Transcript Highlights:

• He saw, instead, that they need more time and more dedicated time to take care of these issues.
• He saw that they need more time and more dedicated time to take care of these issues.
• We can't continue to balance the legal safety of our districts on the uncompensated personal time of
• We can't continue to balance the legal safety of our districts on the uncompensated personal time of
• So you have to be very careful if you're using any personal identifiers, because then it just goes out

Keywords: 908, all

Summary: The committee met to discuss special education funding and retention, beginning with approval of the prior meeting minutes and then hearing a presentation from North Dakota United on a statewide special education survey and retention rubric. Presenters described how the rubric and survey were developed from special educator input around four domains: paperwork and due process support, workload, student and staff safety, and paraprofessional management. They reported high levels of stress and burnout, including increased workload, difficulty taking prep and lunch time, concerns about mental health, and widespread difficulty filling special education positions. Committee members questioned the survey’s lack of a general-education comparison group, the interpretation of terms like “rarely” and “sometimes,” and whether results could be broken down further by district size, unit, or disability area. The survey results showed the weakest area was workload, with respondents reporting caseloads increasing without corresponding adjustments, little additional support or compensation when workloads rise, and few negotiated-agreement protections. Paperwork and due process also scored poorly, with many teachers saying they rarely receive dedicated time during the duty day, often work outside contract hours without compensation, and take work home on evenings and weekends. Student and staff safety scored somewhat better but still showed gaps in crisis follow-up, notification about violent behavior, protective gear, and leave options after incidents. Paraprofessional management also drew concern, especially low pay, insufficient staffing, limited administrative support, and the burden placed on teachers to supervise and train paras. Several teachers then testified directly about the practical impact of these issues. One special education teacher described the job as combining instruction, legal compliance, and paraprofessional supervision, often requiring work beyond contracted hours and contributing to burnout and turnover. Another testified that special education case managers are effectively doing three full-time jobs and that the paperwork and caseload demands are a major reason people avoid or leave the field. Committee members discussed whether the problems are primarily local or state-level, whether more funding would solve them, and whether changes to the funding formula or weighting for high-cost students might be needed. No formal vote or action was taken beyond a recess and return to order for the next presentation, which continued the discussion of possible special education study objectives and potential policy directions.

Transcript Highlights:

• The Northeast Texas Health Care Provider Participation District has been there since 2000.
• care.
• In essence, many times there isn't such a thing as uncompensated care because we have things like the
• Creation and operations of a health care provider participation program in certain counties.
• The House Amendments return the bill to the care...

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

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

Transcript Highlights:

• in-person care.
• care.
• This not only creates uncompensated care, but also drives up... and outcomes is very likely to have on
• This not only creates uncompensated care, but also drives up. Will end up in the emergency room.
• This not only creates uncompensated care, but also drives up the cost for everyone in the system.

Summary: The joint informational hearing focused on the impacts of H.R. 1 on California’s Medi-Cal program and on community health effects from recent immigration enforcement actions. Committee leaders said H.R. 1 would sharply reduce federal funding, increase administrative burdens, and worsen access to care, especially for Medi-Cal enrollees, immigrant families, rural communities, and reproductive health patients. The second half of the hearing examined how ICE raids and related federal actions are creating fear, reducing clinic and emergency department use, and disrupting children’s access to schools and early childhood education. Department of Health Care Services Director Michelle Bass outlined the main H.R. 1 provisions affecting Medi-Cal: work requirements, semiannual eligibility redeterminations, shorter retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal support for emergency and lawful immigrant coverage, and a one-year ban on Medicaid funding for prohibited abortion providers. She estimated millions could lose coverage, with tens of billions of dollars in federal funding at risk. Planned Parenthood Affiliates of California warned the defunding provision could force clinic closures, service reductions, and loss of access to family planning, STI testing, and cancer screenings. The California Hospital Association said the financing changes could cut hospital revenue by tens of billions over 10 years and threaten access, especially for rural and safety-net hospitals. The Western Center on Law and Poverty argued the law would increase churn, paperwork, and uninsured rates, disproportionately harming working adults and people experiencing homelessness. Committee members asked about implementation timelines, notification systems, administrative costs, the effect on immigrant eligibility, and whether California could delay or mitigate some provisions. Bass said the state was still assessing federal guidance, planning county and provider outreach, and exploring a possible delay for work requirements and a transition period for provider-tax changes. Members also discussed how state budget actions may need to be revisited in light of H.R. 1, and how California might preserve access through state-only funding or other policy changes. In the second panel, CHIRLA, Los Angeles County Department of Health Services, and the Children’s Partnership described the health consequences of immigration enforcement. Speakers said raids and data-sharing fears are causing anxiety, trauma, and avoidance of care, with Los Angeles County reporting declines in emergency, urgent care, and clinic visits after enforcement actions. The Children’s Partnership said school and early childhood absences are rising in some communities and that enforcement is undermining children’s emotional well-being and access to education. Members asked for more data and discussed possible state protections, telehealth, mobile care, and legal and policy responses to reduce fear and preserve access to health and education services.

Transcript Highlights:

• approved for adult care.
• We also want to make sure that we're looking at the uncompensated care as we migrate into this next rural
• Third, the financial impact of uncompensated care.
• Thanks for taking care. So I brought up standard of care previously.
• There's not really a standard of care, but we've got to be careful with that term standard of care.

Summary: The committee began with two radiology-related bills focused on rural access and workforce shortages. HB 2049 would allow particle accelerators for cancer treatment in critical access hospitals and counties under 400,000 population under general supervision, with rural providers testifying that the change would let patients receive care closer to home while maintaining safety protocols. The bill passed on an 11-0 vote. HB 2050 updated outdated radiologic technologist statutes, revised school accreditation and clinical-hour standards, and allowed radiologist assistants to work under supervision rather than direct supervision; an amendment also added registered nurses to the list of professionals not needing an additional license to use diagnostic X-ray machines. Testimony centered on staffing shortages, national standards, and whether the change would preserve oversight. The committee adopted the amendment and passed the bill 10-2, with some members citing the need for more vetting and concern about oversight of dangerous equipment. The committee then heard HB 2082, which creates a Childhood Cancer and Rare Childhood Disease Research Commission to award grants for phase-one pediatric cancer and rare disease trials using existing license-plate funds and other sources. Parents and patients gave emotional testimony about pediatric brain cancer diagnoses, the lack of effective treatments, and the need for Arizona to support local research; the bill passed unanimously 12-0. HB 2015 required Access to cover breastfeeding and lactation services, and an amendment made the coverage subject to CMS approval. Supporters described breastfeeding as preventive care with benefits for infants and mothers, while Access said it was neutral but appreciated the amendment’s fiscal safeguard. The bill passed 12-0 as amended. Next, HB 2177 directed Access to seek CMS waivers to restore Medicaid payments for certain services provided to American Indian and Alaska Native members by IHS and tribal facilities, including dental, diagnostic, therapeutic, and preventive services. The sponsor and a Sage Memorial Hospital witness said the bill would help tribal facilities draw down federal funds and keep services local; it passed 12-0 as amended. HB 2178 required state agency chief medical officers to hold an active medical or osteopathic license and passed without opposition. HB 2179 clarified statutory definitions separating air ambulance from ground ambulance regulation, with industry testimony saying it was a cleanup measure that would avoid unintended consequences; it also passed 12-0. Finally, HB 2183 created an 11-member emergency medicine study committee to examine EMS system sustainability, rural and urban capacity, workforce burnout, and uncompensated care. Firefighters, health care advocates, and an emergency nurse practitioner supported the study as a way to gather data and make recommendations; it passed 12-0. The committee then returned to HB 2072, which establishes an optional state certification for lactation care providers under ADHS, along with rulemaking, fees, discipline, and an advisory committee; the sponsor said the credential was needed so Access could reimburse the service, and the bill was introduced for further consideration.

Transcript Highlights:

• care.
• Certainly not just for people who are undocumented, but the issue of uncompensated care that hospitals
• care.
• Certainly not just for people who are undocumented, but the issue of uncompensated care that hospitals
• That's where they get their health<00:35:38.480><c> care</c> health care health care from.<00:35:40.240

Keywords: 919, house, all

Summary: The committee heard House File 2591, the “Support Medicaid Not Millionaires Act,” laid over for possible inclusion in the 2025 taxes bill. Chair Gomez said the bill would create a fifth individual income tax tier on very high earners to offset any future federal Medicaid cuts, arguing that proposed federal budget changes would likely reduce Medicaid funding and create a large state budget hole. Gomez and other supporters framed Medicaid as essential for children, long-term care, mental health, substance use treatment, rural hospitals, and families across Minnesota, and criticized federal tax cuts for corporations and wealthy individuals. Several testifiers supported the bill. A SEIU Healthcare worker described how Medicaid supports her care for a disabled son and her own health needs, warning that cuts would threaten home care, hospitals, and nursing homes. A public health employee from the Minnesota Association of Professional Employees said recent state and federal layoffs had already weakened public health capacity and urged additional revenue to backfill losses. Other supporters, including community and faith leaders, said the wealthy and corporations should pay more to protect public services, youth programs, and Medicaid-funded care. A mental health provider testified that most of the people served by her clinic rely on Medicaid and that cuts would harm clinics, rural access, and the broader behavioral health system. Representative Anderson questioned whether the bill would affect Medicaid spending tied to undocumented immigrants and asked for data on MinnesotaCare and federal-state funding shares. Department of Human Services staff clarified that he was referring to MinnesotaCare, not Medicaid, and said Medicaid is generally matched by the federal government while MinnesotaCare does not have the same match. The exchange became contentious when Gomez objected to Anderson’s use of the term “illegal immigrants” and redirected the discussion back to the bill. Anderson also raised concerns about Medicaid fraud and whether the proposal would backfill any federal changes related to fraud enforcement. No vote was taken; the bill was simply laid over.

Transcript Highlights:

• have, but you know that, that's exactly, and you know, from our standpoint is when they're taking care
• care and the Medicaid shortfall for care that's already been delivered in a hospital.
• So again, uh, we support these local solutions to help draw down federal funds to offset uncompensated
• care.
• County, Texas, uh, many of you know as Junction, Texas, was established to provide hospital medical care

Transcript Highlights:

• These are really important bills that we care a lot about, that the people of Texas care a lot about,
• And those laws that we pass and we're so painstakingly careful to get right are in jeopardy if we don't
• We will get that taken care of. Judge Collier, let's go to you. We will get that taken care of.
• It's not a job for the faint of heart, much less for the uncompensated. Amen.
• It's not a job for the faint of heart, much less for the uncompensated. Amen.

Bills: HB40

Keywords: law enforcement, sheriffs, constables, contracts, county authority

Summary: The Committee on Judiciary and Civil Jurisprudence met to hear House Bill 1761, a broad judicial package focused on increasing judicial compensation and adding accountability and efficiency measures. The chair explained that HB 1707 and HB 2100 were withdrawn from the agenda, and that HB 1761 would be taken up first because many judges and stakeholders were present. The committee substitute for HB 1761 proposed a 30% increase in base judicial pay to $182,000, changes to judicial retirement linkage, stronger judicial conduct provisions, and efficiency measures such as targeted reporting for judges not meeting benchmarks, appellate in-person meeting encouragement, and time limits on certain motions. The chair and several supporters said judicial pay had reached “emergency status,” citing Texas’s low national ranking and difficulty recruiting and retaining qualified judges. Witnesses in support included presiding and district judges, the State Bar’s judicial section, business and trial lawyer groups, and prosecutors. They emphasized that many judges work long hours off the bench, handle warrants at night and on weekends, manage heavy dockets, and face recruitment problems in both urban and rural counties. Supporters also said higher pay would help attract experienced lawyers, retain judges, and improve court efficiency. Several witnesses and members discussed judicial accountability, including public reporting of court performance and the role of the Texas Supreme Court and presiding judges in setting benchmarks. Some members raised concerns that raw statistics can be misleading because judges also do substantial off-the-bench work and often help cover other courts’ dockets. There was also testimony and discussion about the bill’s conduct and discipline provisions. A representative of the Texas Civil Rights Project opposed parts of the bill that would tie pay raises to changes affecting judicial independence, warning about subjective bail-related discipline standards and possible chilling effects. The executive director of the State Commission on Judicial Conduct cautioned against civil penalties for complainants, saying it could discourage good-faith complaints and create litigation risks. Other witnesses supported accountability reforms but urged caution about unintended consequences, especially for family and emergency cases and for judges handling warrants and other time-sensitive matters. After testimony, the committee withdrew the committee substitute and left HB 1761 pending, then recessed the committee.

