Transcript Highlights:

• the help that hospitals already say they provide.
• new resources into the system through the provider tax from a ...
• I consider myself fortunate because I have access to a car. I live here in Delaware.
• Families must still meet all eligibility requirements when services are provided.
• “This bill provides certainty for families, helps providers plan, and makes care more affordable.

Bills: SB313, SB296

Keywords: Delaware Health Fund, healthcare access, preventive care, tobacco settlement, public health initiatives, grant program

Summary: The House Health and Human Development Committee met and considered a series of health, human services, and related bills. The committee heard and advanced House Substitute 1 for Senate Bill 13, which standardizes hospital charity care and financial assistance statewide, and Senate Bill 296 with Senate Amendment 1, which restructures the Delaware Health Fund grant process with a more formal, transparent competitive rubric. Both measures received supportive testimony from DHSS, the Delaware Healthcare Association, and the Delaware Nurses Association, and both were released by committee on roll-call votes. The committee also released Senate Bill 313 with Senate Amendment 1, which places a temporary moratorium on acquisitions of nonprofit acute care hospitals by for-profit entities and expands notice/review requirements for sales of hospital real estate; Senate Bill 340 with Senate Amendment 1, which requires long-term care facilities to carry specified liability insurance, with questions raised about the exemption for state-owned facilities; Senate Joint Resolution 20, which directs DHSS to study independent assessment tools for Medicaid home- and community-based services; and Senate Bill 341, which updates Delaware Health Information Network law and formally recognizes DIN as the state’s health data utility. Testimony on these bills was generally supportive, with some discussion on constitutional concerns, insurance coverage, and the rationale for the state exemption in SB 340. Later, the committee advanced Senate Bill 257, which requires new animal shelters to be licensed and inspected before operating and removes a prior exception for certain rescue organizations; and Senate Substitute 1 for Senate Bill 278 with House Amendment 1, which allows earlier pre-authorization for summer child care enrollment and lowers copays for half-day care. Public testimony on these measures came from animal welfare advocates, YMCA representatives, and other stakeholders, all largely in support. Each bill was released by committee, with several votes walked for absent members, and the meeting adjourned after all agenda items were addressed.

Transcript Highlights:

• To provide an appropriation to the Bank of North Dakota to administer a loan program, to provide a transfer
• , to provide for a Legislative Management report, to provide for application, to provide a report, and
• to provide an effective date.
• an appropriation, to provide for a transfer, and to provide an effective date.
• Doing this would provide property tax relief, maybe not maybe property tax relief, but it would provide

Bills: SB2401, SB2402, SB2403, SB2404

Keywords: SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine

Summary: The Senate convened with prayer, roll call, and a quorum present, then took up second reading and final passage of several House bills related to the Rural Health Transformation Program and other matters. House Bill 1621, requiring the presidential fitness test in school physical education with exceptions and a delayed effective date, passed 43-3. House Bill 1623, appropriating federal rural health transformation grant funds and creating a related loan program and reporting structure, passed 46-0 after extensive debate about using the federal money for community health, infrastructure, and sustainability. House Bill 1622, joining the physician assistant licensure compact, also passed unanimously 46-0. House Bill 1625, authorizing the Ray Richards Golf Course land sale to support a Grand Forks transportation project and golf course improvements, passed 46-0. House Bill 1626, clarifying that the primary residence credit is applied after the early payment discount so taxpayers receive the full $1,600 benefit, passed 40-6.

Transcript Highlights:

• a statement of legislative intent; and to provide an effective date.
• Y drug, the provider is not liable for that switch.
• an appropriation; to provide a transfer; to provide an effective date; and to provide an expiration
• I did ask Legislative Council on the best place to provide funding.
• Department and Public Service Commission, to provide contingent loan authorization, and to provide an

Bills: SB2401, SB2402, SB2403, SB2404

Keywords: SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine

Summary: The Senate convened with prayer, the Pledge of Allegiance, and a quorum present. It adopted the procedural employment committee report naming Senate staff for the special session. The chamber then took up several health-care and appropriations measures, first adopting amendments to Senate Bills 2401, 2402, and 2403 before moving them to final passage. Senate Bill 2401 passed 44-2 and requires physicians to complete at least one hour of continuing education in nutrition and metabolic health, part of a broader rural health care package. Senate Bill 2402 passed 46-0 after major amendments negotiated between the medical and pharmacy boards; as amended, it expands pharmacists’ prescriptive authority and therapeutic substitution in limited areas while excluding categories such as antidepressants, antipsychotics, chemotherapy agents, Schedule II drugs, biological products, and narrow therapeutic index drugs. Supporters said it would improve rural access and help secure rural health transformation funding, while questions focused on how pharmacist competence would be measured and enforced. Senate Bill 2403, also passed 46-0, creates a short-term medical facility emergency operating loan program through the Bank of North Dakota, reduced by amendment from $10 million to $5 million, to help a financially distressed rural hospital. Senators discussed the hospital’s mismanagement, the need for a bridge loan, and safeguards including a limited application window and expiration in 2027. Senate Bill 2404 passed 46-0 and provides supplemental appropriations to the Information Technology Department for ADA-related website accessibility compliance and to the Public Service Commission for additional legal costs in federal energy-rate litigation. The Senate then made announcements about a Highway Patrol safety presentation and filing deadlines, excused an absent member, and adjourned until the next morning.

Transcript Highlights:

• At 11 a.m. today and tomorrow, in the Rough Rider Room, the Highway Patrol will be providing a brief

Bills: SB2401, SB2402, SB2403, SB2404

Keywords: SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine

Summary: The Senate convened in special session with prayer, the Pledge of Allegiance, and roll call establishing a quorum of 45 members present and two absent. The chamber received certification from the Secretary of State and the governor’s executive order calling the special session to address funding for the Rural Health Transformation Program and to act quickly to accept and appropriate federal funds. The main action was adoption of the procedural rules for the extraordinary session. Senator Klein explained the proposed rule changes, which were designed to speed up consideration of bills during the short session, including limits on bill introduction, same-day second reading and final passage, elimination of standing committees for the session, creation of a Joint Policy Committee and Joint Appropriations Committee, and authorization for remote testimony and limited remote participation. The procedural committee’s report on these rules was adopted without opposition. The Senate also adopted reports naming members to the Joint Policy Committee and Joint Appropriations Committee. Announcements noted that the Senate Employment Committee, Joint Policy Committee, and Joint Appropriations Committee would meet later that morning, that the Senate would not reconvene at 4 p.m., and that a Highway Patrol presentation on legislator safety would be held. The Senate then moved through the listed orders of business and recessed, planning to meet in joint session with the House before adjourning until Thursday, January 22, 2026.

Transcript Highlights:

• <00:10:48.639> additional with plans that provide additional with plans that provide additional
• <00:34:25.879> a with greater fairness and provide a with greater fairness and provide a meaningful
• <00:42:47.880> another stores every year um providing another stores every year um providing
• > to the public they provide counseling to the public they provide counseling Financial<00:48:07.960>
• uh I like the idea of increasing access uh I like the idea of increasing access to<01:20:36.000>

Bills: HF1698, HF632, HF1352, HF2197, HF618, HF1248, HF1697

Keywords: property tax, exemption, leased land, public use, commercial property, HF632, Minnesota property tax, conservation easement, conservation restriction, assessed value, property valuation, tax assessment, real property, land conservation, farmland preservation, natural areas, riparian buffer, water quality, water quantity, county assessor

Transcript Highlights:

• SB 378 would prevent us from providing access to critical health care, particularly in the parts of our
• But please, don't limit access to care. This community, this state needs more access to care.
• But please, don't limit access to care. This community, this state needs more access to care.
• ’ access is critical.
• grant program to provide financial incentives for health care access and health care workforce expansion

Bills: AB568, SB90, SB133, SB147, SB229, SB233, SB240, SB245, SB280, SB378, SB393, SB417, SB434, SB494, SB495

Keywords: higher education, Nevada System of Higher Education, operational expenses, instructional expenses, public funding, education funding, teacher grants, classroom supplies, instructional support, specialized personnel, civics education, Nevada Center for Civic Engagement, funding, youth programs, civic involvement, Southern Nevada, Clark County, Las Vegas Valley, regional planning, economic resiliency

Transcript Highlights:

• We are just the ID providers. People get that confused sometimes.
• We especially applaud the bill's focus on improving access and eligibility.
• And I think they're well equipped to provide the support that, And I think they're well equipped to provide
• I would like to provide neutral testimony on Senate Bill 435.
• But it does reduce chronic absenteeism and provides a lot of family support.

Bills: AB568, SB90, SB133, SB147, SB229, SB233, SB240, SB245, SB280, SB378, SB393, SB417, SB434, SB494, SB495, AB62, SB104, SB119, SB132, SB193, SB262, SB422, SB431, SB435, SB468, SB503

Keywords: higher education, Nevada System of Higher Education, operational expenses, instructional expenses, public funding, education funding, teacher grants, classroom supplies, instructional support, specialized personnel, civics education, Nevada Center for Civic Engagement, funding, youth programs, civic involvement, Southern Nevada, Clark County, Las Vegas Valley, regional planning, economic resiliency

Transcript Highlights:

• then air and light access and so forth. then air and light access and so forth.
• So whatever the developer determines, they can provide parking.
• So whatever the developer determines, they can provide parking.
• We're not providing resilient homes and dwellings for our residents.
• I'm happy to provide additional support. I'm happy to provide additional details.

Bills: HB1700

Keywords: housing, expedited permits, disabilities, access, functional needs, local government, affordable housing, reporting requirements, 912, senate, all

Summary: The joint committees heard several housing, land use, and infrastructure bills. HB 6019 HD2 on electric vehicle infrastructure and HB 1728 HD1 on rainwater catchment systems both drew limited testimony and were advanced. For HB 1728, the chairs said they would designate the Department of Health as the regulator and incorporate suggested technical amendments from plumbing and rainwater industry groups. Both measures were reported out with recommendations to pass, with HB 6019 passed unamended and HB 1728 passed with amendments. HB 1844, which would have required the Land Use Commission to reclassify lands designated for urban growth, drew significant opposition from the Hawaii Farm Bureau and Sierra Club, who argued it would bypass land-use review and threaten agricultural land, water planning, and long-term resilience. Grassroot Institute supported the bill, and the Land Use Commission said the bill raised concerns. After discussion, the chairs deferred the measure in one committee and later the recommendation to pass it with amendments was not adopted in the other committee. HB 1990 on penalties and liens for unresolved residential zoning violations was advanced with amendments. The chairs adopted Grassroot Institute’s suggested changes requiring any county sale of such property to be at no less than fair market value and requiring excess proceeds to be returned to the owner. HB 2424, which would allow county planning agencies to petition for temporary reclassification of certain agricultural lands to rural, also drew mixed testimony; the Land Use Commission raised due process concerns, and agriculture interests opposed it. One committee advanced it with amendments, but in the other committee the recommendation failed after members cited lack of county support. The later portion of the hearing began on HB 1738 and HB 1739. HB 1738 would expand county authority to amend district boundaries for housing on parcels over 15 acres; OHA, Sierra Club, and the Hawaii Farm Bureau opposed it, while Grassroot Institute supported it. HB 1739 would require transit-supportive densities in county TOD areas and limit local restrictions; DPP raised concerns about timing, permitting, and conflicts with existing TOD frameworks, while OPSD and Grassroot supported it. The transcript cuts off before final action on these later bills.

Transcript Highlights:

• in the housing project, providing in the housing project, providing replacement<00:05:34.200>
• , providing replacement housing payments, providing information<00:05:36.560> either<00:05:36.760
• So, this results in truly non-accessible housing.
• So, this results in truly non-accessible housing.
• So, this results in truly non-accessible housing.

Bills: HB1700

Keywords: housing, expedited permits, disabilities, access, functional needs, local government, affordable housing, reporting requirements, 912, senate, all

Summary: The joint committees on Housing and Health and Human Services, along with related committees, heard and later took action on three housing bills. HB 1700 HD1, relating to housing and expedited permitting, received support from disability advocates, including the Hawaii State Council on Developmental Disabilities and a self-advocate who said faster permitting would help people with disabilities access more independent living options. The chairs said they would add amendments to ensure expedited permitting would not compromise ADA or Fair Housing Act protections and to require reporting on the number, type, and geographic distribution of projects so the program could be evaluated over time. The measure was recommended and adopted with amendments by the participating committees. HB 1777 HD2, which would require tenant protections for residents displaced by HHFDC-supported redevelopment projects, drew support from HHFDC, the Office of Hawaiian Affairs, Parents and Children Together, and numerous other organizations. Testimony emphasized the need for a right of first offer, replacement housing payments, relocation information, and tracking procedures to reduce displacement harms, especially for Native Hawaiian and public housing residents. In decision-making, the committees amended the bill to incorporate the Senate companion measure, rename the working group as the tenant protection working group, broaden its duties, and include a $75,000 appropriation for working group expenses. The committees also noted concerns about unequal treatment between tenants in publicly supported projects and private redevelopments, and referenced the KPT low-rise redevelopment as an example where required relocation assistance still did not proceed smoothly. The bill was recommended and adopted with amendments. HB 1975 HD1, relating to kupuna housing, would repeal the sunset on the state rent supplement program for kupuna, appropriate funds to HPHA, and add positions to support the program. HPHA, the Executive Office on Aging, OHA, Catholic Charities Hawaii, AARP Hawaii, Aloha Independent Living Hawaii, and others testified in support, with Catholic Charities describing how the subsidy helped a senior remain housed through major medical issues. The committees later recommended passage with amendments, including a technical correction to the number of positions and a date fix, and the recommendation was adopted.

Transcript Highlights:

• meeting's notice and will be provided during the public comment portion of this hearing.
• unnecessary obstacles that limit access to care.
• Once you are called on, you have two minutes to provide public comment.
• We’re here to provide informational testimony on H.B. 459.
• Thank you. ...tiers of learning and to provide recommendations for improvement.

Bills: SB293, SB279, SB293, SB279

Keywords: SB 293, youth camp, child care licensing, Office of Child Care Licensing, OCCL, American Camp Association, ACA accreditation, Purchase of Care, POC reimbursement, summer camp, school-age child care, child care exemption, Division of Public Health permit, Title 14, Delaware Department of Education, health and safety standards, child care provider reimbursement, summer child care, camp licensing, license exemption

Summary: The House Education Committee met and first heard Senate Bill 293, the Youth Camp Licensing Act, which would amend child care licensing rules for youth camps. The sponsor said the bill, with amendments, would remove accreditation language, clarify shelter requirements for outdoor camps, and eliminate limits that had restricted the number of children camps could serve, especially for families using purchase-of-care assistance. YMCA and school representatives testified in support, saying the measure would expand access to safe, affordable summer care for low-income working families. The committee voted to release the bill. The committee then approved Senate Bill 328, which would require the Department of Education’s school facility evaluation instrument to be established by regulation and to include lead-based paint hazards in the standard of good repair. The Childhood Lead Poisoning Prevention Advisory Committee supported the bill, explaining that lead had not been included in the original evaluation tool and that the new language would improve transparency and public comment. Senate Bill 318, updating the Delaware State Education Association special license plate program, also passed after DSEA testified that proceeds support scholarships for educators and students pursuing education careers. House Bill 443, dealing with background checks for education volunteers and mentors, passed as well. The sponsor said it would allow DOE to continue receiving wrapback reports for mentors in the state mentoring program and ensure state and federal criminal background checks remain in place. The committee also released Senate Joint Resolution 15, which directs DOE to reevaluate Delaware’s use of the SAT, modernize the accountability framework, and develop additional measures of student achievement and readiness; supporters argued the SAT does not capture career and technical pathways or other indicators of success. House Bill 459, which prohibits the sale of energy drinks on public middle and high school campuses during school hours or events, passed after discussion focused on whether the bill would affect possession versus sale and whether it could lead to student discipline; DOE said the bill only bans sales, and the sponsor said an amendment would clarify intent. Finally, House Concurrent Resolution 137 passed, directing DOE to review math instruction and MTSS supports statewide; testimony emphasized low math proficiency and the need for stronger, more coherent interventions. The committee also began hearing Senate Bill 279 on occupational therapist salary placement, with discussion centered on aligning OT compensation with other specialist roles and broader salary regulation updates, though the transcript cuts off before final action is shown.

Transcript Highlights:

• You'll be given two minutes to provide your comments.
• Please clearly provide your name and affiliation for the record prior to speaking.
• You'll be given two minutes to provide your comments.
• You'll be given two minutes to provide your comments.
• Please clearly provide your name and affiliation for the record prior to speaking.

Bills: SB293, SB279

Keywords: SB 293, youth camp, child care licensing, Office of Child Care Licensing, OCCL, American Camp Association, ACA accreditation, Purchase of Care, POC reimbursement, summer camp, school-age child care, child care exemption, Division of Public Health permit, Title 14, Delaware Department of Education, health and safety standards, child care provider reimbursement, summer child care, camp licensing, license exemption

