Transcript Highlights:

• progressive levels of care.
• living, skilled nursing, memory care, and rehab services. and hospice.
• The delivery of long-term care, like other sectors of health care, continues to evolve.
• their CCRC certificate because of an outdated definition of continuing care.
• Continuing care is not clear in the statute.

Bills: SB500, SB1522, SB1137, SB1266

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Transcript Highlights:

• House File 1916 introduces essential safeguards to Minnesota's child care system.
• despite those Child Care Centers visited despite those Child Care Centers receiving<00:20:13.679><c>
• ><c> or</c><00:21:27.360><c> early</c> in child care assistance funds or early in child care assistance
• It is to provide help for child care facilities, right?
• It is to provide help for child care facilities, right?

Bills: HF1169, HF1916

Keywords: child protection, child welfare, paperwork reduction, social services information system, SSIS, Department of Children, Youth, and Families, foster care, children in placement, county social services, Tribal governments, private child placing agencies, case management, administrative burden, information technology, human services, welfare administration, Minnesota tribes, child care assistance, CCAP, program integrity

Transcript Highlights:

• </c><00:48:23.119><c> provider</c> payments to a child care provider payments to a child care provider
• child care provider.
• child care provider.
• child care provider.
• We turned it the Great Start Child Care Tax Credit and dependent care credit because the dependent care

Bills: HF1, HF1384

Keywords: Office of Inspector General, inspector general, legislative audit, fraud prevention, waste and abuse, public funds, grant oversight, state grants, grant management, whistleblower protection, retaliation, subpoena power, data practices, government transparency, accountability, law enforcement referrals, sanctions, debarment, payment withholding, public assistance fraud

Transcript Highlights:

• child care assistance.
• older care and learning.
• how to manage my care.
• . care. care.
• </c> type of care from county officers. type of care from county officers.

Bills: HF3665, HF3002, HF4217, HF4125, HF4174

Keywords: foster care, early childhood education, child care programs, placement plan, social services, extended foster care, kinship care, relative custody, permanent legal and physical custody, Northstar kinship assistance, independent living plan, transition services, youth aging out of care, medical assistance, Medicaid, child welfare, children youth and families, out-of-home placement, case plan, relative placement

Transcript Highlights:

• Our workers need child care to get to work.
• Those three things include housing, child care, and employment.
• providers and family licensed family child care providers.
• subsidy, such as Working Connections Child Care.
• ECEAP expansion has the potential to greatly strengthen child care.

Bills: HB2099, HB2317, HB2318, HB2350

Keywords: military families, early childhood education, access, assistance program, education equity, HB2317, early learning, child care licensing, day care, preschool, Head Start, DCYF, Department of Children, Youth, and Families, Washington State, RCW 43.216, child care center, family home provider, family child care, outdoor nature-based child care, school-age child care

Summary: The Early Learning and Human Services Committee held public hearings on several bills focused on early learning access and disability services. House Bill 2317 would exempt certain ECEAP and Head Start programs located in public school buildings or on public school property from DCYF child care licensing when they operate part-day or school-day. Staff explained the current licensing requirements, and the prime sponsor and testifiers from Head Start, ECEAP, and private school groups said the bill would reduce duplicative oversight, delays, and costs while helping expand preschool access. House Bill 2099 would expand ECEAP eligibility for military families and add prioritization factors for deployed and single custodial military parents; the sponsor and multiple advocates, including military and early learning organizations, said military families face unique child care, housing, and readiness challenges and need better access to preschool slots. House Bill 2350 would require DSHS to notify residents, guardians, and family members when a residential habilitation center is found out of compliance with federal CMS requirements; the sponsor and disability advocates said the bill would improve transparency and help families respond to safety and care concerns. The committee also heard House Bill 2318, which would allow ECEAP and Head Start children to count toward the 5% participation threshold needed for Early Achievers quality improvement awards. The sponsor said the change would provide modest additional funding to providers serving high-need children and help support child care programs with thin margins. Testifiers from a remote nonprofit child care center and the Head Start/ECEAP association said the current rule can discourage providers from enrolling ECEAP children because it can jeopardize award eligibility, and that the bill would remove an unintended barrier without changing the program’s purpose. No votes were taken; each bill was heard and then the committee moved on or closed the hearing.

Transcript Highlights:

• </c> past we have seen Managed Care past we have seen Managed Care organizations<00:35:39.760><c> not
• I see them relying on medical assistance for their health care coverage to access primary care.
• care system money.
• primary care provider.
• </c><01:23:48.000><c> care</c> assertive assertive community care care assertive assertive community

Bills: HF1005

Keywords: health insurance, medical assistance, behavioral health, reimbursement rates, primary care services, physician fee schedule, managed care, residential services, 1183, house

Transcript Highlights:

• Health care facility.
• , which is a barrier to care.
• the volume of care rather than the quality of care. provided.
• care, fee-for-service, to paying for health care that keeps people healthy.
• care.

Bills: HB35, HB138, HB754, HB1314, HB1612, HB2254, HB2510, HB2789, HB3560, HB3597, HB4224, HB4273, HB4643, HB4783, HB138

Keywords: peer support, first responders, mental health, confidentiality, emergency services, health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, human trafficking, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting

Transcript Highlights:

• and whereas in the aftermath of the Oklahoma City bombing, Doctor Craig selflessly provided nightly care
• we not only remember; we recommit ourselves to that standard to live with the greater kindness to care
• Senator Paxton, would you care to close debate? He weighs clerk, please open the roll.
• Senator Green, would you care to close debate? Thank you, Mr. President.
• And so we have to be very careful in the ways in which we implement this specific policy.

Bills: HB1675, HB3242, HB1739, HB3320, HB3047, HB4434, HJR1089, HB4432, HB3718, HB3705, SR43, HB1933, HB4248, SB1847, SB1778, HJR1086, HB3001, HB3002, HB3003, HB3004, HB3005, HB3007, HB3008, HB1590, HB1242, HB3818, HB4305, HB1979, HB1225, HB3931, HB4454, HB3849, HB1746, HB3720, HB4275, HB4300, HB3586, HB2268, HB3755, HB4117, HB4294, HB3650, HB4298, HB3270, HB3145, HB3056

Keywords: emergency management, severe weather, youth camp, summer camp, overnight camp, day camp, outdoor education, adventure camp, wilderness program, campground safety, tornado preparedness, flooding, flash flood, high winds, hail, lightning, extreme heat, extreme cold, wildfire smoke, evacuation plan

Transcript Highlights:

• Craig selflessly provided nightly care to first responders and recovery personnel, exemplifying extraordinary
• .. ...not only remember, we recommit ourselves to that standard, to live with greater kindness, to care
• Senator Paxton, would you care to close debate? He waves. Clerk, please open the roll.
• Senator Green, would you care to close debate? Thank you, Mr. President.
• And so we have to be very careful in the ways in which we implement this specific policy.

Bills: HB1675, HB3242, HB1739, HB3320, HB3047, HB4434, HJR1089, HB4432, HB3718, HB3705, SR43, HB1933, HB4248, SB1847, SB1778, HJR1086, HB3001, HB3002, HB3003, HB3004, HB3005, HB3007, HB3008, HB1590, HB1242, HB3818, HB4305, HB1979, HB1225, HB3931, HB4454, HB3849, HB1746, HB3720, HB4275, HB4300, HB3586, HB2268, HB3755, HB4117, HB4294, HB3650, HB4298, HB3270, HB3145, HB3056

Keywords: emergency management, severe weather, youth camp, summer camp, overnight camp, day camp, outdoor education, adventure camp, wilderness program, campground safety, tornado preparedness, flooding, flash flood, high winds, hail, lightning, extreme heat, extreme cold, wildfire smoke, evacuation plan

Summary: The Senate convened with a quorum, opened with prayer and pledges, and recognized several visiting groups and honorees, including students from Wesleyan Christian School, Claremore Day participants, and a tribute to Dr. J. Craig for his Marine Corps service, chiropractic career, and aid to first responders after the Oklahoma City bombing. The chamber also welcomed a Cricket Oak High School AFJROTC unit and the Lincoln Christian wrestling team, both recognized for recent achievements. The Senate then adopted Senate Resolution 43 commemorating the 31st anniversary of the Oklahoma City bombing and honoring victims, survivors, and first responders. The Senate took up House Bill 1933, first rescinding prior action and then adopting a floor amendment to correct a drafting error and shift a penalty provision; the bill then passed 47-0. House Bill 4248, which would require purchasers of hemp beverages to be 21 and treat them similarly to beer for age purposes, passed 45-0 after brief discussion about whether it had medical implications. The Senate also adopted House amendments to Senate Bill 1847, described as a compassion bill that would have saved the state money, and passed it 35-11 before later approving it as an emergency measure with 43 ayes. The chamber next adopted House amendments to Senate Bill 1778, a major literacy bill adding early intervention, teacher training, and optional early ELA testing for second graders, along with good-cause exemptions; it passed 43-2 and then as an emergency measure. The Senate also passed House Joint Resolution 1086, approving rules from several agencies, by 42-4. Finally, the Senate advanced and passed a series of sunset-extension bills for boards and councils, including the Child Death Review Board, county government training commission, Board of Chiropractic Examiners, Board of Examiners in Optometry, Oklahoma Climatological Survey, several environmental advisory councils, and the Board of Tests for Alcohol and Drug Influence, with most later receiving emergency passage. The Senate concluded with announcements of upcoming committee meetings and adjourned until April 25, 2026 at 1:30 p.m.

Transcript Highlights:

• Then we have the first portion, which is the child care center parent access.
• Then we have the first portion, which is the child care center parent access.
• Then we have the first portion, which is the child care center parent access.
• </c> child is in attendance at a child care child is in attendance at a child care center<00:09:06.880
• </c><01:21:47.040><c> that</c> but I really want to be careful that but I really want to be careful that

Bills: HF2078, HF777, HF841, HF1112, HF1098, HF1926

Keywords: child care, day care, child care center, licensing, license requirements, parent access, guardian access, custody order, court order, furnishings, equipment standards, learning materials, early childhood education, infant care, toddler care, preschool, school-age child care, play materials, sensory materials, gross motor equipment

Transcript Highlights:

• an emergency measure that allows individuals who do not receive supervisory, personal, or directed care
• assisted living resident, not be required to have a service plan or any sort of long-term health or care
• facility the full full breadth to ensure that their patient, their, their resident who is under their care
• establishes standards for optometrists to conduct eye examinations according to community standards of care
• not ophthalmologists, but optometrists probably do about 90% of what would be considered basic eye care

Bills: SB1023, SB1145, SB1242, SB1247

Keywords: optometrists, eye exams, eyeglass prescriptions, healthcare, vision care, behavior analysis, licensing, psychologist examiners, state regulations, committee authority, mental health, court-ordered treatment, outpatient treatment, audiovisual technology, secure facilities, evaluations, guardian powers, patient rights, assisted living, occupants

Transcript Highlights:

• And I have you as Alec Mendoza, Texans Care for Children, Texans Care for Children, and you're for the
• any delays in medical care can cause significant health issues for children.
• She shared she was no longer trans, no longer in DCS care.
• I don't care, we're good. Laura Miller.
• I care about you.

Bills: HB 2646, HB 3941, HB 5153, HB 5155, HB 5394, HB 1106, HB 426, HB 4529, HB 3984, HB 4273, HB 1097, HB 3940, HB 1941, HB 4377, HB 3153

Keywords: child care, task force, high-quality care, affordability, prekindergarten partnerships, foster care, transitional living, Medicaid reform, youth assistance, independent living, services for youth, employment training, educational support, mental health services, health care, public health, child health program, reimbursement, local health entities, maternal health

Transcript Highlights:

• If you are here. ...here to support or oppose a bill, but you don't care to testify, you can indicate
• heard last week that relates to the video recording of a deposition taken of the testimony of certain elderly

Bills: HB867, HB1347, HB1801, HB1820, HB2197, HB2617, HB3110, HB3166, HB3330, HB4237, HB4342, HB4629, HB4933, HJR148

Keywords: criminal case dismissal, attorney discretion, law enforcement misconduct, judicial approval, evidence, judicial consent, transparency, healthcare, Medicare, insurance, elderly, retired, benefits, access, cost, criminal justice, case dismissal, prosecutorial discretion, law enforcement oversight, criminal procedure

Transcript Highlights:

• How did he... exploit the elderly?
• An elderly person didn't like it, and the elderly person called the police.
• And then being charged with exploitation of the elderly because the elderly doesn't like it.
• To their elderly parent or grandparent inside that facility.
• And one of those is, I don't care how many documents you have.

Bills: HB867, HB1347, HB1801, HB1820, HB2197, HB2617, HB3110, HB3166, HB3330, HB4237, HB4342, HB4629, HB4933, HJR148

Keywords: criminal case dismissal, attorney discretion, law enforcement misconduct, judicial approval, evidence, judicial consent, transparency, healthcare, Medicare, insurance, elderly, retired, benefits, access, cost, criminal justice, case dismissal, prosecutorial discretion, law enforcement oversight, criminal procedure

Transcript Highlights:

• Whose purpose was to create a form used by memory care providers.
• It's just ensuring that a detailed medical information is Being received from the primary care providers
• that one hospice cannot come in and Hijack a patient from another hospice that's already delivering care

Bills: SB667, SB904, SB1344, SB1380, SB1423, SB1425, SB1484, SB1500, SB1502, SB1503, SB1555, SB1561, SB1562, SB1565, SB1572, SB1644, SB1749, SB1833, SB2007, SB2044, SB2074

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, gender transition, gender-affirming care, transgender, puberty blockers, cross-sex hormones, hormone therapy, sex reassignment, transition surgery, Medicaid, public funds, state facilities, state hospital, Oklahoma, intersex, DSD

Transcript Highlights:

• Members, House Bill 1380 is simply requires the Health Care Authority to verify eligibility by checking
• Senate Bill 1425 repeals sections of the Health Care Workers and Educators' Assistance Program and the
• Health Care Workforce Resources Center.
• I believe it's handled right now by the Health Care Authority.
• I believe it's handled right now by the health care authority. Thank you.

Bills: SB667, SB904, SB1344, SB1380, SB1423, SB1425, SB1484, SB1500, SB1502, SB1503, SB1555, SB1561, SB1562, SB1565, SB1572, SB1644, SB1749, SB1833, SB2007, SB2044, SB2074

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, gender transition, gender-affirming care, transgender, puberty blockers, cross-sex hormones, hormone therapy, sex reassignment, transition surgery, Medicaid, public funds, state facilities, state hospital, Oklahoma, intersex, DSD

Summary: The committee heard and advanced a large number of health-related bills, with much of the agenda focused on pharmacy benefit manager (PBM) regulation, Medicaid administration, and health-system cleanup measures. Bills passed included HB 1344 on insulin affordability and state support for low-cost biosimilar insulin manufacturing; HB 1380 requiring the Health Care Authority to check death records to disenroll deceased Medicaid recipients; SB 2007 and SB 2074, both PBM-related measures addressing pharmacist reimbursement, dispensing fees, appeals, and penalties; SB 1572 creating a feasibility study on reorganizing the Department of Mental Health and Substance Abuse Services and temporarily allowing the Health Commissioner to serve in a dual role; and SB 1555 updating the definition of intellectual disability to match the federal definition. Members also approved several bills eliminating or repealing outdated councils and programs, including SB 1423 ending the Hospital Advisory Council, SB 1425 repealing the Health Care Workers and Educators’ Assistance Program and Health Care Workforce Resources Center, and SB 1502 eliminating the Alzheimer Dementia Disclosure Act Advisory Council. Other measures passed included SB 1561 changing EMS discipline to a progressive system, SB 244 and SB 667 making chiropractic language and training cleanup changes, SB 1749 on LP gas inspections for food trailers, SB 1484 requiring more detailed medical information for infant and child death investigations, SB 1562 clarifying hospice patient protections, and SB 1644 creating reporting related to alpha-gal to support possible research funding. The most debated bill was SB 1503, which would expand the Choosing Childbirth Act so nonprofits without an Oklahoma physical address could receive grants to connect women seeking abortions with pregnancy resources. Members questioned whether grant dollars and salaries would stay in Oklahoma, whether reporting and accountability would be sufficient, and whether Oklahoma-based providers could do the work instead. The bill passed 5-2 after the sponsor said he was open to amendments and oversight. SB 1833, codifying a SNAP waiver restricting candy and soft drink purchases, and SB 904, modifying the use of certain state funds and facilities for medical procedures, also drew questions and passed on divided votes. The meeting ended after all listed bills were heard and voted on, with most measures passing unanimously or by wide margins.

Transcript Highlights:

• care and 16 times higher for inpatient care.
• patients to care isn't working as it claims.
• patients to care isn't working as it claims.
• Federal policy shifts, a worsening workforce for primary care, and a severe shortage for primary care
• I'm also part of the health care system.

Bills: SB6226, SB6305, SB5924, SB5990, SB5185, SB5845, SB6071, SB6258

Keywords: SB 6226, Washington, audiology, audiologist, hearing aid specialist, speech-language pathologist, telehealth, teleaudiology, clinical autonomy, clinical judgment, in-person care, remote care, Board of Hearing and Speech, hearing instruments, hearing aids, dispensing hearing aids, standards of care, professional licensure, health professions regulation, patient-centered care

Summary: The Senate Health and Long-Term Care Committee met on January 30 and first moved through executive session on five bills. The committee adopted proposed substitutes and advanced Senate Bills 5999, 5185, 5845, 6071, and 6258 to the Rules Committee, all by voice vote and subject to signatures. SB 5999 would let smaller rural counties appoint an APRN or PA as an acting local health officer; SB 5185 creates a pilot pathway for international medical graduates toward physician licensure; SB 5845 revises timely payment rules for health carriers; SB 6071 standardizes overpayment recovery timelines; and SB 6258 creates a non-disciplinary pathway for relinquishing certain medical licenses. Several sponsors noted that SBs 5845 and 6071 were still being worked on with stakeholders. The committee then held a hearing on SB 6226, which would protect the clinical autonomy of audiologists and require the Board of Hearing and Speech to apply hearing-instrument rules consistently across care modalities, including telehealth. Testimony was overwhelmingly supportive, with witnesses emphasizing teleaudiology’s role in expanding access, especially for rural residents, older adults, and people with mobility challenges. One association witness supported the bill’s goals but warned it could be read too broadly and affect other regulatory standards. The hearing closed with 54 people signed in pro, none opposed, and two other. Next, the committee heard SB 6305, the Truth in Mental Health Coverage Act, which would require carriers to submit standardized annual data to the Office of the Insurance Commissioner on behavioral health coverage, access, reimbursement, utilization, and network participation, with public posting in raw files and dashboards. Supporters said the bill would make parity and access problems visible and help consumers compare plans; the OIC said it supported the transparency approach and was already engaged in parity oversight. Opponents argued the bill was premature given implementation of recent parity legislation and could add burdens without addressing workforce or network adequacy. The hearing closed with 396 signed in pro, two con, and zero other. Finally, the committee heard SB 5924, a proposed substitute expanding pharmacists’ prescriptive authority and limited diagnostic authority for certain drugs and conditions, consistent with a Department of Health sunrise review. Supporters from pharmacy, health care, retail, and rural access perspectives said it would reduce administrative barriers, improve access in underserved areas, and better use pharmacists’ training; some cited examples such as immunizations, contraception, opioid use disorder treatment, and minor illnesses. The Washington State Medical Association opposed the bill, saying it moved away from collaborative practice and needed more time to resolve concerns about coordination, pediatrics, and complex patients. A few testifiers raised objections to psychiatric prescribing or specific drugs, while others asked about reporting back to primary care. The hearing closed with 279 signed in pro, six con, and four other, and the committee adjourned after concluding its business.

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.
• Are they, um, really able to wrap around them and care for them the way that we hope that they can.
• care, it should be considered temporary because parents are working to get their children home.

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.
• I am Kate Murphy, Director of Child Protection Policy at Texans Care for Children.
• 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?
• 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:

• I understand the concerns about ensuring a fair trial, and we care deeply about that.
• Elderly and disabled Texans often face serious challenges when it comes to participating in courtroom
• But we often are so worried about our community that we don't take care of ourselves.
• The second thing is, I've been a critical care nurse for.
• I take care of open hearts, the sickest of the sick. I hold someone's life in my hands.

Bills: HB285, HB795, HB1795, HB1871, HB2407, HB2461, HB2695, HB3507, HB4911, HB200

Keywords: animal cruelty, nonlivestock, prosecution, veterinary defense, animal welfare, aggravated assault, penal code, public servant, deadly weapon, mass shooting, Penal Code, penalties, felony, Texas Penal Code, felony enhancement, first-degree felony, second-degree felony, violent crime, assault punishment, serious bodily injury