Transcript Highlights:

• programs.
• Implementation is on the water treatment side.
• Those are being addressed by our drinking water program or by our remediation program depending on the
• In terms of biosolids, it'll be a different program from the remediation program that is the basis of
• The permitting program. Our program does not go out and take samples and do testing.

Bills: HB1341, HB1674, HB4028, SB2321

Keywords: hydrogen sulfide, public health, environmental regulation, Texas Commission on Environmental Quality, ground level concentrations, emissions limit, emissions limits, ground-level concentrations, air quality, PFAS, agriculture, environmental protection, health risks, criminal offense, chemical regulation, preproduction plastic, water quality, pollution control, industrial waste, emissions

Transcript Highlights:

• And so SANDAG doesn't, by itself, program dollars for the State Highway Operation and Protection Program
• , substance use disorder treatment... ...Proposition 36 implementation, including mental health treatment
• programs.
• felony programs.
• 36 programs. ...is implementing new or expanding programs to include Proposition 36 programs.

Summary: The Joint Legislative Audit Committee met to hear new audit requests and receive a status update from the State Auditor. The auditor reported 10 JALAC audits in progress, noted that all 2025-approved audits are underway, said the first 2026 audit is focused on DMV license revocations, and described several statutory and high-risk audits already in progress. The committee also approved a consent calendar of four audit requests: UC library resources, law enforcement information sharing, EDD unemployment insurance claims, and Housing and Community Development housing development monitoring. The committee then considered Assembly Member DeMaio’s audit request on SANDAG road project management. DeMaio argued the audit was needed to examine whether transportation funds, including voter-approved and restricted revenues, were used for allowable purposes and whether past management failures warranted outside review. SANDAG’s CEO and CFO said the agency already undergoes extensive oversight and audits, that funds are tracked by multiple “colors of money,” and that internal controls have improved. Several members questioned whether the issues were already addressed in public records or existing audits, and the request failed on a roll call vote. Next, Senator Valadares presented an audit of the Board of State and Community Corrections’ Proposition 47 grant administration, arguing that more transparency is needed on outcomes, recidivism data, and oversight of grantees. The BSCC said it already has oversight mechanisms, that the State Controller conducts biennial audits, and that program data shows positive outcomes. The committee approved the audit unanimously. Senator Cortese then presented an audit of CalHR’s dental benefits procurement and Delta Dental contract, citing long-standing benefit caps, provider network concerns, and retiree out-of-pocket costs. CalHR said its network remains strong, that it recently completed an RFP adding MetLife as a second carrier starting in 2027, and that contracts include performance guarantees. Members from both parties expressed concern about access and competition, and the audit was approved unanimously. The committee then completed add-on votes on the consent calendar and adjourned.

Transcript Highlights:

• State Statute so that veterans program State Statute so that veterans program staff<00:02:46.360
• Housing Initiative and other programs Housing Initiative and other programs under<00:03:15.080><
• <00:19:38.520> Court fourth District Veterans treatment Court fourth District Veterans treatment
• all rise an organization of treatment all rise an organization of treatment Court<00:20:26.240><
• <00:20:33.760> courts for successful veterans treatment courts for successful veterans treatment

Keywords: 1183, house

Transcript Highlights:

• SB 560 addresses these inefficiencies to ensure timely treatment and clear standards.
• It also changes age qualifications for the PESS programs.
• It also changes age qualifications for the P-E-S-S programs. That's so important for me.
• They are not allowed to provide any treatment, any procedures, prescriptions.
• They are not allowed to provide any treatment, any procedures, prescriptions.

Summary: The Committee on Children, Families, and Elder Affairs considered several bills. SB 590, by Senator Bradley, would toll the statute of limitations for failure to report suspected child abuse by mandatory reporters until the offense is known to law enforcement, with a retroactivity amendment adopted. Supporters said it would help hold mandatory reporters accountable in institutional abuse cases; it was reported favorably. SB 778, by Senator Simon, would update the definition of forensic client so certain individuals with intellectual disabilities or autism whose charges were dismissed for incompetency could be housed in the same secure setting under Chapter 916, reducing duplicative staffing and space needs at APD; it was also reported favorably. The committee then took up SB 560, by Senator Garcia, which streamlines psychotropic medication procedures for children in DCF custody, clarifies when new medical reports are needed, reduces duplicative background checks, and simplifies consent documentation. An amendment removed language expanding who could serve as a qualified evaluator and revised the Road to Independence Program changes to focus only on post-secondary education services and support, extending eligibility ages to 26 while keeping a five-year maximum. Members discussed fiscal impacts and funding sources, and the bill was reported favorably. Finally, the committee heard SB 1010, by Senator Yarbrough, which strengthens enforcement of existing prohibitions on sex-reassignment prescriptions and procedures for minors and adds civil and criminal penalties, along with Attorney General enforcement authority and related parental rights provisions. An amendment clarified that actions could be brought by individuals as well as the Attorney General and that the provisions apply only to minors. The bill drew extensive public testimony both for and against, with supporters emphasizing child protection and accountability and opponents warning about chilling effects on medical care, schools, and parental rights. Senators raised concerns about standing, scope, and impacts on teachers and clinicians, but the bill was ultimately reported favorably on a 5-1 vote, with Senator Sharif voting no.

