Transcript Highlights:

• It became its own separate agency in 2011, and we are administratively attached to HHSC just like the
• It consists of two people from TDCJ, 2 people from TCCO, 1 DPS, 1 HHSC, and 1 on the Council of Sex Offender
• Littlefield, Texas that serves for the sexually violent predators and administratively attached to HHSC

Transcript Highlights:

• fits all approach that doesn't always meet individual or community needs, so the initiative directs HHSC
• HHSC lists its goals to help their clients and dependence on public assistance, achieve financial stability

Transcript Highlights:

• Should we ask HHSC to come and explain why they need 10 people?
• So, right now, within the Health and Human Services system, we support HHSC and DSHS, the Department
• curious that this is the third time that's come up, and this is the first time, and that it's only HHSC
• I mean, I think that the reason it's HHSC is because we are such a gigantic agency was so many systems

Bills: HB 111, HB1545, HB2145, HB2467, HB2520, HB4136, HB4181, HB4214, HB4218, HB4219, HB4359, HB4437, HB4822, HB111

Keywords: Texas Public Information Act, open records, public records, government transparency, confidentiality, attorney-client privilege, governmental body, Chapter 552, public information law, nonprofit association, quasi-governmental entity, economic development, trade secrets, proprietary information, commercial financial information, Alamo restoration, local workforce board, TDCJ contract facility, civil commitment facility, water supply corporation

Bills: SB 8, HB7, HB15, HB 265, HCR 13, SB 8, HB 7, HB 15, HB 265, HCR 13

Keywords: sex designation, restroom access, civil penalties, private civil right of action, women's privacy, abortion, healthcare, jurisdiction, civil action, qui tam, prohibition, state law, youth camp, safety regulations, advisory committee, child welfare, health standards, summer camp, camp safety, child abuse reporting

Bills: SB 8, HB7, HB15, HB 265, HCR 13, SB 8, HB 7, HB 15, HB 265, HCR 13

Keywords: sex designation, restroom access, civil penalties, private civil right of action, women's privacy, abortion, healthcare, jurisdiction, civil action, qui tam, prohibition, state law, youth camp, safety regulations, advisory committee, child welfare, health standards, summer camp, camp safety, child abuse reporting

Bills: HB123, HB5606, HB549, HB2757, HB4359, HB5381, HB1939, HB123

Keywords: HB 123, kindergarten readiness, early literacy, early numeracy, reading screening, math screening, foundational literacy, foundational numeracy, dyslexia screening, reading intervention, math intervention, teacher academy, literacy academy, mathematics academy, interventionist academy, K-3 assessments, school readiness, prekindergarten, tutoring grant, parent-directed tutoring

Transcript Highlights:

• As a best practice, HHSC and the Texas Education Agency encourage RTCs to establish effective lines of
• Am I correct that HHSC would have to... have a first state amendment plan?
• This committee substitute simply adds the Nelson-Huffman amendment stating that HHSC only needs to implement
• The legislature passed... 1177 in 2021 by Senator Menendez to direct HHSC to develop ILOS benefits for

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: HB447, HB897, HB993, HB2673, HB3671, HB3680, HB3897, HB4506, HB4753, HB4812, HB4894, HB5148, HB5437, HB5650, HB5652, HB5654, HB5656, HB5661, HB5665

Keywords: traffic impact studies, municipal utility district, bonds, road projects, eminent domain, HB 897, Texas land sale, state property, Austin real estate, Travis County, General Land Office, Texas State Library and Archives Commission, HHSC, Health and Human Services Commission, state records facility, archives building, library funding, capital improvements, lease of state land, public land disposition

