Transcript Highlights:

• that are provided by the state, and they are an effective tool in reducing the high incidence of opioid
• When considering youth opioid-related deaths, youth deaths have increased exponentially.
• And if you look at the chart on the left-hand side, you'll see that opioid use disorder is the second
• Individuals who use meth are less likely to die, overdose, or continue to use opioids.
• So also, on the number of opioid-related deaths for ages 12 to 17, this is 280 percent.

Transcript Highlights:

• of our communities. opioid use every single day.
• I've opioid use every single day.
• people who have recovered from opioid people who have recovered from opioid abuse,<00:45:27.760>
• with the intention to fix the opioid with the intention to fix the opioid crisis.<01:04:24.480><
• And we have seen fix the opioid crisis.

Keywords: 1189, house, all

Transcript Highlights:

• <03:25:08.680> use a a correlation between opioid use a a correlation between opioid use disorder
• <04:18:35.399> this risk um of opioid use disorder this risk um of opioid use disorder this
• <04:29:33.119> abatement morning about the opioid abatement morning about the opioid abatement
• disorder and no history um of uh opioid disorder and no history um of uh opioid use<04:36:17.080
• <05:02:01.958> response workplace now oh State opioid response workplace now oh State opioid

Keywords: 928, house, all

Summary: The House Finance Committee’s Division 3 held a public work session on the Behavioral Health budget on February 27, 2025. The chair opened by explaining the schedule, materials, and deadlines for the budget process, and noted there would be no motions or votes in the division that day. Division of Behavioral Health Director Ktia Fox and DHHS CFO Nathan White then walked the committee through the division’s mission, structure, and budget materials, describing the division’s four bureaus: Mental Health Services, Children’s Behavioral Health, Drug and Alcohol Services, and Homeless Services, along with the policy unit. They emphasized the division’s role in oversight, technical assistance, quality assurance, contracting, and the continuum of care from prevention and early intervention through crisis and residential services. Much of the discussion focused on major programs and funding lines, including the 988 Lifeline contract with Headrest, a technical assistance contract with UNH, Medicaid pass-through payments to New Hampshire Hospital and Glencliff, crisis response services, cold-weather homeless responses, housing supports, and the children’s system of care. Members asked about the UNH contract, the 988 program, crisis stabilization centers, and the peer certification program; Fox explained that the peer certification is a training-and-credentialing pathway for people with lived experience to enter community-based behavioral health work, not a volunteer program. The committee also discussed the “Choose Love” program, which Fox said was created after the Sandy Hook tragedy to build resilience and strength-based emotional regulation in schools and communities. On the children’s side, Fox described the system of care account as the place where many contracted services are budgeted, including community mental health centers, care management entities, rapid response services, and residential programs. Members asked about temporary staffing, and Fox said roughly $500,000 in temporary staff costs shown in the current year would not be spent next year because the money came from a nonlapsing appropriation in HB 1573 for oversight of children’s residential services. She also said provider rate increases were a prioritized need but were not funded in the governor’s current budget, and that the Children’s Behavioral Health Resource Center was not funded, resulting in about a $1 million reduction. The session ended while the division was still moving through the children’s behavioral health slides, including questions about the Fast Forward high-fidelity wraparound program and medication management.

Transcript Highlights:

• Would you agree with me that opioids and the distribution of opioids would be prohibited for someone
• , and you know exactly what opioids I did.
• And with opioids, we know they hid the addiction risk.
• I was getting ready to go to tobacco, right off opioids.
• I mean, public nuisance, like opioids. That's what you're doing here, sir.

