Transcript Highlights:

• Chair, members of the committee, Chris Blake, staff of the House Health Care and Wellness Committee:
• Chair Bronoske and committee, pretty simple bill.
• I don't see Ranking Member Schmick, but hello members of the committee.
• Members of the committee, my name is Richard Giles.
• Chair and members of the committee. I am a doctor of audiology.

Bills: SB5915, SB6025, SJM8002

Keywords: SB 5915, health technology assessment, HTA, clinical committee, medical technology review, coverage determination, state-purchased health care, Washington health care, RCW, evidence-based medicine, cost-effectiveness, safety and efficacy, Medicare coverage, national coverage determination, clinical guidelines, patient advocacy, public comment, medical necessity, rare disease, life-threatening disease

Summary: The committee held public hearings on Substitute Senate Bill 6183, which would require health plans, including public and school employee plans, to cover FDA-approved HIV antiviral drugs without prior authorization, step therapy, or other utilization management when therapeutic equivalents exist. The prime sponsor said the bill is part of Washington’s effort to end HIV/AIDS and argued that delaying access to needed medication is especially harmful for late-stage diagnoses. No one testified in person or remotely, and public testimony was closed. The committee then heard Substitute Senate Bill 6226, which would limit the Board of Hearing and Speech from adopting rules that prevent licensed audiologists, speech-language pathologists, and hearing aid specialists from using clinical judgment to choose telehealth or in-person care. Supporters said teleaudiology expands access, especially in rural areas and for patients with mobility barriers, while some testifiers raised patient safety concerns about first-time hearing aid fittings and asked for amendments or more time to review safeguards. One testifier said the Washington Hearing Society had moved to neutral after discussions on amendments. In executive session, the committee adopted amendments and advanced several measures. Substitute Senate Bill 5185, on international medical school graduate physician licensing, passed with a technical amendment and a do pass recommendation. Substitute Senate Bill 5845, on timing of claims payments, was amended to include tribal health care systems, shorten carrier refund-request timelines, and delay implementation to January 1, 2028, then passed 17-1. Senate Bill 5915, prioritizing certain health technology assessments, and Senate Bill 6025, modifying the definition of fetal death, both passed unanimously. Senate Joint Memorial 8002, asking the federal government to change Medicare policy, passed 15-3. The committee then adjourned.

Transcript Highlights:

• committee must evaluate all clinical trials in peer-reviewed literature and also consider any information
• Chair, members of the committee, Kim Weidner, staff to the committee.
• Chairman, members of the committee, again, Chris Blake, staff of the committee.
• Good committee members.
• It simply asks the Health Technology Clinical Committee to look at all good evidence, not just one kind

Bills: SB5915, SB5988, SB6025, SJM8002

Keywords: SB 5915, health technology assessment, HTA, clinical committee, medical technology review, coverage determination, state-purchased health care, Washington health care, RCW, evidence-based medicine, cost-effectiveness, safety and efficacy, Medicare coverage, national coverage determination, clinical guidelines, patient advocacy, public comment, medical necessity, rare disease, life-threatening disease

Summary: The House Health Care and Wellness Committee held public hearings on several Senate bills and one joint memorial. SB 5915 would update the Health Technology Assessment Program by adding Medicare-recommended or guideline-recommended technologies to the review priority list, requiring broader evidence review for rare or life-threatening diseases, and setting posting and decision deadlines; supporters from rare disease families and clinicians said the current process is outdated and too rigid, while the sponsor said the bill reflects needed modernization. SJM 8002 urges the federal government to oppose Medicare privatization and make changes to original Medicare and Medicare Advantage, including eliminating the 20% coinsurance in original Medicare, adding dental/vision/hearing benefits, reducing Medicare Advantage overpayments, and recouping fraud and abuse funds; labor, senior, and retiree advocates supported it as a way to protect beneficiaries and the Medicare trust fund. The committee also heard SB 5395 on prior authorization, which would require more transparency in denial notices, limit denial decisions to licensed clinicians, restrict AI from being the sole basis for denials or delays, and address retrospective denials; providers, hospitals, and patient advocates supported the bill as a compromise to reduce delays and inappropriate denials, while insurers were generally neutral but sought a narrow amendment. SB 5845 would tighten payment timelines for clean claims, require faster notice and information requests for non-clean claims, and authorize penalties for chronic noncompliance; hospitals and physicians said predictable payment is essential for financial stability, while insurers were neutral and requested a limited amendment. SB 6025 would change the fetal death definition to use the best clinically accurate gestational age rather than the last menstrual period; OB-GYNs, nurses, and medical groups supported it as a medically accurate update, while one opponent objected on moral grounds. The committee also heard SB 5988, which would authorize the Department of Health to continue accrediting opioid treatment programs and set fees to cover the program’s costs; the sponsor and DOH said it is needed to maintain a patient-centered accreditation option after budget cuts, and the bill was described as a companion to House legislation. Finally, SB 5917 would change how the Department of Corrections coordinates distribution of state-purchased abortion medications, remove the current cost-plus-fee requirement, and broaden the definition of abortion medication; supporters said it would allow the stockpiled medication to be distributed to providers and patients, while opponents argued it promotes abortion and misuses public funds. The transcript ends with the committee closing public testimony and adjourning, with no votes taken in the hearing.

