Transcript Highlights:

• And my apologies for y'all being the last, it's just how the computer paginates.
• If you're registered and we just called your name, you didn't come or something happened on the computer
• If we didn't get you in the computer, we'll have to have you register.

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• Insurance coverage for the use of coronary artery calcium scoring, CACS, a fully non-invasive computed
• A technology termed coronary computed tomography angiography, or CCTA, can now visualize non-calcified
• I'm the former chairman and CEO of the largest high-performance computing company in Texas, called Texas

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 The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending.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 then finally, a dive computer<00:23:29.919> or<00:23:30.159> recreational<00:23:31.039
• computer or recreational dive planner. computer or recreational dive planner.

Keywords: 1187, senate, all

Transcript Highlights:

• Aidan Downey, with the Computer and Communications Industry Association, in respectful opposition.
• Aidan Downey with the Computer and Communications Industry Association in respectful opposition.
• I just updated software on my computer two weeks ago, and admittedly I'm not too smart when it comes

Summary: The committee heard several privacy and consumer protection bills, with most of the discussion focused on AI and social media. AB 1405 would create a state registry for AI auditors and set basic transparency, ethics, and qualification standards for those auditors; supporters said it would build trust and provide a foundation for future AI oversight, while some members questioned whether government should define auditor qualifications instead of industry groups. The bill was moved out on a 5-1 vote to Appropriations, with the roll left open. AB 2, by Assemblymember Lowenthal, would impose enhanced financial penalties on large social media companies when their negligence causes harm to children and teens. Supporters, including a grieving parent and Common Sense Media, argued the bill would create accountability for harmful algorithms and design choices, while opponents from TechNet, EFF, CCIA, and CalChamber warned it was vague, could chill speech, invite censorship, and raise Section 230 and First Amendment concerns. Committee members debated private right of action versus public enforcement, possible shakedown lawsuits, and whether the bill should be narrowed; the bill passed 6-0 to Judiciary with the roll left open. AB 410 would expand California’s bot disclosure law so bots must identify themselves up front and truthfully if asked, rather than only prohibiting deceptive bots in limited commercial or election contexts. Supporters said the measure would help users, especially youth and vulnerable people, know when they are interacting with AI and reduce deception online; one privacy group withdrew opposition after amendments, and other industry groups said they were no longer opposed or had no formal position. The bill passed 9-1 to Appropriations with the roll left open. The committee also approved AB 1327, which lets consumers cancel home improvement contracts by email instead of only by mail and requires phone assistance for cancellations; the Contractor State License Board withdrew opposition after amendments, and the bill passed 11-0 to Judiciary with the roll left open.

Transcript Highlights:

• But it is connectivity that lets me take whatever device I've got, my cell phone, my computer, and communicate
• But it is connectivity that lets me take whatever device I've got, my cell phone, my computer, and communicate
• The way that I see technology is, you know, the more you invest, I heard somewhere as, you know, computers

Summary: The committee held an informational hearing on Carrier of Last Resort (COLR) to examine its history, current operation, and possible future changes in California. Chair Tasha Berner said the hearing was prompted in part by AT&T’s 2023 request for relief from COLR obligations and by broader concerns about public safety, affordability, universal service, and access to modern broadband and telecommunications. The first panel featured a telecommunications expert who traced COLR back to universal service principles and explained how states have handled COLR differently, including full deregulation, limited rural obligations, or transition pathways tied to competition and customer protections. Members asked about affordability, federal and state processes for service withdrawal, and whether COLR remains necessary given modern competition. CPUC staff then described California’s COLR framework, explaining that universal service rests on access, reliability/quality, and affordability, and that COLR requires carriers to provide basic service, including voice-grade calling, 911 access, relay services, and Lifeline. Staff said AT&T’s application sought relief in nearly all of its territory, but no replacement COLR came forward during the proceeding, and public participation hearings drew thousands of comments and strong concern from rural and vulnerable customers. The CPUC outlined its ongoing rulemaking to reconsider whether the 1996 COLR rules and 2012 basic-service definition still fit current conditions, with workshops and public hearings scheduled and a proposed decision expected later in the year or into 2026. Members pressed staff on geographic outreach, wireless coverage, whether broadband can be part of basic service, public safety during wildfires, and what reporting and complaint processes currently exist. In the final panel, industry and public-interest witnesses sharply disagreed. A U.S. Telecom representative argued COLR is outdated, costly, and copper-focused, and said reform should allow technology-neutral alternatives such as wireless, fiber, and satellite while preserving reliable voice and emergency access. The CPUC Public Advocates Office countered that COLR remains a necessary public safeguard, especially for rural and low-income customers, and argued that any transition should maintain or improve service, with public benefits such as broadband investment and continued protections for 911, disability access, and affordability. Committee members focused on the difference between an obligation to serve everyone and a mere option to serve, and on whether the Legislature should provide clearer guidance as the CPUC’s rulemaking moves forward.

Transcript Highlights:

• disability claims process and how they compute
• disability claims process and how they compute
• and then come back to me will how they compute