Summary: The Senate convened with a quorum, heard an invocation, recognized a Karnes County Day delegation and the Texas Association of Museums, received a governor’s message on Texas Diabetes Council appointments, and introduced the Doctor of the Day. The chamber then took up several resolutions, including SR 388 honoring the Texas Association of Museums, and adopted SRs 380, 382, and 387 by voice vote. Senator King was excused due to a family death, and the journal reading was dispensed with. The Senate then moved through a series of bills, most of them on expedited suspension of the regular order and three-day rule. Measures passed included SB 868 on Rural Volunteer Fire Department Assistance Program funding for high-wildfire-risk areas; SB 264 exempting certain family motor-vehicle transfers from tax; SB 2112 on oyster mariculture penalties; SB 1484 on catfish labeling and marketing; SB 660 on bollards near hospital emergency rooms; SB 1809 creating offenses for gift card fraud; SB 32 and SJR 81 providing business personal property tax relief and a related constitutional amendment; SB 1267 modernizing boat titling and adding disclosure for hidden hull damage; SB 1470 allowing DPS data sharing for voter list maintenance; SB 2406 and SB 2407 implementing Sunset recommendations for the Sabine River Authority and Lower Neches Valley River Authority; SB 609 on school district compliance with legally required policies; SB 921 on ex parte Medicaid eligibility renewals; SB 2320 increasing DWI penalties; SB 1822 requiring disclosure and oversight of AI-based utilization review algorithms; SB 693 on notaries public and deed theft prevention; and SB 664 setting statewide qualifications and oversight for magistrates and related judicial officers. One of the most contested items was SB 779 on common law public nuisance claims, which drew extended debate over whether the bill would limit lawsuits against lawful, regulated activities and whether it would preserve private nuisance and other existing remedies. Despite objections, the Senate suspended the rules and passed the bill to engrossment by a 17-12 vote, holding it there. Another debated measure was SB 1008 on state and local authority over the food service industry; after a perfecting amendment, it was passed to engrossment and then to final passage. Several bills were adopted or passed with near-unanimous support, while others, including SB 1267, SB 1470, SB 1822, and SB 2320, saw some opposition but still cleared the chamber.

Transcript Highlights:

• I'll talk about opioids.
• You've heard a little bit of it today, opioids, tobacco, the jewel settlement, I'll talk about opioids
• . opioids, tobacco, the jewel settlement.
• I'll talk about opioids.
• And as you've heard the opioids, In settling these cases, and as you've heard, the opioids settlement

Bills: HB2242, HB2446, HB2799, HB4502, HB2920, HB2790, HB5620, HB5060, HB5076, HB5080, HB5081, HB5128, HB5130, HB3847, HB5116, HB2969, HB4546, HB4202, HB5624, HB3964, HB4803, HB872, HB4775, HB4777, HB4961, HB5570, HB2988, HB4260, HB1375, HB5009, HB5411, HB5134, HB4388, HB3095, HB1387

Keywords: constables, civil rights, local government, law enforcement, policy-making authority, affidavit, medical bills, civil actions, reasonable charges, healthcare services, judicial statistics, court performance, family law, civil cases, efficiency reporting, court security, emergency management, harassment penalties, judicial safety, court committee

Summary: The committee heard testimony on several bills affecting civil practice, judicial conduct, and attorney regulation. HB 4961 and the similar HB 3095 would bar uninsured motorists from recovering non-economic damages after a collision, with HB 3095 also addressing certain exceptions and limiting economic damages in some cases. Supporters said the measures would encourage insurance coverage and fairness for insured drivers, while opponents argued they would unfairly punish injured people who were not responsible for the lack of insurance, including pedestrians, passengers, children, and others. HB 3095 drew constitutional concerns from witnesses, and the committee later withdrew the committee substitute and left the bill pending; HB 4961 was also left pending after questions about its scope, including passengers. HB 5570 would expand a continuing legal education exemption to attorneys appointed by the governor and confirmed by the Senate who serve on boards or commissions. The author and witness said the bill would free up time for public service while still requiring ethics training. A committee member raised a discrepancy in the number of attorneys covered, and the bill was left pending. HB 2969 would prohibit the State Bar from adopting rules or penalties that unreasonably burden attorneys’ religious exercise or free speech, especially in relation to sincerely held religious beliefs. Supporters framed it as a protection for lawyers of faith against an ABA-style speech code, while no one testified in opposition; the bill was left pending. HB 4260 would prohibit county judges and county commissioners from practicing law in courts over which they have jurisdiction. The author described it as an ethics measure to avoid conflicts of interest, but county officials and the County Judges and Commissioners Association opposed it, saying existing ethics rules already address conflicts and that the bill would impose hardships, especially in rural counties. The bill was left pending. HB 4388 would require all judges, including those who serve only in administrative roles, to remain subject to the Code of Judicial Conduct; supporters said some judges avoid discipline by relinquishing judicial functions, while opponents said the bill was unnecessary and could burden county judges who serve as administrators. It was also left pending. The committee also heard HB 5134, which would limit Rule 202 pre-suit depositions to people who have suffered or reasonably expect to suffer actual damages and allow attorney’s fees against abusive petitioners. The author said the bill would curb harassment and fishing expeditions, but members questioned how the standard would work in practice; the bill was left pending. Finally, HB 3964 would narrow common-law public nuisance claims by barring suits over lawful conduct, conduct already addressed by other remedies, and products, while preserving other causes of action. Supporters said the bill would prevent regulation through litigation and protect legislative authority; opponents said it would eliminate important remedies and that no Texas abuse had been shown. The author indicated he would revise the bill, and it was left pending.

Transcript Highlights:

• progress in addressing the opioid progress in addressing the opioid overdose<03:44:16.880> crisis
• a<03:53:37.760> multi-pronged opioid crisis through a multi-pronged opioid crisis through
• budget also calls for reducing opioid budget also calls for reducing opioid overdose<04:06:23.359
• Speaker, opioid halt fentinyl act. Mr.
• individuals with opioid use disorder. individuals with opioid use disorder.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, June 11, 2025, 1012, house, all

Transcript Highlights:

• with drugs uh to treat uh opioid with drugs uh to treat uh opioid disorders<01:51:56.480> and
• injectable drugs to treat opioid injectable drugs to treat opioid disorders.<01:52:04.239> Um
• Yes, thank you. partial mu opioid agonist. So it kind of partial mu opioid agonist.
• So it's blocking the opioid effect.
• were to be on buponorphine for opioid were to be on buponorphine for opioid use<02:19:49.040>

Keywords: 1189, house, all

Transcript Highlights:

• chemotherapy treatment, but she also has significant pain that is, to an extent, being managed by opioids
• Once I prescribed her the medicinal cannabis, she has been able to reduce her reliance on opioids.
• of David Bass, our veteran from Coryell County, a retired Air Force Captain, who was strung out on opioids
• Opioids were the only answer provided by the Veterans Administration.
• . opioids on medical cannabis across this nation.

Transcript Highlights:

• Since 2018, I haven't touched opioids or sleep meds.
• The VA—does the VA pay for opioids? Do they pay for opioids?
• So opioids are free? Yes. Okay.
• In comparison, the year prior saw 3,741 opioid-related calls.
• Now we have an opioid crisis here, but we just funded all the opioids in Afghanistan after a 16-year

Bills: SB 3, HB28, SB3

Keywords: flash flood, flood warning, outdoor warning siren, emergency alert, disaster preparedness, flood mitigation, Hill Country floods, Texas Water Development Board, municipalities, counties, local government mandate, public safety, grant program, backup power, weather siren, emergency management, flood-prone area, warning system, hemp regulation, consumable products

Transcript Highlights:

• Families still wrestle with opioid addiction and mental health conditions, and the treatments we have
• <00:54:06.160> use approved medication for opioid use approved medication for opioid use disorder
• or other substance use with opioid or other substance use disorders<00:54:37.040> sometimes<00
• Have they been on opioid use?
• The $5 million coming from the opioid settlement fund will be the seed money.

Keywords: Public Health and Welfare - Room 216, 25 February, 2026; 3:00 PM, 925, all

Summary: The committee first handled House Bill 612, which had been laid on the table because of questions about section one. Senator Tate explained that section one would allow the state, counties, and municipalities to enter interlocal agreements to provide installation support services on military installations, mainly road and infrastructure work such as paving and dirt work, and that section two would add Coast Guard medics to an existing provision allowing trained military medics to sit for LPN certification. After questions about the breadth of “installation support services,” the committee adopted the motion for title sufficient, due pass, with opposition noted, and the bill was reported to the Veterans and Military Affairs Committee. House Bill 942 was then passed over at Senator McMahon’s request until Tuesday. The committee then took up House Bill 1034, which would allow terminally ill hospital patients to use medical cannabis gummies. The sponsor said the bill is intended to help terminally ill patients who already qualify for medical cannabis but are denied access in hospitals, and that it prohibits smoking or inhalation. Members raised concerns about whether the bill was too broad, whether it would interfere with hospital and physician judgment, possible drug interactions, federal law issues, liability for hospitals and doctors, storage and disposal requirements, and whether hospitals would incur costs or be forced to handle cannabis on their premises. The sponsor responded that the patient’s use would be logged in the chart, that the caregiver is generally responsible for the lockbox and disposal, and that the bill includes language allowing a facility to opt out if compliance would jeopardize federal funding or licensing. The bill’s author also described the measure as arising from a Coast Guard family’s experience in which a terminally ill patient was denied access to medical cannabis at one hospital but allowed at another, and said the goal is to prevent similar denials for terminally ill patients. He said he was not aware of other drugs treated this way in hospitals, but argued that terminally ill patients should have access to most anything they want. The discussion ended with Senator England asking whether changing the bill’s requirement that a facility “shall” allow medical cannabis to “may” allow it would better protect hospitals and preserve discretion, but no final action on House Bill 1034 was taken in the portion provided.