Transcript Highlights:

• All right, we'll call the Health Committee meeting to order.
• All right, we'll call the Health Committee meeting for Tuesday, April eighth in session.
• Chairman, members of the committee, certainly thank you for your attention.
• Committee, certainly thank you for your time and allowing me to present the bill last week.
• Thank you, committee members. Yes, sir. Representative Falner. Thank... Yes, sir.

Bills: HB441

Keywords: speech-language pathology, licensure, clinical supervision, educational qualifications, healthcare assistant, sessions, 2025-R, 1, 219

Transcript Highlights:

• We will call the Health Committee meeting for Wednesday, April 9th.
• Chairman and members of the committee.
• Chairman and fellow members of the committee. I'm Vicky Carlos.
• to a clinical student.
• They're having to get their 100 clinical hours before they complete the program, right?

Bills: HB441, SB274

Keywords: speech-language pathology, licensure, clinical supervision, educational qualifications, healthcare assistant, makeup application, blow-dry styling, cosmetology, licensing, regulation exemption, 1136, house, all

Transcript Highlights:

• </c> before the committee. before the committee. &gt;&gt; What's<00:01:58.560><c> that?
• </c> &gt;&gt; Chair and members of the committee. &gt;&gt; Chair and members of the committee.
• committee? committee?
• </c> committee to oppose House File 2689. committee to oppose House File 2689.
• committee? committee? &gt;&gt; Thank<01:40:44.400><c> you,</c><01:40:44.560><c> Mr.

Bills: HF3521, HF3563, HF82, HF2689, HF1794, HF3544, HF3516, HF1752

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Transcript Highlights:

• Welcome back to the second-to-last episode of the Senate Health and Social Services Committee.
• I hope you'll release it from the committee quickly."
• Good morning, members of the committee.
• Any other questions from members of the committee? All right.
• Thank you, Senator Sturgeon, and I will turn it to— Thank you to the committee.

Bills: HB359, HB385, HB165

Keywords: human remains, indigent, burial, cremation, next of kin, social services, environmental impact, nursing education, preceptorship programs, healthcare workforce, nurse shortage, clinical training, dry needling, physician assistant, nurse practitioner, occupational therapist, referral process, neuromusculoskeletal pain, Western medicine

Summary: The Senate Health and Social Services Committee met with a quorum, approved the minutes from the prior two meetings, and briefly acknowledged the tragedy at Christiana Care before moving to legislation. The committee heard House Bill 385, which creates a statewide nurse preceptor grant program to expand clinical training placements for nursing students; testimony from nursing organizations, health care associations, and educators emphasized workforce shortages, the need for preceptor stipends and training, and the bill’s potential to help students complete programs and remain in Delaware. Members asked about eligibility and reporting, and several senators asked to be added as co-sponsors. Public comment was uniformly supportive, and the bill was advanced out of committee. The committee then considered House Bill 424, which repeals Delaware’s Autism Surveillance and Registration Program and requires DHSS to expunge protected health information collected through the registry. The sponsor and DHSS said the registry is no longer used for research or policy development and that repeal would reduce outdated reporting burdens; Autism Delaware, the Delaware Health Care Association, and the State Council for Persons with Disabilities support the change. A committee member raised the question of whether families would be notified before records are expunged, and DHSS said that process was not yet clear and would need further verification. Members discussed the issue, and the bill also moved forward. House Bill 419 was next, making children in foster care automatically eligible for the Purchase of Care child care subsidy and extending the same treatment to certain kinship and safety-plan placements through House Amendment 1. The Children’s Department and advocacy groups said the bill would provide immediate stability for children and caregivers, reduce delays from applications and income verification, and support working foster and kinship families. The committee also heard House Bill 359, which would allow cremation as an option for unclaimed and indigent remains when there is no family objection or next of kin cannot be found, addressing a shortage of burial plots and lowering costs; funeral industry testimony focused on preserving next-of-kin rights. Finally, the committee heard House Bill 475, creating a Delaware Nursing Advancement Fund financed by a $10 surcharge on nursing licenses and disciplinary fines to support workforce data collection and analysis through a nonprofit partner, and House Bill 165, authorizing physician associates, occupational therapists, and APRNs to perform dry needling under training and practice standards set by the Board of Medical Licensure and Discipline. All of the bills received supportive testimony, several members added their names as co-sponsors, and the committee adjourned after moving through the agenda.

Bills: HB 1106, HB 3284, HB 541, HB 713, HB 1403, HB 1586, HB 1942, HB 2070, HB 2844, HB 2851, HB 3151, HB 3749, HB 3940, HB 3963, HB 4454, HB 4466, HB 4795, HB 5154, HB 5394, SB 1357, HB 1052, HB 4099, HB 4638, HB 5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Bills: HB 1106, HB 3284, HB 541, HB 713, HB 1403, HB 1586, HB 1942, HB 2070, HB 2844, HB 2851, HB 3151, HB 3749, HB 3940, HB 3963, HB 4454, HB 4466, HB 4795, HB 5154, HB 5394, SB 1357, HB 1052, HB 4099, HB 4638, HB 5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• Chairman and members of the committee.
• Chairman, members of the committee.

Bills: HB441, HB425, HB416

Keywords: speech-language pathology, licensure, clinical supervision, educational qualifications, healthcare assistant, mental health, regional authority, board of directors, local governance, public health, sudden cardiac arrest, automated external defibrillator, AED, school safety, emergency response, cardiac emergency response plan, training, athletic events, first aid, 923

Transcript Highlights:

• The Committee on Fiscal Policy will now come to order. Michelle, please call the roll.
• Anyone wishing to speak before the committee should complete an appearance form and hand it to a member
• Good morning, Chair Gruters and committee members. Thank you for seeing us this morning.
• Good morning, Chair Gruters and committee members. Thank you for seeing us this morning.
• Is there any other business before this committee? Senator Rodriguez moves that we adjourn.

Bills: S0578

Keywords: Alzheimer's disease, Alzheimers, dementia, related dementias, brain health, early detection, diagnosis, caregiver support, elderly affairs, Department of Elderly Affairs, Department of Health, public health outreach, memory loss, cognitive decline, healthy aging, clinical trials, community resources, underserved communities, nonprofit, awareness campaign

Summary: The Committee on Fiscal Policy heard CS for SB 57A, the Alzheimer’s Disease Awareness Initiative by Senator Simon. The bill would create a statewide public health awareness campaign through the Department of Elder Affairs to promote early detection and diagnosis, brain health education, awareness of research and clinical trials, and outreach to older adults and higher-risk populations, with the department contracting with nonprofits for education and awareness efforts. Senator Simon and the bill’s supporters emphasized Florida’s high Alzheimer’s prevalence and the need for public education and early intervention. John Strader, representing the Alzheimer’s Association in South Florida and speaking as a caregiver, testified in support and described how early diagnosis and recent medical advances make awareness campaigns more important. He said a local pilot campaign in Miami-Dade led to a more than 30% increase in calls to the association’s helpline. Karen Morillo of AARP Florida and Tyler Jefferson of the Alzheimer’s Association waived in support. Several senators voiced support and personal reflections on the impact of Alzheimer’s on families and caregivers. Senator Osgood asked about funding and whether the initiative would require new appropriations, and Senator Jones urged that the bill be fully funded and recognized Senator Simon’s personal connection to the issue. In closing, Senator Simon spoke emotionally about his mother’s diagnosis and the need to help families find resources earlier. The committee then approved the bill by roll call vote and reported CS for SB 57A favorably before adjourning.

Transcript Highlights:

• Chairman and members of the committee.
• Chairman, members of the committee.

Bills: HB441, HB425, HB416

Keywords: speech-language pathology, licensure, clinical supervision, educational qualifications, healthcare assistant, mental health, regional authority, board of directors, local governance, public health, sudden cardiac arrest, automated external defibrillator, AED, school safety, emergency response, cardiac emergency response plan, training, athletic events, first aid, sessions

Transcript Highlights:

• Chairman and members of the committee.
• House bill 42 by Wilson members there is a committee substitute Buster Howard offers committee substitute
• Members there is a committee substitute. The chair offers a committee substitute.
• My committee substitute laid out committee substitute 4762. Members.
• There's a committee substitute.

Bills: HB3032, HB3434, HB3574, HB5339, HB5646

Keywords: nursing education, clinical sites, health facilities, Texas Higher Education Coordinating Board, legislative study, healthcare training, tuition, financial assistance, higher education, public institutions, student support, nonresident students, Texas Education Code, resident tuition, scholarships, regenerative agriculture, grants, sustainable farming, soil health, bioremediation

Transcript Highlights:

• There was a committee substitute laid out at our hearing on Monday.
• Is there any other business that needs to come before the committee?
• There was a committee substitute laid out at our hearing on Monday.
• There is a proposed committee substitute.
• The committee will stand in recess, subject to the call of the chair.

Keywords: Senate Committee, local government, SB2183, SB2046, committee substitute, legislative measures

Summary: The meeting of the Senate Committee on Local Government was characterized by the passage of several significant bills, including SB2183, SB2046, SB434, and others with recommendations for further consideration. Discussions involved voting on committee substitutes and the implications of various legislative measures. Senator Paxton and other members provided insights and moved bills forward with emphatic support, leading to their successful passing out of committee. Importantly, the bills addressed various local government concerns, showcasing the committee's focus on practical legislative solutions.

Transcript Highlights:

• Senator, I understand there's a committee substitute. Blanco sends up the committee substitute.
• of committee.
• And you're relying on clinical and non-clinical... Process to do that?
• The advisory committee will expire on September 1st, 2027. The committee substitute...
• There is a committee substitute.

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• The committee uses electronic witness registration.
• the committee substitute laid out right now?
• Senator Perry, since it's a committee substitute, the chair lays out the committee substitute for House
• Thank you, committee chairwoman, and... Committee members, thank you for allowing me to speak.
• The bill pending before the committee.

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• Welcome to committee. Thank you, Madam Chair, members of the committee. I'm Dr.
• Welcome to committee. Thank you, Madam Chair, members of the committee. I'm Dr.
• So it's a basic study committee.
• Welcome to committee. Chair and members of the committee, my name is Kayla Etheridge.
• Welcome to committee. Awesome.

Bills: HB2049, HB2050, HB2051, HB2072, HB2082, HB2085, HB2177, HB2178, HB2179, HB2183, HB2195

Keywords: radiation therapy, particle accelerator, critical access hospitals, patient care, rural healthcare, radiologic technologist, radiologist assistant, radiology, imaging, x-ray, diagnostic x-ray, fluoroscopy, mammography, computed tomography, CT technologist, nuclear medicine technologist, bone densitometry, radiation safety, radiation licensing, scope of practice

Transcript Highlights:

• We won't call the roll because we have members in other committees.
• Chairman and honored committee members.
• I do have a committee substitute that I'd ask for.
• Good morning, Chair and members of the committee.
• In the bill, I'm looking at the committee substitute.

Bills: HB1022, HB2856, HB3114, HJR5, HB6, HB120, HB210, HB1458, HB1188, HB3126

Keywords: HB 1022, Sul Ross State University, Rio Grande College, Texas State University System, Education Code, higher education, course levels, upper-level college, lower-division courses, community college-style courses, Del Rio, Eagle Pass, Uvalde, Board of Regents, academic programs, university expansion, HB 2856, Texas Higher Education Coordinating Board, clinical training placements, clinical rotations

Transcript Highlights:

• I urge this committee to restore.
• Senator Campbell, is there a committee substitute? There is a committee substitute.
• The committee substitute explains that members, well, the committee substitute establishes fiscally responsible
• The committee substitute also...
• Committee, my name is Daniel Gray.

Bills: HB1022, HB2856, HB3114, HJR5, HB6, HB120, HB210, HB1458, HB1188, HB3126

Keywords: HB 1022, Sul Ross State University, Rio Grande College, Texas State University System, Education Code, higher education, course levels, upper-level college, lower-division courses, community college-style courses, Del Rio, Eagle Pass, Uvalde, Board of Regents, academic programs, university expansion, HB 2856, Texas Higher Education Coordinating Board, clinical training placements, clinical rotations

Transcript Highlights:

• The chair offers a committee substitute for House Bill 1507.
• Chairman, Vice Chair Howard, committee members, thank you for the opportunity to lay out the committee
• Chairman of the committee, if there is no objection, the committee substitute is withdrawn, and the bill
• I was once a clinical coordinator responsible for coordinating a leadership clinical for nursing students
• The committee stands in recess.

Bills: HB173, HB184, HB484, HB678, HB 1211, HB1507, HB1705, HB1868, HB2290, HB2851, HB2856, HB3041, HB3204, HB173, HB184

Keywords: foreign donations, higher education, public institutions, national security, funding, prohibition, Texas law, healthcare, insurance, affordability, access, public health, foreign influence, education policy, student loan repayment, prosecuting attorneys, border prosecution unit, financial assistance, tobacco, cigarettes

Transcript Highlights:

• Members, there is There is a committee substitute. Representative Schaffner offers a committee.
• Is there objection to the adoption of the committee substitute.
• Hearing none, the committee substitute is adopted.
• The chair offers a committee substitute to House Bill 1868.
• Friend of the committee, John Fitzpatrick from.

Bills: HB173, HB184, HB484, HB678, HB 1211, HB1507, HB1705, HB1868, HB2290, HB2851, HB2856, HB3041, HB3204, HB173, HB184

Keywords: foreign donations, higher education, public institutions, national security, funding, prohibition, Texas law, healthcare, insurance, affordability, access, public health, foreign influence, education policy, student loan repayment, prosecuting attorneys, border prosecution unit, financial assistance, tobacco, cigarettes