Transcript Highlights:

• We had some issue with the Health Care Authority last year with some of our providers and how they were
• Health Care Workforce Resources Center.
• I have repeal sections of the Health Care Workers and Educators' Assistance Program and the Health Care
• Representative, I know you've worked hard and long on health care, I appreciate that. But is...
• You're taking the most accessible health care provider in the state..."

Bills: SB206, SB640, SB667, SB1344, SB1380, SB1423, SB1425, SB1436, SB1484, SB1500, SB1502, SB1503, SB1557, SB1562, SB1572, SB1644, SB1645, SB1794, SB1796, SB1806, SB1849, SB1984, SB2007, SB2074

Keywords: SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health, health care facility, municipality, county, ambulance service district, tribal entity, public entity, contract ambulance service, Oklahoma, 63 O.S. 2021 Section 1-2502, emergency clause

Summary: The committee opened with prayer and then took up a series of health and human services bills, most of them moving forward on do-pass motions. Senate Bill 1645 would set audit procedures for Medicaid providers, with discussion focused on protecting providers from penalties for scrivener’s or typographical errors while still holding them accountable for fraud or failure to provide services. Senate Bills 1796 and 1806 addressed foster care, including a 72-hour cap on informal care and extending foster care to age 21 for youth continuing their education. Senate Bills 1423, 1425, and 1502 all repealed outdated advisory councils or programs that were no longer active or needed. SB 206, as amended, expanded licensed ambulance services as essential services to help them access more federal funding, and SB 500 sought to prevent pharmacy benefit managers from delaying payments to pharmacists. These measures were reported out with unanimous or near-unanimous votes. The committee also heard Senate Bill 1503, which would allow certain nonprofit pregnancy-support organizations without an Oklahoma physical address to apply for Choosing Childbirth grants. Members questioned whether state dollars could go to out-of-state personnel and how telehealth and reporting requirements would work. The bill was laid over for further amendment work. Senate Bill 1557 would place certified behavioral analysts under the State Board of Examiners of Psychology, and members raised questions about how it might interact with a separate bill affecting board authority; it passed after discussion. Senate Bill 1894 gave the podiatry board authority over continuing education, and SB 1984 was a cleanup bill for the Board of Osteopathic Medicine, including authority over certain licensure and telemedicine-related review issues; both passed after questions about scope and reciprocity. Later, the committee considered several pharmacy and insurance-related bills. SB 1344 created an insulin access and affordability program to partner with manufacturers of low-cost biosimilar insulin, and SB 1380 required Medicaid eligibility checks against death records, with an amendment discussed to protect long-term care facilities from retroactive nonpayment when eligibility is delayed. SB 1572 would commission a feasibility study on dissolving the Department of Mental Health and temporarily allow the Health Care Authority commissioner to oversee both agencies. SB 2007 required PBMs to reimburse pharmacists at actual acquisition cost when reimbursement falls below cost, with escalating fines for noncompliance. SB 2074 would impose a mandatory dispensing fee tied to the Medicaid rate; it drew extensive debate over whether costs would be shifted to employers, employees, or the state, and over the impact on pharmacy closures and rural access. The committee ultimately reported the bills out, with SB 2074 passing after lengthy discussion and a final vote.

Transcript Highlights:

• I believe the Commission can be a strong partner. We have developed contracts.
• The commission as a state entity is required to file annual reports.
• care.
• We Cannot address health inequities, maternal health disparities, or reproductive justice without first
• care systems demand an honest public reckoning.

Bills: SM14

Keywords: forced sterilization, coerced sterilization, Indigenous women, Native American women, women of color, reproductive justice, reproductive sovereignty, truth and reconciliation commission, memorial, trauma-informed care, reparative justice, human rights, bodily autonomy, Indian Health Service, Indian affairs, Commission on the Status of Women, survivor testimony, reproductive health access, genocide, transitional justice

Transcript Highlights:

• care providers, or employees in health-related industries.
• This bill, HB 2516, aims to address a critical health care coverage situation for Texans under 65 with
• Gap coverage, just like those 65 and older, helps close a dangerous gap in health care access.
• allows the department to gather the use and end use of data to support care. ...public health planning
• Older Texans rely on Medicaid for essential health care services like long-term care, prescription drug

Bills: HB107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655, HB107

Keywords: sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records

Transcript Highlights:

• care providers, or employees in health-related industries.
• care providers, or employees in health-related industries.
• It's probably one of the most important interactions that patients have with their health care provider
• care professionals... ...negotiated consensus among patient advocates, insurers, and health care professionals
• Older Texans rely on Medicaid for essential health care services like long-term care, prescription drug

Bills: HB 107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655

Keywords: sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records

Summary: The committee heard testimony on a series of health and human services bills and left each one pending after public testimony. HB 4655 would expand financial literacy instruction for youth aging out of foster care to include credit scores, predatory lending, scams, banking, budgeting, and related consumer topics; the sponsor and Buckner International described the need to protect foster youth from financial pitfalls. HB 923 would add three public members and one physician to the Texas Medical Disclosure Panel; supporters said it would improve informed consent and patient voice, while a witness raised concerns about a House amendment requiring a physician majority for decisions and senators questioned scope-of-practice limits. HHSC said the panel is an independent body and the bill expressly bars it from changing scope of practice.

