Transcript Highlights:

• Military service becomes more worthwhile to pursue when the rewards of that service are valuable.
• Go down the kinds of services that are essential to health care and benefits.
• workers. services to veterans.
• Thank you for your service.
• Including VSOs in TAP would provide transitioning service members with the essential guidance they need

Keywords: veteran services, homelessness, unemployment, VA funding, mental health, congressional oversight, testimonies, American Legion, Dole Act, suicide prevention

Summary: This meeting focused on veteran services, emphasizing the urgent need to address the alarming rate of unemployment and homelessness among veterans. Numerous testimonies were presented detailing the impact of mass furloughs and cutbacks at the VA on personnel, notably veterans who were serving as employees. Various representatives expressed deep concern over how these firings could drastically affect the quality of care available to those who have served the nation. There was a strong call for Congress to bolster funding for existing programs aimed at alleviating veteran homelessness and improving overall care quality, especially in mental health services.

Transcript Highlights:

• It just means that those services all need to have a price associated with them, and that that's essentially
• Everyone's understanding what the services are.
• Everyone's understanding what the services are.
• I know Matt Mack has his bill dealing with autism services, ABA service.
• I know Matt Mack has his bill dealing with autism services, ABA services. That's moving forward.

Bills: SB57, SB405, HB62, HB193, HB203, HB222, HB246, HB420, HB475, HB486, HB574, HB584, HB815, HB949, HB1092, HB1214

Keywords: SB 57, Act 735, Act 463, nutrition, public health, food additives, artificial colors, banned chemicals, ingredient labeling, food labeling, FDA, food and beverage regulation, consumer disclosure, school nutrition, Louisiana Revised Statutes Title 40, Louisiana Revised Statutes Title 17, food manufacturers, food retailers, compliance, effective date delay

Transcript Highlights:

• The Committee on Human Services will come to order. The clerk will call the roll. Chair Hall here.
• Most of these kids also qualify for special education services, so they may have a surrogate parent who's
• Current law requires that the Department of Family and Protective Services to consider several factors
• The parents working to get their services so they can get their child home.
• OK, um, Erica Benuelos, Department of Family and Protective Services neutral on the bill, is that correct

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:

• Academically, most of these kids also qualify for special education services.
• The parents are working to get their services so they can get their child home.
• Erica Banuelos, Department of Family and Protective Services, neutral on the bill. Correct?

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:

• Michelle Dion Valhale, and you were with Health and Human Services Health and Human Services Associate
• , Child Protective Services involved.
• Currently language Access Service employees are housed in Health and Human Services, System Support Service
• That result has been hundreds of families in that area still have no access to these essential services
• services.

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:

• That is an order that is executed by Health and Human Services.
• . welfare services.
• We have previous calls for service at this location.
• Would that be Health and Human Services? Yes.
• So we're growing and expanding our services.

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:

• Currently, language access service employees are housed in Health and Human Services, System Support
• Services in the past 10 years.
• The result has been that hundreds of families in that area still have no access to these essential services
• Access any post-adoption services.
• So essentially.

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:

• These measures are essential to DCT's operations.
• 20.799> DCT's measures are essential to DCT's measures are essential to DCT's operations.<00:21
• So, the amendment uh talks about service So, the amendment uh talks about service start<00:24:37.760
• <00:25:52.400> finance the house human services finance the house human services finance committee
• Until 5 days after service initiation starts.

Bills: HF729

Keywords: human services, provider enrollment, medical assistance, healthcare, housing stabilization, substance use disorder, vulnerable adults, fraud prevention, 1183, house

Bills: HB16

Keywords: judicial administration, court reform, juvenile diversion, court security, mental health services, drug offenses, constitutional amendments, 997, house, all

Transcript Highlights:

• Counseling services, especially in elementary school and middle schools, are essential not only for providing
• Counseling services, especially in elementary school and middle schools, are essential not only for providing
• So providing counseling services to elementary students could help them develop those essential skills
• So providing counseling services to elementary students could help them develop those essential skills
• So providing counseling services to elementary students could help them develop those essential skills

Bills: HF984, HF921, HF922

Keywords: education funding, nonpublic schools, counseling services, guidance services, transportation for students, HF921, tax increment financing, TIF, excess tax increment, school district aid, levy adjustment, property tax levy, education finance, Minnesota education aid, decertification, local government finance, school funding formula, state aid reduction, referendum equalization aid, debt service equalization

Transcript Highlights:

• The Senate Committee on Health and Human Services will come to order.
• Texas and the services.
• Plans that help to maintain competitive markets for vision care services.
• With no cap on out-of-pocket costs, that means essential services like durable medical equipment and
• 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:

• Through these services, we have seen firsthand Through these services, we have seen firsthand how vital
• Texas and the services they provide.
• That means essential services like durable medical equipment and medications can become...
• That means essential services like durable medical equipment and medications can become financially out
• 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:

• With input from the work group, the Health and Human Services.
• For peer services and peer employment by establishing a scope of services that's formal. Thank you.
• by reducing rehospitalization. rates, and a day spent in patient services.
• Increases the use of outpatient services.
• It doesn't change any of the covered services.