Summary: The committee heard testimony and took action on several land use, housing, municipal utility district, and cemetery-related bills. House Bill 447, dealing with transportation impact analysis requirements tied to MUD bond issuance, drew opposition from a witness who argued it would duplicate work, strain agency resources, and delay development; after the sponsor’s closing remarks, the committee substitute was withdrawn and the bill was left pending. Senate Bill 1202, on third-party review of home backup power installations, was substituted and reported favorably to the full House by a unanimous roll call. House Bill 2494, on disannexation for failure to provide municipal services, and House Bill 1835, removing barriers to HUD-code manufactured homes, were also substituted and reported favorably; HB 1835 passed on a 5-1 vote. Senate Bill 15, limiting lot size and density requirements in certain large municipalities, was substituted and reported favorably unanimously. The committee also heard House Bill 897, which would authorize the sale or long-term lease of two state-owned Austin properties used by the Texas State Library and Archives Commission and HHSC. The sponsor said the properties are in poor condition and that proceeds would benefit the state; after questions, the committee substitute was withdrawn and the bill was left pending. Several template MUD bills were then laid out, including HB 5652, HB 5654, HB 5661, and HB 5656, each creating or authorizing municipal utility districts in Montgomery or Fort Bend counties for water, wastewater, drainage, road, and recreational improvements. These bills drew limited testimony in support and were left pending without objection. A major portion of the meeting focused on House Bill 2673, which would repeal last session’s change allowing new cemeteries within certain distances of municipalities and restore the prior rule limiting cemetery placement near growing urban areas. The sponsor and supporters argued the 2023 change created unintended consequences, removed valuable taxable land from future use, and complicated city planning; opponents, including a funeral service industry representative, argued the current law gives communities local control and helps address cemetery land shortages. After extensive testimony, the bill was left pending. The committee also heard HB 4753, a bill allowing a property owner to use a municipal record showing a certificate of occupancy was issued when the original document is lost; it was left pending. Finally, HB 3680, a Cameron County-specific bill modifying subdivision/model rule procedures to reduce replatting burdens while preserving colonia protections, and HB 4812, clarifying that condominiums follow Chapter 82 of the Property Code rather than full subdivision platting, both received supportive testimony and were left pending.

Bills: HB447, HB897, HB993, HB2673, HB3671, HB3680, HB3897, HB4506, HB4753, HB4812, HB4894, HB5148, HB5437, HB5650, HB5652, HB5654, HB5656, HB5661, HB5665

Keywords: traffic impact studies, municipal utility district, bonds, road projects, eminent domain, HB 897, Texas land sale, state property, Austin real estate, Travis County, General Land Office, Texas State Library and Archives Commission, HHSC, Health and Human Services Commission, state records facility, archives building, library funding, capital improvements, lease of state land, public land disposition

Summary: The committee heard testimony on a series of land use, housing, and local government bills. House Bill 447, relating to TIA requirements for certain MUD bond issuances, drew opposition from a witness who argued it would duplicate work already done, strain agency resources, and delay development; after the author’s closing, the committee substitute was withdrawn and the bill was left pending. The committee then voted out Senate Bill 1202 (third-party review of home backup power installations), House Bill 2494 (disannexation for failure to provide services), House Bill 1835 (removing barriers to HUD co-manufactured homes), and Senate Bill 15 (lot size and density limits in certain municipalities), with House Bill 1835 receiving one no vote and the others passing unanimously. House Bill 897, authorizing sale or lease of two state-owned Austin properties, was laid out and left pending after brief questions and no public testimony. The committee also heard and left pending several MUD creation bills for Montgomery and Fort Bend counties, including House Bills 5652, 5654, 5661, and 5656, each presented as template district bills with local support and no opposition recorded at the table. A major portion of the meeting focused on House Bill 2673, which would restore prior restrictions on new cemeteries near growing urban areas by repealing changes made last session. Representative Lujan and supporters argued the current law created unintended consequences, including loss of developable land, tax-exempt property in urban cores, and conflicts with infrastructure planning; they said cities already have authority to establish their own cemeteries if needed. Opponents, including a funeral services industry representative, argued the 2023 change was intended to let communities decide and that the bill would take local decision-making backward. After extensive testimony from both sides, the bill was left pending. The committee also heard House Bill 3680, which would create a Cameron County-specific process allowing local discretion under the model subdivision rules. Supporters said the bill would preserve colonia protections while reducing costly platting and replatting burdens on families trying to sell or pass down land; county officials and realtors testified in favor. The bill was left pending after closing. House Bill 4812, a clarification to the Texas Uniform Condominium Act to prevent counties from imposing subdivision platting requirements on condominiums, received support from builders and a condominium attorney who said current county practices create duplicative hurdles and higher costs; it too was left pending. Finally, House Bill 5148, which would allow certain single-stair apartment buildings up to six stories, generated the most detailed policy debate. Supporters, including housing advocates and architects, said the bill would lower costs, improve unit design, and expand affordable, family-friendly housing while maintaining safety through sprinklers and other safeguards. Fire officials from Corpus Christi opposed the bill, warning that a single stairwell could hinder firefighting and occupant evacuation, especially if sprinklers fail or smoke spreads. The author said the bill was aimed at new construction only and was part of a broader effort to reduce outdated housing regulations; the committee substitute was withdrawn and the bill was left pending at adjournment.