Transcript Highlights:

• It hasn't yet been distributed because that opioid money comes in in waves.
• It hasn't yet been distributed because that opioid money comes in in waves.
• For those that haven't been around the last four years, this is the opioid settlement money.
• This is the opioid settlement money.
• Opioid money doesn't flow in in an amazing pattern that we would all love.

Bills: SB1317, SB1655, SB1656, SB1751, SCR1049

Keywords: reentry programs, criminal justice, funding, grants, recidivism, attorney general, jury duty, election worker, Arizona Revised Statutes, temporary appointment, civic duty, family court, professional personnel, parenting time, legal decision-making, evidentiary hearings, child custody, ethical standards, capital punishment, death penalty

Summary: The committee first took up SB 1655, which would have allowed qualified jurors to serve as temporary election workers instead of jury service if summoned 90 to 120 days before an election. The Arizona Association of Counties opposed the bill, saying the timing would create major planning and tracking problems for county jury commissioners and courts, and noting that jury service can already be excused in some circumstances. Members also raised concerns that jury duty and poll work are fundamentally different responsibilities. The motion for a due pass recommendation failed, 4-5, and the bill did not advance. The committee then heard SB 1751 and the related SCR 1049, both dealing with Arizona execution methods. The bills would expand the available methods of execution to include firing squad and lethal gas, alongside lethal injection, with the SCR going to voters. Senator Payne argued the change was needed because Arizona has had problems with past execution methods and that the inmate would choose among the options. Opponents, including a death penalty attorney and a corrections chaplain, argued the methods raise constitutional, operational, staffing, and trauma concerns, and that Arizona should not revive methods with a history of botched or prolonged executions. SB 1751 received a due pass recommendation, 6-2 with one absent and one present, and SCR 1049 also received a due pass recommendation, 6-2 with one absent and one present. The committee next considered SB 1317 as a strike-everything amendment appropriating $20 million in opioid settlement/remediation funds for county coordinated reentry planning services and a statewide database. Supporters from the Arizona Sheriffs Association and county sheriffs said the program has shown strong recidivism reductions, helps people transition from county jails back into the community, and should expand to more counties. Members asked about data, funding timing, and whether all counties should participate; supporters said the amount would likely be negotiated in the budget process and that the database funding was needed to track outcomes. The strike-everything amendment was adopted, and SB 1317 as amended passed 9-0 with one absent. Finally, the committee heard SB 1656, which would change how courts appoint professional personnel in family court cases and set guidelines for those appointees. Court representatives submitted written concerns, saying the bill would duplicate existing practice, require unnecessary and costly depositions of experts before appointment, mandate recordings of all interactions, and extend the statute of limitations for lawsuits. With no sponsor present and no outside speakers, members expressed concern that the bill was unnecessary and potentially costly. SB 1656 failed to receive a due pass recommendation, with three nays, six votes not in favor, and one absent.

Transcript Highlights:

• Buprenorphine is the only FDA-approved medication for opioid use disorder that both reduces Mortality
• I absolutely agree with you on improving access to care for medications for opioid use disorder as we've
• in both an orphanage and a suboxone that's the standard of care and medication for patients with opioid
• An opioid withdrawal treatment should not be any exception.
• HB 137 will help us move the needle on opioid overdose. Please pass it. Thank you so much.

Keywords: 996, all

Transcript Highlights:

• rates for opioid providers.
• a specific appropriation for opioid a specific appropriation for opioid providers<01:28:35.199><
• that would be specific to opioid that would be specific to opioid providers<01:28:50.280> and
• It's so, opioid treatment programs are the OTPs.
• new Parent Access medications for opioid new Parent Access medications for opioid use<03:03:38.359

Keywords: 1191, senate, all

Transcript Highlights:

• As we know, opioid addiction plays a major part Americans died of overdose.
• As we know, opioid addiction plays a major part in overdose deaths.
• About 5.9 million Americans age 12 or older struggle with opioid use disorder.
• Today, synthetic opioids are the fastest-growing cause of overdose deaths.
• I am a member of the Opioid Commission, and we are getting a lot of money.

