Bills: HB 207, HB 235, HB 324, HB 449, HB 463, HB 502, HB 1121, HB 1445, HB 1465, HB 1778, HB 1977, HB 2000, HB 2066, HB 2596

Keywords: child protection, sexual offenses, obscenity laws, visual material, anatomically correct dolls, mannequins, robots, criminal offenses, sexually explicit material, minors, artificial intelligence, sexually explicit, doll, mannequin, robot, law enforcement, healthcare, insurance, affordable care, access

Bills: HB 207, HB 235, HB 324, HB 449, HB 463, HB 502, HB 1121, HB 1445, HB 1465, HB 1778, HB 1977, HB 2000, HB 2066, HB 2596

Keywords: child protection, sexual offenses, obscenity laws, visual material, anatomically correct dolls, mannequins, robots, criminal offenses, sexually explicit material, minors, artificial intelligence, sexually explicit, doll, mannequin, robot, law enforcement, healthcare, insurance, affordable care, access

Transcript Highlights:

• It didn't include sexually explicit visual depictions involving anatomically correct dolls, mannequins
• correct doll, mannequin, or robot that has the features of a child and is intended for sexual stimulation
• , anatomically correct dolls, mannequins, or robots that are used for sexual stimulation or gratification
• Is a Barbie anatomically correct?
• in the language of your bill, printed or reproduced on an anatomically correct doll.

Bills: HB207, HB235, HB324, HB449, HB463, HB502, HB 1121, HB1445, HB1465, HB1778, HB1977, HB2000, HB2066, HB2596, HB207, HB235

Keywords: child protection, sexual offenses, obscenity laws, visual material, anatomically correct dolls, mannequins, robots, criminal offenses, sexually explicit material, minors, artificial intelligence, sexually explicit, doll, mannequin, robot, law enforcement, healthcare, insurance, affordable care, access

Bills: HB207, HB235, HB324, HB449, HB463, HB502, HB 1121, HB1445, HB1465, HB1778, HB1977, HB2000, HB2066, HB2596, HB207, HB235

Keywords: child protection, sexual offenses, obscenity laws, visual material, anatomically correct dolls, mannequins, robots, criminal offenses, sexually explicit material, minors, artificial intelligence, sexually explicit, doll, mannequin, robot, law enforcement, healthcare, insurance, affordable care, access

Transcript Highlights:

• correct dolls, mannequins, or robots that are made to look like children.
• Of childlike sex dolls, which are obscene, anatomically correct dolls, mannequins, or robots that are
• Yeah, the definition that I have here is obscene, anatomically correct doll, mannequin, or robot that
• Is is a Barbie anatomically correct? I mean, you see what I'm, that's what I'm confused about.
• Printed or reproduced on an, an anatomically correct doll.

Bills: HB207, HB235

Keywords: HB 207, Texas Government Code, Section 411.201, license to carry, LTC, handgun license, concealed carry, federal judge, immigration judge, immigration court, U.S. immigration court, judicial security, firearm carry permit, Texas handgun license, federal judiciary, HB235, Texas, sales tax exemption, use tax exemption, disabled veteran

Transcript Highlights:

• Correct. Correct. Right. Correct. That makes sense to me. Thank you so much for bringing this bill.
• , defined as an anatomically correct doll, mannequin, or robot. resembling a child that is intended for
• These dolls are obscene, anatomical, and disturbing.
• They are anatomically correct and designed for sexual stimulation.
• Utah statute adopted in 2023 defines a childlike doll as an anatomically correct doll, mannequin, or

Bills: HB316, HB353, HB 1160, HB1414, HB1422, HB1443, HB1713, HB1789, HB1902, HB2073, HB2666, HB2695, HB316

Keywords: motor fuel, criminal offense, metering device, organized crime, Texas Penal Code, trespassing, school safety, day-care centers, education, trespass, public safety, utility employees, criminal penalties, assault, harassment, public duties, safety, law enforcement, driving offenses, license regulations

Transcript Highlights:

• Correct. Correct. OK. So there's that gap that they're trying to close. Correct.
• , which is defined as an anatomically correct doll, mannequin, or robot resembling a child that is intended
• Is that correct? Correct. All right, please proceed. Good afternoon, members.
• These dolls are obscene, anatomically correct, and designed for sexual sim stimulation.
• Utah's statute adopted in 2023 defines childlike sex doll as an anatomically correct doll, mannequin,

Bills: HB316

Keywords: Medicaid, healthcare, affordable care act, medical assistance, federal funding

Transcript Highlights:

• That's correct, Madam Chair. >> Okay.
• Is there anatomically correct dolls for individuals as they engage in sexual fantasies of assaulting
• We you before on childlike sex dolls.
• Is there anatomically correct<00:46:12.560> dolls<00:46:12.960> for<00:46:13.200> individuals
• <00:46:13.680> as<00:46:13.920> they correct dolls for individuals as they correct

Bills: HF2354, HF3407, HF4359, HF4192, HF3356, HF3695, HF1597, HF3155, HF3871, HF4437, HF4446, HF3990

Keywords: medical assistance, fraud prevention, subpoena authority, criminal penalties, consumer protection, ghost guns, unserialized firearms, 3D-printed guns, 3D printer firearms, CNC milling, home-built firearms, firearm serialization, serial numbers, unfinished frame, unfinished receiver, ghost gun ban, gun control, firearm design files, CAD files, digital gun blueprints

Transcript Highlights:

• These are anatomically correct children, infants that are sex dolls.
• They're designed to be anatomically correct and we are finding them as we do our in particular child
• These are anatomically correct<02:52:02.640> children,<02:52:03.359> infants<02:52:04.000
• correct children, infants that are sex dolls.<02:52:05.520> They're<02:52:05.680> designed
• They're designed to be anatomically<02:52:06.960> correct<02:52:07.520> and<02:52:07.680

Keywords: 1187, senate, all

Transcript Highlights:

• Correct. Yep. They’ll put it up for sale.
• I'm going to jump to child sex dolls.
• A child sex doll is an anatomically correct childlike doll with one or more penetrable apertures commercially
• I'm going to jump to child sex dolls.
• A child sex doll is an anatomically correct childlike doll with one or more penetrable apertures commercially

Keywords: 908, all

Transcript Highlights:

• into great detail, but state law does not currently criminalize possession of these childlike sex dolls
• Which are correct in every anatomical feature.
• House Bill 1443 prohibits possession and promotion of these dolls with serious criminal sanctions.
• Reeling to creating the criminal offense of promotion or possession of a childlike sex doll.
• Bill 1443, relating to creating the criminal offense of promotion or possession of a childlike sex doll

Bills: SB203, SB317, SB731, SB801, SB823, SB867, SB1232, SB1380, SB1798, SB2082, SB2603, SB2607, SB2717, SB2797, SB2841, SB2919, SB3074, HB2, HB6, HB18, HB43, HB47, HB120, HB143, HB149, HB171, HB180, HB285, HB305, HB449, HB647, HB742, HB748, HB908, HB1024, HB1240, HB1306, HB1397, HB1443, HB1445, HB1533, HB1866, HB1902, HB2001, HB2011, HB2026, HB2282, HB2355, HB2402, HB2434, HB2440, HB2492, HB2516, HB2518, HB2560, HB2674, HB2688, HB2697, HB2712, HB2713, HB2715, HB3153, HB3161, HB3421, HB3424, HB3464, HB3486, HB3510, HB3627, HB3966, HB3986, HB4042, HB4044, HB4076, HB4263, HB4384, HB4396, HB4413, HB4426, HB4429, HB4945, HB4996, HB5033, HB5246, HB5436, HB5515, HB5667, SJR5, SB3, SB4, SB9, SB20, SB21, SB23, SB27, SB33, SB34, SB40, SB75, SB213, SB269, SB379, SB458, SB528, SB647, SB648, SB650, SB681, SB740, SB840, SB843, SB924, SB1061, SB1120, SB1121, SB1150, SB1188, SB1198, SB1202, SB1253, SB1318, SB1333, SB1405, SB1423, SB1535, SB1566, SB1574, SB1621, SB1709, SB1789, SB2037, SB2078, SB2268, SB2544, SB2570, SB2601, SB2778, SB1, SB17, SB260, SB509, SB1506, SB1637, SB1833, SB2155, SB2308, HB2525, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB1749, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3038, SB3045, SB1538, SB3071, SB3065, SB823, SB3062, SB3074, SB1380, HJR133, HB2715, HB2, HB26, HB388, HB2712, HB1633, HB685, HB1606, HB1458, HB1240, HB2791, HB1397, HB2061, HB647, HB4738, HB2563, HB128, HB766, HB2259, HB2358, HB4384, HB748, HB5180, HB3806, HB3804, HB3803, HB1522, HB3597, HB1612, HB4224, HB1314, HB1237, HB3126, HB2856, HB3114, HB3505, HB5652, HB2025, HB3395, HB18, HB2516, HB2713, HB24, HB519, HB609, HB1592, HB120, HB1533, HB2421, HB2273, HB2464, HB2011, HB5084, HB3424, HB4396, HB43, HB5686, HB2518, HB4310, HB180, HB149, HB4945, HB2434, HB3161, HB3745, HB4044, HB5155, HB5667, HB4996, HB2697, HB2492, HB2355, HB2282, HB2001, HB1902, HB1866, HB1445, HB1443, HB1306, HB1024, HB908, HB305, HB285, HB449, HB171, HB47, HB3464, HB2637, HB4263, HB5436, HB4429, HB3986, HB3966, HB3510, HB2560, HB2026, HB2688, HB4076, HB5246, HB3487, HB3486, HB4226, HB216, HB742, HB2402, HB143, HB5033, HB4413, HB4042, HB2440, HB4426, HB49, HB4112, HB3233, HB2310, HB5515, HB3627, HB2674, HB322, HB1481, HB126, HB3062, HB3421, HB3180, HB2530, HB2524, HB1916, HB3153, HB5650, HB4894, HB3120, HB1629, HB103, HB3234, HB3680, HB5698, HB3171, HB5693, HB2694, HB5664, HB3732, HB2508, HB2293, HB1991, HB2014, HB5331, HB5247, HB4751, HB4690, HB4668, HB4464, HB4395, HB4063, HB3833, HB3623, HB3214, HB3512, HB3250, HB3016, HB2520, HB2221, HB2213, HB3824, HB2067, HB1732, HB1562, HB700, HB1545, HB252, HB146, HB5596, HB1851, HB3619, HB3071, HB3556, HB851, HB4230, HB5320, HB5651, HB5670, HB5665, HB5437, HB5679, HB5699, HB5661, HB5662, HB5654, HB5672, HB5656, HB5149, HB4903, HB4743, HB4666, HB4377, HB4535, HB4129, HB3812, HB3801, HB3595, HB3057, HB2035, HB721, HB35, HB346, HB2974, HB2512, HB5695, HB5694, HB5671, HB5674, HB5688, HB1586, HB5154, HB2038, HB163, HB413, HB3463, HB3185, HB2761, HB2593, HB2348, HB2073, HB1828, HB1422, HB75, HB1871, HB108, HB2306, HB2017, HB1135, HB144, HB3689, HB5308, HB101, HB2193, HB5666, HB5677, HB5682, HB5680, HB5658, HB5696, HB4144, HB3159, HB3254, HB3866, HB3010, HB4520, HB3642, HB3928, HB3815, HB2686, HB2012, HB1960, HB227, HB654, HB1690, HB2128, HB4158, HB4530, HB4630, HB5659, HB1523, HB2078, HB2427, HB145, HB1973, HB3333, HB3697, HB3546, HB3225, HB3181, HB3133, HB3053, HB2885, HB2820, HB2294, HB2253, HB1661, HB1506, HB1234, HB640, HB621, HB551, HB521, HB493, HB272, HB229, HB223, HB201, HB186, HB119, HB2080, HB2818, HB5394, HB4795, HB4466, HB4454, HB3940, HB3749, HB3151, HB3284, HB1403, HB1106, HB2844, HB2851, HB1500, HCR141, HCR118, HCR127, HCR40, HCR59, HCR10, HCR135, HCR142, HCR9, HCR76, HCR108, SB823, SB1380, SB3074, HB47, HB143, HB149, HB171, HB285, HB305, HB449, HB742, HB908, HB1024, HB1240, HB1397, HB1443, HB1533, HB1866, HB1902, HB2001, HB2011, HB2355, HB2402, HB2434, HB2440, HB2492, HB2560, HB2688, HB2697, HB2712, HB3153, HB3161, HB3421, HB3424, HB3464, HB3486, HB3510, HB3986, HB4042, HB4076, HB4263, HB4413, HB4426, HB4429, HB4945, HB4996, HB5246, HB5515, HB2, HB2282, HB3627, HB5033, SR560, SR561, HB1904, HB2240, HB3686, HB3793, HB4202, HB1904, HB2240, HB3686, HB3793, HB4202

Keywords: student privacy, numerical class rank, education policy, academic programs, high school, monuments, memorials, public property, historical significance, civil penalties, local governance, SB 731, Texas, Texas Department of Housing and Community Affairs, TDHCA, low-income housing tax credits, LIHTC, affordable housing, senior housing, 55 and older

Transcript Highlights:

• Correct. Yep. They'll put it up for sale.
• I'm going to jump to child sex dolls.
• A child sex doll is an anatomically correct, childlike doll with one or more penetrable apertures commercially
• However, I've included a table of state legislative action related to child sex dolls. sex dolls.
• Some proposed legislation regarding the sex dolls, right? Mr.

