Bills: SR5, SB5, SB11, SB12, SB25, SB26, SB28, SB35, SB5, SB11, SB12, SB25, SB26, SB28, SB35, SB5, SB11, SB12, SB25, SB26, SB28, SB35, SR5

Keywords: redistricting, Senate procedures, public input, Texas Legislature, amendments, Texas Senate, congressional districts, legislative procedures, legislative transparency, Senate rules, public hearings, committee procedures, hemp regulation, consumable products, cannabinoids, occupational licenses, criminal offenses, SB 11, Texas attorney general, election crimes

Transcript Highlights:

• And really what we have here is ultra-rare diseases. rare diseases that simply don't have a solution.
• Fabry's disease, Batten's disease, LCMD, Sanfilippo syndrome, and there's more.
• It is about preventing disease by the antibodies. And you know what they found out?
• And Jackie, I just, my heart goes out to you. I know what you've gone through.
• Be careful, you might go in the same category as the American Heart Association tonight.

Bills: SB95, SB268, SB493, SB619, SB660, SB922, SB984, SB1098, SB1188, SB1307, SB1332, SB1822

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit

Bills: SB746, SB1404, SB1536, SB1559, SB1838

Keywords: guardianship, guardian ad litem, incapacitated person, proposed ward, ward, probate, Estates Code, Texas probate, elder abuse, adult protective services, capacity restoration, guardian removal, annual account, annual report, estate guardian, person guardian, civil immunity, court-appointed representative, judiciary, civil jurisprudence

Transcript Highlights:

• We have a portfolio of bills today that's going to talk about plant disease and pest prevention.
• And I love them because they have a strategy when we have animal disease.
• It creates an agricultural plant disease and pest prevention grant program.
• I could talk about plant disease and pest prevention. all day long.
• You've mentioned some diseases, but... What is that? What's yellowleg?

Bills: HB147, HB 1113, HB 1203, HB 1269, HB 1276, HB 1277, HB1437, HB147

Keywords: livestock, brands, marks, earmarks, tattoos, electronic registry, Texas Animal Health Commission, county clerk, Agriculture Code, cattle, hogs, sheep, goats, horses, animal identification, brand registry, livestock traceability, electronic filing, rerecording, law enforcement access

Transcript Highlights:

• I'm an Ehlers-Danlos syndrome rare diseases patient and disability advocate. I was also Ms.
• I'm also a rare disease patient myself. I'm here in support, obviously.
• My name is Chanel Cordova, and I'm here representing the Northwest Rare Disease Coalition in support
• I speak to you as an advocate for others, as well as a patient and mother to a child with rare disease
• I cannot take NSAIDs due to my Crohn's disease and the blood thinners that I take daily.

Bills: SB5845, SB5916, SB6102, SB6071, SB6103, SB6159, SB5877, SB5967, SB5904, SB5915, SB6025

Keywords: health insurance, health carrier, insurance carrier, prompt pay, timely payment, claims processing, clean claim, remittance advice, provider reimbursement, hospital billing, medical billing, prior authorization, claims denial, interest on late claims, administrative penalty, Washington insurance commissioner, RCW 48, public employees benefits board, school employees benefits board, Medicaid managed care

