Transcript Highlights:

• As an emergency department nurse, this is really critical to me.
• I mean, granted, yes, you're a nurse, an ER nurse or whatever, but don't Granted, yes, you're a nurse
• put you as a nurse and my wife and her four degrees and being an educator.
• No, she's not a nurse. She's an educator and she's there to educate the students.
• But yes, she's not a nurse.

Bills: HB2076 , HB2135 , HB2175 , HB2186 , HB2223 , HB2345 , HB2364 , HB2417 , HB2440 , HB2666 , HB2763 , HCR2043

Committee: House Judiciary

Keywords: school safety, employee training, firearm certification, crisis response, school policies, reimbursement fund, local law enforcement, HB2135, Arizona, civil liability, private right of action, DEI, diversity equity and inclusion, critical race theory, anti-racism, race stereotyping, sex stereotyping, race scapegoating, sex scapegoating, gender identity

Transcript Highlights:

• Personally, as a nurse practitioner, I see this as a support to advanced practice nursing, not a threat
• As a board-certified nurse practitioner practicing rural health care, I understand the... ...families
• As a board-certified nurse practitioner practicing rural health care, I understand the daily realities
• support. ...care, inpatient stabilization, primary care services, and skilled nursing support within
• As a nurse practitioner, I can plainly say keeping this hospital operational will save lives.

Bills: HB1621 , HB1624 , HB1623 , HB1622 , HB1625 , HB1626 , HB1627 , HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The North Dakota House convened in special session with prayer, roll call, and a quorum present, then took up several rural health-related bills. Senate Bill 2401, as amended, required physicians to complete one hour of continuing education in nutrition and metabolic health each renewal cycle and also added language allowing criminal history background checks for the Board of Occupational Therapy Practice. Supporters emphasized the role of nutrition in reducing chronic disease, and the bill passed 92-0. The House then considered Senate Bill 2402, which expanded pharmacists’ limited prescriptive and therapeutic substitution authority for certain low-acuity conditions and clarified related lab-test and communication requirements. Members discussed examples such as motion sickness, cold sores, lice, hypoglycemia, COVID and flu testing, emergency access to medications and supplies, and limits excluding certain drug classes; the bill passed 91-1. Senate Bill 2403 created a temporary medical facility emergency operating loan option through the Bank of North Dakota for qualifying rural hospitals facing severe financial distress, with extensive debate over the targeted nature of the aid, anti-gifting concerns, repayment terms, and the hospital’s turnaround plan; it passed 80-12. Senate Bill 2404 appropriated funds for NDIT to address federal digital accessibility requirements and for the Public Service Commission’s litigation efforts related to transmission costs, with a backup loan authorization available if needed; it passed 92-0. At the close of the session, leaders thanked members and staff for their work on the rural health transformation package, a committee notified the Governor and the Senate that the House had completed its business, absent members were excused, and the House adjourned sine die.

Transcript Highlights:

• One of the issues that we're running into in our rural hospitals is having people in the area: the nurses
• several compacts for many other health care professions, including but not limited to physicians, nurses

Bills: HB1621 , HB1624 , HB1623 , HB1622 , HB1625 , HB1626 , HB1627 , HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The House convened in special session, opened with prayer and the Pledge, confirmed a quorum, and recognized visiting students from Shiloh High School. Members also observed a moment of silence for former Representative Cindy Shriver Beck, and the House adopted the Employment Committee report approving special-session staff appointments. The chamber then considered House Bill 1621, which would require the presidential physical fitness test in K-12 physical education courses with exemptions for students with disabilities and an effective date of August 1, 2027. Supporters framed it as a return to a historic fitness standard and a response to federal direction; the bill passed 90-0. The House next took up House Bill 1624, a universal school meals bill that would place the program in statute rather than the Constitution, start it a year earlier than the initiated measure, and appropriate $65 million for the first year. Debate centered on whether universal meals were needed, whether the bill would preserve legislative flexibility and property-tax relief, and whether it would help families or subsidize those who could pay. The bill passed 55-38. Finally, the House began debate on House Bill 1623, the rural health transformation package tied to federal grant funds and a Bank of North Dakota loan program to support rural health projects, EMS, behavioral health, and related infrastructure. The sponsor and supporters emphasized North Dakota’s strong grant award, the need to move quickly, and the bill’s role in filling rural health gaps statewide. Some members raised concerns about federal spending, inflation, and telehealth, while others stressed the need to address EMS and workforce shortages. The transcript ends during debate on HB 1623, before any final vote is shown.

