Transcript Highlights:

• e-consults and virtual visits, not with the idea of taking away in-person care, but taking away the acuity
• to be seen by a provider, and there was capacity within the in-person visits because a lot of the acuity
• $100 savings per patient that resulted in significant cost savings because, again, it's taking the acuity
• If we can take out that acuity, we can drive better care and lower costs at the same time.

Summary: The Assembly Health Committee met on March 25, 2025, with Chair Mia Bonta presiding and initially operating as a subcommittee until quorum was established. The committee heard several health-related bills, including AB 73 on creating a Black Mental Health Navigator certification, AB 499 on lowering the state reimbursement trigger for the Robert F. Kennedy Farm Workers Medical Plan, AB 843 on aligning California health insurance language-access rules with federal standards, AB 257 on a specialty care network using telehealth and virtual services for Medi-Cal and underserved communities, AB 64 on allowing diacritical marks on vital records, AB 315 on the Home and Community-Based Alternatives waiver, and AB 40 on clarifying that emergency services include reproductive health services such as abortion. Testimony generally emphasized disparities in access, culturally competent care, language access, rural provider shortages, and the importance of preserving or expanding programs that help vulnerable populations. Supporters included authors, state and local health organizations, advocacy groups, and affected individuals. AB 73 was backed as a way to address stigma, mistrust, and culturally competent mental health access for Black Californians. AB 499 was described as helping keep a self-insured farmworker health plan operational while maintaining a low-cost, labor-management model. AB 843 was supported as a way to prevent children and families from having to translate sensitive medical and insurance information and to protect limited-English-proficient Californians. AB 257 drew support as a demonstration project to improve specialty care access through California-based clinicians and virtual care, with examples of reduced wait times and costs. AB 64 received emotional testimony from the author, a child and his family, and others about the importance of accurately recording names with accents and other marks. AB 315 was presented as a cost-neutral or cost-saving way to expand home- and community-based care for medically fragile people, with strong support from disability, health, and provider groups. AB 40 drew support from reproductive health and medical organizations, while one opposition witness argued it could conflict with emergency care standards and overburden emergency departments. The committee took roll-call votes and advanced AB 499, AB 73, AB 843, AB 257, AB 64, AB 315, and AB 40 to Appropriations, with AB 40 receiving some no votes. The committee also adopted its 2025-26 rules and approved a consent calendar that included AB 225, AB 304, AB 403, AB 688, and AB 951. Several measures were initially placed on call and later lifted and recorded as passing out of committee before adjournment.

Transcript Highlights:

• from services because there are not sufficient, um, traditional providers or particularly for higher acuity
• from services because there are not sufficient, um, traditional providers or particularly for higher acuity
• from services because there are not sufficient, um, traditional providers or particularly for higher acuity
• from services because there are not sufficient, um, traditional providers or particularly for higher acuity
• For higher acuity kids, they're not willing to take those.

Keywords: • 0:00 - Roll Call • 0:19 - Approval of June 2026 meeting minutes • 0:36 - Fish & Wildlife (301 KAR 1:201 and 301 KAR 2:178) • 1:35 - Board of Veterinary Examiners (201 KAR 16:767) • 4:10 - State Board of Elections (31 KAR 4:240 Emergency) • 4:50 - Office of the Attorney General, Regulatory Relief (40 KAR 12:300, 12:610, 12:400, 12:420 and 12:600) • 7:03 - Department of Revenue (103 KAR 43:341 Emergency) • 8:05 - Kentucky Public Pensions Authority (105 KAR 1:001 and 1:440) • 9:19 - Finance and Administration Cabinet, Office of the Controller (200 KAR 38:080) • 10:10 - Board of Physical Therapy (201 KAR 22:010 and 22:070) • 11:06 - Kentucky Department of Education (702 KAR 3:220 and 6:110) • 12:43 - Cabinet for Health and Family Services, Department for Public Health (902 KAR 1:400) • 13:47 - Cabinet for Health and Family Services, Department for Medicaid Services (907 KAR 2:720 and 2:725) • 28:11 - Next meeting and adjournment, 958, all

