Transcript Highlights:

• This legislation provides.
• Austin Davidson from the Legislative Finance Committee, and we also have Ismael Torres from the Legislative
• My name is Zoe Barker and I'm the Legislative Director with Conservation Voters New Mexico.
• do not do lobbying, but we gather legislators together.
• Therefore, we are in very strong support of this study. Thank you very much. Thank you.

Keywords: 996, all

Transcript Highlights:

• I actually studied agricultural and biological...
• This study should not be ignored.
• This is a heavily stakeholdered piece of legislation.
• legislation.
• People's electricity bills will go up as a result of this legislation.

Bills: HF2103, HF2793

Keywords: energy, renewable energy, ammonia, hydrogen, certificate tracking, funding, environment, community solar, energy policy, sustainability, solar garden program, regulation sunset, 1183, house

Transcript Highlights:

• So there was a study ordered, and I know that the study will be reported out to you.
• So there was a study ordered, and I know that the study will be reported out to you.
• > reported<00:32:10.760> out that that the study will be reported out that that the study
• to participate in additional studies to participate in additional studies provide<00:36:20.680><
• and we studied it we ourselves studied and we studied it we ourselves studied it<00:42:41.640>

Keywords: 1183, house

Summary: The Health Finance and Policy Committee heard testimony from the Minnesota Hospital Association and several hospital leaders about the financial strain facing hospitals across Minnesota. The association’s CEO said hospitals are essential 24/7 safety-net providers, but rising labor, supply, technology, and drug costs are outpacing reimbursement from Medicaid, Medicare, and commercial payers. He warned that many not-for-profit hospitals are struggling, that workforce shortages remain significant, and that the committee should consider help on Medicaid rates, discharge/boarding problems, mental health services, workforce development, protecting the 340B drug discount program, and avoiding new mandates that add costs. Relle Schultz of Winona Health described a community hospital with a 49-bed facility and long-term care services that has faced years of losses, including a $17 million loss in 2023 and $12 million in losses the following year. She said government payers now make up about 65% of the hospital’s mix, and each 1% increase in that mix costs about $1 million. She highlighted the difficulty of sustaining services such as dialysis, which was nearly closed until a local donor provided $3 million to keep it open for three years, and she emphasized the importance of 340B savings and the need for higher Medicaid payments. Carrie Mulski of Riverview Health in Crookston said critical access hospitals are also under pressure despite their federal designation. She explained that federal support has eroded, that Medicaid and other public programs do not cover full costs, and that her hospital’s 340B savings help keep the doors open. She said Riverview opened a new hospital in 2020 but was hit by the pandemic and inflation, leading to annual losses of $5 million to $6 million and a negative operating margin of 9% to 10%. She also described bond covenant problems, low cash on hand, the prior closure of the nursing home, and the need for rapid state action to stabilize rural hospitals and preserve access to care.

Transcript Highlights:

• And then these little dots are our study subjects in the Chicano study, for where the kids were born,
• EPA for funding our studies and the Chacón participants for participating in our study.
• I've study definitely drift farther than I've study definitely drift farther than 100<01:43:34.400>
• in Colombia and study there was a study in Colombia and there<01:51:05.280> was<01:51:05.400>
• California there was a Chaco study in California there was a Chaco study in California and<01

Keywords: 910, house, all

Summary: This joint informational briefing of Senate and House committees focused on restricted use pesticides in Hawaiʻi, with opening remarks framing the issue as one of health, environmental impact, and state-level regulation. The briefing reviewed the history of pesticide disclosure efforts, including prior county actions, a 2016 court ruling that shifted responsibility to the state, and Act 45, which enabled disclosure of restricted use pesticide data. Speakers highlighted 2019 reporting data showing concentrated use in parts of Oʻahu and Kauaʻi, especially near schools and communities, and identified fumigants such as 1,3-dichloropropene and metam sodium as among the heaviest-used products. Concerns were raised about potential links to cancer, respiratory illness, reproductive harms, Parkinson’s disease, and developmental effects, as well as the lack of long-term mixture studies and the need for better buffer zones, reporting, and farmer transition support. The Department of Agriculture’s pesticides program manager described the state’s regulatory framework, explaining the distinction between general use and restricted use pesticides and the department’s role under FIFRA and Hawaiʻi law. He outlined the branch’s enforcement, education/certification, registration, and laboratory functions, including inspections, complaint response, market surveillance, applicator certification, product review, groundwater protection modeling, and special registrations. He also noted staffing and resource limitations, including the absence of an in-house toxicologist and long-term monitoring capacity, and compared Hawaiʻi’s resources to California’s much larger pesticide regulatory program. He said the department supports Act 231, which was passed the previous year and is moving forward this session. A pediatrician speaking for the Hawaiʻi chapter of the American Academy of Pediatrics emphasized concerns about chronic low-level pesticide exposure in children, citing AAP policy statements and technical reports that associate exposure with cancer, leukemia, birth defects, neurobehavioral issues, and asthma. Drawing on work with the Kauaʻi Joint Fact Finding Task Force, the speaker said the group found the west side of the island to be an unhealthy community but could not prove causation because of missing drift, geospatial, and biomarker data. The testimony pointed to elevated cancer mortality, pneumonia admissions, obesity, dialysis, and developmental delay indicators, and described concerns about pesticide drift near schools and homes, including reports of children becoming ill after nearby spraying and low levels of chlorpyrifos detected in dust samples. An environmental health scientist from the University of Hawaiʻi described a pilot project using restricted use pesticide data in a public health context. She said the project began after seeing maps of Central Oʻahu pesticide use and aimed to pair GIS data with health and ethnicity data, while also conducting community focus groups. Preliminary focus group themes included calls to action, voting and policymaker awareness, concern about pesticide use near homes and fields, lack of community consent, and a desire to stay engaged. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• Leading into this study, and as a result of the interim study in the 2023-25 biennium, there was substantial
• The task force did not submit legislation, but I did submit legislation as the chairman for the special
• If you want to add something to a study, we would run it through the chairman of Legislative Management
• I think the idea would be to work just like all the studies that come out of bills, and Legislative Management
• to add something to a study, we would run it through the chairman of legislative management when we're

Keywords: 908, all

Summary: The Leadership Division of the Budget Section approved the prior meeting minutes and then received an update from Senator Jonathan Sickler on the Cash Management Board’s interim work under House Bill 1278. He said the board has reviewed state cash, investments, and liquidity across agencies and concluded the state’s overall mix of long-term and short-term assets is appropriate, with about $35 billion in total liquid assets and investments and roughly 89% in longer-term investments. He highlighted process improvements already underway, including replacing more than 500 six-month CDs with a special-rate savings account to reduce administrative work, and said the board sees opportunities to improve forecasting, automation, and statewide coordination. Members asked about whether the CD change would increase returns, how the Legacy Fund transfer for the homestead tax relief bill affected earnings, and whether more state cash could be consolidated or better managed through BND; Sickler and BND staff said those issues are being studied and may lead to legislation for the 2027 session. Representative Nathan Toman then updated the committee on the Task Force on Government Efficiency. He said the group has focused less on cutting dollars and more on defining metrics and asking how the legislature knows whether programs are working. The task force is pushing a standard set of questions for new or expanding programs—who is affected, expected outcomes, alternatives, how success will be measured, and full funding—and OMB has agreed to require those answers in future budget requests. Members discussed possible use of dashboards, program evaluators, AI tools, and possible rule or statutory changes to require performance measurement. Toman said the task force will continue meeting with agencies such as the courts, university system, auditor, HHS, Commerce, and ITD to identify workflow bottlenecks and potential efficiencies. Phil Davis of Job Service North Dakota gave a workforce update, reporting that North Dakota’s unemployment rate is 2.5% and labor force participation is about 68.7%, both well above national performance. He described Job Service’s 15 workforce programs, including H-2A housing inspections for foreign agricultural workers, the job placement partnership program with DOCR, WOTC, and other federal and state workforce efforts. Davis said the agency served more than 11,000 individuals in 2025, operates nine workforce centers, and tracks outcomes through quarterly and annual reporting. In response to questions, he said job openings data reflect only positions in the system and may understate actual hiring needs, that child care and other assistance programs could be better tied to employment outcomes, and that the DOCR partnership has shown strong results with lower recidivism and higher earnings. He also said the H-2A inspection workload is growing quickly and additional staffing or less frequent federal inspection requirements could help. Allen Knutson then presented S&P Global’s updated revenue forecast. He said oil prices have risen sharply since the prior month’s outlook, improving the state’s near-term revenue picture, though the economy remains volatile and agriculture is facing weaker commodity prices. Based on the updated forecast, total major tax revenues for the current biennium are projected to be about $89 million above the legislative forecast, and the next biennium could be about $500 million higher, though that estimate is preliminary and may change. He also walked through an alternate oil-price scenario showing significantly higher oil and gas collections and a larger Strategic Investment Fund balance if prices remain elevated. Members asked whether another forecast should be requested once oil markets stabilize and about tribal allocation changes in the alternative scenario; Knutson said additional updates are possible through OMB and future forecast cycles.

Transcript Highlights:

• We respectfully ask for your support in passing this legislation.
• It's a study.
• But again, we don't, we don't, uh, take positions for or against legislation. So.
• The purpose of this legislation is straightforward.
• Uh, we, we did a study with TRS did a study and it showed the cost of doing either a 20 to 25 year retirement

Transcript Highlights:

• Do you need legislation to do that?
• to do that I think the need legislation to do that I think the legislation<00:59:01.760> is<00
• We’ve been working with legislators.
• <01:09:19.040> we we've been working with legislators we we've been working with legislators
• <02:55:29.120> that study that study that um<02:55:31.720> is<02:55:32.000> conducted

Keywords: 910, house, all

Summary: The committee first took up SB 1494 on hearing aids. Testimony was generally supportive of expanding hearing-aid coverage, with the Insurance Division raising concern about possible federal defrayment issues, SHPDA supporting the goal of hearing augmentation, DCAB strongly supporting the bill as an important access issue, and health plans and insurers asking for amendments. Kaiser Permanente and the Hawaii Association of Health Plans requested changes to add a medical-necessity standard and clarify annual notice language, while HMSA suggested the proposal should be studied by the auditor. The chair noted concerns about federal preemption and the lack of an audit, and deferred the bill in favor of a related resolution calling for a study. The committee then heard SB 1448, an emergency appropriation for the Hawaii State Hospital. DAGS and the Department of Health supported the measure, with the hospital administrator saying the funding would improve the environment of care, support cleaning, and allow a third-party review of the building. Committee members questioned the size of the request and the status of litigation against the design-builder. Administration witnesses said they were pursuing a comprehensive study involving destructive testing, had made a demand on the design-builder to fund the study, and were using different processes than before. They also said the roof work would be handled through a separate CIP request. No final action was taken in the portion provided. The committee next heard SB 1432, relating to the future responsibilities of the Department of Health and land issues at Kalaupapa after the last patient dies. DOH supported the bill in part but said its long-term role would be limited mainly to environmental cleanup, with operations expected to continue under the National Park Service and land-use decisions left to DHHL and beneficiary consultation. DHHL asked that the measure reflect that any land-use or zoning changes on homeland lands require commission approval and beneficiary consultation. Testifiers from Kalaupapa and Maui County, including Degra Vanderbilt-Papa and Council Member Keani Rollins-Fernandez, supported deferring the bill, saying there had been no meaningful community discussion about provisions affecting Kalaupapa’s future management and possible transfer of responsibilities to Maui County. The committee also read into the record written testimony from Gloria Marks emphasizing that Kalaupapa stakeholders must be included in future discussions. Finally, the committee heard SB 955 on fitness-to-proceed examinations. The Judiciary and the Public Defender’s Office both supported raising pay and standardizing expectations for private examiners, but opposed reducing felony fitness evaluations from three examiners to one and opposed expanding use of expedited reports. They argued that a single examiner would reduce reliability, create a more adversarial process, and likely increase costs and contested hearings, while expedited reports do not contain enough information for a proper fitness determination. The Department of Health also supported the bill’s intent but asked to preserve a three-examiner framework and said the goal was to reduce the number of people sent to the State Hospital, where admissions have reportedly risen about 20% year over year since Act 26. The bill remained under discussion in the excerpt, with no final vote shown.

Transcript Highlights:

• , and there hasn't been a refresh on the disparity study with regard to veterans' businesses.
• We urge Texas legislators to champion policies recognizing the contributions of Texas veterans.
• I urge your support in passing this critical legislation for veteran-owned businesses. Thank you.
• I'm Jim Brennan, the legislative director. Thank you.
• I'm Jim Brennan, the legislative director for the Texas Coalition of Veterans Organizations.

Bills: SB 390, SB 1197, SB 1271

Keywords: veteran-owned businesses, state contracting, historically underutilized business, economic opportunity, small business, economic development, veterans, certification, Texas legislation, unmanned aircraft, spaceport, criminal offense, aviation regulations, airspace safety, military installations, concurrent jurisdiction, governor's approval, state agency, land acquisition, Veteran Affairs

Summary: The meeting of the Committee on Veteran Affairs addressed several significant bills aimed at supporting veterans and their businesses. Among the bills discussed was SB390, which seeks to expand the definition of historically underutilized businesses to include all veteran-owned businesses, regardless of disability status. This change aims to create a more equitable economic landscape for veterans and to foster their participation in state procurement opportunities. The committee heard strong testimony supporting this initiative, emphasizing the importance of providing veterans with fair chances in business development.

Transcript Highlights:

• I'm a senior analyst with the Legislative Education Study Committee.
• So, how is that studying planning gonna happen?
• The Legislative Council, um, the, the task force could also request that the Legislative council, um,
• And as legislators, we need to know from you what's not working and, and what legislation and what it
• requests with Legislative council Service.

Transcript Highlights:

• With literally four or five hundred legislators, and we've ridden individually with legislators.
• This legislation accomplishes three essential objectives.
• They do not want to have to do the traffic studies.
• We're saying that we want to keep that study first.
• I'm in my third term as legislative chair and board secretary.

Bills: HB535, HB2120, HB2822, HB3243, HB3457, HB3544, HB4089, HB4192, HB4669, HB4868, HB4955, HB5253, HB5669, SB1371, SB1919, SB2001

Keywords: motor vehicle, pedestrian, bicycle, traffic safety, municipality, criminal offense, pedestrian safety, traffic regulations, municipal law, bicycle regulations, motor vehicle passing, traffic law, municipalities, bicycle operation, traffic laws, municipal regulations, port commission, Corpus Christi, Nueces County, San Patricio County

Transcript Highlights:

• We don't have studies in Massachusetts.
• I don't think you all have allocated any money for studies of this sort of thing.
• the extent that any other mood-altering substance has been studied.
• We want to study this.
• I think there's probably plenty of studies that we could look to. No.

Keywords: 995, all

Summary: The Special Joint Committee on Initiative Petitions held a public hearing on Initiative Petition 25-10, House Bill 5002, titled “An Act to Restore a Sensible Marijuana Policy,” which would repeal Massachusetts’ adult-use cannabis legalization framework. Chairs Brendan Crighton and Kate Hogan outlined the Article 48 initiative process and explained that the committee is gathering testimony for a report to the legislature. The hearing was organized into expert, proponent, opponent, and public testimony, with written testimony accepted through March 27. The first witness, Jessica Trow of MassBudget, testified in opposition to repeal and focused on cannabis-related revenue and social equity. She said legalization has generated nearly $2 billion statewide since adult-use sales began, with revenue flowing through the Marijuana Regulation Fund, the state sales tax, and local taxes and fees. She emphasized that funds support public health, the Cannabis Control Commission’s social equity work, the Cannabis Social Equity Fund, and municipal budgets, and argued that legalization has created pathways for communities harmed by prohibition. The petition’s spokesperson, Wendy Wakeman, argued in favor of repeal, saying legalization has worsened public health, safety, and quality of life, citing higher potency, addiction, youth use, impaired driving, workplace positives, and black-market concerns. Committee members questioned her about the data sources, the will of the voters, the role of paid signature gatherers, and the petition’s funding, including out-of-state and dark-money concerns. Opponents of the initiative then testified that repeal would harm a regulated industry that has created jobs, tax revenue, and social equity opportunities. Caroline Pino of STEM, Kristen Rogers of Levia, Judith Ledbetter of Project De-Stigmatized Healthcare, and Armani White of Firehouse Dispensary/EON described their businesses, community investments, and personal reliance on cannabis, and warned that repeal would push consumers back to the illicit market and undermine equity programs. In public testimony, Lucas Thayer of the Massachusetts Cannabis Reform Coalition and Jeff Rawson, a chemist and consumer protection advocate, also opposed the measure, arguing that regulated cannabis is safer than unregulated products and that repeal would damage investments and public safety. The hearing ended after the public testimony, and the committee voted to close the hearing.

Transcript Highlights:

• It's intended to study competition, but the study itself could reduce competition.
• Members, a study should not put the very businesses it is studying out of business, yet that's exactly
• And so I know this is just a study, right, that we've got a study with, no?
• If I can, it's, the CEC is still studying it. We've already authorized that study.
• Study is already publicly available.

Keywords: 988, house, all

Transcript Highlights:

• This is kind of a small business piece of legislation.
• I'd like to get the amendment on so that we would at least have the one piece of legislation.
• And what this amendment does to the bill, one, I don't want to think about this legislation in terms
• That way, you can study the predictive pharmacokinetics... study the predictive pharmacokinetics... scientist
• Since then, there has been several other pieces of legislation that have not passed.

Bills: SB282, SB300, HB72, HB396, SB282, SB300, HB72, HB396

Keywords: virtual currency, cryptocurrency, tax exemption, state tax law, digital assets, ad valorem tax, tangible personal property, business incentives, economic impact, firefighter, license plate, fees, funds distribution, support programs, memorial, disabled veterans, property tax exemption, debt-to-income ratio, homestead, veterans affairs

Transcript Highlights:

• If we did regulations, we would have to do a fiscal impact study.
• Much of this academic literature studies Massachusetts in particular.
• And Ali DiMateo, Legislative and Policy Counsel, as well.
• I'm Legislative and Policy Counsel at the MMA.
• Is there anything that the legislative...

Keywords: 995, all

Summary: The Special Joint Committee on Initiative Petitions held a public hearing on Initiative Petition 25-03, House Bill 5000, which would allow single-family homes on small lots in areas with adequate infrastructure. Committee chairs outlined the Article 48 process and the hearing format, then heard first from two subject-matter experts. Under Secretary Chris Clutchman of Housing and Livable Communities explained that the proposal would amend Chapter 40A’s Section 3 (the Dover Amendment) to require most municipalities, except Boston, to allow single-family homes on residentially zoned lots of at least 5,000 square feet with 50 feet of frontage and access to public water and sewer, while still allowing reasonable local regulations on setbacks, height, bulk, and short-term rentals. He distinguished the proposal from Chapter 40Y starter-home zoning, said implementation would likely require regulations to address issues such as wetlands, infrastructure capacity, and nonconforming lots, and answered committee questions about lot subdivision, MBTA Communities, and the relationship to existing zoning tools. Attorney Susan Murphy testified that the petition would significantly override local zoning and could create conflicts with existing statutes, including Chapter 40A Section 6 protections for certain nonconforming lots, subdivision control law, and other residential zoning districts. She raised concerns about how “access” to water and sewer would be defined, whether the measure could apply in business or industrial districts where residential uses are allowed, and whether the proposal could allow large homes on small lots without any affordability limits. She also warned that the measure could have significant infrastructure impacts and argued that the Legislature should consider broader, more comprehensive housing legislation rather than expanding exceptions to the zoning framework. Committee members asked both experts about frontage, lot size, infrastructure capacity, and how the proposal would interact with 40Y and MBTA Communities. The proponents, led by Andrew McCulla of the Legalized Starter Homes Coalition, argued that Massachusetts faces a severe housing shortage and affordability crisis, citing high home prices, high rents, declining listings, and outmigration of younger residents. They said the measure would legalize modest single-family homes on smaller lots, increase housing supply, and help first-time buyers and downsizing seniors, while leaving most other local rules in place. Other proponents, including representatives from Abundant Housing Massachusetts, the Charles River Regional Chamber, and individual residents, emphasized workforce retention, the need for more starter homes, and the view that large minimum lot sizes are a major barrier to production. Committee members pressed the panel on the lack of any home-size or affordability requirement, possible effects on 40B compliance, the number of new lots and homes that might result, and the fact that the ballot initiative would not be amendable by the Legislature. The hearing then turned to opponents from the Massachusetts Municipal Association, who urged the committee to take no action. MMA leaders said zoning should remain a local decision made by residents and elected local officials, and argued that the proposal would preempt local control with a one-size-fits-all mandate. They also said the measure is impractical because many communities with water and sewer are already at or near capacity, so infrastructure availability does not necessarily mean development capacity. The hearing ended during the MMA’s testimony, with no vote or final committee action taken.

Transcript Highlights:

• The information that I plan to share with you today comes from studies conducted by state legislators
• over the years, a study from Georgia State University, and my conversations with legislative fiscal
• studies conducted by state legislators studies conducted by state legislators over<00:04:52.800>
• Um, an example from a study of fiscal notes in Colorado discusses how legislation to expand a personal
• legislators have been anticipating. legislators have been anticipating.

Keywords: 919, house, all

Summary: The Legislative Budget Office Oversight Commission met on January 22, 2026, with a quorum present and approved the minutes from the December 17, 2025 meeting. The main presentation was by Erikica McKeler of the National Conference of State Legislatures on dynamic fiscal notes, dynamic scoring, and how they differ from static fiscal notes. She explained that dynamic analysis tries to capture broader economic and behavioral effects of policy changes, but that most states have experimented with it only briefly, often for tax bills, and many have later scaled back or abandoned the practice because it is staff-intensive, expensive, and difficult to validate. McKeler highlighted examples from Texas, Utah, and Arkansas. Texas requires dynamic fiscal impact statements for certain large tax or fee measures and for the biennial appropriations bill; Utah has done such analyses on request during the interim but only when staff time allows; and Arkansas recently began producing dynamic fiscal notes with thresholds and request limits. She noted that these states generally use REMI software, though Utah switched to IMPLAN for cost reasons. She also outlined common challenges, including the need for strong staff expertise, the sensitivity of results to assumptions, the expense of software licenses, and the difficulty of measuring accuracy over time. Members then discussed whether dynamic scoring could be useful for health and human services programs where a policy may shift costs between settings rather than create a simple new expense. Senator Marty raised a Medicaid example involving home-based blue light therapy for newborns, arguing that dynamic analysis might better capture potential savings from avoiding longer hospital stays. Legislative Budget Office and Minnesota Management and Budget staff responded that such effects may be better understood as direct program substitutions rather than true dynamic effects, and emphasized the need for reliable data and caution because savings estimates could reduce appropriations if they do not materialize. The discussion also touched on whether dynamic models would capture local government impacts, but no formal action was taken beyond the approval of minutes and receipt of the presentation.

Transcript Highlights:

• <00:12:06.160> as um weight raver waiver rate study as um weight raver waiver rate study as
• U well as providing draft legislation.
• Um, this is a one-time staff study.
• , as well as draft legislation.
• lensure and disability waiver rate study lensure and disability waiver rate study as<00:54:37.920

Keywords: 1187, senate, all

Transcript Highlights:

• This summer we had a legislative study group, and it was established to study the issues related to student
• study a a a study group a legislative study a a a study group a legislative study group<00:03
• group and it was established to study group and it was established to study the<00:03:23.120>
• On line 1.7, delete “studies” and insert “study.”
• <01:30:49.400> maternal relating to maternal studies maternal relating to maternal studies

Keywords: 1187, senate, all

Transcript Highlights:

• for the '26 legislative year.
• <00:20:21.200> for areas for possible um legislation for areas for possible um legislation
• with this proposed commission to study with this proposed commission to study the<00:31:26.000><
• So no despite all the studies<01:14:45.120> we<01:14:45.520> had<01:14:45.920> studies
• studies showing the masks studies we had studies showing the masks were<01:14:47.360> no<01:14

Keywords: 1191, senate, all

Transcript Highlights:

• Thank you for considering this crucial legislation.
• Thank you for considering this crucial legislation.
• I don't think this legislation is necessary. Let's see.
• And here we are: years later, a 2020 study came out, the Nature Gap study, that said that we are so far
• This legislation is a critical step toward ensuring equitable health care.

Keywords: 995, all

Summary: The committee heard testimony on a wide range of health insurance and public health bills, with most speakers focused on expanding coverage for specific treatments and services. Bills discussed included H. 1187/S. 792 on rehabilitation counselors, H. 1173/S. 692 on patient navigation, S. 2600 on scalp cooling for chemotherapy patients, S. 2599 on medically necessary treatment for port wine birthmarks, H. 1164 on licensed educational psychologists for child and adolescent mental health services, S. 754/H. 1254 on autism diagnosis and treatment by nurse practitioners and psychiatric nurse mental health clinical specialists, S. 714/H. 1137 on infectious disease response and coverage, and S. 791 on making nature a prescriptive therapeutic intervention. Speakers generally argued these bills would improve access, reduce out-of-pocket costs, and address gaps in current insurance reimbursement rules. Testimony in support emphasized personal stories and clinical evidence. Cancer patients and providers described the benefits of patient navigation and scalp cooling for dignity and quality of life during treatment. Boston Children’s Hospital staff and families said port wine birthmark treatment is medically necessary, can prevent complications, and should not be denied as cosmetic. Rehabilitation counselors and school psychologists argued their services are effective, cost-saving, and underused because they cannot bill insurance. Autism advocates said current insurance statutes are outdated because nurse practitioners and psychiatric nurse mental health clinical specialists already provide evaluations and should be recognized for reimbursement to avoid delays in early intervention. Public health and GLAD Law testimony supported stronger infectious disease coverage to remove barriers to testing, treatment, and PrEP access. The hearing also included extensive testimony on H. 1172, a bill requiring insurance coverage for detransition-related care. Supporters said it would ensure coverage for medically necessary care for people who regret or reverse gender transition, while opponents argued it would legitimize anti-trans narratives or, conversely, that detransition care is needed because transition procedures can cause harm. The committee also heard strong support for S. 791 from advocates who described nature access as a health intervention that could help with trauma, anxiety, substance use recovery, and environmental justice, with claims that insurance coverage and reduced park fees would improve access. No votes were taken during the transcript, and the chair repeatedly thanked speakers and moved through the long list of public testimony.

Transcript Highlights:

• We conduct a rate study each year based on our analysis.
• I'm studying. I don't know. That's a different conversation.
• It's a study bill, to be correct? It is a study bill, Mr. Chairman. Thank you. I appreciate it.
• Marta Fee, separate legislation, separate law.
• The Development Board has completed 16 studies, with an additional 3 studies underway, and has designated

Bills: SB1169, SB1285, SB1583, SB1611, SB1898, SB1976, SB2160, SB2161, SB2658, SB2661, SB2662, SB2692, SB1055, SB1359, SB2660

Keywords: water service, sewer service, public utility, joint operation, infrastructure, municipality, compliance, SB 1285, bats, bat protection, wildlife protection, Texas Parks and Wildlife Code, Parks and Wildlife Code Section 63.101, hunting bats, bat possession, bat sales, bat trade, pest control, licensed pest control professional, animal control officer