to understand the different correctional mission compared with DOC. The meeting ended with discussion of future commission dates and a note that the presentation materials would be shared electronically.

Transcript Highlights:

• Detecting diabetes at a routine doctor's visit becomes someone arriving at the emergency room in a diabetic
• Under federal law, emergency departments must treat everyone regardless of ability to pay, and emergency
• I'm pleased to have the support of the emergency room physicians, public hospitals, and the people most
• room.
• Jay, an emergency room physician and local American Heart Association volunteer. Thank you.

Committee: Senate Health

Summary: The committee heard SB 1422, which would restore Medi-Cal access for income-eligible undocumented adults beginning January 1, 2027. Senator Durazo and county, labor, health, immigrant-rights, and provider supporters argued the current enrollment freeze shifts costs to counties and hospitals, worsens preventive care, and increases expensive emergency treatment. No opposition testified. Several senators voiced support but also raised concerns about funding and the need for new revenue sources; the chair said she supported the concept and would continue working on financing, but the bill was not voted on because quorum was lost. The committee also heard SB 1023 on PrEP access, SB 1071 on amending death certificates after a homicide finding, SB 1057 on conviction-history review for CNA and home health aide certification, and SB 1088 on advance care planning and POLST/DNR updates. SB 1023’s author and supporters said requiring pharmacy-benefit coverage for injectable PrEP would reduce administrative barriers and improve access, while health plans opposed it as an improper benefit-design mandate; members sought clarification about how the billing pathway would work. SB 1071 drew strong support from victims’ families, law enforcement, and prosecutors who said death certificates should reflect later legal homicide findings, while coroners opposed it as blurring medical and legal determinations and risking data integrity. SB 1057 was presented as a fair-chance workforce measure to expand caregiving jobs for rehabilitated people with records, with no opposition heard. SB 1088 would modernize POLST/DNR rules, including electronic signatures, out-of-state recognition, and clearer signer authority; supporters backed the changes, while clinical nurse specialists opposed the bill for not including them as authorized signers. After quorum was established, the committee took up SB 869, which would require large chain restaurants to display an added-sugar icon next to beverages exceeding half the daily recommended sugar limit. Senator Weber Pierson and supporters from the American Diabetes Association and American Heart Association framed the bill as a transparency measure to help consumers make informed choices and reduce chronic disease risk. The senator responded to opposition concerns by saying existing nutrition information is often hard to find and that the icon would not unduly crowd menus. The hearing continued with testimony on the bill after quorum was reached, but no final vote is reflected in the transcript excerpt.

Transcript Highlights:

• We have two testifiers, one here in the room and one online.
• One here in the room and one online.
• We have three testifiers in the room and two remotely.
• They're required to have a 24/7 emergency room.
• House hearing room. House hearing room.

Summary: The House Appropriations Committee held a public hearing on a series of bills, beginning with House Bill 2689 on Working Connections Child Care. Staff explained that the proposed substitute would keep eligibility at 60% of state median income, eliminate scheduled expansions to 75% and 85%, reduce future subsidy rates from the 85th to the 75th percentile of market, end enhanced regional rates, and change reimbursement rules from prospective enrollment-based payments back to attendance-based payments with a reduced monthly payment after 11 absent days. Child care advocates thanked the committee for removing the proposed cap on the program but opposed the cuts to provider rates and eligibility expansions, warning of harm to families and providers. The committee then heard Engrossed Substitute Senate Bill 5124 on Medicaid network adequacy for post-acute care, with staff noting administrative costs and indeterminate fiscal effects; hospitals supported the bill as a way to reduce discharge delays and reliance on single-case agreements. Senate Bill 5832, which would raise the new motor vehicle arbitration fee from $3 to $6 to support the Lemon Law arbitration program, drew support from the Attorney General’s Office and auto dealers, who said the fee had not been updated since 1995 and the program was underfunded. The committee also heard Substitute Senate Bill 5862, providing a one-time 3% COLA for certain PERS 1 and TRS 1 retirees, with retirees testifying in favor and local government representatives warning about added employer costs. The committee next heard Senate Bill 5922, allowing school districts to transfer money from the Transportation Vehicle Fund to other funds if they reduce their fleet and receive OSPI approval; staff said the bill would mainly add administrative work for OSPI, and no one testified. Substitute Senate Bill 5923 would allow a hospital on an island in Skagit County to qualify as a critical access hospital if federally certified; Island Health testified that the designation would help sustain rural services, and a committee member asked about bed count and Medicaid/charity-care pressures. Senate Bill 5944 would require language access providers to bargain over compensation for missed or canceled appointments and clarify that statutes prevail over conflicting contract terms; WFSE supported the bill, saying it would equalize bargaining rights across agencies. Substitute Senate Bill 5972 would extend interest arbitration rights to correctional employees in city and county jails regardless of population size; labor supported the bill as a retention tool, while cities and counties opposed it, arguing it would raise costs and should include ability-to-pay protections. The committee also heard Senate Bill 5988, authorizing the Department of Health to continue accrediting opioid treatment programs and charge accreditation fees, which DOH said was needed to avoid winding down the program. Later, the committee heard Senate Bill 6151, which would move Ecology fee revenues for landfill methane emissions and laboratory accreditation into dedicated accounts; Ecology supported the bill as improving transparency and reinvesting fees into the programs, and staff said the lab fee shift would be offset by a related budget action. Engrossed Substitute Senate Bill 6194 would pay a rural hospital on a federally recognized Indian reservation, specifically Astria Toppenish, at 150% of the Medicaid fee-for-service rate beginning in 2027; hospital leaders and community members testified that the hospital serves a high-Medicaid, rural, and tribal population and faces persistent losses. Finally, Engrossed Substitute Senate Bill 6302 would direct L&I to investigate possible misclassification of independent contractors on public works projects involving multiple workers doing the same finishing work; labor and business representatives both described it as a negotiated compromise to address underground economy abuses. The committee took no final votes during the hearing and ended by reiterating amendment deadlines for bills scheduled for executive session.