Summary: The committee heard public testimony on several health care bills. SB 6159 would create a public hospital infrastructure account funded by a new coverage assessment on insurers and other premium-tax payers, to help public hospital districts and other public health entities finance major construction and modernization projects and allow more cooperative agreements among public hospitals. The sponsor and supporters said it would help public hospitals remain competitive and better serve rural and underserved patients, while opponents argued the assessment would raise health care costs, could sweep in property and casualty insurers and mutual companies, and might create legal and affordability problems. Testimony also raised concerns that the bill’s cooperation language could unintentionally narrow existing affiliations with nonpublic entities. The hearing closed with 5 signed in pro, 74 con, and 2 other. The committee then heard SB 5845, which would replace the current 95% timely-payment standard with a requirement that all clean claims be paid or denied within 30 days, with notice requirements for incomplete claims and interest or penalties for late payment. Hospitals, physicians, and health systems strongly supported the bill, saying delayed and unpredictable payments create major cash-flow and administrative burdens and that some large claims can remain unpaid for months or longer even when care was approved. Health plans opposed the bill, saying they already meet current standards, that the bill could limit their ability to investigate fraud, waste, and abuse or review high-dollar claims, and that it should include more balanced timelines and exceptions. The hearing closed with 69 signed in pro, 4 con, and 2 other. The committee also heard SB 5916, which would prohibit health plans, Medicaid managed care organizations, and public employee plans from disadvantaging non-opioid pain treatments relative to opioids through formulary placement or utilization management, and would require a Department of Health educational pamphlet on non-opioid options. Patients, recovery advocates, and rare disease advocates supported the bill as a way to improve access to safer pain care and reduce barriers like prior authorization and step therapy. The Health Care Authority and an insurers’ representative said they support access to non-opioids but were concerned the bill could require preferred status for all non-opioids whenever any opioid is preferred, increasing costs and limiting formulary management. The hearing closed with 8 signed in pro, 1 con, and 2 other. Later, the committee heard SB 6102, a technical bill to align the ambulance transport quality assurance fee with federal rules after changes in federal law limited new provider taxes. The ambulance association supported the bill, saying the existing fee has significantly improved wages and benefits for EMS workers and that the change is needed to preserve the program. The hearing closed with 50 signed in pro, 1 con, and 0 other. The committee also heard SB 6103, which would make Medicaid payments for rural emergency hospitals subject to appropriation and create a state framework for a rural hospital conversion model. Supporters from East Adams Rural Health Care and the Washington State Hospital Association said the bill would help keep rural emergency services viable, especially for communities along the I-90 corridor. The hearing closed with 58 signed in pro, 1 con, and 0 other. Finally, the committee heard SB 6071, which would shorten the time limit for insurers to seek overpayment recoveries from providers from two years to six months, or nine months for coordination-of-benefits cases, extending a standard already enacted for mental health and substance use disorder services. Providers from acupuncture, massage, podiatry, and other small practices supported the bill, saying long clawback periods create financial instability and administrative burden, while the remaining testimony was still being taken when the transcript ended.

Transcript Highlights:

• Offer education on the transmission and prevention of infectious diseases; and 3.
• Preventing the spread of infectious diseases is so important.
• We also understand the facts: diseases are preventable.
• I mean, the spread of diseases, I should say. OK. And then my other question is, I'm going to.
• That strikes terrible in a county representative's heart, because those are property taxes.

Bills: HB1320, HB2012, HB2293, HB2655, HB3174, HB4108, HB4661, HB4799, HB5534, HB5580

Keywords: transportation, infrastructure, funding, state budget, public safety, child welfare, county boards, membership, local governance, public welfare, government service, social services, Texas Family Code, regulation, vendors, solicitors, roadside sales, county authority, Sweeny Hospital District, board of directors

Transcript Highlights:

• People writing these bills don't have their heart rate spike up as they cross a checkpoint or worry that
• However, the point of a testimony is to tell the truth and speak from the heart, and that I believe I
• If it was ever active, it's still going to be active in the hearts and minds of a lot of people, both
• Social work is at the heart of this mission.
• My heart sinks at the thought of this reality.

Bills: HB1320, HB2012, HB2293, HB2655, HB3174, HB4108, HB4661, HB4799, HB5534, HB5580

Keywords: transportation, infrastructure, funding, state budget, public safety, child welfare, county boards, membership, local governance, public welfare, government service, social services, Texas Family Code, regulation, vendors, solicitors, roadside sales, county authority, Sweeny Hospital District, board of directors

Transcript Highlights:

• So rare diseases can be blood disorders; they could be.
• So one in 200,000 we actually have some people in the State Senate with rare diseases because after we
• For example, Senator Tobiasen even before the West Nile disease told me that her husband had a rare disease
• The bill prohibits prior authorization for medications to treat chronic disease to no more often than
• I know your heart. You don't want to hurt anybody, but this policy may hurt some people.

