Bills: SB38, SB287, SB291, SB292, SB508, SB618, SB901, SB1436, SB1494, SB1626, SB1719, SB1999, SB1333, SB 38

Keywords: evictions, property law, tenant rights, landlord responsibilities, justice court, court rules, SB 287, Texas Alcoholic Beverage Code, sexually oriented business, adult entertainment, strip club, nude entertainment, live nude performance, alcohol prohibition, alcohol consumption, possession of alcohol, criminal offense, Class A misdemeanor, state jail felony, third degree felony

Transcript Highlights:

• So, when we look at that, we're going to talk about a broad spectrum, but from the beginning of life
• <00:35:34.800> um mind or if there's a fetal um mind or if there's a fetal um anomaly.<00:
• fetal anomalies. fetal anomalies.
• fetal anomalies, we set people up. fetal anomalies, we set people up.
• treatment and medications for opioid use disorder into primary care settings.

Keywords: 958, all

Summary: The committee opened its sixth and final interim meeting with roll call, quorum confirmation, approval of the prior minutes, and a brief change in agenda order to preserve quorum and accommodate presenters’ schedules. Members then moved through several proposed health-related items with limited discussion, and the chair noted the committee would reconvene in January for further conversation. The first substantive item was a proposal relating to utilization controls for non-opioid analgesics in Medicaid. Senator Gerald Neal and Tara Hyde of People Advocating Recovery argued that pain parity is needed so patients can access non-opioid options without prior authorization or step therapy barriers, especially in acute pain situations and for people in recovery. Senator Berg supported the concept and suggested expanding the approach to other prescriptions by allowing physicians to explain why step therapy is inappropriate at the time of prescribing; another member cautioned against unintended cost increases if non-opioid drugs are used as add-ons to opioids. The committee then heard a proposal on physician assistants from Senator Scott and Andrew Rutherford of the Kentucky Academy of Physician Assistants. They described a shift from a supervisory to a collaborative practice model, with practice scope set at the practice level, limited Schedule II prescribing authority under guardrails, and permission for PAs to perform driver’s license vision testing. Supporters said the changes would improve rural access, reduce administrative burden, and align Kentucky with neighboring states; a question from Representative Bratcher focused on experience requirements and how the proposal compares with nurse practitioner rules. No vote was taken. Finally, Representative Nancy Tate, Adia Wuchner, and Representative Jason Nemes introduced a 2026 proposal aimed at “protecting vulnerable people.” They described a broad package focused on abortion pill trafficking, marketing to minors, commercial surrogacy, assisted suicide, and organ procurement safeguards, arguing that current law leaves gaps and that additional criminal and civil penalties are needed. The presentation was informational only, with no action taken before the meeting ended.

Transcript Highlights:

• You know, Disorders, excluding Medicaid.
• Attributed to substance abuse disorders.
• Alcohol fetal syndrome was a big issue, still is.
• Now, that happens with alcohol as well.
• She has severe bipolar disorder.

Keywords: 1185, senate, all

Transcript Highlights:

• I just want to include the fetal portion of the argument as well, so maternal and fetal deaths.
• is because we already do study fetal is because we already do study fetal death<01:27:31.920>
• So it could be maternal conditions, obstetric or pregnancy complication, fetal anomaly, fetal injury,
• complication fetal and anomaly fetal<01:32:54.639> injury<01:32:55.080> fetal<01:32:55.880
• fetal infection um and then fetal injury fetal infection um and then it<01:32:57.560> asks<01

Keywords: 1187, senate, all

Transcript Highlights:

• Adequate to treat complicated trauma disorders.
• He's on the spectrum. Smart young man.
• My son is on the severe end, and he also has intermittent explosive disorder.
• It's been broken for so long. 3.2% of eight-year-olds are on the spectrum.
• This kid had a cleft lip and palate, she had kidney issues, fetal alcohol syndrome; she couldn't swallow

Transcript Highlights:

• Those included a dozen autoimmune, three dozen autoimmune disorders, Kaposi sarcoma... ...autoimmune
• disorders, Kaposi sarcoma—you know, as a nurse, you understand that it's AIDS cancer.
• That would be what you would call autoimmune disorder, or...
• That would be what you would call autoimmune disorder or cancer. Okay.
• And it excludes this for anyone, treatment of cancer or genetic disorder, unless I got the wrong bill

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

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

Summary: The committee first reopened testimony on House Bill 2216, which would strengthen child welfare requirements by expanding “active efforts” to help families avoid removal and support reunification, while also raising standards related to removals and terminations. Supporters from child welfare and family defense groups said the bill would better protect families and align Texas more closely with ICWA-style principles, but several warned it would require significant new funding, staffing, and community services such as mental health care, housing, child care, and substance use treatment. The committee then left HB 2216 pending. The committee next heard Senate Bill 1782, aimed at boarding and group homes. Senator Miles said the bill closes enforcement gaps left by prior law by requiring retention of background-check records and creating misdemeanor penalties for failing to conduct or keep them, or for knowingly hiring people with serious convictions. Harris County sheriff’s investigators testified in support, describing illegal boarding homes, operators who evade permits and background checks, and exploitation of vulnerable residents; the bill was left pending. The committee also took up Senate Bill 481 on emergency preparedness for nursing facilities and assisted living facilities, adopted a new committee substitute that softened some requirements and removed the fiscal note, and left the bill pending. The committee then heard House Bill 388, which would require the Texas Department of Insurance to create a single standardized coordination-of-benefits form for dual health plans to reduce errors and surprise bills; it was left pending. Senate Bill 1590 would move paternity registry searches for adoptions to an electronic process with a 10-day target, and House Bill 2809 would track child suicide attempts in managing conservatorship and require related reporting and parental notice; both were left pending. The committee also heard Senate Bill 1887, which would prohibit administering mRNA-containing products for immunization for 10 years, with exceptions for cancer and genetic disorders. Supporters argued the bill was needed for safety, informed consent, and medical freedom, while opponents from the medical, research, and public health communities said mRNA vaccines are well-studied, save lives, and that the bill would harm access, research, and Texas’s biotech economy. The bill remained under discussion as testimony concluded.

Transcript Highlights:

• Department of State Health Services to support families after a stillbirth, neonatal death, or intrauterine fetal
• table, around it, diagnosed in first grade with ADHD and learning disabled because of the white spectrum
• And they changed it to full spectrum, and he goes to the front and reads in 90 days. Thank you.

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 also on the other end of the spectrum, we cover approximately 62% of nursing home care nursing days
• to the comprehensive health care coverage, specific to pregnant women and fence and it covers a spectrum
• We're about a cannibalism hemorrhage, hypertensive disorder, cardiomyopathy, an infection.
• We look to work with them on their education, for women, for substance use disorder.
• This month happens to be substance use Disorder Awareness Month.

Keywords: 999, senate, all

Transcript Highlights:

• disorder.
• And if you get below 6%, it's zero, but there's a spectrum in between.
• The first I talked about substance use disorder and opioid-related overdose deaths.
• deaths, fetal and infant deaths.
• Including the overlap of substance use disorder and severe mental illness.

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs. EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle. MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.

Bills: HR113, HCR121, HR152, HCR162, SB2835, HR61, HCR67, HR94, HCR102, HR20, HCR19, HR98, HCR106, HR57, HCR63, HR96, HCR104, HR132, HCR140, HR133, HCR141, HR77, HCR85, HR90, HCR98, HR155, HCR165, HR156, HCR166, HR74, HCR82, HR190, HCR200, HR15, HCR13, HR83, HCR91, HR117, HCR125, HR193, HCR203, HR119, HCR127, HR114, HCR122, HR116, HCR124, HR22, HCR22, HR120, HCR128, HR32, HCR32, HR115, HCR123, HR138, HCR146, HR182, HCR192, HR88, HCR96, HR50, HCR54, HR169, HCR179, HR170, HCR180, HR31, HCR31, HR86, HCR94, HR23, HCR24, HR7, HCR8, HR12, HCR10, HR136, HCR144, HR108, HCR116, HR33, HCR33, HR175, HCR185, HR129, HCR137, HR192, HCR202, HR194, HCR204, HR19, HCR18, HR131, HCR139, HR163, HCR173, HR109, HCR117, HR56