Bills: HB447, HB897, HB993, HB2673, HB3671, HB3680, HB3897, HB4506, HB4753, HB4812, HB4894, HB5148, HB5437, HB5650, HB5652, HB5654, HB5656, HB5661, HB5665

Keywords: traffic impact studies, municipal utility district, bonds, road projects, eminent domain, HB 897, Texas land sale, state property, Austin real estate, Travis County, General Land Office, Texas State Library and Archives Commission, HHSC, Health and Human Services Commission, state records facility, archives building, library funding, capital improvements, lease of state land, public land disposition

Bills: HB447, HB897, HB993, HB2673, HB3671, HB3680, HB3897, HB4506, HB4753, HB4812, HB4894, HB5148, HB5437, HB5650, HB5652, HB5654, HB5656, HB5661, HB5665

Keywords: traffic impact studies, municipal utility district, bonds, road projects, eminent domain, HB 897, Texas land sale, state property, Austin real estate, Travis County, General Land Office, Texas State Library and Archives Commission, HHSC, Health and Human Services Commission, state records facility, archives building, library funding, capital improvements, lease of state land, public land disposition

Transcript Highlights:

• In 2021, the Texas Health and Human Services Commission (HHSC) ruled that FECs can only provide emergency
• Under current law, the Health and Human Services Commission (HHSC) and the Office of Inspector General
• realized we need to broaden the scope of the bill to cover all public benefits programs administered by HHSC

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• resident chooses to move into senior living, safety and community are important considerations. an HHSC

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Bills: SB 227, SB 269, SB 407, SB 463, SB 527, SB 547, SB 1283, SB 1380, SB 1383, SB 1511, SB 1640, SB 1784, SB 2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• In 2021, the Texas Health and Human Services Commission, HHSC, ruled that FECs can only provide emergency
• Under current law, the Health and Human Services Commission, HHSC, and the Office of Inspector General
• realized we need to broaden the scope of the bill to cover all public benefits programs administered by HHSC

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Summary: The Senate Committee on Health and Human Services met with several members initially absent, then later established a quorum. The committee heard multiple bills, with most testimony focusing on access to care, insurance practices, senior safety, and health care worker protections. Several bills were laid out with committee substitutes, and public testimony was limited to two minutes per witness. Most bills were left pending after testimony, with no final votes taken in the portion provided. Senate Bill 2069 would create a work group to study the feasibility of a statewide acute psychiatric bed registry; the substitute shifts appointment authority to the Health and Human Services Commissioner and extends reporting and sunset dates. Senate Bill 463 would expand workplace violence protections to additional hospice, home and community support, intermediate care, and state-supported living center settings. Senate Bill 1283 would require background checks and transparency measures for senior retirement communities after testimony about the Dallas-area serial killings of elderly residents. Senate Bill 1784 would require 60 days’ written notice before medical debt is sent to collections. Senate Bill 527 would require medical insurance coverage for general anesthesia for medically necessary pediatric dental procedures for children under 13 with qualifying conditions; pediatric dentists testified that denials delay needed care. A major portion of the meeting centered on prior authorization. Senate Bill 1380 would eliminate prior authorization for a broad list of services, including emergency, primary, mental health, substance use, chemotherapy, preventive, pediatric hospice, and certain chronic-condition care. Physicians and hospice advocates supported the bill, describing delays, administrative burden, and patient harm, while health plans opposed blanket exemptions and argued prior authorization helps prevent unnecessary care and control costs. Relatedly, Senate Bill 547 would require insurers to report gold-card prior authorization exemptions to TDI and create a centralized database and annual report; TMA supported better tracking, while health plans warned of duplicative reporting and administrative cost. Senate Bill 407 would require health care facilities to honor conscience- and religion-based vaccine exemptions for employees, with testimony from a physician and vaccine-choice advocate supporting the bill. The committee also heard Senate Bill 1383, which would regulate senior living referral agencies, allow more flexible compensation structures, and add disclosure and consumer protections; an out-of-state referral company and A Place for Mom supported it. Senate Bill 1511 would allow freestanding emergency centers to provide outpatient services in addition to emergency care, with consumer protections such as estimates, limits on facility fees, and restrictions on balance billing. The chair repeatedly announced that bills were being left pending after testimony, and no final committee action or recorded votes were taken in the transcript provided.

Transcript Highlights:

• that require verification of citizenship, income, and household status. status to align with current HHSC
• So actually, everything that we have currently in place through HHSC is being put through 961.
• I know Craig's been handling this bill for me, and he assures me that, according to HHSC, it does not
• Briefly, the HHSC has commented that there will be a fiscal impact of this, but they haven't given us
• If there are questions from the committee, HHSC may need to be called up to answer that. All right.

