Transcript Highlights:

• </c><00:05:10.600><c> provided</c><00:05:11.479><c> or</c> change in services provider provided or change
• in services provider provided or their<00:05:12.360><c> distribution</c><00:05:13.360><c> um</c><00:
• </c> from lead agencies and from providers from lead agencies and from providers that<00:15:44.440><c
• for providers but not just provide for providers but families<00:42:51.319><c> um</c><00:42:51.559><
• </c><00:58:50.760><c> her</c><00:58:50.960><c> for</c> provider are the provider for her for provider

Bills: HF1662, HF2115, HF2159, HF1095, HF2160

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, human services

Transcript Highlights:

• Okay, HB 874 provides with respect to electronic credentials, Representative Murray...
• digital credential.
• actually provided a service as part of that surgery.
• Those ranges are for us to provide you with information.
• So the provider charges, OGB pays.

Bills: HB12, HB145, HB222, HB291, HB430, HB821, HB874, HB909, HB951, HB979, HB1193

Keywords: survivor benefits, law enforcement, reserve officer, auxiliary officer, public safety, firefighters, medical expenses, dental expenses, disability benefits, Medicaid, dental coverage, healthcare access, medical necessity, Louisiana Department of Health, health insurance, provider agreements, contracting actions, participating facilities, network status, survivors benefits

Transcript Highlights:

• Members, House Bill 841 by Representative Gaiman provides for expropriation procedures.
• It basically provides a framework of things that the landman needs to do as they're negotiating with
• And Pat Raleigh with the Chemistry Association, in favor and willing to provide information if requested
• It provides for oil field site restoration fees. Okay, Mr. Chairman. Thank you, Mr. Vice Chair.
• Members, Senate Bill 480 by Senator Allan, provides for the use of certain fishing gear.

Bills: SB480, HB621, HB637, HB804, HB841, HB1056

Keywords: fishing gear, Oyster Bayou, shrimping, regulation, marine resources, HB621, Act 658, renewable energy, recycling, decommissioning, wind energy, solar power, solar facilities, wind turbines, energy infrastructure, end-of-life disposal, universal waste, recyclable materials, waste reduction, Department of Environmental Quality

Summary: The Senate Committee on Natural Resources met on May 14 and approved the April 29 minutes. The committee first heard HB 1056, which authorizes transfer of certain state property in Natchitoches Parish tied to a former school building now considered dilapidated and a nuisance; it was reported favorably. HB 841, described as a landman code of conduct bill and expropriation-related measure, was voluntarily deferred so the sponsor could work on additional changes over the interim. The committee then took up HB 804, the Louisiana Energy Protection Act, which would bar future lawsuits seeking climate-change damages against fossil fuel companies and other entities. Supporters said it would prevent speculative climate litigation while preserving legitimate claims for permit violations and other existing statutory causes of action. Opponents from coastal litigation and the Sierra Club argued the bill was drafted too broadly and could affect legacy cases, property rights, and regulatory enforcement; the committee adopted Amendment 3875 to grandfather existing filed cases and make the bill effective upon gubernatorial signature, then reported the bill favorably as amended. HB 621, requiring recycling of decommissioned renewable energy infrastructure and updating the state’s waste framework for modern energy components, was reported favorably. HB 637, which revises oil field site restoration fees and lowers rates for marginal, stripper, low-pressure, and incapable wells, was also reported favorably. Finally, SB 480, as amended, allowed boats to anchor in Oyster Bayou so long as they are not within an oyster lease and someone remains on board; the committee adopted the amendment and reported the bill favorably before adjourning.

Transcript Highlights:

• Members, House Bill 841 by Representative Guyman, Chairman Gaiman, provides for expropriation procedures
• It basically provides a framework of things that the landman needs to do as they're negotiating with
• And Pat Raleigh with the Chemistry Association in favor and willing to provide information if requested
• It provides for oil field site restoration fees. Okay, Mr. Chairman. Thank you, Mr. Vice Chair.
• Members, Senate Bill 480 by Senator Allan provides for the use of certain fishing gear.

Bills: SB480, HB621, HB637, HB804, HB841, HB1056

Keywords: fishing gear, Oyster Bayou, shrimping, regulation, marine resources, HB621, Act 658, renewable energy, recycling, decommissioning, wind energy, solar power, solar facilities, wind turbines, energy infrastructure, end-of-life disposal, universal waste, recyclable materials, waste reduction, Department of Environmental Quality

Transcript Highlights:

• and more specifically focused on ensuring that tribal child care centers retain their ability to provide
• kids to these intervention services, they're eligible for both if they happen to be a child care provider
• that are providing services.
• about the sectarian, non-sectarian, non-denominational, so are we saying then that churches that provide
• So you ask for additional information, and this is what this provides.

