Transcript Highlights:

• Cook to Wana<01:12:38.400> Towanda<01:12:39.360> Oley.
• > David Cook, uh president >> David Cook, uh president Oh,<01:13:06.640> it<01:13:06.880
• Cook. I think we have one quick question at the end.
• <01:20:53.360> Cook.
• Cook. I think we have one >> Thank you, Mr. Cook.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the October 15 minutes, and began with a moment of silence following a Louisville UPS plane explosion that was described as a local tragedy affecting many families and first responders. The main presentation was an overview of Kentucky’s Medicaid non-emergency medical transportation (NMT) program from the Department for Medicaid Services and the Transportation Cabinet. Witnesses explained that NMT is a federally required Medicaid benefit, administered by the Transportation Cabinet under a risk-based capitated model, with eligibility limited to Medicaid members traveling to medically necessary, Medicaid-covered services and who lack access to other transportation. They also described exclusions, including certain KCHIP, QMB, and PACE members, and outlined the brokered regional structure, call center operations, scheduling rules, vehicle and driver oversight, complaint handling, and rider surveys. The presenters reported that NMT handled more than 3.1 million trips in state fiscal year 2024, with over 1.38 million trips already recorded in October, and said customer satisfaction surveys were high. They said the FY 2025-26 contract total is about $360.6 million, with monthly per-member capitation rates set by region through an actuarial process and approved by CMS. They emphasized that payments are tied to monthly Medicaid enrollment and that the state draws down federal funds for the exact amount paid, with no leftover balance. They also said most NMT use comes from adult day centers and rehabilitative care such as dialysis. Members questioned the witnesses about how quality metrics and contract standards are set, whether the state had explored alternatives such as Uber Health or other integrated models, and how utilization was calculated. The witnesses said contract requirements are developed collaboratively by Medicaid Services, the Transportation Cabinet, and other agencies, and that studies of other models generally found higher costs and lower approval ratings, with additional research on a hybrid model expected by the end of the year. They clarified that one figure reflected the share of Medicaid members with registered vehicles, while another reflected actual NMT users, and they defended the capitated structure as shifting financial risk to brokers rather than the state. Representative Fleming also raised concerns about oversight, reporting, and the apparent gap between budgeted and contracted amounts, asking whether any unused funds would return to general funds; the discussion ended before a final answer was given.

Transcript Highlights:

• Alvarado, Bettencourt, Birdwell, Blanco, Campbell, Cook. Rules suspended.
• Senator Cook, you are recognized. Senator Cook, for what purpose? Never mind, thank you.
• Alvarado, Bettencourt, Birdwell, Blanco, Campbell, Cook. 29 ayes, 2 nays.
• Speaking of our auxiliary staff, particularly our bus drivers, custodians, and cooks, could you explain

Bills: HB2, HB6, HB18, HB43, HB138, HB180, HB300, HB581, HB647, HB748, HB762, HB1240, HB1393, HB1397, HB1584, HB1734, HB2011, HB2254, HB2286, HB2434, HB2467, HB2468, HB2495, HB2516, HB2518, HB2529, HB2564, HB2712, HB2713, HB2715, HB2765, HB2898, HB3146, HB3161, HB3348, HB3800, HB4044, HB4341, HB4370, HB4384, HB4386, HB4396, HB4490, HB4809, HB5057, HB5323, HB5534, HB5668, SB203, SB317, SB719, SB731, SB801, SB867, SB1071, SB1232, SB1798, SB2082, SB2363, SB2603, SB2607, SB2717, SB2797, SB2841, SB2919, SB3038, SJR5, SB4, SB9, SB21, SB23, SB27, SB34, SB40, SB75, SB213, SB458, SB482, SB493, SB647, SB648, SB840, SB841, SB843, SB912, SB1241, SB1253, SB1350, SB1388, SB1423, SB1535, SB1559, SB1709, SB1789, SB1951, SB2037, SB2143, SB2155, SB2544, SB1, SB17, SB260, SB509, SB1506, SB1637, SB1833, SB2308, HB2525, HJR133, HB1393, HB26, HB388, HB2712, HB1633, HB685, HB2286, HB1606, HB1458, HB1240, HB2791, HB3146, HB1397, HB2061, HB647, HB4738, HB2563, HB128, HB581, HB766, HB2259, HB2358, HB4384, HB748, HB1734, HB5180, HB3806, HB3804, HB3803, HB1522, HB3597, HB1612, HB4224, HB1314, HB1237, HB3126, HB2856, HB3114, HB3505, HB5652, HB2025, HB3395, HB2495, HB18, HB2516, HB2713, HB24, HB519, HB609, HB1592, HB3348, HB120, HB6, HB1533, HB2421, HB2273, HB2464, HB2011, HB5057, HB5084, HB5534, HB5668, HB3424, HB2715, HB2564, HB2765, HB2898, HB3800, HB4396, HB4341, HB43, HB5686, HB2467, HB2468, HB2518, HB4310, HB4386, HB4490, HB180, HB5323, HB2, HB149, HB4945, HB2434, HB2529, HB3161, HB3745, HB4044, HB5155, HB5667, HB4996, HB2697, HB2492, HB2355, HB2282, HB2001, HB1902, HB1866, HB1445, HB1443, HB1306, HB1024, HB908, HB305, HB285, HB449, HB171, HB47, HB3464, HB2637, HB4263, HB5436, HB4429, HB3986, HB3966, HB3510, HB2560, HB2026, HB2688, HB4076, HB5246, HB3487, HB3486, HB4226, HB216, HB742, HB2402, HB143, HB5033, HB4413, HB4042, HB2440, HB4426, HB49, HB4112, HB3233, HB2310, HB5515, HB3627, HB2674, HB322, HB1481, HB126, HB3062, HB3421, HB3180, HB2530, HB2524, HB1916, HB3153, HB5650, HB4894, HB3120, HB1629, HB103, HB3234, HB3680, HB5698, HB3171, HB5693, HB2694, HB5664, HB3732, HB2508, HB2293, HB1991, HB2014, HB5331, HB5247, HB4751, HB4690, HB4668, HB4464, HB4395, HB4063, HB3833, HB3623, HB3214, HB3512, HB3250, HB3016, HB2520, HB2221, HB2213, HB3824, HB2067, HB1732, HB1562, HB700, HB1545, HB252, HB146, HB5596, HB1851, HB3619, HB3071, HB3556, HB851, HB4230, HB5320, HB5651, HB5670, HB5665, HB5437, HB5679, HB5699, HB5661, HB5662, HB5654, HB5672, HB5656, HCR141, HCR118, HCR127, HCR40, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB1749, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3038, SB3045, SB1538, SB3071, SB3065, SB823, SB3062, SB3074, SB1380, HB6, HB581, HB1393, HB1734, HB2286, HB2467, HB2468, HB2495, HB2529, HB2564, HB2765, HB2898, HB3146, HB3348, HB3800, HB4341, HB4386, HB4490, HB5057, HB5323, HB5534, HB5668, HB2, HB2715, SR530, SR552, SB482, SB493, SB841, SB912, SB1241, SB1350, SB1388, SB1559, SB1951, SB2143, SB2155, HB205, HB220, HB561, HB2078, HB2300, HB2652, HB3335, HB3441, HB4212, HB4879, HB5228, HB5616, HB205, HB220, HB561, HB2078, HB2300, HB2652, HB3335, HB3441, HB4212, HB4879, HB5228, HB5616

Keywords: public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, mental health, telehealth, public schools, discipline management, behavioral interventions, rural health, hospital funding, healthcare access, mental health services

Transcript Highlights:

• Sarah Cook. I just wanted to thank you, Madam Chair.
• Senator Cook. And thank you for mentioning that. I was going to say it's in parts per million.
• The chair lays out Senate Bill 1310 and recognizes its author, Senator Cook, to explain the bill.
• The chair lays out Senate Bill 1310 and recognizes its author, Senator Cook, to explain the bill and
• We are really appreciative of Senator Cook and all that he's done. the work she's done to hear our concerns

Bills: SB623, SB1266, SB1310, SB1373, SB1580, SB1952, SB2032, SB2269, SB2544, SB2653, SB2796

Keywords: pharmacist, vaccine administration, COVID-19, exclusive authority, healthcare, Medicaid, provider enrollment, credentialing, administrative burden, Texas Health and Human Services, senior retirement communities, emergency response, residential safety, contract provisions, health and safety regulations, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges

Transcript Highlights:

• We have Director Greg Cook here with us. Welcome to the committee, Director Cook.
• My name is Greg Cook, and I'm the Executive Director of the Minnesota Board of Private Detectives and
• Are there any questions for Director Cook? Thank you, Director Cook. Are there any members?