Transcript Highlights:

• rooms.
• When we end Saturday hours, that means more patients are going to be in the emergency room on weekends
• We just came into the room once again.
• The emergency order significantly expanded access for patients.
• Being denied access to the library rooms or operating rooms, having our expertise questions, or being

Committee: Joint Joint Committee on Financial Services

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• Participants in the room must use your microphone when speaking so that it will broadcast into Zoom for
• The cameras in the room will switch to whomever is actively speaking.
• All right, with that, if Alice is in the room, come on up.
• We've had two non-distress ELT, or emergency locator beacon, locations.
• The scope of emergency management continues to expand.

Summary: The committee first heard Engrossed Senate Substitute Senate Bill 5984, which would regulate AI companion chatbots. Staff explained that the bill requires disclosures that the chatbot is AI and not human, adds stronger protections when the user is a minor or the chatbot is directed to minors, bars manipulative engagement techniques, requires periodic reminders, and creates protocols for detecting and responding to suicidal ideation or self-harm. Several speakers, including researchers, students, the PTA, the governor’s office, and the Attorney General’s Office, supported the bill and described harms from chatbot sycophancy, emotional dependence, and self-harm risks. Some testifiers urged expanding protections to all users rather than only minors, adding language on harm to others, and clarifying that chatbots should not present themselves as sentient or human; industry representatives said the bill was workable and noted support for removing the exemption for underlying general-purpose AI models, while also discussing concerns about the private right of action and age-verification/data-collection issues. The chair noted that an amendment for narrow educational tools would be worked on. The committee then took testimony on Senate Bill 6046, which would create a state Civil Air Patrol under the Washington Military Department. Staff said the bill would allow the governor to activate the state Civil Air Patrol for cadet training, communications, disaster relief, cybersecurity, search and rescue, and related missions, while preserving the federal Civil Air Patrol’s existing structure. Military Department and Civil Air Patrol leaders testified in support, saying the bill would streamline coordination, improve emergency response, and expand training opportunities without changing federal authorities or adding costs; one witness said the model was based on Kansas law. Members asked about the fiscal note, which was described as indeterminate by one agency despite testimony that the bill would not create new state costs, and about whether the bill would face concerns in Appropriations. The Veterans Legislative Coalition also supported passage, and the committee adjourned after the hearing.

Transcript Highlights:

• But again, you're talking about having a long distance to an emergency room.
• My fear is that this could close more emergency rooms.
• And people don't want to come to your town if you don't have an emergency room.
• I can tell you a town of 12,000 without an emergency room.
• We're getting passed over every day because of lack of an emergency room within the golden hour.

Committee: House Special Committee on Rural Issues

Transcript Highlights:

• room itself.
• As a result, patients are discharged from the emergency room with the prescription for the exact same
• So when you go to the pharmacy and they give you you go to the emergency room and they give you the prescription
• When a patient receives treatment an emergency room they shouldn't be sent home empty-handed simply because
• room in the first place.