Transcript Highlights:

• The interim charge was to consider issues involving access. to health care along the Texas-Mexico border
• It is no secret that border communities have fewer health care professionals, and I can attest to that
• It is a strategic and investment to incentivize new health care professionals to serve in areas with
• Thank you, Chairman Wilson, for the opportunity to talk about this important health care initiative and
• for leading on the border Texas health care. workforce on education and funding through HB5265.

Bills: HB2476, HB2893, HB4848, HB5062, SB37, SB60, HB2860, HB4930, SB646, SB 37

Keywords: living expenses, higher education, student support, homeless students, financial aid, grant program, baccalaureate degrees, junior colleges, workforce development, Texas Higher Education Coordinating Board, competency-based education, baccalaureate degree, cost of attendance, dual credit, computer science, course credit, foreign language requirement, curriculum review, governing board, faculty council

Transcript Highlights:

• Maybe it was Health and Welfare. Mr.
• announced by the governor in Louisiana Economic Development, and that this study would help ensure workforce-training
• He concluded that the study would ensure workforce-training tools align with the jobs of the future in
• I'm going to work with the Secretary of the Workforce Commission to make sure that happens.
• I'm going to work with the Secretary of the Workforce Commission to make sure that happens.

Bills: HR171, HCR49, HB632, HB1084, SB310, SB351, SB399

Keywords: HR171, House Resolution 171, M.J. Foster Promise Program, TOPS-Tech, TOPS Tech Award, Board of Regents, Louisiana Works, Louisiana Community and Technical College System, LCATCS, financial aid, scholarship, workforce development, career training, technical education, vocational education, postsecondary credential, associate degree, industry-based credential, high-demand jobs, high-wage occupations

Bills: HB213, HB136, HB182, HB213, HB136, HB182

Keywords: HB213, Calhoun County, board of registrars, registrar compensation, county commission, local legislation, election administration, county general fund, expense allowance, officeholder compensation, public officials pay, county election officials, Alabama Code 45-8-110, Teacher's Retirement System, TRS, DROP, Deferred Retirement Option Plan, retirement benefits, teacher retirement, classroom teacher

Transcript Highlights:

• Residential treatment centers provide around the clock supervision and care for children with serious
• Uh, you are with Texans Care for Children. Is that correct? Excuse me, yes, that's correct.
• I am Kate Murphy, director of child protection policy at Texans Care for Children.
• care, it should be considered temporary because parents are working to get their children home.
• Now with age or health of a of a kinship placement. We, we do not consider age.

Bills: SB 2041, SB 1777, SB 1681, SB 2311

Keywords: child welfare, foster care, Department of Family and Protective Services, DFPS, Family Code, conservatorship, placement selection, contract residential care, kinship care, relative placement, designated caregiver, best interest of the child, least restrictive setting, placement stability, child protective services, residential treatment, group home, family reunification, Texas foster system, residential care

Transcript Highlights:

• You are with Texans Care for Children, correct? Excuse me. Yes, that's correct.
• Our concern is that when a child is initially placed in foster care or placed in any care, it should
• But once the child is placed in care, they always ask, are you willing?
• Neglect, abuse, or exploitation increasing risk to health and safety.
• Care providers or their staff to violate this provision.

Bills: SB2041, SB1777, SB1681, SB2311

Keywords: child welfare, foster care, Department of Family and Protective Services, DFPS, Family Code, conservatorship, placement selection, contract residential care, kinship care, relative placement, designated caregiver, best interest of the child, least restrictive setting, placement stability, child protective services, residential treatment, group home, family reunification, Texas foster system, residential care

Transcript Highlights:

• Uh, currently we have two statutes that cover the State Ethics Commission.
• So, this takes care of that.
• </c><00:07:08.880><c> before</c> been executed by the commission before been executed by the commission
• So, this takes care the effective date. So, this takes care of<00:07:11.280><c> that.
• through the public the public health through the public health<00:09:17.279><c> departments</c><00:09

Bills: SB89, SB54, SB127, SB128, SB77, SB78, SB100, SB101, SB102, SB103, SB113, SB126, SB122, SB136

Keywords: pilotage, commission, statewide laws, maritime regulation, repeal, sunset law, Alabama Surface Mining Commission, environmental regulation, mining, state commission, Alabama Board of Examiners in Counseling, state agency, continuous operation, government efficiency, sickle cell disease, healthcare, regulatory commission, public health, 911 services, 911 Board

