Transcript Highlights:

• 1645 establishes rules and best practices for the Oklahoma Healthcare Authority when they conduct audits
• Senate Bill 1383 cleans up language related to the healthcare authority's diabetes management education

Bills: SB1423, SB1426, SB1502, SB1377, SB1983, SB1466, SB1645, SB1647, SB1847, SB1565, SB1562, SB1329, SB1383, SB1833, SB1555, SB1344

Keywords: Oklahoma Hospital Advisory Council, hospital licensure, public health, State Department of Health, State Board of Health, hospital regulations, healthcare regulation, hospital standards, hospital construction, hospital operations, stroke care, stroke system, emergency medical services, EMS transport, psychiatric treatment, chemical dependency treatment, substance use disorder, drug storage, pharmacy, quality indicators

Transcript Highlights:

• mention is that IOP and PHP are currently value-added services in Star Health, which is the Medicaid-managed
• added this definition for the intensive behavioral therapy and allows HHSC to conduct utilization management
• I will tell you that I think there's a problem that many of the pharmacy benefit managers that are in
• We've worked with these healthcare providers to develop training in obesity management for them.
• Managed stores, 5.5% non-profit managed stores, and 5.5% local retailers. A lot of different ways.

Bills: HB231, HB231, HB475, HB488, HB632, HB821, HB1786, HB1955, HB2036, HB2060, HB2659, HB2677

Keywords: HB 231, Texas Water Code, TCEQ, permit exemption, dam, reservoir, erosion control, flood control, floodwater control, sediment control, watershed protection, Natural Resources Conservation Service, NRCS, Watershed Protection and Flood Prevention Act, local sponsor, water appropriation, small dam, water diversion, maintenance, rehabilitation

Transcript Highlights:

• Mental health care, friends, in the real world, you know, out in the managed care space and adult care
• For adults and for folks in managed care and out there in the insurance world, there are several steps
• So I actually think this saves HHSC a tremendous amount of money over time, and I know that the managed
• The fact that managed care is capitated means we are paying the same amount regardless.

Bills: HB231, HB475, HB488, HB632, HB821, HB1786, HB1955, HB2036, HB2060, HB2659, HB2677, HB231

Keywords: food access, food deserts, communities of color, health disparities, socioeconomic impact, nutritious food, health effects, socioeconomic disparities, legislative recommendations, nutrition, access to food, Medicaid, multisystemic therapy, healthcare, reimbursement, mental health services, education, funding, local control, school system

Transcript Highlights:

• are doing endangered species management are doing endangered species management work. work. work
• managed retreat. managed retreat.
• , dune restoration, sediment management, dune restoration, sediment management, and<00:56:52.800>
• <01:09:02.839> of my current position is a manager of my current position is a manager of
• on the commission of water management. on the commission of water management.

Bills: SB3253, SB2401, SB3169, SB17, SB3014, SB3032, SB1432, SB2002, SB2972, SB3247

Keywords: conservation, endangered species, wildlife preservation, native birds, biodiversity, sanctuary, nonprofit, DLNR, agricultural district, land use, chapter 195D, chapter 205, chapter 42F, state funding, public purpose, habitat restoration, predator-free sanctuary, ecosystem restoration, Zealandia, wildlife refuge