Committee: House Business and Professions

Transcript Highlights:

• The Veterans and declaring an emergency.
• </c> room 169. room 169. &gt;&gt; Members,<00:26:16.960><c> take</c><00:26:17.200><c> note.
• House Bill 439, an emergency.
• Room 131, tomorrow upon adjournment.
• c> like it's room 131 tomorrow upon like it's room 131 tomorrow upon adjournment.<00:41:08.000><c> That's

Transcript Highlights:

• I am thankful this day for all those who work in our police forces and fire departments and emergency
• I'm very thankful for the great group of state police. ...and fire departments and emergency services
• So we'll do that upon a The majority caucus room for the good gentleman from 22, who is retiring.
• House Ways and Means Committee will meet Thursday, March 26, at 1:30 p.m. in East Wing Room 5.
• East Wing Room 5 Ailer's Chairman. Are there further announcements?

Transcript Highlights:

• Our exam rooms must always remain places of healing and never fear.
• room, thought that she saw an ICE officer, and then she left without the care that she needed.
• She was so dizzy, she actually had to hold onto the wall in order to get out of the emergency room, and
• rooms when people show up.
• For example, I've had international students in my emergency room ask whether being admitted to the hospital

Committee: Joint Joint Committee on Public Safety and Homeland Security

Summary: The hearing focused on the Safe Communities Act, House 2580 and Senate 1681, along with related proposals to limit local and state cooperation with federal immigration enforcement, prohibit 287(g) agreements, and expand legal defense for immigrants. Most testimony came from advocates, attorneys, labor leaders, health care professionals, educators, and community members who argued that fear of ICE discourages immigrants from reporting crimes, seeking medical care, attending school, or cooperating with courts, and that a clear statewide policy would improve public safety, due process, and trust in institutions. Several speakers described personal or client experiences involving domestic violence, trafficking, workplace abuse, or children affected by deportation, and many emphasized economic harms to workers, families, and small businesses. Health care witnesses said immigration enforcement is causing patients to miss appointments, avoid emergency rooms, and delay preventive care, with resulting public health consequences. Labor and education representatives said immigrant workers and students are increasingly fearful, and that the state should not allow local police to act as ICE agents or enter 287(g) agreements. ACLU and coalition witnesses cited examples they said showed existing or recent collaboration between local agencies and ICE, including courthouse alerts, vehicle stops, and use of municipal spaces, while also arguing that the bill would still allow cooperation on criminal matters and public safety emergencies. One witness opposed the bill, arguing that serious criminal offenders should be deported and defending ICE’s role. Committee members asked several questions about whether the harms described were widespread or anecdotal, and about the distinction between assisting ICE in civil immigration arrests versus responding to violent or public safety emergencies. Witnesses said the bill was aimed at civil immigration enforcement, not criminal investigations or emergency situations. At the end of the hearing, a committee member requested a study on immigration enforcement’s effect on emergency room wait times, and the committee then adjourned without taking a vote on the legislation.

Transcript Highlights:

• So I want to thank everyone in the room and on the call for the work you do.
• So I want to thank everyone in the room and on the call for the work you do.
• and mental health emergency, the K2... ...event, whether it's responding to a medical emergency and
• However, I don't think that emergency calls necessarily... maybe so.
• We do have to kind of wrap up to have the room till three.

Summary: The special commission on consolidation and cooperation among public safety agencies held a hearing focused on correctional labor perspectives, with testimony from union representatives and correctional officers from state and county facilities. Chair Dan Hunt and Senator Brownsberger opened by noting the commission’s extensive site visits and prior testimony, and they recognized Correctional Officers Week. Witnesses emphasized that officers are central to any reform discussion and described the daily realities of staffing shortages, violence, mental health crises, substance use, and the need for better wellness support. Kevin Flanagan of the correctional officers’ union said officers face serious safety risks, citing weapons recovered, assaults, suicides, and the spread of synthetic drugs like K2 that are often introduced through paper soaked with chemicals. He urged stronger contraband controls, including paperless systems and technology to detect synthetic drugs, and criticized policies he said can be manipulated in gender-identity housing and search situations. He also argued that staffing shortages, forced overtime, and low morale are worsening retention, and that officers need more support after traumatic incidents, including fuller use of the OnSide Academy program. Other union representatives, including NCU and county officers, opposed consolidating sheriffs’ offices or merging them with the Department of Correction, warning it could weaken collective bargaining, reduce local accountability, and harm programming and reentry work. They argued that county facilities are distinct and should be funded and staffed based on local needs, not a one-size-fits-all model, and several speakers supported expanding vocational and reentry programming. Commissioners responded with support for officer wellness and asked for more information on EMS transports, medical interventions, and possible models from other jurisdictions, including Norway and Germany. At the end of the hearing, the commission discussed extending its reporting deadline beyond September 30, with members agreeing to seek an extension to November 30. The commission also agreed to continue site visits, including the upcoming Barnstable visit, and adjourned after adopting the motion to request the extension.

