Transcript Highlights:

• House File 1916 introduces essential safeguards to Minnesota's child care system.
• despite those Child Care Centers visited despite those Child Care Centers receiving<00:20:13.679><c>
• ><c> or</c><00:21:27.360><c> early</c> in child care assistance funds or early in child care assistance
• It is to provide help for child care facilities, right?
• It is to provide help for child care facilities, right?

Bills: HF1169, HF1916

Keywords: child protection, child welfare, paperwork reduction, social services information system, SSIS, Department of Children, Youth, and Families, foster care, children in placement, county social services, Tribal governments, private child placing agencies, case management, administrative burden, information technology, human services, welfare administration, Minnesota tribes, child care assistance, CCAP, program integrity

Transcript Highlights:

• </c><00:48:23.119><c> provider</c> payments to a child care provider payments to a child care provider
• child care provider.
• child care provider.
• child care provider.
• We turned it the Great Start Child Care Tax Credit and dependent care credit because the dependent care

Bills: HF1, HF1384

Keywords: Office of Inspector General, inspector general, legislative audit, fraud prevention, waste and abuse, public funds, grant oversight, state grants, grant management, whistleblower protection, retaliation, subpoena power, data practices, government transparency, accountability, law enforcement referrals, sanctions, debarment, payment withholding, public assistance fraud

Transcript Highlights:

• child care assistance.
• older care and learning.
• how to manage my care.
• . care. care.
• </c> type of care from county officers. type of care from county officers.

Bills: HF3665, HF3002, HF4217, HF4125, HF4174

Keywords: foster care, early childhood education, child care programs, placement plan, social services, extended foster care, kinship care, relative custody, permanent legal and physical custody, Northstar kinship assistance, independent living plan, transition services, youth aging out of care, medical assistance, Medicaid, child welfare, children youth and families, out-of-home placement, case plan, relative placement

Transcript Highlights:

• Our workers need child care to get to work.
• Those three things include housing, child care, and employment.
• providers and family licensed family child care providers.
• subsidy, such as Working Connections Child Care.
• ECEAP expansion has the potential to greatly strengthen child care.

Bills: HB2099, HB2317, HB2318, HB2350

Keywords: military families, early childhood education, access, assistance program, education equity, HB2317, early learning, child care licensing, day care, preschool, Head Start, DCYF, Department of Children, Youth, and Families, Washington State, RCW 43.216, child care center, family home provider, family child care, outdoor nature-based child care, school-age child care

Summary: The Early Learning and Human Services Committee held public hearings on several bills focused on early learning access and disability services. House Bill 2317 would exempt certain ECEAP and Head Start programs located in public school buildings or on public school property from DCYF child care licensing when they operate part-day or school-day. Staff explained the current licensing requirements, and the prime sponsor and testifiers from Head Start, ECEAP, and private school groups said the bill would reduce duplicative oversight, delays, and costs while helping expand preschool access. House Bill 2099 would expand ECEAP eligibility for military families and add prioritization factors for deployed and single custodial military parents; the sponsor and multiple advocates, including military and early learning organizations, said military families face unique child care, housing, and readiness challenges and need better access to preschool slots. House Bill 2350 would require DSHS to notify residents, guardians, and family members when a residential habilitation center is found out of compliance with federal CMS requirements; the sponsor and disability advocates said the bill would improve transparency and help families respond to safety and care concerns. The committee also heard House Bill 2318, which would allow ECEAP and Head Start children to count toward the 5% participation threshold needed for Early Achievers quality improvement awards. The sponsor said the change would provide modest additional funding to providers serving high-need children and help support child care programs with thin margins. Testifiers from a remote nonprofit child care center and the Head Start/ECEAP association said the current rule can discourage providers from enrolling ECEAP children because it can jeopardize award eligibility, and that the bill would remove an unintended barrier without changing the program’s purpose. No votes were taken; each bill was heard and then the committee moved on or closed the hearing.

Transcript Highlights:

• </c> past we have seen Managed Care past we have seen Managed Care organizations<00:35:39.760><c> not
• I see them relying on medical assistance for their health care coverage to access primary care.
• care system money.
• primary care provider.
• </c><01:23:48.000><c> care</c> assertive assertive community care care assertive assertive community

Bills: HF1005

Keywords: health insurance, medical assistance, behavioral health, reimbursement rates, primary care services, physician fee schedule, managed care, residential services, 1183, house

Transcript Highlights:

• Then we have the first portion, which is the child care center parent access.
• Then we have the first portion, which is the child care center parent access.
• </c> child is in attendance at a child care child is in attendance at a child care center<00:09:06.880
• </c> Right now, the state provides no direct Right now, the state provides no direct funding<00:51:53.040
• </c><01:21:47.040><c> that</c> but I really want to be careful that but I really want to be careful that

Bills: HF2078, HF777, HF841, HF1112, HF1098, HF1926

Keywords: child care, day care, child care center, licensing, license requirements, parent access, guardian access, custody order, court order, furnishings, equipment standards, learning materials, early childhood education, infant care, toddler care, preschool, school-age child care, play materials, sensory materials, gross motor equipment

Transcript Highlights:

• 1247 is an emergency measure that allows individuals who do not receive supervisory, personal, or directed
• care services to live with a resident in an assisted living center or home if authorized by the facility
• assisted living resident, not be required to have a service plan or any sort of long-term health or care
• facility the full full breadth to ensure that their patient, their, their resident who is under their care
• not ophthalmologists, but optometrists probably do about 90% of what would be considered basic eye care

Bills: SB1023, SB1145, SB1242, SB1247

Keywords: optometrists, eye exams, eyeglass prescriptions, healthcare, vision care, behavior analysis, licensing, psychologist examiners, state regulations, committee authority, mental health, court-ordered treatment, outpatient treatment, audiovisual technology, secure facilities, evaluations, guardian powers, patient rights, assisted living, occupants

Transcript Highlights:

• And I have you as Alec Mendoza, Texans Care for Children, Texans Care for Children, and you're for the
• So seeing that love go one direction, not the other direction was.
• I don't care, we're good. Laura Miller.
• I care about you.
• This bill, this bill moves us in the wrong direction.

Bills: HB 2646, HB 3941, HB 5153, HB 5155, HB 5394, HB 1106, HB 426, HB 4529, HB 3984, HB 4273, HB 1097, HB 3940, HB 1941, HB 4377, HB 3153

Keywords: child care, task force, high-quality care, affordability, prekindergarten partnerships, foster care, transitional living, Medicaid reform, youth assistance, independent living, services for youth, employment training, educational support, mental health services, health care, public health, child health program, reimbursement, local health entities, maternal health

Transcript Highlights:

• Whose purpose was to create a form used by memory care providers.
• to get an abortion have the pills mailed to them that kind of thing gets gets Identified and then directed
• It's just ensuring that a detailed medical information is Being received from the primary care providers
• that one hospice cannot come in and Hijack a patient from another hospice that's already delivering care

Bills: SB667, SB904, SB1344, SB1380, SB1423, SB1425, SB1484, SB1500, SB1502, SB1503, SB1555, SB1561, SB1562, SB1565, SB1572, SB1644, SB1749, SB1833, SB2007, SB2044, SB2074

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, gender transition, gender-affirming care, transgender, puberty blockers, cross-sex hormones, hormone therapy, sex reassignment, transition surgery, Medicaid, public funds, state facilities, state hospital, Oklahoma, intersex, DSD

Transcript Highlights:

• Direct adoption. Member yields to questions. Are there any questions on the bill?
• Direct adoption. Member yields to questions. Are there any questions on the bill?
• Health Care Workforce Resources Center.
• I believe it's handled right now by the Health Care Authority.
• I believe it's handled right now by the health care authority. Thank you.

Bills: SB667, SB904, SB1344, SB1380, SB1423, SB1425, SB1484, SB1500, SB1502, SB1503, SB1555, SB1561, SB1562, SB1565, SB1572, SB1644, SB1749, SB1833, SB2007, SB2044, SB2074

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, gender transition, gender-affirming care, transgender, puberty blockers, cross-sex hormones, hormone therapy, sex reassignment, transition surgery, Medicaid, public funds, state facilities, state hospital, Oklahoma, intersex, DSD

Summary: The committee heard and advanced a large number of health-related bills, with much of the agenda focused on pharmacy benefit manager (PBM) regulation, Medicaid administration, and health-system cleanup measures. Bills passed included HB 1344 on insulin affordability and state support for low-cost biosimilar insulin manufacturing; HB 1380 requiring the Health Care Authority to check death records to disenroll deceased Medicaid recipients; SB 2007 and SB 2074, both PBM-related measures addressing pharmacist reimbursement, dispensing fees, appeals, and penalties; SB 1572 creating a feasibility study on reorganizing the Department of Mental Health and Substance Abuse Services and temporarily allowing the Health Commissioner to serve in a dual role; and SB 1555 updating the definition of intellectual disability to match the federal definition. Members also approved several bills eliminating or repealing outdated councils and programs, including SB 1423 ending the Hospital Advisory Council, SB 1425 repealing the Health Care Workers and Educators’ Assistance Program and Health Care Workforce Resources Center, and SB 1502 eliminating the Alzheimer Dementia Disclosure Act Advisory Council. Other measures passed included SB 1561 changing EMS discipline to a progressive system, SB 244 and SB 667 making chiropractic language and training cleanup changes, SB 1749 on LP gas inspections for food trailers, SB 1484 requiring more detailed medical information for infant and child death investigations, SB 1562 clarifying hospice patient protections, and SB 1644 creating reporting related to alpha-gal to support possible research funding. The most debated bill was SB 1503, which would expand the Choosing Childbirth Act so nonprofits without an Oklahoma physical address could receive grants to connect women seeking abortions with pregnancy resources. Members questioned whether grant dollars and salaries would stay in Oklahoma, whether reporting and accountability would be sufficient, and whether Oklahoma-based providers could do the work instead. The bill passed 5-2 after the sponsor said he was open to amendments and oversight. SB 1833, codifying a SNAP waiver restricting candy and soft drink purchases, and SB 904, modifying the use of certain state funds and facilities for medical procedures, also drew questions and passed on divided votes. The meeting ended after all listed bills were heard and voted on, with most measures passing unanimously or by wide margins.

Transcript Highlights:

• care and 16 times higher for inpatient care.
• patients to care isn't working as it claims.
• Federal policy shifts, a worsening workforce for primary care, and a severe shortage for primary care
• I'm also part of the health care system.
• patient care where they are most needed.

Bills: SB6226, SB6305, SB5924, SB5990, SB5185, SB5845, SB6071, SB6258

Keywords: SB 6226, Washington, audiology, audiologist, hearing aid specialist, speech-language pathologist, telehealth, teleaudiology, clinical autonomy, clinical judgment, in-person care, remote care, Board of Hearing and Speech, hearing instruments, hearing aids, dispensing hearing aids, standards of care, professional licensure, health professions regulation, patient-centered care

Summary: The Senate Health and Long-Term Care Committee met on January 30 and first moved through executive session on five bills. The committee adopted proposed substitutes and advanced Senate Bills 5999, 5185, 5845, 6071, and 6258 to the Rules Committee, all by voice vote and subject to signatures. SB 5999 would let smaller rural counties appoint an APRN or PA as an acting local health officer; SB 5185 creates a pilot pathway for international medical graduates toward physician licensure; SB 5845 revises timely payment rules for health carriers; SB 6071 standardizes overpayment recovery timelines; and SB 6258 creates a non-disciplinary pathway for relinquishing certain medical licenses. Several sponsors noted that SBs 5845 and 6071 were still being worked on with stakeholders. The committee then held a hearing on SB 6226, which would protect the clinical autonomy of audiologists and require the Board of Hearing and Speech to apply hearing-instrument rules consistently across care modalities, including telehealth. Testimony was overwhelmingly supportive, with witnesses emphasizing teleaudiology’s role in expanding access, especially for rural residents, older adults, and people with mobility challenges. One association witness supported the bill’s goals but warned it could be read too broadly and affect other regulatory standards. The hearing closed with 54 people signed in pro, none opposed, and two other. Next, the committee heard SB 6305, the Truth in Mental Health Coverage Act, which would require carriers to submit standardized annual data to the Office of the Insurance Commissioner on behavioral health coverage, access, reimbursement, utilization, and network participation, with public posting in raw files and dashboards. Supporters said the bill would make parity and access problems visible and help consumers compare plans; the OIC said it supported the transparency approach and was already engaged in parity oversight. Opponents argued the bill was premature given implementation of recent parity legislation and could add burdens without addressing workforce or network adequacy. The hearing closed with 396 signed in pro, two con, and zero other. Finally, the committee heard SB 5924, a proposed substitute expanding pharmacists’ prescriptive authority and limited diagnostic authority for certain drugs and conditions, consistent with a Department of Health sunrise review. Supporters from pharmacy, health care, retail, and rural access perspectives said it would reduce administrative barriers, improve access in underserved areas, and better use pharmacists’ training; some cited examples such as immunizations, contraception, opioid use disorder treatment, and minor illnesses. The Washington State Medical Association opposed the bill, saying it moved away from collaborative practice and needed more time to resolve concerns about coordination, pediatrics, and complex patients. A few testifiers raised objections to psychiatric prescribing or specific drugs, while others asked about reporting back to primary care. The hearing closed with 279 signed in pro, six con, and four other, and the committee adjourned after concluding its business.

Transcript Highlights:

• Residential treatment centers provide around the clock supervision and care for children with serious
• Uh, you are with Texans Care for Children. Is that correct? Excuse me, yes, that's correct.
• I am Kate Murphy, director of child protection policy at Texans Care for Children.
• Are they, um, really able to wrap around them and care for them the way that we hope that they can.
• care, it should be considered temporary because parents are working to get their children home.

Bills: SB 2041, SB 1777, SB 1681, SB 2311

Keywords: child welfare, foster care, Department of Family and Protective Services, DFPS, Family Code, conservatorship, placement selection, contract residential care, kinship care, relative placement, designated caregiver, best interest of the child, least restrictive setting, placement stability, child protective services, residential treatment, group home, family reunification, Texas foster system, residential care

Transcript Highlights:

• You are with Texans Care for Children, correct? Excuse me. Yes, that's correct.
• I am Kate Murphy, Director of Child Protection Policy at Texans Care for Children.
• Our concern is that when a child is initially placed in foster care or placed in any care, it should
• But once the child is placed in care, they always ask, are you willing?
• Care providers or their staff to violate this provision.

Bills: SB2041, SB1777, SB1681, SB2311

Keywords: child welfare, foster care, Department of Family and Protective Services, DFPS, Family Code, conservatorship, placement selection, contract residential care, kinship care, relative placement, designated caregiver, best interest of the child, least restrictive setting, placement stability, child protective services, residential treatment, group home, family reunification, Texas foster system, residential care

Transcript Highlights:

• underlying bill here modifies some licensure requirements for receiving children for supervision or care
• and lawyers to be licensed, allowing the termination of licenses for inactivity, exempting kinship care
• and lawyers to be licensed, allowing the termination of licenses for inactivity, exempting kinship care
• And our child care providers are stretched.
• Just briefly, this gives some flexibility to our small child care providers. Please vote yes.

Bills: HB1544, HB2099, HB2185, HB2219, HB2253, HB2317, HB2318, HB2319, HB2350

Keywords: child welfare, risk assessment, investigation, child abuse, neglect, military families, early childhood education, access, assistance program, education equity, homelessness, youth programs, advisory committee, prevention, protection, HB 2219, child care licensing, early learning, DCYF, Department of Children Youth and Families

Summary: The House Early Learning and Human Services Committee took up possible executive session on nine bills, first briefing amendments and proposed substitutes before voting. House Bill 2099, expanding eCAP access and prioritization for children of military families, was amended to include NOAA and Public Health Service commissioned corps members and broader deployment criteria, then passed unanimously. House Bill 2185, which strengthens the advisory committee for homeless youth services, also passed unanimously without amendments. House Bill 2219, addressing mixed-ratio time in child care centers and waiving repeat pre-service orientation in limited cases, adopted an amendment adding conditions for the waiver and then passed unanimously. House Bill 2253, a broad licensure and regulatory bill affecting child care and residential programs, saw several amendments considered; one report amendment was rejected, and an amendment restoring state monitoring and health/safety reviews at the Washington School for the Deaf was adopted. The committee then passed the amended bill unanimously. House Bills 2317 and 2318, both expanding flexibility for ECEAP and Head Start providers, passed without amendments and with unanimous support. House Bill 2319, renaming residential habilitation centers in statute, adopted a technical correction amendment and passed unanimously. House Bill 2350, requiring notice when a residential habilitation center is out of compliance with CMS requirements, was amended to emphasize posted notices, email options, preferred-language notices, and plain-language summaries, then passed unanimously. The committee then returned to House Bill 1544, which directs DCYF to study and improve its risk, strengths, and needs assessment tool and certify its validation. Four amendments were considered: one requiring domestic violence to be included in the study was adopted; amendments on defining “safe,” auditing missing data on near-fatalities and safety-plan failures, and prohibiting use of an unvalidated tool to screen out referrals were rejected. The amended second substitute bill passed on a 9-0 vote, with Representatives Burnett and Penner voting “no without recommendation.” The committee adjourned after reporting all nine bills out of committee, most with do pass recommendations and several with adopted amendments.

Transcript Highlights:

• </c><00:19:00.840><c> system</c> we witnessed in our child care system we witnessed in our child care
• I am Claire Sanford with the Minnesota Child Care Association, and I am here in support of the direction
• </c> the direction of and need for this bill. the direction of and need for this bill.
• We had huge attendance drops in child care, and many families were following public health directives
• Limiting the county-by-county care.

Bills: HF2136, HF4195, HF4548, HF4432, HF4174, HF3024, HF4389, HF3773

Keywords: youth intervention, grants, community support, early intervention services, nonprofit, Minnesota human services, forecast adjustment, budget forecast, appropriations, Medical Assistance, MinnesotaCare, Health Care Access Fund, general fund, behavioral health, housing support, General Assistance, Minnesota Supplemental Aid, MFIP, DWP, child care assistance

Transcript Highlights:

• When I read what the bill does, that health care, Medicaid managed care organizations and others may
• Senate Bill 5916 directly addresses. ...care, not fewer.
• Generally, we think that health care provider instincts are to direct patients to safe and effective
• Association of Washington, and Fresenius Medical Care.
• patient care.

Bills: SB5845, SB5916, SB6102, SB6071, SB6103, SB6159, SB5877, SB5967, SB5904, SB5915, SB6025

Keywords: health insurance, health carrier, insurance carrier, prompt pay, timely payment, claims processing, clean claim, remittance advice, provider reimbursement, hospital billing, medical billing, prior authorization, claims denial, interest on late claims, administrative penalty, Washington insurance commissioner, RCW 48, public employees benefits board, school employees benefits board, Medicaid managed care

Summary: The committee heard public testimony on several health care bills. SB 6159 would create a public hospital infrastructure account funded by a new coverage assessment on insurers and other premium-tax payers, to help public hospital districts and other public health entities finance major construction and modernization projects and allow more cooperative agreements among public hospitals. The sponsor and supporters said it would help public hospitals remain competitive and better serve rural and underserved patients, while opponents argued the assessment would raise health care costs, could sweep in property and casualty insurers and mutual companies, and might create legal and affordability problems. Testimony also raised concerns that the bill’s cooperation language could unintentionally narrow existing affiliations with nonpublic entities. The hearing closed with 5 signed in pro, 74 con, and 2 other. The committee then heard SB 5845, which would replace the current 95% timely-payment standard with a requirement that all clean claims be paid or denied within 30 days, with notice requirements for incomplete claims and interest or penalties for late payment. Hospitals, physicians, and health systems strongly supported the bill, saying delayed and unpredictable payments create major cash-flow and administrative burdens and that some large claims can remain unpaid for months or longer even when care was approved. Health plans opposed the bill, saying they already meet current standards, that the bill could limit their ability to investigate fraud, waste, and abuse or review high-dollar claims, and that it should include more balanced timelines and exceptions. The hearing closed with 69 signed in pro, 4 con, and 2 other. The committee also heard SB 5916, which would prohibit health plans, Medicaid managed care organizations, and public employee plans from disadvantaging non-opioid pain treatments relative to opioids through formulary placement or utilization management, and would require a Department of Health educational pamphlet on non-opioid options. Patients, recovery advocates, and rare disease advocates supported the bill as a way to improve access to safer pain care and reduce barriers like prior authorization and step therapy. The Health Care Authority and an insurers’ representative said they support access to non-opioids but were concerned the bill could require preferred status for all non-opioids whenever any opioid is preferred, increasing costs and limiting formulary management. The hearing closed with 8 signed in pro, 1 con, and 2 other. Later, the committee heard SB 6102, a technical bill to align the ambulance transport quality assurance fee with federal rules after changes in federal law limited new provider taxes. The ambulance association supported the bill, saying the existing fee has significantly improved wages and benefits for EMS workers and that the change is needed to preserve the program. The hearing closed with 50 signed in pro, 1 con, and 0 other. The committee also heard SB 6103, which would make Medicaid payments for rural emergency hospitals subject to appropriation and create a state framework for a rural hospital conversion model. Supporters from East Adams Rural Health Care and the Washington State Hospital Association said the bill would help keep rural emergency services viable, especially for communities along the I-90 corridor. The hearing closed with 58 signed in pro, 1 con, and 0 other. Finally, the committee heard SB 6071, which would shorten the time limit for insurers to seek overpayment recoveries from providers from two years to six months, or nine months for coordination-of-benefits cases, extending a standard already enacted for mental health and substance use disorder services. Providers from acupuncture, massage, podiatry, and other small practices supported the bill, saying long clawback periods create financial instability and administrative burden, while the remaining testimony was still being taken when the transcript ended.

Transcript Highlights:

• Health care provider.
• In many ways, Coordinated Care is the Affordable Care Act success story.
• care services.
• That's the promise of future care when people's long-term care and other health care needs escalate.
• That's the promise of future care when people's long-term care and other health care needs escalate.

Bills: HB2564, HB2599, HB1809, HB2242, HB2261, HB2384, HB2505

Keywords: healthcare, insurance, certification, state regulation, health plan, therapy, psychotherapy, mental health, regulation, professional standards, behavioral health, mental health crisis, crisis response, co-response, co-responder, first responder, EMS, emergency medical services, paramedic, EMT

Summary: The House Health Care & Wellness Committee held public hearings on House Bill 2564, concerning the health benefit exchange, and House Bill 2599, concerning the use of AI in therapy services. HB 2564 would let the exchange adopt annual market-factor certification criteria to address access and affordability issues, including requiring more meaningful plan differences, broader county participation, and availability of lower-premium options. Supporters, including the exchange, former Sen. Karen Kaiser, consumer advocates, rural and tribal representatives, and some brokers, said the bill could help prevent bare counties, improve affordability, and reduce confusing plan duplication. Opponents, including carrier groups, insurers, the hospital association, and insurance producers, warned it could reduce carrier participation, create uncertainty, overlap with OIC authority, and raise provider costs. HB 2599 would restrict licensed therapy providers from using AI to make independent therapeutic decisions, directly interact with clients, generate treatment plans without review, or advertise AI as therapy; supporters said it was needed to prevent deceptive or dangerous chatbot therapy, while several professional groups and Teladoc supported the intent but asked for narrower definitions and clearer carveouts for routine clinician-supervised tools. The committee also heard testimony on the bills’ details and possible amendments, but took no public-hearing votes on either bill. In executive session, the committee considered five bills. HB 1784, on certified medical assistants entering and activating orders, passed with a proposed substitute that added standing written protocols, annual review requirements, and a 24-hour countersignature deadline; it was reported out 18-0. HB 2242, on preventive services and immunization recommendations, had three amendments considered: two were rejected and one JLARC study amendment was adopted, after which the substitute bill passed 11-7. HB 2384, on actuarial reviews for continuing care retirement communities, passed as a substitute after technical changes and was reported out 16-2. HB 2505, creating an exemption from adult family home licensure for certain foster family situations, adopted an amendment adding disqualifying conditions and then passed 18-0. The committee deferred action on HB 1809 and HB 2261, and adjourned after completing its work.

Transcript Highlights:

• care credential during patient care encounters.
• Two, it ensures that all health care advertisements that name a health care professional identify the
• patient medical care... ...insurance premiums go to actual direct patient medical care, not excessive
• when the vast majority of our health care dollars... ...towards medical care.
• Additionally, providers of community-based care and in-home care, ...from liability.

Bills: HB2261, HB2283, HB2425, HB2110, HB2113, HB2122, HB2152

Keywords: healthcare, transparency, patient communication, credentials, professional standards, medical loss ratio, insurance, health plans, cost management, nursing delegation, registered nurse, RN, home care aide, nursing assistant, certified nursing assistant, CNA, medical assistant, home health, hospice, community-based care

Summary: The House Health Care and Wellness Committee held public hearings on House Bills 2261, 2283, and 2425, then took executive action on House Bills 2110, 2113, 2122, and 2152. HB 2261 would require health care providers to wear badges showing name, credential, and degree initials, require similar disclosures in advertising, and restrict use of the title “physician surgeon”; supporters framed it as a patient transparency measure, while many providers and associations opposed it as burdensome, confusing, and harmful to access, especially for adult family homes and solo practices. HB 2283 would raise the medical loss ratio for fully insured plans to 90%; supporters said it would direct more premium dollars to care and lower costs, while insurers warned it could destabilize markets and reduce flexibility for administrative services. HB 2425 would modernize nurse delegation rules, expand what tasks can be delegated, and broaden liability protections; supporters said it would reduce barriers and help address workforce shortages, while opponents raised patient safety and accountability concerns. During executive session, the committee advanced all four bills. HB 2110, allowing certain nurses without EMT certification to provide care on inter-facility specialty care transport, was amended and reported out with a due pass recommendation. HB 2113, which addresses radiological technicians performing IV contrast procedures under certain supervision arrangements, was reported out without amendment. HB 2122, requiring hospitals to offer flu vaccines under specified conditions, was amended three times and then reported out. HB 2152, requiring certain facilities to allow medical cannabis use by qualifying patients with terminal conditions, was amended to include exemptions and policy details, including naming it Ryan’s Law, and was then reported out as amended. The committee adjourned after these votes.

Transcript Highlights:

• and managed care plans.
• Foster care like me, those safety nets don't often exist.
• I aged out of care at 18, I didn't know what to do.
• So what happens to these children that do not receive care, receive delayed care?
• of care. that improve the quality and accessibility of care for pregnant women with opioid use disorder

Bills: HB2646, HB3941, HB5153, HB5155, HB5394, HB 1106, HB426, HB4529, HB3984, HB4273, HB 1097, HB3940, HB1941, HB4377, HB3153

Keywords: child care, task force, high-quality care, affordability, prekindergarten partnerships, foster care, transitional living, Medicaid reform, youth assistance, independent living, services for youth, employment training, educational support, mental health services, health care, public health, child health program, reimbursement, local health entities, maternal health

Transcript Highlights:

• As a result, newborns are experiencing delays and missing vital early care, including early checkups
• I have you as Alec Mendoza from Texans Care for Children.
• We know that early checkup screenings and medical care are vital for a baby's healthy start.
• Any delays in medical care can cause significant health issues for children.
• Can you please all of you share what you're seeing when a child ages out of foster care?

Bills: HB2646, HB3941, HB5153, HB5155, HB5394, HB 1106, HB426, HB4529, HB3984, HB4273, HB 1097, HB3940, HB1941, HB4377, HB3153

Keywords: child care, task force, high-quality care, affordability, prekindergarten partnerships, foster care, transitional living, Medicaid reform, youth assistance, independent living, services for youth, employment training, educational support, mental health services, health care, public health, child health program, reimbursement, local health entities, maternal health