Bills: S0032, S0068, S0210, S0246, S0340, S0418, S0428, S0606, S0628, S1028, S1734

Keywords: injunctions, protection orders, domestic violence, serious violence, court procedures, enforcement, risk protection, statewide communication system, pediatric care, emergency departments, hospital regulations, patient safety, health care standards, public records, violence protection, confidentiality, defamation, specialty license plate, specialty plates, motor vehicle registration

Summary: The Committee on Fiscal Policy met and reported a series of bills favorably, covering health care, public safety, insurance, coastal resilience, juvenile justice, drowning prevention, transportation designations, and beach management. Senator Harrell presented CS/SB 68, requiring hospitals with emergency departments to adopt pediatric emergency care policies, training, designated pediatric readiness personnel, and participation in a national readiness assessment; it passed. Harrell also presented CS/SB 340, requiring nursing students to complete two hours of human trafficking identification training before licensure; it also passed. Senator Sharif’s CS/SB 32 and SB 210, creating a new injunction for protection against serious violence by a known person and the related public records bill, were both reported favorably. Senator Garcia’s CS/CS/SB 302 on nature-based coastal resiliency, Senator Jones’s SB 418 on law enforcement interaction with individuals with autism and the Blue Envelope Program, and Senator Martin’s CS/SB 1734 updating juvenile probation and detention officer definitions and related cost-share language were also approved. The committee then took up several drowning-prevention measures. CS/SB 606 by Senator Smith would add drowning prevention and safe bathing education to postpartum materials and direct the Department of Health to create standardized materials; an amendment removed a records-retention requirement, and the bill passed. SB 428 by Senator Yarborough would expand the state swim lesson voucher program from children ages 0-4 to ages 1-7; it received strong support from advocates, including a young swim instructor and autism advocates, and passed. The committee also approved CS/SB 246, a specialty license plate bill that was amended to include the UFC plate and a First Responders’ Resiliency Foundation plate, and CS/SB 1028, which revises Citizens Property Insurance and clearinghouse procedures to prioritize admitted carriers and prohibit public funds for the clearinghouse; that bill drew discussion about market competition, Citizens’ exposure, and potential impacts on policyholders. Additional measures reported favorably included SB 628, designating a portion of South Navy Boulevard in Pensacola as Warrior Sacrifice Way to honor the sailors killed in the 2019 Naval Air Station Pensacola attack, and CS/SB 636 on beach management, which would create a proactive pathway for coastal communities to obtain erosion-related designations and align with federal programs. Beach industry testimony supported the bill’s intent but raised concerns about perpetual easements and funding shortfalls. At the end of the meeting, members recorded additional votes on selected bills, and the committee adjourned.

Transcript Highlights:

• Under the Open Government Sunset Review Act, the public records exemption for specific examinations and
• Under the Open Government Sunset Review Act, the public records exemption for specific examinations and
• Under the Open Government Sunset Review Act, the public records exemption for specific examinations and
• Under the Open Government Sunset Review Act, the public records exemption for specific examinations and

Bills: S0330, S0526, S0862, S1072, S1078, S1192, S1250, S1296, S1298, S1642, S1698, S7022

Keywords: firefighter disability, law enforcement disability, correctional officer disability, correctional probation officer, presumptive disability, workers' compensation, line of duty presumption, heart disease presumption, hypertension presumption, tuberculosis presumption, public safety employees, first responders, physical examination, preemployment exam, medical specialist, Medicare reimbursement, employing agency, Florida Statutes 112.18, Florida Statutes 943.13, occupational disease

Summary: The committee heard several bills and confirmations, with most measures reported favorably. Senate Bill 330 clarified the heart disease presumption for firefighters, law enforcement, and correctional officers, codifying the medical definition of heart disease and allowing transferring law enforcement officers to rely on a prior physical if a new agency does not provide one. Support was waived in by the Florida Smart Justice Alliance and the Fraternal Order of Police, and the bill passed unanimously. Senate Bill 526, as amended by a delete-all amendment, addressed commercial construction contracts, permit standards, fee reductions when private providers are used, floodproofing, product approval categories, and adoption of certain electrical code standards; it drew support from several construction and business groups and one opposing appearance, then was reported favorably. Senate Bill 1192 created a pilot program for callback queues at the Department of Commerce and Department of Children and Families to reduce hold times for callers seeking re-employment assistance and public benefits, and it also passed favorably. Senate Bill 1078 established transition procedures for a governor-elect, including agency liaisons, briefing materials, office space, and access to records; an amendment shifted IT support to the Department of Management Services, narrowed access to confidential records, and increased penalties for unauthorized disclosure, after which the bill was approved. Senate Bill 7022 extended a public records exemption for classroom examinations and assessment instruments through 2031 and expanded coverage to school district boards and public schools; it was also reported favorably. Senate Bill 862, as amended, set a $60,000 salary goal by 2030 for state correctional officers, probation officers, and institutional security specialists, with annual raises subject to appropriations; members and witnesses emphasized recruitment, retention, and safety, and the bill passed. Senate Bill 1250 removed the requirement that the Commission on Human Relations use registered mail for certain notices under the Florida Civil Rights Act, allowing less expensive notice methods, and it was reported favorably. Senate Bill 1698 allowed certain employers to post required workplace notices electronically instead of physically, and it passed without opposition. The committee also recommended confirmation of 10 appointees to the Florida Commission on Human Relations and the State Retirement Commission. The most extensive debate centered on Senate Bill 1072, which created an anti-Semitism task force within the Department of Legal Affairs to review anti-Semitism in Florida, improve community relations, advise on law enforcement training, assess digital media literacy efforts, evaluate hate crime statutes, and recommend policy changes. The sponsor said the bill was intended to address a growing problem and noted that Florida already uses the Holocaust Remembrance definition of anti-Semitism in statute. Numerous speakers opposed the bill, arguing it could chill protected speech, especially criticism of Israel, and could be used selectively against students, activists, Muslims, Arabs, and Jewish anti-Zionists; several also said existing hate-crime and civil-rights laws were sufficient and that the task force should include protections against Islamophobia and anti-Arab hate. One member raised concerns about the constitutionality of creating such task forces in light of prior actions by the Attorney General. Despite the opposition, the bill was reported favorably on a party-line style vote with Senator Bracey Davis voting yes along with the majority. Senate Bill 1642, the Freedom in the Workplace Act, was also heard and drew significant questioning. The bill would bar public employers and contractors from requiring pronoun use, certain gender-identity-related training, or non-binary sex options on forms, and would protect employees and contractors from adverse action based on religious, moral, conscience-based, or biology-based beliefs. Senator Polsky questioned whether the bill could interfere with anti-harassment training and workplace discipline, while the sponsor said the measure was meant to prevent government coercion and extend protections similar to those in school settings. The transcript cuts off before the final disposition of this bill.

Transcript Highlights:

• It creates a statewide sexual assault nurse examiner coordinator. Thank you, Mr. Chairman.
• It establishes a statewide sexual assault nurse examiner coordinator for the state of Louisiana, housed
• The goal of HB 1247, again, is to create a statewide framework for sexual assault nurse examiners, thereby
• written documentation as it relates to these examinations.
• It doesn't require any kind of actual interrogation of witnesses and cross-examination.

Bills: HR9, HB709, HB1011, HB1057, HB1186, HB1245, HB1247, SB49, SB425, SB479

Keywords: human rights, individual liberties, Magna Carta, constitutionalism, free speech, Uniform Construction Code, building code, construction code, inspector licensing, building inspectors, plans examiners, public inspector, private inspector, private inspector company, building official, code enforcement, Louisiana Uniform Construction Code Commission, state fire marshal, International Building Code, International Residential Code

Bills: HB85, HB94, HB276, HB323, HB374, HB586, HB656, HB998, HB1204, SB42, SB46, SB51, SB87, SB110, SB154

Keywords: animal abuse, registry, law enforcement, felony offenses, public notification, firearms, due process, confiscation, law-abiding citizen, government funding, self-defense, bail, contradictory bail hearing, Gwen's Law, pretrial detention, criminal procedure, child sexual abuse, child rape, sexual battery, oral sexual battery

Bills: HR38, HR96, HR160, HCR31, HCR61, HB578, HB668, HB1198, SCR19, SB66, SB68, SB76, SB139, SB336, SB475

Keywords: privacy rights, surveillance, USA Patriot Act, FISA, Fourth Amendment, civil liberties, government oversight, civil bench warrants, judgment debtors, notification process, judgment debtor examination, Louisiana State Law Institute, property transfer, public records doctrine, bad faith, real estate law, HCR 31, House Concurrent Resolution 31, foreign entities, foreign corporation