Summary: The committee met to approve prior minutes and then heard a presentation from Dr. Ramona Danielson on adverse childhood experiences (ACEs), focusing on the economic and public-system impacts in North Dakota. She explained that ACEs are a population-level measure, not a diagnostic tool for individuals, and said higher ACE exposure is consistently associated with more chronic illness, mental health challenges, child welfare involvement, justice-system contact, and reduced workforce participation. She emphasized that precise dollar estimates are difficult because of the many interacting factors across a person’s life course, but said the direction of the impact is clear and that evidence-based prevention and protective factors can reduce harm. Members asked about definitions of a “healthy family,” same-sex couples, divorce, substance abuse, historical trends in ACEs, and the role of positive childhood experiences and home visiting. The committee then heard from Allison Mahoney and Missy Barranco about evidence-based home visiting programs in North Dakota, including Healthy Families, Early Head Start, Nurse-Family Partnership, and Parents as Teachers. They described home visiting as voluntary, relationship-based, and tailored to family needs, with referrals coming from hospitals, WIC, human service zones, pregnancy navigators, self-referrals, and other community sources. A parent, Abby, shared that home visiting helped her family after premature births and NICU stays by providing support with postpartum mental health, breastfeeding, developmental screenings, referrals, and parenting guidance. The presenters said the programs are funded through a mix of federal MIECHV/Title IV-E dollars, Medicaid targeted case management, state and tribal funds, philanthropy, charitable gaming, and grants, and they noted that current funding is fragmented and insufficient to serve all eligible families statewide. Members discussed whether the state should expand or better fund these services and how to improve outreach and referrals. Later, the committee received a memorandum on artificial intelligence and sexual exploitation, followed by a presentation from a BCI special agent on how AI is already affecting child exploitation investigations in North Dakota. The memo and testimony described AI-generated child sexual abuse material, deepfakes, sextortion, and risks posed by chatbots, along with relevant federal and state law and recent executive orders. The agent said North Dakota saw 2,698 cyber tips in 2025, the highest on record, and that investigators are increasingly encountering AI-assisted exploitation that is harder to detect and verify. Members discussed the need for child-safety protections, the limits of executive orders, and broader concerns about AI undermining critical thinking and spreading misinformation. No votes were taken on the AI materials during the portion provided, and the committee recessed briefly after the report.

Transcript Highlights:

• Correct. To sell the bodies? To lease bodies. Lease them. We’re just going to lease them. Correct.
• Correct. Is that correct? Yes, ma’am. Was it James White that kind of brought this to the light?
• Correct.
• Most anatomical facilities that are state registered do not.
• Most anatomical facilities that are state registered do not.

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:

• Let me say, you're on the bill, is that correct? No. No, what are you?
• Correct. And at his suggestion and the commissioner's...
• To benefit themselves, and we've corrected that in writing several times.
• long time for access to bank accounts for the anatomical board.
• Correct. Only? Yes, ma'am. Thank you.

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

Transcript Highlights:

• Is that correct? That is correct. Thank you.
• Is that correct? That's correct.
• Correct.
• Is that correct? That is correct. Thank you.
• Correct. Correct. It is not. Correct.

Bills: SB2024, SB227, SB268, SB1467, SB1580, HB5537, SB1313, SB1677, SB918, SB331, SB2207, SB2721

Keywords: e-cigarettes, marketing prohibition, youth protection, criminal penalties, public health, school funding, education reform, state budget, property taxes, equity in education, health care, licensing, complaint procedure, disciplinary action, law enforcement, death records, vital statistics, healthcare, trauma facility, Medicaid

Transcript Highlights:

• That's correct. That's correct.
• And even the bill language talks about them being anatomically correct because it's important.
• Correct?
• Correct? Correct, yes.
• Correct.

Bills: HJR144, HJR218, HB40, HB 101, HB 112, HB146, HB168, HB214, HB413, HB1523, HB493, HB521, HB594, HB557, HB305, HB549, HB854, HB 1057, HB 1052, HB842, HB3174, HB3311, HB2486, HB3196, HB824, HB 1039, HB2529, HB2713, HB4936, HB4995, HB4830, HB4864, HB5219, HB5263, HB5154, HB2674, HB5525, HB5623, HB2545, HB2587, HB2625, HB5520, HB5436, HB4926, HB1573, HB5165, HB4811, HB5081, HB4755, HB3179, HB4310, HB4611, HB2159, HB4626, HB3637, HB3153, HB3066, HB2786, HB2966, HB638, HB640, HB876, HB497, HB5539, HB4809, HB5308, HB4687, HB4070, HB4421, HB4412, HB3284, HB3369, HB3420, HB3449, HB4098, HB4281, HB4120, HB4504, HB4370, HB 1106, HB2370, HB2404, HB3863, HB2407, HB2253, HB2273, HB2040, HB1586, HB3788, HB3993, HB4690, HB4309, HB4696, HB2308, HB 1142, HB1533, HB1621, HB2242, HB2012, HB2193, HB2442, HB2464, HB2348, HB2313, HB2289, HB1942, HB2011, HB1629, HB2993, HB3592, HB3824, HB4076, HB4535, HB4623, HB4773, HB 1091, HB5115, HB5515, HB3372, HB5659, HCR118, HB 1233, HB2239, HB2379, HB2863, HB3368, HB3787, HB3815, HB3898, HB4023, HB4285, HB4329, HB4331, HB4429, HB4646, HB4904, HB5200, HB5320, HB5651, HB5662, HB5668, HB5670, HB5672, HB5674, HB5676, HB5679, HB5688, HCR108

Keywords: regional mobility, transportation authority, local law, constitutional amendment, public projects, Texas energy fund, energy efficiency, retail electric customers, electric generating facilities, business court, civil procedure, litigation, jurisdiction, arbitration, Texas State Guard, task force, professionalization, state missions, critical infrastructure, science park district

Transcript Highlights:

• Correct. That's correct. Uh, and obviously you have to have people to do those things.
• Correct. Yes, correct.
• It's one entity that has 2000 cases that we have the anatom, and the anatomical side of the house, correct
• Is that correct?
• Is that correct? Yes.

Transcript Highlights:

• Is that correct? That is correct. All right.
• Is that correct? No, sir.
• Is that correct? That is correct, Mr. Chairman.
• Is that correct? That's correct. Yeah, thank you all for hearing this.
• Is that correct? That's correct. Thank you.

Bills: HB2814, HB4477, HB5084, HB5108, HB5127, HB5383, HB5611, HB5663, HB5664, SB1563, HB2668, HB3841, HB4114

Keywords: juvenile justice, release documents, children, identification, Texas Juvenile Justice Department, civil service, staffing requirements, local government, positions exemption, Texas legislation, fireworks, Lunar New Year, retail permits, public safety, Texas law, holiday sales, HB 5108, deaths in custody, custodial death, jail death

Transcript Highlights:

• Are they they're going to do so within right correct? Yes, correct.
• Correct.
• And the anatomical side of the house, correct.
• Is that not correct?
• Is that correct? That is correct. Okay.

Keywords: 1184, house, all

Transcript Highlights:

• <00:09:51.320> call anatomized yeah it's an anatomized call anatomized yeah it's an anatomized
• Is that correct? That's correct.
• <00:21:37.559> that's Health Center that correct that's Health Center that correct that's
• correct<00:21:38.360> all<00:21:38.480> right<00:21:38.720> thank correct all right
• Is that correct? That's correct. Thank you.

Keywords: 00:25 Call to Order/Roll Call 01:36 Discussion of 25RS SB 153 23:11 Roll Call Vote on 25RS SB 153 30:56 Adjournment, 958, all

Summary: The House Standing Committee on Health Services met on March 14, 2025, and took up a committee substitute for Senate Bill 153. The substitute deleted the original bill language and replaced it with provisions from Senate Bill 14, aimed at prohibiting pharmaceutical manufacturers from discriminating against 340B covered entities and adding reporting requirements for those entities. The sponsor explained that the protections would sunset after one year, allowing lawmakers to review data by July 1, 2026, and that Kentucky would continue to follow any future federal changes to the 340B program. Members asked several questions about the scope of the reporting, including what “total operating cost” means, how duplicate discounts are prevented, whether the reporting applies only to hospitals and not federally qualified health centers, and who would receive the data. The sponsor said the reporting is intended to help the Cabinet for Health and Family Services and the Office of Health Data Analytics at LRC assess how the program is working, including charity care and community benefits, while preserving protections for rural hospitals and allowing them to continue using contract pharmacies. A representative from LRC confirmed the data would come to the General Assembly through the Office of Health Data Analytics. The committee expressed mixed views about the balance between transparency and potential burdens on hospitals, especially rural facilities. Several members said they were supportive but had reservations about the reporting requirements and the sunset structure, while others noted concerns about unintended consequences and the possibility of changes on the House floor. The committee ultimately adopted the committee substitute, approved a title amendment, and reported Senate Bill 153 with House Committee Substitute 2 favorably. The meeting then adjourned.