Bills: HF2432

Keywords: HF2432, judiciary finance bill, public safety finance bill, corrections policy, crime victims, victim services, Minnesota victims of crime account, court fees, marriage license fee, financial crimes, fraud investigations, insurance fraud, Bureau of Criminal Apprehension, BCA, Commerce Fraud Bureau, wage theft, automobile theft prevention, nonprofit security grants, 911 funding, POST Board

Transcript Highlights:

• every teen at the farm could become ServSafe certified for food handling, so that we could not just cook
• Typically, every meal we cook at the farm is a vegetarian meal, because I became a vegetarian three years
• So cooking flavorful food. So yes, that's the path.

Summary: The committee first considered and unanimously recommended confirmation of Melanie Ressler to the Florida Citrus Commission. It then took up SPB 7020, a Department of Agriculture bill to reenact an expiring public records exemption for certain aquaculture production records held by the department. The department supported the measure, and the committee adopted a motion to submit it as a committee bill and reported it favorably. Next, the committee heard SB 534, which would create a Hunger-Free Campus Pilot Program in the Department of Agriculture and Consumer Services. Senator Bernard explained that the program would target campuses with high percentages of Pell-eligible students, require a survey and SNAP-related assistance, provide at least one food pantry on participating campuses, and direct a report to the Governor and House Speaker by December 1, 2028. A supporter waived in, there was no debate, and the bill was reported favorably. The committee then received a lengthy presentation from Carla Bristol and youth ambassadors from the St. Pete Youth Farm. They described the farm as a youth-led response to local food access problems after grocery store closures, and outlined programs in leadership, financial literacy, career readiness, mental wellness, composting, aquaponics, community education, and food production. Members praised the program and asked about expansion, including a culinary kitchen or food truck, partnerships with schools and colleges, and how the initiative began. Bristol said the farm is funded mainly through local redevelopment dollars and that future plans include a food truck, more youth opportunities, and a possible culinary kitchen. The committee concluded with adjournment.

Transcript Highlights:

• Cook. Creighton. Eckhardt. Flores. Gutierrez. Hagenbuch. Hall. Hancock. Hinojosa of Nueces.
• Alvarado, Bettencourt, Blanco, Campbell, Cook. 19 ayes, 12 nays. The rule is suspended.
• Senator Cook, you're recognized. Thank you, Mr. President.