Summary: The subcommittee met with a quorum present, approved the minutes without objection, and then reviewed a series of administrative regulations from multiple agencies. Most of the regulations received staff-suggested amendments and were approved without objection, including fish and wildlife rules on fishing limits and deer hunting on local government property, veterinary board changes to responsible party and veterinary manager requirements, election procedures for safe-at-home voters, attorney general regulatory relief rules, emergency gasoline tax pricing, public pensions updates, controller fraud-prevention policies, physical therapy licensure and English proficiency standards, school nutrition and fee-waiver rules, public health conference procedures, and Medicaid waiver regulations. Several agencies briefly identified themselves and answered procedural questions, but most items drew no substantive opposition. The Board of Veterinary Examiners regulation included an agency amendment that removed a proposed limit on the number of facilities a veterinary manager could oversee. The Department of Education regulations updated fee waiver and meal program procedures, while the Department of Public Health regulation clarified notification and conference-request procedures. The Department of Revenue and Kentucky Public Pensions Authority items were largely technical or conforming changes, including a special-needs trust definition added for consistency with Senate Bill 85. The most extensive discussion involved the Department for Medicaid Services’ 1915C child waiver regulations. Kentucky Protection and Advocacy testified in opposition to the waiver’s lack of participant-directed services, arguing that consumer-driven services such as respite and community living support are required and especially important in rural areas and for higher-acuity children. Cabinet representatives responded that the waiver is intended to provide wraparound services to keep children in homes and communities, that it has CMS approval, and that the program is limited to 100 slots with about 21 participants already enrolled. Members did not move a deficiency motion, and the chair indicated the regulations would continue through the process. The meeting adjourned after setting the next meeting for Tuesday, August 11 at 1:00 p.m.

Transcript Highlights:

• secretariats and commissions about the rising costs of health care, prescription drugs especially, and the acuity
• secretariats and commissions about the rising costs of health care, prescription drugs especially, and the acuity
• this increase, as we heard from the distinguished chair of Ways and Means this afternoon, higher acuity

Keywords: 995, all

Summary: The Senate took up debate on the FY2026 general appropriations bill, with several members speaking in support of the Ways and Means budget. Senators Comerford, O’Connor, Feeney, and DiDomenico emphasized the budget as a values-driven response to federal uncertainty, highlighting investments in MassHealth, education, housing, food security, local aid, libraries, transit, mental and behavioral health, and support for vulnerable residents. They also praised the budget’s lack of new taxes and its focus on spending within available revenues, while noting major cost pressures from health care and federal policy instability. Specific programs and items repeatedly cited included universal free community college, expanded financial aid, rural and minimum school aid, TAFDC/EAEDC increases, the Healthy Incentives Program, universal school meals, housing supports, Home and Healthy for Good, and funding for Pappas Rehabilitation Hospital. Speakers framed these investments as both fiscally responsible and morally necessary, and several noted that amendments would be considered during the debate. No votes on the budget itself were taken in the excerpt. After the budget remarks, Senator Miranda spoke in recognition of Haitian Flag Day and the history of Haiti, including foreign interference and the importance of protecting Haitian immigrants in Massachusetts. Another senator then honored Malcolm X on the 100th anniversary of his birth, connecting his legacy to the budget process and calling for investments in equity, education, housing, and health care. The Senate then adopted an order to meet the next day at 10 a.m. with the general appropriations bill as the only item on the calendar, and adjourned.

Transcript Highlights:

• But is this an opportunity to house the high acuity juvenile within this footprint?
• So, we're discussing<01:03:27.200> high<01:03:27.520> acuity discussing high acuity discussing
• to house the high acuity juvenile within this<01:04:01.839> footprint?
• I that high high acuity this footprint?
• I that high high acuity is<01:04:06.319> a<01:04:06.480> whole<01:04:07.599> a<01

Keywords: 0:00:07 Call to Order and Roll Call 0:00:47 Approval of Minutes 0:01:05 Correspondence and Information Items 0:54:15 Lease Rpt from Postsecondary Institutions 0:56:19 Project Rpt from Finance and Administration Cabinet 1:08:46 Lease Rpt from Finance and Administration Cabinet 1:13:00 Rpt from Office of Financial Mgmt - KIA 1:20:00 Office of Financial Management 1:35:50 Adjournment, 958, all