Transcript Highlights:

• and some specialty care.
• The bottom of why health care costs keep on increasing and the quality of care or access to care keeps
• quality care for patients and at the same time drive down the total cost of care.
• Investments in the Uncompensated Care Program are critical to continue this vital program, and we are
• The Uncompensated Care Program was established with an initial budget allocation of $40 million to ensure

Keywords: 988, house, all

Transcript Highlights:

• In terms of health care coverage, I mean how much, how many do we anticipate losing health care because
• hospital care.
• care of nearly $10 billion.
• Decimate home care and child care, impacting the state's general fund, and severely limiting Medi-Cal
• , especially for specialized care.

Keywords: 988, house, all

Transcript Highlights:

• ... ...cutting health care.
• , for housing, and health care.
• Our health care system is in trouble. Our health care system is in trouble.
• be uncompensated and will have to be absorbed by the health care system.
• be uncompensated, making conditions worse and more expensive to treat or their care will be uncompensated

Keywords: 995, all

Summary: The Joint Committee on Revenue, chaired by Senator James Eldridge and Representative Adrian Madaro, opened its hearing with a moment of silence for the late Lowell State Senator Ed Kennedy and reviewed hearing procedures and deadlines. The committee then took testimony on several corporate tax bills, including S. 2033/H. 3110 on offshore tax avoidance, H. 3248 on a manufacturing tax exemption, H. 3057 on a tiered corporate minimum tax, and S. 2041 on a corporate tax haven blacklist, along with a separate business interest deduction bill. No votes were taken during the hearing. Supporters of S. 2033/H. 3110, including labor unions, health care workers, educators, public health advocates, seniors, and several legislators, argued that Massachusetts needs new revenue to offset federal cuts to Medicaid, SNAP, health care, education, and other services. They said the bill would raise roughly $400 million annually by increasing the share of offshore profits included in the state tax base from 5% to 50%, and they framed it as a fairness measure that would require large multinational corporations to pay more while leaving most local businesses and workers unaffected. Testimony emphasized risks to MassHealth, PCA services, adult dental care, hospitals, schools, and public health programs if new revenue is not raised. Opponents, including the Mass Taxpayers Foundation and the Council on State Taxation, argued the proposal is poor tax policy and likely unconstitutional because it would tax foreign-source income without allowing foreign tax credits or a comparable apportionment method. They said Massachusetts should take a broader, coordinated approach to federal tax changes rather than a standalone bill, and warned of litigation risk and possible double taxation. Supporters such as MassBudget and former tax counsel Don Griswold countered that the bill is a reasonable rough-justice approach, consistent with federal and neighboring-state treatment, and that it would primarily affect a small number of very large multinationals. On S. 2041, the Global Business Alliance opposed the proposed tax haven blacklist, while supporting a separate bill allowing business interest deductibility.

Transcript Highlights:

• care.
• The FQHCs are already seeing these patients, and they're coming in as uncompensated care.
• And because it's coming in as uncompensated care, they don't have a good way to track it right now.
• , and uncompensated care.
• To not only Medicaid, Medicaid expansion, and uncompensated care.

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• I don't care in any job or profession. But for care in any job or profession.
• I don't care what overhaul. Yeah. Yeah. I don't care what overhaul. Yeah. Yeah.
• I don't care if it's Donald States. I don't care if it's Donald States.
• I don't care who he is or what his don't care who he is or what his don't care who he is or what his
• Rarely does anybody care about anything Rarely does anybody care about anything Rarely does anybody care

Bills: HB 1535, HB 123, HB 111, HB 180, HB 342, HB 1027, HB 1178, HB 610, HB 1277, HB 1615, HB 1620, HB 5342, HB 4885, HB 4751, HB 4689, HB 4530, HB 4488, HB 2149, HB 2041, HB 2071, HB 1813, HB 2282, HB 2248, HB 2243, HB 2522, HB 2310, HB 2513, HB 2300, HB 1902, HB 3719, HB 4284, HB 4327, HB 3743, HB 3778, HB 3801, HB 5153, HB 5147, HB 4877, HB 4850, HB 3158, HB 3261, HB 3005, HB 3033, HB 3138, HB 3099, HB 2849, HB 2967, HB 3488, HB 3477, HB 3466, HB 3396, HB 3469, HB 2594, HB 2776, HB 2564, HB 2298, HB 5331, HB 5646, HB 5247, HB 5323, HB 2015, HB 4384, HB 3896, HB 4014, HB 3627, HB 3594, HB 2524, HB 510, HB 561, HB 5111, HB 5446, HB 1181, HB 3963, HB 2785, HB 1661, HB 2460, HB 24, HJR 138, HB 3800, HB 42, HB 129, HB 677, HB 668, HB 2128, HB 2038, HB 2316, HB 3686, HB 2563, HB 1160, HB 3883, HB 2788, HB 2663, HB 3305, HB 3474, HB 1105, HB 3490, HB 3597, HB 1295, HB 3512, HB 3783, HB 2017, HB 3010, HB 3112, HB 4215, HB 3223, HB 3464, HB 3120, HB 4214, HB 4081, HB 4783, HB 4063, HB 2783, HB 5085, HB 2510, HB 3426, HB 4361, HB 1169, HB 2516, HB 4700, HB 3560, HB 3860, HB 3146, HB 184, HB 198, HB 247, HB 367, HB 449, HB 1778, HB 514, HB 632, HB 2582, HB 766, HB 2715, HB 2712, HB 3069, HB 3505, HB 1269, HB 4224, HB 5032, HB 2240, HB 5180, HB 3348, HB 4668, HB 4665, HB 3395, HB 3157, HB 4395, HB 4325, HB 4386, HB 4273, HB 2760, HB 2820, HB 1828, HB 1579, SB 2349, SB 1268, SB 610, SB 1577, SB 1369, SB 2032, SB 2034, SB 1057, SB 1044, SB 922, SB 1759, SB 1143, SB 1506, SB 1403, SB 2361, SB 870, SB 372, SB 72, SB 1583, SB 2314, SB 1267, SB 1273, SB 765, SB 552, HB 2145, HJR 112, HB 1804, HJR 110, HB 1194, HB 1531, HB 5008, HB 3421, SCR 27, HB 5398, HB 1407, HB 426, HB 1535, HB 123, HB 1773, HB 1871, HB 2035, HB 2448, HB 2492, HB 1411, HB 4753, HB 4666, HB 4529, HB 1499, HB 1610, HB 2028, HB 1506, HB 886, HB 3546, HB 796, HB 223, HB 1475, HB 3556, HB 4638, HB 111, HB 180, HB 342, HB 1027, HB 1178, HB 610, HB 1277, HB 1615, HB 1620, HB 5342, HB 4885, HB 4751, HB 4689, HB 4530, HB 4488, HB 2149, HB 2041, HB 2071, HB 1813, HB 2282, HB 2248, HB 2243, HB 2522, HB 2310, HB 2513, HB 2300, HB 1902, HB 3719, HB 4284, HB 4327, HB 3743, HB 3778, HB 3801, HB 5153, HB 5147, HB 4877, HB 4850, HB 3158, HB 3261, HB 3005, HB 3033, HB 3138, HB 3099, HB 2849, HB 2967, HB 3488, HB 3477, HB 3466, HB 3396, HB 3469, HB 2594, HB 2776, HB 2564, HB 2298, HB 5331, HB 5646, HB 5247, HB 5323, HB 2015, HB 4384, HB 3896, HB 4014, HB 3627, HB 3594, HB 2524, HB 510, HB 561, HB 5111, HB 5446, HB 1181, HB 3963, HB 2785, HB 1661, HB 2460, HCR 98, HCR 92, HCR 126

Keywords: Trinity River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, board of directors, governor appointment, public water authority, regional water authority, water resources, local government, natural resources, board training, ethics, open meetings, public information, conflict of interest, complaint procedures, public comment, director removal, governance reform

Transcript Highlights:

• If there's a problem, there is still a process and public care and public notice required.
• Identify and address local health care workforce needs. I've moved passage.
• HB4224 by Hull, relating to information regarding consumer access to health care records.
• It's a health care provider participation program, and there is an amendment following.
• Let's talk about, say, the Affordable Care Act, also known as Obamacare.

Bills: HB1535, HB 123, HB 111, HB180, HB342, HB 1027, HB 1178, HB610, HB 1277, HB1615, HB1620, HB5342, HB4885, HB4751, HB4689, HB4530, HB4488, HB2149, HB2041, HB2071, HB1813, HB2282, HB2248, HB2243, HB2522, HB2310, HB2513, HB2300, HB1902, HB3719, HB4284, HB4327, HB3743, HB3778, HB3801, HB5153, HB5147, HB4877, HB4850, HB3158, HB3261, HB3005, HB3033, HB3138, HB3099, HB2849, HB2967, HB3488, HB3477, HB3466, HB3396, HB3469, HB2594, HB2776, HB2564, HB2298, HB5331, HB5646, HB5247, HB5323, HB2015, HB4384, HB3896, HB4014, HB3627, HB3594, HB2524, HB510, HB561, HB5111, HB5446, HB 1181, HB3963, HB2785, HB1661, HB2460, HB24, HJR138, HB3800, HB42, HB 129, HB677, HB668, HB2128, HB2038, HB2316, HB3686, HB2563, HB 1160, HB3883, HB2788, HB2663, HB3305, HB3474, HB 1105, HB3490, HB3597, HB 1295, HB3512, HB3783, HB2017, HB3010, HB3112, HB4215, HB3223, HB3464, HB3120, HB4214, HB4081, HB4783, HB4063, HB2783, HB5085, HB2510, HB3426, HB4361, HB 1169, HB2516, HB4700, HB3560, HB3860, HB3146, HB184, HB198, HB247, HB367, HB449, HB1778, HB514, HB632, HB2582, HB766, HB2715, HB2712, HB3069, HB3505, HB 1269, HB4224, HB5032, HB2240, HB5180, HB3348, HB4668, HB4665, HB3395, HB3157, HB4395, HB4325, HB4386, HB4273, HB2760, HB2820, HB1828, HB1579, SB2349, SB1268, SB610, SB1577, SB1369, SB2032, SB2034, SB1057, SB1044, SB922, SB1759, SB1143, SB1506, SB1403, SB2361, SB870, SB372, SB72, SB1583, SB2314, SB1267, SB1273, SB765, SB552, HB2145, HJR112, HB1804, HJR110, HB 1194, HB1531, HB5008, HB3421, SCR27, HB5398, HB1407, HB426, HB1535, HB 123, HB1773, HB1871, HB2035, HB2448, HB2492, HB1411, HB4753, HB4666, HB4529, HB1499, HB1610, HB2028, HB1506, HB886, HB3546, HB796, HB223, HB1475, HB3556, HB4638, HB 111, HB180, HB342, HB 1027, HB 1178, HB610, HB 1277, HB1615, HB1620, HB5342, HB4885, HB4751, HB4689, HB4530, HB4488, HB2149, HB2041, HB2071, HB1813, HB2282, HB2248, HB2243, HB2522, HB2310, HB2513, HB2300, HB1902, HB3719, HB4284, HB4327, HB3743, HB3778, HB3801, HB5153, HB5147, HB4877, HB4850, HB3158, HB3261, HB3005, HB3033, HB3138, HB3099, HB2849, HB2967, HB3488, HB3477, HB3466, HB3396, HB3469, HB2594, HB2776, HB2564, HB2298, HB5331, HB5646, HB5247, HB5323, HB2015, HB4384, HB3896, HB4014, HB3627, HB3594, HB2524, HB510, HB561, HB5111, HB5446, HB 1181, HB3963, HB2785, HB1661, HB2460, HCR98, HCR92, HCR126

Keywords: Trinity River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, board of directors, governor appointment, public water authority, regional water authority, water resources, local government, natural resources, board training, ethics, open meetings, public information, conflict of interest, complaint procedures, public comment, director removal, governance reform

Transcript Highlights:

• Hospitals will see emergency department use increase, along with increases in uncompensated care as Medi-Cal
• The compounding effect is severe: declining enrollment, increasing uncompensated care, and reduced reimbursement
• Third question you ask: How are we managing the potentially surge of uncompensated care, particularly
• care costs.
• These cuts will strain UC’s ability to provide emergency care and result in increased uncompensated care

Keywords: 987, senate, all

Transcript Highlights:

• Hospitals will see emergency department use increase, along with increases in uncompensated care as Medi-Cal
• The compounding effect is severe: declining enrollment, increasing uncompensated care, and reduced reimbursement
• Third question you ask: How are we managing the potentially surge of uncompensated care, particularly
• care costs.
• These cuts will strain UC's ability to provide emergency care and result in increased uncompensated care

Summary: The subcommittee heard an extended briefing on the impacts of H.R. 1 on Medi-Cal and CalFresh, followed by testimony from the Legislative Analyst’s Office and county officials. DHCS described major Medi-Cal changes in H.R. 1, including work/community engagement requirements, six-month redeterminations, reduced federal matching for some emergency services, narrower immigrant eligibility, reduced retroactive coverage, and limits on provider taxes and directed payments. CDSS outlined CalFresh changes, especially the expanded able-bodied adults without dependents time limit, reduced exemptions and waivers, and the new federal-state-county administrative cost split. Both departments emphasized implementation plans, automation, outreach, and county coordination, while acknowledging significant expected coverage losses and administrative burden. The LAO and an independent policy expert discussed how H.R. 1 could increase demand on county indigent care systems and public hospitals as people lose Medi-Cal. They reviewed the history of county indigent care, 1991 realignment, and AB 85, explaining that counties already rely on a patchwork of funding and that current realignment revenues are often used for public health rather than indigent care. They warned that counties may face large increases in uninsured residents, with wide variation in how counties respond, and raised concerns about equity, financing, and whether a more standardized state-county program should be created. Committee members pressed witnesses on county funding, exemptions, homelessness, older adults, undocumented residents, and the effect of administrative burden versus true ineligibility. County representatives from Los Angeles, Santa Clara, Tulare, and San Bernardino described the expected local impacts and asked for additional state support. They said H.R. 1 would drive major losses in Medi-Cal and CalFresh enrollment, increase uncompensated care, strain eligibility staff, and worsen homelessness and food insecurity. Several counties urged the Legislature to fund eligibility workers, preserve enrollment, and consider a CalFresh match waiver; Santa Clara and San Bernardino also cited local tax measures and staffing reductions already underway. No formal vote or committee action was taken in the portion provided.

Transcript Highlights:

• But nominally, at the high point when we had the catastrophic health care fund that were covering emergent
• payments that were for uncompensated care at the local level, the local level would cover the first
• But nominally at the high point when we had the catastrophic health care fund that were covering emergent
• payments that were for uncompensated care at the local level, the local level would cover the first
• So a little bit outside of the national figure, but health insurance costs and health care costs are

Keywords: 989, all

Transcript Highlights:

• provided to children in foster care.
• HB 541 by Shaheen, relating to the provision of direct patient care by physicians and health care practitioners
• Shaheen to explain... ...care by physicians and health care practitioners. Chair recognizes Mr.
• Members, House Bill 541 increases access to medical care by expanding the number of health care providers
• I want Texas to be able to take care of Texas.

Bills: SB17, SB1569, SB2420, HB5138, HJR161, HB1937, HB3334, HB5444, HB5137, HB361, HB321, HB5447, HB464, HB678, HB2294, HB4172, HB3225, HB1769, HB5394, HB1837, HB1787, HB2271, HB2440, HB5134, HB5149, HB2151, HB2073, HB2186, HB2025, HB1936, HB1777, HB1663, HB 1306, HB 1290, HB1527, HB4802, HB3462, HB2963, HB2462, HB2560, HB644, HB2725, HB2621, HB2588, HB1443, HB1403, HB3032, HB1557, HB1664, HB2811, HB2088, HB2598, HB3062, HB3134, HB3940, HB4027, HB4097, HB4862, HB4170, HB4157, HB4205, HB4279, HB4377, HB4838, HB5424, HB5294, HB4870, HB4763, HB5639, HB4112, HB2275, HB1677, HB5014, HB3848, HB3797, HB3727, HB3709, HB3177, HB3057, HB4176, HB4202, HB2180, HB3528, HB3658, HCR76, HCR127

Keywords: foreign ownership, real property, national security, criminal penalties, civil penalties, personal information, higher education, privacy protection, governing board, institutional security, software applications, mobile devices, age verification, parental consent, data protection, app store regulation, HJR 161, Texas constitutional amendment, voting rights, non-citizen voting

Summary: The House convened with a quorum, received the invocation and pledges, and heard several announcements and recognitions before moving into floor action. Members honored the University of Texas Rio Grande Valley chess team for winning a share of the 2025 President’s Cup, recognized educator Jessica Lopez, and paid memorial tribute to Jennifer Maddenly, along with recognitions for Jeanette Valdez Duran’s food pantry work, TAMACC’s 50th anniversary, and Bernardine Steptoe’s retirement from WFAA. The House also granted permission for committees to meet while the House was in session, set a local consent calendar, and suspended posting rules for a Public Health Committee hearing on SB 2721. The chamber then considered a long series of Senate and House bills, with many passing on record votes. Measures addressed local law enforcement authority (SB 906), veterans highway designation (SB 1229), foster care medical billing (SB 855), massage therapy trafficking safeguards (SB 703), tax ballot language (SB 1025), occupational licensing for people with convictions (SB 1080), lien deadlines (SB 929), liquor sales complaints (SB 1355), higher education application fee waivers (SB 2231), utility data access (SB 1877), pediatric preceptorships (SB 1998), and several House bills on bond forfeiture notice, health workforce coordination, indigent civil commitment representation, consumer transaction cancellations, bird dispersal rules, theft venue for digital property, military grant applications, AI cancer-detection grants, cybersecurity contract language, in-state tuition for military-related programs, utility capital recovery, energy waste advisory oversight, gas utility rate recovery, psychedelic therapy study, teacher retirement funding transparency, pension changes, tax payment plans, and voter registration security. Some measures drew notable debate or amendments, including HB 5247, where a ratepayer-credit amendment failed, and HB 2298, HB 4014, HB 510, HB 561, HB 1128, HB 1904, HB 30, HB 200, HB 3045, and HB 5111, which all passed after recorded votes with varying margins. A major point of contention was SB 2420, the app store age-verification bill, which prompted extended debate over whether the bill should also require app developers to verify users’ ages. Representative Bryant offered an amendment to preserve developer verification obligations, arguing the bill would otherwise shift responsibility away from app makers; the author opposed it, saying the bill’s approach was more workable and raised concerns about First Amendment issues. Multiple points of order were raised and withdrawn during the debate, and the amendment discussion remained unresolved in the excerpt. The House also postponed further consideration of SB 17, SB 552, and SB 2420 at different points, and recessed for lunch after completing a large block of third-reading votes.

Transcript Highlights:

• Other resources that we have used for uncompensated care, such as, I'll just say, 340B pharmacy, which
• Other resources that we have used for uncompensated care, such as, I'll just say, 340B pharmacy, which
• We used to use those, and we do use our 340B pharmacy cost savings to go into uncompensated care such
• It will improve the services victims receive and remove barriers to accessing critical care.
• I was forced to seek out intensive trauma recovery care to better function as a loving mother, wife,

Bills: SB6087, SB5934, SB5520, SB6017, SB5890

Keywords: children's items, donations, charitable donations, nonprofit, religious organization, public health agency, liability shield, gross negligence, intentional misconduct, car seats, child safety seats, baby formula, diapers, strollers, cribs, playpens, high chairs, used goods, donation centers, Washington RCW

Transcript Highlights:

• Over the past couple of years, we've been expanding access to care.
• So we're trying to expand it for access to care. Correct.
• , and improve access and quality of care in Louisiana.
• What about wound care treatment? Y'all did wound care treatment?
• What about wound care treatment? Y'all did wound care treatment?

Bills: HB946, HB1093, SB26, SB29, SB30, SB195, SB219, SB222, SB255, SB314, SCR2, SCR22

Keywords: healthcare transparency, hospital pricing, consumer protection, collection actions, fines, naturopathic medicine, Louisiana Board of Naturopathic Medicine, licensing, healthcare, prescriptive authority, natural therapies, opioid treatment, regulation, addiction recovery, state law, SB 29, Act 732, coroner, autopsy, child death

Transcript Highlights:

• care facilities.
• Licensed health care providers and licensed health care facilities.
• to care for all of us?
• , documentation of care, or standard of care.
• Documentation of care or standard of care. It does not take power away from the board.

Bills: HB689, HB742, HB926, HB946, HB948, HB1028, HB1095, HB1114, HB1121, HB1155, HB1185, HB1217, HB1220, HB1227, HCR76

Keywords: public assistance, child welfare, benefit adjustment, DCFS, LDH, fraud detection, household reporting, Medicaid, immunization, healthcare eligibility, Family Independence Temporary Assistance Program, health policy, vaccination requirements, vaccination status, vaccine mandate, medical freedom, medical autonomy, public buildings, public access, government services