Transcript Highlights:

• Senate Bill 1396 ensures that Oklahoma 988 Mental Health Lifeline remains operational after federal grant
• centers for dispatch technology and a backup mobile responder, building a sustainable behavioral health

Bills: SB1369, SB1570

Keywords: mental health, crisis services, 988 Lifeline, suicide prevention, behavioral health, revolving fund, child welfare, child safety, administrative transition, Department of Child Safety and Well-being, Oklahoma Commission on Children and Youth, juvenile justice, foster care, 914, all

Transcript Highlights:

• rely on impulse buying without any guidance on care, breed traits, or health issues.
• Without intervention, these gaps will limit access to care and strain local health care systems.
• I believe my bill offers a responsible local solution to ensure long-term health care access for Nueces
• Long-term health care access for Nueces County and surrounding regions. All right. Thank you.
• We would work with the Christus health care system, which would be the main contractor that we work with

Bills: HB240, HB2097, HB2731, HB3087, HB3234, HB3319, HB3394, HB3687, HB4105, HB4205, HB4350, HB4462, HB4642, HB4801, HB5403

Keywords: quorum, tax levy, county governance, local government, population regulations, quorum requirement, Texas counties, population threshold, deputy sheriff, civil service, law enforcement, appeals process, sheriff's department, HB 2731, roadside vendors, solicitors, county regulation, border counties, Mexico border, Transportation Code

Summary: The subcommittee on county and regional government heard a long agenda of county-related bills, with most measures left pending after testimony. HB 2097, by Rep. Martinez, would let counties that opt in use an independent hearing examiner instead of a civil service commission for certain deputy sheriff discipline appeals; the bill drew support from CLEET’s Robert Leonard, who said it would be fairer and faster, and it was left pending. HB 4642, by Rep. Gonzalez, would require counties that contract with out-of-state jail facilities to include Texas jail-standard protections and oversight; Gonzalez, detainee Jess Hampton, his wife, Texas Jail Project’s Krish Kundu, and TCJS director Brandon Wood all discussed deaths and poor conditions in Louisiana facilities, staffing shortages, and the need for guardrails and data collection. The bill was left pending. The committee also heard HB 4350, by Rep. Capriglione, allowing peace officers to request redaction of personal information from online real property records. Supporters said officers face targeted threats and should have protections similar to judges; a title industry witness warned about preserving the integrity of land records. The bill was left pending. HB 3687, by Rep. Harless, would require county fire marshals in counties over 100,000 to meet training and certification standards within set timeframes; Harris County Fire Marshal Laurie Christensen supported professionalization, and the bill was left pending. HB 4105 would let very large counties give a local-bid preference for construction and infrastructure contracts, and HB 4205 would require pay parity for similar law enforcement ranks within large counties; both were supported by Harris County officials and constables and left pending. Later, the committee heard HB 5403, which would repeal a special rule limiting Dallas and Tarrant county sheriffs’ control over commissary funds; the author said it would remove an outdated population bracket, and the bill was left pending. HB 4462 would require large counties to allow elected officials named in civil suits to seek outside counsel and have a role in settlement decisions; supporters argued county attorneys and commissioners court can have conflicts of interest, while questions focused on who qualifies and whether the bill could complicate settlements. The bill was left pending. Finally, HB 240, by Rep. Swanson, would restore a five-member quorum requirement for Harris County tax levies, effectively preventing tax action without all commissioners present and defaulting to the no-new-revenue rate if quorum is not met; urban counties opposed it as a potential budget obstruction, while supporters said it protects taxpayers and representation. That bill was also left pending. The transcript ends as the committee begins HB 3319, which would create a civil service system for constable department employees in large counties, but the discussion is cut off before testimony or action.

Transcript Highlights:

• Proof of certification of basic fire marshal training is provided by the Texas Commission on Fire Prevention
• This will allow the brain drain. ...and train talent to retain them so they can take care of our officers
• Without any guidance on care, breed traits, or health issues, sellers are here today and gone tomorrow
• Care and strain local health care systems.
• "To make available high-quality, accessible, and cost-effective health care services to the indigent

Bills: HB240, HB2097, HB2731, HB3087, HB3234, HB3319, HB3394, HB3687, HB4105, HB4205, HB4350, HB4462, HB4642, HB4801, HB5403, HB240

Keywords: quorum, tax levy, county governance, local government, population regulations, quorum requirement, Texas counties, population threshold, deputy sheriff, civil service, law enforcement, appeals process, sheriff's department, HB 2731, roadside vendors, solicitors, county regulation, border counties, Mexico border, Transportation Code

Transcript Highlights:

• Section 7, this is where we did incorporate Senator Shendo's concerns in relation to tribal child care
• In paragraph 4, to meet and maintain required training as set by rule of the department to identify..
• help operate the commission itself, literally.
• You said that was taken care of on the other one? This one. It's—we've had it in both places.
• Let PED take care of their job. Okay. Any other questions? Senator Trujillo? Yeah, as Mr.

Bills: SB241, SB145

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Transcript Highlights:

• He's going to get free health care too for child care. I'm worried I get health care. How is that?
• So we are in desperate need of all health care providers. Thank you. Good morning, Mr.
• In the health care workforce, there is a shortage of nurses, but there's also a shortage of approximately
• I believe that health care is part of the solution.
• care, because our population definitely needs... ...mechanisms for strong health care, because our population

Bills: SB241, SB145

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Transcript Highlights:

• We'll reconvene the Workforce Development Committee. If the clerk would please take the roll.
• second thing that we did is that on the bottom of page three, number five, we were clear that the Child Care
• Workforce? No. Any other discussion? Any other discussion? Okay, no other discussion.
• That concludes our work and Workforce Development for this 16th-minute legislative session.

Bills: HB1119

Keywords: child care, childcare, day care, daycare, early childhood education, child care licensing, provider licensing, child care regulations, administrative rules, Department of Health and Human Services, HHS, licensing advisory committee, child care providers, group child care, preschool programs, child to provider ratios, square footage requirements, staff training, certification requirements, child care funding

Summary: The Workforce Development Committee reconvened to consider House Bill 1119 with amendment version 02005. Senator Hogan explained that the amendment removed a section requiring the Department of Human Services to respond to legislative management, in order to make the bill feel more like a program evaluation than an audit and to avoid placing an unreasonable burden on the executive branch. The amendment also clarified that the Child Care Advisory Committee would provide an update and that the committee would dissolve after the rewrite of licensing standards, making it a time-limited body. Committee members discussed the bill as a novel approach to forming a group to study an issue and then disbanding after reporting back. Senator Larson noted the concept was similar to broader performance-review ideas, and Senator Hogan said the Legislative Council program evaluation effort was parallel to, but separate from, other performance-review proposals. The committee then voted 4-0-1 to adopt the amendment. Afterward, the committee moved to give House Bill 1119, as amended, a do pass recommendation. That motion also passed on a roll call vote, and the committee adjourned.

Transcript Highlights:

• Sub to Chapter A, Chapter 1001 of the Health Safety Code to require health and Human Services Commission
• Supervision of a health care provider who has more in-depth knowledge of.
• part of a broader health care team to protect the public health.
• Having people who are trained in mental health crises.
• Thank you. of the Office of Mental Health, Health and Human Services Commission, resource witness.

Bills: HB 3772, HB 1656, HB 4504, HB 1896, HB 4420, HB 4421, HB 4076, HB 3708, HB 2806, HB 3540, HB 1586, HB 5459, HB 4553, HB 4535, HB 3811, HB 3749, HB 4255, HB 4051, HB 5098, HB 3554, HB 4539, HB 5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• We met testifying at the Senate on the maha stuff about like the broken health care system.
• This bill simply adds one FTE to HHSC, one full-time employee at Health and Human Services Commission
• Since this bill establishes an internal report, the Texas Health and Human Services Commission will be
• As I've mentioned previously, Health and Human Services Commission reported an increase in the use of
• Additionally, we get high, high marks from the Health and Human Services Commission and the Office of

Bills: HB 2510, HB 3589, HB 4611, HB 4655, HB 4665, HB 4666, HB 4670, HB 4700, HB 4730, HB 4798, HB 4838, HB 5136, HB 5243, HB 5302, HB 5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• . care.
• Caregivers often become de facto mental health professionals, oftentimes with minimal training.
• The Health and Human Services Commission, Office of the Inspector General, Department of Veterans Affairs
• Michelle Dionne-Vaholic, Associate Commissioner, Long-Term Care Regulation, Health and Human Services
• The bottom line is the taxpayer... ...funded junk food turns into taxpayer-funded health care later on

Bills: HB2510, HB3589, HB4611, HB4655, HB4665, HB4666, HB4670, HB4700, HB4730, HB4798, HB4838, HB5136, HB5243, HB5302, HB5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• By a health care professional with no plan for how this will be accomplished.
• We met testifying at the Senate about the broken health care system.
• That has created this explosive pandemic of the health care crisis that we're living today. Okay.
• So we are required, with our state funds, to go through the Health and Human Services Commission.
• Batiste, Health and Human Services Commission is neutral on the bill. Is that all correct?

Bills: HB2510, HB3589, HB4611, HB4655, HB4665, HB4666, HB4670, HB4700, HB4730, HB4798, HB4838, HB5136, HB5243, HB5302, HB5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy