Transcript Highlights:

• Despite every effort, multiple surgeries, and countless treatments, my daughter passed away at the age

Transcript Highlights:

• My son, who was not gonna have a dental surgery until October.

Transcript Highlights:

• Surgery. Senator King moves suspension and regular order of business of SB 4. There is objection.

Summary: The Senate opened with a quorum call, invocation, and approval of the previous day’s journal, then observed a moment of silence after Senator Eckhardt referenced a mass shooting in Austin. The chamber also agreed to postpone reading and referral of bills until later in the day. Early procedural business included a motion not to print Senate Bill 3, which was adopted without objection. Later, Senator Mendez raised a parliamentary inquiry about moving flood relief bills to the top of the calendar, but the presiding officer said the order of business was up to the chair. The main floor action centered on Senate Bill 4, the congressional redistricting bill. Senator King laid out the bill, describing it as the companion to the House version, based on 2020 census data, and arguing it was legal, race-blind, more compact, and likely to elect more Republicans. Senators asked extensive questions about the process, public hearings, and the map’s effects on districts and communities. The Senate voted to suspend the regular order of business and the three-day rule, then passed SB 4 to engrossment and finally passed it, with the recorded votes showing 19 yeas and 2 nays. The Senate also took up Senate Bill 6, relating to abortion and civil liability for the manufacture and provision of abortion-inducing drugs. Senator Hughes argued the bill was needed to stop illegal abortion pills being mailed into Texas and harming women and unborn children. The Senate suspended the regular order of business and the three-day rule, passed the bill to engrossment, and then finally passed it, with the recorded votes showing 18 yeas, 10 nays, and one present not voting. A lengthy discussion followed on the committee substitute for Senate Bill 14, which would standardize law enforcement personnel and departmental files statewide. Senator King said the bill codifies a TCOLE model policy and limits public access to personnel files to substantiated misconduct, commendations, and evaluations, while keeping other records available through other legal processes. Senators Eckhardt, West, Hinojosa, and others questioned how the bill would affect transparency, meet-and-confer agreements, civilian review boards, and access to unsubstantiated complaints. An amendment by Senator Hinojosa of Dallas to narrow the bill to unfounded complaints failed, and SB 14 was then passed to engrossment on a vote of 18 yeas and 10 nays. The final major item was Senate Bill 1, the natural disaster omnibus bill responding to the July flooding. Senator Perry said the bill addresses camp and RV park safety, evacuation plans, emergency rooftop access, lines of succession for local emergency management, annual drills, volunteer management, drone restrictions over disaster areas, small-business recovery loans, and a statewide data hub for flood and weather monitoring. Senators Menendez, Eckhardt, and Kolkhorst asked about autopsies, volunteer background checks, liability, warning systems, floodplain mitigation, and coordination with FEMA and local governments. Perry said the bill focuses on preparation, response, and recovery, while broader prevention and mitigation issues may be addressed later. The transcript ends during this extended discussion, before final action on SB 1 is shown.

Transcript Highlights:

• Um, you know, open heart surgery or something like that.

Transcript Highlights:

• He is having surgery today for repairs to his shoulder and his body at Texas A&M Vet School, and I would

Keywords: 1184, house, all

Transcript Highlights:

• Pressing to Senator Creighton, God has been good to me and the open heart surgery. went well at the Mayo

Keywords: legislation, Senate Joint Resolution 40, Senate Bill 871, constitutional amendment, emergency powers, governor authority, legislative oversight

Summary: The meeting focused on several crucial pieces of legislation, notably Senate Joint Resolution 40, which proposed a constitutional amendment to clarify the powers of the governor, the legislature, and the Supreme Court during emergencies. Senator Birdwell presented the resolution, emphasizing the need for legislative involvement during prolonged crises. It garnered broad support, passing with 29 votes in favor and only 1 against. Following this, Senate Bill 871, considered the enabling legislation, was also moved for discussion, with the aim of reinforcing the legislature's authority during emergencies while establishing clear guidelines for the governor's powers.

Transcript Highlights:

• podiatry school in Texas. in the state of Texas, and plans to open a comprehensive academic cancer and surgery

Bills: SJR 12, SCR 39, SB 27, SB 29, SB 241, SB 406, SB 414, SB 464, SB 568, SB 578, SB 609, SB 660, SB 689, SB 693, SB 785, SB 857, SB 879, SB 921, SB 922, SB 955, SB 985, SB 993, SB 996, SB 1008, SB 1035, SB 1036, SB 1059, SB 1098, SB 1120, SB 1122, SB 1147, SB 1188, SB 1197, SB 1209, SB 1227, SB 1245, SB 1267, SB 1307, SB 1321, SB 1332, SB 1386, SB 1396, SB 1453, SB 1484, SB 1494, SB 1536, SB 1537, SB 1596, SB 1610, SB 1664, SB 1741, SB 1814, SB 1822, SB 1841, SB 1948, SB 2065, SB 2155, SB 2188, SB 2230, SB 2406, SB 2407, SJR 36, SJR 12, SJR 81, SJR 50, SCR 22, SCR 12, SCR 39, SB 406, SB 689, SB 765, SB 62, SB 666, SB 888, SB 687, SB 847, SB 1248, SB 504, SB 857, SB 305, SB 296, SB 284, SB 241, SB 304, SB 1023, SB 204, SB 609, SB 670, SB 850, SB 854, SB 413, SB 1346, SB 1033, SB 1220, SB 1073, SB 810, SB 1539, SB 447, SB 1119, SB 1505, SB 1215, SB 1302, SB 583, SB 673, SB 681, SB 1172, SB 955, SB 957, SB 1120, SB 541, SB 266, SB 1415, SB 53, SB 1352, SB 785, SB 1450, SB 1502, SB 1566, SB 414, SB 1062, SB 711, SB 746, SB 1404, SB 1448, SB 507, SB 1026, SB 1349, SB 1355, SB 1433, SB 1434, SB 1596, SB 1403, SB 667, SB 1059, SB 1567, SB 310, SB 311, SB 505, SB 1209, SB 1210, SB 1470, SB 264, SB 1029, SB 1358, SB 1364, SB 1569, SB 1376, SB 1228, SB 519, SB 1350, SB 462, SB 827, SB 1585, SB 1396, SB 1484, SB 1273, SB 1741, SB 927, SB 1227, SB 1229, SB 1353, SB 1464, SB 1709, SB 1729, SB 1733, SB 1744, SB 1772, SB 1841, SB 2188, SB 1147, SB 879, SB 1008, SB 1536, SB 2016, SB 1453, SB 1173, SB 1163, SB 996, SB 27, SB 568, SB 1370, SB 1321, SB 1101, SB 860, SB 993, SB 693, SB 1610, SB 1537, SB 1332, SB 1307, SB 963, SB 493, SB 922, SB 984, SB 619, SB 1098, SB 1122, SB 455, SB 522, SB 1057, SB 1239, SB 1254, SB 1255, SB 1259, SB 1341, SB 1664, SB 1877, SB 464, SB 1277, SB 32, SB 732, SB 660, SB 731, SB 921, SB 268, SB 1822, SB 1188, SB 1589, SB 397, SB 2230, SB 1058, SB 1036, SB 1267, SB 2112, SB 1930, SB 532, SB 1035, SB 2155, SB 508, SB 29, SB 292, SB 291, SB 901, SB 1333, SB 1436, SB 1494, SB 964, SB 779, SB 1378, SB 2312, SB 1719, SB 1386, SB 287, SB 2143, SB 1245, SB 261, SB 1247, SB 1948, SB 2406, SB 