Bills: HCR35, SJR59, SJR84, SCR30, SB127, SB317, SB324, SB457, SB506, SB511, SB529, SB547, SB584, SB619, SB636, SB646, SB659, SB715, SB732, SB735, SB771, SB784, SB800, SB801, SB904, SB1026, SB1049, SB1065, SB1181, SB1224, SB1250, SB1383, SB1467, SB1524, SB1528, SB1531, SB1568, SB1585, SB1640, SB1681, SB1754, SB1757, SB1777, SB1972, SB1980, SB2007, SB2041, SB2046, SB2050, SB2055, SB2069, SB2080, SB2119, SB2138, SB2139, SB2154, SB2201, SB2225, SB2268, SB2306, SB2308, SB2310, SB2330, SB2366, SB2375, SB2392, SB2401, SB2422, SB2480, SB2514, SB2530, SB2533, SB2543, SB2544, SB2589, SB2610, SB2615, SB2623, SB2660, SB2662, SB2693, SB2695, SB2707, SB2722, SB2742, SB2753, SB2807, SB2843, SB2844, SB2858, SB2880, SB2885, SB2891, SB2925, SB2938, SB2986, SJR3, SJR18, SB5, SB914, SB963, SB1197, SB1415, SB1437, SB1786, SB326, SB767, SB769, SB783, SB1035, SB1271, SB1619, SB1637, SB1806, SB1, SB260, HB135, HB1109, HCR35, HCR64, SJR36, SJR50, SJR63, SJR84, SJR59, SCR12, SCR39, SCR48, SCR19, SCR30, SCR3, SB2023, SB619, SB2742, SB646, SB1026, SB2880, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB1502, SB507, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB1122, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB529, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB584, SB1085, SB2046, SB1975, SB2717, SB1262, SB1524, SB636, SB2056, SB884, SB517, SB1200, SB1845, SB1863, SB2681, SB2200, SB2199, SB1757, SB2050, SB2458, SB2201, SB2660, SB2662, SB1065, SB801, SB2533, SB3014, SB3013, SB758, SB1721, SB2366, SB1013, SB2797, SB2383, SB1754, SB2119, SB2448, SB1777, SB1283, SB2392, SB2076, SB2786, SB2876, SB2284, SB2225, SB1540, SB2929, SB1972, SB2540, SB2595, SB2217, SB715, SB2330, SB1383, SB500, SB1640, SB2001, SB2080, SB506, SB2514, SB2753, SB2398, SB1241, SB2927, SB2173, SB2538, SB898, SB1449, SB2529, SB1531, SB2846, SB2476, SB986, SB1181, SB2075, SB2154, SB2864, SB1359, SB2386, SB771, SB2844, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB2807, SB410, SB659, SB2776, SB2693, SB2580, SB1980, SB1886, SB1234, SB739, SB456, SB127, SB1666, SB2843, SB2801, SB800, SB2055, SB784, SB2986, SB735, SB1012, SB324, SB2926, SB2938, SB2007, SB2138, SB1242, SB2615, SB1049, SB2310, SB1224, SB2972, SB1568, SB2841, SB2885, SB3016, SB2858, SB2610, SB2139, SB1856, SB2035, SB2308, SB2306, SB2041, SB1528, SB1681, SB1141, SB2401, SB2530, SB2375, SB547, SB1266, SB1373, SB1467, SB2069, SB2269, SB2480, SB2544, SB672, SB904, SB2695, SB2891, SB2422, SB2543, SB1854, SB317, SB2539, SB2532, SB2925, SB1250, SB2082, SB2203, SB457, SB2357, SB2721, SB243, SB1285, SB2568, SB1959, SB1442, SB1454, SB2520, SB2541, SB1708, SB1237, SB1844, SB1586, HB1392, HB22, SB1551, SB3039, SB2819, SB66, SB629, SB1015, SB2342, SB2903, SB2933, SB1965, SB2477, SB3029, SB2605, SB2419, SB1957, SB375, SB250, SB777, SB628, SB2523, SB2367, SB2703, SB2608, SB2778, SB3044, SB2965, SB2521, SB865

Keywords: spaceports, tax-exempt bonds, aerospace investment, Texas space economy, Federal legislation, education funding, Texas State Technical College System, capital projects, infrastructure, higher education, tax exemption, property tax, homestead, fire damage, constitutional amendment, Birding Capital, Matagorda County, wildlife, conservation, Texas Legislature

Transcript Highlights:

• Representatives Fountain Henderson, Cook, Durnell, Hardwick.
• Representatives Fountain Henderson, Cook, Durnell, Hardwick, Reed. Aye. Self. Aye. Vernetti. Weber.

Summary: The Special Committee on Tourism met with a quorum and held a public hearing on Senate Committee Substitute for Senate Concurrent Resolution 21, which concerns the Show-Me America 250 initiative. Representative Rudy Veit presented the measure on behalf of the Senate sponsor and noted it was the same as the version previously heard by the committee. Members briefly discussed why the Senate version was back before them and were told the senator was working on the budget, so Representative Veit was carrying the bill. No witnesses testified in favor, opposition, or for informational purposes. After closing the hearing, the committee moved into executive session and considered a do-pass motion on the resolution. The motion passed unanimously by a vote of 10 ayes and 0 noes. The committee reported Senate Committee Substitute for Senate Concurrent Resolution 21 do pass and then adjourned.