Transcript Highlights:

• On September 6, 2019, I took my son Jojo to an emergency room. He was denied services.
• I'm going to need you to leave the room. I'll leave the room thinking nothing of it, right?
• I'm in the waiting room and probably maybe 15 minutes.
• On Monday, November 18th, I rushed Cameron to the Flagler Hospital emergency room.
• room physicians, orthopedists, and obstetricians.

Committee: Senate Judiciary

Summary: The Senate Judiciary Committee heard three bills. SB 514, by Senator Harrell, clarified that medical quality review committees used by managing entities are treated like other medical review committees for purposes of civil liability and public records protections. The committee adopted a Harrell amendment removing the word “malpractice” from the title, heard support from the Florida Hospital Association, Florida Association of Managing Entities, and Florida Smart Justice Alliance, and then voted 11-0 to report the bill favorably. The committee then took up SB 734, by Senator Yarborough, which would repeal the current wrongful death exception that bars certain parents and adult children from recovering non-economic damages in medical negligence cases. The bill drew extensive testimony from families describing deaths they said were caused by medical negligence and from supporters including AARP and the Florida Justice Association, while opponents from the health care, insurance, and business sectors argued it would raise malpractice premiums, increase litigation, worsen physician shortages, and reduce access to care. After debate, the committee voted 9-2 to report the bill favorably. Finally, SB 538, by Senator Bradley, was presented as the state courts legislative package. It updates court operations by clarifying duty judge requirements, removing a location limit on duty hearings, repealing a cap on arbitrator compensation in court-ordered non-binding arbitration, and allowing alternative judicial authentication of oaths and acknowledgments when a court seal is unavailable. The bill received supportive waiver forms from the Florida Bar ADR section and several judges, and was reported favorably on an 11-0 vote. The committee then adjourned.

Transcript Highlights:

• He immediately told us that she needed to go to the emergency room, that she was very likely septic because
• I went to the emergency room and had an ultrasound that revealed no fetus.
• A week later, I was back in the emergency room in worsening pain.
• The emergency room doctor said that my ultrasound likely indicated a non-viable pregnancy, but they could
• They end up in an emergency room if they have high-risk pregnancies and take the abortion pill regimen

Bills: SB31 , SB33 , SB510 , SB871 , SB1868 , SB2024 , SB2166 , SB2309 , SB2880 , SJR27 , SJR39 , SJR40 , SB 31 , SB 33

Committee: Senate State Affairs

Transcript Highlights:

• Just put them bunches in a room?
• room after the COVID shots rolled out.
• room.
• It's not a drug under emergency use authorization.
• I think there's room up there for five folks. Thank you. ...room up there for five folks.

Bills: HB18 , HB37 , HB116 , HB18 , HB37 , HB 116 , HB388 , HB879 , HB913 , HB 1151 , HB2216 , HB2358 , HB2809 , SB577 , SB1590 , SB1782 , SB1887 , SB2744

Committee: Senate Health & Human Services

Summary: The committee first reopened testimony on House Bill 2216, which would strengthen child welfare requirements by expanding “active efforts” to help families avoid removal and support reunification, while also raising standards related to removals and terminations. Supporters from child welfare and family defense groups said the bill would better protect families and align Texas more closely with ICWA-style principles, but several warned it would require significant new funding, staffing, and community services such as mental health care, housing, child care, and substance use treatment. The committee then left HB 2216 pending. The committee next heard Senate Bill 1782, aimed at boarding and group homes. Senator Miles said the bill closes enforcement gaps left by prior law by requiring retention of background-check records and creating misdemeanor penalties for failing to conduct or keep them, or for knowingly hiring people with serious convictions. Harris County sheriff’s investigators testified in support, describing illegal boarding homes, operators who evade permits and background checks, and exploitation of vulnerable residents; the bill was left pending. The committee also took up Senate Bill 481 on emergency preparedness for nursing facilities and assisted living facilities, adopted a new committee substitute that softened some requirements and removed the fiscal note, and left the bill pending. The committee then heard House Bill 388, which would require the Texas Department of Insurance to create a single standardized coordination-of-benefits form for dual health plans to reduce errors and surprise bills; it was left pending. Senate Bill 1590 would move paternity registry searches for adoptions to an electronic process with a 10-day target, and House Bill 2809 would track child suicide attempts in managing conservatorship and require related reporting and parental notice; both were left pending. The committee also heard Senate Bill 1887, which would prohibit administering mRNA-containing products for immunization for 10 years, with exceptions for cancer and genetic disorders. Supporters argued the bill was needed for safety, informed consent, and medical freedom, while opponents from the medical, research, and public health communities said mRNA vaccines are well-studied, save lives, and that the bill would harm access, research, and Texas’s biotech economy. The bill remained under discussion as testimony concluded.

