Transcript Highlights:

• Services will come to order. The clerk will call the roll. Chair Hall? Here. Chair Emanuel?
• In that case, we're also paying the contractor for the services.
• to provide the service if that makes sense.
• high quality services.
• So, is that how you define high quality service?

Bills: HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Transcript Highlights:

• . service agency license but does not cover hospice and personal assistance services providers.
• The Department of Family and Protective Services' time for implementation.
• This resulted in 140 calls for service and 56 incidents.
• The area had 32 calls for service for all time.
• We want quality services.

Bills: HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Bills: HB 35, HB 138, HB 754, HB 1314, HB 1612, HB 2254, HB 2510, HB 2789, HB 3560, HB 3597, HB 4224, HB 4273, HB 4643, HB 4783

Keywords: peer support, first responders, mental health, confidentiality, emergency services, health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, healthcare, price estimates, billing requirements, consumer protection, nonemergency services, assisted living, licensing, criminal offense, personal assistance

Transcript Highlights:

• and report on the status of maintenance of the governor's residence and recommend to the General Services
• Then, through the General Services Department, we are the keepers of that fund, as I mentioned.
• The centers also have been shown to increase engagement with recovery services.
• Participants are more likely to engage with services and make healthier choices for themselves.
• When funds are delayed or diluted, services could disappear.

Bills: SB238, HJR1, SM21, SM22

Keywords: Governor's Residence, management committee, government administration, New Mexico, advisory, commission, general services, nominating committees, boards of regents, student representation, political party registration, New Mexico constitution, overdose prevention centers, harm reduction, drug overdose, opioid crisis, substance use disorder, public health, addiction treatment, naloxone

Transcript Highlights:

• been ongoing and general fund money, and there was a feeling that this is more being looked at as a pilot
• been ongoing and general fund money, and there was a feeling that this is more being looked at as a pilot

Bills: SB2004, HB1600

Keywords: ethics commission, immunity, conflict of interest, complaints, public officials, transparency, legislative action, criminal prosecution, complaint resolution, HB 1600, immigration law clinic, University of North Dakota, UND Law, law school clinic, legal aid, immigration attorney, student clinic, pro bono, immigration legal services, caseload limit

Summary: The committee reconvened to continue work on water-related appropriations and related bills, with the chair emphasizing the need to move the water bill to conference committee soon because of differences with the House. Members reviewed project funding levels and carryover balances across several water projects, including NAWS, Southwest, Valley City, Cirrus River flood control, Hart River, Redder water supply, municipal and rural water, general water, and discretionary funding. The discussion focused on reduced revenue forecasts, the use of a $150 million line of credit as a working assumption, and concerns about large carryover amounts and piling up cash. No final changes were made to the water funding numbers, but the chair said the committee would revisit the bill after further cleanup of the draft language. The committee then took up House Bill 1600, which would create an immigration law clinic at the University of North Dakota law school. Members agreed the program should be treated as a one-time pilot rather than ongoing general fund spending, so they adopted an amendment changing the $400,000 appropriation to one-time funding from the strategic investment fund. The amended bill passed unanimously, and Senator Meyer was assigned to carry it. House Bill 1417, dealing with parole and probation-related policy, was also amended. The committee removed Section 8, which eliminated the bill’s appropriations language, based on testimony that the referenced funding was already included elsewhere in the budget. The amended bill then passed unanimously. The committee also discussed possible future amendments to water study language, including earlier reporting deadlines and a proposal to require larger new water project requests to go through the Water Topics Overview Committee before being introduced, but no final action was taken on those concepts. Several other bills, including the AI-related House Bill 1448 and law enforcement bonus bill 1193, were left for later consideration.

Transcript Highlights:

• in order to connect them to those services.
• and children's protective services.
• I coordinated to have a number of foster care services visit with the Senate Health and Human Services
• in lieu of services.
• CMS authorized ILOS in lieu of services in 2016 as a service or setting that works as a substitute for

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

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

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

Transcript Highlights:

• which allows people of all ages to receive a bike in exchange for completing 2. 5 hours of community service
• to prevent the jailing of those in mental health crises and helped create the assisted outpatient service
• Uh, he first began service at Travis County in 1981 with an appointment as a justice of the peace judge
• Judge Herman with eligibility for burial in the Texas State Cemetery, we recognize a lifetime of service
• Recognize over 165 years of service to Texas students, teachers, researchers, and everyday citizens.

