Transcript Highlights:

• So, committee, there is no other work to be done unless there are any other items we need to take care
• So, committee, there is no other work to be done unless there are any other items we need to take care

Bills: SB2019, HB1369

Keywords: career education, funding, appropriation, technical training, workforce development, state aid, school funding, public improvement, construction loans, school district levies, boarding care costs, 908, all

Summary: The committee met to finalize and advance the Career and Technical Education budget in Engrossed Senate Bill 2019. Representative Richter walked through Amendment 2004, which included increases for salaries and wages, inflationary operating expenses, a $2.5 million federal grant increase, $12.7 million for secondary grant programs and related work-based learning support, a $100,000 increase for Marketplace for Kids, and removal of the STEM initiative and adult farm management from the CTE budget because that program funding was moved to the Department of Agriculture. The amendment also included $750,000 for workforce training branch office positions and set the total general fund appropriation at $64 million. Members also discussed a $1 million virtual reality career exploration item, which remained in the bill but was shifted to SIF one-time funding. A new $150,000 one-time general fund appropriation was added for CTE moving expenses because the agency must relocate after Legislative Council expands into its current space. Committee members noted that amount may need to be revisited in conference committee once more accurate relocation and rent costs are known. Levi from legislative staff explained that the exemption language in the bill applies to remaining coronavirus capital projects fund dollars for CTE center construction, allowing those federal funds to be spent before they expire. The committee adopted Amendment 2004 on a 5-0 roll call and then passed Engrossed Senate Bill 2019 as amended on a 5-0 roll call. Representative Richter was named the carrier, and the committee adjourned after noting that higher education and congressional budgets were the remaining items to resolve.

Transcript Highlights:

• Residential treatment centers provide around the clock supervision and care for children with serious
• Uh, you are with Texans Care for Children. Is that correct? Excuse me, yes, that's correct.
• I am Kate Murphy, director of child protection policy at Texans Care for Children.
• care, it should be considered temporary because parents are working to get their children home.
• One key HHSC recommendation was to require boarding homes to report specific data.

Bills: SB 2041, SB 1777, SB 1681, SB 2311

Keywords: child welfare, foster care, Department of Family and Protective Services, DFPS, Family Code, conservatorship, placement selection, contract residential care, kinship care, relative placement, designated caregiver, best interest of the child, least restrictive setting, placement stability, child protective services, residential treatment, group home, family reunification, Texas foster system, residential care

Transcript Highlights:

• You are with Texans Care for Children, correct? Excuse me. Yes, that's correct.
• I am Kate Murphy, Director of Child Protection Policy at Texans Care for Children.
• Our concern is that when a child is initially placed in foster care or placed in any care, it should
• But once the child is placed in care, they always ask, are you willing?
• Care providers or their staff to violate this provision.

Bills: SB2041, SB1777, SB1681, SB2311

Keywords: child welfare, foster care, Department of Family and Protective Services, DFPS, Family Code, conservatorship, placement selection, contract residential care, kinship care, relative placement, designated caregiver, best interest of the child, least restrictive setting, placement stability, child protective services, residential treatment, group home, family reunification, Texas foster system, residential care

Transcript Highlights:

• I feel strongly that a person who owns a pet should provide proper care and shelter. ...a pet.

Bills: HB149

Keywords: dog tethering, animal welfare, animal cruelty, outdoor shelter, dog confinement, leash laws, chaining dogs, trolley system, kennel standards, dog shelter requirements, Class B misdemeanor, veterinary practice, boarding kennel, animal shelter, hunting dogs, livestock herding, farm dogs, agricultural exemption, pet care, canine protection

Transcript Highlights:

• so just as a way background this Board so just as a way background this board<00:02:50.800><c> was</
• We don't care if they're union or non-union; we don't care.
• We don't care if they're union or non-union; we don't care.
• We don't care if they're union or non-union; we don't care.
• If you grow up in health care, you might be in health care.

Bills: HF339, HF1272, HF2121, HF2122, HF1216, HF1003, HF2319

Keywords: HF339, Nursing Home Workforce Standards Board, nursing homes, long-term care, elder care, workforce standards, certified worker organizations, labor funding, general fund appropriation, worker grants, Minnesota labor law, nursing home staffing, caregiver workforce, section 181.214, HF1272, nursing home, boarding care home, nursing home workers, labor standards, Medicaid-certified facility

Transcript Highlights:

• Charge fees from all Texas Medical Board licensees to cover the administrative costs for both programs
• Referrals from the Texas Medical Board.
• In our case, the cost of transportation is 280.
• I've never heard of that in 25 years of being on the board.
• Does Science Care abide by all those? Yes.

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:

• costs for both programs as initially intended.
• We get referrals from the Texas Medical Board.
• I don't care what any other state is doing.
• I've never heard of that in 25 years that I've been on board.
• Do you, at Science Care, abide by all those? Yes.

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:

• I'm with the Greater Birmingham Humane Society, and we run the largest animal care and control division
• We don’t have boarding problems in most cases. I know some that you’re referring to.
• We don't we don't have boarding<00:16:49.360><c> problems</c><00:16:49.759><c> in</c><00:16:50.079><c
• </c><00:16:51.120><c> I</c><00:16:51.360><c> know</c> boarding problems in most cases.
• I know boarding problems in most cases.

Bills: HB446, HB446

Keywords: HB446, Daphne, Baldwin County, annexation, municipal boundary, corporate limits, local act, municipal incorporation, city limits expansion, zoning, land use, property tax, municipal services, Section 11-42-6, Judge of Probate, County Road 54 W, County Road 64, Rigsby Road, Highway 181, Alabama State Highway 181

Transcript Highlights:

• on the health care system.
• So, the Queen's board has updates.
• If the public wants to know about costs of care, we want to be a resource for that.
• </c><00:59:04.720><c> of</c><00:59:04.880><c> care</c> public wants to know about costs of care public
• wants to know about costs of care we<00:59:05.839><c> want</c><00:59:05.920><c> to</c><00:59:06.079>

Bills: SB2275, SB2390, SB2540, SB3142, SB2414, SB2340, SB2848

Keywords: Medicaid, disability, buy-in program, workers with disabilities, income eligibility, premium structure, biomarker testing, health insurance, medical coverage, state law, health maintenance organization, juvenile justice, youth penalties, minors, court fees, court costs, fines, surcharges, restitution, fee waiver

Summary: The House Committee on Health heard testimony on a series of bills related to public health, pharmacy regulation, disability access, and health care infrastructure. HB 1535, creating an income tax credit for automated external defibrillator installations, drew support from the Department of Health, tax department comments, and public testimony emphasizing AED access in community and transit settings. HB 1765, requiring safety warnings for spear fishing gear, received comments from DLNR and strong support from a free-diving safety advocate who described blackout risks and argued for point-of-sale warnings. HB 1549, which would repeal the law prohibiting drug paraphernalia, drew mixed testimony: the Department of Health, the Public Defender, and harm-reduction advocates supported repeal as a public health measure, while HPD and a county prosecutor opposed it, warning it could encourage drug use and create public safety issues. The committee also heard HB 1550, which would exclude drug testing products from the definition of drug paraphernalia. The Department of Health and harm-reduction advocates supported the bill, saying drug checking tools save lives and help prevent overdoses, while one written opponent was noted. HB 1995, allowing people who are blind or deaf to receive disabled parking permits, drew opposition from the State Council on Developmental Disabilities, the Disability and Communication Access Board, and other opponents, while a few written supporters were also noted. HB 1671, allowing licensed dental hygienists to place interim therapeutic restorations in public health settings, received support from the Department of Health and several oral health organizations, with the Board of Dentistry offering comments. HB 1643, establishing a framework for pharmacy audits and record retrieval, prompted the most extended discussion. The Board of Pharmacy and independent pharmacy representatives supported the bill as a needed framework to limit burdensome audits and protect patient care, while HMSA raised concerns about possible conflicts with upcoming federal PBM reforms and potential unintended consequences. Committee members questioned both sides about timing and workload, and supporters argued the bill was needed now to protect rural and independent pharmacies. Finally, HB 1978, appropriating funds for a new outpatient care center in North Kona, received strong support from Hawaii Health Systems Corporation, Queen’s Health Systems, the Kona-Kohala Chamber, and others, who described it as a long-term investment in West Hawaii’s health care capacity and economy. No votes or final actions were taken in the portion of the hearing provided.

Transcript Highlights:

• It's a it's a care costs are rising.
• And those cost of day care?
• </c> who are struggling with child care who are struggling with child care costs. costs. costs.
• </c><00:37:21.800><c> a</c> acknowledged the cost of child care is a acknowledged the cost of child care
• I it's not just the cost of child care.

Bills: HF495, HF4321, HF3902, HF4161, HF3755

Keywords: day care, tax subtraction, child care costs, licensed child care, dependent care assistance, HF4321, dependent care assistance programs, gross income exclusion, federal conformity, Internal Revenue Code, individual income tax, Minnesota tax law, tax conformity, child care assistance, employer-provided dependent care, taxable income, state income tax, retroactive tax change, family care benefits, housing tax credit

Transcript Highlights:

• The cost is enormous for families, for our health care system, for our state resources.
• our cost is enormous for families, for our health<00:05:02.479><c> care</c><00:05:02.800><c> system,
• </c> the cost is probably priceless for this. the cost is probably priceless for this.
• </c><01:46:24.639><c> costs</c><01:46:25.360><c> who</c> to cover their own child care costs who to cover
• their own child care costs who can<01:46:26.159><c> contribute</c><01:46:27.440><c> graciously</c><01

Bills: HF3831, HF3603, HF1900, HF495, HF3750, HF4316, HF2136, HF4384

Keywords: SNAP, income limits, asset limits, nutrition assistance, children and families, federal poverty guidelines, federal waiver, food assistance, low-income families, nutritional support, day care, tax subtraction, child care costs, licensed child care, dependent care assistance, child care, family child care, child care center, licensing, correction order

Transcript Highlights:

• </c> behalf of the long-term care Imperative. behalf of the long-term care Imperative.
• The module costs about $895.
• Um the module costs<00:10:41.440><c> about</c><00:10:41.839><c> $895</c> costs about $895 costs about
• </c> bill for direct care and treatment. bill for direct care and treatment.
• </c> are exempt from cost sharing. are exempt from cost sharing.

Bills: HF3935, HF2216, HF4354, HF4210, HF4212

Keywords: assisted living, healthcare, training, unlicensed personnel, resident rights, safety regulations, nursing home, long-term care, guardian, conservator, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services

Transcript Highlights:

• , necessary intervention care, and primary care. provided by a physician, outpatient mental health care
• Leads to delays in care or adverse outcomes, that the subsequent cost is higher than it would have been
• Senate Bill 527 will help these children get care in a timely, cost-effective, and safe manner.
• The biggest one, of course, is just medical care in general, both primary care and emergency care.
• You get the best results from receiving care as early as possible; you heal faster, it costs less to

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

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

Transcript Highlights:

• Necessary to safely care for a child until the dental care is deferred long enough to create an acute
• of care.
• This bill is needed so we can provide timely care to patients.
• for delivering that health care as well.
• Sometimes papoose boards are still used. Hmm, so interesting.

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

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

Transcript Highlights:

• of care.
• Purely relating to deferred care.
• Uh, this bill's needed to ensure we can provide timely care to patients.
• Sometimes papoose boards are still used. So interesting.
• We appreciate this careful approach adopted by the committee set for 1283.

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

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

Transcript Highlights:

• And so over-utilization is not going to lower health care costs.
• Senate Bill 527 will help these children get care in a timely, cost-effective, and safe manner.
• But that's, you know, we all talk about administrative cost in health care.
• So I do think that it has a role that is a little bit removed in overall health care cost.
• Because someone would think they were going into urgent care, they would get charged ER costs.

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

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

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

Transcript Highlights:

• </c> cost shifts annually. cost shifts annually.
• </c> home care and manage long-term care. home care and manage long-term care.
• The comparison is more PACE versus long-term care, and the cost between what the state pays a PACE program
• care and the cost PACE versus long-term care and the cost between<00:35:34.079><c> what</c><00:35:34.240
• That's where more of the cost the care.

Bills: HF4421, HF1937, HF4675, HF4715, HF4684

Keywords: county cost share, economically distressed county, human services finance, substance use disorder treatment, SUD services, civil commitment, state aid, county levy, poverty threshold, tax-exempt acreage, property tax exemption, Minnesota human services, county fiscal relief, local government finance, chemical dependency, behavioral health, PACE, elderly, Medicaid, health services

Transcript Highlights:

• is going to cost?
• care is going<00:44:59.920><c> to</c><00:45:00.079><c> cost?
• </c> going to cost? going to cost?
• I'd on uh deferral costs deferral costs.
• We keep losing power, and if this would be not just the cost savings but just being able to provide care

Bills: HB1853, HB1591, HB1961, HB1854, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115

Keywords: HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health, dementia screening, care coordination, referral network, neighbor islands, rural health

Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.

Transcript Highlights:

• Department of Corrections, Rehabilitation and Reentry to require a prisoner to pay the reasonable costs
• condition of community supervision and requires collected monies to be used only for offsetting the cost
• non-operating identification license for individuals to indicate that the licensee has an advanced health care
• directive, including a living will, health care or mental health care power of attorney, or a pre-hospital
• medical care directive.

Bills: HB2170, HB2417, HB2418, HB2771, HB2772, HB4018, HCR2059

Keywords: procurement, foreign adversary, China, state contracts, information technology, security, speeding, speed limit, traffic enforcement, driver safety, speed inhibiting device, appropriation, law enforcement, task forces, funding, criminal justice, community supervision, rehabilitation, supervision fee, victim compensation

Bills: HB 2242, HB 2446, HB 2799, HB 4502, HB 2920, HB 2790, HB 5620, HB 5060, HB 5076, HB 5080, HB 5081, HB 5128, HB 5130, HB 3847, HB 5116, HB 2969, HB 4546, HB 4202, HB 5624, HB 3964, HB 4803, HB 872, HB 4775, HB 4777, HB 4961, HB 5570, HB 2988, HB 4260, HB 1375, HB 5009, HB 5411, HB 5134, HB 4388, HB 3095, HB 1387

Keywords: constables, civil rights, local government, law enforcement, policy-making authority, affidavit, medical bills, civil actions, reasonable charges, healthcare services, judicial statistics, court performance, family law, civil cases, efficiency reporting, court security, emergency management, harassment penalties, judicial safety, court committee