Summary: The meeting began with routine business, including welcoming new committee member Senator Reginald Thomas, approving the minutes, and receiving a correspondence report on several information items. Those items included University of Kentucky research equipment funding, UK capital project funding using federal/private funds, debt issues from McGoffin County and Owen County school districts, lease modifications by the Division of Real Properties, asset preservation project revisions at Eastern Kentucky University and Northern Kentucky University, and Kentucky Communications Network Authority (KCNA) information on Kentucky Wired critical infrastructure. The main discussion focused on a dispute over the Kentucky Wired communication shelters, or “huts,” and related payments under KCNA’s agreement with Asellicom/Excel. Brad Kilby of Asellicom testified that KCNA had not paid for the huts, that Asellicom had not received the alleged $8 million or any later payment, and that Asellicom remained the legal owner. Committee members pressed him on whether payment had been received, whether anyone else might have received it, and whether the lawsuit or dispute resolution process clarified the issue. Kilby said no payment had been received and that the matter was part of ongoing litigation. KCNA Executive Director Doug Hendricks and General Counsel Adam Atkins then testified. They said a certified check for $8.5 million was mailed in July, based on the Finance and Administration Cabinet secretary’s determination that $8.5 million was due under the model procurement code, even though KCNA had initially requested about $12 million to cover a worst-case estimate. They said the contract allowed payment in full or in tranches, that the huts were completed and operational, and that KCNA had not received documentation supporting Asellicom’s higher $10.1 million claim. Members expressed frustration over the missing check and the broader implications for Kentucky Wired, and one member requested that the committee obtain all agency requests related to KCNA/Kentucky Wired since inception; the co-chairs said they would look into making that information available. No formal vote was taken on the dispute during the portion provided.

Transcript Highlights:

• , complex needs, these are high acuity, complex needs, these are high acuity, low<00:25:04.640>
• :06.320> can<00:25:06.559> find low acuity, with complex needs, can find low acuity, with
• <01:14:44.800> What the, you know, acuity, high, low.
• What the, you know, acuity, high, low.
• Chair Senator acuity. Thank you and Mr.

Keywords: 1187, senate, all

Transcript Highlights:

• particularly during predictable seasonal respiratory surges such as influenza, RSV, and other high-acuity
• RSV and other high-acuity respiratory illness periods.

Summary: The Health Care Budget Subcommittee met to hear three member bills before turning to budget discussion. First, the committee considered HB 1295 on memory care, which would set baseline operating standards for memory care providers and facilities, clarify resident contract requirements, and restrict facilities from advertising themselves as memory care providers unless they meet the bill’s criteria. AARP, the Alzheimer’s Association, and the Florida Senior Living Association supported the measure, and it was reported favorably with no debate. The committee then heard HB 1235, which would authorize Florida to join the Respiratory Care Interstate Compact. Representative Conerly and a representative of the Florida Society for Respiratory Care said the compact would improve workforce flexibility and patient access while preserving state oversight and using licensure fees rather than taxpayer dollars. The bill received favorable testimony and was reported favorably. Next, HB 933 was presented by Representative Rosenwald to add two new children’s initiative sites, one in Bay County and one in Broward County, expanding a program that coordinates education, health care, employment, and housing supports for children in disadvantaged communities. The bill had support from Florida Children’s Initiative and was also reported favorably. After the bill presentations, members were told the agenda would move to budget discussion, and the chair noted that budget recommendations had been submitted to Chair McClure. With no further business, Representative Redondo moved to recess.

Transcript Highlights:

• But we identify the needs of those that we have in house, and we've talked a lot about acuity.
• Sometimes acuity requires more nursing hours per day to make sure we meet their specific needs.
• <01:07:17.320> and<01:07:17.480> sometimes<01:07:17.960> acuity<01:07:18.480>
• requires acuity and sometimes acuity requires acuity and sometimes acuity requires more<01:07:19.280
• We really try to stay in the 42–46, depending on the acuity and also the layout of the building.

Keywords: 958, all

Summary: The meeting opened with the pledge and prayer, a roll call established quorum, and members announced a Veterans Caucus meeting to follow the session. The committee also recognized distinguished veteran Joe Mash Masterson of Bardstown, who was praised for his Army service, long-time advocacy for veterans, and leadership in the American Legion and local veteran organizations. Masterson thanked his family, the American Legion Post 121, and the VA staff, and several members offered remarks honoring his service and the committee’s practice of recognizing veterans. The committee then briefly addressed a referred administrative regulation, 017 KAR 001 030, which leadership described as technical updates to existing policy; no vote was taken. After that, members heard testimony from KDVA and Finance and Administration officials on the ongoing HVAC replacement project at the Radcliffe Veteran Center. Officials said the system had been problematic for years, that design work began early to accelerate the project, and that the work was complicated by the need to replace the system in an operating nursing facility. They explained that the project was bid in March, awarded to Less Mechanical, and that protective measures, shop drawings, and equipment orders were underway. Committee members pressed officials on why the problem had taken so long to resolve, why the original system had been installed, whether the issue had been communicated regularly, and whether the state should be paying for a replacement in a relatively new facility. Officials said the original system’s components and warranties had failed, that they had tried to replace parts before moving to a full replacement, and that the system’s manufacturer and quality differed from a similar facility in Glasgow that had not had the same issues. They said the current phase one contract was about $6 million, with the remaining funds held for phase two to restore full occupancy; phase two design was nearly complete and could be bid later if funding is approved. Officials estimated phase one completion around January 2026 and full completion around March 2027, depending on funding and scheduling.

Transcript Highlights:

• It's based on acuity and a variety of other factors.
• Again, it's based on a number of factors that include reported allowable costs and acuity.
• It's based<00:05:50.560> on<00:05:50.800> acuity<00:05:52.160> and<00:05:52.560>
• > variet<00:05:53.360> and<00:05:53.440> and<00:05:53.600> a based on acuity
• allowable costs and acuity. allowable costs and acuity.

Keywords: 928, house, all

Summary: The Fiscal Committee met on December 19, with Senators Long and Lang serving as replacements. The committee approved the November 21 minutes and adopted the consent calendar after removing two Department of Health and Human Services items for separate discussion. It then took up an HHS request involving nursing facility rates, where Nathan White explained that $2.2 million would be transferred from a long-term care Medicaid eligibility contract to the nursing facilities budget. He said the funds would offset an otherwise projected 3.9% average rate decrease and bring the overall average change to zero for the next six months, with rates reset again in July under state law. Members asked about the budget adjustment factor, bed counts, and whether additional funds could raise rates further; White said the factor is statutory, capped at 28.76%, and that more money would lower the factor and increase rates. The committee also corrected a date in the request from February 1, 2025 to February 1, 2026, and approved the item. The committee next approved another HHS item related to rural health transformation grants. Members confirmed the request covered the full amount applied for this biennium, and asked about the technology component. HHS said the grant is not solely about AI, but about broader technology improvements such as electronic medical records, back-end systems, and tools to improve access and sustainability in underserved areas. The committee approved that item as well. The Judicial Council then requested funds for contract attorneys providing indigent defense on a fixed-fee basis. The council said current funds had already been exhausted and that the new appropriation would be used immediately. Members questioned the size of the request and the number of people awaiting counsel; the council reported about 150 incarcerated people and about 300 non-incarcerated people waiting for counsel, more than in recent years. It attributed the increase to competition for attorneys, public defender offices closing intake in some locations because of caseload limits, and broader case and court-system changes. One member raised constitutional concerns about delays in counsel for incarcerated defendants. The committee ultimately amended the request downward to $1 million, approved it, and then approved a motion to place several annual financial reports on file and release them to the public when available. The committee also discussed dashboard reporting from HHS, asking for more detail on community mental health center caseloads and budget-reduction information, and HHS agreed to provide more useful monthly detail.

Transcript Highlights:

• out and provide information to these different groups so that when they encounter someone who is visually
• impaired, or someone who goes to their center or in their club becomes visually impaired, they have
• impaired or someone that goes to their center or in their club becomes visually impaired they have the
• information In their club becomes visually impaired.
• Our service population continues to grow each year, both in numbers and in acuity.

Keywords: 995, all

Summary: The hearing was a FY27 budget session on Health and Human Services held in Mattapan, hosted by the Joint Committee on Ways and Means. Opening remarks from Senator Lydia Edwards, Representative Brandy Fluker-Reed, Representative Russell Holmes, and Boston Public Library President David Leonard emphasized the significance of holding the first Ways and Means hearing in Mattapan, the importance of community access, and the role of libraries as human services institutions. Committee members and attendees introduced themselves before agency testimony began. MassAbility testified first, describing its mission to support people with disabilities through employment, independent living, and disability determination services. The agency highlighted federal funding uncertainty, a modest FY27 budget reduction, and a proposed reworking of its home care program, which it said is outdated and should better target those most in need. Members questioned the home care cut, staffing reductions, and federal coordination. MassAbility also shared a participant story about recovery and community support to illustrate the impact of its services. The Massachusetts Commission for the Deaf and Hard of Hearing then presented its FY27 request, focusing on interpreter and captioning access, workforce development, emergency communication, aging-related hearing loss, and transition services for deaf and hard-of-hearing youth. Members asked about interpreter shortages, after-hours emergency coverage, ASL education, and community training; the commission said it is expanding mentorship and referral systems but still faces staffing and vendor challenges. The Massachusetts Commission for the Blind followed with a $30.8 million request, describing services for nearly 9,000 consumers, peer support groups, vocational rehabilitation, and Turning 22 services, while noting federal funding uncertainty and a 7% budget cut. Members raised concerns about maintaining services with fewer resources, and the commissioner said the agency had trimmed overhead and could manage the proposal. The Office for Refugees and Immigrants closed the segment, outlining expanded legal, housing, workforce, citizenship, and financial literacy supports for immigrants and refugees, including Know Your Rights trainings, legal defense initiatives, and the Massachusetts Access to Counsel Initiative. Members discussed the effects of federal policy changes, the loss of refugee resettlement funding, and the need for state support to fill gaps. No votes were taken in the portion provided; the hearing consisted of agency presentations and committee questioning.

Bills: HB235, HB236, HB565, HB237, HB238, HB239, HB240, HB241, HB242, HB235, HB236, HB565, HB237, HB238, HB239, HB240, HB241, HB242

Keywords: social media, age verification, minors, under 16, children online safety, online privacy, platform regulation, deceptive trade practice, Attorney General, civil penalties, punitive damages, consumer protection, account creation, algorithmic feeds, internet safety, youth social media, HB236, Baldwin County, Board of Equalization, per diem

Transcript Highlights:

• and in terms of cost for those two, and then in the increased needs of children in care, and the acuity
• That's a good solid visual of what's going on we're faced with.
• That's That's a good That's a good solid That's That's a good That's a good solid visual<00:21:13.720
• 14.080> going<00:21:14.320> on<00:21:14.440> we're<00:21:14.560> faced visual
• of what's going on we're faced visual of what's going on we're faced with.<00:21:14.920> And<

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:19 DCBS 00:01:58, 958, all

Transcript Highlights:

• particularly during seasonal respiratory surges of illness such as influenza, RSV, and other high-acuity
• ILLNESS SUCH AS INFLUENZA, RSV  AND OTHER HIGH ACUITY RESPIRATORY  415 ILLNESS PERIOD'S. 416
• Particularly in light reality, where you're thinking through high-acuity trauma centers, pharmacists