Bills: SB95, SB268, SB493, SB619, SB660, SB922, SB984, SB1098, SB1188, SB1307, SB1332, SB1822

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit

Transcript Highlights:

• HHSC 2025 data indicates that only one Texas hospital has been cited and sanctioned by HHSC for noncompliance
• HHSC 2025 data indicates that only one Texas hospital has been cited and sanctioned by HHSC for noncompliance
• And we also coordinate with HHSC and the Correctional Managed Care Program that's administered through
• And we also coordinate with HHSC and the Correctional Managed Care Program that's administered through
• requirements for hospitals at the state level, including new enforcement mechanisms administered by HHSC

Keywords: 1185, senate, all

Transcript Highlights:

• readiness outcomes bonus for a student who's identified as receiving special education services, helps HHSC
• readiness outcomes bonus for a student who's identified it as receiving special education services, helps HHSC
• somebody may miss something they heard at school, but maybe they catch it because they're already getting HHSC
• In calculating the fiscal note, HHSC assumed that Committee Substitute for Senate Bill 1188 applies to

Bills: SJR12, SJR81, SCR39, SB22, SB32, SB241, SB393, SB414, SB458, SB464, SB568, SB583, SB609, SB660, SB693, SB731, SB732, SB746, SB783, SB785, SB897, SB993, SB996, SB1008, SB1029, SB1035, SB1036, SB1120, SB1122, SB1147, SB1163, SB1188, SB1197, SB1209, SB1227, SB1245, SB1267, SB1307, SB1321, SB1332, SB1386, SB1394, SB1396, SB1470, SB1494, SB1537, SB1596, SB1598, SB1610, SB1664, SB1814, SB1822, SB1841, SB1948, SB2065, SB2155, SB2406, SB2407

Keywords: parental rights, education, constitutional amendment, school choice, child education, tax exemption, ad valorem, tangible personal property, income production, border security, southern border, federal immigration policy, illegal immigration, cartels, transnational cartels, fentanyl, drug trafficking, human trafficking, Operation Lone Star, Texas border

Summary: The Senate opened with a quorum call, invocation, approval of routine motions, and the reading of gubernatorial nominations and several honorary resolutions. The chamber adopted resolutions recognizing Jack and Jill of America Day and DJ Daniel Day at the Capitol, with multiple senators offering remarks praising youth leadership, perseverance, and public service. The Senate also introduced the Doctor of the Day and then proceeded to a long series of floor actions on bills. A major focus was Committee Substitute for Senate Bill 568, which overhauls special education funding and services in public schools by moving from a placement-based model to an intensity-based system tied to student needs and IEPs. Senators Bettencourt, Creighton, and Menendez emphasized transparency, parent input, evaluation funding, dyslexia services, and better alignment of funding with actual services; Senator Hinojosa shared a personal story about dyslexia and the importance of early intervention. The bill was advanced on second and third reading and finally passed 30-0. The Senate also passed SB 1396 to prohibit national sex education standards in public schools, SB 2065 on the Texas Emergency Services Retirement System, SB 1664 requiring clearer public disclosure of transmission and distribution utility rate changes, SB 1029 on advertising certain used motor vehicles, SB 1120 expanding rights for family violence victims, SB 1036 regulating residential solar retail transactions, SB 464 creating school-proximity restrictions and penalties for tobacco and vaping sales, SB 1035 giving farmers and ranchers equitable relief from certain local agricultural regulations, SB 1610 addressing civil commitment facility safety and prosecution issues, SB 1197 extending drone restrictions to spaceports, and SB 1386 changing legislative witness immunity from transactional to testimonial immunity. Another major bill was Committee Substitute for Senate Bill 1188, which updates electronic health record requirements. Senator Kolkhorst said the bill builds on Texas medical privacy law by requiring U.S.-based storage of EMR data, prohibiting recording of voter registration status and credit score information, requiring provider verification and disclosure for AI-assisted diagnosis or treatment recommendations, preserving parental access to minors’ records until age 18, and ensuring EMRs can capture metabolic health and biological sex information. A floor amendment clarified the bill’s scope and enforcement, and the bill passed 23-7. Several measures drew debate, especially SB 414 on bond ballot transparency, where Senators Eckhardt and Menendez questioned whether requiring estimated interest and total debt cost on ballots could be misleading or difficult to implement because interest rates and financing terms can change before issuance or over time. The transcript ends during that discussion, with no final action shown on SB 414.

Transcript Highlights:

• We are working with HHSC on a substitute to clarify some things to make sure that we're in line with
• outside support, and updates based on best practices research by the Texas School Safety Center and HHSC

Bills: HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734

Keywords: child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation

Transcript Highlights:

• HHSC rules currently say that employees should avoid conflicts. of interest with their clients but do
• bill it will be illegal in the state of California. of Texas, but I think that's where, you know, HHSC

Bills: HB451, HB645, HB 1041, HB 1151, HB 1155, HB1536, HCR12, HCR12

Keywords: 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, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit