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:

• Each RAC has a corresponding perinatal care region, or PCR, with a perinatal committee that focuses on
• Texas Regional Advisory Council's (CETRAC) perinatal medical director, and the founding chair of the RAC
• The RAC PCR Alliance consistently works collaboratively with the 22 RACs and their hospitals to improve
• Part of that work is education, and with funding, the RAC PCR Alliance would be able to coordinate the
• If funding is available, we request that the Department collaborate with the 22 RACs to deliver on the

Bills: HB18, HB37, HB116, HB388, HB879, HB913, HB1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744, HB18, HB37, HB116

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Transcript Highlights:

• Each RAC has a corresponding perinatal care region, or PCR, with a perinatal committee that is focused
• The RAC-PCR Alliance consistently works collaboratively...
• The RAC-PCR Alliance consistently works collaboratively with the 22 RACs and their hospitals to improve
• of the bereavement care training envisioned for hospital personnel via the RAC perinatal committees.
• If funding is available, we request that the department collaborate with the 22 RACs to deliver on the

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.

Transcript Highlights:

• Twenty-two regional advisory councils, or RACs, across Texas each have perinatal care regions, also known
• While the RACs were created to develop, implement, and monitor a regional trauma system plan, their scope
• The RACs are well acquainted with the needs of the hospitals in their region.
• maternal rules for designation require PCR participation by medical directors and program managers, the RACs

Bills: HB18, HB742, HB754, HB1644, HB2187, HB1887, HB 1275, HB37, HB1503, HB1699, HB1700, HB2735, HB1741, HB1731, HB1675, HB18, HB37

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, human trafficking, first responders, health care, training, reporting, protection, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting, good faith report

Transcript Highlights:

• , and I'll call it an RAC, um, uh, in Washington, DC.
• , and I'll call it an RAC, um, uh, in Washington, DC.
• , and I'll call it an RAC, um, uh, in Washington, DC.
• , and I'll call it an RAC, um, uh, in Washington, DC.
• and I'll call it meeting um for the RAC and I'll call it an<01:22:25.520> RAC<01:22:26.520>

Keywords: 928, house, all

Summary: The committee met on March 28 for a Health and Human Services Oversight Committee meeting, approved the draft minutes from February 21, and then received updates from DHHS on the sudden termination of about $80 million in federal COVID-era funding. Commissioner Lori Weaver and Trisha Tilly said the funding had been expected to continue through September 2026, but an email ending it immediately created a 15-month budget gap. They explained that most of the money supported public health work, especially epidemiology, laboratory capacity, data systems, community health workers, outbreak response, and some behavioral health supports. DHHS said it had notified contractors, was reassessing which activities could continue, and had managed to avoid layoffs for its 20 affected staff by shifting funding sources, though some contract lab staff had to leave and some work would stop or be put on hold. Senators and representatives asked about impacts on labs, staffing, and the state budget lapse, and DHHS said the water lab and testing supplies would be affected and that the department was trying to backfill where possible with other federal funds. The committee then heard a maternal mortality report from the Maternal Mortality Review Committee. Alison Power and Caroline Naami explained that the MMRC reviews maternal deaths to identify contributing factors and make recommendations, and that it had completed one CDC grant and received another five years of funding. For 2023, the state recorded five pregnancy-associated deaths, including three from overdose, two from cardiovascular causes, and one homicide; the share of deaths related to substance use fell from 62.5% in 2022 to 40% in 2023. Over the 2019–2023 period, half of pregnancy-related deaths were due to overdose, most occurred postpartum, and many involved Medicaid recipients, transportation or financial barriers, and deaths at home. The committee said mental health and substance use remained the main drivers of maternal mortality, but that 79% of pregnancy-related deaths in the five-year aggregate were considered preventable. Presenters highlighted recommendations and ongoing interventions, including expanding Medicaid coverage through one year postpartum, strengthening behavioral health access, partnering with the Department of Corrections on care for pregnant and postpartum women, and continuing clinical education through the Northern New England Perinatal Quality Improvement Network. Members asked why the maternal mortality rate had declined in recent years; staff said the 2021 spike was tied to the pandemic and that recent declines likely reflected both that spike and the impact of interventions, though the small number of cases makes trends hard to interpret. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• Also, the state had not established a Medicaid recovery audit contractor, or RAC, program.
• Federal code requires states and territories to establish programs to contract with one or more Medicaid RACs
• States may request an exception to some or all of the Medicaid RAC requirements, which is what Arkansas

Summary: The Medicaid Subcommittee of the Legislative Joint Auditing Committee met to receive a primer on the subcommittee’s history and on how Medicaid oversight works in Arkansas. Legislative audit staff reviewed the subcommittee’s origins in response to earlier Medicaid audit concerns and explained that Medicaid is audited every year in the statewide single audit because it is a high-risk, large federal program. Staff summarized recent audit findings, including issues with eligibility controls, data matching, contractor charging, incarcerated juveniles’ coverage handling, provider eligibility support, and the state’s Medicaid recovery audit contractor exception request. They also noted a DHS departmental audit finding involving employees who improperly received benefits, which was referred for possible prosecution. The Department of Human Services gave an overview of the Medicaid program, describing eligibility groups, delivery systems (fee-for-service, managed care/PASSE, and premium assistance for expansion adults), the size of the program, and the agency’s budget and provider base. DHS also outlined the difference between state plan amendments and waivers and said other committee materials would be sent to members. The Office of Medicaid Inspector General described its role in detecting and preventing fraud, waste, and abuse, explaining that it investigates suspected intentional fraud, suspends providers when there is a credible allegation of fraud, recovers improper payments in mistake cases, and recommends policy changes when trends are identified. The Attorney General’s Medicaid Fraud Control Unit explained that it prosecutes provider fraud criminally and civilly, handles neglect, abuse, and exploitation cases in long-term care settings, and works with DHS, OMIG, and federal partners. Members asked about where cases are filed, how provider suspensions work, whether beneficiary fraud is investigated, and how education is provided to providers. DHS confirmed that beneficiary fraud cases are referred to local prosecutors and said the expansion population will move toward community engagement/work requirements under federal changes, with a soft launch planned before full implementation. The meeting ended with no formal votes beyond adoption of the prior minutes and no other committee actions.

Transcript Highlights:

• The RAC has an over 90% success rate. How many systems can say that?
• Community custody and RAC programs.
• Last month, I'm just going to give you an estimate: it's $275 per night, no matter how many RAC youth
• We had one night where there were four RAC youth there.
• Actually, we had several nights where there were four RAC youth there.

Transcript Highlights:

• So we use, the OIG uses recovery audit contractors, or RACs. in order to identify under or over payments
• So what this bill would do... is it would allow the RACs upon approval of the OIG.
• , they're very kind of similar. it's the same topic, but this one is just expanding the use of the RACs
• and representative Gerasio so that what my understanding is the way that process works is after the RAC

Bills: HB2646, HB3941, HB5153, HB5155, HB5394, HB 1106, HB426, HB4529, HB3984, HB4273, HB 1097, HB3940, HB1941, HB4377, HB3153

Keywords: child care, task force, high-quality care, affordability, prekindergarten partnerships, foster care, transitional living, Medicaid reform, youth assistance, independent living, services for youth, employment training, educational support, mental health services, health care, public health, child health program, reimbursement, local health entities, maternal health

Transcript Highlights:

• They are dedicated funds that go directly to the trauma centers, to the RACs, and then to the EMS agencies
• So again, there's a percentage of funds that go directly through the RACs to the EMS agency.
• For the RACs themselves, again, there is a formula that's used to disperse those funds. ...and it's based

Bills: HB 104, HB2054, HB3459, HB3745, HB4486, HB4488, HB4601, HB104

Keywords: Texas Future Fund, investment review board, economic stabilization, innovative technology, national defense, HB 2054, Texas volunteer fire department assistance fund, Rural Volunteer Fire Department Assistance Program, volunteer fire departments, wildfire mitigation, wildland fire, rural fire protection, insurer assessment, insurance premium tax, state appropriations, firefighting grants, emergency services, high-risk wildfire areas, Texas Comptroller, Texas Government Code

Transcript Highlights:

• uh, um, you know, I'll never forget when I, uh, first became commissioner, the RECCC, West Kentucky RAC
• commissioner, the the uh RECCC um<00:29:34.159> West<00:29:34.399> Kentucky<00:29:34.799> RAC
• wanted<00:29:35.679> to<00:29:35.840> sit<00:29:36.000> down um West Kentucky RAC
• wanted to sit down um West Kentucky RAC wanted to sit down with<00:29:36.399> me<00:29:36.559

Keywords: 958, all

Summary: The Budget Subcommittee on Economic Development, Tourism, and Environmental Protection received a detailed update from Kentucky State Parks Commissioner Meyer on capital projects funded through HJR 76, HJR 56, and House Bill 6. He said the department is making steady progress on a large portfolio of park improvements, with regular quarterly reporting to the legislature and ongoing coordination with the Finance Cabinet, the Energy and Environment Cabinet, the Commonwealth Office of Technology, and local utilities and governments. He emphasized that ADA accessibility is a priority across projects and noted that many completed items, including campground bathhouse renovations, broadband upgrades, life safety improvements, playground replacements, and some furniture and mattress upgrades, are already drawing positive feedback. The presentation focused heavily on campground, utility, and infrastructure work. Meyer described $40 million in campground upgrades split between western and eastern Kentucky, including projects at Ken Lake, Carter Caves, My Old Kentucky Home, Cumberland Falls, and others. He also outlined $20 million in utility improvements, including a federal matching grant for grid resiliency at Ken Lake and Kentucky Dam Village, plus wastewater and electrical infrastructure work at parks such as Dale Hollow, Blue Licks, Natural Bridge, and Cumberland Falls. Additional categories included building systems, life safety, structural repairs, accommodations and hospitality upgrades, pool and beach work, dam safety, playgrounds, and golf course improvements. Members asked about the status of Lake Barkley utilities, the possibility of transferring upgraded utility infrastructure to local providers after repairs, and how park repair priorities are set. Meyer said park managers report issues through regional directors and that projects are prioritized through a running capital list, similar to a long-range transportation plan. He said the department has already spent the current $20 million allocation and is requesting $40 million in the next budget cycle, adding that the department believes it could spend and complete projects if that amount is appropriated. The commissioner also said the department is managing 284 additional capital projects outside the main funding streams, totaling nearly $70 million.

Transcript Highlights:

• in managed care, big expenditures are at risk if these claims are not included in the Texas Medicaid RAC
• This bill seeks to clarify the current law by including Medicaid managed care claims in Medicaid RAC
• But to reiterate, 95% of these areas are not being audited by the current RAC, the recovery audit contractor
• And just as a kind of level set in Texas when it comes to Medicaid fraud, the RAC is what handles audits
• Then the RAC would then be able to start. ...time period, lets us go after those claims, then the RAC

Bills: SB500, SB719, SB912, SB1232, SB1467, SB1777, SB1864, SB2023, SB2119, SB2458

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Summary: The committee first took up several pending bills and reported them favorably: SB 968, SB 636 as substituted, SB 1137, and SB 1138 as substituted. Each was advanced by roll call vote, and the committee also recommended the approved bills for the local and uncontested calendar. The chair then moved to the posted agenda and heard SB 719, a mental health bed-capacity study bill by Senator Eckhart, with a committee substitute that refined the data collection to distinguish state and non-state beds, child and adult beds, include two point-in-time counts, and capture jail diversion data. Testimony on SB 719 was largely supportive from Integral Care, NAMI Texas, and the Children’s Hospital Association of Texas, all of whom said Texas needs better data on inpatient psychiatric capacity, workforce needs, and future demand. Several witnesses described long waits for beds, especially for forensic restoration, and argued the study would help target future investments. Senator Perry and others noted the state has already made major investments in new beds and urged the bill to account for beds already coming online; the committee ultimately withdrew the substitute and left SB 719 pending after public testimony closed. The committee then heard SB 1864, which would allow small egg producers to sell ungraded eggs more broadly, including to restaurants and retailers, with the substitute increasing the weekly sales threshold and addressing sanitation and labeling. Supporters said grading is about size, not safety, and that the bill would help small farms reach new markets; opponents from the Texas Poultry Federation argued grading and candling help identify cracks and defects that can affect safety and quality. The committee adopted the substitute and left the bill pending. It also heard SB 1467, requiring DSHS to share death record information with hospitals for record accuracy and quality review, and SB 912, which would modernize continuing education tracking for health licensing agencies; both bills drew supportive testimony and were left pending. Finally, the committee heard SB 2023, which would create an HHSC grant program to help counties pay for indigent burial costs, with county representatives testifying in support.

Transcript Highlights:

• Medicaid RAC audits to maximize identification and recovery of provider overpayments. population would
• fee-for-service, but to reiterate you know 95% of these areas are not being audited by the current RAC
• The RAC is what handles audits under the fee-for-service claims.
• period, this sub takes that to a one-year time period, lets us go after those claims. and that the RAC

Bills: SB500, SB719, SB912, SB1232, SB1467, SB1777, SB1864, SB2023, SB2119, SB2458

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Transcript Highlights:

• . or RAC that we are going to call it or RAC that we are going to call it today.<01:09:32.880> I
• In that same way, the RAC develops foundational rules for cities and counties.
• On behalf of the RAC, we appreciate the conversations that we've had with a number of you, including
• the work<01:15:11.800> of<01:15:12.080> of<01:15:12.200> the<01:15:12.280> RAC
• and uh and everyone work of of the RAC and uh and everyone who's<01:15:14.320> gathered<01:15

Keywords: 1187, senate, all

Transcript Highlights:

• So again, there's a percentage of funds that go directly through the RACs to the EMS agencies.
• And then for the RACs themselves, again, there is a formula that's used to, to disperse those funds,

Bills: HB104

Keywords: property tax, ad valorem tax, tax rate election, voter-approval tax rate, no-new-revenue tax rate, de minimis rate, local government, special district, tax increase, tax notice, public hearing, tax code, Health and Safety Code, Texas property taxes, taxing unit, election threshold, two-thirds vote, majority vote, budget approval

Transcript Highlights:

• Also, we have three times the placement stability rate for the youth in the RAC program than we do for
• assessment, the Juvenile Inventory for Functioning, which is an evidence-based tool that helps our RAC
• Justice Advisory Committee through CYFD, but this advisory committee has never been able to develop the RAC

Bills: SB5, SB6, SB8

Keywords: physician residency, healthcare, rural communities, medical education, appropriation, education, medical school, New Mexico, construction, behavioral health, funding, mental health services, general fund transfer, 996, all

Bills: HB26, HB140, HB141, HB142, HB215, HB26, HB140, HB141, HB142, HB215

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:

• > proceed uh good afternoon my name is proceed uh good afternoon my name is Justin<01:35:27.679> RAC
• > the<01:35:29.600> President<01:35:30.040> of<01:35:30.159> the Justin RAC
• after how how long do you track after retirement<01:42:10.440> Mr retirement Mr retirement Mr RAC
• 42:14.400> tracking<01:42:14.960> so<01:42:15.520> we<01:42:15.719> work RAC
• um so as far as tracking so we work RAC um so as far as tracking so we work with<01:42:16.639> uh

Bills: HF1621, HF1701, HF1796, HF1676, HF40, HF1428, HF1540

Keywords: HF1621, CelluComp, Minnesota Department of Agriculture, appropriation, grant, commercialization, fiber-based barrier packaging, packaging materials, PFAS, perfluoroalkyl substances, polyfluoroalkyl substances, plastic reduction, sustainable packaging, environmental health, materials innovation, bio-based packaging, food packaging, agriculture finance, one-time grant, state subsidy

Transcript Highlights:

• That's why it wasn't included in the LFC RAC.
• The LFC, which is in the LFC RAC, The LFC recommendation also includes language related To that.

Keywords: 996, all

Transcript Highlights:

• And one of the things we made sure to happen is if you're on the RAC, in order for something to get past

Bills: SB9

Keywords: wetlands protection, nontidal wetlands, Delaware, environmental sustainability, climate change, carbon sink, permitting process

Summary: The House Natural Resources and Energy Committee met and first considered SB 321 with Senate Amendment 1, the community solar utility billing bill. The sponsor explained that it would consolidate the two-bill system for community solar subscribers into one utility bill, with the utility forwarding the subscriber fee to the solar facility through an escrow mechanism so costs are not shifted to other ratepayers. Testimony from the solar industry, the Public Advocate, and environmental advocates supported the measure, emphasizing easier enrollment, fewer barriers for low-income customers, and guaranteed savings. The committee initially lacked enough members present to release the bill, but after a roll call vote it was released from committee. The committee then heard SB 9 with Senate Amendment 1, a wetlands protection bill creating a state non-tidal freshwater wetlands permitting program. The sponsor and DNREC described a framework of exemptions, general permits, and individual permits based on wetland type and value, with an advisory committee to develop regulations. Witnesses explained that “exceptional value” wetlands would include unique wetland communities and high-functioning wetlands, and that the bill was intended to preserve important habitat while allowing farming, drainage, and other exempt activities to continue. Some members raised concerns about flooding, land classification, and the balance of the advisory committee, while supporters said the bill was the product of broad stakeholder consensus and would protect wetlands without unduly harming agriculture or development. Public comment on SB 9 was strongly supportive from environmental groups, the Delaware Native Species Commission, the Home Builders Association, the Farm Bureau, The Nature Conservancy, and affordable housing advocates, who said the bill balanced conservation with practical land use concerns. After remote testimony, the committee took a roll call vote and SB 9 was released from committee. The meeting concluded with remarks thanking the chair for her service and instructions for members to sign the backers before adjournment.

Transcript Highlights:

• And one of the things we made sure to happen is if you're on the RAC, in order for something to get past

Bills: SB9

Keywords: wetlands protection, nontidal wetlands, Delaware, environmental sustainability, climate change, carbon sink, permitting process

Summary: The House Natural Resources and Energy Committee met to consider two Senate bills. SB 321, with Senate Amendment 1, would change community solar billing so subscribers receive one consolidated utility bill instead of separate bills from the utility and the solar provider. Supporters said the bill would simplify enrollment and payment, improve customer retention—especially for low-income customers—and include safeguards such as guaranteed savings and an escrow mechanism to prevent cost shifts to other ratepayers. After public testimony from solar developers, the Public Advocate, the Sierra Club, and others, the committee initially lacked enough members present to release the bill, so the vote was circulated to absent members and the bill was later reported out for floor action. The committee then heard SB 9, with Senate Amendment 1, a long-negotiated wetlands protection bill. The sponsor and DNREC explained that it would create a state non-tidal wetlands program with exemptions for certain agricultural, conservation, and routine activities, general permits for some lower-impact projects, and individual permits for higher-value wetlands. Witnesses described the bill as a compromise among environmental, agricultural, development, and local government stakeholders, while some members raised questions about flooding, landowner impacts, wetland delineation, and the role of the regulatory advisory committee. Public testimony was broadly supportive from environmental groups, the Farm Bureau, builders, engineers, and affordable housing advocates. The committee then voted to release SB 9 from committee. At the end of the meeting, members offered thanks and remarks recognizing the chair’s service and leadership on environmental and energy issues. Both bills were ultimately released from committee and reported out.