Transcript Highlights:

• from the public on any type of change that DISH is going to make to the rules, because there's, with HHSC
• Those are regulated by the Health and Human Services Commission, so HHSC. So daycare, those...

Bills: HB 265, HB25

Keywords: youth camp, safety regulations, advisory committee, child welfare, health standards, summer camp, camp safety, child abuse reporting, child neglect, mandatory reporting, background check, criminal history check, sex offender registry, CPR training, first aid, public health, child protection, camp operator, camp counselor, Health and Safety Code

Transcript Highlights:

• type of change that dishes is going to make to the rules, most of the time 3 because there's with HHSC
• Services Committee commission uses is uh for typical rulemaking is we post the draft rules on the HHSC
• of those call themselves camps, uh, those are regulated by Health and Human Services Commission, so HHSC

Bills: HB 265, HB25

Keywords: youth camp, safety regulations, advisory committee, child welfare, health standards, summer camp, camp safety, child abuse reporting, child neglect, mandatory reporting, background check, criminal history check, sex offender registry, CPR training, first aid, public health, child protection, camp operator, camp counselor, Health and Safety Code

Bills: HB188, HB 265, HJR35

Keywords: emergency preparedness, flood-prone communities, Texas Rural Emergency Preparedness Fund, disaster relief, funding, youth camp, safety regulations, advisory committee, child welfare, health standards, summer camp, camp safety, child abuse reporting, child neglect, mandatory reporting, background check, criminal history check, sex offender registry, CPR training, first aid

Bills: HB1464, HB1635, HB2516, HB3317, HB3502, HB4012, HB4268, HB4386, HB4877, SB916

Keywords: prescription drugs, drug pricing, pharmacy benefits, health insurance, health benefit plan, insurer, HMO, self-insured employer, public employer, school district, county, municipality, university system, higher education, retirees, dependent coverage, stop-loss coverage, bulk purchasing, group purchasing, purchasing pool

Bills: HB 101, HB1819, HB1875, HB1965, HB2193, HB2914, HB3248, HB3354, HB3531, HB101

Keywords: Texas State Guard, task force, professionalization, state missions, critical infrastructure, veterans, veterans' affairs, mental health, community mental health, behavioral health, grant program, matching grant, non-state match, community services, family support, county population, Health and Human Services Commission, HHSC, public safety, homeland security

Bills: SB 8, HB7, HB15, HB 265, HCR 13

Keywords: sex designation, restroom access, civil penalties, private civil right of action, women's privacy, abortion, healthcare, jurisdiction, civil action, qui tam, prohibition, state law, youth camp, safety regulations, advisory committee, child welfare, health standards, summer camp, camp safety, child abuse reporting

Bills: SB1406, SB1681, SB2480, SB2721

Keywords: body donation, medical science, forensic science, willed body program, informed consent, boarding home, boarding home facility, adult care home, group home, assisted living, county reporting, municipal reporting, annual report, reasonable accommodation, fair housing, disability accommodation, local ordinance, permit requirement, Texas Health and Human Services Commission, HHSC

Bills: SB1406, SB1681, SB2480, SB2721

Keywords: body donation, medical science, forensic science, willed body program, informed consent, boarding home, boarding home facility, adult care home, group home, assisted living, county reporting, municipal reporting, annual report, reasonable accommodation, fair housing, disability accommodation, local ordinance, permit requirement, Texas Health and Human Services Commission, HHSC

Summary: The committee first heard Senate Bill 2480, which would clarify that the Texas Medical Board may collect license renewal surcharge fees from all licensees to fund the Texas Physician Health Program and related administrative costs. The bill author explained the funding fix was needed after prior language was found to allow surcharges only for physicians and physician assistants. Witnesses from the Texas Physician Health Program supported the measure and described the program’s confidential monitoring and treatment services; members asked about the fee amount, which was described as capped at $15 per two-year registration cycle. The bill was left pending. The committee then took up Senate Bills 1406 and 2721, both authored by Senator Parker, addressing the handling of human remains by non-transplant anatomical donation organizations, willed body programs, and related facilities. Senator Parker and several witnesses described alleged abuses involving unclaimed bodies, consent problems, body leasing, hotel-based dissections, and mishandling of cremains, and argued for strict licensing, inspections, transparency, and criminal penalties. Supporters included families of deceased veterans and other relatives, a biomedical ethicist, the Texas Catholic Conference of Bishops, and some public safety and hotel industry representatives who said legitimate training should continue but bad actors should be shut down. Opponents or cautious witnesses from accredited donation organizations and bioskills labs said they support stronger oversight but warned the bills could unintentionally disrupt legitimate medical education and urged clearer language and implementation of existing law. Both bills were left pending. Senate Bill 1681, by Senator Menendez, would require counties and municipalities that regulate boarding homes to report facility standards and related information to the Health and Human Services Commission. The author said the bill is intended to improve state oversight of boarding homes that serve elderly and disabled residents and to address abuse, neglect, and exploitation. The bill was left pending after brief discussion. After the testimony portion, the committee returned to voting on pending business and unanimously reported Senate Bills 527, 912, 1580, 1952, and 2032 to the Senate with recommendations that they do pass and be printed, and each was also recommended for the local and uncontested calendar. The committee also adopted a committee substitute for Senate Bill 407 and reported the substitute favorably, with six ayes and three nays. The committee then moved on to Senate Bill 500 as pending business.

