Transcript Highlights:

• And I'll just remind everybody that, you know, you may not live in an area that is serviced by a rural
• And I'll just remind everybody that, you know, you may not live in an area that is serviced by a rural
• Houston, most of your physicians live where? Most of your physicians live where?
• in more places, we have prevention services, in-home services, a problem.
• We have more services, in more places, we have prevention services, in-home services, a plethora of laws

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 The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending.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:

• And thank you for offering your time and service.
• But it comes at a cost to the service to the constituents to work remotely.
• And people I believe want, they want a live person on the end of the phone.
• Abilities that are essential to the service on the Personnel Board.
• You live in Rio Rancho, right? Yes, yes.

Bills: SM13, SM14

Keywords: land grant, Las Vegas, governance, self-governance, judicial management, forced sterilization, coerced sterilization, Indigenous women, Native American women, women of color, reproductive justice, reproductive sovereignty, truth and reconciliation commission, memorial, trauma-informed care, reparative justice, human rights, bodily autonomy, Indian Health Service, Indian affairs

Transcript Highlights:

• Welcome to the second session of the 60th legislature for Health and Human Services.
• In fact, I know that this is something that's already being done with child protective services that
• a Senator Peugh bill at a time when we had memory care units holding themselves out as providing services
• The report shall summarize the services rendered under the TMAh model, detailed financial information
• It requires money to be spent on nutritional support services.

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:

• Welcome to the second session of the 60th Legislature for Health and Human Services.
• In fact, I know that this is something that's already being done with Child Protective Services, that
• The report shall summarize the services rendered under the TMAAH model. ...model.
• The report shall summarize the services rendered under the TMAAH model, detail financial information,
• Members, Senate Bill 1833 directs the Department of Human Services to apply for the SNAP waiver.

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

Summary: The Health and Human Services committee met and advanced a series of Senate bills, beginning with SB 1423, which repeals the Hospital Advisory Council because of repeated quorum and appointment problems; members discussed whether the council could instead be restructured, but the bill passed 9-1. SB 1426 changed vulnerable adult abuse reporting so only substantiated findings are reported, and SB 1502 repealed the Long-Term Care Advisory Council after it completed its original task; both passed unanimously. The committee also approved SB 1377 to provide duffel bags for children entering foster care and SB 1983 to support resource family partners and improve foster care/adoption outcomes, both by unanimous votes. Members then passed SB 1466, which extends the sunset on the advisory committee on midwifery after adopting an amendment changing the extension date; SB 1645, which sets rules and best practices for OHCA audits of medical providers; SB 1647, which allows up to $1 million from the County Community Safety Investment Fund to support evidence-based pretrial diversion programs through the Indigent Defense System; and SB 1847, which lets certain Advantage Waiver Medicaid recipients with cognitive impairment remain in assisted living and age in place. The committee also approved SB 1565, establishing the framework for Oklahoma to receive federal Transforming Maternal Health Model grant funds, after adding a reporting amendment requiring a final report to state leaders. Additional bills passed included SB 1562, described as an anti-poaching measure for hospice patients that holds hospices responsible for contractor conduct; SB 1329, requiring postpartum mental health screening during Medicaid-covered visits within a year after birth; SB 1383, a technical cleanup to the diabetes self-management education program; SB 1833, directing DHS to apply for a SNAP waiver to restrict certain purchases such as candy and soft drinks; and SB 1555, updating the statutory definition of intellectual disability to align with federal and Social Security standards. The final measure, SB 1344, created an insulin access and affordability program at the State Department of Health to expand low-cost insulin access and competition; it drew discussion about funding, pricing, and the nonprofit partner involved, and passed 9-2. The committee adjourned after the chair noted more double-assigned bills would be heard the following week.

Transcript Highlights:

• The Senate Committee on Health and Human Services will come to order.
• And for assisted living facilities, there is a substantial number of assisted living facilities with
• Senate Bill 1524 prohibits Health and Human Services, the Department of Family and Protective Services
• or mental health services.
• The bill will help those who have received gender transition procedures and those who wish to de-transition

Bills: SB397, SB481, SB596, SB760, SB855, SB1195, SB1196, SB1233, SB1257, SB1318, SB1368, SB1388, SB1398, SB1524, SB1558, SB1589, SB1677, SB1792, SB2034

Keywords: SB 397, telemedicine, telehealth, teledentistry, remote care, virtual care, consent documentation, patient consent, data collection, data sharing, audio-only telehealth, in-person examination, irreversible medical procedure, health professional regulation, Occupations Code, Texas Health and Human Services, medical records, provider compliance, data privacy, consumer rights

Transcript Highlights:

• living services, as a stage of service in CBC.
• Services and provide foster care services such as Depelchin, Buckner, and Catholic Charities.
• Services Committee.
• We have both an assisted living license and an assisted living.
• to de-transition.

Bills: SB397, SB481, SB596, SB760, SB855, SB1195, SB1196, SB1233, SB1257, SB1318, SB1368, SB1388, SB1398, SB1524, SB1558, SB1589, SB1677, SB1792, SB2034

Keywords: SB 397, telemedicine, telehealth, teledentistry, remote care, virtual care, consent documentation, patient consent, data collection, data sharing, audio-only telehealth, in-person examination, irreversible medical procedure, health professional regulation, Occupations Code, Texas Health and Human Services, medical records, provider compliance, data privacy, consumer rights

Transcript Highlights:

• So we had... we saved so many lives, so many lives.
• , saving people's lives.
• While there is a recognized need to find residential living for individuals who can no longer live alone
• Living, assisted living, and skilled nursing.
• CCRCs are including new lines of service such as memory care, hospice, and home and community-based services

Bills: SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care

Transcript Highlights:

• </c> and faced grave threats to young lives. and faced grave threats to young lives.
• lives.
• It lives in him and in his stopped.
• </c> lives are forever altered. lives are forever altered.
• </c><01:09:43.199><c> services.

Bills: HF3668, HF2779, HF2771

Keywords: gun violence, public health, Department of Health, prevention, criminal justice, health care transparency, ownership disclosure, control reporting, health care consolidation, private equity, management services organization, MSO, provider organization, health insurer, pharmacy benefit manager, hospital system, affiliate reporting, financial disclosure, public reporting, market concentration

Transcript Highlights:

• It's a teacher who lives in Seattle, who is... ...a teacher who lives in Seattle, who is a master's-level
• Community-based violence intervention and prevention services; reentry services; agricultural and economic
• Washington deserves housing solutions that reflect the real lives of our great people who live here in
• Washington deserves housing solutions that reflect the real lives of our great people who live here in
• And we have members who believe that there are residential zones without appropriate services or transit

Bills: SB6069, SB6167, SB6201, SB6205, SB6001, SB6026, SB6054, SGA9278, SGA9279

Keywords: affordable housing, homelessness, homeless shelter, emergency shelter, emergency housing, supportive housing, permanent supportive housing, transitional housing, low-income housing, very low-income, extremely low-income, housing crisis, land use, zoning, local preemption, urban growth area, UGA, planning, development regulations, permitting

Transcript Highlights:

• People live 45 to 50 years with a successful transplant.
• That HB3269, I can stand here and tell you that it can save lives.
• I live in the Austin area.
• I go to the doctor, I eat well, and yet that was my lived experience.
• But if we can train people who live in those communities...

Bills: HB514, HB1652, HB2117, HB2298, HB3269, HB46, HB46

Keywords: maternal health, maternal care, pregnancy, labor and delivery, postpartum, doula, birth worker, midwife, obstetric care, women's health, rural health, health workforce, workforce development, trauma-informed care, public outreach campaign, health equity, minority health, underserved communities, Texas Department of State Health Services, HHSC

Transcript Highlights:

• in assisted living.
• in assisted living.
• in assisted living.
• in assisted living.
• living facility.

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

Keywords: epinephrine, healthcare, emergency response, administration, medical policy, health care, itemized billing, patient rights, provider regulations, Texas Health and Safety Code, cost disclosure, insurance, benefit plan, administrators, chemical dependency, treatment facilities, minor admissions, parental notice, mental health, medical licensing

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

Transcript Highlights:

• to individuals living in senior independent living facilities.
• Any and any portion or room in a building approved for assisted living services that is not actively
• Residents who live in these communities often have needs and services that go beyond traditional landlord-tenant
• I live in a continuing care retirement community, but I am in independent living.
• living facility options for our seniors who may not need or want these services, and we'll have to start

Bills: HB2299, HB2118, HB2236

Keywords: seniors, independent living, ombudsman, elderly support, continuing care retirement communities, common interest communities, restrictions, property rights, homeowners association, community governance, housing finance, affordable housing, housing commission, state agency, financial assistance, 904, all

Transcript Highlights:

• The Senate Committee on Health and Human Services will come to order.
• They've saved countless lives among law enforcement and...
• assisted living license.
• This is assisted living.
• I do live in Blanco, but I also live in Dallas part-time. So I'm a bit more familiar, but It is.

Bills: HB35, HB138, HB754, HB1314, HB1612, HB2254, HB2510, HB2789, HB3560, HB3597, HB4224, HB4273, HB4643, HB4783, HB138

Keywords: peer support, first responders, mental health, confidentiality, emergency services, health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, human trafficking, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting

Transcript Highlights:

• 1012.22 was rewritten more than a decade ago to emphasize performance pay and limit the role of cost-of-living
• very rigid statutory framework, but the law gives them too few tools to respond to rising costs, living
• It restores meaningful use of cost-of-living adjustments for educators with direct student contact.
• going to be a major blessing to school districts and all of those employees that were stuck in the transition
• Like biology, I discovered that in the classroom, but then service and, you know, humanitarian work was

Bills: S0920, S1036, S1216

Keywords: mathematics education, career pathways, applied algebra, college readiness, technical education, school counselors, educational standards, certification requirements, evaluation criteria, professional development, public school personnel, salary adjustment, performance salary schedule, cost-of-living adjustment, school administration

Summary: The Appropriations Committee on Pre-K-12 Education met with a quorum present and first temporarily postponed SB 920 on mathematics education. The committee then took up SB 1216 on public school personnel compensation, sponsored by Senator Rodriguez, which would give districts more flexibility in educator pay by restoring meaningful cost-of-living adjustments for teachers with direct student contact, allowing recognition of relevant advanced degrees, and removing rigid performance-pay caps. Several senators spoke in support, emphasizing teacher retention, compensation, and education as a state investment. The bill was reported favorably on a unanimous roll call vote. After a brief recess, the committee considered CS/SB 1036 on school counselors, sponsored by Senator Calatayud, to address counselor shortages by removing certification barriers tied to classroom teacher requirements. The sponsor and supporting testimony described recruitment and retention problems, high counselor-to-student ratios, and the need for counselors to focus on student academics, mental health, and college/career readiness rather than administrative duties. Public testimony came from students, educators, and school personnel who described limited access to counselors and the impact on student well-being and college planning. Committee members broadly supported the bill while noting that counselors are often overburdened and that additional support personnel, including BRACE advisors, may also need attention in the future. Senators also discussed broader efficiency measures and the need for schools and colleges to improve access to guidance services. CS/SB 1036 was reported favorably by unanimous vote. At the end of the meeting, members recorded their votes on the two bills, and the committee adjourned.

Transcript Highlights:

• A certificate of need is required for new tertiary health services if those services were not offered
• Elective percutaneous coronary interventions, or PCIs, are tertiary services subject to the certificate
• These are facilities that operate for the primary purpose of providing outpatient surgery services.
• of those living with diabetes and other serious conditions.
• of those living with diabetes and other serious conditions.

Bills: HB2545, HB2613, HB1496, HB2155, HB2283, HB2340, HB2425, HB2437, HB2577

Keywords: healthcare, patients, cardiovascular procedures, outpatient services, surgical facilities, HB2613, compounded medications, compounded drugs, pharmacy compounding, bulk drug substances, active pharmaceutical ingredients, API, drug safety, patient safety, pharmacy license, Washington pharmacy law, RCW 18.64, Food, Drug, and Cosmetic Act, FDA, pharmaceutical compounding

Transcript Highlights:

• Families evicted from living in filth.
• living categories.
• services.
• We need to be paid a living wage. Thank you. Thank you. We need to be paid a living wage.
• My understanding is they will use the services, or they can use their own services as they go, so they

Bills: SB1041, SB1050, SB1131, SB1138, SB1249, SB1267, SB1272, SB1317, SB1461, SB1488, SB1504, SB1517, SB1523, SB1580, SB1582, SB1584, SB1585, SB1602, SB1630, SB1654, SB1672, SB1673, SB1718, SB1761, SB1819, SB1826, SB1827

Keywords: electronic monitoring, nursing care, assisted living, resident rights, privacy, consent, surveillance, veterans, lifetime pass, state parks, Arizona, access, disabled veterans, cardiac arrest, defibrillators, school safety, emergency response, CPR training, Arizona education funding, automated license plate readers

Transcript Highlights:

• I live in Abilene, Texas.
• So they can make a really good choice for their lives and for their children's lives.
• I represent the residents who live in nursing homes. and assisted living facilities.
• in assisted living.
• there. assisted living.

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

Keywords: epinephrine, healthcare, emergency response, administration, medical policy, health care, itemized billing, patient rights, provider regulations, Texas Health and Safety Code, cost disclosure, insurance, benefit plan, administrators, chemical dependency, treatment facilities, minor admissions, parental notice, mental health, medical licensing

Transcript Highlights:

• The Senate Committee on Health and Human Services will come to order.
• Strangers poked and prodded his body like a live game of Operation.
• So, I just think after living through the sunset hearing.
• Thank you for your service. Thank you.
• Many residents are living in...

Bills: SB1406, SB1681, SB2480, SB2721

Keywords: body donation, medical science, forensic science, willed body program, informed consent, boarding home, boarding home facility, adult care home, group home, assisted living, county reporting, municipal reporting, annual report, reasonable accommodation, fair housing, disability accommodation, local ordinance, permit requirement, Texas Health and Human Services Commission, HHSC

Transcript Highlights:

• The Senate Committee on Health and Human Services will come to order.
• Strangers poked and prodded his body like a live game of Operation.
• , that couldn't afford that service.
• So I just think, after, Service.
• Thank you for your service.

Bills: SB1406, SB1681, SB2480, SB2721

Keywords: body donation, medical science, forensic science, willed body program, informed consent, boarding home, boarding home facility, adult care home, group home, assisted living, county reporting, municipal reporting, annual report, reasonable accommodation, fair housing, disability accommodation, local ordinance, permit requirement, Texas Health and Human Services Commission, HHSC

Summary: The committee first heard Senate Bill 2480, which would clarify that the Texas Medical Board may collect license renewal surcharge fees from all licensees to fund the Texas Physician Health Program and related administrative costs. The bill author explained the funding fix was needed after prior language was found to allow surcharges only for physicians and physician assistants. Witnesses from the Texas Physician Health Program supported the measure and described the program’s confidential monitoring and treatment services; members asked about the fee amount, which was described as capped at $15 per two-year registration cycle. The bill was left pending. The committee then took up Senate Bills 1406 and 2721, both authored by Senator Parker, addressing the handling of human remains by non-transplant anatomical donation organizations, willed body programs, and related facilities. Senator Parker and several witnesses described alleged abuses involving unclaimed bodies, consent problems, body leasing, hotel-based dissections, and mishandling of cremains, and argued for strict licensing, inspections, transparency, and criminal penalties. Supporters included families of deceased veterans and other relatives, a biomedical ethicist, the Texas Catholic Conference of Bishops, and some public safety and hotel industry representatives who said legitimate training should continue but bad actors should be shut down. Opponents or cautious witnesses from accredited donation organizations and bioskills labs said they support stronger oversight but warned the bills could unintentionally disrupt legitimate medical education and urged clearer language and implementation of existing law. Both bills were left pending. Senate Bill 1681, by Senator Menendez, would require counties and municipalities that regulate boarding homes to report facility standards and related information to the Health and Human Services Commission. The author said the bill is intended to improve state oversight of boarding homes that serve elderly and disabled residents and to address abuse, neglect, and exploitation. The bill was left pending after brief discussion. After the testimony portion, the committee returned to voting on pending business and unanimously reported Senate Bills 527, 912, 1580, 1952, and 2032 to the Senate with recommendations that they do pass and be printed, and each was also recommended for the local and uncontested calendar. The committee also adopted a committee substitute for Senate Bill 407 and reported the substitute favorably, with six ayes and three nays. The committee then moved on to Senate Bill 500 as pending business.

Transcript Highlights:

• services.
• However, one of those services is live presentations.
• Live presentations include any service where the focus is educational instruction, such as classes, lectures
• Additionally, sellers of such services would pay B&O tax under the services and other activities classification
• lives to defend the lives of all Americans and the freedoms that distinguish our nation.

Bills: SB5808, HB2254, HB2385, SB6006, SB6351, SB6198, SB6260, SB6353, SB5949, SB6129, SB6228, SB6231, SB6229, SB6173

Keywords: health insurance, premium assistance, funding, healthcare access, state budget, HB 2254, Washington, Health Care Authority, partnership access line, psychiatric consultation line, first approach skills training, behavioral health, mental health, assessment, administrative costs, health carriers, self-funded plans, multiple employer welfare arrangement, MEWA, employers