Bills: SB20, SB53, SB86, SB96, SB129

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder

Transcript Highlights:

• action intended to address, as a matter of medical necessity, an existing or recurring infection, disease
• I'm going to tell you that so many of these cases break my heart.
• disease, and kidney failure, These meals help alleviate the impacts of chronic illness like diabetes
• , heart disease, and kidney failure, while reducing hospitalizations and lowering health care costs.
• disease.

Bills: HB1904, HB2106, HB2211, HB2247, HB2329, HB2339

Keywords: animal welfare, cats, declawing, animal rights, pet care, healthcare, contract modifications, provider notifications, insurance carriers, health facilities, HB 2211, medically tailored meals, medical nutrition therapy, medical assistance, Medicaid, Health Care Authority, Department of Social and Health Services, nutrition support, chronic disease, dietary accommodations

Summary: The committee heard public hearings on several health-related bills. HB 1904 would prohibit cat declawing except for therapeutic purposes, with staff describing fines, recordkeeping, and reporting requirements; the prime sponsor and animal welfare and veterinary witnesses argued declawing is cruel and causes pain and behavior problems, while the Washington State Veterinary Medical Association supported the ban but asked to remove the added reporting and disciplinary provisions. HB 2211 would direct implementation standards for medically tailored meals under Medicaid-related nutrition supports; the sponsor said it clarifies an existing program and prioritizes Washington-based nonprofits, and supporters from Meals on Wheels, food coalitions, distributors, farms, and nonprofits said local sourcing improves health outcomes, keeps dollars in-state, and builds capacity, while questions were raised about whether the local provider requirement could limit current vendors. HB 2329 would allow licensed midwives to delegate certain tasks to medical assistants and supervise medical assistants, with the sponsor and birth center/midwife witnesses saying it would fix an omission and reduce staffing barriers, especially in rural areas; they also indicated the lactation consultant provision would likely be removed. The committee also heard extensive testimony on HB 2247, which would expand and clarify veterinary telehealth and the veterinarian-client-patient relationship. Supporters, including animal shelter leaders, nonprofit outreach providers, veterinarians, and an attorney, said telehealth would improve access in rural and underserved areas, help triage cases, reduce shelter intake, and allow care when transportation, cost, or mobility barriers prevent in-person visits; opponents or cautionary testimony from the veterinary association said they were working on amendments to preserve guardrails and clarify when access-to-care exceptions are documented. HB 2339 would modernize nursing licensure language for ARNPs, clarify titles for the four ARNP roles, adjust rules for CRNAs’ controlled substance administration, remove transcript submission requirements, and let the Board of Nursing issue interim permits directly; nursing witnesses and the Board supported the bill as technical cleanup, while hospitals and physicians raised concerns about title language and the deletion of a reference to the medical profession. Finally, HB 2106 would restrict health carriers from making significant mid-contract changes to provider agreements without notice and acceptance, requiring 90 days’ notice and voiding noncompliant changes; the sponsor and provider groups said carriers are unilaterally changing payment and service terms mid-contract, while UW Medicine described repeated insurer policy changes that can reduce reimbursement and disrupt patient care.

Transcript Highlights:

• This includes active-duty military, pregnancy and parenting teens, or infectious disease treatment.
• There, I think it was military, pregnancy, or infectious disease? Those are some of them.

Bills: HB368, HB3311, HB1734, HB2495, HB2716, HB793, HB3376, HB2524, HB3421, HB3446, HB3181

Keywords: electronic devices, family violence, criminal prosecution, protective orders, tracking, harassment, family allowance, decedent's estate, surviving spouse, minor children, inheritance, child support, maintenance, HB 1734, Family Code, Section 155.207, suit affecting the parent-child relationship, SAPCR, continuing exclusive jurisdiction, jurisdiction transfer

Transcript Highlights:

• strengthens ...things—the training requirements for guardians by requiring ongoing education on Alzheimer's disease
• There are currently over 450,000 Texans living with Alzheimer's disease and related dementias, and over
• has been a leader in ensuring those serving. people with dementia receive basic training on this disease
• Dementia training, such as understanding the disease, communication techniques, and information about
• resources for caregivers, will result in better quality of care and life for persons with the disease

Bills: HB368, HB3311, HB1734, HB2495, HB2716, HB793, HB3376, HB2524, HB3421, HB3446, HB3181

Keywords: electronic devices, family violence, criminal prosecution, protective orders, tracking, harassment, family allowance, decedent's estate, surviving spouse, minor children, inheritance, child support, maintenance, HB 1734, Family Code, Section 155.207, suit affecting the parent-child relationship, SAPCR, continuing exclusive jurisdiction, jurisdiction transfer

Bills: HR202, HB2095, SB2657, SB2138, SB3110, SB3082, SB3109, HB1800

Keywords: Hawaii, Hawaiʻi, house resolution, congratulatory resolution, education, public schools, librarian of the year, middle school principal of the year, school counselor of the year, teacher of the year, library system, blind and print disabled, accessible learning, braille, audio technology, principal, school counselor, agriculture education, culinary arts, student recognition

Bills: SB 2, SB 5, SB 10, HB17, SB 9, SB 7, SB 17, SB 4, HB17, SB9, SB7, SB17, SB4, SB2, SB5, SB10

Keywords: disaster relief, flood preparedness, emergency funding, local government support, meteorological forecasting, property tax, school funding, enrollment changes, inflation adjustment, tax rate notice, school assessment, public education, accountability, transparency, education standards, STAAR, Texas Education Agency, TEA, public school accountability, school ratings

Transcript Highlights:

• Grant us steady minds, humble hearts, and clear vision to discern what is right and just.
• We're going straight to the heart of it.
• Those lost in this tragedy will live forever in our hearts and minds.
• Members, I rise today with a heavy heart but also with this profound sense of responsibility.
• Hannah's heart was enormous.

Bills: SB 9, SB 7, SB 17, SB 4, SB 1, HB4, HB4, SB9, SB7, SB17, SB4, SB1, SB2, SB5

Keywords: 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, through-year assessment, diagnostic reports, college career military readiness, CCMR, local accountability plans

Bills: SB 9, SB 7, SB 17, SB 4, SB 1, HB4, HB4, SB9, SB7, SB17, SB4, SB1, SB2, SB5

Keywords: 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, through-year assessment, diagnostic reports, college career military readiness, CCMR, local accountability plans

Transcript Highlights:

• efforts here, and I want to ask, are you aware that ivermectin is now... being used for Alzheimer's disease
• It was developed to treat parasitic diseases.
• How many Texans do you think are suffering from parasitic disease?
• What is the incidence and prevalence of that disease in Texas?
• to treat their parasitic disease.

Bills: HB25, HB48, HB149, HB254, HB26, HB192, HCR3, HCR4, HCR5, HCR6, HCR8, HCR14, HCR16, HR1, HR2, HR3, HR4, HR6, HR7, HR8, HR9, HR12, HR11, HR13, HR14, HR15, HR16, HR20, HR22, HR23, HR24, HR25, HR26, HR27, HR28, HR29, HR30, HR31, HR32, HR33, HR45, HR48, HR49, HR51, HR52, HR55, HR56, HR57, HR59, HR60, HR61, HR62, HR63, HR64, HR65, HR66, HR70, HR71, HR72, HR74, HCR2, HCR7, HR10, HR21, HR35, HR36, HR37, HR38, HR39, HR40, HR42, HR43, HR44, HR46, HR47, HR50, HR53, HR54, HR67, HR69, HR75, HCR 5, HCR 6, HCR 8, HCR 14, HCR 16, HR 1, HR 3, HR 4, HR 6, HR 7, HR 8, HR 9, HR 12, HR 11, HR 13, HR 14, HR 15, HR 16, HR 20, HR 22, HR 23, HR 24, HR 25, HR 26, HR 27, HR 28, HR 29, HR 30, HR 31, HR 32, HR 33, HR 45, HR 48, HR 49, HR 51, HR 52, HR 55, HR 56, HR 57, HR 59, HR 60, HR 61, HR 62, HR 63, HR 64, HR 65, HR 66, HR 70, HR 71, HR 72, HR 74, HCR 7, HR 10, HR 21, HR 35, HR 36, HR 37, HR 38, HR 39, HR 40, HR 42, HR 43, HR 44, HR 46, HR 47, HR 50, HR 53, HR 54, HR 67, HR 69, HB 25, HB 48, HB 149, HB 254, HB 26, HB 192