Transcript Highlights:

• , but I just want to thank y'all for your time, as well as the women in this room.
• rooms due to a lack of affordable health care options.
• Otherwise rely on emergency rooms due to a lack of affordable health care options.
• When we discussed Senate emergency heard this committee say about emergency preparedness.
• It still gives plenty of room for doctors... Solely on vaccination status.

Bills: HB163 , HB216 , HB721 , HB2035 , HB2038 , HB3057 , HB3153 , HB3233 , HB3595 , HB3801 , HB3812 , HB4076 , HB4129 , HB4377 , HB4535 , HB4666 , HB4730 , HB4743 , HB4903 , HB5149 , HB5155 , HB1534 , HB163 , HB216

Committee: Senate Health & Human Services

Summary: The committee met without a quorum at first, then established a quorum with five members present. Members heard and left pending several House bills, including HB 4743 on allowing hospitals to license mobile stroke units under a hospital license, HB 4129 on earlier DFPS enforcement tools for single-source continuum contractors in community-based foster care, HB 4903 creating a Quad Agency Child Care Initiative to coordinate child care regulations across state agencies, HB 3812 revising the gold card/prior authorization process for physicians, HB 4535 requiring written informed consent before COVID-19 vaccination and a standardized state information sheet, and HB 4666 reducing the frequency of some HHSC reports to the legislature. The chair also noted HB 35 would be voted on later after a subcommittee back was received, and that a large number of bills would be heard the next day. Most of the testimony focused on HB 4535 and HB 4730. On HB 4535, supporters argued the bill would strengthen informed consent for COVID vaccination by requiring written consent and clearer state-level information about risks, manufacturer liability protections, and adverse-event reporting; opponents, including a pediatrician and medical groups, said existing federal and state informed-consent materials already cover these topics and warned the bill could create duplicative paperwork and penalties. On HB 3812, the Texas Medical Association supported changes that would extend the gold-card evaluation period to one year, raise transparency, and make prior authorization exemptions easier to administer, while health plans said they were neutral and viewed the bill as a balance between reducing burden and preventing fraud or unsafe care. HB 4730 drew extensive testimony from adoption professionals, birth mothers, adoptive parents, and child welfare advocates. The bill would require DFPS to create a relinquishment form, train child-placing agency staff, and extend the minimum waiting period for voluntary relinquishment from 48 hours to seven days. Supporters of the current law argued the 48-hour period aligns with hospital discharge, allows informed decisions, and helps birth parents and adoptive families begin healing and bonding without pushing children into foster care or creating legal and Medicaid complications. The author said the bill would be revised and that the seven-day provision was a work in progress. No votes were taken on the bills during the meeting; each bill was left pending after public testimony closed.

Transcript Highlights:

• The bill has passed, and the emergency clause carries.
• Customizable cardiac emergency response plan template for schools to use.
• The bill has passed and the emergency clause carries.
• clause which if you look at the 3 which is an emergency clause which if you look at the emergency clause
• The bill is passed, and the emergency clause carries.

Summary: The Senate opened with prayer, the pledge, and a quorum call, then took up House amendments to Senate Bills 2009, 2147, and 2113. On motion, the Senate refused to concur in the House amendments and appointed conference committees for each bill. The chamber then considered several House bills, adopting amendments and passing House Bill 1556, which creates a Children's Cabinet work group to study out-of-home placement and treatment for children with behavioral health issues, and House Bill 1363, which directs development of a customizable cardiac emergency response plan template for schools and athletic events. House Bill 1533, requiring students to complete a half-unit of financial literacy for graduation, also passed after amendment. House Bill 1226, dealing with masks in public places and protest-related identification concerns, passed after the Judiciary Committee removed language about complying with law enforcement requests to unmask.

Transcript Highlights:

• Room EW. 05, Raymond Chairman.
• Room E.W. 42, E. Hart, Chairman.
• Room E.W. 40, Palmer Chairman.
• Room E.W. 41, Hawkins, Chairman.
• Room E.W. 20, W. 20, W. 20, F.m., Chairman.