2407, SB 1882, SB 1197, SB 1814, SB 618, SB 38, SB 393, SB 2065, SB 1371, SB 1394, SB 1365, SB 2243, SB 2226, SB 2039, SB 1919, SB 1895, SB 1598, SB 1493, SB 1810, SB 1791, SB 1706, SB 1644, SB 1238, SB 783, SB 458, SB 22, SB 651, SB 897, SB 1809, SB 1080, SB 745, SB 826, SB 989, SB 1320, SB 1437, SB 2320, SB 2289, SB 1171, SB 664, SB 1637, SB 27, SB 29, SB 857, SB 879, SB 922, SB 1098, SB 1453, SB 1536, SB 1741, SB 2188, SB 2230, SB 406, SB 689, SJR 12, SR 358, SR 361, SR 362, SR 368, SJR 74, SJR 76, SB 2408, SB 2409, SB 2461, SB 2462, SB 2463, SB 2464, SB 2465, SB 2466, SB 2467, SB 2468, SB 2469, SB 2470, SB 2471, SB 2472, SB 2473, SB 2474, SB 2475, SB 2476, SB 2477, SB 2478, SB 2479, SB 2480, SB 2481, SB 2482, SB 2483, SB 2484, SB 2485, SB 2486, SB 2487, SB 2488, SB 2489, SB 2490, SB 2491, SB 2492, SB 2493, SB 2494, SB 2495, SB 2496, SB 2497, SB 2498, SB 2499, SB 2500, SB 2501, SB 2502, SB 2503, SB 2504, SB 2505, SB 2506, SB 2507, SB 2508, SB 2509, SB 2510, SB 2511, SB 2512, SB 2513, SB 2514, SB 2515, SB 2516, SB 2517, SB 2518, SB 2519, SB 2520, SB 2521, SB 2522, SB 2523, SB 2524, SB 2525, SB 2526, SB 2527, SB 2528, SB 2529, SB 2530, SB 2531, SB 2532, SB 2533, SB 2534, SB 2535, SB 2536, SB 2537, SB 2538, SB 2539, SB 2540, SB 2541, SB 2542, SB 2543, SB 2544, SB 2545, SB 2546, SB 2547, SB 2548, SB 2549, SB 2550, SB 2551, SB 2552, SB 2553, SB 2554, SB 2555, SB 2556, SB 2557, SB 2558, SB 2560, SB 2561, SB 2562, SB 2563, SB 2565, SB 2566, SB 2567, SB 2568, SB 2569, SB 2570, SB 2571, SB 2572, SB 2573, SB 2574, SB 2575, SB 2576, SB 2577, SB 2578, SB 2579, SB 2580, SB 2581, SB 2582, SB 2583, SB 2584, SB 2585, SB 2586, SB 2587, SB 2588, SB 2589, SB 2590, SB 2591, SB 2592, SB 2593, SB 2594, SB 2595, SB 2596, SB 2597, SB 2598, SB 2599, SB 2600, SB 2601, SB 2602, SB 2603, SB 2604, SB 2605, SB 2606, SB 2607, SB 2608, SB 2609, SB 2610, SB 2611, SB 2612, SB 2613, SB 2614, SB 2615, SB 2616, SB 2617, SB 2618, SB 2619, SB 2620, SB 2621, SB 2622, SB 2625, SB 2626, SB 2627, SB 2628, SB 2629, SB 2630, SB 2631, SB 2632, SB 2633, SB 2634, SB 2635, SB 2636, SB 2637, SB 2638, SB 2639, SB 2640, SB 2641, SB 2642, SB 2643, SB 2644, SB 2645, SB 2646, SB 2647, SB 2648, SB 2649, SB 2650, SB 2651, SB 2652, SB 2653, SB 2654, SB 2655, SB 2656, SB 2657, SB 2658, SB 2659, SB 2660, SB 2661, SB 2662, SB 2663, SB 2664, SB 2665, SB 2666, SB 2667, SB 2668, SB 2669, SB 2670, SB 2671, SB 2672, SB 2673, SB 2674, SB 2675, SB 2676, SB 2677, SB 2678, SB 2679, SB 2680, SB 2681, SB 2682, SB 2683, SB 2684, SB 2685, SB 2686, SB 2687, SB 2688, SB 2689, SB 2690, SB 2691, SB 2692, SB 2693, SB 2694, SB 2695, SB 2696, SB 2697, SB 2698, SB 2699, SB 2700, SB 2701, SB 2702, SB 2703, SB 2704, SB 2705, SB 2706, SB 2707, SB 2708, SB 2709, SB 2710, SB 2711, SB 2712, SB 2713, SB 2714, SB 2715, SB 2716, SB 2717, SB 2718, SB 2719, SB 2720, SB 2721, SB 2723, SB 2724, SB 2725, SB 2726, SB 2727, SB 2728, SB 2729, SB 2730, SB 2731, SB 2732, SB 2733, SB 2734, SB 2735, SB 2736, SB 2737, SB 2738, SB 2739, SB 2740, SB 2741, SB 2742, SB 2743, SB 2744, SB 2745, SB 2746, SB 2747, SB 2748, SB 2749, SB 2750, SB 2751, SB 2752, SB 2753, SB 2754, SB 2755, SB 2756, SB 2757, SB 2758, SB 2759, SB 2760, SB 2761, SB 2762, SB 2763, SB 2764, SB 2765, SB 2766, SB 2767, SB 2768, SB 2769, SB 2770, SB 2771, SB 2772, SB 2773, SB 2774, SB 2775, SB 2776, SB 2777, SB 2778, SB 2779, SB 2780, SB 2781, SB 2782, SB 2783, SB 2784, SB 2785, SB 2786, SB 2787, SB 2788, SB 2789, SB 2790, SB 2791, SB 2792, SB 2793, SB 2794, SB 2795, SB 2796, SB 2797, SB 2798, SB 2799, SB 2800, SB 2967, SB 3034, HJR 1, HJR 4, HB 9, HB 13, HB 22, HB 135, HB 143, HB 195, HB 908, HB 1392, SB 861, SB 1013, SJR 74, SJR 76, SB 2408, SB 2409, SB 2461, SB 2462, SB 2463, SB 2464, SB 2465, SB 2466, SB 2467, SB 2468, SB 2469, SB 2470, SB 2471, SB 2472, SB 2473, SB 2474, SB 2475, SB 2476, SB 2477, SB 2478, SB 2479, SB 2480, SB 2481, SB 2482, SB 2483, SB 2484, SB 2485, SB 2486, SB 2487, SB 2488, SB 2489, SB 2490, SB 2491, SB 2492, SB 2493, SB 2494, SB 2495, SB 2496, SB 2497, SB 2498, SB 2499, SB 2500, SB 2501, SB 2502, SB 2503, SB 2504, SB 2505, SB 2506, SB 2507, SB 2508, SB 2509, SB 2510, SB 2511, SB 2512, SB 2513, SB 2514, SB 2515, SB 2516, SB 2517, SB 2518, SB 2519, SB 2520, SB 2521, SB 2522, SB 2523, SB 2524, SB 2525, SB 2526, SB 2527, SB 2528, SB 2529, SB 2530, SB 2531, SB 2532, SB 2533, SB 2534, SB 2535, SB 2536, SB 2537, SB 2538, SB 2539, SB 2540, SB 2541, SB 2542, SB 2543, SB 2544, SB 2545, SB 2546, SB 2547, SB 2548, SB 2549, SB 2550, SB 2551, SB 2552, SB 2553, SB 2554, SB 2555, SB 2556, SB 2557, SB 2558, SB 2560, SB 2561, SB 2562, SB 2563, SB 2565, SB 2566, SB 2567, SB 2568, SB 2569, SB 2570, SB 2571, SB 2572, SB 2573, SB 2574, SB 2575, SB 2576, SB 2577, SB 2578, SB 2579, SB 2580, SB 2581, SB 2582, SB 2583, SB 2584, SB 2585, SB 2586, SB 2587, SB 2588, SB 2589, SB 2590, SB 2591, SB 2592, SB 2593, SB 2594, SB 2595, SB 2596, SB 2597, SB 2598, SB 2599, SB 2600, SB 2601, SB 2602, SB 2603, SB 2604, SB 2605, SB 2606, SB 2607, SB 2608, SB 2609, SB 2610, SB 2611, SB 2612, SB 2613, SB 2614, SB 2615, SB 2616, SB 2617, SB 2618, SB 2619, SB 2620, SB 2621, SB 2622, SB 2625, SB 2626, SB 2627, SB 2628, SB 2629, SB 2630, SB 2631, SB 2632, SB 2633, SB 2634, SB 2635, SB 2636, SB 2637, SB 2638, SB 2639, SB 2640, SB 2641, SB 2642, SB 2643, SB 2644, SB 2645, SB 2646, SB 2647, SB 2648, SB 2649, SB 2650, SB 2651, SB 2652, SB 2653, SB 2654, SB 2655, SB 2656, SB 2657, SB 2658, SB 2659, SB 2660, SB 2661, SB 2662, SB 2663, SB 2664, SB 2665, SB 2666, SB 2667, SB 2668, SB 2669, SB 2670, SB 2671, SB 2672, SB 2673, SB 2674, SB 2675, SB 2676, SB 2677, SB 2678, SB 2679, SB 2680, SB 2681, SB 2682, SB 2683, SB 2684, SB 2685, SB 2686, SB 2687, SB 2688, SB 2689, SB 2690, SB 2691, SB 2692, SB 2693, SB 2694, SB 2695, SB 2696, SB 2697, SB 2698, SB 2699, SB 2700, SB 2701, SB 2702, SB 2703, SB 2704, SB 2705, SB 2706, SB 2707, SB 2708, SB 2709, SB 2710, SB 2711, SB 2712, SB 2713, SB 2714, SB 2715, SB 2716, SB 2717, SB 2718, SB 2719, SB 2720, SB 2721, SB 2723, SB 2724, SB 2725, SB 2726, SB 2727, SB 2728, SB 2729, SB 2730, SB 2731, SB 2732, SB 2733, SB 2734, SB 2735, SB 2736, SB 2737, SB 2738, SB 2739, SB 2740, SB 2741, SB 2742, SB 2743, SB 2744, SB 2745, SB 2746, SB 2747, SB 2748, SB 2749, SB 2750, SB 2751, SB 2752, SB 2753, SB 2754, SB 2755, SB 2756, SB 2757, SB 2758, SB 2759, SB 2760, SB 2761, SB 2762, SB 2763, SB 2764, SB 2765, SB 2766, SB 2767, SB 2768, SB 2769, SB 2770, SB 2771, SB 2772, SB 2773, SB 2774, SB 2775, SB 2776, SB 2777, SB 2778, SB 2779, SB 2780, SB 2781, SB 2782, SB 2783, SB 2784, SB 2785, SB 2786, SB 2787, SB 2788, SB 2789, SB 2790, SB 2791, SB 2792, SB 2793, SB 2794, SB 2795, SB 2796, SB 2797, SB 2798, SB 2799, SB 2800, SB 2967, SB 3034, HJR 1, HJR 4, HB 9, HB 13, HB 22, HB 135, HB 143, HB 195, HB 908, HB 1392, SB 861, SB 1013