Bills: SB241, SB145

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Transcript Highlights:

• for our families as we provide for our communities.
• SB 241 provides the predictability families, providers, and employers need by codifying the child care
• that provided outside of the, yeah.
• that provided outside of the, yeah.
• Amendment 28, a registered child care provider...

Bills: SB241, SB145

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Transcript Highlights:

• It also excludes senior age-restricted manufactured mobile home communities that do not provide meals
• This amendment just clarifies housing providers that don't provide laundry, meals, et cetera.
• This amendment just clarifies housing providers that don't provide laundry, meals, et cetera.
• bill from last year that had unintended consequences that required all notices for rental housing providers
• We heard from an affordable housing provider that said that they had 90% of them returned because people

Bills: HB1542, HB2452, HB2664

Keywords: senior housing, independent living, 55 and older, older adults, elderly, retirement housing, retirement community, resident rights, tenant protections, consumer protection act, unfair or deceptive practices, housing discrimination, assisted living distinction, Department of Commerce, Washington RCW, housing provider, community living, security cameras, resident meetings, anonymous complaints

Transcript Highlights:

• It bans midwives from providing the full battery of screenings our babies need, forcing moms to find
• It's just what's in the schools in their lunches, the meals provided by the schools.
• Any meals provided in K through 12.
• This bill just wants to make sure that healthcare providers are not... ...that healthcare providers are
• The good thing about this bill is it does provide... about this bill is it does provide parents with

Bills: SB87, HB491, SB43, SB101

Keywords: midwifery, licensed midwives, State Board of Midwifery, licensure fees, professional liability insurance, complaints investigation, emergency care plan, out-of-hospital care, HB491, public schools, K-12, school nutrition, school lunch, cafeteria, artificial dyes, food additives, food coloring, synthetic dyes, Red Dye No. 3, Red Dye No. 40

Transcript Highlights:

• I will be raising a question with a full committee regarding the inflators for the providers, and just

Bills: HB1012

Keywords: health and human services, DHHS, appropriations, biennial budget, behavioral health, substance use disorder, opioid settlement, medical assistance expansion, Medicaid, basic care, long-term care, child care assistance, early childhood care, child care provider payments, guardianship, conservatorship, housing loan fund, disability services, extraordinary medical needs, community health trust fund

Summary: The Senate Appropriations Human Services Division met to consider House Bill 1012, the Department of Human Services budget, and reviewed three previously made amendments: correcting a reference to $30 million underfunding, changing “human service centers” to “behavioral health clinics,” and revising section 31 language so the department would review medical assistance services and report findings and recommendations rather than directly implement adjustments. The committee also discussed whether to include funding related to two other bills with fiscal impacts, House Bill 1485 (personal needs allowance) and House Bill 2399 (PRTF reimbursement), noting those measures may go to conference committee and that appropriations could be added there instead of in HB 1012. The committee agreed to proceed with HB 1012 and members noted provider inflation questions would be raised later in full committee. The division then approved a due pass recommendation on the amendments to HB 1012 and, after a roll call vote, approved HB 1012 as amended on a 4-1 vote, with Senator Mathern voting no. Senator Davison was named as carrier. Members also discussed House Bill 1577, involving wastewater project financing and possible amendments related to a line of credit from the Bank of North Dakota for specific projects, and House Bill 1619, for which additional amendments were expected before full committee action. The meeting ended with general thanks and adjournment.

Bills: HB 1320, HB 2012, HB 2293, HB 2655, HB 3174, HB 4108, HB 4661, HB 4799, HB 5534, HB 5580

Keywords: transportation, infrastructure, funding, state budget, public safety, child welfare, county boards, membership, local governance, public welfare, government service, social services, Texas Family Code, regulation, vendors, solicitors, roadside sales, county authority, Sweeny Hospital District, board of directors

Transcript Highlights:

• </c><00:05:17.520><c> positive</c> issue House Bill 1903 provides positive issue House Bill 1903 provides
• </c><00:24:10.679><c> in</c> rigorous time to get credentialed in rigorous time to get credentialed in
• </c> Minnesota when you have a credentialed Minnesota when you have a credentialed Minnesota<00:24:13.360
• /c><01:24:44.880><c> uh</c> frame the provider tax was actually uh frame the provider tax was actually
• </c><01:25:39.199><c> tax</c><01:25:39.520><c> from</c> care provider tax from care provider tax from