Transcript Highlights:

• , treatment, and transfer of stroke patients.
• I will also say there is a patient savings program or co-pay assistance program, those kinds of things
• that program has gone in a second.
• lunch program.
• So there is some opportunity within the CHW program.

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• At Hualapai Indian Village, I am the director of our program, the Acorns to Oaks program, which focuses
• You know, our program is really unique.
• and for programming in each community.
• So here, follow this program.
• We represent community-based substance use disorder treatment programs at over 450 sites throughout the

Summary: The joint Assembly Health and Select Committee on Native American Affairs held an oversight hearing on AB 988, California’s 988 crisis line and mobile crisis response system, followed by a discussion of suicide prevention and intervention in California Indian communities. Members and witnesses repeatedly emphasized that AB 988 was intended to create a true alternative to 911 for behavioral health crises, with “someone to call, someone to come, and somewhere to go,” and that Native communities continue to face disproportionately high suicide rates and barriers to culturally responsive care. The first panel of call center and stakeholder witnesses largely argued that implementation is falling short of the law’s intent. They said 988 call centers are underfunded, text/chat answer rates remain far below call answer rates, staffing is strained, and the system still lacks meaningful statewide interoperability between 988 and 911. Several witnesses said mobile crisis teams are not being dispatched through 988 as envisioned, and that funding formulas and governance are too opaque. San Joaquin County was presented as a local success story, with integrated 988, access lines, and mobile crisis handoffs that have reduced reliance on emergency departments and involuntary holds. Witnesses also discussed the need for better tribal outreach, the role of CCBHCs, and the importance of culturally competent services. State officials from CalHHS and DHCS described the five-year 988 implementation plan, the current governance structure across multiple agencies, and efforts to support training, public awareness, and referral tools. They reported growth in 988 contacts, ongoing training with the Trevor Project, a statewide resource directory, and a tribal awareness campaign. DHCS also outlined proposed trailer bill language that would create a formal designation process for 988 centers, set statewide standards, and require existing centers to obtain designation by 2029. Officials said current funding includes SAMHSA grants, block grant dollars, and an expected $67.3 million from the 988 fund in the next budget year, with a large share earmarked for Medi-Cal mobile crisis services. No formal vote or committee action was taken in the portion of the hearing provided.

Transcript Highlights:

• <01:07:38.720> that Uh we have our immunization program that Uh we have our immunization program
• ,<01:08:12.000> within internally within the program, within internally within the program
• Remember, the vaccine program started in 1991.
• :15.120> costs<03:09:15.359> from treatment for hepatitis B costs from treatment for hepatitis
• <03:26:31.760> and medical expenses for treatment and medical expenses for treatment and complications

Keywords: 1189, house, all

Transcript Highlights:

• <00:26:12.240> and physicians from offering treatment and physicians from offering treatment
• slashing harm reduction and treatment slashing harm reduction and treatment programs,<00:30:22.399
• This idea, yes, if you ask them, they will say, I don't need treatment. I don't want treatment.
• to to to stay in in treatment. to to to stay in in treatment.
• we don't kick patients out of treatment. we don't kick patients out of treatment.