Transcript Highlights:

• Representative Cook, here. Representative Lewis, here. Representative Lockett.
• Representative Cook, yes. Representative Imes, yes. Representative Lewis, yes.
• <00:11:01.160> yes<00:11:02.079> representative representative cook yes representative
• representative cook yes representative Imes<00:11:03.920> yes<00:11:04.839> representative
• Imes yes representative cook Imes yes representative cook hi<01:00:21.319> representative

Keywords: Consideration of HB 27 00:04:20 Presentation by Secretary of State 00:10:44 Presentation by Karen Sellers and Jason Denny 00:35:56 Consideration of HB 45 00:55:36, 958, all

Summary: The committee first handled House Bill 27, which would remove the prohibition on political yard signs in planned communities statewide while still allowing communities to regulate size, placement, and duration. The sponsor said the 2023 Planned Communities Act created an unintended consequence by treating similar homeowners differently based on grandfathering dates, and a legal explanation was offered that the bill would clarify the law and avoid constitutional problems. After discussion, the committee voted 15-0 to pass the bill with favorable expression. The next item was an update from the Secretary of State on the 2024 election and implementation of House Bill 53, which created prompt post-election audits. He said the audits were carried out smoothly, most found no discrepancies, and no election winners changed, though he recommended adding a specific timeline to the law. He also discussed voter-roll maintenance, saying Kentucky has removed more than 440,000 ineligible voters since 2020, and argued that federal law and limited access to federal databases remain the main obstacles to faster cleanup. Members asked about the possibility of improper removals, double voting across states, and how provisional voting works. The Secretary said anyone improperly removed can reregister, that any double-voting abuse is likely marginal but still unacceptable, and that provisional ballots are available when eligibility is in doubt and can be reviewed by the county board of elections. He also urged Congress to modernize the 1993 federal voter-registration law, improve access to death and citizenship data, and create a central interstate information-sharing system for election officials.

Transcript Highlights:

• Cook, are your children vaccinated? Yes, sir.
• Cook, have you had a chance to talk with some of the ladies? Like, for instance, Ms.
• I'm Zach Cook, I live here and work here in Austin.
• Cook. Glad to see you're doing a lot better. What hospital were you treated at?
• Kristen Cook.

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• I have a Blake Cook who wants to talk. Please state your name. My name is Blake Cook.
• Blake Cook. Mr.
• Cook, I want to tell you my heart goes out to you, and you have a beautiful guardian angel that's always

Bills: HB302, HB371, HB597, HB1097, HB1190, SB34, SB164, SB208, SB232, SB317, SB357, SB421, SB510

Keywords: legal representation, attorney general, elected officials, defense, legislative acts, judicial review, judiciary, election, judges, 19th Judicial District Court, East Baton Rouge, precincts, coroner, retention, body, mortuary, investigation, missing persons, Amber Alert, Endangered Missing Child Advisory

Summary: The committee met with a quorum and heard a series of Senate and House bills, mostly dealing with courts, veterans, public safety, and licensing. Early actions included favorable reports on SB 317, which adds the House and Senate Military and Veterans Affairs committee chairs to the Louisiana Military Advisory Council, and SB 357, which updates court administration and appellate e-case management provisions, cleans up outdated language, and revises reimbursement and security rules. SB 232, funding the judges’ supplemental compensation fund, was amended and reported favorably, and SB 421, modernizing electronic records terminology and safeguards, was also reported favorably. Several House bills were voluntarily deferred, including HB 1190, HB 1097, and later HB 374-1. The committee then took up SB 208 on veterans’ services, which was presented as a response to the earlier court ruling striking down Act 479. The bill seeks to regulate unaccredited “claim shark” businesses that charge veterans for disability-claim assistance, while exempting federally regulated accredited agents. Testimony from the Department of Veterans Affairs supported the bill as a way to protect veterans from predatory practices, while an opposing witness argued the issue is preempted by federal law and should be left to Congress or the pending Fifth Circuit appeal. Despite the objection, the bill was reported favorably. Members also advanced SB 510, which would restrict access to certain licensed establishments that sell hemp-based intoxicating products, especially bar-like venues where minors can currently enter; Alcohol and Tobacco Control explained the bill’s purpose and scope. HB 302, by Representative Chasson, was discussed as a measure to prohibit vape sales near schools, with testimony from public health and ATC witnesses noting the need to align the bill with existing licensing and local-ordinance authority; the committee moved it favorably after discussion. Finally, SB 34, creating “Brian’s Call” emergency alerts for missing children and adults with developmental disabilities, drew extensive emotional testimony from families and disability advocates and was reported favorably, as was SB 164, which adds public works employees to the definition of first responders. The committee adjourned after reporting HB 597, which restructures judicial compensation rules and eliminates the commission after a delayed effective date, and after deferring HB 374-1.

