Transcript Highlights:

• Relative to child welfare, to provide for the duties and responsibilities of the state child ombudsman
• is a child.
• Yes, um, that was simply because I believe the availability of a board-certified child abuse pediatrician
• Yes, um, that was simply because I believe the availability of a board-certified child abuse pediatrician
• Amendment number 30, this was very specific in terms of if there is a supposed moment of child-to-child

Bills: SB237

Keywords: child welfare, Department of Children and Family Services, mandatory reporting, abuse prevention, investigative teams, child ombudsman, forensic interviews, confidentiality

Summary: The House Committee on Health and Welfare met on April 20 and took up Senate Bill 237 by Senator Barrow, a child welfare measure addressing the duties of the state child ombudsman, DCFS, public reporting, confidentiality, critical incident reviews, multidisciplinary investigative teams, forensic interviews, mandatory reporter training, and related child abuse and neglect procedures. Before discussion, the committee reconsidered and withdrew a previously adopted amendment set, then heard the bill re-read and reviewed a new amendment package developed through meetings among Senator Barrow, Representatives Spell and Berault, DCFS, and the ombudsman’s office. Members described the revised bill as narrowing and clarifying several provisions: reducing the number of law enforcement liaisons, limiting death/near-fatality notifications to legislative leadership and committee chairs with later notice to affected district members if substantiated, adjusting medical review language, and adding quality-improvement and training components. Other changes included keeping school-related reports routed to law enforcement, changing some mandatory language to discretionary language for certain child-on-child sexual abuse situations, aligning multidisciplinary team procedures with existing interagency protocols, and making technical revisions to reduce burden and likely lower the fiscal note. The committee also adopted a separate amendment to include recreation language for the Department of Children and Family Services. Senator Barrow and several representatives emphasized that the goal was to improve child protection and review processes while making the bill workable for DCFS and other agencies. They noted the importance of outside review, ombudsman access to records, and using review findings to drive implementation changes. After no objections, the committee adopted the amendment sets and reported Senate Bill 237 favorably with amendments. The meeting then adjourned.

Transcript Highlights:

• It's for when a child gets, or someone becomes pregnant with a child under 17 years of age, that DCFS
• Because there is some abuse. I'm going to say there's abuse.
• So my amendment in concept is to exclude birth control and to prevent... ...birth control and the prevention
• And so for pregnancy prevention, STD prevention, and thank you for that amendment, and, you know, to
• And so for pregnancy prevention, STD prevention, and thank you for that amendment, and, you know, to

Bills: SB237

Keywords: child welfare, Department of Children and Family Services, mandatory reporting, abuse prevention, investigative teams, child ombudsman, forensic interviews, confidentiality

Summary: The Senate Committee on Health and Welfare met on May 20, 2026, with eight members present and approved the May 13 minutes. The committee quickly reported several bills favorably, including SB 1224, which requires DCFS review when a pregnancy involves a child under 17 and makes children under 12 a child in need of care; SB 1100, which repeals an old statute on unenriched bread; HB 1220, a continuation of prior work to codify certain provisions related to the Louisiana State Board of Medical Examiners; HB 1231, clarifying that continuous glucose monitoring is covered through Medicaid for any insulin-dependent diabetic, including gestational diabetes; and HB 198, setting reimbursement rates for ambulatory surgery centers for certain Medicaid procedures. The committee also adopted a personal privilege welcome for physicians on White Coat Day and repeatedly noted that several bills were being advanced with the understanding that further work might continue before floor debate. A major portion of the meeting focused on HB 1160, which would create a streamlined restricted license pathway for qualified international medical school graduates, especially for rural and shortage areas. Committee members pressed the Board of Medical Examiners about delays in promulgating rules under an earlier 2024 law and objected to rule language they said went beyond the statute. Board representatives acknowledged a misunderstanding about the original bill’s intent and said the program had been operating, but members warned against agencies writing rules that contradict enacted law. Despite the criticism, HB 1160 was reported favorably. The committee also reported favorably HCR 67, which creates a task force to study gaps in acute care for special-needs adults and children, following emotional testimony from the sponsor about her son’s death and the lack of appropriate care options. The committee then approved HCR 27, calling for a coordinated statewide evaluation of autism services by the Department of Health and Department of Education, with testimony emphasizing rising diagnosis rates, rural provider shortages, and the need for better data and coordination between medical and school-based services. HCR 28, which would study school nurse orientation and training, was also reported favorably after school nurses described the lack of standardized onboarding for new graduates and the risks of placing them alone in schools without adequate supervision. HB 469, which would have allowed pharmacy license renewal fees to be directed to Xavier University’s pharmacy school as well as public schools, was deferred after concerns about diverting funds from public institutions and the absence of testimony from affected schools. The committee also took up HB 223, which recreates DCFS, and adopted an amendment shortening the sunset date and requiring law enforcement reports to be accepted through a secure web-based platform; the bill was then reported favorably as amended. Another major discussion centered on HB 457 and HB 616, both tied to homelessness. HB 457, establishing minimum standards for shelters and related facilities, was reported favorably as amended after sponsor testimony and support cards. HB 616, which would allow the legislative auditor and local officials access to records and databases for audits of homelessness initiatives, drew extensive debate over privacy, federal funding, and accountability. Supporters cited a 2025 audit showing more than $216 million in federal homelessness spending in New Orleans and argued that auditors need access to performance data to detect waste and abuse; opponents warned about client privacy and the impact of funding cutoffs. The committee adopted an amendment changing permissive language to mandatory language for enforcement and then continued hearing testimony, with the discussion still centered on balancing oversight with confidentiality.

Transcript Highlights:

• Relative to child welfare, to provide for the duties and responsibilities of the state child ombudsman
• is a child.
• Yes, um, that was simply because, uh, I believe the availability of a board-certified child abuse pediatrician
• So we adjusted that language. ...certified child abuse pediatrician would be a little bit burdensome.
• sexual activity or sexual abuse, we want to call it that, of who and how is it... ...you know, abuse

Bills: SB237

Keywords: child welfare, Department of Children and Family Services, mandatory reporting, abuse prevention, investigative teams, child ombudsman, forensic interviews, confidentiality, 965, house, all

Transcript Highlights:

• </c><00:04:04.959><c> head</c> son is a survivor of abusive head son is a survivor of abusive head trauma
• </c> also know that one in four um abusive also know that one in four um abusive head<00:05:14.320><c
• I'm not okay with my tax dollar going to buying popsicles for a child. For your child to eat.
• And that child and those at times.
• </c> the current climate of fraud and abuse the current climate of fraud and abuse of<01:13:40.880><c

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:

• medical child abuse.
• medical child abuse.
• And then another doctor who never saw the child flagged it for child abuse.
• to call that child abuse.
• by child abuse pediatricians.

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

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

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

Transcript Highlights:

• And I can tell you the pain of losing that child does not go away. You don't move on.
• Heidi was born May 4th, 2024 and died during child The mother of Heidi Michelle Straal.
• Grieving parents should not have to race against time to say goodbye to their child.
• It's space and time to know your child, right? And that's tremendous.
• They're quite incredible when it comes to substance abuse disorder, for example, heroin and alcohol abuse

Bills: SCR37, SB145, SB237

Keywords: informed consent, healthcare, medical procedures, patient rights, surgeon general, regulatory review, adult residential care, generators, emergency power, health safety, Louisiana Department of Health, compliance, regulations, child welfare, Department of Children and Family Services, mandatory reporting, abuse prevention, investigative teams, child ombudsman, forensic interviews

Transcript Highlights:

• An education-based program to prevent medical child abuse, so I'm a little perplexed that a profession
• child abuse to try to make it stop, and that's understandable.
• A medical child abuse label will stay.
• call that child abuse.
• by child abuse pediatricians.

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

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

Transcript Highlights:

• My personal experience as a parent of a of a deaf blind child.
• They make sure that our rural children feel like every other child, but just a child who's proud to live
• This tool is not designed to be a structural interview with a child.
• victims have been involved in the child welfare system.
• It is time to prevent rather than react.

Bills: HB 451, HB 645, HB 1041, HB 1151, HB 1155, HB 1536, HCR 12

Keywords: commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

Bills: HB85, HB94, HB276, HB323, HB374, HB586, HB656, HB998, HB1204, SB42, SB46, SB51, SB87, SB110, SB154

Keywords: animal abuse, registry, law enforcement, felony offenses, public notification, firearms, due process, confiscation, law-abiding citizen, government funding, self-defense, bail, contradictory bail hearing, Gwen's Law, pretrial detention, criminal procedure, child sexual abuse, child rape, sexual battery, oral sexual battery

Transcript Highlights:

• </c> Minnesota's child welfare system. Minnesota's child welfare system.
• I look at close... child. Uh and in in the remarks of your child.
• So, when my child was in an abuse situation in a daycare, and when I went around to providers and said
• ><c> in</c> uh my child was in an abuse situation in uh my child was in an abuse situation in a<01:05
• Unfortunately, I'm also a parent of a victim of child sexual abuse.

Bills: HF2135, HF776, HF1581, HF1158, HF2226

Keywords: child welfare, fiscal analysis, third-party consultant, program evaluation, Minnesota, HF776, Minnesota Family Assets for Independence Initiative, family assets for independence, FAI, asset-building, matched savings, financial literacy, family savings, economic mobility, children youth and families, general fund appropriation, family support, low-income families, financial stability, budget bill

Transcript Highlights:

• Child-related income follows the child. This includes SSI, child support, and other benefits.
• child abuse and neglect.
• No, the question is the child is, is it with the child, um.
• No, the, the, the, the child is in another state, but the parents, you know, the child in the foster,
• uh, the parents, the child was, the child was taken from the parents.

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:

• Services for instances of child abuse and neglect.
• An exception is made for aggravated circumstances such as murder, sexual abuse, or trafficking of a child
• abuse and neglect by the department.
• abuse and neglect registry.
• That this person abused or neglected a child, and you're on the list.

Bills: SB397, SB481, SB596, SB760, SB855, SB1195, SB1196, SB1233, SB1257, SB1318, SB1368, SB1388, SB1398, SB1524, SB1558, SB1589, SB1677, SB1792, SB2034

Keywords: SB 397, telemedicine, telehealth, teledentistry, remote care, virtual care, consent documentation, patient consent, data collection, data sharing, audio-only telehealth, in-person examination, irreversible medical procedure, health professional regulation, Occupations Code, Texas Health and Human Services, medical records, provider compliance, data privacy, consumer rights

Transcript Highlights:

• Services continue for three years after the birth of the child.
• And Advocacy at Text4Text, where we prioritize strengthening families to prevent child abuse and neglect
• They've been possibly abused or neglected.
• The chair calls Noah Torres, Steve Wollob, and Tilden Childs.
• Tilden Childs. I'm a radiologist from Fort Worth.

Bills: SB397, SB481, SB596, SB760, SB855, SB1195, SB1196, SB1233, SB1257, SB1318, SB1368, SB1388, SB1398, SB1524, SB1558, SB1589, SB1677, SB1792, SB2034

Keywords: SB 397, telemedicine, telehealth, teledentistry, remote care, virtual care, consent documentation, patient consent, data collection, data sharing, audio-only telehealth, in-person examination, irreversible medical procedure, health professional regulation, Occupations Code, Texas Health and Human Services, medical records, provider compliance, data privacy, consumer rights

Transcript Highlights:

• Establishing the grooming of children as a felony can prevent abuse from escalating to sexual assault
• > to</c><00:08:43.039><c> sexual</c> prevent abuse from escalating to sexual prevent abuse from escalating
• and</c><00:10:13.200><c> this</c><00:10:13.360><c> was</c> child sexual abuse cases, and this was child
• In closing, these proposals are practical, preventative, and focused on child safety.
• ,</c> child sexual abuse and prevention, child sexual abuse and prevention, violence<00:32:03.760><c>

Bills: HF3489, HF3550

Keywords: grooming, child protection, student safety, sexual exploitation, educator licensing, teacher discipline, mandatory reporting, mandated reporter training, school misconduct, predatory offender, child abuse, sexual abuse, sex trafficking, child sexual abuse material, child pornography, position of authority, school employee, school administrator, license revocation, license suspension

Transcript Highlights:

• So long as there is a parent or specified relative caring for a child, it would meet the qualification
• I'm just double-checking that once a child and whatever family unit they become part of at that time,

Bills: SB2479, SB2557, SB2861, SB3204, SB3324, SB3325

Keywords: criminal procedure, family violence, dating violence, child abuse, evidence admissibility, reduced sentencing, homelessness, reporting requirements, statewide office, housing solutions, kauhale projects, public oversight, SB2861, Hawaii, Office of Wellness and Resilience, OWR, Department of Human Services, DHS, Kakou Pilot Program, Kakou

Summary: The committee heard testimony on several measures related to criminal procedure, homelessness, family resilience, Medicaid-funded services, and school Medicaid reimbursement. On SB 2479 SD2, the Judiciary testified in neutral opposition with concerns that the bill could require imprisonment even for probation-eligible defendants, expand sentence reconsideration in ways that could undermine finality for victims, conflict with existing sentencing statutes, and require additional judicial resources. The Office of the Public Defender supported the bill’s intent but asked for language changes so people serving sentences could raise the new evidence in Rule 40 petitions and so probation would remain available in appropriate felony cases. Written testimony also included opposition from several county prosecutors and police, and support from the Office of Hawaiian Affairs. The chair later deferred SB 2479 SD2, citing unintended consequences and problems with the bill. For SB 2557 SD1, which would require annual reporting by the State Office on Homelessness and Housing Solutions, the office said it supported the intent but noted it already produces annual and quarterly reports, that some requested data is already available, and that staffing and cost constraints could make the new reporting burdensome. The State Council on Mental Health supported the measure and suggested narrowing the reporting language to data on individuals with serious mental illness or co-occurring behavioral health conditions, to the extent practicable and in collaboration with relevant agencies. A committee member asked about the availability of point-in-time count data, and the office explained that some figures may not be available every year and may need to be generated through HMIS. Dr. Jack Lewin testified in support, saying the data would be useful for understanding health care costs. The committee passed SB 2557 SD1 with amendments, including a deferral of the effective date. The committee also heard SB 2861 SD2 and SB 3204 SD1, both family resilience pilot program measures. For SB 2861 SD2, the Office of Wellness and Resilience and DHS supported the bill but requested amendments to clarify that the office’s role is planning and advisory, that DHS is a key partner, and that federal compliance safeguards are included. The chair raised concerns about overlap with DHS’s existing Ka Ohana program and asked for language to avoid redundancy while allowing the bill to cover other at-risk children; decision-making was deferred to the next hearing. For SB 3204 SD1, which would create a peer-navigator-based family resilience pilot, the Office of Wellness and Resilience and DHS supported the measure, with the office requesting a two-year pilot period, and both agencies and several advocacy groups submitted support. The committee discussed funding, the proposed five peer navigators, and whether the pilot should be limited to one or two geographic areas; no final action was taken in the portion provided. The committee also heard and supported SB 3324 SD1 on Medicaid home and community-based services, with the Department of Health emphasizing caregiver shortages and the cost-effectiveness of community care, and SB 3325 SD1 HD1 on public school Medicaid reimbursement, where DOE and the Attorney General requested clarifying amendments to reporting language and position titles.

Transcript Highlights:

• or any observable material impairment to the child. growth and development or functioning of the child
• I am a mother of warrior, a child who forever will be for her.
• If you don't do what the doctors say, your child can be taken away.
• However, nothing compares to bearing your own child.
• Preventing the return of a child for financial reasons causes foster children to languish in care, keeps

Bills: HB451, HB645, HB 1041, HB 1151, HB 1155, HB1536, HCR12, HCR12

Keywords: commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

Bills: HB451, HB645, HB 1041, HB 1151, HB 1155, HB1536, HCR12, HCR12

Keywords: commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

Transcript Highlights:

• </c> preventative, they are focused on child preventative, they are focused on child safety. safety.
• </c> responding to child abuse and neglect. responding to child abuse and neglect.
• child abuse, as well recognize signs of child abuse, as well as<01:15:33.400><c> in</c><01:15:33.600
• </c><01:16:44.120><c> abuse</c><01:16:44.600><c> pediatrician</c> I practice as a child abuse pediatrician
• </c> help prevent future abuse. help prevent future abuse. Thank<01:23:51.640><c> you.

Bills: HF4277, HF3819, HF3489, HF4408, HF3901, HF4316

Keywords: child care, child care center, day care, licensed child care, video security cameras, surveillance, security cameras, maltreatment, child abuse, child safety, public and shared areas, camera mandate, child care assistance program, CCAP, Great Start Compensation Support, early learning scholarships, licensed provider, Minnesota Statutes 142B.68, Harvey's Law, privacy

Transcript Highlights:

• And so we talk a lot about preventative.

Bills: HB3043, HB3044, HB3078, HB3940, HB4117, HB3428, HB4275, HB3257, HB3901, HB4298

Keywords: HB3043, Oklahoma Department of Veterans Affairs, ODVA, seasonal employees, project labor, pro rata jobs, unclassified service, state personnel law, state employee benefits, paid leave, paid holidays, retirement benefits, health insurance, dental insurance, life insurance, temporary workers, veterans affairs, Title 72, Oklahoma Personnel Act, budget reporting

Transcript Highlights:

• you know, it's our job to make sure that agencies get what they need, and so we talk a lot about preventative
• Members, House Bill 4298 is a request bill from DHS so that whenever there's any rule changes for child

Bills: HB3043, HB3044, HB3078, HB3940, HB4117, HB3428, HB4275, HB3257, HB3901, HB4298

Keywords: HB3043, Oklahoma Department of Veterans Affairs, ODVA, seasonal employees, project labor, pro rata jobs, unclassified service, state personnel law, state employee benefits, paid leave, paid holidays, retirement benefits, health insurance, dental insurance, life insurance, temporary workers, veterans affairs, Title 72, Oklahoma Personnel Act, budget reporting

Summary: The Health and Human Services Oversight Committee opened with prayer and then heard a series of bills, most of them request bills from state agencies or related to veterans and military matters. House Bill 3043 would let the Oklahoma Dental Board Association hire temporary or PRN workers during peak periods; it passed 11-1. House Bill 3044 would continue an existing tax-return checkoff for donations and passed 12-0. House Bill 3078 would create an online donation option for the Oklahoma Department of Veterans Affairs during license and tax transactions and passed 12-0. House Bill 3940 made a number of cleanup and policy changes to a prior Oklahoma National Guard measure, including retention, benefits, discipline, museum operations, and state active duty pay issues; it passed 11-0. House Bill 4117 would define family resource centers in statute and emphasize faith-based partnerships, workforce development, and braided funding; it passed 12-0. The committee also advanced House Bill 3428, which would require certain businesses to post information about veterans’ benefits in a conspicuous place to help more eligible veterans enroll in benefits; members discussed raising the employee threshold from 50 to 100, but no amendment was adopted during the meeting, and the bill passed 10-2. House Bill 4275 would allow counties and cities to employ case managers and peer support specialists while maintaining certification, to support sheriffs and first responders, and it passed 12-0. House Bill 3257 would treat 100% disabilities caused by VA medical malpractice as service-connected for state benefit purposes, aligning state law with federal treatment, and it passed 12-0. Two public health bills also advanced. House Bill 3901 would authorize psychological autopsies in suicide and overdose cases to better understand causes and improve prevention; members discussed whether the process should include notifying prescribing physicians when patients die from opioid overdoses, and the bill passed 12-0. House Bill 4298 would allow DHS child care rule changes to be distributed by mail and electronically, reflecting current practice, and it passed 12-0. The committee adjourned after reporting all measures do pass.