Summary: The Committee on Water and Land heard testimony on SB 5253 SD2 relating to conservation and SB 2401 relating to regional shoreline mitigation district, with the chair emphasizing short testimony limits and the need to finish before session. On SB 5253, DLNR said it stood on its written testimony and answered questions about the bill’s proposed nonprofit endangered species sanctuary. Members asked whether existing entities or agreements, such as land trusts, private landowners, and DLNR safe harbor agreements, could accomplish similar conservation goals without creating a new entity. DLNR said similar work already exists, but it was not aware of a comparable sanctuary model in the state. A member also questioned language suggesting for-profit businesses in the sanctuary, and DLNR said the intent appeared to be sales of outreach or similar materials, though it agreed that such activities could be handled by a nonprofit. The bulk of the hearing focused on SB 2401, which would create a regional shoreline adaptation/mitigation framework. The Department of the Attorney General said it had concerns about inconsistent use of the terms “mitigation” and “adaptation,” warning of possible title-subject issues. DLNR said it was neutral on the terminology and more concerned with the substance, and noted that the bill would not waive permits; any plan would still require environmental review and applicable state and county permits. DLNR also supported OHA’s recommendation to consider impacts on Native Hawaiian traditional and customary practices during regional planning, and said the bill’s language on temporary shoreline protection measures could help address the gap between emergency permits and longer-term planning while avoiding a hardening-only approach. The Office of Planning supported the regional planning concept but noted it is not a regulatory agency and would need to work with DLNR and the Land Board. OHA supported the bill’s planning-based approach but recommended amendments to require assessment of impacts on Native Hawaiian traditional and customary practices during plan development and to clarify that environmental review would still apply at the project level. Testifiers from the Ka‘anapali Steering Committee strongly supported the bill, saying it would provide a regional framework for ongoing erosion problems while preserving full regulatory authority and normal permitting, and they proposed amendments to standardize terminology, create a limited pathway for temporary shoreline protection, and address ownership and maintenance responsibilities. Members discussed the meaning of “mitigation” versus “adaptation,” the scope of shoreline hardening, and whether the bill would help the legislature take a broader, more holistic view of shoreline decisions. No votes or final actions were taken in the portion of the hearing provided.

Bills: HB198, HB303, HB1535, HB2742, HB3305, HB3348, HB3505, HB3711, HB4753, HB2715, HB21, HB30

Keywords: HB 198, Wade Cannon Act, firefighter cancer screening, occupational cancer screening, fire protection personnel, local government, political subdivision, Texas Commission on Fire Protection, National Fire Protection Association, NFPA standards, occupational medical examination, public safety, firefighter health, cancer prevention, annual health screening, confidential medical exam, pulmonary function test, electrocardiogram, chest x-ray, blood test

Summary: The Committee on Local Government heard and discussed a series of House bills dealing with municipal structure, tax payment timing, local provider participation funds, firefighter cancer screenings, sunset review of the Trinity River Authority, replacement certificates of occupancy, and open meetings enforcement. HB 303 would remove the 501-resident floor so very small type A and B municipalities can convert to type C cities; HB 2742 would give property owners a later first split-payment deadline when tax bills are mailed after November 30; HB 3305 and HB 3348 were local provider participation fund measures with committee substitutes; HB 198 would require political subdivisions to offer occupational cancer screenings for firefighters; HB 1535 was a sunset bill for the Trinity River Authority; HB 4753 would allow a municipality-issued proof of a certificate of occupancy to substitute for a lost original; and HB 3711 would treat certain Open Meetings Act violations as offenses against public administration and require public explanation when prosecutors decline to act. Testimony was generally supportive or limited, with several witnesses and senators emphasizing practical fixes, firefighter health and cost savings, local government transparency, and administrative cleanup. For HB 198, firefighter representatives gave emotional testimony about cancer deaths and the value of early screening. On HB 3711, a witness supported the bill but urged stronger enforcement and broader application. Several senators raised policy concerns on HB 2715 about routing removal proceedings through a regional presiding judge rather than the local county, arguing it could politicize the process. The committee took no public testimony on most bills and repeatedly left them pending subject to call of the chair before later voting them out. HB 21, HB 30, HB 1535, HB 1520, HB 198, HB 303, HB 2742, and HB 4753 were reported to the full Senate, generally by unanimous or near-unanimous votes, and several were also recommended for the local and uncontested calendar. HB 30 passed on a 5-1 vote, while the other reported bills were approved unanimously or with no recorded opposition. The committee then recessed subject to the call of the chair.

Transcript Highlights:

• affirming that states can act to protect local businesses and their patients from pharmacy benefit managers
• This means that absent a new approach, these areas will remain under. state management and will face
• There was no manager in the office, they were just gone. This was a vacant property.
• Rescue Services in Missouri City, Texas, and we not only provide fire and EMS. services, but we also manage
• and house an emergency operations center for our emergency management.