Transcript Highlights:

• We also have TDI and HHSC here as resource witnesses.
• I want to start off with the resource witness from HHSC.
• We welcome Ryan Van Ramhorst, Chief Medical Director of Medicaid and CHIP Services, HHSC.
• Clearly, there's a lot of frustration we get sometimes with HHSC getting some things done.
• HHSC needs this in order to make sure that we can expedite this process.

Bills: HB813, HB1680, HB3569, HB4074, HB4635, HB5178, SB527, SB1307, SB1822

Keywords: autism, health insurance, coverage, medical treatment, health benefit plan, HIV prevention, prescription drug, prior authorization, health benefits, insurance coverage, insurance, contract termination, property and casualty, insurance agents, discrimination, appraiser, umpire, licensing requirements, continuing education, admin penalties

Transcript Highlights:

• willing to, certainly willing to answer questions, members, and we have a resource We'll hear from HHSC
• Bottom line is, it will increase cost to the state with. a return on investment and increases burden to HHSC
• HHSC to train, provide oversight, and enforce any sanctions.

Bills: SB240, SB1183, SB1184, SB1577, SB2043, SB2051, SCR42, SJR68

Keywords: biological sex, gender identity, public facilities, civil penalties, local government, EBT, electronic benefits transfer, food stamps, SNAP, Supplemental Nutrition Assistance Program, TANF, temporary assistance for needy families, welfare benefits, benefit card fraud, fraud hotline, card replacement, photo ID, recipient photograph, HHSC, Health and Human Services Commission

Transcript Highlights:

• Bottom line is, it will increase cost to the state with. a return on investment and increases burden to HHSC

Bills: SB240, SB1183, SB1184, SB1577, SB2043, SB2051, SCR42, SJR68

Keywords: biological sex, gender identity, public facilities, civil penalties, local government, EBT, electronic benefits transfer, food stamps, SNAP, Supplemental Nutrition Assistance Program, TANF, temporary assistance for needy families, welfare benefits, benefit card fraud, fraud hotline, card replacement, photo ID, recipient photograph, HHSC, Health and Human Services Commission

Bills: SB 240, SB 1183, SB 1184, SB 1577, SB 2043, SB 2051, SCR 42, SJR 68

Keywords: biological sex, gender identity, public facilities, civil penalties, local government, EBT, electronic benefits transfer, food stamps, SNAP, Supplemental Nutrition Assistance Program, TANF, temporary assistance for needy families, welfare benefits, benefit card fraud, fraud hotline, card replacement, photo ID, recipient photograph, HHSC, Health and Human Services Commission

Transcript Highlights:

• I'm willing to answer questions, members, and we have resources here from HHSC that are also willing
• is, it will increase cost to the state without a return on investment, and it increases burden to HHSC

Bills: SB240, SB1183, SB1184, SB1577, SB2043, SB2051, SCR42, SJR68

Keywords: biological sex, gender identity, public facilities, civil penalties, local government, EBT, electronic benefits transfer, food stamps, SNAP, Supplemental Nutrition Assistance Program, TANF, temporary assistance for needy families, welfare benefits, benefit card fraud, fraud hotline, card replacement, photo ID, recipient photograph, HHSC, Health and Human Services Commission

Summary: The committee first heard Senate Bill 1183, by Senator Creighton, which would require Lone Star Cards used for SNAP and TANF benefits to display the recipient’s name and photo, add fraud-reporting information, and require HHSC to track replacement-card requests. Creighton argued the bill would reduce fraud and protect taxpayer dollars, citing Texas SNAP theft and overpayment data. HHSC testified that photo IDs on the card are technically possible and explained how authorized secondary users are added. Dr. Amber O’Connor of Every Texan testified against the bill, saying SNAP fraud is a small share of expenditures, that the proposal would be costly and ineffective, and that federal rules limit mandatory photo requirements. Public testimony closed and SB 1183 was left pending. The committee then heard Senate Bill 1184, also by Senator Creighton, which would lower from 20 years to 10 years the minimum age of collectible wine that Texas collectors may sell to permitted restaurants. Supporters said the change would help Texas restaurants access desirable vintages, keep collectible wine in-state, and align with market demand; invited witnesses from the wine industry testified in favor. No opposition was heard, public testimony closed, and SB 1184 was left pending. Next, Senator Birdwell laid out Senate Bill 2051 and Senate Joint Resolution 68, both aimed at revising Texas impeachment procedures in response to issues identified during the 2023 impeachment process. The measures would clarify constitutional and statutory impeachment authority, require sworn testimony, extend review periods for House members, address conflicts of interest and presiding officers, require cost reporting, and modify rules for impeaching the governor or lieutenant governor. A committee substitute added protections for the accused, longer review periods, and a fallback presiding-officer option. Witnesses generally supported stronger accountability but raised questions about whether the language should also cover retired or visiting judges. Both measures were left pending after testimony. The committee also heard Senate Bill 1577, which would expand Texas Motor Speedway’s alcohol sales authority to include distilled spirits and remove certain event and concession limits; the Speedway’s representative supported the bill and it was left pending. Later, the committee heard Senate Concurrent Resolution 42 and Senate Bill 240, which would recognize only two sexes and restrict access to sex-designated private spaces in public facilities based on biological sex. Supporters argued the measures were needed to protect women’s privacy and safety, including in schools and shelters, while opponents warned about enforcement problems, privacy concerns, and impacts on transgender Texans and others who do not fit stereotypical sex traits. After extensive testimony, both measures were left pending. The committee then took up multiple pending bills and reported several favorably, including SB 511, SB 33, SB 510, SB 871, SB 2024, SB 2166, SJR 27, SJR 40, SB 1313, SB 1314, SB 1316, SB 1541, SB 2420, SB 1999, SB 2309, SB 1860, and SB 2429, with some also certified for the local and uncontested calendar.