Summary: The House convened with a quorum, accepted the prior day’s minutes, and read several committee reports and communications into the record. Members also observed moments of silence for two young people who had recently died, and the prayer and pledge were offered before the chamber moved into business. Consent calendar number 28, consisting of several resolutions, passed by voice vote. A large portion of the meeting was devoted to tributes and retirement remarks for Representative Jeff Holowski, who was praised by colleagues for his work on financial literacy, veterans’ issues, health care, diabetes policy, and constituent service, as well as for his military service and community involvement. Holowski thanked staff, colleagues, and his family, and said he was retiring to spend more time with his wife, children, and grandchildren. The chamber also recognized former Representative Harvey Kenton as a guest. The House then acted on several measures. Senate Bill 286, as amended by House Amendment 1, passed 40-0 and extends consumer protections and dealer equity standards to ATVs, side-by-sides, and vessels. Senate Bill 179, which updates the Delaware Sentencing Accountability Commission and its bench book/data analysis process, passed 27-14. Senate Substitute 2 for Senate Bill 23, the housing supply and affordability bill, was presented with extensive explanation and questions about local control, zoning, and implementation, but the transcript ends before a final vote on that measure. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and directing flags at half-staff, was also discussed in emotional remarks about overdose losses and the state’s ongoing response. The House later recessed for party caucuses.

Transcript Highlights:

• And I also represent the 2 million people that suffer from opioid use disorder.
• Uh, 60% suffer from opioid use disorder.
• crisis and yeah were they part of opioid crisis and yeah were they part of it?
• and the opioids didn't touch the pain. and the opioids didn't touch the pain.
• ,<00:51:53.280> that could suggest that are not opioids, that could suggest that are not opioids

Keywords: 1189, house, all

Summary: The committee first heard testimony from State Treasurer Monica Misipelli on House Bill 1042, which would increase the contingent credit limit for the BFA. She explained that under RSA 66 the state’s debt capacity is capped at 10% of unrestricted revenue, and that guaranteed debt counts in the calculation even though it is not direct debt. She said the state currently has about 65% of its capacity used, roughly $120 million of remaining room, and that raising the BFA contingent credit limit from $200 million to $450 million would reduce that capacity. She noted the state’s debt-to-revenue ratio is about 4.2%, that the state’s credit rating is not immediately affected by the guarantee program unless the state actually has to assume the liability, and suggested unused guarantee authorizations, such as one for the Peace Development Authority, could be reviewed in the future. Members asked whether a credit guarantee affects bonding ability like actual debt, what the usual debt level is relative to the statutory cap, and whether the increase would crowd out future capital borrowing. Misipelli answered that guarantees are included in the formula and do affect available capacity, though the current ratio remains manageable. She also said she had been using a $120 million benchmark for capital budget planning and was now modeling $130 million in future state debt. When asked whether the full $250 million increase was necessary, she deferred to the BFA, saying the question should be answered by the agency. James Key Wallace, executive director of the New Hampshire BFA and interim commissioner of Business and Economic Affairs, then testified in support of the bill. He said the request was driven by larger project costs over the last several decades, with construction inflation causing guarantees to be used up in bigger chunks, and by the fact that the BFA has been close to its current cap. He said the agency does not use taxpayer funds, has never had a payout on a guarantee in nearly 35 years, and requires collateral, reserves, and an 80% loan-to-value buffer. He told members the Senate had a similar bill to raise the limit to $400 million and that the BFA considered that range acceptable. In response to questions, he said a smaller increase such as $150 million would cover known transactions but might not provide enough runway for future opportunities, and he confirmed the bill was brought at the BFA’s request. He also said businesses consider housing availability when deciding whether to locate in New Hampshire, since housing and workforce are key location factors. At the end of the work session, the chair closed House Bill 1042 and opened House Bill 241, a bill on health insurance coverage of pain management services for chronic pain. Representative Nagel began introducing the bill and asked for copies of the treasurer’s debt-capacity report, but the transcript cuts off before any further action on HB 241.

Transcript Highlights:

• Unfortunately, in North Dakota, there are only four opioid treatment programs.
• Unfortunately, in North Dakota, there are only four opioid treatment programs.
• more use of opioid treatment programs.
• States have leveraged their regulatory powers to incentivize more use of opioid treatment programs.
• Also, our public health agency got opioid money, which funnels through the county to public health.