Bills: SB1328, SB1380, SB1436, SB1558, SB1572, SB1651, SB1805, SB1831, SB1836, SB2014, SB2023, SB2044, SB2179, SB933

Keywords: parents' rights, healthcare consent, minors, medical records, protection, legal guardianship, hospital, fetal death, miscarriage, healthcare, state health department, vital records, patient rights, child care, licensing, definitions, foster care, child welfare, mental health, substance abuse

Bills: SB1017, SB1149, SB1162, SB1192, SB1249, SB1253, SB1331, SB1333, SB1334

Keywords: informed consent, surgical procedures, healthcare professionals, patient rights, regulatory compliance, child welfare, dependency hearings, foster care, court procedures, parental rights, healthcare compliance, behavioral health technicians, licensing, monitoring, administrative burdens, basic first aid, good samaritan, medical licensing exemption, Arizona medical board, A.R.S. 32-1421

Summary: The Senate Health and Human Services Committee opened with approval of the January 28 and 29 minutes and a welcome to Arizona Physical Therapy Day at the Capitol, including remarks from physical therapy advocates and students. The committee then took up several bills related to SNAP, health care oversight, child welfare, dementia planning, and safe haven newborn surrender. On SNAP, SB 1334 would bar DES from seeking or renewing federal waivers of work requirements for able-bodied adults without dependents unless authorized by law; it passed 4-1. SB 1333 would require DES to reduce the SNAP payment error rate to 3% by 2030, with regular reporting, corrective action plans, and possible funding penalties; an amendment changed the reporting to quarterly and required a special audit, and the bill passed 4-1 as amended. SB 1331 would require able-bodied adults under 60 receiving SNAP to participate in mandatory employment and training unless exempt; testimony split between supporters citing work incentives and opponents warning of administrative burden and impacts on families and food banks, and it passed 4-2. The committee also advanced SB 1162, which clarifies DHS as the lead licensing and monitoring agency for health care institutions and, as amended, requires DHS and AHCCCS/Access to coordinate to identify duplicative oversight and report back periodically; it passed unanimously. SB 1017, requiring signatures on emergency informed consent forms for surgical procedures, passed 4-2. SB 1149, dealing with DCS periodic review hearings and notice/reporting requirements, including for tribal parties, passed 5-1. SB 1249, which designates DHS as the lead agency on Alzheimer’s and dementia planning and creates a dementia services program funded through lottery monies under the adopted amendment, passed unanimously after emotional testimony from advocates and family members. Finally, SB 1253, clarifying that a parent may surrender a newborn at the hospital of birth without leaving and returning, passed 5-0. The committee then adjourned.

Bills: HB198, HB303, HB1535, HB2742, HB3305, HB3348, HB3505, HB3711, HB4753, HB2715, HB21, HB30

Keywords: HB 198, Wade Cannon Act, firefighter cancer screening, occupational cancer screening, fire protection personnel, local government, political subdivision, Texas Commission on Fire Protection, National Fire Protection Association, NFPA standards, occupational medical examination, public safety, firefighter health, cancer prevention, annual health screening, confidential medical exam, pulmonary function test, electrocardiogram, chest x-ray, blood test

Summary: The Committee on Local Government heard and discussed a series of House bills dealing with municipal structure, tax payment timing, local provider participation funds, firefighter cancer screenings, sunset review of the Trinity River Authority, replacement certificates of occupancy, and open meetings enforcement. HB 303 would remove the 501-resident floor so very small type A and B municipalities can convert to type C cities; HB 2742 would give property owners a later first split-payment deadline when tax bills are mailed after November 30; HB 3305 and HB 3348 were local provider participation fund measures with committee substitutes; HB 198 would require political subdivisions to offer occupational cancer screenings for firefighters; HB 1535 was a sunset bill for the Trinity River Authority; HB 4753 would allow a municipality-issued proof of a certificate of occupancy to substitute for a lost original; and HB 3711 would treat certain Open Meetings Act violations as offenses against public administration and require public explanation when prosecutors decline to act. Testimony was generally supportive or limited, with several witnesses and senators emphasizing practical fixes, firefighter health and cost savings, local government transparency, and administrative cleanup. For HB 198, firefighter representatives gave emotional testimony about cancer deaths and the value of early screening. On HB 3711, a witness supported the bill but urged stronger enforcement and broader application. Several senators raised policy concerns on HB 2715 about routing removal proceedings through a regional presiding judge rather than the local county, arguing it could politicize the process. The committee took no public testimony on most bills and repeatedly left them pending subject to call of the chair before later voting them out. HB 21, HB 30, HB 1535, HB 1520, HB 198, HB 303, HB 2742, and HB 4753 were reported to the full Senate, generally by unanimous or near-unanimous votes, and several were also recommended for the local and uncontested calendar. HB 30 passed on a 5-1 vote, while the other reported bills were approved unanimously or with no recorded opposition. The committee then recessed subject to the call of the chair.

Transcript Highlights:

• Then after the verdict, I got a call a few weeks later from the board of medical examiners.
• Well, if there are things that require a physical examination.
• If I have to listen to your heart or lay on hands, or in some way, if you need to do an examination,
• It examined 1.1 million ED visits in the VA system.
• They check out to me, and I examine the patient, I take the history again, and I go over what we thought

Bills: HB35, HB4490, HB4454, HB2188, HB3078, HB4743, HB2556, HB46, HB5342, HB4783, HB3785, HB5278, HB1639, HB2581, HB4224, HB4070, HB4099, HB4882, HB3794, HB46

Keywords: peer support, first responders, mental health, confidentiality, emergency services, disclosure, next of kin, public information, deceased persons, privacy rights, patient solicitation, marketing practices, healthcare regulation, task force, deceptive advertising, nurse aide, certification, Texas Board of Nursing, healthcare workforce, nursing standards

Transcript Highlights:

• Pinkard, Chief Medical Examiner, testifying on behalf of the Travis County Medical Examiner for House
• Keith Pinkard, the Chief Medical Examiner for Travis County.
• We have anywhere from 5,500 to 6,000 decedents come into our office for examination.
• and PIRS examinations.
• and in-person examinations.

Bills: HB46, HB35, HB4490, HB4454, HB2188, HB3078, HB4743, HB2556, HB46, HB5342, HB4783, HB3785, HB5278, HB1639, HB2581, HB4224, HB4070, HB4099, HB4882, HB3794

Keywords: local government spending cap, expenditure limit, political subdivision, property tax, ad valorem tax, budget cap, taxpayer protection, spending restraint, inflation adjustment, population growth, voter approval, supermajority vote, county budget, municipal budget, school district finance, junior college district, hospital district, special district, attorney general enforcement, local fiscal limits

Transcript Highlights:

• And also on emergency detention, you're seen within 12 hours by a physician for that preliminary examination
• Detention is about observation, examination, and deciding whether or not people meet the criteria for
• In fact, while they have to be examined within 12 hours, they don't have to be warned that what they
• say during that examination can get them committed until the hour mark.
• It's about examination. It should be short.

Bills: HB 1239, HB1990, HB1748, HB1749, HB2578, HB2986, HB1970, HB3163, HB2733, HB1922, HB 113, HB 1088, HB1938, HB3004, HB2637, HB2960, HB113

Keywords: public health, access to healthcare, insurance reforms, medical expenses, healthcare providers, mental health, protective custody, preliminary examination, detention period, emergency circumstances, emergency detention, legal framework, detention, healthcare, liability, landowners, nonagricultural land, trespassing, public safety, interpreters

Transcript Highlights:

• detention order and takes that patient to, let's say, Parkland Hospital in Dallas County for an examination

Bills: HB 1239, HB1990, HB1748, HB1749, HB2578, HB2986, HB1970, HB3163, HB2733, HB1922, HB 113, HB 1088, HB1938, HB3004, HB2637, HB2960, HB113

Keywords: public health, access to healthcare, insurance reforms, medical expenses, healthcare providers, mental health, protective custody, preliminary examination, detention period, emergency circumstances, emergency detention, legal framework, detention, healthcare, liability, landowners, nonagricultural land, trespassing, public safety, interpreters

Transcript Highlights:

• They’re saying he needs to do a psychosexual exam and a polygraph.

Keywords: 1182, all

Summary: The committee opened with remarks framing the meeting as a bipartisan effort to improve Arizona’s child welfare system, especially DCS oversight, accountability, and child safety. The chair said the committee would focus on reforms based on Auditor General findings and hear bills and testimony from youth, advocates, foster parents, and attorneys. Roll was taken, and the committee then began considering several child-welfare bills. HB 2611, dealing with group foster home safety, employee drug screening, resident rights, training, and advocates in congregate care, drew extensive testimony. Supporters, including current and former foster youth, described bullying, unsafe staff behavior, drug use in homes, trafficking concerns, and the need for posted rights, mental health services, and stronger accountability. The sponsor and members discussed an amendment that would require quarterly drug-screening results to be submitted, require removal from child contact pending confirmatory testing after a positive result, and give the DCS director more discretion. The amendment was adopted, and HB 2611 as amended received a do-pass recommendation by a 5-1 vote, with some members voting present or expressing procedural concerns but supporting further work on the bill. HB 2035, which expands kinship placement requirements by adding extended family members to search and notification duties and presuming kinship placement is in the child’s best interest, also received substantial testimony. Advocates argued kinship care reduces trauma and improves stability, while several witnesses described cases where children were not placed with available relatives and instead ended up in congregate care. The committee discussed whether the bill duplicated existing law and whether DCS was already required to search for kin; the sponsor said the bill strengthens existing policy and adds written documentation requirements. HB 2035 was given a do-pass recommendation by a 4-2 vote. The committee then heard HB 4049, which would authorize DCS to employ legal counsel or incur legal expenses, along with an amendment that would require the Attorney General or appointed counsel to represent the state’s interests independently in certain cases and not be subject to DCS retaliation for taking a different position. Testimony split between those who argued the current structure creates a conflict of interest and allows DCS narratives to go unchallenged, and those who said the AG’s office already has separate divisions and that keeping representation centralized preserves consistency and oversight. Discussion continued on whether the current system is structurally broken and where counsel would be housed if the arrangement changed; the transcript ends while that debate is ongoing, without a recorded final vote on HB 4049.

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Bills: SB2042, SB2892, SB1163, SB2076, SB2116, SB2122, SB99, SB2088, SB2114, SB2117, SB2118, SB2245, SB2386, SB2079, SB2043, SB2155, SB2268, SB2932, SB3240

Keywords: feral chickens, chickens, animal control, humane disposition, wildlife management, Honolulu, City and County of Honolulu, appropriation, general funds, fiscal year 2026-2027, urban wildlife, poultry, nuisance animals, Act 169, Hawaii, privacy, geolocation, abortion, data protection, internet browser

Bills: SB2042, SB2892, SB1163, SB2076, SB2116, SB2122, SB99, SB2088, SB2114, SB2117, SB2118, SB2245, SB2386, SB2079, SB2043, SB2155, SB2268, SB2932, SB3240

Keywords: feral chickens, chickens, animal control, humane disposition, wildlife management, Honolulu, City and County of Honolulu, appropriation, general funds, fiscal year 2026-2027, urban wildlife, poultry, nuisance animals, Act 169, Hawaii, privacy, geolocation, abortion, data protection, internet browser

Transcript Highlights:

• It relates to the Certificate of Medical Examination for chemical dependency and the duration of court-ordered
• This bill pertains to death investigation professionals, including medical examiners, justices of the
• Medical examiners and death investigators frequently respond to the same scenes as law enforcement and

Bills: HB47, HB171, HB285, HB305, HB449, HB908, HB1024, HB1306, HB1443, HB1445, HB1741, HB1866, HB1902, HB2001, HB2282, HB2355, HB2492, HB2637, HB2697, HB3464, HB4263, HB4996, HB5667, HB47, HB171, HB285, HB305

Keywords: sexual assault, victim rights, forensic examination, medical care, trauma-informed care, crime victims compensation, evidence retention, chemical dependency, court-ordered treatment, mental health, health care, treatment facility, juvenile justice, criminal justice reform, animal cruelty, nonlivestock, prosecution, veterinary defense, animal welfare, pretrial hearings

Transcript Highlights:

• is no possibility of genomic integration of therapeutic synthetic mRNA, only one recent study has examined

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:

• one, leaving military service within the past year; and two, passing Texas medical or nursing examinations
• one, leaving military service within the past year and two passing to Texas medical or nursing examinations

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.