Transcript Highlights:

• And we'll call Rachel Patton, Health and Human Services Commission. Thank you.
• I'm the Associate Commissioner of Operations for the Texas Health and Human Services Commission.
• Yet does not define these given the complexities of human biology.
• At Patriot Mobile, we know God makes humanity. We know he makes good.
• No ideology should diminish my humanity and dignity as a woman.

Bills: SB240, SB1183, SB1184, SB1577, SB2043, SB2051, SCR42, SJR68

Keywords: biological sex, gender identity, public facilities, civil penalties, local government, EBT, electronic benefits transfer, food stamps, SNAP, Supplemental Nutrition Assistance Program, TANF, temporary assistance for needy families, welfare benefits, benefit card fraud, fraud hotline, card replacement, photo ID, recipient photograph, HHSC, Health and Human Services Commission

Transcript Highlights:

• treatments to minors, even though his impression was there had been public statements that those services
• violations, unsafe medical practices, or misuse of Chairman Hughes: funds related to healthcare services
• commitments to ethical practices, and it enhances the overall quality of medical care and it offers better services
• Senator Perry: To the gentleman on this side, this is kind of a carryover from a Health and Human Services
• We are human beings just like everybody else.

Bills: SB 240, SB 1183, SB 1184, SB 1577, SB 2043, SB 2051, SCR 42, SJR 68

Keywords: biological sex, gender identity, public facilities, civil penalties, local government, EBT, electronic benefits transfer, food stamps, SNAP, Supplemental Nutrition Assistance Program, TANF, temporary assistance for needy families, welfare benefits, benefit card fraud, fraud hotline, card replacement, photo ID, recipient photograph, HHSC, Health and Human Services Commission

Transcript Highlights:

• Additionally, this bill directs the Health and Human Services Commission to monitor the frequency with
• We'll open testimony on Senate Bill 1183 and we'll call Rachel Patton, Health and Human Services Commission
• I'm the Associate Commissioner of Operations for the Texas Health and Human Services Commission.
• At Patriot Mobile, we know God makes humanity.
• At Patriot Mobile, we know God makes humanity.

Bills: SB240, SB1183, SB1184, SB1577, SB2043, SB2051, SCR42, SJR68

Keywords: biological sex, gender identity, public facilities, civil penalties, local government, EBT, electronic benefits transfer, food stamps, SNAP, Supplemental Nutrition Assistance Program, TANF, temporary assistance for needy families, welfare benefits, benefit card fraud, fraud hotline, card replacement, photo ID, recipient photograph, HHSC, Health and Human Services Commission

Summary: The committee first heard Senate Bill 1183, by Senator Creighton, which would require Lone Star Cards used for SNAP and TANF benefits to display the recipient’s name and photo, add fraud-reporting information, and require HHSC to track replacement-card requests. Creighton argued the bill would reduce fraud and protect taxpayer dollars, citing Texas SNAP theft and overpayment data. HHSC testified that photo IDs on the card are technically possible and explained how authorized secondary users are added. Dr. Amber O’Connor of Every Texan testified against the bill, saying SNAP fraud is a small share of expenditures, that the proposal would be costly and ineffective, and that federal rules limit mandatory photo requirements. Public testimony closed and SB 1183 was left pending. The committee then heard Senate Bill 1184, also by Senator Creighton, which would lower from 20 years to 10 years the minimum age of collectible wine that Texas collectors may sell to permitted restaurants. Supporters said the change would help Texas restaurants access desirable vintages, keep collectible wine in-state, and align with market demand; invited witnesses from the wine industry testified in favor. No opposition was heard, public testimony closed, and SB 1184 was left pending. Next, Senator Birdwell laid out Senate Bill 2051 and Senate Joint Resolution 68, both aimed at revising Texas impeachment procedures in response to issues identified during the 2023 impeachment process. The measures would clarify constitutional and statutory impeachment authority, require sworn testimony, extend review periods for House members, address conflicts of interest and presiding officers, require cost reporting, and modify rules for impeaching the governor or lieutenant governor. A committee substitute added protections for the accused, longer review periods, and a fallback presiding-officer option. Witnesses generally supported stronger accountability but raised questions about whether the language should also cover retired or visiting judges. Both measures were left pending after testimony. The committee also heard Senate Bill 1577, which would expand Texas Motor Speedway’s alcohol sales authority to include distilled spirits and remove certain event and concession limits; the Speedway’s representative supported the bill and it was left pending. Later, the committee heard Senate Concurrent Resolution 42 and Senate Bill 240, which would recognize only two sexes and restrict access to sex-designated private spaces in public facilities based on biological sex. Supporters argued the measures were needed to protect women’s privacy and safety, including in schools and shelters, while opponents warned about enforcement problems, privacy concerns, and impacts on transgender Texans and others who do not fit stereotypical sex traits. After extensive testimony, both measures were left pending. The committee then took up multiple pending bills and reported several favorably, including SB 511, SB 33, SB 510, SB 871, SB 2024, SB 2166, SJR 27, SJR 40, SB 1313, SB 1314, SB 1316, SB 1541, SB 2420, SB 1999, SB 2309, SB 1860, and SB 2429, with some also certified for the local and uncontested calendar.

Bills: SB82, SB78, SB4, SB6, SB62, SB66, SB77, SB63, SB79, SB53, SB55, HB14

Keywords: inhalants, butyl nitrite, nitrous oxide, amyl nitrite, possession, sale, misdemeanor, felony, criminal penalties, public health, school safety, resource officers, law enforcement, public schools, private schools, liability insurance, contracting, library governance, board appointment, library diversity

Transcript Highlights:

• It just provided more community service or something like that. And then can you take that from...
• misdemeanors. away from the juvenile justice system and instead provide them with rehabilitative services
• This bill does what so many of us have known for years: children in foster care need support services
• Fortunately for me, I was eventually able to find those services, and now I'm standing before you.
• It uses the Legislative Budget Board data, where possible, and they are to publish that report online

Bills: HB1967, HB3442, HB5525, HB5561, HB5653, HB5667, SB1171

Keywords: juvenile justice, correctional facilities, reform, rehabilitation, Texas Juvenile Justice Department, alcohol awareness, court-ordered programs, substance misuse education, deferred disposition, youth, parole reform, inmates under 18, mental health, educational achievement, reintegration, foster youth, behavior intervention, community services, diversion policies, HB 5653

Transcript Highlights:

• , to essential services, to essential services, especially<00:09:15.400> in<00:09:15.560><
• , looking at the data, looking at the data, all<00:36:04.000> kids<00:36:04.280> are
• That's a child who's in need of services That's a child who's in need of services for<00:37:59.640
• <01:04:17.480> that hearing is that we need services that hearing is that we need services
• think about how delayed we are in human think about how delayed we are in human rights<01:04:36.600

Bills: HF4407, HF4382

Keywords: child welfare, African American children, racial disproportionality, family preservation, reunification, foster care, kinship care, relative placement, noncustodial parent, guardian ad litem, ombudsperson, Department of Human Services, county social services, active efforts, reasonable efforts, child protection, placement, out-of-home placement, Northstar kinship assistance, data disaggregation

Summary: The Children and Families Committee adopted the April 8 minutes and then took up House File 4407, as amended by the A1 amendment. The amendment, explained by nonpartisan staff, incorporated much of the Senate version of related legislation and made a series of changes: it revised the definition of “disproportionately represented child,” shifted that determination to the Commissioner of Children, Youth, and Families, made technical cross-reference and terminology updates, adjusted training requirements, set the working group to expire December 31, 2027, and added an appropriation for statewide implementation. The committee adopted the A1 amendment and then referred the bill to Ways and Means. Representative Gilman said the bill is intended to preserve the goals of the Minnesota African American Family Preservation Act while addressing operational, legal, and fiscal problems before statewide implementation. He argued for delaying the effective date by one year, shifting case review responsibilities to the state, and providing funding so counties are not left with an unfunded mandate. He also said the bill adds safety measures related to synthetic opioids and other imminent-harm concerns, and that the delay would allow the working group to finish its recommendations and give counties time to prepare. County officials Steve Schmidt of Meeker County/Minnesota Rural Counties and Jenny Mojo of Clay County testified in support of the bill as amended, emphasizing that counties need clearer responsibilities, staffing, training, technology, and dependable funding to implement the law successfully. Rebecca St. George of DCYF said “active efforts” is not absolutely defined and is determined case by case, often with court involvement. Members raised questions about the meaning of active efforts, the bill’s synthetic opioid language, and whether the proposal should apply more broadly rather than within this specific act. A citizen also cautioned that the opioid language should not unintentionally affect families in treatment programs. Representative Hicks warned that the fentanyl provisions could lead to broad removals and create placement problems for teens with substance use disorder, while Representative Gilman responded that the bill includes a rebuttable presumption and is meant to protect children from imminent harm.

Transcript Highlights:

• The previous version, we had major discussion about what was Section 4 about the Department of Human
• Services and their response and what they were to do.
• respond to legislative management, and that we took that whole section out about the Department of Human
• Services shall respond so it feels less like an audit than an evaluation.

Bills: HB1119

Keywords: child care, childcare, day care, daycare, early childhood education, child care licensing, provider licensing, child care regulations, administrative rules, Department of Health and Human Services, HHS, licensing advisory committee, child care providers, group child care, preschool programs, child to provider ratios, square footage requirements, staff training, certification requirements, child care funding

Summary: The Workforce Development Committee reconvened to consider House Bill 1119 with amendment version 02005. Senator Hogan explained that the amendment removed a section requiring the Department of Human Services to respond to legislative management, in order to make the bill feel more like a program evaluation than an audit and to avoid placing an unreasonable burden on the executive branch. The amendment also clarified that the Child Care Advisory Committee would provide an update and that the committee would dissolve after the rewrite of licensing standards, making it a time-limited body. Committee members discussed the bill as a novel approach to forming a group to study an issue and then disbanding after reporting back. Senator Larson noted the concept was similar to broader performance-review ideas, and Senator Hogan said the Legislative Council program evaluation effort was parallel to, but separate from, other performance-review proposals. The committee then voted 4-0-1 to adopt the amendment. Afterward, the committee moved to give House Bill 1119, as amended, a do pass recommendation. That motion also passed on a roll call vote, and the committee adjourned.

Bills: HB 44, HB 2200, HB 1612, HB 2747, HB 2038, HB 3717, HB 1431, HB 3800, HB 3801, HB 3560, HB 3246

Keywords: cremation, natural organic reduction, health and safety, environmental concerns, funeral services, medical licensing, physician graduates, healthcare access, occupational licensing, foreign medical graduates, cell-cultured protein, food safety, human consumption, agriculture, food labeling, healthcare workforce, advisory board, Texas Workforce Commission, resource guide, education collaboration

Transcript Highlights:

• This bill would create a statewide human trafficking data repository within the Attorney General's office
• Our mission is to harness data to illuminate and ultimately eradicate human trafficking.
• to help identify victims, track services, and show trends in human trafficking data.
• repository within the Office of the Attorney General. ...for human trafficking-related data.
• Targeted prevention based on data will reduce the substantial cost of victim services and criminal justice

Bills: HB1583, HB1775, HB1832, HB1836, HB1837, HB1866, HB1983, HB2029, HB2217, HB2318, HB2363, HB2486

Keywords: mental health, emergency detention, peace officer, mental illness, prevention of harm, border security, private landowners, study and report, General Land Office, participation, controlled substances, opioid antagonists, law enforcement training, substance abuse prevention, Texas-Mexico border, criminal justice, public safety, law enforcement, National Park Service, arrest powers

Transcript Highlights:

• This is for the EMT services. We have a motion and a second. Any questions?
• And then there's $750,000 for the Youth Services Reimbursement Fund for the Department... $150,000 for
• the Youth Services Reimbursement Fund for the Department of Youth Services for diversion programs for
• youth services.
• We're coming on down to, let's see, on human resources. You come down on page 13.

Bills: SB143, SB144, SB145, SB152, SB153, SB154, SB162, SB226, SB146, SB143, SB144, SB145, SB152, SB153, SB154, SB162, SB226, SB146

Keywords: SB143, solid waste, garbage collection, trash fees, refuse collection, municipal fees, county fees, fee exemption, veterans benefits, veteran household, disabled veteran, VA benefits, Social Security exemption, low-income households, poverty level, county commission, municipal governing body, Alabama solid waste law, certificate of exception, public health

Transcript Highlights:

• This bill simply requires that a hospital submit a monthly report to the Health and Human Services Department
• Services, including medical care.
• It is said over and over again that rural areas really need more medical services. ...services, and I
• I've been out there sitting on Health and Human Services for the last 10 years.
• SB 2446 ensures that clinical decisions and service priorities are rooted in data, best practices, and

Bills: SB128, SB640, SB672, SB904, SB1141, SB1263, SB1525, SB1528, SB2041, SB2306, SB2308, SB2357, SB2446, SB2695, SB2857, SB2891, SB2583

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, SB 640, Texas Family Code, Department of Family and Protective Services, DFPS, child welfare, foster care, managing conservatorship, suicide attempt, youth suicide, mental health, child protective services, state custody, annual report, reporting requirements

Transcript Highlights:

• The Senate Committee on Health and Human Services will come to order.
• Thank you for your service and your sacrifices, very inspirational service, testimony.
• We were surprised to learn that the Health and Human Services Commission does not maintain a records
• Services Commission.
• Authority for the Purchasing Pool from the Comptroller's Office to the Health and Human Services Commission

Bills: SB128, SB640, SB672, SB904, SB1141, SB1263, SB1525, SB1528, SB2041, SB2306, SB2308, SB2357, SB2446, SB2695, SB2857, SB2891, SB2583

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, SB 640, Texas Family Code, Department of Family and Protective Services, DFPS, child welfare, foster care, managing conservatorship, suicide attempt, youth suicide, mental health, child protective services, state custody, annual report, reporting requirements

Transcript Highlights:

• The Committee on Health and Human Services will come to order.
• Again, thank you for your service.
• According to the OSHA safety data sheet, N-methyl-uridine is not for human or veterinary use; it's for
• these services.
• case, you can be ordered into service.

Bills: HB18, HB37, HB116, HB18, HB37, HB116, HB388, HB879, HB913, HB1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: HB 18, Texas Legislature, quorum break, quorum-busting, legislative walkout, absent legislators, political contributions, campaign finance, political expenditures, legislative caucus, specific-purpose committee, Texas Ethics Commission, civil penalty, show cause order, district court, Fifteenth Court of Appeals, session fundraising, travel lodging food expenses, legislative session, compelled attendance

Transcript Highlights:

• The Senate Committee on Health and Human Services will come to order.
• This bill was requested by the Texas Health and Human Services Commission.
• I also want to give a shout out to Health and Human Services as well as DFPS that I see in the corner
• The bill also requires a Health and Human Services agency to...
• This letter was from the Department of Health and Human Services.

Bills: HB18, HB37, HB116, HB388, HB879, HB913, HB1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744, HB18, HB37, HB116

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

Transcript Highlights:

• Child welfare funding is one of the most complicated funding streams in human services.
• Child welfare funding is one of the most complicated funding streams in human services.
• Child welfare funding is one of the most complicated funding streams in human services.
• Survey data is not that very—it’s not evidence-based data.
• <01:37:15.360> We and Human Services Committee. We and Human Services Committee.

Bills: HF2135, HF776, HF1581, HF1158, HF2226

Keywords: child welfare, fiscal analysis, third-party consultant, program evaluation, Minnesota, HF776, Minnesota Family Assets for Independence Initiative, family assets for independence, FAI, asset-building, matched savings, financial literacy, family savings, economic mobility, children youth and families, general fund appropriation, family support, low-income families, financial stability, budget bill

Transcript Highlights:

• services or the Department of Human Services is, in uncodified sections of law, transferred over to
• Since this involves vulnerable adults, is it going to go to human services?
• to go to human services? to go to human services? Representative<00:48:26.240> Kudson.
• Why aren't we removing the Department of Human Services where we can?
• the Department of Human Services where the Department of Human Services where we<01:40:27.440> need

Bills: HF1918, HF2305, HF897, HF2191, HF2617, HF2551, HF2137

Keywords: HF1918, Department of Children Youth and Families, DCYF, child welfare, foster care, out-of-home placement, permanency planning, relative search, noncustodial parent, kinship care, family preservation, African American Child and Family Well-Being, racial disproportionality, maltreatment reporting, educational neglect, truancy, school attendance, Great Start compensation, child care provider payments, TEACH early childhood program

Transcript Highlights:

• The bill passed the House Human Services Committee and the full House unanimously.
• We don't often get you in front of us here in Health and Human Services, so we're always glad to see
• Department of Health and Human Services, it is estimated that less than 1% of vaccine adverse events
• And going through the bill, the bill has Health and Human Services create a form for an affidavit of
• And going through the bill, the bill has health and human services create a form for an affidavit of

Bills: HB163, HB216, HB721, HB2035, HB2038, HB3057, HB3153, HB3233, HB3595, HB3801, HB3812, HB4076, HB4129, HB4377, HB4535, HB4666, HB4730, HB4743, HB4903, HB5149, HB5155, HB1534

Keywords: epinephrine, healthcare, emergency response, administration, medical policy, health care, itemized billing, patient rights, provider regulations, Texas Health and Safety Code, cost disclosure, insurance, benefit plan, administrators, chemical dependency, treatment facilities, minor admissions, parental notice, mental health, medical licensing

Summary: The committee met without a quorum at first, then established a quorum with five members present. Members heard and left pending several House bills, including HB 4743 on allowing hospitals to license mobile stroke units under a hospital license, HB 4129 on earlier DFPS enforcement tools for single-source continuum contractors in community-based foster care, HB 4903 creating a Quad Agency Child Care Initiative to coordinate child care regulations across state agencies, HB 3812 revising the gold card/prior authorization process for physicians, HB 4535 requiring written informed consent before COVID-19 vaccination and a standardized state information sheet, and HB 4666 reducing the frequency of some HHSC reports to the legislature. The chair also noted HB 35 would be voted on later after a subcommittee back was received, and that a large number of bills would be heard the next day. Most of the testimony focused on HB 4535 and HB 4730. On HB 4535, supporters argued the bill would strengthen informed consent for COVID vaccination by requiring written consent and clearer state-level information about risks, manufacturer liability protections, and adverse-event reporting; opponents, including a pediatrician and medical groups, said existing federal and state informed-consent materials already cover these topics and warned the bill could create duplicative paperwork and penalties. On HB 3812, the Texas Medical Association supported changes that would extend the gold-card evaluation period to one year, raise transparency, and make prior authorization exemptions easier to administer, while health plans said they were neutral and viewed the bill as a balance between reducing burden and preventing fraud or unsafe care. HB 4730 drew extensive testimony from adoption professionals, birth mothers, adoptive parents, and child welfare advocates. The bill would require DFPS to create a relinquishment form, train child-placing agency staff, and extend the minimum waiting period for voluntary relinquishment from 48 hours to seven days. Supporters of the current law argued the 48-hour period aligns with hospital discharge, allows informed decisions, and helps birth parents and adoptive families begin healing and bonding without pushing children into foster care or creating legal and Medicaid complications. The author said the bill would be revised and that the seven-day provision was a work in progress. No votes were taken on the bills during the meeting; each bill was left pending after public testimony closed.

Transcript Highlights:

• House Bill 18 directs the Health and Human Services Commission to appoint a new state office of rural
• services are available.
• way to document that consent to treatment, any data collection, or any data sharing, and that's exactly
• First off, you asked about our data collection and data sharing, Representative Schofield.
• We all understand what that is, and then we're consenting to data collection and data sharing.

Bills: HB18, HB742, HB754, HB1644, HB2187, HB1887, HB 1275, HB37, HB1503, HB1699, HB1700, HB2735, HB1741, HB1731, HB1675, HB18, HB37

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, human trafficking, first responders, health care, training, reporting, protection, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting, good faith report

Transcript Highlights:

• Special Committee on Health and Human Services is called to order.
• patient data, is collected and undisclosed unless otherwise specified.
• Services is adjourned.
• And without objection, the House Committee on Health and Human Services is adjourned.
• And without objection, the House Committee on Health and Human Services is adjourned.

Bills: HB2408, HB2434, HB2725, HB2728, HB2729, HB2730, HB2731, HB2732, HB2733

Keywords: nursing board, regulatory actions, disciplinary actions, expungement, healthcare professionalism, controlled substances, prescription monitoring, opioid crisis, healthcare regulations, patient safety, prescription drugs, opioids, healthcare, pain management, utilization controls, AHCCCS, Department of Economic Security, social services, welfare programs, vocational rehabilitation

Summary: The committee first took up several continuation bills to extend state boards and agencies, including HB 2728 for the Department of Economic Security, HB 2729 for the State Board of Nursing, HB 2730 for the Board of Occupational Therapy Examiners, HB 2731 for the Physician Assistants Board, and HB 2732 for the Board of Pharmacy. Each was moved for a due pass recommendation, with HB 2731 amended to continue the physician assistant board for four years instead of two. All of these continuation bills passed the committee with strong support. The committee then heard HB 2408, a nursing board reform bill dealing with complaint investigation procedures, timelines, confidentiality, complaint prioritization, access to investigative files, expungement of certain disciplinary actions, and a revised definition of unprofessional conduct. The sponsor and supporters argued it would improve fairness, allow limited expungement for older non-patient-safety issues, and address long investigation delays. The nursing board president and other opponents warned it would raise the evidentiary standard, weaken patient safety protections, and erase useful disciplinary history. After extensive testimony, the committee adopted an amendment and passed the bill 7-4-1. Next, the committee considered pharmacy-related reforms. HB 2434 updated the controlled substances prescription monitoring program, including registration, reporting, confidentiality, and a compliance work group; it passed unanimously after amendment. HB 2733 allowed pharmacists and technicians to complete continuing education after renewal submission if finished before expiration, clarified prescription delivery locations, and addressed temporary operation during ownership changes; it also passed unanimously after amendment. Finally, HB 2725, which would have restricted access contractors from substituting non-opioid drugs and limiting non-opioid utilization controls, drew concerns that it was too broad and could affect many drug classes and costs. After amendment and debate, the committee failed to give HB 2725 a due pass recommendation by a 6-6 vote, and the meeting adjourned.

Transcript Highlights:

• People with disabilities die without services.
• House Bill 4162 and Senate Bill 1855 are the human services budget, which contain provisions needed to
• plan that improves the efficiency and effectiveness of data-sharing and data-governance activities,
• that no new data center can qualify for data center equipment TPP exemptions during this period.
• It says the debt service, 80%, whatever's left, so your debt service could be less than 20%.

Bills: HB4154, HB4155, HB4156, HB4157, HB4158, HB4159, HB4160, HB4161, HB4162, HB4163, HB4164, HB4165, HB4166, HB4167, HB4168, HB4169, SB1847, SB1848, SB1849, SB1850, SB1851, SB1852, SB1853, SB1854, SB1855, SB1856, SB1857, SB1858, SB1859, SB1860, SB1861, SB1862

Keywords: general appropriations act, budget, biennial budget, state spending, fiscal year 2026-2027, appropriations, state agencies, public funding, education funding, health and human services, public safety, transportation, government operations, budget bill, fiscal policy, state finance, spending plan, legislative budget, capital appropriations, operating budget