Transcript Highlights:

• President, Senate Bill 244 clarifies the definition of serum that chiropractors can do vitamin serums

Bills: SB1627, SB227, SB366, SB1193, SB1433, SB1450, SB1481, SB1749, SB1810, SB1812, SB1921, SB1948, SB2044, SB2178, SB169, SB1877, HB1409, SB1266, SB1432

Keywords: criminal code cleanup, duplicate statutes, statutory consolidation, repealer bill, emergency clause, Title 21 crimes, Title 47 DUI, child abuse reporting, child neglect, child sexual abuse material, child pornography, sex offenses, rape, stalking, domestic abuse, domestic violence, human trafficking, sex trafficking, gang-related offense, eluding police

Transcript Highlights:

• In the past, under the ACA, HMSA was able to find a way to enable chiropractors and naturopaths to be
• In the past, under the ACA, HMSA was able to find a way to enable chiropractors and naturopaths to be
• In the past, under the ACA, HMSA was able to find a way to enable chiropractors and naturopaths to be

Keywords: 910, house, all

Summary: The joint hearing opened with SB 1442, which would update the statute governing the Child and Adolescent Mental Health Division and clarify its role as the state Medicaid provider of intensive mental health services for children and adolescents with serious emotional disturbance. The Department of Health testified in strong support, saying the current statute is outdated and warning against any unfunded mandate because the division relies on federal funding and faces uncertainty about future resources. Written testimony from several organizations also supported the bill. The committees took no immediate action and said they would hold decision-making until later. The hearing then moved to SB 479 on ABLE savings accounts. The Hawaii State Council on Developmental Disabilities and the Hawaii Disability Rights Center supported the measure, arguing that ABLE accounts help people with disabilities save money without losing benefits and that the state needs more outreach and staffing to expand participation. A testifier with a disability said the bill would help people keep Social Security and housing stability. The chair indicated an intention to move the bill forward, and asked about funding; the discussion settled on a requested appropriation of about $75,000 for incentives. Next, SB 1245 on reimbursement of pharmacists drew broad support from the Hawaii Pharmacists Association, rural pharmacies, the Hawaii Primary Care Association, and others, who said the bill would improve access to care, especially on neighbor islands and in rural communities, and help pharmacies participate in 340B-related services. The Insurance Division and HMSA raised concerns about bill language, saying it could be read to cover pharmacists outside an insurer’s network and that the scope of reimbursable services needed clarification; the pharmacists’ association said the bill is intended to apply only to in-network pharmacists and should continue to reference existing scope-of-practice law. The hearing also took up SB 1279, which would allow pharmacists to authorize medications via telehealth under certain circumstances. The State Board of Pharmacy opposed the bill, citing patient safety, a pilot project with reported errors, concerns about controlled substances and unregulated technicians, and the view that in-person pharmacist services are safer and already available on the affected islands. Several pharmacies and health care groups supported the measure as a way to preserve 340B access and improve service on Lānaʻi and Molokaʻi, while some local pharmacies said they already provide in-person service and opposed remote dispensing. No votes were taken in the portion of the hearing provided.

Transcript Highlights:

• the policyholder, coverage for all drugs and medicines prescribed and coverage for services by chiropractors
• I won't walk through all of them for you, but you can see, like on the provider side, chiropractors,

Keywords: 908, all

Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.

Transcript Highlights:

• So that's where my concern is right there: that even when we had chiropractors try to change their scope

Transcript Highlights:

• It's about seven to eight years, very similar to a chiropractor. Okay. Wow.
• difference, and part of my ignorance, what is the difference between the physical therapist and the... chiropractor
• But this state has never had a requirement to have a referral to go see a chiropractor, but we have for
• Y'all were talking about chiropractors, but physical therapists do more than adjustments.

Bills: HB75, HB188, HB199, HB4029, HB330, HB507, HB524, HB1517, HB 1065, HB1375, HB1630, HB1398, HB 1227, HB689, HB1814, HB2160, HB2140, HB4897, HB5600, HB5489, HB4188, HB2881, HB2048, HB3900, HB4074, HB5568, HB5528, HB3811, HB3726, HB3382, HB4507, HB4775, HB3626, HB3569, HB5212, HB5248, HB5178, HB3453, HB3231, HB3941, HB1571, HB1969, HB1865, HB2879, HB2643, HB4799, HB4891, HB5567, HB5549, HB5187, HB5118, HB3191, HB1730, HB1687, HB2192, HB4511, HB4805, HB1863, HB3195, HB3199, HB5562, HB5551, HB5169, HB3290, HB3712, HB3996, HB5098, HB5097, HB5089, HB3897, HB3868, HB3829, HB4840, HB3753, HB4368, HB4142, HB2841, HB3457, HB3784, HCR46, HCR109, HCR10, SB1844, SB1833, SB2284, SB2052, SB1666, SB1265, SB1146, SB1921, SB480, SB1734, SB296, SB2039, SB462, SB1646, SB2173, SB2925, SB682, SB1173, HB4535, HB4520, HB3824, HB3066, HB2442, HB3863, HB4773, HB4327, HB5115, HB5515, HB3372, HB5659, HB 127, HB386, HB 115, HB2868, HB 1249, HB4766, HB3720, HB4879, HB5383, HB4621, HB5431, HB5678, HB5534, HB4212, HB3954, HB3966, HB3918, HB1422, HB4765, HB4732, HB4742, HB4518, HB5084, HB3986, HB4144, HB3976, HB4473, HB3425, HB3641, HB3642, HB3475, HB3424, HB4744, HB4539, HB3159, HB5228, HB5370, HB4359, HB4443, HB4466, HB3849, HB4240, HB5141, HB5686, HB3629, HB3554, HB3567, HB2015, HB3575, HB5381, HB4398, HB3514, HB4614, HB4546, HB5681, HB5663, HB4271, HB4350, HB4035, HB3812, HB3540, HB3715, HB3664, HB4233, HB3333, HB3510, HB4222, HB2070, HB2854, HB2347, HB 113, HJR218, HB5623, HB4921, HB5673, HB5520, HB 105, HB4685, HB5354, HB4683, HB75, HB983, HB4847, HB1449, HB3833, HB5151, HB265, HB1845, HB782, HB 108, HB1960, HB158, HB1954, HB1955, HB2512, HB605, HB2581, HB2803, HB627, HB2667, HB1738, HB636, HB3679, HB2638, HB2655, HB871, HB2438, HB 1107, HB1765, HB1822, HB2153, HB4099, HB3732, HB3171, HB3178, HB3182, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2132, HB2658, HB2413, HB2757, HB2080, HB3154, HB3063, HB3009, HB3448, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3946, HB3460, HB3405, HB475, HB3463, HB3441, HB3441, HB3520, HB2060, HB4731, HB4991, HB1991, HB5596, HB2014, HB2142, HB2673, HB2731, HB2417, HB2399, HB2301, HB2301, HB3335, HB3234, HB3320, HB5573, HB5573, HB4848, HB4848, HB4748, HB4769, HB4795, HB2086, HB2086, HB2234, HB2234, HB2203, HB4916, HB5624, HB4505, HB139, HB5093, HB5302, HB5402, HB5606, HB2333, HB4630, HB4701, HB2583, HB2983, HB4924, HB3339, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5430, HB5561, HB5561, HB5611, HB5043, HB5064, HB5064, HB3733, HB3733, HB3781, HB3219, HB32, HB4515, HB5348, HB3902, HB4420, HB3269, HB469, HB336, HB316, HB5396, HB993, HB1342, HB1342, HB5216, HB2046, HB2046, HB2188, HB2188, HB2450, HB2813, HB2857, HB4075, HB4075, HB2911, HB4682, HB4682, HB3117, HB3253, HB3442, HB4820, HB4336, HB5356, HB3669, HB3428, HB5465, HB3662, HB2590, HB2288, HB2288, HB1886, HB3458, HB3458, HB5603, HB5620, HB1489, HB1489, HB4101, HB4990, HB5685, HB5685, HB4950, HB4950, HB4980, HB5684, HB3507, HB3507, HB3566, HB4487, HB4487, HB4462, HB4462, HB4876, HB4915, HB4663, HB5570, HB2929, HB5261, HB2920, HB4642, HB4746, HB1609, HB5403, HB5453, HB3844, HB2336, HB1572, HB 1226, HB 1226, HB2806, HB2806, HB2617, HB2617, HB2827, HB3948, HB3948, HB3945, HB4266, HB4542, HB3319, HB1772, HB2496, HB1970, HB3434, HB5545, HB5545, HB5577, HB5577, HB31, HB31, HB279, HB370, HB370, HB4768, HB513, HB875, HB982, HB 1085, HB 1085, HB2677, HB2874, HB5478, HB4880, HB4798, HB4514, HB4958, HB4958, HB4508, HB4508, HB3758, HB3830, HB3744, HB3622, HB741, HB741, HB2204, HB2204, HB2860, HB4659, HB4578, HB813, HB712, HB712, HB1551, HB2790, HB2698, HB3365, HB3504, HB3118, HB3118, HB2959, HB1862, HB1862, HB 1026, HB4401, HB4401, HB4164, HB4164, HB3920, HB4737, HB4966, HB4966, HB4967, HB1958, HB4979, HB4979, HB5459, HB3862, HB1823, HB1823, HB4415, HB4893, HB2343, HB 1228, HB4337, HB188, HB199, HB4029, HB330, HB507, HB524, HB1517, HB 1065, HB1375, HB1630, HB1398, HB 1227, HB689, HB689, HB1814, HB2160, HB2140, HB4897, HB5600, HB5489, HB4188, HB2881, HB2048, HB3900, HB4074, HB5568, HB5528, HB3811, HB3726, HB3382, HB3382, HB4507, HB4775, HB3626, HB3569, HB5212, HB5248, HB5178, HB3453, HB3231, HB3941, HB1571, HB1969, HB1865, HB2879, HB2879, HB2643, HB4799, HB4891, HB5567, HB5549, HB5187, HB5118, HB3191, HB1730, HB1687, HB1687, HB2192, HB4511, HB4805, HB4805, HB1863, HB3195, HB3199, HB5562, HB5562, HB5551, HB5169, HB3290, HB3712, HB3996, HB5098, HB5098, HB5097, HB5089, HB5089, HB3897, HB3868, HB3829, HB4840, HB3753, HB4368, HB4142, HB2841, HB3457, HB3784, HCR76, HCR76, HCR127, HCR9, HCR40, HCR118, HR559, HCR59, HCR59, HCR135, HCR141, HCR46, HCR46, HCR109, HCR10

Keywords: magistrate, criminal procedure, probable cause, written findings, law enforcement, Texas STRONG defense fund, severance tax revenue, oil and gas revenue, constitutional transfers, rainy day fund, economic stabilization fund, state highway fund, oil and gas production, qualifying county, county grants, water infrastructure, first responders, public safety, DPS staffing, commercial motor vehicle safety

Transcript Highlights:

• Yes, good for kids, bad for chiropractors. That's good. All right, I appreciate that.

Bills: HB6, HB27, HB123, HB210, HB213, HB222

Keywords: hemp, consumable hemp products, hemp-derived cannabinoids, CBD, cannabidiol, CBG, cannabigerol, Texas hemp law, hemp regulation, cannabinoid products, delta-9 THC, intoxicating hemp, hemp gummies, hemp vape, retail registration, product registration, QR code labeling, child-resistant packaging, youth access, minor sales

Transcript Highlights:

• You've got chiropractors and people from all different walks of life because there's a lack of checks
• They got something from a chiropractor. ...stem cells, and you find out they didn't.
• They got something from a chiropractor in another state or something that they were told was a stem cell

Bills: SB1052, SB1115, SB1118, SB1120, SB1121, SB1124, SB1171, SB1172, SB1174, SB1175, SB1214, SB1233, SB1235, SB1316, SB1345, SB1372, SB1399, SB1458, SB1494, SB1496, SB1564, SB1602, SB1621, SB1628, SB1630, SB1631, SB1668, SB1672, SB1814, SB1821

Keywords: assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent, AHCCCS, remote work, state agency, employment, public health, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes, townhomes, historic preservation, radiation protection

Summary: The committee first heard Senate Bill 1121, which would prohibit hospitals from requiring lead aprons for cardiac catheterization staff when a radiation protection system is in place, while still allowing hospitals to require aprons outside the designated safety zone or when exposure levels warrant additional protection. An amendment added flexibility for radiation safety officers to require lead or other PPE if exposures approach occupational limits and removed expedited rulemaking language. Supporters, including the sponsor and interventional cardiologists, argued the devices reduce radiation and orthopedic injuries and improve recruitment and retention; hospital groups shifted to neutral after the amendment. The committee adopted the amendment and passed SB 1121 on a 9-2 vote. The committee then considered Senate Bill 1120, which would require hospitals performing cardiac catheterization procedures to equip at least 50% of those rooms with radiation protection systems by 2027. Supporters said the systems protect clinicians from radiation and long-term injury, while opponents, including hospital and radiology groups, argued the bill was overly prescriptive, could create a captive market, and might not fit all rooms or procedures. After adopting a children’s hospital exemption amendment, the committee passed SB 1120 on a 6-6 vote, with the chair breaking the tie in favor of the bill. Senate Bill 1118, an appropriation measure tied to the radiation protection system proposal, was also advanced after brief discussion, passing 6-5. The committee then took up Senate Bill 1214, which would create guardrails for non-FDA-approved stem cell and regenerative therapies, including provider standards, informed consent, advertising limits, reporting requirements, and a private right of action for violations. Supporters described it as a patient-protection and access bill, while testimony emphasized concerns about unregulated “bad actors” and patients traveling out of state for treatment. The committee adopted an amendment removing a reference to the National Law and passed SB 1214 on a 9-3 vote. The transcript then began discussion of SB 1630, which would create a Medicaid-funded home and community-based service benefit for adults with serious mental illness, with AHCCCS taking a neutral position and estimating a significant fiscal impact.

Transcript Highlights:

• We just pay what every day, you know, if there's a chiropractor or another individual has a... ...you
• know, if there's a chiropractor or another individual has a relationship with their own vendor, we could

Bills: HB2176, HB2333, HB2435, HB2447, HB2617, HB2683, HB2686, HB2725, HB2726, HB2906, HB2953, HB2958

Keywords: health care, licensure, complaints, investigation, safety, patient care, regulatory compliance, prosthetics, orthotics, health insurance, Medicare, medical necessity, disability rights, coverage, reimbursement, internationally trained physicians, medical board, clinical training, provisional license, healthcare workforce

Summary: The committee heard and acted on several health care bills. HB 2726 would require Access contractors to cover diagnosis and treatment of mild obstructive sleep apnea, including a new prescription tongue-stimulation device; supporters said it offers an effective, less burdensome alternative to CPAP and could improve adherence and outcomes, while Access was neutral and raised concerns about cost and bypassing its normal clinical review. The committee adopted the Bliss amendment and then approved HB 2726 as amended on an 8-4 due-pass vote. HB 2435 would create a pathway for internationally trained physicians to receive a provisional Arizona medical license, with a later amendment adding a four-year supervised rural practice requirement and automatic conversion to a full license if criteria are met. Supporters argued it would help address severe physician shortages in rural and underserved areas, especially for cardiology and other specialties, and several doctors testified about their experience and the need for more access. Opponents, including the Arizona Medical Board, said the state already has a case-by-case licensure process for foreign-trained physicians and warned the bill could weaken safeguards and allow insufficiently vetted applicants. After adopting the amendment, the committee approved HB 2435 as amended on a due-pass recommendation. HB 2958 would require Access to cover comprehensive dental care for pregnant women age 21 and older, with a $500,000 pilot program and reporting requirements. The sponsor and public health advocates said preventive dental care during pregnancy can reduce infections and improve maternal and infant outcomes, and the bill drew broad support from health and advocacy groups. The committee passed HB 2958 on an 11-1 due-pass vote. The committee also approved HB 2176, which changes criteria and timelines for health care institution licensing complaints and informal dispute resolution, with supporters saying it would improve transparency and predictability for hospitals while preserving enforcement authority. Finally, the committee heard HB 2447, which would bar insurers from paying certified registered nurse anesthetists less than physicians for the same anesthesia service; opponents argued it would interfere with contract negotiations and raise costs, while supporters said insurer reimbursement cuts are harming rural access and shifting costs to hospitals. The transcript ends during testimony on HB 2447, before any committee vote on that bill.

Transcript Highlights:

• In support of House Bill 4145 on behalf of myself and Texas Chiropractic Association, I am a chiropractor
• So whether it's a chiropractor or an M.D.

Bills: HB 1181, HB3704, HB1363, HB1610, HB1615, HB1620, HB3223, HB1317, HB2884, HB2176, HB4027, HB1664, HB933, HB2613, HB3353, HB2086, HB4101, HB3441, HB4145, HB3455

Keywords: judiciary, judges, justices, retired, legal assignments, judicial conduct, notary public, criminal offense, education requirements, official documents, record retention, implicit bias, bias training, judicial training, judge education, court personnel, continuing legal education, CLE, state bar, Texas Court of Criminal Appeals

Transcript Highlights:

• I have been a chiropractor for 35 years, an owner of A to Z Health, a massage school, for 27 years.
• Just as we can't call ourselves acupuncturists, physical therapists, or chiropractors if we are not qualified

Summary: The joint sunset oversight hearing reviewed five regulatory entities: the Board of Behavioral Sciences, the Board of Psychology, the Physician Assistant Board, the Podiatric Medical Board, and the California Massage Therapy Council. Across the hearing, each entity described recent accomplishments, licensing and enforcement workload, workforce shortages, and efforts to modernize processes. Common themes included streamlining licensure, expanding access to care, addressing telehealth or emerging technology, and balancing consumer protection with workforce needs. For the Board of Behavioral Sciences, members discussed workforce shortages in mental health, supervision barriers, telehealth confidentiality, AI in therapy, interstate compacts, school-based services, and military spouse licensure. The board said it has expanded outreach, improved licensing processes, and created temporary practice authority tracking, while also expressing concern about counseling compacts and emphasizing California-specific law, ethics, and cultural competency. Public commenters supported the board’s work and the possible move to a national MFT exam, while also urging more resources. The Board of Psychology highlighted fee adjustments, streamlined licensure pathways, enforcement process improvements, new CPD requirements, and proposed changes including a psychotherapist-client privilege exception for investigations. Committee members and public witnesses focused heavily on that privilege proposal, with some members opposing it as too broad and privacy-invasive, while the board argued it is needed to obtain records in bias and sexual misconduct cases. The board also discussed workforce shortages, processing improvements, and the use of inactive status for psychological associates. The Physician Assistant Board reported growth in the PA workforce and education programs, SB 697 implementation, and financial pressure from rising enforcement costs. The main policy debate centered on physician-to-PA ratios and practice agreements, with board representatives and many public commenters arguing that current restrictions limit access to care, especially in rural areas, while the California Medical Association defended the need for explicit ratios and agreements. The board also discussed AI, fee increases, and tracking temporary practice authority. The Podiatric Medical Board described licensing and renewal reforms, residency expansion, enforcement support, and budget constraints, while public testimony raised concerns about a proposed fee increase and about reimbursement parity and practice recognition for podiatrists. Finally, the California Massage Therapy Council defended the certification model over licensure, citing lower costs, local government collaboration, anti-trafficking work, and its role in vetting applications and disciplining bad actors; no formal votes or final actions were taken during this portion of the hearing.

Transcript Highlights:

• Every two weeks, we have an equine chiropractor to work on our horses, my horses that work downtown.

Bills: HB386, HB1449, HB1701, HB2142, HB2675, HB2857, HB3063, HB3171, HB3641, HB3732, HB4045, HB4370, HB4491, HB4505, HB4626, HB5267, HB5356

Keywords: construction contracts, change orders, local government, budget limits, Texas legislation, HB 1449, mobile food vendors, food trucks, mobile food service establishments, permits, county health permit, municipal permitting, Health and Safety Code Chapter 437A, Chapter 437, inspection agreements, permit reciprocity, fee cap, preemption, large counties, population over one million

Transcript Highlights:

• We have educated over 400 chiropractors. There is nothing unsafe about CBD.

Bills: HF1545, HF2426, HF1615, HF2403

Keywords: medical cannabis, cultivation, cannabinoid products, plant canopy, Minnesota statutes, cannabis, hemp, lower-potency, edibles, regulations, licensing, local control, consumer safety, age restrictions, commerce policy, financial institutions, insurance regulation, limited long-term care insurance, Medicare supplement, health insurance

Transcript Highlights:

• For example, right now non-pain management for chiropractors is limited to back pain, but there are other

Keywords: opioid crisis, overdose, naloxone, drug trafficking, law enforcement, treatment, prevention, older adults, Medicaid expansion

Summary: The meeting convened to address the dire opioid crisis affecting communities nationwide, with a particular focus on the alarming rise of opioid use disorder among older adults. Key testimonies highlighted the critical need for a comprehensive approach that encompasses prevention, treatment, and strict law enforcement actions against drug traffickers. Sheriff Dennis Lima from Seminole County outlined successful strategies implemented in Florida, including increased access to naloxone and legislative changes to hold drug dealers accountable for overdoses. Various members expressed a united front on tackling this multifaceted issue, advocating for the expansion of Medicaid and better access to treatment as essential steps to curbing the epidemic.

Transcript Highlights:

• That's good news for the nurses, EMTs, chiropractors, and everyone who decides to make New Mexico their

Transcript Highlights:

• between between plaintiff attorneys and networks of providers, not just doctors, we're talking chiropractors
• that a plaintiff's lawyer would have to disclose how many times they've used this doctor... or a chiropractor

Bills: SCR37, SB60, SB226, SB231, SB264, SB387, SB570, SB596, SB651, SB769, SB855, SB863, SB991, SB1079, SB1085, SB1151, SB1191, SB1214, SB1243, SB1247, SB1314, SB1364, SB1372, SB1401, SB1409, SB1504, SB1522, SB1625, SB1662, SB1663, SB1728, SB1759, SB1762, SB1804, SB1818, SB1838, SB1839, SB1851, SB1855, SB1872, SB1873, SB1874, SB1877, SB1879, SB1901, SB1919, SB1921, SB1923, SB1936, SB1937, SB1968, SB1977, SB2034, SB2053, SB2066, SB2077, SB2124, SB2143, SB2166, SB2180, SB2204, SB2231, SB2237, SB2243, SB2321, SB2569, SJR39, SJR68, SCR29, SCR42, SB22, SB30, SB33, SB37, SB75, SB217, SB240, SB331, SB393, SB505, SB530, SB546, SB552, SB584, SB586, SB618, SB626, SB636, SB732, SB762, SB769, SB825, SB844, SB870, SB884, SB926, SB964, SB1080, SB1099, SB1150, SB1177, SB1184, SB1261, SB1262, SB1314, SB1325, SB1364, SB1398, SB1455, SB1506, SB1524, SB1577, SB1596, SB1620, SB1624, SB1642, SB1643, SB1646, SB1667, SB1727, SB1760, SB1789, SB1791, SB1804, SB1806, SB1851, SB1868, SB1870, SB1901, SB1923, SB1927, SB1951, SB1960, SB1962, SB2010, SB2023, SB2024, SB2037, SB2051, SB2052, SB2056, SB2066, SB2122, SB2129, SB2180, SB2183, SB2185, SB2207, SB2226, SB2252, SB2323, SB2361, SB2368, SB2405, SB2420, SB2425, SB2569, SB2717, SB2949, SB1, SJR36, SJR50, SJR39, SJR63, SJR68, SCR12, SCR39, SCR38, SCR37, SCR42, SCR29, SB1596, SB33, SB505, SB37, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1539, SB1505, SB583, SB957, SB1502, SB507, SB1026, SB1349, SB1433, SB1434, SB264, SB1364, SB1376, SB1585, SB1772, SB2016, SB1163, SB619, SB1122, SB1877, SB732, SB731, SB397, SB508, SB1436, SB964, SB287, SB2143, SB261, SB1247, SB1882, SB618, SB393, SB2243, SB2226, SB1919, SB1791, SB22, SB651, SB1080, SB826, SB1079, SB1243, SB1504, SB1851, SB1879, SB2237, SB1257, SB2034, SB1522, SB1151, SB596, SB1191, SB226, SB570, SB870, SB991, SB60, SB1401, SB1728, SB586, SB529, SB217, SB209, SB1923, SB1839, SB387, SB1874, SB1872, SB1873, SB1921, SB1883, SB1620, SB1838, SB2024, SB2429, SB1999, SB511, SB2309, SB2166, SB510, SB2420, SB1860, SB1314, SB1398, SB855, SB2425, SB2037, SB1759, SB1924, SB1818, SB1762, SB1968, SB1977, SB2077, SB2321, SB1662, SB1663, SB2124, SB2204, SB1855, SB863, SB2252, SB1962, SB2253, SB825, SB1577, SB1184, SB2018, SB2206, SB1901, SB2368, SB1963, SB1960, SB1643, SB1625, SB1299, SB841, SB668, SB584, SB231, SB1085, SB2431, SB2231, SB1490, SB530, SB1261, SB552, SB1099, SB1646, SB2180, SB1804, SB1937, SB1936, SB2569, SB1372, SB1506, SB1806, SB1868, SB2361, SB2314, SB769, SB1409, SB2122, SB434, SB1214, SB1951, SB2183, SB2046, SB1667, SB1870, SB1727, SB2405, SB2127, SB1975, SB1760, SB1734, SB1335, SB2066, SB2129, SB2246, SB2439, SB1624, SB1244, SB1468, SB2717, SB1612, SB1262, SB604, SB2395, SB2185, SB1832, SB1745, SB1746, SB2207, SB2023, SB1784, SB1524, SB626, SB528, SB437, SB269, SB1137, SB968, SB636, SB747, SB1325, SB1789, SB1455, SB2056, SB75, SB1940, SB2052, SB1927, SB2010, SB1579, SB2068, SB3034, SB844, SB1920, SB1177, SB1558, SB1236, SB1044, SB926, SB884, SB463, SB331, SB227, SB240, SB517, SB1200, SB1410, SB1626, SB1845, SB1863, SB2216, SB2681, SB1717, SB2053, SB546, SB2141, SB2949, SB2323, SB2200, SB2332, SB2199, SB1642, SB1150, SB1757, SB2050, SB1138, SB2051, SB2626, SB2458, SB1864, SB30, SB2201, SB1862, SB1583, SB1055, SB2660, SB1898, SB2662, SB2161, SB2964, SB2881, SB1065, SB801, SB2743, SB2533, SB1413, HJR4, SB2073, SB3014, SB3013, SB2774, SB2702, SB2629, SB2443, SB2349, SB2167, SB2145, SB2121, SB758, SB648, SB647, SB512, SB438, SB1721, SB2268, SB1495, SB2705, SB2366, SB1422, SB1369, SB1013, SB682, SB2692, SB2570, SB2797, SB2111, SB1896, SB1164, SB1020, SB663, SB2371, SB1152, SB2196, SB2383, SB2581, SB2798, SB330, SB646, SB843, SB1998, SB1418, SB2788, SB1169, SB2873, SB1754, SB1534, SB1718, SB2779, SB2004, SB1143, SB1756, SB912, SB2119, SB2032, SB527, SB1580, SB1952, SB2601

Keywords: SCR 37, Senate Concurrent Resolution, Panama Canal, Texas ports, port infrastructure, maritime trade, shipping lanes, supply chain resilience, global commerce, exports, LNG, liquefied natural gas, crude oil, refined petroleum, agriculture, manufacturing, economic development, trade policy, foreign policy, diplomatic engagement

Transcript Highlights:

• are delivered and used by physicians, as we know, physician assistants, dentists, podiatrists, chiropractors

Bills: HB2050, HB2082, HB2176, HB2195, HB2202, HB2307, HB2584

Keywords: radiologic technologist, radiologist assistant, radiology, imaging, x-ray, diagnostic x-ray, fluoroscopy, mammography, computed tomography, CT technologist, nuclear medicine technologist, bone densitometry, radiation safety, radiation licensing, scope of practice, health workforce, rural health care, critical access hospital, supervision, telehealth

Summary: The committee approved the minutes and then heard House Bill 2050, which updates Department of Health Services rules for radiologic technologists and radiologic assistants. The bill changes school accreditation and training requirements, reduces clinical hours, revises supervision and scope-of-practice rules, adjusts fees, and removes radiologic technologists from the telehealth health care provider definition. Testimony from a radiologic technologist supported the bill as an update to outdated standards and a response to workforce shortages, while a nurse practitioner supported the section allowing NPs to use diagnostic x-ray machines under nursing board standards. HB 2050 passed 7-0 with a do-pass recommendation. The committee then considered House Bill 2082, which creates a Childhood Cancer and Rare Childhood Disease Research Commission and expands the research fund to include appropriations, gifts, donations, and federal grants. An amendment shifted grant-awarding authority to the DHS director, required the commission to set criteria and review applications, and added public meeting requirements; it also tied funding to at least $5 million in available resources and removed the return-on-investment reporting requirement. Supporters said the bill would strengthen pediatric cancer research and leverage an underused funding source, though members raised concerns about oversight. The bill was amended and then passed 7-0. House Bill 2176 and House Bill 2195 both dealt with DHS licensing and complaint-investigation procedures for health care institutions and nursing care institutions. HB 2176 allows DHS to deny licenses or ownership changes based on serious prior licensing problems or safety risks, and it sets notice, investigation, and deficiency-statement rules; speakers from public health and hospital groups supported it as improving transparency and preventing bad actors from cycling through ownership. HB 2195 limits DHS access to certain personnel records, requires deficiency statements within 10 business days, and bars investigations of incidents older than 12 months; an amendment delayed implementation to July 1, 2027 and added corrective-plan and off-site review provisions. Both bills passed 7-0 as amended. The committee also approved House Bill 2202, which appropriates $300,000 annually for a dementia care tele-mentoring program to train providers statewide, especially in rural and underserved areas. The Alzheimer’s Association and a patient with younger-onset Alzheimer’s testified that the program would improve early diagnosis and care, though one senator opposed state funding on the view that medical schools should teach the material. HB 2202 passed 6-1. Finally, House Bill 2307, addressing placement for dangerous, incompetent, non-restorable defendants when secure state hospital beds are unavailable, drew the most debate. An amendment replaced out-of-state placement with a temporary, limited-use solution involving up to three beds at the Arizona State Hospital forensic campus, created a study committee, and shifted some non-psychiatric costs to counties; counties and hospital stakeholders opposed the county-cost language, while sponsors and DHS said the measure was an emergency stopgap. The amended bill passed 4-3. The committee then passed House Bill 2584 4-3, which prohibits public funds from being used for genetic sequencing equipment from foreign adversary countries or entities; supporters framed it as a national security measure, and opponents voted no. The committee then adjourned.

Transcript Highlights:

• I'm researching a little bit about the gentleman out of Las Vegas who lost his license as a chiropractor

Bills: SB1406, SB1681, SB2480, SB2721

Keywords: body donation, medical science, forensic science, willed body program, informed consent, boarding home, boarding home facility, adult care home, group home, assisted living, county reporting, municipal reporting, annual report, reasonable accommodation, fair housing, disability accommodation, local ordinance, permit requirement, Texas Health and Human Services Commission, HHSC

Transcript Highlights:

• I know facilities, but I'm curious about, you know, nurse practitioners, physicians, chiropractors, you
• I know facilities, but I'm curious about, you know, nurse practitioners, physicians, chiropractors, you
• practitioners,<00:09:24.160> physicians, practitioners, physicians, practitioners, physicians, chiropractors
• 25.920> know,<00:09:26.080> those<00:09:26.720> if<00:09:26.880> if chiropractors
• , you know, those if if chiropractors, you know, those if if their<00:09:27.519> reimbursement

Keywords: 924, joint, all

Transcript Highlights:

• damage to a car and it's some soft tissue injury, and the person goes for five treatments to see a chiropractor
• Their physical therapy and chiropractor payment management are billing at rates that are, as was discussed

Bills: SB 30, SB 517, SB 1313, SB 1314, SB 1316, SB 1541, SB 1698, SB 1845, SB 1860, SB 2420, SB 2429

Keywords: gambling, criminal offenses, penalties, defense, electronic devices, tobacco advertising, youth protection, public health, criminal offense, retailer regulation, e-cigarettes, nicotine products, health, public safety, regulation, advertising restrictions, health and safety, elections, election audit, county elections

Summary: The Senate Committee on State Affairs convened to discuss several critical pieces of legislation including SB30 and SB38. Senator Betancourt introduced a committee substitute for SB38 which underwent a smooth adoption process, moving it favorably toward the Senate. The meeting featured a mix of invited testimonies where both proponents and opponents took the floor. One notable highlight included a testimony from Melissa Casey, who criticized the current legal state as prone to fraud and detrimental to both insurers and the public at large, contending that it inflated insurance costs across the board. The discussions delved deeply into the implications of the bills on judicial processes and potential insurance ramifications, with spirited debates surrounding issues of non-economic damages and jury rights. The atmosphere remained engaged as committee members heard varied perspectives on the bills, showcasing a robust democratic process. The meeting underscored the importance of public testimony in shaping legislation, ensuring that multiple voices were considered as the committee pressed on towards making decisions that affect the legal landscape of Texas.

Transcript Highlights:

• I am a practicing chiropractor for nearly 40 years.

Keywords: 995, all

Summary: The Joint Committee on the Judiciary held a hearing on a wide range of state, probate, and family bills, with chairs Edwards and Day outlining strict testimony limits and accepting written testimony. Early testimony focused on H. 1911/S. 1138, which would clarify that a durable power of attorney may create a trust if that authority is expressly granted; sponsors and elder law advocates said the bill would resolve uncertainty created by the Barbetti decision and align Massachusetts with other states. A major portion of the hearing centered on S. 1102, a proposal to establish medical panels in Probate and Family Court. Supporters, including attorneys, parents, physicians, and advocates, said neutral three-doctor panels would help judges resolve disputed medical issues in guardianship and custody cases involving children, elders, and people with disabilities. Testifiers described cases where medical treatment was blocked or contested by one parent or guardian, arguing the panels would provide impartial expertise and protect vulnerable people. The committee also heard support for bills addressing disability discrimination in family court, military parents’ custody rights, and a shared parenting bill, H. 1710, which drew strong opposition from domestic violence advocates and others who said a 50-50 presumption could harm survivors and children. The committee also took testimony on several probate and court-administration measures. Senator Lovely supported a bill on nominee trust partition, and Senator Comerford and probate officials backed legislation to codify additional registry staff positions and modernize registry operations. Other bills discussed included foster care liability insurance, with providers warning that rising premiums and loss of coverage could force program closures; health care proxy storage and activation; access to decedents’ email accounts; uniform trust decanting; the Uniform Voidable Transactions Act; heirs’ property partition protections; a constitutional right to health care; alimony-related reforms; child-centered family law; and a right of disposition for funeral arrangements. No votes were taken during the hearing, and the committee repeatedly invited written testimony and follow-up questions.