Transcript Highlights:

• Cook. Creighton. Eckhardt. Flores. Gutierrez. Hagenbuch. Hall. Hinojosa. Huffman. Hughes. Johnson.
• Alvarado, Bettencourt, Birdwell, Blanco, Campbell, Cook, Creighton. 18 ayes, 11 nays.
• Senator Cook, you're recognized to speak on the bill. Thank you, Mr. President and colleagues.
• Cook, Creighton, Eckhardt, Flores, Gutierrez. Again, boo. Paul, you know, host of it.

Bills: SB 2, SB 5, SB 9, SB 7, SB 17, SB 4, HB4, HB1, HB3, HB20, HB22, SB9, SB7, SB17, SB4, HB4, SB2, SB5

Keywords: disaster relief, flood preparedness, emergency funding, local government support, meteorological forecasting, school assessment, public education, accountability, transparency, education standards, STAAR, Texas Education Agency, TEA, public school accountability, school ratings, A-F ratings, assessment reform, student testing, benchmark tests, interim assessments

Transcript Highlights:

• The chair calls Brodie Burks and Camille Cook. What's your name, sir? Brodie Burks.
• Is Camille Cook here? Mr. Cook or Mrs. Cook.

Transcript Highlights:

• Cook. Creighton. Eckhardt. Flores. Good. Hall. Hagenbuch. Hinojosa of Nueces. Hinojosa of Vidalgo.
• Cook. Creighton. Eckhardt. Flores. Gutierrez. Hagen.

Bills: SB 2, SB 5, SB 9, SB 7, SB 17, SB 4, HB4, HB1, HB3, HB20, HB22, SB9, SB7, SB17, SB4, HB4, SB2, SB5

Keywords: disaster relief, flood preparedness, emergency funding, local government support, meteorological forecasting, school assessment, public education, accountability, transparency, education standards, STAAR, Texas Education Agency, TEA, public school accountability, school ratings, A-F ratings, assessment reform, student testing, benchmark tests, interim assessments

Transcript Highlights:

• Cooking, I think so. Culinary medicine—I'm not sure that kind of cuts the... I don't know.
• It's teaching people to actually use the food in their area to cook nutritious meals without additives
• I did say in a speech recently that our grandmothers and mothers got it right, and they really did cook

Bills: SB 25, SB25, SB314

Keywords: attorney ad litem, indigent parents, parent-child relationship, legal representation, Texas Family Code, court procedures, nutrition, health standards, food labeling, education, dietary guidelines, medical education, food safety, school meals, child nutrition, food additives, public health, 1185, senate, all

Transcript Highlights:

• Alvarado, Betancourt, Bourdieu, Blanco, Campbell, Cook.
• Alvarado, Betancourt, Birdwell, Blanco, Campbell, Cook. 29 ayes.
• Alvarado, Betancourt, Vardwell, Blanco, Campbell, Cook. 28 ayes and 2 nays.

Bills: SJR 5, SJR 36, SJR 5, SJR 5, SR 105, SR 121, SB 17, SB 19, SB 25, SB 28, SB 17, SB 19, SB 25, SB 28

Keywords: bail, felony offenses, criminal justice reform, public safety, constitutional amendment, school safety, mental health, emergency response, education policy, law enforcement, SR 121, Senate Resolution 121, Pete Alfaro, Pedro Cuellar Alfaro, Pedro Alfaro, Baytown, Texas Senate tribute, in memory, memorial resolution, condolence resolution

Transcript Highlights:

• Um, they go once a week to cook meals for the families staying there.
• Um, they go once a week to cook meals for the families staying there.
• Um, they go once a week to cook meals for the families staying there.
• Um, they go once a week to cook meals for the families staying there.
• Um, they go once a week to cook meals for the families staying there.

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:

• Alvarado, Bettencourt, Birdwell, Blanco, Campbell, Cook. 19. 15 ayes, 12 nays, roll the blindage.
• Senator Cook, did you want to speak on the bill? Do you recognize? Thank you, Mr. President.
• Alvarado, Bettencourt, Blanco, Campbell, Cook. 25 ayes and 6 nays.
• Senator Cook, for what purpose? Congress? Thank you, Mr. President. Thank you, Senator.
• Thank you, Senator Cook, you're always extremely polite and extremely nice.

Bills: SB801, SB867, SB2717, SB2919, HJR7, HB4, HB14, HB27, HB42, HB46, HB100, HB111, HB112, HB121, HB126, HB146, HB186, HB223, HB229, HB322, HB367, HB500, HB521, HB640, HB705, HB783, HB1052, HB1056, HB1105, HB1106, HB1178, HB1211, HB1234, HB1306, HB1403, HB1449, HB1506, HB1661, HB1690, HB1871, HB1960, HB2017, HB2078, HB2128, HB2240, HB2243, HB2348, HB2407, HB2512, HB2820, HB2844, HB2853, HB2854, HB2885, HB3000, HB3005, HB3053, HB3057, HB3181, HB3333, HB3372, HB3425, HB3441, HB3516, HB3749, HB3783, HB3812, HB3848, HB3923, HB3963, HB4070, HB4134, HB4157, HB4158, HB4211, HB4449, HB4623, HB4638, HB4687, HB4690, HB4748, HB4749, HB4795, HB4848, HB5093, HB5115, HB5129, HB5138, HB5294, HB5616, HB5629, HB5646, HB5661, HB5672, HB5674, HB5699, HCR40, SJR5, SJR27, SJR59, SB4, SB6, SB8, SB9, SB10, SB12, SB22, SB23, SB25, SB27, SB34, SB36, SB37, SB38, SB40, SB57, SB140, SB261, SB293, SB441, SB447, SB467, SB512, SB650, SB777, SB785, SB924, SB1188, SB1281, SB1318, SB1333, SB1398, SB1448, SB1566, SB1579, SB1621, SB1723, SB1838, SB1862, SB2167, SB2405, SB2406, SB2407, SB2878, SB3059, SB3070, SB1, SB17, SB21, SB260, SB379, SB509, SB1198, SB1405, SB1506, SB1637, SB1833, SB2155, SB2308, SB2601, SB2778, HB300, HB2011, HB2525, HB5246, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3045, SB3071, HJR7, HB5115, HB3053, HB1403, HB223, HB748, HB5652, HB3395, HB180, HB1306, HB322, HB126, HB5650, HB4894, HB1629, HB5698, HB3171, HB2694, HB5664, HB4690, HB4464, HB3623, HB2520, HB2213, HB252, HB146, HB5596, HB3619, HB5320, HB5651, HB5670, HB5665, HB5437, HB5679, HB5699, HB5661, HB5662, HB5654, HB5672, HB5656, HB3812, HB3057, HB2035, HB721, HB346, HB2512, HB5695, HB5694, HB5674, HB3185, HB2348, HB1871, HB1135, HB101, HB5666, HB5677, HB5682, HB5658, HB4144, HB3642, HB3815, HB2686, HB2012, HB1960, HB227, HB654, HB1690, HB2128, HB4158, HB4630, HB1523, HB2078, HB1973, HB3333, HB3697, HB3546, HB3225, HB3181, HB2820, HB1506, HB1234, HB640, HB521, HB229, HB186, HB119, HB4795, HB4466, HB3749, HB1106, HB4, HB4170, HB3909, HB4081, HB4145, HB4157, HB4285, HB4463, HB4995, HB5138, HB5624, HB1449, HB2598, HB3629, HB4361, HB824, HB1868, HB4848, HB2243, HB40, HB117, HB3686, HB500, HB3793, HB112, HB104, HB1056, HB42, HB3000, HB100, HB2240, HB718, HB27, HB4904, HB4202, HB2853, HB5129, HB5093, HB4765, HB4748, HB4559, HB4350, HB4214, HB3388, HB3112, HB5196, HB4211, HB3516, HB3092, HB4233, HB4687, HB705, HB1094, HB2037, HB3005, HB3848, HB1105, HB121, HB3372, HB367, HB783, HB3336, HB3441, HB4449, HB5616, HB2407, HB2854, HB3425, HB5294, HB1178, HB4623, HB14, HB3963, HB1211, HB5646, HB5629, HB3783, HB4236, HB46, HB4638, HB1052, HB4070, HB5509, HB5435, HB4134, HB3923, HB3520, HB3320, HB2517, HB2488, HB5663, HB2731, HB3073, HB2655, HB2399, HB541, HB4099, HB111, HB1532, HB3483, HB2963, HB4580, HB3748, HB713, HB632, HB426, HB4730, HB127, HB5690, HB5689, HB5655, HB3385, HB2757, HB4359, HB5381, HB20, HB123, HB549, HB5606, HB2217, HB2594, HB796, HB150, HB1057, HCR141, HCR40, HCR59, HCR76, HCR81, HCR46, HCR111, HCR83, HCR84, HJR7, HB4, HB14, HB27, HB42, HB46, HB100, HB126, HB150, HB322, HB367, HB500, HB640, HB705, HB783, HB1105, HB1178, HB1211, HB1234, HB1506, HB1690, HB1871, HB2078, HB2128, HB2240, HB2243, HB2407, HB2512, HB2853, HB2854, HB3000, HB3057, HB3181, HB3372, HB3425, HB3441, HB3749, HB3783, HB3812, HB3923, HB3963, HB4070, HB4134, HB4157, HB4211, HB4449, HB4623, HB4638, HB4687, HB4748, HB4795, HB5093, HB5129, HB5616, HB5629, HB5699, HB229, HB521, HB1056, HB1106, HB5138, SR583, SCR52, HB223, HB229, HB521, HB1056, HB1106, HB1403, HB3053, HB5115, HB5138

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

Transcript Highlights:

• Cook, members of the House Taxes Committee, my name is Brian Cook.
• Cook, members of the House Taxes Committee, my name is Brian Cook.
• Cook, members of the House Taxes Committee, my name is Brian Cook.
• Cook, members of the House Taxes Committee, my name is Brian Cook.
• Cook, members of the House Taxes Committee, my name is Brian Cook.

Keywords: 1183, house

Transcript Highlights:

• Cook. Creighton. Eckhardt. Flores. Gutierrez. Hagenbuch. Hall. Hinojosa. Huffman. Hughes. Johnson.
• Alvarado, Bettencourt, Robert, Blanco, Campbell, Cook, Creighton, Flores, Gutierrez.

Bills: SB 2, SB 5, SB 10, SB 9, SB 7, SB 17, SB 4, HB17, HB7, HB7, HB15, HB15, HB27, HB1, HB7, HB15, HB18, SB9, SB7, SB17, SB4, HB17, HB27, HB1, SB8, HCR13, SB2, SB5, SB10

Keywords: disaster relief, flood preparedness, emergency funding, local government support, meteorological forecasting, school assessment, public education, accountability, transparency, education standards, STAAR, Texas Education Agency, TEA, public school accountability, school ratings, A-F ratings, assessment reform, student testing, benchmark tests, interim assessments

Transcript Highlights:

• Birdwell, Blanco, Campbell, Cook.
• Blanco Campbell Cook Creighton Flores Gutierrez Hakebo Paul Hinaesa of Nueces Hinojosa Hidalgo Huffman

Bills: SB 2, SB 5, SB 10

Keywords: disaster relief, flood preparedness, emergency funding, local government support, meteorological forecasting