Summary: The Senate Education Committee approved the June 10 minutes and then heard House Bill 447, which would create a framework for voluntary child care cost-sharing partnerships among the state, employers, community sponsors, and families. Supporters said the bill is meant to help make child care more affordable and support workforce participation by using the existing Interagency Resource Management Committee to coordinate planning and funding. Committee discussion focused on how the tri-share model would work, who would participate, and whether it would reach lower-income families; no public comment was offered on the bill. The committee then took up House Bill 300, as amended, which would establish a statewide Title IX coordinator within the Department of Education to provide training, technical assistance, data collection, and oversight for interscholastic athletics in grades 6 through 12. The bill’s sponsor and supporters said the position would help schools comply with Title IX, improve consistency, and make athletic participation and spending data more transparent; opponents or skeptics questioned whether a new DOE position was needed and whether districts were already meeting their obligations. The sponsor and witnesses responded that existing federal data are delayed and incomplete, that some Delaware schools have participation gaps, and that a state-level coordinator would provide needed support and accountability. Public comment on HB 300 included testimony from the Delaware State Education Association, the Delaware Association of School Administrators, the Delaware School Sports Network, and the Office of Women’s Advancement and Advocacy, all generally supporting the bill or its goals. DASA noted it remained neutral but appreciated changes made in House Amendment 1 to reduce reporting burden. After public comment, the chair asked members to sign the bill release forms for the two bills heard, and the committee adjourned.

Transcript Highlights:

• They work really hard to provide tools for all parents to comply and keep their children safe.
• to adults while still blocking access to... adults while still blocking access to children.
• You can limit screen kids have access to.
• The parent can then, if they want, allow them to have access to this material.
• They can put in a code and unlock that access. This is not the end-all, be-all solution.

Bills: SB186, SB187

Keywords: internet filtering, child protection, obscene content, civil liability, manufacturers, app store, app store provider, app developer, mobile app, age verification, parental consent, minor safety, child online safety, parental controls, age gating, digital privacy, data protection, in-app purchases, online consumer protection, deceptive trade practice

Transcript Highlights:

• It provides an alternative an alternative to full guardianship by allowing persons with disabilities
• identify what provisions of the estate code and other relevant laws suggest could require amending to provide

Bills: SB66

Keywords: disability, supported decision-making, legal assistance, confidentiality, access to justice, autonomy, civil rights, advocacy, 1184, house, all

Transcript Highlights:

• The administrative and operating payments provided by the U.S.
• So the quicker y'all can provide that, the better. Yeah, thank you.
• that the barrier to entry and to access is so high?
• One of those barriers of course is access to credit.
• Uncertainty always provides added risk.

Keywords: farm bill, rural economy, crop insurance, access to credit, young farmers, USDA funding freeze, agricultural policy, risk management

Summary: The meeting of the agricultural committee focused on significant concerns regarding the current state of America's rural economy, highlighting the need for a strong five-year farm bill to address the challenges faced by farmers, particularly young and beginning farmers. Key testimony was given by multiple stakeholders including agricultural leaders and young farmers, emphasizing issues related to crop insurance, access to credit, and the adverse impact of recent USDA funding freezes. Various members discussed the necessity of risk management tools that farmers rely on to secure financing, which is crucial for sustaining agricultural operations and supporting rural communities. The importance of timely legislative action was underscored, as many farmers reported struggles in the current economic climate, raising urgency for reforms within the Farm Bill framework.

Transcript Highlights:

• It provides relative to wearing masks in public.
• We'll provide information if requested by Zach.
• This is not anti-provider.
• Good providers should welcome clear rules because bad providers damaged the entire industry.
• It provides clear definitions.

Bills: HR73, HR272, HR273, HR278, HCR91, HCR99, HCR100, HCR111, HB255, HB261, HB328, HB378, HB479, HB517, HB564, HB778, HB1090, SB135, SB278, SB448

Keywords: domestic abuse, protective orders, victim protection, Louisiana State Law Institute, mandatory procedures, parental discipline, corporal punishment, child abuse, cruelty to juveniles, juvenile delinquency, juvenile justice, child welfare, DCFS, Office of Juvenile Justice, reasonable discipline, parental rights, family law, law enforcement reports, abuse allegations, single-parent households

Summary: The Criminal Justice Committee met on May 19, 2026, with a long agenda and several members’ bills and resolutions. The committee first considered HB 255, as substituted, which would add up to two years of imprisonment for a person charged with a felony or rioting offense who wore a mask or face covering to evade identification, with exceptions for religious coverings, motorcycles, and medical use. Supporters said it targeted concealment during felonies; the ACLU opposed it as redundant and potentially overbroad, while the Louisiana District Attorneys Association clarified the enhancement would apply only to felony convictions. The committee adopted the substitute and reported HB 255 favorably by a vote of 8-3. It then advanced HB 378, which creates penalties for using a vehicle to obstruct first responders and law enforcement; after an amendment narrowed the bill to first responders, it was reported favorably. HB 1090, increasing penalties for arson of a religious building, also passed favorably after testimony emphasizing attacks on houses of worship. HR 272, requesting a study on parental discipline, abuse allegations, and juvenile delinquency, was reported favorably as well. The committee also heard HB 479, the Fiscal Truth and Sentencing Act, which would require more detailed reporting on incarceration costs and sentencing impacts. Supporters, including the ACLU, said the bill would improve transparency and help lawmakers make better fiscal decisions; clerks of court opposed it as an unfunded mandate. Despite amendments shifting reporting duties and clarifying compliance with Children’s Code Article 412, the bill failed on a 4-7 roll call. The committee then deferred HCR 99 and took up HR 278, which asks the Attorney General to consult stakeholders and review electronic monitoring laws and regulations; supporters described serious failures in the current GPS monitoring system, and the resolution was reported favorably. HR 273, creating a task force to study work release programs, was also reported favorably after members said it would help refine the system and gather cost data. Later, the committee heard SB 448 on the Office of the State Public Defender. After discussion of a recent Supreme Court ruling and concerns about expert-witness funding and indigency determinations, the committee adopted an amendment adding a contradictory-hearing process and appellate review protections, then reported the bill as amended. HCR 100, concerning casino property sales, was amended to remove specific property references and instead urge the Gaming Control Board to consider economic development, job creation, and community benefit; the casino association withdrew opposition after the amendment, and the resolution was reported favorably as amended. The committee also voluntarily deferred SB 278 and HCR 91. HB 261, which would create exceptions to abortion laws for rape and certain sex offenses, drew extensive emotional testimony from supporters and opponents, including survivors and legislators discussing rape, incest, and fetal life; the bill was defeated 2-10. Finally, the committee took up HB 778 on kratom possession, with the author arguing for a distinction between natural kratom and synthetic products, and supporters and opponents offering conflicting testimony about safety, addiction recovery, and regulation.

Bills: HB62, HB124, HB182, HB193, HB198, HB203, HB223, HB237, HB469, HB486, HB574, HB779, HB796, HB919, SCR2, SB4, SB36, SB38, SB109, SB152, SB168, SB195, SB216, SB221, SB236, SB404

Keywords: Louisiana Women's Policy, gender equality, policy research, commission membership, women's representation, Domestic Violence, judicial experience, legislation, criminal law, family law, HB182, sexual assault, rape kit, forensic examination, forensic medical exam, sexual assault survivor, sexual assault nurse examiner, SANE, emergency department, hospital staffing

Transcript Highlights:

• /c><00:22:18.200> large-scale providers is having a large-scale providers is having a large-scale
• <00:24:38.880> where providers where providers where um<00:24:41.120> the<00:24:42.160>
• one which requires hospitals to provide one which requires hospitals to provide DOH<00:40:35.600
• SB 3199 prepares Hawaii to responsibly provide access to those who need it most.
• Accessing substances is not an issue. Accessing substances is not an issue.

Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Transcript Highlights:

• House Bill 216 would require healthcare providers to provide an itemized bill to patients.
• and choice of provider.
• Access to health care, with 234 of our 254 counties being designated as a healthcare provider shortage
• on hold to access this innovative treatment.
• Health care providers would be prohibited from: 1.

Bills: HB163, HB216, HB721, HB2035, HB2038, HB3057, HB3153, HB3233, HB3595, HB3801, HB3812, HB4076, HB4129, HB4377, HB4535, HB4666, HB4730, HB4743, HB4903, HB5149, HB5155, HB1534, HB163, HB216

Keywords: epinephrine, healthcare, emergency response, administration, medical policy, health care, itemized billing, patient rights, provider regulations, Texas Health and Safety Code, cost disclosure, insurance, benefit plan, administrators, chemical dependency, treatment facilities, minor admissions, parental notice, mental health, medical licensing

Transcript Highlights:

• and then fail to provide the resources necessary to do that.
• Chair Kolkhorst, members, thank you for the opportunity to provide testimony today.
• And I want to provide an example of what that looks like.
• Like, this is what my patients and I want access to, or my constituents and I want access to.
• Why... patients and I want access to, or my constituents and I want access to, why is the answer a ban

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:

• , and ICF/IID program providers.
• AARP has long advocated for more health care providers in rural areas and to improve access to the critical
• AARP is long advocated for more health care providers in rural areas and to improve access to the critical
• We're 22 beds, critical access.
• So disproportionate share is something that you can access, additional funds that you can access.

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.