Keywords: 958, all

Summary: The subcommittee met on October 14, approved the minutes, and then took up a large group of staff-suggested amendments to multiple regulations. Those staff amendments were approved without objection and were described as technical changes needed to comply with KRS Chapter 13A and other governing law. The committee then moved out of order to consider Kentucky Board of Medical Licensure regulation 2011 KAR 9:270, which governs buprenorphine prescribing and related standards. Board representatives said the regulation has been updated over time since 2015 and that the current amendments are intended to streamline the rule, remove outdated federal references such as the X-waiver, narrow education requirements to addiction-related topics, and create exceptions for settings like emergency rooms and certain pain treatment situations. The agency amendment would also allow buprenorphine monoproduct for up to 30 days when a patient is transitioning from a full opioid agonist, and would add physicians certified in addiction medicine as eligible specialty consultants. Board officials said the regulation was developed through a two-year process with a work group, informal outreach to medical organizations, and multiple comment periods, and they argued the rule is working because overdose deaths have declined and provider numbers have increased. Several witnesses and committee members raised concerns that the regulation remains too restrictive. Senator Rocky Adams noted that major medical organizations had said the proposed language could restrict access and worsen overdose risk, and he questioned whether the committee was being asked to choose between conflicting expert views. Opponents, including a medical student, a recovery advocate, and Dr. Colleen Ryan of the Kentucky Society of Addiction Medicine, argued the rule is outdated, creates unnecessary barriers to buprenorphine treatment, and should be repealed or substantially revised to align with federal guidance and evidence-based care. They said rigid requirements can discourage treatment and that addiction should be treated like other chronic illnesses. No final vote on the medical licensure regulation is reflected in the transcript excerpt, and the discussion ended with the chair preparing to hear from additional opponents.

Transcript Highlights:

• would there be objection to this program would there be objection to this program be?
• Substance<01:32:52.560> use<01:32:53.360> treatment, Substance use treatment, Substance
• <01:32:56.639> treatment.
• uh behavioral mental health treatment. uh behavioral mental health treatment.
• to get certain types of treatment. to get certain types of treatment.

Keywords: 1191, senate, all

Transcript Highlights:

• Administration uh they have a program Administration uh they have a program called<01:09:35.080>
• DHHS and their programs would just be I DHHS and their programs would just be I would<01:23:57.800>
• The newborn screening program is a vital public health program.
• The newborn screening program is a vital public health program.
• The program notifies the provider.

Keywords: 1189, house, all

Transcript Highlights:

• So we've paired this program with our program, what we call a maternal heart-wise program, which is a
• program in Orlando.
• So we created this program.
• For us, it's been starting our nursing program and advancing our nursing programs.
• In the new program, the SMMC 3.0 program, the In the new program, the SMMC 3.0 program that started two

Summary: The committee held a panel discussion focused on how Florida health care organizations are working to improve access, quality, and affordability. Panelists from Florida Community Care/Independent Living Systems, Sunshine Health, AdventHealth, UF Health, and Nemours described their approaches, including Medicaid managed care, value-based contracting, community partnerships, mobile screening units, smart-room technology, telehealth, and specialized programs for maternal health, children, and complex chronic conditions. Several speakers emphasized that managed care and coordinated care can improve outcomes while reducing unnecessary utilization and costs. Members asked about the impact of Medicare’s V28 changes, mobile cancer screening, urgent care versus emergency room billing, pediatric specialty access, complaint resolution, Black maternal mortality, provider shortages, network adequacy, and the use of AI in prior authorization. Witnesses said V28 has affected providers and revenue, UF Health’s mobile screening program is expanding beyond a few cancer types, and its urgent care model bills patients at the appropriate level rather than both urgent care and ER rates. Nemours said it reduced specialty wait times through scheduling changes, telemedicine, and registry tools, while AdventHealth described postpartum coordination and maternal heart programs to reduce maternal complications and mortality. On complaints and access problems, panelists said their organizations use patient/member advocates, care managers, call centers, and escalation processes to resolve issues, and Sunshine Health specifically discussed a transportation complaint that was addressed with its vendor and the family. Sunshine Health also said it is not using AI for prior authorization, though it is exploring responsible uses elsewhere, and Florida Community Care said it is not using AI in utilization management. In closing, panelists identified workforce shortages, provider burnout, and high-cost drugs as the biggest ongoing challenges. The meeting ended with thanks to the panel and adjournment after Representative Brackett moved to rise, without objection.

Transcript Highlights:

• or a summer program.
• spring program or a summer program. spring program or a summer program.
• start operating the program.
• >> You will see some smaller programs. >> You will see some smaller programs.
• treatment and disaster response. treatment and disaster response.

Bills: SB8

Keywords: utilities, public service commission, energy regulation, appointment, emergency declaration, tax increases, consumer protection, Meeting Start 00:00:00 Attendance Roll Call 00:00:51 Approval of Minutes 00:02:07 Legislator Comments 00:02:18 LIHEAP Public Hearing 00:04:19 PSC Update on RS 26 SB 8 00:32:18 WaterStep Presentation 01:04:08, 958, all

Transcript Highlights:

• <00:21:12.679> and their homes the these are programs and their homes the these are programs
• homes or any other government programs homes or any other government programs that<00:21:28.240>
• that are desperately needed Treatment that are desperately needed Treatment Services<00:24:30.960
• things like that we have treatment things like that we have treatment coordinators<00:31:06.919>
• now we have a self-directed program now we have a self-directed program called<00:39:44.040> cdcs<

Keywords: 1183, house

Transcript Highlights:

• And then bipolar uh disorder program.
• these programs for bipolar disorder. these programs for bipolar disorder.
• They need proper treatment.
• Other states are programs is great.
• > exactly<00:10:32.000> this programs meet people at exactly this programs meet people

Keywords: 1183, house

Transcript Highlights:

• transmitted diseases, mental health services, substance abuse treatment, etc.
• transmissible diseases, mental health services, and substance abuse treatment.
• We also do testing and treatment for STIs.
• How can one evaluate the effectiveness of a program without surveys?
• Access to medicines like contraceptives or STI treatments isn't just for adults.

Summary: The committee on Pre-K through 12 Education took up SB 1288, a parental rights bill by Sen. Grall, which would expand the Parents Bill of Rights to require written parental consent for minors’ medical care and prescriptions, give parents access to medical records, require parental review/consent for surveys and questionnaires, and restrict use of biofeedback devices without parental permission. The sponsor said the bill is intended to restore parents’ role in major medical decisions and to address concerns about schools or providers collecting sensitive information from children without parents’ knowledge. She said she was open to clarifying language, especially around exceptions and definitions, but maintained that parents should generally be the decision-makers. Committee members pressed the sponsor on how the bill would affect minors who are abused, homeless, estranged from parents, or otherwise without a safe guardian, as well as access to STI treatment, mental health care, contraception, and care after sexual assault. The sponsor repeatedly said children in unsafe situations should come into the child welfare or law enforcement system and that she was open to changes for truly unsafe or unavailable parents, but she rejected the idea that the bill was merely about notification rather than consent. She also defended the survey provisions as a way to stop routine questioning of children about suicide and other sensitive topics without parental awareness, and said the biofeedback language was aimed at school settings where data about children’s anxiety or stress is allegedly being shared with classmates. Public testimony was heavily divided, with many speakers opposing the bill and describing personal experiences with abuse, rape, mental health crises, lack of supportive parents, and the need for confidential access to birth control, STI testing, and counseling. Opponents argued the bill would delay care, endanger vulnerable minors, and reduce access to medically necessary services and surveys that can identify risk. Supporters said the bill would restore parental authority, improve transparency, and protect children from inappropriate surveys and biometric monitoring. During debate, Sen. Berman and Sen. Davis opposed the bill, saying it conflicts with existing law and could harm vulnerable youth, while Sen. Yarborough supported it, arguing that not all parents are bad actors and that the state should not treat all families as if they were. The transcript ends with debate underway and no final vote or action recorded.

Transcript Highlights:

• and supervision programs.
• and supervision programs.
• They have a chance to get into a treatment program that's tiered, where they could move up if they behave
• and internalize the treatment.
• the provider training program; the military veteran peer network; and the justice-involved veteran program

Bills: SB693, SB781, SB836, SB860, SB906, SB993, SB1101, SB1321, SB1370, SB1537, SB1563, SB1610, SB1637

Keywords: notary public, notaries, acknowledgment, jurat, personal appearance, remote notarization, online notarization, e-notary, electronic notarization, fraud prevention, identity verification, real estate fraud, property transfer, state jail felony, Class A misdemeanor, secretary of state, continuing education, record retention, notarial act, Texas Government Code

Summary: The Senate Committee on Criminal Justice heard a series of bills focused on criminal procedure, public safety, victim protections, and law enforcement administration. SB 1537 would require criminal-proceeding interpreters to meet the same appointment standards used in the Government Code, and SB 993 would let the Comptroller’s Criminal Investigative Division seek mobile-tracking warrants directly in motor fuel theft and related tax-fraud investigations. SB 693, as substituted, would create a criminal offense for notaries who notarize documents without the signer personally appearing, with a higher penalty when real property is involved, and would add continuing education for notaries. SB 1610 would tighten rules for civilly committed sexually violent predators at the Texas Civil Commitment Office, including penalties for new crimes and assaults on staff, sex-offender registration requirements, and removal of certain provisions from the filed version; the substitute reduced some of the harsher penalties and preserved parole/community-supervision eligibility. SB 836 would expand privacy protections for sexual assault survivors by limiting livestreaming of certain trials, allowing pseudonyms earlier in the process, and protecting forensic exam evidence and invasive recordings under protective orders. SB 1563 would require county jailers to receive training on interacting with veterans, with testimony emphasizing suicide risk, PTSD, and the need for better identification and support in jails. SB 906 would give the Ysleta del Sur Pueblo authority similar to other Texas tribes to commission peace officers under state law to enforce Texas laws on tribal land. SB 781 would standardize confidentiality rules for peace officers’ personal information and create a confidential departmental file system modeled on Chapter 143 civil-service practices, though members raised concerns about whether the bill could affect disciplinary records and existing disclosure rules. Testimony was largely supportive for the bills, especially from prosecutors, law enforcement representatives, victim advocates, and agency officials. Supporters of SB 693 described widespread deed fraud tied to improper notarizations; supporters of SB 836 stressed survivor privacy and the harms of livestreamed sexual-assault proceedings; supporters of SB 1563 said jailer training could help prevent veteran suicides and improve treatment; and supporters of SB 906 said state commissioning would improve public safety and coordination on tribal lands. SB 781 drew support from police and TCOLE witnesses who said the bill would extend confidentiality protections already used in civil-service departments, while some members questioned whether the bill duplicated existing law or could be read to shield misconduct information. Public testimony included opposition to SB 1610 from a civil-rights advocate who urged waiting for Sunset review, and opposition to SB 781 from a family member of a person killed by police, who objected to expanding confidentiality for officers. Several bills were left pending after testimony because the committee lacked a quorum or chose to hold them for later action.

Transcript Highlights:

• for a workforce development program.
• and rewards programs.
• a loyalty program and then within that program they're offering coupons, right?
• my loyalty programs.
• Programs and coupons live.

Keywords: 1146, all

Transcript Highlights:

• <00:09:55.399> it appropriate and effective treatments it appropriate and effective treatments
• It's a medical program.
• , we recognize the fiscal impact of this bill upon the therapeutic program, the alternative treatment
• Since the program began in 2016, the program has never raised its fees.
• Since the program began in 2016, the program has never raised its fees.

Keywords: 1189, house, all

Transcript Highlights:

• , extended foster care, and maintenance adoption subsidy assistance program, $117 million to support
• mental health and substance use prevention initiatives, $179.5 million dedicated to opioid treatment
• So you're... ...to treatment. I have a grandson who started, had diabetes at three.
• Senator, this bill has a Sunshine Genetics Pilot Program.
• So the more we screen newborns, the better the treatment odds are.

Summary: The Health and Human Services Appropriations Committee met to review and advance the Senate’s fiscal year 2025-26 budget proposal for the committee’s portfolio. The presentation highlighted a $1.8 billion increase over the current base budget, including full funding for Medicaid and KidCare, investments in IT modernization, Medicaid provider rate increases, mental health and substance use services, opioid treatment, foster care and guardian assistance, elder care, veterans’ services, cancer research, school nurse staffing, and other public health initiatives. The committee adopted a motion allowing technical adjustments and then approved the budget proposal to be reported to the full Senate Appropriations Committee. The committee then heard and voted on several bills. SB 152 on surgical smoke protection required hospitals and ambulatory surgical centers to adopt smoke evacuation policies; nurses testified in support, citing workplace and patient safety risks, and the bill was reported favorably. CS/SB 958 on early detection of type 1 diabetes required the Department of Health to provide educational materials to schools and, by amendment, early learning coalitions; it was also reported favorably. CS/CS/SB 170 on nursing home oversight added consumer satisfaction surveys, reporting requirements, quality incentive changes, and financial reporting penalties, with an amendment exempting state-operated homes and directing a study of best practices; it passed after questions about dementia, language access, and retaliation protections. CS/SB 738 modernized child care regulation by streamlining DCF processes and reducing obsolete requirements, and was reported favorably without opposition. The committee also approved CS/SB 1356 creating the Florida Institute for Pediatric Rare Diseases at FSU and a Sunshine Genetics pilot to expand rare-disease screening and research, with support from members emphasizing early detection and data collection. SB 1370 separated ambulatory surgical centers into their own statute, with testimony that the change would better reflect the industry and help avoid burdensome regulation; it passed favorably. Finally, CS/CS/SB 1626 made a range of child welfare changes, including codifying DCF coordination with military installations, adjusting shelter certification, refining criminal-background exemptions, extending licensing compliance time, addressing room-and-board rate methodology, and clarifying missing-child procedures; after adopting three amendments and hearing both support and concerns, the bill was reported favorably. The committee also recorded a member’s affirmative vote on SB 958 before adjournment.

Transcript Highlights:

• into the program? into the program?
• this program is at. this program is at.
• And those are much treatment programs.
• The program is a clinical program.
• The program is a clinical program.

Keywords: 1189, house, all