Keywords: ivermectin, pharmacist authority, prescription-free, healthcare regulation, patient access, HB 48, Texas alert notification systems, emergency alerts, public warning systems, alert fatigue, notification fatigue, Texas Division of Emergency Management, Department of Public Safety, DPS alerts, emergency management, State of Texas Emergency Assistance Registry, STEAR, disaster notifications, weather alerts, Amber Alert

Transcript Highlights:

• </c><00:54:04.640><c> of</c><00:54:04.800><c> this</c><00:54:05.040><c> the</c> feel that on the heart
• I'm with the Disease Outbreak Control Division in the Department of Health.
• I'm with the disease out control Tan.
• I'm with the disease out control division<01:00:52.319><c> in</c><01:00:52.640><c> the</c><01:00:52.720
• </c> noticed that she was having disease noticed that she was having disease spells<01:29:33.679><c>

Bills: HB1853, HB1591, HB1961, HB1854, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115

Keywords: HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health, dementia screening, care coordination, referral network, neighbor islands, rural health

Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.

Bills: HR207, SB2595, SB3199, SB3132, SB2591, SB2089, SB2108, SB2970, SB2530, SB2442, SB3076, SB2532, SB2721, SB2055, SB2312, SB2152, SB2438, SB2982, SB2528, SB2919, SB2446, SB2315, SB2544, SB2060, SB2069, SB3011, SB2342, SB2075, SB2578, SB2580, SB2835, SB3084, SB3322, SB3053, SB888, SB709

Keywords: Dr. David Lassner, higher education, community engagement, university leadership, innovation, Hawaii education system, agribusiness, leasing, agriculture, Hawaii, food innovation, Department of Education, mental health, emerging therapies, psychedelic treatment, task force, clinical trials, trauma recovery, MDMA, psilocybin

Bills: HR207, SB2595, SB3199, SB3132, SB2591, SB2089, SB2108, SB2970, SB2530, SB2442, SB3076, SB2532, SB2721, SB2055, SB2312, SB2152, SB2438, SB2982, SB2528, SB2919, SB2446, SB2315, SB2544, SB2060, SB2069, SB3011, SB2342, SB2075, SB2578, SB2580, SB2835, SB3084, SB3322, SB3053, SB888, SB709

Keywords: Dr. David Lassner, higher education, community engagement, university leadership, innovation, Hawaii education system, agribusiness, leasing, agriculture, Hawaii, food innovation, Department of Education, mental health, emerging therapies, psychedelic treatment, task force, clinical trials, trauma recovery, MDMA, psilocybin

Transcript Highlights:

• “But on September 26th last year, I had a heart attack.

Bills: SCR54, SCR59, HCR5, HCR62, HCR78, HCR86, HB595, HB688, HB802, HB841, HB1161, HB1171, HB1189, HB1248, HB1258

Keywords: Mississippi River Basin, fishery commission, invasive species, sustainability, economic impact, red drum, fishing regulations, tournament permits, wildlife management, recreational fishing, flood management, FEMA, floodplain maps, environmental risks, Louisiana, flood insurance, risk assessment, community planning, seafood, commercial fishing