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• had four different case workers over a period of four months, resulting in their case being poorly managed
• cancer patients are forced to fill their medications through their insurance-aligned pharmacy benefit manager
• Managing this complexity of the system, of forced stewardship, is a difficult burden to bear.
• General's recent opinion, KP 0480, confirming that Texas has the authority to regulate pharmacy benefit managers
• And I don't think it's saving us money, but for the fact that they are a benefit manager.

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• our care of 4 different caseworkers over a period of 4 months, resulting in their case being poorly managed
• Cancer patients are forced to fill their medications through their insurance aligned pharmacy benefit manager
• Um, managing this complexity of the system. And a forced steerage is a difficult burden to bear.
• But for the fact That they are a benefit manager.

Bills: SB 502, SB 513, SB 622, SB 670, SB 731, SB 732, SB 916, SB 961, SB 1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• So they will still be audited 500,000.
• So rewards you for having clean audits.
• if an entity has a couple clean audits if an entity has a couple clean audits in<00:28:01.560>
• The cost of audit.
• > what<00:59:50.080> we We cannot effectively manage what we We cannot effectively manage

Bills: SB141, SB124, SB56, SJR116, SB94, SB37, SB127, SB197, SB66, SB70, SB133, SB160, SB214, SB312, SB52, SJR62, SJR75

Keywords: legal advertisements, tax rates, public hearings, transparency, local government, sick leave, education, teacher retirement, benefits, employee compensation, Medicaid, nonopioid analgesics, pain management, health care regulation, utilization controls, physician shortage, health care access, medically underserved areas, medical education, workforce development

Bills: SB141, SB124, SB56, SJR116, SB94, SB37, SB127, SB197, SB66, SB70, SB133, SB160, SB214, SB312, SB52, SJR62, SJR75

Keywords: legal advertisements, tax rates, public hearings, transparency, local government, sick leave, education, teacher retirement, benefits, employee compensation, Medicaid, nonopioid analgesics, pain management, health care regulation, utilization controls, physician shortage, health care access, medically underserved areas, medical education, workforce development

Bills: SB141, SB124, SB56, SJR116, SB94, SB37, SB127, SB197, SB66, SB70, SB133, SB160, SB214, SB312, SB52, SJR62, SJR75

Keywords: legal advertisements, tax rates, public hearings, transparency, local government, sick leave, education, teacher retirement, benefits, employee compensation, Medicaid, nonopioid analgesics, pain management, health care regulation, utilization controls, physician shortage, health care access, medically underserved areas, medical education, workforce development

Bills: HB288, HB403, HB420, HB783, HB815, HB915, HB927, HB933, HB944, HB962, HB971, HR74, SCR3, SCR20, SB5, SB34, SB37, SB190, SB255, SB270, SB273, SB314, SB415

Keywords: medical terminology, documentation, miscarriage, spontaneous abortion, healthcare, medical records, billing, homemade food, food safety, small business, exemption, regulation, Department of Children and Family Services, background checks, child welfare, employee screening, safety regulations, criminal history, non-lactational dairy, labeling requirements

Transcript Highlights:

• For instance, whenever there's a property management company and there's a realtors that they're also
• Moving on to SB 2047 SD2 HD1 relating to pharmacy benefit managers. a a property management company a
• <00:32:48.520> care including Medicaid managed care including Medicaid managed care programs
• Moving on to SB 247 SD2 HD1 relating to pharmacy benefit managers.
• Uh Chair's recommendation is managers.

Bills: SB2433, SB2047, SB2425, SB3045, SB2761, SB3001, SB2852, SB2471

Keywords: condominium governance, education trust fund, unit owners, real estate, dispute resolution, financial obligations, community representation, pharmacy benefit managers, maximum allowable cost, transparency, drug pricing, insurance commissioner, contracting pharmacies, healthcare, substance use disorder, SUD, addiction treatment, behavioral health, mental health, rehabilitation

Summary: The committee heard testimony on SB 2433 SD1 relating to condominiums, which would direct the condominium education trust fund toward educational resources for unit owners and require the Real Estate Commission to ensure owners’ interests are represented in funded activities and related rulemaking. Supporters, including the Hawaii Real Estate Commission and a condominium owner advocate, said owners need a seat at the table in condo governance and education efforts. Committee discussion focused on whether the bill was necessary, with the Real Estate Commission indicating it could already use the trust fund for owner education and that owners are already considered stakeholders, though not through a specific commission seat. No vote was taken during the excerpted discussion. The committee then took up SB 2047 SD2 HD1 on pharmacy benefit managers, which would set requirements for maximum allowable cost reimbursement, allow reverse-and-rebill claims after successful appeals, and authorize fines for violations. The Insurance Division offered comments, the Hawaii Pharmacists Association supported the measure with amendments and suggested future PBM reform funding, and Kaiser Permanente requested a technical amendment. A committee question raised whether the staffing and resource request for implementation was too large for a bill focused only on MAC pricing, and the witness said he would provide more data to the next committee. No final action was shown. Next was SB 2425 SD2 HD1 on health insurance and substance use disorder treatment, requiring insurers to honor written assignments of benefits to SUD providers and prohibiting anti-assignment clauses. Supporters described patients being unable to access treatment because of high out-of-pocket costs and said direct payment would reduce harm for people in recovery. HMSA opposed the bill but said it would begin direct payments to non-participating SUD facilities effective March 27, while continuing to object to the assignment-of-benefits portion because of fraud and balance-billing concerns; the Hawaii Association of Health Plans also opposed. Members questioned HMSA about reimbursement mechanics and why the bill was needed if coverage policies were already changing. Finally, the committee heard SB 3045 SD1 HD1, which would require coverage of continuous glucose monitors and related supplies, including for Medicaid managed care, under certain conditions. DHS and the Insurance Division offered comments, while SHPDA, Hilo Benioff Medical Center Foundation, and others supported the bill, citing inconsistent access and a case in which a woman allegedly died after being denied a CGM. HMSA said it already covers medically necessary CGMs and had updated its policy in 2025 for type 1 and insulin-dependent patients, but it raised concerns about expanding mandated coverage to type 2 and gestational diabetes and about supply impacts. The committee also discussed whether the bill duplicated existing coverage standards and why it had been introduced repeatedly. No votes or final dispositions were included in the excerpt.

Transcript Highlights:

• I managed the cost, but not all can.
• I<01:15:01.800> managed<01:15:02.120> the<01:15:02.200> cost,<01:15:02.920> but
• I managed the cost, but not all can. I managed the cost, but not all can.

Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Transcript Highlights:

• And so case management, care coordination, is often a common profession within behavioral health.
• <00:47:14.160> And<00:47:14.319> so<00:47:14.800> car management as an example
• And so car management as an example.
• And so car case<00:47:15.520> management<00:47:16.480> uh<00:47:16.880> care<00:
• 47:17.200> coordination<00:47:18.640> um case management uh care coordination um case management

Bills: SB2421, SB2690, SB3103, SB3137, SB3164, SB3206, SB2933, SB3133, SB3315

Keywords: cannabis, marijuana, Hawaii Cannabis Law, legalization, decriminalization, adult use, hemp, taxation, social equity, public health, primary care, health insurance, health carrier, insurance commissioner, Med-QUEST, Medicaid managed care, provider reimbursement, downcoding, prior authorization, utilization review