Transcript Highlights:

• I'm happy to take any questions, and I believe we have some witnesses, including HHSC who I am looking
• And members, also we have a um a witness from uh HHSC if we have any specifics exactly on what's in the
• With that, uh, the chair will call Maria Ramon with HHSC on the bill.
• The chair will call Emily Santilla with HHSC testifying on the bill, please.
• I'm the deputy associate commissioner for Quality and Program Improvement at HHSC in the Medicaid and

Bills: HB 26, HB 140, HB 141, HB 142, HB 215

Keywords: Medicaid, nutrition support, maternal health, chronic conditions, pilot program, DFPS, Department of Family and Protective Services, child protective services, child abuse investigations, child neglect, child exploitation, advisory committee, Family and Protective Services Council, council abolition, foster care, due process, investigative procedures, child welfare, parental rights, family preservation services

Transcript Highlights:

• I am going to have a resource witness of HHSC come up. Lee Spiller, you may begin.
• Is HHSC here today? at the table, you can register after anybody.
• In the interim, Chair Frank and I... would push together, and I mean this, it was HHSC, it was DFPS,
• Building State Hospital. and working at HHSC. There is life after retirement.
• Just a quick question on the direct contract. relationship and I don't we could bring HHSC up here but

Bills: SB437, SB528, SB626, SB636, SB884, SB968, SB1044, SB1608, SB2336

Keywords: healthcare, training, abuse, neglect, penalties, chemical dependency, safety, regulation, inpatient competency restoration, competency restoration, forensic mental health, mental health law, criminal competency, incompetent to stand trial, Chapter 46B, HHSC, Health and Human Services Commission, state hospital, behavioral health, local mental health authority

Transcript Highlights:

• So my question to HHSC was, why is this happening?
• Same thing with HHSC. So we ended up filing a bill last session.
• The current timeline instituted by HHSC requires the builder to submit proposed plans to HHSC, complete
• they are penalized twice, once by CMS and again by HHSC.
• Historically, HHSC, um, adjudicated the IDR process internally.

Bills: HB 2510, HB 3589, HB 4611, HB 4655, HB 4665, HB 4666, HB 4670, HB 4700, HB 4730, HB 4798, HB 4838, HB 5136, HB 5243, HB 5302, HB 5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• So, my question to HHSC was, why is this happening?
• This opened the dialogue with HHSC in our office.
• But I do commend HHSC for the efforts they've made.
• The current timeline instituted by HHSC requires the builder to submit proposed plans to HHSC, complete
• The state, HHSC, but sometimes they are penalized twice; once by CMS and again by the state and by HHSC

Bills: HB2510, HB3589, HB4611, HB4655, HB4665, HB4666, HB4670, HB4700, HB4730, HB4798, HB4838, HB5136, HB5243, HB5302, HB5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• HHSC legislation implementation updates.
• We work with HHSC to fix them.
• The key strengths in HHSC today include the statewide EVV implementation, The key strengths in HHSC today
• We will call our first panel to hear from HHSC.
• Would that be turned over to HHSC, or what is TEA?

Keywords: 1184, house, all

Transcript Highlights:

• So every claim that an MCO pays goes to HHSC That an MCO pays goes to HHSC in the form of what something's
• I'm going to have to let HHSC.
• Marcus Hill, HHSC management analyst, contacted one provider, HHSC management analyst contacted one provider
• And it is on the HHSC program. Where did the money go? And it is on the HHSC program.
• The PBM data reported to HHSC shows the full $148.50.

Keywords: 1185, senate, all

Transcript Highlights:

• Obviously, HHSC is not an education organization.
• Welcome back to HHSC, you're a regular here.
• HHSC...
• HHSC also imposes a penalty or other enforcement action.
• However, HHSC decided to reject their decision.

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