Bills: HB2646, HB3941, HB5153, HB5155, HB5394, HB 1106, HB426, HB4529, HB3984, HB4273, HB 1097, HB3940, HB1941, HB4377, HB3153

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:

• The Committee on Human Services will come to order. Call the roll. Chair Hall? Here.
• manually being enrolled, a mother's Medicaid ID is also affected. can and should be used to cover these services
• What we do have is a document, and typically it's going to be an image of a document that has essentially

Bills: HB2646, HB3941, HB5153, HB5155, HB5394, HB 1106, HB426, HB4529, HB3984, HB4273, HB 1097, HB3940, HB1941, HB4377, HB3153

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

Bills: HB414, HB786, HB1041, HB1052, HB1118, HB1139, HB1182, HB1185, HB1214, HB1217, HB1231, SR63, SCR27, SB5, SB194, SB415, SB433, SB451, SB462, SB516

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, Medicaid, claim payments, extrapolation, provider audits, medical freedom, discrimination, access, medical intervention, child protection, confidentiality, multidisciplinary teams, child advocacy centers, public records, investigations, hospital

Transcript Highlights:

• The Senate Committee on Health and Human Services will come to order.
• Again, thank you for your service.
• essentially the same information.
• these services.
• In a Child Protective Services case, you can be ordered into services on something less.

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The committee first reopened testimony on House Bill 2216, which would strengthen child welfare requirements by expanding “active efforts” to help families avoid removal and support reunification, while also raising standards related to removals and terminations. Supporters from child welfare and family defense groups said the bill would better protect families and align Texas more closely with ICWA-style principles, but several warned it would require significant new funding, staffing, and community services such as mental health care, housing, child care, and substance use treatment. The committee then left HB 2216 pending. The committee next heard Senate Bill 1782, aimed at boarding and group homes. Senator Miles said the bill closes enforcement gaps left by prior law by requiring retention of background-check records and creating misdemeanor penalties for failing to conduct or keep them, or for knowingly hiring people with serious convictions. Harris County sheriff’s investigators testified in support, describing illegal boarding homes, operators who evade permits and background checks, and exploitation of vulnerable residents; the bill was left pending. The committee also took up Senate Bill 481 on emergency preparedness for nursing facilities and assisted living facilities, adopted a new committee substitute that softened some requirements and removed the fiscal note, and left the bill pending. The committee then heard House Bill 388, which would require the Texas Department of Insurance to create a single standardized coordination-of-benefits form for dual health plans to reduce errors and surprise bills; it was left pending. Senate Bill 1590 would move paternity registry searches for adoptions to an electronic process with a 10-day target, and House Bill 2809 would track child suicide attempts in managing conservatorship and require related reporting and parental notice; both were left pending. The committee also heard Senate Bill 1887, which would prohibit administering mRNA-containing products for immunization for 10 years, with exceptions for cancer and genetic disorders. Supporters argued the bill was needed for safety, informed consent, and medical freedom, while opponents from the medical, research, and public health communities said mRNA vaccines are well-studied, save lives, and that the bill would harm access, research, and Texas’s biotech economy. The bill remained under discussion as testimony concluded.

Transcript Highlights:

• That service hasn't come easy.
• One of them is preventive services.
• We looked at their service plans.
• in more places, we have prevention services, in-home services, a problem.
• We have more services, in more places, we have prevention services, in-home services, a plethora of laws

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.

Transcript Highlights:

• The committee on Health and Human Services is called to order.
• “My father required private pay services until he passed, and today my mother does.
• With the workforce this large, rigorous accountability is essential.
• And it will restrict access to essential benefits like SNAP and access to health care. ...access to essential
• I mean, we're talking essential life things such as food, shelter, clothing, health.

Bills: HB2048, HB2189, HB2248, HB2403, HB2728, HB2729, HB2730, HB2731, HB2906, HCR2058

Keywords: orders of protection, domestic violence, court procedures, legal guardian, enforcement, healthcare, licensed health aides, scope of practice, ventilator care, training standards, medical freedom, healthcare mandates, employment requirements, public health, government regulation, elderly, physical disabilities, Arizona Health Care Cost Containment System, home and community based services, funding increase

Summary: The committee first heard a presentation from Central Arizona Shelter Services (CASS) on homelessness in Maricopa County and CASS programs for single adults, families, and older adults. The witness described rising homelessness, especially among older adults, and said recent declines were linked to American Rescue Plan Act funding for shelters and flexible rental assistance. Members asked about CASS partnerships with mutual aid and service organizations; the witness described collaborations for food, banking, haircuts, digital access, and behavioral health. No vote was taken on this presentation. The committee then considered HB 2248, the Arizona Medical Freedom Act, which would bar businesses, schools, and government entities from denying services or employment based on medical interventions and limit employer medical requirements, with a school outbreak amendment adopted. Proponents framed the bill as protecting bodily autonomy and informed consent, while opponents argued it would weaken employers’ ability to control communicable diseases and protect public health. The committee adopted the amendment and advanced the bill on a 4-3 vote. It also advanced HB 2906, requiring one oral and maxillofacial surgeon on the State Board of Dental Examiners, and HB 2189, directing the Nursing Board to implement rules for licensed health aides performing routine ventilator care; both passed with amendments and strong support from sponsors and board representatives. Later, the committee approved HB 2403, appropriating $2.5 million in FY2027 for home- and community-based services providers serving elderly and physically disabled Arizonans. Supporters said the funding would help retain caregivers and reduce more expensive hospital or facility care. The committee also passed several continuation bills, including HB 2731 for the Physician Assistants Board, HB 2730 for the Occupational Therapy Board, and HB 2729 for the Nursing Board, all on largely party-line or near-unanimous votes after testimony from board staff emphasizing public protection and oversight. The committee then took up HB 2728, a DES continuation bill that also incorporated nine previously vetoed policy bills affecting SNAP, unemployment, and related benefits. Opponents argued it would make access to essential benefits harder and turn a routine continuation bill into a vehicle for controversial policy changes; supporters said it was needed for oversight and program integrity. The bill advanced on a 4-3 vote. Finally, the committee approved HB 2048, a strike-everything amendment requiring AHCCCS to treat a new non-opioid pain medication no more restrictively than opioids in utilization controls, and ACR 2058, which would require a comprehensive Medicaid claims audit funded by recoveries. Both measures drew support from sponsors and some personal testimony, while opponents warned about cost, duplication of oversight, and incentives that could bias audits; each advanced on 4-3 votes. The committee then adjourned.

Bills: HF3806, HF2687, HF497

Keywords: housing, infrastructure bonds, funding, appropriation, Minnesota Statutes, HF2687, single-family homes, corporate landlords, corporate ownership, real estate investment trust, REIT, landlord registry, landlord database, tenant transparency, housing affordability, homeownership, deed tax, transfer tax, property tax, affordable housing

Transcript Highlights:

• ombudsman, to provide for the duties and responsibilities of the Department of Children and Family Services
• It recreates the Department of Children and Family Services and provides for the necessary technical

Bills: SB237

Keywords: child welfare, Department of Children and Family Services, mandatory reporting, abuse prevention, investigative teams, child ombudsman, forensic interviews, confidentiality

Summary: The House Committee on Health and Welfare met on April 20 and took up Senate Bill 237 by Senator Barrow, a child welfare measure addressing the duties of the state child ombudsman, DCFS, public reporting, confidentiality, critical incident reviews, multidisciplinary investigative teams, forensic interviews, mandatory reporter training, and related child abuse and neglect procedures. Before discussion, the committee reconsidered and withdrew a previously adopted amendment set, then heard the bill re-read and reviewed a new amendment package developed through meetings among Senator Barrow, Representatives Spell and Berault, DCFS, and the ombudsman’s office. Members described the revised bill as narrowing and clarifying several provisions: reducing the number of law enforcement liaisons, limiting death/near-fatality notifications to legislative leadership and committee chairs with later notice to affected district members if substantiated, adjusting medical review language, and adding quality-improvement and training components. Other changes included keeping school-related reports routed to law enforcement, changing some mandatory language to discretionary language for certain child-on-child sexual abuse situations, aligning multidisciplinary team procedures with existing interagency protocols, and making technical revisions to reduce burden and likely lower the fiscal note. The committee also adopted a separate amendment to include recreation language for the Department of Children and Family Services. Senator Barrow and several representatives emphasized that the goal was to improve child protection and review processes while making the bill workable for DCFS and other agencies. They noted the importance of outside review, ombudsman access to records, and using review findings to drive implementation changes. After no objections, the committee adopted the amendment sets and reported Senate Bill 237 favorably with amendments. The meeting then adjourned.