Bills: HB1621 , HB1624 , HB1623 , HB1622 , HB1625 , HB1626 , HB1627 , HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The North Dakota House convened in special session with prayer, the Pledge of Allegiance, and the reading of communications from the Secretary of State and Governor Kelly Armstrong certifying the special session call. The governor’s executive order said the session was called to act on funding for the Rural Health Transformation Program so the state could accept and appropriate federal funds and avoid interruptions to government services. Three new members, Representatives McNally, Scraw, and Timmons, were sworn in, and the roll showed 91 members present, establishing a quorum. The main business was a Rules Committee report outlining temporary special-session rules. The changes were designed to speed up floor action, including allowing second reading the same day a bill is reported from committee, final passage one day after first reading, and immediate transmission to the other chamber unless reconsideration is noticed. The report also replaced the regular standing committee structure with two joint committees: Joint Appropriations and Joint Policy, allowed remote testimony and remote member participation with approval, and limited bill introduction to Legislative Management-approved bills or bills approved by a two-thirds vote. Several deadline changes for resolutions and bill filing were also described, with some provisions delayed until the special session ends. The House adopted the Rules Committee report after a motion by Representative Bosch and no opposition. During announcements, the clerk listed the membership of the Joint Appropriations and Joint Policy committees, and the Highway Patrol announced safety sessions for legislators in the Rough Rider Room at 11 a.m. that day and the next day. The House then recessed until the joint session scheduled for 10 a.m. the following day.

Transcript Highlights:

• because social workers, that degree is, you know, I've read stuff nationally for social workers, nurses
• asking. >> Because there are several that were listed on the national level. >> That social worker nurses
• >> that social worker nurses were not going >> that social worker nurses were not going to

Bills: HB245 , HB138 , HB151 , HB152 , HB245 , HB138 , HB151 , HB152

Committee: House Ways and Means Education

Keywords: inhalants, controlled substances, butyl nitrite, nitrous oxide, amyl nitrite, health, public safety, pregnancy, pregnant defendant, incarceration, jail intake, pregnancy test, bail, pre-incarceration probation, supervised probation, electronic monitoring, electronic supervision, perinatal care, prenatal care, maternal health

Bills: HSB314 , SF304 , HF708 , HSB500 , HSB501 , HSB502 , HSB503 , HSB504 , HSB505 , HSB506

Committee: Joint Health and Human Services

Keywords: medical release, incapacitated, terminal illness, serious medical condition, parole, risk assessment, victim impact statement, supervision, care facility, Iowa, minors, medical consent, healthcare services, sexually transmitted infections, privacy, youth healthcare, healthcare decisions, palliative care, hospice care, life-sustaining procedures

Transcript Highlights:

• Representative Jones: Isn't it true that in Texas only licensed doctors and in limited cases nurse practitioners
• We have a doctor in my area that treated his 39 patients at a nursing home with these type of drugs,
• Let's be clear: In Texas, only doctors in limited cases, and in limited cases nurse practitioners and
• When regulators block innovation and restrict access to safe, affordable treatments, they put bureaucracy
• They're going to review compliance with state and federal regulations, and they're going to have a report

Bills: HB25 , HB48 , HB149 , HB254 , HB26 , HB192

Keywords: ivermectin, pharmacist authority, prescription-free, healthcare regulation, patient access, HB 48, Texas alert notification systems, emergency alerts, public warning systems, alert fatigue, notification fatigue, Texas Division of Emergency Management, Department of Public Safety, DPS alerts, emergency management, State of Texas Emergency Assistance Registry, STEAR, disaster notifications, weather alerts, Amber Alert

Transcript Highlights:

• Make no mistake, SB6 does not regulate the abortion drug industry; it is not an abortion regulation.
• abortions, so as a policy matter we don't get ourselves involved in abortion legislation or trying to regulate
• already that we're losing 19,000 lives each year because of these abortion pills, and there's no regulation
• They are not FDA regulated.

Bills: SB10 , SB16 , SB6 , SB 6 , SB 10 , SB 16

Committee: Senate State Affairs

Keywords: trafficking, prostitution, affirmative defense, victims, criminal justice reform, victim rights, criminal justice, judicial reform, court procedures, mental health services, criminal penalties, court security, SB 6, Woman and Child Protection Act, abortion, abortion-inducing drugs, medication abortion, mifepristone, misoprostol, pro-life

Transcript Highlights:

• First, you remember the bill by Representative Curry relating to the regulation of roofing contractors
• The shrimp industry is one of the most highly regulated industries that exists.
• I believe there's 13,500 regulations to which they must adhere.
• There's a lot of regulations that are part of the U.S. shrimp industry. So they got it covered.
• What good does it do for it to be highly regulated if it's not being inspected?

Bills: HB1958 , HB2031 , HB2879 , HB3285 , HB3995 , HB4487 , HB4558 , HB4560 , HB4876 , HB4899 , HB5212 , HB5317 , HB5543 , HB5567 , SB1333

Committee: House Trade, Workforce & Economic Development

Keywords: firearm possession, tenant rights, landlord regulations, civil penalties, property code, justified use of force, deadly force, property rights, home defense, smart devices, data privacy, personal data collection, user consent, mobile application, data transparency, HOA, property owners association, property owners' association, Texas Property Code, Chapter 202

Transcript Highlights:

• The House Committee on Environmental Regulation will come to order. The clerk will call the roll.
• Members, I do want to welcome you to this edition of the House Committee on Environmental Regulation.
• Current regulations allow for the possibility of new wastewater discharge permits, which could introduce

Bills: HB1730 , HB1823 , HB2048 , HB2266 , HB2440 , HB3333 , HB4086 , HB4271 , HB4413 , HB4839 , HB4841 , HB5151

Committee: House Environmental Regulation

Keywords: PFAS, perfluoroalkyl substances, polyfluoroalkyl substances, forever chemicals, public health study, environmental regulation, drinking water, groundwater, surface water, food packaging, chemical exposure, firefighters, chemical manufacturing workers, Texas Commission on Environmental Quality, TCEQ, Railroad Commission of Texas, Department of State Health Services, University of Houston, occupational exposure, contaminants

Transcript Highlights:

• The Texas Office of Public Insurance Counsel report for the 88th Texas Legislature Regulation 1 preserved

Bills: HB345 , HB721 , HB2580 , SB815 , HB3057 , HB4603 , HB3233 , SB495 , HB3863 , HB3914 , HB4570 , HB5099 , HB5173 , SB458

Committee: House Insurance

Keywords: insurance, appraisal process, disputed losses, residential property, policyholder rights, insurer obligations, natural disasters, appraisal expenses, umpire selection, policyholder, insurer, umpire, claims management, health care, cost disclosure, benefit plan, administrators, traumatic brain injury, health benefit plans, insurance coverage

Transcript Highlights:

• One of the nurses told us in secret that Jeffrey was being sedated.
• The primary goal of insurance regulations should be to encourage carriers to continue underwriting policies
• So that both the public and the regulated industry can analyze that data and determine... ...to determine
• transplant products because the manufacturing of CAR T-cell therapy products is extensively FDA regulated
• Further regulation under House Bill 2090 would be both redundant and burdensome, especially for small

Bills: HB345 , HB721 , HB2580 , SB815 , HB3057 , HB4603 , HB3233 , SB495 , HB3863 , HB3914 , HB4570 , HB5099 , HB5173 , SB458

Committee: House Insurance

Keywords: insurance, appraisal process, disputed losses, residential property, policyholder rights, insurer obligations, natural disasters, appraisal expenses, umpire selection, policyholder, insurer, umpire, claims management, health care, cost disclosure, benefit plan, administrators, traumatic brain injury, health benefit plans, insurance coverage

Transcript Highlights:

• Chairman Birdwell did not include subsection A2, which references the PUC regulations, and neither did
• That may be electric utilities for PUC regulations, and so this addition would require the commission
• PUC regulations that we also do not have authority over?
• The folks that are opposed and that are registered are a bit scared of being over-regulated.
• lobbyists, and successfully contested invalid regulations.

Bills: SB410 , SB795 , SB2510 , SB728 , SB2689 , HB143 , HB143

Committee: Senate Natural Resources

Keywords: Gulf Coast Protection District, navigation safety, special districts, state governance, Texas legislation, Gulf Coast, flood protection, storm risk management, coastal restoration, natural resources, prescribed burns, self-insurance, fire management, liability protection, rural land management, beverage container recycling, deposit return system, container deposit, bottle bill, recycling refund

Transcript Highlights:

• OptumHealth that sent nurses and nurse practitioners a current database of nursing homes, so they would
• Just couldn't keep track of the nursing homes.
• CMS databases on nursing homes, where you find the rankings of nursing homes and the like.
• A survey among nurses indicates that two-thirds of nurses experienced severe burnout.
• Minnesota has been a leader in regulating social media.

Bills: HF2779 , HF1645 , HF1885 , HF1289 , HF1534 , HF2707 , HF1675 , HF3046

Committee: House Health Finance and Policy

Keywords: health care transparency, ownership disclosure, control reporting, health care consolidation, private equity, management services organization, MSO, provider organization, health insurer, pharmacy benefit manager, hospital system, affiliate reporting, financial disclosure, public reporting, market concentration, horizontal consolidation, vertical consolidation, health care ownership, corporate practice, health care regulation

Transcript Highlights:

• and nurse practitioners into nursing homes.
• and nurse practitioners into nursing homes.
• and nurse practitioners into nursing homes.
• and nurse practitioners into nursing homes.
• On the CMS databases on nursing homes, where you find the rankings of nursing homes for the like.

Bills: HF2779 , HF1645 , HF1885 , HF1289 , HF1534 , HF2707 , HF1675 , HF3046

Committee: House Health Finance and Policy

Keywords: health care transparency, ownership disclosure, control reporting, health care consolidation, private equity, management services organization, MSO, provider organization, health insurer, pharmacy benefit manager, hospital system, affiliate reporting, financial disclosure, public reporting, market concentration, horizontal consolidation, vertical consolidation, health care ownership, corporate practice, health care regulation

Transcript Highlights:

• Physician assistants or advanced practice nurses are hired by a practice.
• HB1266 creates a process for physician assistants and advanced practice nurses, following the process
• I recently hired a new nurse practitioner to come work for my practice in San Antonio.
• Last year, while working as a nurse at Texas Children's Hospital in Houston, I came forward and blew
• They are regulated in how long they can drive, which doesn't exist in the rideshare universe.

Bills: HB778 , HB 1266 , HB1576 , HB2213 , HB2517 , HB2518 , HB2841 , HB3306 , HB3320 , HB3388 , HB3508 , HB3520 , HB3689

Committee: House Insurance

Keywords: credentialing, healthcare, physician assistants, advanced practice nurses, managed care, hurricane, windstorm, loss mitigation, grants, insurance discounts, property retrofitting, insurance, Texas Windstorm Insurance Association, board composition, coastal counties, property insurance, taxation, Texas FAIR Plan Association, premium taxes, maintenance taxes

Transcript Highlights:

• windstorm insurance, mismanagement of the Windstorm Insurance Association, and needed changes and regulations

Bills: HB778 , HB 1266 , HB1576 , HB2213 , HB2517 , HB2518 , HB2841 , HB3306 , HB3320 , HB3388 , HB3508 , HB3520 , HB3689

Committee: House Insurance

Keywords: credentialing, healthcare, physician assistants, advanced practice nurses, managed care, hurricane, windstorm, loss mitigation, grants, insurance discounts, property retrofitting, insurance, Texas Windstorm Insurance Association, board composition, coastal counties, property insurance, taxation, Texas FAIR Plan Association, premium taxes, maintenance taxes

Transcript Highlights:

• the NAIC, or the National Association of Insurance Commissioners, is an organization made up of regulators
• Almost all other states have already adopted these changes to their insurance regulations.
• But the language has been vetted widely by both regulators and industry at the national level and has
• There's also IRS regulations on some of that, but that is outside of our purview as a state and of this

Bills: HF2601 , HF2607 , HF2027 , HF2608

Committee: House Commerce Finance and Policy

Keywords: financial institutions, insurance regulation, insurance holding company, group capital calculation, liquidity stress test, NAIC, National Association of Insurance Commissioners, insurer solvency, affiliate transactions, groupwide supervision, internationally active insurance group, lead state commissioner, policyholder protection, hazardous financial condition, deposit or bond, contract for deed, conventional loan, cooperative apartment loan, mortgage interest rate cap, average prime offer rate

Transcript Highlights:

• folks that make up the clean water professionals that play a role in design, build, operation, regulation
• Rate cases are a vital part of utility regulation that allow a utility to seek recovery of its reasonable
• And in exchange for that operation monopoly, they're agreeing to regulation and recovery of their reasonable
• I guess understanding the predicament that we're in, is there any way based on the, the regulations,
• And so You know, there is an element of consumer protectionism in the regulation through the public utility

Bills: HB 29 , HB 685 , HB 1633 , HB 1689 , HB 1690 , HB 1918 , HB 2010 , HB 2500 , HB 2608 , HB 2626

Committee: House Natural Resources

Keywords: water audit, water loss, water loss mitigation plan, municipally owned utility, municipal utility, water conservation, Texas Water Development Board, TCEQ, Texas Commission on Environmental Quality, water leakage, leak detection, billing data accuracy, utility validation, water audit validation, water scarcity, water management, infrastructure, public utility, conservation plan, administrative penalty

Transcript Highlights:

• underground water conservation. ...district, one of the alliance sponsors in the bill, is the groundwater regulator
• It doesn't place any new regulations on the exempt well owners, and it amends the water code to protect

Bills: HB29 , HB685 , HB1633 , HB1689 , HB1690 , HB1918 , HB2010 , HB2500 , HB2608 , HB2626 , HB29

Committee: House Natural Resources

Keywords: water audit, water loss, water loss mitigation plan, municipally owned utility, municipal utility, water conservation, Texas Water Development Board, TCEQ, Texas Commission on Environmental Quality, water leakage, leak detection, billing data accuracy, utility validation, water audit validation, water scarcity, water management, infrastructure, public utility, conservation plan, administrative penalty