Bills: HCR6

Keywords: Meals on Wheels, senior services, nutrition, community support, volunteerism

Transcript Highlights:

• I'm chief of the family health services division.
• music accessibility pilot program. music accessibility pilot program.
• not a pilot, definitely go forward. not a pilot, definitely go forward.
• And we know there's some some pilots And we know there's some some pilots going<01:40:08.000>
• > and<01:44:29.280> Family<01:44:29.600> Service, uh Child and Family Service, uh Child

Bills: HB1977, HB1764, HB1934, HB2533, HB1790, HB2181, HB1870, HB2140, HB2468, HB2358, HB1588, HB1688, HB1986, HB2030, HB2195, HB1949, HB1695, HB1950, HB2094, HB2115, HB2297, HB2336, HB2416, HB2049

Keywords: maternal health, infant health, mobile application, Medicaid, healthcare access, state programs, music education, public concerts, Hawaii State Library, cultural collaboration, music accessibility, libraries, education, reading programs, early childhood, nonprofit, community engagement, teacher retention, Hawaiian language education, special needs schools

Transcript Highlights:

• services provided. provided. provided.
• Um, you know, this three-year pilot program to help recruit and retain officers.
• Um, you know, this three-year pilot program to help recruit and retain officers.
• <00:59:26.480> program you know this three-year pilot program you know this three-year pilot
• So if medical services special funds.

Bills: HB1977, HB1764, HB1934, HB2533, HB1790, HB2181, HB1870, HB2140, HB2468, HB2358, HB1588, HB1688, HB1986, HB2030, HB2195, HB1949, HB1695, HB1950, HB2094, HB2115, HB2297, HB2336, HB2416, HB2049

Keywords: maternal health, infant health, mobile application, Medicaid, healthcare access, state programs, music education, public concerts, Hawaii State Library, cultural collaboration, music accessibility, libraries, education, reading programs, early childhood, nonprofit, community engagement, teacher retention, Hawaiian language education, special needs schools

Transcript Highlights:

• care services care services we<00:18:54.000> we<00:18:54.160> might<00:18:54.320><
• You will hear later today, services.
• You will hear from life-saving services.
• Mahalo for your service. PFLAG Oahu, Cameron Miiamoto.
• Mahalo for your service. Mahalo for your service.

Bills: SB2936, SB2850, SB2851, SB2521

Keywords: accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle

Summary: The joint hearing covered House Bill 251, which would require hospitals to report costs associated with Medicare and uninsured patients, and House Bill 1875, which would expand protections for gender-affirming health care services. On HB 251, the Department of Health said it supported the intent but described the bill as complicated and potentially impractical as drafted because the department lacks the expertise to produce the required analyses without outside help. Hawaii Health Systems Corporation echoed those concerns, while the Queen’s Health System said it was willing to work with the department to provide the information. In committee discussion, officials explained that hospital support in Hawaii includes public hospital appropriations and the provider tax program, which uses hospital and nursing home contributions to draw federal matching funds; a department witness estimated the net benefit at about $150 million for hospitals and $20 million for nursing facilities, though exact figures would be provided later. On HB 1875, the Insurance Division testified with concerns that the bill’s language on prohibited actions by malpractice insurers was broad and vague, and that a rate-increase prohibition could conflict with actuarially based insurance pricing. The division also noted it was not the primary enforcement agency for the statute. In contrast, many testifiers strongly supported the bill, including the Hawaii State Commission on the Status of Women, the Hawaii State LGBTQ+ Commission, the Hawaii Public Health Institute, PFLAG Oahu, the ACLU of Hawaii, the Drug Policy Forum of Hawaii, the Hawaii County Democratic Party, and others. Supporters argued that gender-affirming care is medically necessary, evidence-based, and protected by privacy and bodily autonomy principles, and that the bill would protect patients and providers from outside political interference. No votes or final committee actions were taken during the portion of the hearing provided.

Transcript Highlights:

• services statutes. services statutes.
• Medical Services and Injury Prevention. Medical Services and Injury Prevention.
• Preventive Services Task Force.
• . services. services.
• health monitoring pilot program. health monitoring pilot program.

Bills: SB2936, SB2850, SB2851, SB2521

Keywords: accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle

Summary: The committee heard testimony on several health-related bills. HB 1871, establishing a maternal health monitoring pilot program, drew support from the Department of Health, the Hawaii State Commission on Status of Women, and the Hawaii affiliate of the American College of Nurse Midwives, with testimony urging provider-neutral language so midwives and other qualified providers would not be excluded. HB 1977, requiring a maternal and infant health information mobile app, received support from ACNM and Philips, which said similar apps in other states improved awareness of services and helped families navigate care; a member asked the Department of Health about implementation time. HB 1858, relating to certificates of fetal deaths, was supported by the Department of Health and clinicians, who said the current statute is outdated and inconsistent with CDC guidance; the department and a physician testified that the bill should shift documentation responsibilities to physicians and APRNs, and members discussed optional versus mandatory issuance language and whether the bill would improve data on home births and transfers. The committee also heard HB 1591, expanding definitions for preceptor and volunteer-based clinical training to improve income tax credits. The Department of Health supported the measure but preferred a similar, broader bill; Taxation suggested clarifying terms; the University of Hawaii and the State Center for Nursing supported it. ACNM asked that midwifery preceptors and Hawaii-based students enrolled in mainland programs be included, while the Hawaii Public Health Institute supported expansion of the program as a workforce solution. HB 1574, on the health care education loan repayment program, also drew broad support, including from the governor, SHPDA, OHA, and health organizations, but ACNM raised concerns that the bill’s 30% Medicaid-client threshold could exclude many providers and limit participation. For HB 1575, creating a feasibility committee on Parkinson’s patient air transport, the Department of Health supported the intent but said transportation is more likely an insurance or benefit issue and suggested redirecting funds to Parkinson’s research; the Michael J. Fox Foundation and the Hawaii Parkinson Association supported the bill, citing inter-island travel barriers and high costs for patients and caregivers. HB 1854, establishing certification of community behavioral health clinics, was supported by the Department of Health and DHS, which said certification would help clinics qualify for enhanced Medicaid reimbursement and expand access; the Attorney General’s office raised a legal concern about the special fund language and recommended a purpose section, and the committee discussed whether the fund would be self-sustaining and noted a possible amendment to change membership language and reduce the board size if the amendment moved forward.

Transcript Highlights:

• We have so many ideas, schemes, programs, pilot programs in order to do this.
• We have so many ideas, schemes, programs, pilot programs in order to do this.
• So this bill appropriately shifts accountability toward community service, restorative approaches, and
• So this bill appropriately shifts accountability toward community service, restorative approaches, and

Bills: HB2117, HB2155, HB1832, HB1601, HB2297, HB2397, HB1893, HB2533, HB1890, HB2004, HB1810, HB2323, HB1691, HB1671, HB2619, HB1481, HB2314, HB2319, HB2214, HB2488, HB2009, HB2007, HB1964, HB2218, HB1535, HB1977, HB2054, HB2046, HB146, HB2094, HB2181, HB2515, HB2444, HB2385, HB1724, HB1733, HB2416, HB2001, HB1603, HB1753, HB2140, HB1962, HB1963, HB2096, HB1959, HB1960, HB2293, HB2288, HB1752, HB1573, HB469, HB2091, HB1851, HB1688, HB1696, HB2417, HB2375, HB2333, HB2152, HB1881, HB2395, HB1721, HB1921, HB1730, HB1697, HB1824, HB2282, HB2078, HB2321, HB2279, HB1522, HB2097, HB2433, HB2106, HB2274, HB2452, HB1764, HB2438, HB1860, HB2604, HB2118, HB2017, HB2216, HB1934, HB2454, HB2427, HB2207, HB1840, HB1644, HB1645, HB1946, HB1648, HB2324, HB1509, HB1514, HB1515, HB2164, HB2165, HB2283, HB2386

Keywords: arts education, data mapping, task force, creative economy, cultural preservation, workforce development, geographic information systems, agriculture, data collection, statistical program, sustainable practices, Hawaii, aquaculture, biosecurity, food security, sustainable seafood, regulatory framework, interagency coordination, environmental stewardship, invasive species

Transcript Highlights:

• So we provide a critical service to our taxpayers and our visitors.
• Senate Bill 1377 will help rural EMS services survive.
• Senate Bill 1377 will help rural EMS services survive.
• Senate Bill 1377 will help rural EMS services survive.
• I am Deputy Director of Texas A&M Forest Service.

Bills: SB868, SB1337, SB1371, SB1377, SB1426, SB1620, SB2064, SB2065, SJR4

Keywords: SB 868, rural volunteer fire department assistance program, volunteer fire department assistance fund, Texas Government Code, wildfire, wildland fire, high-risk wildfire area, fire suppression, rural fire departments, volunteer firefighters, emergency response, public safety, grant allocation, appropriations, disaster preparedness, tax penalties, interest calculation, overpayment, tax law, refund process