Keywords: Hawaii, House Resolution, HR113, Mermaid Caves, Nanakuli, coastal hazards, sea caves, shoreline safety, public safety, digital maps, navigation apps, Google Maps, Apple Maps, point of interest, recreational destination, emergency response, drownings, rescues, cave safety, DLNR

Bills: HR113, HCR121, HR152, HCR162, SB2835, HR61, HCR67, HR94, HCR102, HR20, HCR19, HR98, HCR106, HR57, HCR63, HR96, HCR104, HR132, HCR140, HR133, HCR141, HR77, HCR85, HR90, HCR98, HR155, HCR165, HR156, HCR166, HR74, HCR82, HR190, HCR200, HR15, HCR13, HR83, HCR91, HR117, HCR125, HR193, HCR203, HR119, HCR127, HR114, HCR122, HR116, HCR124, HR22, HCR22, HR120, HCR128, HR32, HCR32, HR115, HCR123, HR138, HCR146, HR182, HCR192, HR88, HCR96, HR50, HCR54, HR169, HCR179, HR170, HCR180, HR31, HCR31, HR86, HCR94, HR23, HCR24, HR7, HCR8, HR12, HCR10, HR136, HCR144, HR108, HCR116, HR33, HCR33, HR175, HCR185, HR129, HCR137, HR192, HCR202, HR194, HCR204, HR19, HCR18, HR131, HCR139, HR163, HCR173, HR109, HCR117, HR56

Keywords: Hawaii, House Resolution, HR113, Mermaid Caves, Nanakuli, coastal hazards, sea caves, shoreline safety, public safety, digital maps, navigation apps, Google Maps, Apple Maps, point of interest, recreational destination, emergency response, drownings, rescues, cave safety, DLNR

Transcript Highlights:

• My name is Raymond Meek, and I am representing me and my family for a fetal death certificate.
• When we went to the ER, the doctor had told us that there was no way that we could be issued a fetal
• Obviously, students with disabilities come with a wide spectrum of needs, and hopefully most of them
• Factitious disorder, a DSM diagnosis, voted into existence like the rest of them.
• Statistically, a lot of these rare disorders take five to seven years to get a diagnosis.

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Summary: The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending. The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending. The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending. Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.

Transcript Highlights:

• school program for the committee on public education HB 2781 by Dutton relating to the menstrual disorders
• the governing boards of political subdivisions to call for a local option election. to the sale of alcoholic
• H.W. 2896 by Arantia, relating to the insurance. coverage of the disposition of the embryotic and fetal
• 2929 by Diallo relating to the training of a peace officer interacting with persons with autism spectrum
• disorder. order for the committee of home and security public safety and veterans affairs it be 2930

Keywords: 1184, house, all

Transcript Highlights:

• The doctor had told us that there was no way that we could be issued a fetal death certificate because
• Moreover, many children who receive treatment at an RTC do so because their emotional disorders are..
• Obviously, students with disabilities come with a wide spectrum of needs, and hopefully most of them
• Factitious disorder—this DSM diagnosis was voted into existence like the rest of them. It's not...
• Statistically, a lot of these rare disorders...

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001, HB136

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Bills: SB1328, SB1380, SB1436, SB1558, SB1572, SB1651, SB1805, SB1831, SB1836, SB2014, SB2023, SB2044, SB2179, SB933

Keywords: parents' rights, healthcare consent, minors, medical records, protection, legal guardianship, hospital, fetal death, miscarriage, healthcare, state health department, vital records, patient rights, child care, licensing, definitions, foster care, child welfare, mental health, substance abuse

Transcript Highlights:

• You'll see a broad spectrum of folks supporting this bill from the pro-life community, from the medical

Bills: SB 31, SB 33, SB 510, SB 871, SB 1868, SB 2024, SB 2166, SB 2309, SB 2880, SJR 27, SJR 39, SJR 40

Keywords: SB 31, Life of the Mother Act, Texas abortion law, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, spontaneous abortion, miscarriage, unborn child, abortion exception, abortion ban, physician liability, health care liability claim, aiding and abetting, Texas Medical Board, State Bar of Texas, continuing medical education

Transcript Highlights:

• the exemptions for abortions for the Texas woman's access to reproductive health care, including the fetal
• HB 1301, by Landgraf, relating to the sale of wine and malt beverages by certain alcoholic beverage manufacturers
• by Hope, relating to required labeling of certain products containing a derivative of board human fetal
• From a board of human fetal tissue referred to the Committee on Public Public Health.
• to provide money for research on and prevention and treatment of Alzheimer's disease and related disorders

Summary: The House met to read a large slate of newly filed bills and resolutions and refer them to committees. The measures covered a wide range of topics, including health care and insurance, public education, elections, criminal justice, public safety, taxes, transportation, agriculture, environmental regulation, higher education, housing, and local government. Several proposals focused on abortion and reproductive health, firearms, voter registration and ballot access, school curriculum and accountability, property tax and homestead issues, and state contracting and agency oversight. A number of constitutional amendments were also filed, including proposals on initiative and referendum, veto override authority, vaccination refusal, parental rights in education, gun rights, Medicaid expansion, and various tax exemptions. No substantive debate, testimony, or votes occurred during this portion of the meeting; the clerk simply read the bills and resolutions and announced their committee referrals. The list included both general legislation and joint resolutions, with many items sent to standing committees and several to subcommittees. The House then adjourned without objection until 2 p.m. on Tuesday.

Transcript Highlights:

• And a few short months later, you receive a fetal diagnosis.
• Mothers who were battling substance abuse disorder who had a baby in the NICU who was withdrawing.
• I met a mom. at the NICU who had twins, and she was battling substance abuse disorder, and one of her
• Fetal anomaly that's incompatible with life and they had to have it delivered early by whatever means
• Members, I hear this claim that this is supposedly about respecting the full spectrum of choices that

Transcript Highlights:

• These include increased mental health and substance use disorders, risks to fetal and newborns when cannabis
• These include increased mental health and substance use disorders, risks to fetal and newborns when cannabis
• These include increased mental health and substance use disorders, risks to fetal and newborns when cannabis
• science-based drug alcohol can provide science-based drug alcohol alcohol<01:17:06.840> and<01
• Yes, there is a cannabis use disorder, similar to alcohol and tobacco, but legalizing adult cannabis

Keywords: 910, house, all

Summary: The House Committees on Judiciary and Hawaiian Affairs and Agriculture and Food Systems heard testimony and began decision-making on HB 1246, which would establish the Hawaii Cannabis and Hemp Office within DCCA to regulate cannabis. Chair Tarnas described the bill as divisive and noted the hearing had received 95 testimonies in support, 135 in opposition, and 11 comments. Members were told the office would be administratively attached to DCCA, and the department emphasized it would not direct day-to-day operations. DCCA also raised concerns about banking access due to federal law, while the Department of Agriculture supported a one-plant, one-agency approach and noted its current authority over cannabis plant importation and movement. Several agencies and advocates supported the bill with cautions or requested amendments. The Department of Health said it appreciated the bill’s public health protections but remained concerned about increased adult-use access, youth mental health, pregnancy-related risks, and effects on developing brains; it requested a 12-month delayed effective date. The Attorney General’s office said legalization should include safeguards, recommended a longer implementation timeline and seed funding, and flagged issues in the bill involving impaired driving, open-container language, and penalties for under-21 possession. The Office of the Public Defender supported the bill but objected to new driving and possession offenses, saying existing law already covers impaired driving. Doctors for Drug Policy Reform supported the measure, citing regulation of intoxicating cannabinoids, testing, childproof packaging, and public education as public-health benefits. Opponents focused on youth access, public safety, and the bill’s broader social effects. The Honolulu Police Department opposed the bill over access and diversion concerns, and the City and County of Honolulu Prosecutor strongly opposed legalization, citing higher-potency cannabis, youth harms, psychiatric risks, and increased poison-center calls. The Hawaiʻi Substance Abuse Coalition argued legalization should wait until prevention programs are in place and funded first, while the Hawaiʻi Family Forum and Hawaiian Republican Women also opposed the measure, citing concerns about youth exposure, added bureaucracy, and taxpayer costs. The Tax Foundation of Hawaiʻi questioned the purpose of the proposed cannabis taxes, asking why cannabis should be taxed heavily if legalization is intended. The hearing continued with additional testimony after a brief audio issue for one testifier.

Transcript Highlights:

• Madam Chair, members, House Bill 2184 extends the seven-day fetal death certificate filing requirement
• to fetal deaths that occur at or before 20 completed weeks of gestation if the mother requests it.
• Amendment, dated January 28, 2026, at 6:42 p.m., removes the gestational weight threshold required for a fetal
• This bill allows for the registration of a fetal death certificate and affirms parental rights over the
• remains of an unborn child following miscarriage and fetal death.

Bills: HB2180, HB2184, HB2188, HB2194, HB2206, HB2321, HB2322, HB2438, HB2442, HB2448, HB2727, HB2797

Keywords: appropriation, funding, University of Arizona, education, state budget, fetal death, funeral homes, informed consent, abortion, women's rights, medical assistance, emotional support, language acquisition, early intervention, hearing impairment, grant program, deaf education, health care, insurance claims, prior authorization

Summary: The Committee on Health and Human Services opened with remarks about shortening meeting times and then heard a JLBC presentation on the effects of H.R. 1 on SNAP. JLBC staff explained that H.R. 1 expands SNAP work requirements, raises the state share of SNAP administrative costs from 50% to 75% beginning in FY 2027, and could require Arizona to pay a share of benefits if its SNAP error rate exceeds 6%. JLBC estimated the administrative cost increase at about $33 million in FY 2027 and $44 million in FY 2028, and said a 2024 error rate of 8.8% could trigger about $139 million in state benefit costs under the new federal formula. The committee then considered HB 2797, which requires DES to regularly review data from other agencies to verify SNAP eligibility, post fraud and noncompliance data, and address out-of-state EBT purchases. Supporters said it would improve program integrity and help Arizona avoid federal cost-sharing penalties; the bill passed 7-5. The committee next heard HB 2180, which appropriates $2.5 million in FY 2027 to the University of Arizona for AZ REACH, a statewide hospital transfer coordination service. Supporters from rural hospitals and the health system described it as a useful, voluntary service that speeds transfers and reduces burden on physicians, while one health system representative asked for better operational coordination. The bill passed 11-1. HB 2184, as amended, would extend fetal death certificate filing requirements to fetal deaths at or before 20 weeks if requested by the mother and require notice of the option to transfer remains to a funeral home before an abortion. Supporters, including a mortuary owner and parents who had experienced miscarriages, said it would give grieving families dignity and closure; opponents raised concerns about reproductive rights and language in the bill. The committee adopted the Bliss amendment and passed the bill 7-4-1. HB 2188, as amended, created a Language Acquisition Grant Program for services to deaf or hard-of-hearing infants and toddlers. Supporters said it would streamline funding and preserve family choice among spoken language, ASL, or both, while an opponent argued the bill should more explicitly ensure equal access to ASL and Deaf Culture services; the bill passed 12-0. The committee also considered three more H.R. 1-related SNAP bills. HB 2442 would require able-bodied adults under 60 receiving SNAP to participate in an employment and training program unless exempt; supporters said it would connect recipients to work and training, and it passed 7-5. HB 2448 would bar DES from seeking work-requirement waivers or discretionary exemptions unless authorized by law; supporters said it would prevent broad waivers and improve employment outcomes, and it also passed 7-5. Finally, HB 2206 would require DES to reduce the SNAP payment error rate to 3% by 2030, submit annual progress reports, and face corrective action if targets are missed. Supporters said it would save taxpayer money and improve accountability, while opponents argued the target was too aggressive without more staff or funding and could strain DES; the bill was still under discussion at the end of the transcript.