Bills: HF837, HF1903, HF499, HF794

Keywords: health insurance, premium security plan, federal funding, state innovation waiver, Minnesota, newborn safety, anonymity, healthcare provider, safe place, child welfare, HF499, nursing, nurse licensure, temporary permit, temporary nursing permit, Board of Nursing, endorsement licensure, reregistration, refresher course, health occupations

Transcript Highlights:

• care providers including the primary<00:10:37.360><c> care</c><00:10:37.560><c> provider</c><00:10:38.160
• ><c> a</c><00:10:38.279><c> behavioral</c> primary care provider a behavioral primary care provider a
• The final handout is based on the number of licensed providers by ZIP code and population-to-provider
• </c><00:15:03.000><c> shortage</c> designated as health provider shortage designated as health provider
• </c><00:32:43.960><c> those</c> and they're required to provide those and they're required to provide

Bills: HF958, HF688, HF702

Keywords: mental health, behavioral health, psychiatric care, collaborative care model, healthcare funding, service dog, service animal, service dog in training, assistance dog, guide dog, disability rights, housing accommodations, fair housing, landlord, rental housing, homeowners association, HOA, Minnesota human services, accessible housing, reasonable accommodation

Transcript Highlights:

• I'm a provider of care of infantil.
• I'm a child care provider.
• A loss of this magnitude would not only reduce income, but would make providers cut it... to the providers
• I'm a child care provider.
• Providers. That reduction has real consequences.

Bills: SB5808, HB2254, HB2385, SB6006, SB6351, SB6198, SB6260, SB6353, SB5949, SB6129, SB6228, SB6231, SB6229, SB6173

Keywords: health insurance, premium assistance, funding, healthcare access, state budget, HB 2254, Washington, Health Care Authority, partnership access line, psychiatric consultation line, first approach skills training, behavioral health, mental health, assessment, administrative costs, health carriers, self-funded plans, multiple employer welfare arrangement, MEWA, employers

Transcript Highlights:

• You provided a lot of good input as we put this together.
• Our system, which often is provided at no cost to schools, allows students to provide information via
• The events provide the community itself a chance to connect with kids, but they also provide a chance
• That provides some clarity.
• best suited to provide the service.

Bills: HF1354, HF1901, HF2124, HF2130, HF2260, HF2099, HF104, HF134, HF1769

Keywords: public safety, school safety, active shooter, active shooter drill, violence prevention, threat reporting, anonymous tip line, See It, Say It, Send It, Minnesota Fusion Center, Bureau of Criminal Apprehension, BCA, officer-involved death, missing person, endangered missing person, criminal background check, national background check, FBI fingerprint check, adult entertainment license, massage license, correctional facilities

Transcript Highlights:

• Our system, which often is provided at no cost to schools, allows students to provide information via
• Our system, which often is provided at no cost to schools, allows students to provide information via
• Our system, which often is provided at no cost to schools, allows students to provide information via
• </c> there's money requested to provide there's money requested to provide security<00:37:05.240><c>
• That provides some clarity.

Bills: HF1354, HF1901, HF2124, HF2130, HF2260, HF2099, HF104, HF134, HF1769

Keywords: public safety, school safety, active shooter, active shooter drill, violence prevention, threat reporting, anonymous tip line, See It, Say It, Send It, Minnesota Fusion Center, Bureau of Criminal Apprehension, BCA, officer-involved death, missing person, endangered missing person, criminal background check, national background check, FBI fingerprint check, adult entertainment license, massage license, correctional facilities

Transcript Highlights:

• If an injunction is issued requiring a covered provider to provide this data, failure to comply could
• result in fines of up to $100,000 per covered provider.
• You have to provide additional notification.
• I think this is a worthy amendment that still gets at the intent of providing the notice and providing
• I think this is a worthy amendment that still gets at the intent of providing the notice and providing

Bills: HB2675, HB2249, HB2120, HB1069, HB1983, HB2431, SB6006, SB6297, SB6351, SB6353, HB2521, HB2091, HB2104, SB6355, HB2254, HB2385, SB5808, HB1796, HB1376, SB6260, HB2353

Keywords: accounts, finance, business regulation, transparency, audits, HB 2249, Washington Technology Solutions, WaTech, civil service, classified service, exempt employees, state employment, state personnel, network security, cybersecurity, information technology, IT contracting, data center, systems integration, network engineering

Transcript Highlights:

• Thus, it does provide a solid utility.
• Providing an expiration date. Senator Wilson, Claire. Mr.
• You know, state government provides a lot of important services to people, but we also provide them with
• We ought to be focusing on providing housing for people to really call home.
• President, that in order to get these people housing, we need to provide that.