Summary: The Senate Finance Committee heard several bills focused on tax administration, transportation, emergency services, historic preservation, forensic training, pension funding, and the state’s rainy day fund. Senate Bill 1337, by Senator Creighton, would require the comptroller to assess penalty and interest only on the net tax due and allow sales and use tax overpayments to offset underpayments more automatically; it was left pending while the author, comptroller staff, and a private witness continued working on the language and fiscal note. Senate Bill 1371, by Senator Hinojosa, would address Corpus Christi transit authority operations, including emergency refueling coordination, fare-setting procedures, and board term limits; it received supportive testimony and was left pending. Senate Bill 1377, by Senator Perry, would create a grant program for rural counties to buy ambulances, with a committee substitute expanding eligible uses in some cases to equipment and setting a sunset date; numerous EMS officials, county representatives, and association witnesses testified in support, emphasizing rising ambulance costs, staffing shortages, and the need for rural emergency coverage, and the bill was left pending after testimony. Senate Bill 868, by Senator Sparks, would direct at least 10% of volunteer fire department assistance funding to high wildfire-risk areas; Texas A&M Forest Service explained the map and methodology, and the committee substitute was adopted. The committee also heard Senate Bill 1426, which would place the First Capitol State Historic Site in West Columbia under Texas Historical Commission stewardship, and Senate Bill 1620, which would create a Texas Forensic Analyst Apprenticeship Pilot Program through the Office of Court Administration to address forensic scientist shortages; both had no opposition in testimony and their committee substitutes were adopted. Senate Bill 2065 would change the Texas Emergency Services Retirement System funding structure to require an actuarially determined state contribution and address the system’s unfunded liability over 30 years; Pasadena fire department representatives testified that the pension is an important volunteer retention tool, and the bill was left pending after testimony. Senate Joint Resolution 4 would raise the Economic Stabilization Fund cap from 10% to 15% of biennial revenue deposits, with a committee substitute correcting the effective date to September 1, 2027; the committee discussed the fund’s current balance and purpose before adopting the substitute. After quorum was established, the committee voted out the measures. Senate Bill 1868, Senate Bill 1371, Senate Bill 264, Senate Joint Resolution 4, Senate Bill 1426, Senate Bill 1620, and Senate Bill 2065 were all reported favorably to the full Senate, with some bills also certified for the local and uncontested calendar. The committee substitute for Senate Bill 868 was adopted and the bill was reported favorably as well. The committee then recessed subject to the call of the chair.

Transcript Highlights:

• services.
• Services and life-sharing services new rate implementation.
• Services.
• services at all.
• The same services.

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding

Transcript Highlights:

• This bill is the Health and Human Services Forecast Adjustments Bill.
• also for the Human Services Committee. also for the Human Services Committee.
• and just this afternoon in Health and Human Services and here.
• MACSSA, or the Minnesota Association of County Social Service Agencies.”
• In a prior evaluation of PSAP, services.

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:

• and it this will improve service and it this will improve service continuity<00:02:56.319> for
• And this pilot is ongoing.
• And this pilot is ongoing.
• Um, and this pilot is ongoing. June. Um, and this pilot is ongoing.
• These services work. these kids daily. These services work.

Bills: HF4438, HF4467, HF4379, SF3402, HF4349, HF4064, HF84, HF85, HF3804

Keywords: healthcare, WIC, community health, licensing, speech-language pathology, audiology, contract term limits, healthcare services, provider enrollment, disenrollment, premium payments, medical assistance, substance use disorders, mental health, children's mental health, early childhood, early intervention, consultation grants, Head Start, child care

Transcript Highlights:

• . services caseworkers.
• and child protective services.
• I coordinated to have a number of foster care services visit with the Senate Health and Human Services
• in lieu of other services.
• It is not a needed state amendment plan. in lieu of services in 2016 as a service or setting that works

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

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

Bills: HR2, HR37, HR61, HCR11, HCR64, HB89, HB183, HB341, HB371, HB451, HB480, HB520, HB541, HB579, HB597, HB816, HB1004, HB1064, HB1165, SB44

Keywords: transparency, accountability, Justice Department, FBI, Jeffrey Epstein, victim protection, investigation, public trust, HR37, House Resolution 37, Honduras veterans, Armed Forces Expeditionary Medal, military medal, veteran recognition, Congress memorialization, U.S. veterans, foreign deployment, 1981 to 1992, military service awards, combat support

Transcript Highlights:

• program, establishing a moratorium on adding new service providers in the 14 high-risk services.
• program, establishing a moratorium on adding new service providers in the 14 high-risk services.
• program, establishing a moratorium on adding new service providers in the 14 high-risk services.
• Um, the scope of your Services.
• of Minnesota are receiving the services. of Minnesota are receiving the services.

Bills: HF3378

Keywords: human services, Optum reports, data privacy, transparency, legislative oversight, 1183, house

Transcript Highlights:

• So that investment requires us to maintain a maintenance service contract with Motorola, the system vendor
• I just want to thank you for your service, truly.
• <00:46:31.840> unit dedicated legislative services unit dedicated legislative services unit
• You know, as we all know, the strength of capital security and the dedicated legislative services unit
• <00:51:04.720> unit dedicated legislative services unit dedicated legislative services unit

Bills: HF4810, HF4597, HF1082, HF3230

Keywords: public safety, radio communications, infrastructure funding, county funding, interoperability, ARMER network, local jurisdictions, HF4597, Minnesota public safety, 911, emergency dispatch, emergency communications, public safety appropriation, Metropolitan Emergency Services Board, PSAP, dispatch interoperability, real-time coordination, emergency response coordination, cross-jurisdictional response, 911 center awareness platform