Keywords: parental rights, education, constitutional amendment, school choice, child education, border security, southern border, federal immigration policy, illegal immigration, cartels, transnational cartels, fentanyl, drug trafficking, human trafficking, Operation Lone Star, Texas border, National Guard, state guard, border wall, border barriers

Summary: This meeting of the committee included comprehensive discussions about several bills, most notably SB24 and SB2043. The committee received public testimony both supporting and opposing SB24, illustrating the contentious nature of the proposed legislation. Many witnesses expressed their concerns about how the bill might impact marginalized communities, highlighting the need for a nuanced approach to the issues being addressed. The chair facilitated a respectful dialogue, reminding participants to focus on the facts rather than personal anecdotes.

Transcript Highlights:

• Open heart surgery behind a Taco Bell?

Bills: HB 341, HB 791, HB 1564, HB 1695, HB 1722, HB 1729, HB 1772, HB 2003, HB 2954, HB 2989, HB 3084, HB 3134, HB 3135, HB 3309, HB 3611, HB 3679, HB 3727, HB 3832

Keywords: affordable housing, zoning, development, community support, local regulations, bicycle lanes, traffic collisions, Texas Department of Transportation, study, public safety, bicycles, electric bicycles, scooters, road safety, transportation study, HB 791, Central Catholic High School, San Antonio, specialty license plate, specialty plates

Transcript Highlights:

• I'm a registered nurse. for over 45 years, and I'm sorry, I just had oral surgery, so I'm not talking

Bills: SB34, SB119, SB261, SB532, SB1035, SB1245, SB1247, SB1267, SB1442, SB1930, SB1948, SB2078, SB2112, SB2143, SB2155

Keywords: wildfire, wildfire mitigation, wildfire prevention, volunteer fire department, Texas A&M Forest Service, West Texas A&M University, prescribed burning, fuel loading, fuel reduction, firefighting equipment database, emergency communications, disaster preparedness, rural fire protection, asset hardening, natural resource management, emergency management, large wildfire risk, fire grant funding, fire suppression, Texas Legislature

Transcript Highlights:

• , including visits to the doctor. doctor's office, clinics, hospitalization, inpatient, including surgery

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301

Transcript Highlights:

• and rural health, including family medicine, pediatrics, psychiatry, internal medicine, and general surgery

Keywords: 1187, senate, all

Transcript Highlights:

• For example, there's a doctor who was one of the top surgeons for, I think, knee surgeries, if I'm remembering

Bills: HB163, HB 296

Keywords: judicial liability, personal bond, felony offenses, judges, criminal justice reform, voter registration, election procedures, change of address, residence requirements, Texas Election Code, Texas election law, residence address, precinct voting, county move, same-county move, Election Code, registrar, statement of residence, polling place, local elections

Transcript Highlights:

• For example, there's a doctor who was one of the top surgeons for, I think, knee surgeries, if I'm remembering

Bills: HB713, HB827, HB932, HB499, HB510, HB163, HB296, HB879, HB913, HB163, HB296

Keywords: healthcare, maternal health, reporting requirements, Texas Maternal Mortality and Morbidity Review Committee, health provider immunity, workplace violence, nurses, grant program, healthcare facilities, safety measures, safety, nursing, grants, healthcare safety, verbal abuse, physical abuse, nurse empowerment, occupational therapy, licensure, interstate practice

Transcript Highlights:

• Children across Texas are being. irreversibly harmed and abused in the name of, quote, gender-affirming surgery

Keywords: 1184, house, all

Transcript Highlights:

• We can deputize someone who's been in surgery.

Transcript Highlights:

• You know, we have surgery, we have a wisdom tooth pull. We leave with an aftercare package.
• You know, we have surgery, we have a wisdom tooth pull. We leave with an aftercare package.

Keywords: 995, all

Summary: The Joint Ways and Means Committee held its final public hearing on the FY26 state budget, with chairs and members emphasizing that public testimony would help shape the budget and asking speakers to keep remarks brief. Committee leaders introduced members, explained the hearing process, and repeatedly thanked residents, students, and advocates for participating. No votes were taken during the hearing. Testimony focused heavily on education funding and the Chapter 70 formula. Students from Amherst, Northampton, Gateway Regional, Chester Elementary, and other districts described budget-driven cuts to electives, special education supports, paraprofessionals, counselors, transportation, and building maintenance. They urged higher Chapter 70 aid, increased minimum aid, rural school aid, and a reopening or restructuring of the funding formula, arguing that current formulas leave many districts unable to meet student needs and force local layoffs and overrides. Other speakers urged funding or protection for a range of programs and facilities, including the Louis D. Brown Peace Institute for homicide survivor services, the Museum of African American History, the Massachusetts Commission for the Deaf and Hard of Hearing and CART/interpreter services, the Access to Counsel housing legal aid program, the Department of Mental Health and Pocasset Mental Health Center, and Pappas Rehabilitation Hospital for Children. One speaker opposed offshore wind-related spending and urged a reset of the state’s energy approach, while another advocated ending the aircraft sales tax exemption. Committee members responded sympathetically to many speakers, asked a few follow-up questions, and several expressed support for maintaining or expanding the programs discussed.