Bills: SB6061, SB6234, SB6176, SB6335, SB6047, HB2235, HB2340, HB2464, HB2619, HB1376, HB1796, HB2091, HB2249, HB2254, HB2353, HB2431, HB2441, SB5808, SB5949, HB2124, HB1069, HB2104, HB2624

Keywords: tourism, self-supported assessment, funding, statewide promotion, economic development, sewage, grinder pumps, residential buildings, regulation, construction, vehicle registration, enforcement, renewal, transportation, state law, state commission, infrastructure, traffic safety, responsibilities, state capital projects

Summary: The Senate received messages from the House transmitting several signed bills, then moved through a series of second- and third-reading actions on multiple measures. Engrossed Substitute House Bill 2508, clarifying the scope and authority of the Office of Independent Investigations, was advanced to final passage without objection and passed 44-4. Senators supporting it described it as a technical housekeeping bill aligning statute with current practice, while noting it had broad support from law enforcement groups and the ACLU; opponents raised concerns about overlapping investigations and authority. Engrossed Substitute House Bill 1408, which dedicates a share of sales tax revenue from the stadium area to the South Downtown/Pioneer Square community preservation and development authority, was amended by a Ways and Means striking amendment declaring an emergency and then passed 47-1. Supporters said it would fund earthquake reinforcement, preservation, and community development in a historic district, with reporting and sunset provisions. Engrossed Substitute House Bill 1500, dealing with resale certificates for common interest communities and homeowners associations, was amended to clarify disclosure and litigation provisions and passed 39-9. Substitute House Bill 1570, allowing collective bargaining for certain employees enrolled in academic programs at public institutions, failed an amendment to remove the emergency clause and then passed 29-19; supporters framed it as recognition of student workers’ organizing rights, while opponents warned it blurred student and employee roles. The Senate also passed Substitute House Bill 1390, repealing the Community Protection Program and directing participants into other developmental disability services, after rejecting a series of amendments that sought to preserve sex-offender-related restrictions, add assessments, damages, or prosecutorial review. The bill passed 29-20 amid sharp debate over whether the program was coercive and outdated or necessary to protect vulnerable people and communities. Other bills passed included Substitute House Bill 2114 on defective license plates, Engrossed Substitute House Bill 2471 on collective bargaining if the NLRB is unavailable, House Bill 1069 on bargaining over supplemental retirement contributions for Department of Corrections employees, House Bill 2441 expanding medical premium reimbursements for surviving spouses of line-of-duty deaths, and Engrossed Third Substitute House Bill 1710 adding preclearance requirements under the Washington Voting Rights Act; the voting rights bill drew opposition over local control and litigation concerns. The transcript ends during the roll call on final passage of Engrossed Third Substitute House Bill 1710.

Transcript Highlights:

• And so I think, you know, as I've heard from many of my care providers in my district, I believe many
• others have also heard from providers—people that have been opening up their homes and providing care
• I think child care is the next important benefit that we need to be working at providing for families
• Everybody cares about providing affordable, quality child care to our constituents.
• This bill will provide our nursing assistance with access. Thank you, Mr. President.

Bills: SB6061, SB6234, SB6176, SB6335, SB6047, HB2235, HB2340, HB2464, HB2619, HB1376, HB1796, HB2091, HB2249, HB2254, HB2353, HB2431, HB2441, SB5808, SB5949, HB2124, HB1069, HB2104, HB2624

Keywords: tourism, self-supported assessment, funding, statewide promotion, economic development, sewage, grinder pumps, residential buildings, regulation, construction, vehicle registration, enforcement, renewal, transportation, state law, state commission, infrastructure, traffic safety, responsibilities, state capital projects

Summary: The Senate opened with roll call, the Pledge of Allegiance, prayer, and approval of the previous day’s journal. It received a House message that the House had passed second engrossed substitute Senate Bill 5010, and then took up Senate Resolution 8700 honoring Yolanda Cortinas Trout Manuel for her community service, business leadership, and public service. Senator Fortunato sponsored the resolution and spoke warmly in support, and the Senate adopted it by voice vote and recognized the guest in the gallery. The chamber then confirmed Gubernatorial Appointment No. 9142, Maria Seguyenza to the Western Washington University Board of Trustees, after supportive remarks from Senators Bateman and Wilson-Clair. The Senate also passed Substitute House Bill 2248, described as a technical cleanup bill for Secretary of State corporate filings, and House Bill 2309, which removes postgraduate degree requirements for certain state jobs to broaden applicant pools. House Bill 2348 passed as a Department of Natural Resources efficiency measure allowing smaller land sales to be posted online and clarifying fair-market-value requirements. The Senate deferred Second Substitute House Bill 1128 at first, then later adopted a striking amendment and passed the bill as amended. The bill creates a child care workforce standards board to study workforce conditions and make recommendations; several proposed amendments by Senator King to add child-safety training language, add an expiration date, and narrow the board’s scope were rejected. Supporters said the board would professionalize child care work and improve wages and standards, while opponents argued it would add government and costs without solving affordability. The Senate also passed Engrossed Second Substitute House Bill 2523 on the Community Reinvestment Program, with supporters emphasizing accountability, periodic review, and an independent study, and passed Substitute House Bill 2428 to prevent unintentional lapses in life insurance policies by allowing third-party notices. Finally, the Senate passed House Bill 2340, expanding the CARES substance use disorder recovery program to nursing assistants, and Engrossed House Bill 2317, which streamlines licensing for Early Childhood Education and Assistance Program sites in certain educational settings. Most bills passed by wide margins, though Second Substitute House Bill 1128 passed with a narrower 28-19 vote. The Senate then recessed for lunch and caucus.

Transcript Highlights:

• Thus, it does provide a solid utility.
• Providing an expiration date. Senator Wilson, Claire: Mr.
• You know, state government provides a lot of important services to people, but we also provide them with
• We ought to be focusing on providing housing for people to really call home.
• It simply requires that cities be allowed to provide that.

Bills: SB6061, SB6234, SB6176, SB6335, SB6047, HB2235, HB2340, HB2464, HB2619, HB1376, HB1796, HB2091, HB2249, HB2254, HB2353, HB2431, HB2441, SB5808, SB5949, HB2124, HB1069, HB2104, HB2624

Keywords: tourism, self-supported assessment, funding, statewide promotion, economic development, sewage, grinder pumps, residential buildings, regulation, construction, vehicle registration, enforcement, renewal, transportation, state law, state commission, infrastructure, traffic safety, responsibilities, state capital projects

Summary: The Senate took up a series of House bills, often suspending the rules to move measures directly to final passage after brief debate. Messages from the House reported signed bills being transmitted, and the Senate later signed several measures in open session. The chamber also excused a few members from voting on specific bills. Among the first major actions, Engrossed Substitute House Bill 2508, clarifying the scope and authority of the Office of Independent Investigations, passed 44-4 after supporters described it as a technical housekeeping bill and opponents raised concerns about overlapping investigations. Engrossed Substitute House Bill 1408, which dedicates 20% of sales tax revenue from the two large stadiums to a community preservation and development authority in South Downtown/Pioneer Square/Chinatown International District, passed 47-1 after supporters emphasized reinvestment in historic buildings and neighborhood safety. Engrossed Substitute House Bill 1500, requiring more complete resale certificates for common interest communities and homeowners associations, passed 39-9 after a successful amendment clarifying litigation language. Substitute House Bill 1570, allowing collective bargaining for certain student employees at public institutions, failed an amendment to remove the emergency clause and then passed 29-19 despite objections that it blurs student and employee roles. The chamber then debated Substitute House Bill 1390, which repeals the Community Protection Program and directs DSHS to transition participants into other developmental disability services. Numerous amendments sought to preserve restrictions, add assessments, or create liability protections, but most were rejected; the committee striking amendment updating agency names and dates was adopted. The bill passed 29-20 after a lengthy, emotional debate over whether the program protects public safety or unfairly restricts people with developmental disabilities, with supporters citing civil rights concerns and opponents warning about risks to vulnerable residents and the lack of a detailed transition plan. Other measures passed with broad support, including Substitute House Bill 2114 on defective license plates (48-0), Engrossed Substitute House Bill 2471 on collective bargaining if the NLRB loses authority (31-18), House Bill 1069 on bargaining over supplemental retirement contributions for Department of Corrections employees (31-18), House Bill 2441 expanding medical premium reimbursements for surviving spouses of line-of-duty deaths (49-0), and Engrossed Third Substitute House Bill 1710 adding preclearance requirements under the Washington Voting Rights Act, which drew debate over local control and litigation but had not yet reached a final vote by the end of the transcript.

Transcript Highlights:

• of providers are identified.
• And so to answer your question, I think the average payment that is awarded to a provider when the provider
• I think the largest provider of anesthesia providers in Texas is actually the academic institutions.
• The taxpayers are paying, but it's not going to the provider, and it's causing the providers to have
• testimony that I provided.

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Summary: The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending. The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending. The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending. Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.