Transcript Highlights:

• We do not have any questions for the author or for you.
• This is that portion of the session where we're fighting to get authors in and quorums all right.
• As The commissioner, the authority to review claim-level data to ensure compliance.
• 1868.2, the authorization of co-pay assistance.
• I will say this: the authors asked me to run this bill on the floor.

Bills: HB591, HB765, HB826, HB870, HB938, HB1151, HB1162, HB1176, HB1196, HB1236, HB1241

Keywords: family leave, insurance, paid leave, employment benefits, caregiver support, liability insurance, coverage defenses, direct action, judgment enforcement, legal procedures, insurance referrals, compensation, non-licensed agents, consumer protection, insurance products, HB 870, Act 907, Louisiana insurance, health insurance, prescription drugs

Transcript Highlights:

• will come to order. 3 as we continue to move through our posted agenda. 5 6 recognizes the bill's author
• Members of the committee, any questions for the author?
• , the authority responsible for curing elections vies for an election commits an offense if the authority
• Any questions for the author? Very well, we'll open testimony.
• Members of the committee, any questions for the author on Senate Bill 1434? Very well.

Bills: SB108, SB318, SB507, SB511, SB533, SB1026, SB1386, SB1433, SB1434, SB1596

Keywords: elections, Election Code, poll workers, election clerks, presiding judge, alternate presiding judge, polling place, central counting station, county chair, political party, gubernatorial election, vote counting, election administration, Texas elections, precinct officials, ballot counting, county election officials, election integrity, election fraud, Attorney General

Transcript Highlights:

• The chair lays out Senate Bill 1596, 1596 and recognizes. its author, our colleague, Senator Hagenbueh
• Thank you, Senator, members, any questions for the author? Senator Birdwell, are you familiar?
• Senator Birdwell sends up the committee substitute. substitutes before us which the author previously

Bills: SB108, SB318, SB507, SB511, SB533, SB1026, SB1386, SB1433, SB1434, SB1596

Keywords: elections, Election Code, poll workers, election clerks, presiding judge, alternate presiding judge, polling place, central counting station, county chair, political party, gubernatorial election, vote counting, election administration, Texas elections, precinct officials, ballot counting, county election officials, election integrity, election fraud, Attorney General

Transcript Highlights:

• The chair lays out Senate Bill 1596 and recognizes its author, our colleague, Senator Hagenbooth, to
• Uh, are there any questions for the author? Senator Birdwell, are you familiar with these terms?
• The committee substitute is before us, which the author previously explained, Is there any objection

Bills: SB108, SB318, SB507, SB511, SB533, SB1026, SB1386, SB1433, SB1434, SB1596

Keywords: elections, Election Code, poll workers, election clerks, presiding judge, alternate presiding judge, polling place, central counting station, county chair, political party, gubernatorial election, vote counting, election administration, Texas elections, precinct officials, ballot counting, county election officials, election integrity, election fraud, Attorney General

Summary: The committee heard testimony on Senate Bill 1596, which would remove short-barreled rifles from the list of prohibited weapons in the Texas Penal Code. The author, Sen. Hagenbuch, said the bill would align state law with federal realities and argued that the current prohibition is arbitrary and unnecessary. Supporters, including representatives from Gun Owners of America and Texas Gun Rights, said the bill would reduce confusion, protect lawful gun owners, and preserve the ability to use shorter firearms for self-defense, hunting, and for smaller shooters. One supporter also described a recent case in which an AR pistol was mistaken for a short-barreled rifle and led to a state charge that was later dismissed. Public testimony was split. Supporters said stabilizing braces and shorter firearms can improve accuracy, safety, and accessibility for women, children, and smaller-statured shooters. Opponents, including Texas Gun Sense and two Santa Fe shooting survivors, argued that short-barreled firearms are more concealable and dangerous, and pointed to the 2018 Santa Fe High School shooting as evidence of the risks of easier access. They urged the committee to keep the existing restrictions in place to protect public safety. After public testimony closed, the committee took up pending business. Senate Bill 1505, relating to the Compassionate Use Program, was reported favorably to the full Senate on an 8-0 vote. Senate Bill 17, relating to the acquisition of real property by certain aliens or foreign entities, was first amended by adopting a committee substitute and then reported favorably to the full Senate by a 7-1 vote. The committee then recessed until after the Senate’s adjournment or final recess.

Transcript Highlights:

• You've got to parse that out, and you have to look at the cost-benefit analysis of the authorization
• Bond. Do you have a number or percentage of those folks that are in rural communities?
• The threshold requiring approval for financial assistance from the Greater Arizona Development Authority
• The state has the authority, and I may say the duty, to cover fully inflation. We certainly may.
• Chairman, members, House Bill 4164 and Senate Bill 1857 continue session law that authorizes counties

Bills: HB4154, HB4155, HB4156, HB4157, HB4158, HB4159, HB4160, HB4161, HB4162, HB4163, HB4164, HB4165, HB4166, HB4167, HB4168, HB4169, SB1847, SB1848, SB1849, SB1850, SB1851, SB1852, SB1853, SB1854, SB1855, SB1856, SB1857, SB1858, SB1859, SB1860, SB1861, SB1862

Keywords: general appropriations act, budget, biennial budget, state spending, fiscal year 2026-2027, appropriations, state agencies, public funding, education funding, health and human services, public safety, transportation, government operations, budget bill, fiscal policy, state finance, spending plan, legislative budget, capital appropriations, operating budget

Transcript Highlights:

• I'm proud to say that this bill has bipartisan support, signed on as joint authors and co-authors.
• . authored, a very reputable publishing house.
• They should be held accountable through this bond, and they're not right now.
• to project managers, which long-standing in construction are not bonded.
• Taxpayers are going to have to pay more money, even though it was a bond.

Bills: HB178, HB178, HB1551, HB1939, HB2040, HB2354, HB2674, HB3029, HB3460, HB3631, HB3662, HB5201, HB5381

Keywords: efficiency audit, political subdivision, tax rate, fiscal management, government accountability, Texas education, public schools, curriculum, social studies, high school graduation requirements, State Board of Education, Education Code, ethnic studies, world history, world geography, U.S. history, government, economics, personal financial literacy, free enterprise

Transcript Highlights:

• This change serves to give the Board of Trustees the authority to adopt a resolution to change the length
• Has the author of the bill seen this amendment? No, he has not seen it.
• I think that the author of the bill deserves a conversation.

Bills: HB178, HB1551, HB1939, HB2040, HB2354, HB2674, HB3029, HB3460, HB3631, HB3662, HB5201, HB5381, HB178

Keywords: Texas education, public schools, curriculum, social studies, high school graduation requirements, State Board of Education, Education Code, ethnic studies, world history, world geography, U.S. history, government, economics, personal financial literacy, free enterprise, religious literature, Hebrew Scriptures, Old Testament, New Testament, ninth grade

Transcript Highlights:

• We're going to ask bill authors and testifiers to please be very efficient with your testimony and also
• <00:02:51.400> and<00:02:51.640> testifiers going to ask Bill authors and testifiers
• We would ask that the authors consider that an administrative authority would be able to efficiently
• tasks we would ask that the authors tasks we would ask that the authors consider<01:31:12.520>
• What I would say is, you know, I think the author wants to vote it out of committee today.

Bills: HF1662, HF1224, HF1836, HF1367, HF1168, HF1999, HF1792, HF102, HF2127, HF104

Keywords: veterans, veterans affairs, State Soldiers Assistance Program, Veterans Stable Housing Initiative, MAXIS, human services data, data sharing, eligibility verification, informed consent, private data, benefits coordination, veteran housing, veteran assistance, Department of Human Services, Children Youth and Families, state benefits, federal benefits, privacy, public assistance, foreclosure

Transcript Highlights:

• The Angelina and Neches River Authority, the Lower Neches Valley Authority, the San Antonio River Authority
• Schools are taking on these junk bonds.
• That's why we put people on our bond oversight committee, who work very critically of our bond.
• Number four, this bill authorizes the revocation of operating authority in case of serious safety violations
• to another authorization holder, then that authorization holder would be issued the citations for violations

Bills: HB1540, HB3837, HB5571, SB370, SB2425

Keywords: government review, Texas Sunset Act, regulatory oversight, agencies, sunset provisions, autonomous vehicles, regulation, safety, criminal offense, Autonomous Vehicle Commission, registration, regulations, Level 4 automation, Level 5 automation, self-driving technology, traffic laws, permit system, collision reporting, safety standards, Automated Vehicle Commission

Transcript Highlights:

• actually what it was set up for—was economic development, and it mainly is used for debt service on bonds

Bills: SB107, HB158, HB353, HB354, HB357, HB181, HB465, HB526

Keywords: SSUT, simplified sellers use tax, sales tax distribution, municipal revenue, municipal population, annexation, deannexation, incorporation, boundary change, federal census, decennial census, Department of Revenue, local government finance, revenue sharing, municipal boundaries, population recalculation, probate judge, Boundary and Annexation Survey, Alabama municipalities, HB158

Transcript Highlights:

• SB1266 recognizes its author, Senator Alvarado, to explain the bill. Welcome, Senator.
• When you look at how many local mental health authorities there are... authorities, they cover a variety
• It's a bond. So we look forward to working with you. Senator Sparks.
• It gives the statutory authority the agency needs and provides clear direction.
• Members, questions of the author.

Bills: SB623, SB1266, SB1310, SB1373, SB1580, SB1952, SB2032, SB2269, SB2544, SB2653, SB2796

Keywords: pharmacist, vaccine administration, COVID-19, exclusive authority, healthcare, Medicaid, provider enrollment, credentialing, administrative burden, Texas Health and Human Services, senior retirement communities, emergency response, residential safety, contract provisions, health and safety regulations, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges

Bills: HB1166, HB389, HB644, HB1509, HB1692, HB1842, HB1878, HB1926, HB1949, HB2116, HB2581

Keywords: HB1166, automated speed enforcement, speed cameras, traffic enforcement, road safety, traffic safety, Department of Transportation, state highway fund, special fund, appropriation, fiscal year 2026-2027, camera enforcement, speeding citations, automated traffic enforcement, highway safety, HB389, uncrewed aircraft, drone, drones, UAS

Transcript Highlights:

• Colleagues of all the professionals, medical professionals here, MDs, PhDs, all of them have 8 or 10 authors
• on transparency, innovation, and coordination of existing resources without expanding the agency authority
• a pharmacy to fill a Prescription that a nurse practitioner or PA with independent prescriptive authority

Bills: HB3552, HB2984, HB4124, HB3934, HB3448, HB3131, HB4200, HB4201, HB3011, HB1912, HB3380, HB3881, HB3538, HB3851, HB3907, HB4430, HB4431, HB4457

Keywords: childcare, differential pricing, Department of Human Services, child care subsidy, licensed providers, emergency legislation, child care, subsidy program, annual report, program integrity, overpayments, ivermectin, over-the-counter medication, pharmacy immunity, healthcare access, FDA approval, prescription, public health, dentistry, licensing

Transcript Highlights:

• The bill prohibits contractors from requiring prior authorization for diagnostic services and from imposing
• Prohibiting the MCOs from implementing prior authorization for diagnostic services could lead to increased
• The bill authorizes the chairs of the legislative health and human services committees to each designate
• Will they be entitled to deny claims using prior authorization?
• So this would work just as if... ...the prior authorization.

Bills: SB1086, SB1193, SB1318, SB1345, SB1346, SB1451, SB1496, SB1611, SB1630, SB1631, SB1632, SB1672

Keywords: reimbursement, healthcare, laboratory services, noncontracting providers, Arizona health care cost containment, personal identifying information, PII, privacy, confidential records, public records exemption, commercial disclosure, data privacy, licensure, certification, health professions, health care licensing, Arizona Department of Health Services, ADHS, emergency medical care technician, EMCT

Summary: The committee first approved the February 4 minutes and then heard Senate Bill 1086, which would require AHCCCS contractors to reimburse non-contracting providers for certain laboratory services when a member was referred by a contracting provider, and would bar prior authorization for diagnostic services and retaliation tied to such referrals. AHCCCS testified neutral but warned the prior-authorization ban could increase utilization and create fiscal and federal compliance concerns. The committee adopted the Warner amendment limiting non-contracting reimbursement to no more than contracting-provider rates, then passed SB 1086 as amended on a 4-2 vote. The committee next took up Senate Bill 1611, an emergency measure to require AHCCCS to contract with an administrative services organization for program integrity and case management functions for the American Indian Health Plan, while keeping AHCCCS ultimately responsible. The chair’s amendment expanded the ASO’s duties to include provider support, quality improvement, and data analytics, removed AHCCCS claims payment authority, added more tribal observers, and exempted IHS and tribal facilities. Testimony strongly supported reforming the system after fraud and overcorrection harmed Native members and providers, but AHCCCS raised concerns about the fast timeline, possible duplication of fraud-fighting functions, and the need for 45 days of tribal consultation. The committee adopted the amendment and passed SB 1611 as amended on a 5-2 vote. Senate Bill 1630 would create a Medicaid-funded home and community-based services program for adults with serious mental illness, capped initially at 250 members under the Angius amendment, with semiannual reporting and a process for future expansion only if costs are reduced or neutral. Supporters said the bill would help the sickest SMI patients avoid repeated hospitalizations, jail, and homelessness, and could save the state general fund by shifting costs to federal Medicaid funding; AHCCCS was neutral and said it was finalizing the fiscal estimate. The committee adopted the amendment and passed SB 1630 unanimously. The committee also passed SB 1193, protecting emergency medical care technician personal information from disclosure; SB 1318, repealing an outdated state dense-breast notification requirement to align with FDA language; and SB 1345, restricting anonymous complaints against health care institutions, though AHCCCS warned that federal law may still require investigation of complaints from any source and that the bill could reduce reporting and invite litigation.

Transcript Highlights:

• It's a pretty simple prior authorization process.
• Prior authorization is that process to do that.
• We can ban prior authorizations on them, but overall blanket bans on prior authorizations concern us.
• Are there questions for the author?
• Authorization from... and they say the doctor.

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• Medicaid has very strict documentation requirements, pre-screening, and prior authorizations and things
• It is after an extensive stakeholder process and consideration by all of the authors on this bill that

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• Documentation requirements and pre-screening and prior authorizations and things like that, I think it
• It is after an extensive stakeholder process and consideration by all of the authors on this bill that
• Have you talked to the, have you talked to the author of the bill?

Bills: SB 227, SB 269, SB 407, SB 463, SB 527, SB 547, SB 1283, SB 1380, SB 1383, SB 1511, SB 1640, SB 1784, SB 2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• Prior authorization is only one of those.
• Members, questions of the author.
• Buckingham, allowing them to be exempt from prior authorization, pre-authorization requirements that
• Physicians who achieved favorable prior authorization at a rate of 90% would be exempt from prior authorization
• Any questions for the author of the bill? Members, we just have in and the author of the bill.

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Summary: The Senate Committee on Health and Human Services met with several members initially absent, then later established a quorum. The committee heard multiple bills, with most testimony focusing on access to care, insurance practices, senior safety, and health care worker protections. Several bills were laid out with committee substitutes, and public testimony was limited to two minutes per witness. Most bills were left pending after testimony, with no final votes taken in the portion provided. Senate Bill 2069 would create a work group to study the feasibility of a statewide acute psychiatric bed registry; the substitute shifts appointment authority to the Health and Human Services Commissioner and extends reporting and sunset dates. Senate Bill 463 would expand workplace violence protections to additional hospice, home and community support, intermediate care, and state-supported living center settings. Senate Bill 1283 would require background checks and transparency measures for senior retirement communities after testimony about the Dallas-area serial killings of elderly residents. Senate Bill 1784 would require 60 days’ written notice before medical debt is sent to collections. Senate Bill 527 would require medical insurance coverage for general anesthesia for medically necessary pediatric dental procedures for children under 13 with qualifying conditions; pediatric dentists testified that denials delay needed care. A major portion of the meeting centered on prior authorization. Senate Bill 1380 would eliminate prior authorization for a broad list of services, including emergency, primary, mental health, substance use, chemotherapy, preventive, pediatric hospice, and certain chronic-condition care. Physicians and hospice advocates supported the bill, describing delays, administrative burden, and patient harm, while health plans opposed blanket exemptions and argued prior authorization helps prevent unnecessary care and control costs. Relatedly, Senate Bill 547 would require insurers to report gold-card prior authorization exemptions to TDI and create a centralized database and annual report; TMA supported better tracking, while health plans warned of duplicative reporting and administrative cost. Senate Bill 407 would require health care facilities to honor conscience- and religion-based vaccine exemptions for employees, with testimony from a physician and vaccine-choice advocate supporting the bill. The committee also heard Senate Bill 1383, which would regulate senior living referral agencies, allow more flexible compensation structures, and add disclosure and consumer protections; an out-of-state referral company and A Place for Mom supported it. Senate Bill 1511 would allow freestanding emergency centers to provide outpatient services in addition to emergency care, with consumer protections such as estimates, limits on facility fees, and restrictions on balance billing. The chair repeatedly announced that bills were being left pending after testimony, and no final committee action or recorded votes were taken in the transcript provided.

Transcript Highlights:

• For insurance, if we tweak that and just say, hey, or you can get a bond for the project.
• Bonding, generally in the past—and we've worked through bonds—is a very specific... ...project.
• process because a bond, typically, you've got to have a lot of input data.
• That has to be pushed back to Wednesday, and that generally doesn't work well with bonds.
• for reviewing and approving or denying a prior authorization request.

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301

Transcript Highlights:

• We understand we may have a difference of opinion with the bill author on that point.
• Gold carding, for example, prompt pay, and prior authorization denials.
• Prior authorization denials are a huge problem for our hospitals.
• And we talked about prior authorization... Globalization requirements, it’s there.
• You know, granted we did pass whatever, and there is prior authorization.

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301