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• OK, so, um, we will move on to, um, the opioid settlement update with Nick Buca.
• We also received $1 million to do uh medication, opioid use disorder and um for telehealth.
• Is this also part of that nationwide opioid settlement?
• So, uh, sir, when does that money run out on the opioid settlement?
• I'm also going to touch on the Opioid use treatment briefly in my 3 minutes.

Transcript Highlights:

• We've continued to aggressively battle the opioid epidemic with comprehensive prevention, treatment,
• And through the publication this past year of our opioid settlement and Baker Act reporting dashboards
• , I did also hear a question about opioid settlement money and what uses it's been put to.
• So expanding access for opioid-related or substance use-related treatment, as well as efforts in the
• So expanding access for opioid related or substance use related treatment, as well as efforts in the

Summary: The Health Care Budget Subcommittee met to organize the new term, take roll, and hear introductory presentations from the six agencies under its jurisdiction: the Agency for Health Care Administration, Agency for Persons with Disabilities, Department of Children and Families, Department of Elder Affairs, Department of Health, and Department of Veterans’ Affairs. The chair outlined the committee process, including assigning members to review agencies and make budget recommendations. Each agency head gave a high-level overview of their budget, staffing, major programs, and priorities, with recurring themes including Medicaid, long-term care, disability services, child welfare, mental health, aging services, public health, and veterans’ health care. Several agency leaders highlighted recent initiatives and funding priorities. AHCA emphasized Medicaid managed care, provider regulation, Hope Florida, hospital-at-home, and cancer-related efforts; APD discussed iBudget services, Hope Florida, a managed-care pilot, online applications, and forensic care costs; DCF focused on child protection, foster care, adult protective services, food/cash/medical assistance, mental health, and opioid treatment; Elder Affairs highlighted Alzheimer’s services, community-based senior care, guardianship, ombudsman services, and disaster outreach; DOH covered cancer innovation, maternal telehealth, cybersecurity, HIV/hepatitis/syphilis screening, and school nursing; and Veterans Affairs described benefits and health care access for veterans, long-term care, and federal reimbursement. Several speakers also raised concerns about rising costs, provider rates, disaster response, and access to services. The committee heard two public comments from disability advocates about Medicaid redeterminations affecting iBudget waiver recipients and provider payment delays. In response, AHCA and APD said they were coordinating on data sharing, early outreach, escalation processes, and efforts to reduce disenrollments and make recertification smoother. Members then asked questions about provider rates, opioid settlement spending, managed care quality measures, pediatric rare disease grants, group home transparency, senior outreach, ABA services moving into managed care, annual Medicaid recertification, veterans’ service utilization, waiting lists for elder services, and prevention spending. No formal votes were taken during the meeting.

Transcript Highlights:

• Nationally, PE firms currently own and operate over one-third of methadone clinics or opioid treatment
• This is an area of bipartisan policy concern given that opioid treatment programs are the only licensed
• In Minnesota, we have compiled data that shows PE firms currently operate about 20% of the state's opioid
• homes<00:08:12.960> as<00:08:13.120> well<00:08:13.280> as<00:08:13.440> opioid
• <00:08:13.919> treatment homes as well as opioid treatment homes as well as opioid treatment

Keywords: 1183, house

Summary: The committee took up two bills concerning health entity ownership and heard invited testimony before acting on them. Dr. Yasha Singh of Brown University testified about private equity in healthcare, describing how PE firms use debt-financed acquisitions, short investment horizons, and roll-up strategies that can avoid disclosure requirements. He said the lack of transparency makes it difficult to track ownership and outcomes, and cited research linking PE ownership to higher costs in outpatient care, more ancillary service use, workforce turnover, and worse outcomes in hospitals and nursing homes. He also noted Minnesota-specific concerns, including PE involvement in opioid treatment programs, and said the policy challenge is balancing needed capital investment with protections for patients and workers. Sam Brooks of the National Consumer Voice for Quality Long-Term Care testified in strong support of the legislation, focusing on nursing homes. He argued that private equity ownership is associated with worse resident outcomes, including higher mortality, more pressure ulcers, more hospitalizations, and more deficiencies, and said leverage buyouts divert money from staffing and care into debt service, management fees, and lease-back arrangements. Brooks said staffing levels and quality ratings decline under PE ownership and pointed to recent bankruptcies as examples of instability. He said the bills would add safeguards such as transparency, attorney general approval of acquisitions, and requirements that a large share of public funds go to direct resident care. The testimony framed the bills as responses to concerns about private equity ownership in healthcare and long-term care, especially the effects on quality, staffing, and financial stability. No vote or final committee action was described in the excerpt.

Transcript Highlights:

• There were opioid lawsuits all over the state of Texas.
• That's what the public, that's what opioid litigation was about.
• I'll talk about opioids.
• And as you've heard the opioids, in settling these cases.
• The opioid lawsuit was brought through a public nuisance claim.

Bills: HB2242, HB2446, HB2799, HB4502, HB2920, HB2790, HB5620, HB5060, HB5076, HB5080, HB5081, HB5128, HB5130, HB3847, HB5116, HB2969, HB4546, HB4202, HB5624, HB3964, HB4803, HB872, HB4775, HB4777, HB4961, HB5570, HB2988, HB4260, HB1375, HB5009, HB5411, HB5134, HB4388, HB3095, HB1387

Keywords: constables, civil rights, local government, law enforcement, policy-making authority, affidavit, medical bills, civil actions, reasonable charges, healthcare services, judicial statistics, court performance, family law, civil cases, efficiency reporting, court security, emergency management, harassment penalties, judicial safety, court committee

Summary: The committee heard House Bill 4961, which would bar uninsured motorists from recovering non-economic damages after a collision. The author said the bill is intended to create incentives to maintain insurance and to address what he described as an unfair system for insured drivers. Texans for Lawsuit Reform and Texas Eagle Forum testified in support, while the Texas Trial Lawyers Association opposed it, warning the bill could also affect pedestrians, passengers, children, and others who did not choose whether a vehicle was insured. The bill author clarified that passengers would be included in the bill’s coverage. No vote was taken and the bill was left pending. House Bill 5570 would extend a legislative attorney CLE exemption to attorneys appointed by the governor and confirmed by the Senate to boards or commissions. The author said the measure is meant to ease time burdens and encourage service, and a witness supported it as a modest incentive for public service. A committee member noted a discrepancy in the number of affected attorneys, and the author agreed to verify the correct figure. The bill was left pending. The committee also heard House Bill 2969, which would restrict the State Bar from adopting rules or penalties that unreasonably burden attorneys’ religious exercise or free speech based on sincerely held beliefs. The author and several witnesses from Texas Values, Alliance Defending Freedom, and Cecilia Wood argued the bill protects lawyers of faith from an ABA model rule they described as a speech code. No one testified against the bill, and it was left pending. House Bill 4260, which would prohibit county judges and county commissioners from practicing law in courts over which they have jurisdiction, drew opposition from the County Judges and Commissioners Association, which argued existing ethics rules already address conflicts and that the bill would burden rural officials. The author said the bill was prompted by concerns about judges using their office to pressure others. The bill was left pending. House Bill 5134 would limit Rule 202 pre-suit depositions to people who have suffered or reasonably expect actual damages and would allow attorney’s fees against abusive petitioners. The author said the bill is aimed at preventing harassment and fishing expeditions, especially in family-law disputes. Questions focused on how the standard would work and how it differs from current law; the author said the main change is fee-shifting and a clearer legislative directive. The bill was left pending. House Bill 3095, a committee substitute version of a similar uninsured-motorist bill, would bar uninsured motorists from recovering non-economic damages and limit economic recovery, with several exceptions. Trial lawyers argued it was unconstitutional because it capped economic damages and could unfairly affect innocent drivers, pedestrians, and older people who no longer drive. The author acknowledged constitutional concerns and said the bill would need further work; the committee withdrew the substitute and left the bill pending. Finally, House Bill 4388 would require all judges, including county judges who perform administrative duties, to remain subject to the Code of Judicial Conduct. Supporters said some elected judges avoid accountability by relinquishing judicial functions, while opponents argued the bill is too rigid and unnecessary because existing remedies already exist. House Bill 3964 would limit public nuisance claims to their historical role and bar such claims against lawful conduct, conduct already covered by other remedies, and products. The author and supporters said the bill is meant to prevent courts from using public nuisance to make policy, while opponents argued it would eliminate useful remedies and could affect local actions against environmental or product-related harms. The author said the bill would not affect statutory nuisance claims, private nuisance claims, or other causes of action, and would be amended to clarify some provisions. The bill was left pending.