Transcript Highlights:

• it would prohibit using 340B funds for gender identity or gender expression or gender-mutilating surgery
• York that have struck down and given major financial rewards to minors who went through this gender surgery

Keywords: 1187, senate, all

Transcript Highlights:

• You cannot bring them to the surgery room if you're a doctor or a nurse. There are so many careers.
• You cannot bring them to the surgery room if you're a doctor or a nurse. There are so many careers.

Keywords: 918, senate, all

Summary: The Senate convened under call, established a quorum, and received routine executive communications and House messages, including the House’s passage of Senate File 3623 on school bus stopping requirements and transmittal of House Files 3241, 3731, 3741, and 3802. The chamber also adopted committee reports and gave second readings to several Senate files and House File 3379, while referring Senate File 4854 to the Capital Investments Committee and Senate Resolution 68 to Rules and Administration. The main floor action involved a series of motions to re-refer bills to different committees. The Senate adopted motions to move Senate File 1671 from Judiciary and Public Safety to Housing and Homelessness Prevention, Senate File 2373 from Finance to Labor, Senate File 4452 from Capital Investment to Human Services, Senate File 4580 from Human Services to State and Local Government, Senate File 4589 from Judiciary and Public Safety to Higher Education, Senate File 4630 from Education Policy to Education Finance, and Senate File 4662 from Capital Investment to State and Local Government. The chamber also adopted a motion to give House File 3378 a second reading and place it on general orders after a roll call vote of 46-21. The Senate then took up Senate Resolution 69, which would amend the temporary rules to allow certain accommodations for members who are new parents. Senators Murphy and Coleman spoke in support, arguing the rules should better reflect modern family life and make the chamber more welcoming to parents, especially mothers. Senator Nelson offered the A4 amendment to allow caucus leaders to permit a member’s child under age one on the floor, with the member responsible for supervision and the child exempt from Rule 17.6. Opponents, including Senator Boldon, argued the age limit was too restrictive and that parents should have more flexibility. After roll call, the Nelson A4 amendment failed 32-35, and the resolution remained pending with additional amendments possible.

Transcript Highlights:

• I'm from the University of Minnesota, professor of surgery, senior associate dean for health informatics
• I'm from the University of Minnesota, professor of surgery, senior associate dean for health informatics

Bills: HF1316, HF4369

Keywords: HF1316, child support, new hire reporting, centralized work reporting system, independent contractors, payors, employers, payor of funds, withholding orders, income withholding, child support enforcement, Minnesota Department of Children, Youth, and Families, gig economy, rideshare drivers, delivery drivers, 1099, W-9, W-4, newly hired workers, rehired employees

Transcript Highlights:

• hypoplastic left heart syndrome and by the age of four she had already endured three major open heart surgeries
• of her medical history, letters from two of her cardiologists, and records of her medications and surgeries

Keywords: 00:00:00 - Call to Order/Roll Call 00:02:20 - Discussion of 26RS HB 689 00:13:13 - Discussion of 26RS SB 201 00:27:45 - Discussion of 26RS HB 583 00:46:37 - Discussion of 26RS HB 488 00:48:13 - Discussion of 26RS HB 2 01:14:34 - Discussion of Kentucky State Plan Amendment (SPA) 26:0001: School-based Medicaid Services Program 01:18:24 - Public Comment, 958, all

Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.