Summary: The committee met with a quorum present and heard a series of health care-related bills, with Chair Tuck emphasizing respectful debate and noting that all bills on the agenda would be voted on that day. The first measure, HB 743, would give the Attorney General authority to investigate and bring civil actions against health care practitioners who violate Florida’s ban on gender-affirming care for minors, and would make aiding or abetting such conduct a third-degree felony. Supporters said it closed loopholes and protected minors and parental rights, while opponents argued it was vague, overbroad, and could chill lawful care and professional judgment. The bill passed 13-4 and was reported favorably. The committee then unanimously approved PCS for HB 567, which narrows a continuing-education requirement for podiatrists so only those who prescribe controlled substances must take the related two-hour course. It also unanimously approved HB 439, allowing chiropractors, under specified training and certification requirements, to inject vitamins and nutrients while continuing to prohibit intravenous injections. The committee also passed HB 1235 to enter Florida into the respiratory care interstate compact, and HB 1237, a linked public-records/public-meetings exemption needed to implement that compact; both measures were supported as workforce and access-to-care bills and passed without opposition. Later, the committee approved PCS for HB 809, which addresses temporary physician certificates in areas of need and aims to prevent doctors from losing the ability to practice when area designations change. Members asked about licensure pathways and the effect of federal or board designation changes, and supporters framed the bill as protecting continuity of care in underserved communities. The committee also unanimously passed HB 1347 to align clinical laboratory personnel licensing with federal CLIA standards amid staffing shortages, and HB 1515, a public-records exemption tied to a uterine fibroid research database. Finally, the committee approved HB 169 updating acupuncture statutes, including terminology changes and limits on injection therapy, and HB 1021, Representative Young’s first bill, allowing qualified hospital pharmacists in Level I and II trauma centers to administer emergency medications at a physician’s direction during life-threatening situations. HB 1021 drew the most questions, mainly about scope, definitions, and who could authorize the pharmacist, but after a technical amendment it passed unanimously. All remaining bills were reported favorably, and the meeting adjourned after the final vote.

Transcript Highlights:

• the psychiatric residential treatment facilities, there's a critical need to serve youth with high acuity
• the psychiatric residential treatment facilities, there's a critical need to serve youth with high acuity
• the psychiatric residential treatment facilities, there's a critical need to serve youth with high acuity
• the psychiatric residential treatment facilities, there's a critical need to serve youth with high acuity
• Facilities, there's a critical need to serve youth with high acuity needs, including develop increased

Keywords: 1187, senate, all

Transcript Highlights:

• <01:47:58.440> facilities<01:47:59.360> were acute lower acuity facilities were acute
• lower acuity facilities were developed<01:48:00.720> and<01:48:01.000> separated<01:48
• <01:48:59.680> than<01:48:59.880> hospital but needed lower acuity than hospital but
• needed lower acuity than hospital care. care. care.
• but needed a secure but lower acuity but needed a secure but lower acuity care<01:49:22.320>

Keywords: 926, house, all

Summary: The House first returned to Senate Bill 71, a consumer data privacy and online surveillance bill. Members debated a proposed amendment that would have removed language allowing companies to rely on consumer consent to sell certain sensitive data. Supporters argued consent pop-ups and terms-of-service notices are not meaningful consent and that sensitive data should be categorically protected, citing Maryland and other states. Opponents, including the committee presenter, said the bill was a carefully negotiated compromise needed to establish Vermont’s first data privacy framework and warned that adopting the amendment could jeopardize passage in the Senate or with the governor. The committee reported the amendment unfavorable on a 9-0 straw poll, the House rejected the amendment, and then approved the committee’s recommended proposal of amendment by roll call vote, 129-3. During questioning on S. 71, members discussed the bill’s applicability thresholds, with the presenter explaining that the 35,000-consumer threshold was modeled on Connecticut, while lower 3,000 thresholds for sensitive data and data sales were based on business testimony and intended to capture smaller entities such as accountants, lawyers, nonprofits, and trade associations that share or sell lists. Members also asked about the bill’s many exemptions, which were described as covering entities already regulated by state or federal law, including health care entities under HIPAA and banking and insurance sectors. The presenter and supporters emphasized that the bill still requires clear privacy notices, limits data collection to what is reasonable and disclosed, and gives consumers rights to opt out, correct, and delete data. After the roll call vote, the House ordered third reading, suspended rules to place S. 71 in all remaining stages, passed it in concurrence with proposal of amendment, and suspended rules to message the action to the Senate forthwith. The House then moved to Senate Bill 193, relating to establishing a forensic facility for certain criminal justice-involved persons. The committee presenter from South Burlington previewed that the bill would create a permanent forensic facility, with a separate amendment expected to address interim arrangements while the facility is being developed. The transcript ends as the House begins second reading of S. 193 and the committee reports are introduced, with further debate not shown.

Transcript Highlights:

• The type of care provided in an AFC is basic and the acuity profile is largely consistent.
• in an AFC is basic and the acuity in an AFC is basic and the acuity profile<00:04:07.640> is<
• AFC is predictable, stable, average-based, where FRS is variable, acuity-driven, individualized, and
• costs are driven by acuity, not head count.
• That's why we went to the acuity-based tiered model.

Keywords: 1187, senate, all

Transcript Highlights:

• So I was having a hard time visualizing how that was going to work.
• An increase in acuity is the main issue they're seeing at Hospital Galveston recently, which leads to
• The increasing acuity of these populations can be seen in your handouts on slide 5.

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Summary: The Senate Finance Committee heard a presentation from the Legislative Budget Board on the Texas Department of Public Safety’s Article 5 budget. LBB recommended $3.7 billion in all funds for 2026-27, a 5.2 percent decrease from the base, while FTEs would rise by 856.7. Major items included funding for driver license services, DPS facilities, troopers and recruit schools, crime labs, vehicle and aircraft operations, border security, and rider changes. The committee also reviewed DPS exceptional items not included in the recommendation, including additional staffing, technology, and facility requests. Members focused heavily on driver license operations, criticizing long wait times, call abandonment, and repeated staffing increases without clear process improvements. LBB said the agency’s call-answer rate was about 9 percent in fiscal 2024, with average hold times around 34 minutes, later reduced to roughly 22-25 minutes. Senators questioned whether more FTEs alone would solve the problem and urged a broader efficiency study and better use of technology. DPS officials said they were pursuing process changes, including appointment-system upgrades, online pre-population of forms, and remote issuance options, while noting that Real ID requirements and population growth continue to drive demand. DPS leadership then outlined the agency’s priorities: completion of the Williamson County training academy, recruitment and retention of troopers, capital needs for vehicles and aircraft, and expanded responsibilities at the Capitol complex and the Alamo. Officials said the new trooper funding would help address staffing shortages, public safety, and border operations, and that overtime and deployment patterns had been adjusted to reduce burnout and improve flexibility. They also discussed Operation Lone Star, saying DPS spending is largely overtime, travel, and fuel, and that the agency continues to coordinate with federal partners while awaiting clarity on possible federal reimbursement for border security costs. Senators also raised concerns about oilfield theft, cartel activity, high-speed pursuits, bilingual pay, and the Texas Ranger Hall of Fame and Museum, and DPS said it would follow up on some of those issues.

Transcript Highlights:

• of very specialized services has grown both in the volume of people who need it, but also in the acuity
• the Pocasset unit at 16 beds because of the size actually has some natural limits to the level of acuity
• . ...actually has some natural limits to the level of acuity that can be safely treated in this unit
• That means that we have to think about the patient acuity that we can take.
• Generally speaking... ...that the patient acuity that we can take.

Keywords: 995, all

Summary: The committee heard budget testimony from Department of Mental Health Commissioner Brooke Doyle, who said DMH serves about 29,000 people and is facing rising demand, higher operating costs, and uncertainty about federal funding. She explained that the FY26 budget prioritizes fully funding the state-operated inpatient system, which is at 100% occupancy and often serves people transferred from Bridgewater State Hospital, while making reductions in other areas to balance the budget. Those reductions include a 50% cut to case managers, a pause on closing the Pocasset unit pending a working group on Cape access, and changes to youth and contracted services such as right-sizing IRTP and CIRT, reducing Youth PACT from seven teams to three, scaling back flex and jail diversion grants as ARPA funds wind down, and preserving the behavioral health helpline and community-based crisis services. Members from Western Massachusetts and the Cape raised concerns about access, staffing, and the impact of cuts, and Doyle said the department would continue operating IRTP services, improve the referral process, and work with stakeholders on the Pocasset review and other access issues. The committee also discussed school-based mental health, 988, loan forgiveness for workforce recruitment, and the role of co-response programs for law enforcement. Secretary Robin Lipson then testified for the Executive Office of Aging and Independence, describing a proposed FY26 budget increase of about 21% to support councils on aging, home care, elder abuse investigations, caregiver support, care transitions, and nutrition programs. She said the agency is managing rising demand, especially from the growing 80-plus population, and noted uncertainty around federal Older Americans Act funding after the federal disbursement agency was disbanded. To control costs, the office will manage intake and caseload growth in a fully state-funded home care program, but current clients will not lose services. Lipson also highlighted a new $1 million line item for local mini-grants to support age-friendly initiatives. In questions, members focused on elder scams, and Lipson said scams are increasing and the agency is working with banks, district attorneys, and public awareness campaigns. The Health Policy Commission’s Executive Director David Seltz presented the agency’s FY26 request and said the biggest challenge is health care affordability, with family premiums near $29,000 annually and many residents delaying care because of cost. He emphasized that recent legislation significantly expands HPC’s role through a new Office of Pharmaceutical Policy and Analysis, which will examine the drug supply chain and pricing, and a new Office of Health Resource Planning, which will support statewide planning around closures and access gaps. The new law also creates task forces on maternal health access and primary care, and adds transparency and oversight for private equity in health care. Members asked about pharmaceutical costs, GLP-1 weight-loss drugs, 340B, and maternal health closures; Seltz said the data show rapid growth in GLP-1 spending and that the new offices will help the state better understand cost drivers and access problems. The Center for Health Information and Analysis then began its testimony, describing its role as the state’s data hub for health care spending, utilization, quality, and affordability analysis.

Transcript Highlights:

• Because we saw so many of our children that had higher needs, higher acuity, were being sent out of the
• And what that means is acuity is going to go through the roof.
• is likely going to get worse if, again, the pay goes down and the stress goes up, and the level of acuity
• We look to those categories for those who are very high in acuity or high risk.
• kids or youth that go into higher levels of care that are out of state are your more severe, higher acuity

Transcript Highlights:

• House Bill 691, Representative Deats, an act relating to the medical treatment of high acuity youth.
• relating to the medical treatment of act relating to the medical treatment of high<00:34:18.560> acuity
• <00:34:20.000> House<00:34:20.200> Bill<00:34:20.399> 692, high acuity youth
• House Bill 692, high acuity youth.

Keywords: 958, all

Summary: The House convened with 96 members present, approved the prior journal, excused absences, and suspended rules to allow co-sponsorship and vote modifications. The Senate clerk reported passage of Senate Bills 39, 70, 80, 127, and 154 and requested concurrence. The House then took up several bills on third reading. House Bill 168, relating to boating under the influence, was explained as “Keegan’s Law.” The sponsor said it would require law enforcement to seek a search warrant for blood testing of boat operators and improve notification so Fish and Wildlife officers are alerted more quickly after 911 calls involving incidents on waterways. House Committee Substitute 2 was adopted, and the bill passed 88-0. House Bill 455, relating to artificial intelligence and declaring an emergency, was amended by committee substitute and two floor amendments. Supporters said it clarifies that AI may not perform direct therapy, make independent therapeutic decisions, generate treatment plans without professional review, or detect emotions/mental state, while still allowing therapists to use AI as a tool. It passed 88-7. House Bill 185, relating to employment and occupational licensing for people with felony records, was described as allowing applicants to seek licensing before completing education and requiring a clear connection between an offense and the occupation; it passed 95-0. House Bill 249, relating to involuntary commitment, was explained as closing a gap in the law for mentally incompetent defendants accused of felony sex offenses; House Floor Amendment 1 broadened the qualifying offenses to all felony sex offenses under Chapter 510, and the bill passed 94-0. After the floor action, the House received House Bill 1 back from committee for second reading and heard announcements, including committee meeting notices and a birthday recognition. A member also gave a Black history tribute to Garrett A. Morgan, highlighting his inventions and civic contributions. The House introduced a slate of new bills and resolutions, including measures on high-acuity youth medical treatment, data privacy, municipal utility service, tax credits for employers, campaign finance, infantile seizure disorder, commercial surrogacy, dentistry, paid leave for state employees, crimes and punishments, postnuptial agreements, local government, land use, alcoholic beverages, and several resolutions. The Committee on Committees and Rules Committee then reported referrals and posted bills for the next regular orders, floor amendments were introduced, and the House adjourned until 2:00 p.m. Tuesday, February 24, 2026.

Transcript Highlights:

• We are making some assumptions around lower enrollment due to HR1, but higher acuity, higher health care
• And that results in higher acuity, complexity of health conditions and costs and more crowded emergency
• But when you're caring for someone who's declining in health, declining in mental acuity, you... ...don't
• just ask that we find some way to fill in these gaps. who's declining in health, declining in mental acuity

Keywords: 996, all