Summary: The committee heard testimony on several health-related bills. HB 1864, which would require health insurance coverage for standard fertility preservation services for people undergoing medically necessary treatment, drew broad support from SHIPA, the Department of Health, HMSA, the Hawaii Association of Health Plans, and others. Testifiers emphasized that fertility preservation is routine coverage on the mainland and important for patients facing infertility from cancer or other treatment; one patient described incurring more than $20,000 in costs. The Insurance Division flagged possible Affordable Care Act issues, a potential conflict in the bill’s language about using patient history to determine limits, and a mismatch with state medical-necessity standards. Committee discussion also focused on whether the bill should apply to all women of childbearing age rather than a narrower age-based category. HB 2305 would require nutrition and metabolic education as part of physicians’ continuing medical education. The Hawaii Medical Board opposed the measure, arguing that CME should remain flexible and tailored to each physician’s specialty and warning that topic-specific mandates can expand over time. The Office of the Governor supported the bill, saying it would help the state’s rural health transformation application and could improve federal funding prospects, though the exact impact was unclear. Members questioned whether nutrition is already covered in medical training and whether the requirement should be limited to primary care physicians; the board said Hawaii currently has no topic-specific CME mandates and that physicians can already choose relevant courses. The committee also heard strong support for HB 1597, which would establish an Alzheimer’s disease research center at the University of Hawaii. Supporters from the university, the Alzheimer’s Association, AARP, and others said the center could attract federal research dollars, expand clinical trials, and help address the state’s high Alzheimer’s-related health costs. HB 2159, which appropriates funds for health care workforce development, also received broad support from the University of Hawaii, health systems, and advocacy groups, with no opposition noted. Finally, HB 2121, which would prohibit the sale and distribution of disposable electronic smoking devices, drew support from the Department of Health, youth advocates, and public health groups citing youth addiction, environmental waste, and fire hazards; the department said a separate bill, HB 1573, would be more comprehensive and better defined for enforcement and penalties. The committee ended with HB 1913, creating a veteran services mental health coordinator position at Tripler Army Medical Center, which was supported by veteran services officials and others who said veterans need better navigation and coordination for behavioral health care.

Transcript Highlights:

• This is Senator Johnson's bill about tracking suicide attempts by children in its managing conservatorship
• We had a father, for example, that had been ordered into anger management, and when he asked too many
• questions, his anger management person got angry with him and kicked him out.

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

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

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:

• going to administer rural hospital systems and give them a practical on-hands approach of how they manage
• Our managed Medicaid reimbursement was also $1.1 million.
• Our managed Medicaid reimbursement was also $1.1 million.
• We're managed.
• We're not owned by Methodist, but we have a management agreement, which essentially means me and the

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

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.

Transcript Highlights:

• I guess with the sheriff's department which will be Have to be audited at least once a year. Yes.
• We are audited by the otter the county auditor audits, and also I think it's important to note that there's
• I guess the County Commissioners' Court, if they so wish, can audit more often.
• To the managed sign council provisions.
• Certainly, if any citizen's accused of an IRS tax audit, the IRS doesn't demand their tax. audit defense

Bills: SB330, SB663, SB1020, SB1152, SB1164, SB1896, SB2111, SB2196, SB2383, SB2581, SB2797, SB2798, SB2371

Keywords: county funding, prosecutors' offices, elections, law enforcement, local government, community supervision, budget approval, corrections department, strategic plan, judicial oversight, SB 1020, Texas, personal bond office, pretrial release, electronic monitoring, GPS monitoring, global positioning system, bond conditions, probation, parole

Transcript Highlights:

• I guess the county commissioner's court, they, so wish, can audit more often than that?
• I'm Jim Bethke, the Executive Director of the Bexar County Managed Assigned Counsel Program.
• I'm here in reference to the managed assigned counsel provisions. There's a number of them.
• I'm here in reference to the managed assigned counsel provisions. There's a number of them.
• Certainly, if any citizens accused of an IRS tax audit, the IRS doesn't demand their tax audit defense

Bills: SB330, SB663, SB1020, SB1152, SB1164, SB1896, SB2111, SB2196, SB2383, SB2581, SB2797, SB2798, SB2371

Keywords: county funding, prosecutors' offices, elections, law enforcement, local government, community supervision, budget approval, corrections department, strategic plan, judicial oversight, SB 1020, Texas, personal bond office, pretrial release, electronic monitoring, GPS monitoring, global positioning system, bond conditions, probation, parole

Summary: The committee heard several criminal justice bills, with testimony largely focused on public safety, court procedures, and local criminal justice administration. SB 2371 would expand mandatory skimmer-reporting requirements from gas pumps to ATMs, point-of-sale systems, and virtual currency kiosks, with the Texas Financial Crimes Intelligence Center saying centralized reporting would improve investigations, preserve evidence, and help identify organized criminal groups. SB 2581 would repeal a special law governing commissary funds in certain large counties; the sponsor and the Sheriff’s Association said it would restore parity with other counties while keeping spending subject to audit and inmate-benefit limits. Both bills were laid out and left pending after testimony, with no public witnesses opposing them at the hearing. The committee also heard SB 330, which would require voter approval before counties over a certain size reduce prosecutor funding, similar to an existing law for law enforcement budgets. Supporters argued prosecutors are essential to public safety and need stable funding, while an opponent from the Texas Civil Rights Project said the bill would restrict local budget flexibility and impose costly elections. SB 663 would remove district judges’ approval role for community supervision and corrections department budgets, replacing it with judge review after TDCJ-CJAD approval; probation officials said the change would reduce delays and confusion without reducing judicial oversight. SB 1020 would require more immediate sharing of ankle-monitor violation information and clarify that such records are not judicial work product; the Harris County DA’s office and Crime Stoppers supported it, citing inconsistent local practices and delays that can hinder prosecutions. The committee then took up SB 1164 on emergency detention and court-ordered mental health services. The bill, from the Texas Judicial Commission on Mental Health, would update emergency detention forms, clarify officer duties, allow filings in the county where a person is apprehended or located, and add a factor related to a person’s inability to recognize symptoms or appreciate treatment risks. Supporters included family members, law enforcement, and mental health and judicial witnesses who described cases where earlier intervention might have prevented tragedy; opponents warned the broader language could be misused and emphasized due process and the need for dangerousness to remain the standard. SB 2111 on indigent defense would expand access to counsel at first hearings, strengthen managed assigned counsel programs, create internships and fellowships, and adjust other defense-related procedures; the Texas Indigent Defense Commission and county defense program leaders supported it, while the committee substitute removed some provisions to reduce fiscal impact. Finally, SB 2383 would let recently retired DPS officers return to work in limited roles to help address staffing shortages, and SB 2797 would create reciprocal discovery requirements for criminal cases; prosecutors and some committee members said it would reduce trial surprise and improve truth-seeking, while others questioned whether the bill fully matched the state’s disclosure obligations and whether it could burden defense rights. Several bills were left pending after testimony, and the committee established a quorum later in the hearing.

Transcript Highlights:

• If someone is managing... that set of symptoms on their own and self-medicating, and that becomes substance
• publish that data, then you can go back to the FDA and broaden the indications for use to be the management
• I no longer needed the seven medications I was on to manage my symptoms.
• On December 14th, 1995, the FDA approved Purdue Pharma's OxyContin for the management of moderate to

Bills: HB 44, HB 2200, HB 1612, HB 2747, HB 2038, HB 3717, HB 1431, HB 3800, HB 3801, HB 3560, HB 3246

Keywords: HB 44, Life of the Mother Act, abortion exceptions, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, miscarriage, spontaneous abortion, fetal survival, Texas abortion law, abortion ban, physician liability, health care provider, disciplinary action, aiding and abetting, emergency abortion, obstetric care

Summary: The meeting of the public health committee focused on the pressing issue of opioid addiction in Texas, with a particular emphasis on House Bill 3717. Chairman Harris detailed the bill's intent to fund a grant program for Ibogaine clinical trials, framing it as a critical response to the ongoing opioid crisis. He shared poignant testimonies highlighting the struggles of families and veterans battling addiction and mental health issues. The conversation underscored the necessity of innovative treatments, like Ibogaine, which showed promising results in studies for reducing symptoms of withdrawal and PTSD.