Transcript Highlights:

• Current law enables TDLR to issue dietitian licenses.
• licensing process. current language by removing obsolete language and aligning the law with current TDLR dietitian
• Generally, what it does is remove antiquated terms, including a public registry of dietitians and state
• office of administration sanctions. and incorrect language regarding provisional licensed dietitians
• By striking the words "and fitness" from the section of the Occupations Code that regulates dietitians

Bills: SB670, SB1388, SB627, SB912, SB269, SB528, HB2711, HB4819, HB5248, HB4175

Keywords: SB 670, investigational sun protection products, sun protection, sunscreen, FDA approval, clinical trial, phase one trial, patient access, informed consent, physician prescription, Texas Health and Safety Code, Texas Medical Board, compassionate use, experimental treatment, medical freedom, patient autonomy, healthcare regulation, dietitian, dietitians, licensed dietitian

Bills: SB 21, SB 72, SB 140, SB 262, SB 370, SB 372, SB 495, SB 627, SB 703, SB 764, SB 842

Keywords: cryptocurrency, bitcoin, investment reserve, economic resilience, financial security, vehicle rental, damage waiver, consumer rights, business regulations, refund policy, telephone solicitation, telemarketing, text message marketing, SMS marketing, robotext, spam text, consumer protection, deceptive trade practices, DTPA, Business & Commerce Code

Bills: SB 21, SB21, SB72, SB140, SB262, SB370, SB372, SB495, SB627, SB703, SB764, SB842

Keywords: emergency alerts, weather alerts, public safety, local government, municipality, county, website posting, online notice, emergency management, disaster preparedness, evacuation, National Weather Service, NOAA, Texas Division of Emergency Management, TDEM, localized alerts, hazard warnings, severe weather, watch warning advisory, public information

Transcript Highlights:

• removing obsolete language from the Texas Department of Licensing and Regulation's Occupation Code for Dietitian
• Because the current law that enables the agency to issue dietitian licenses does not reflect current
• bill would cure these defects by removing obsolete language and aligning the law with current TDLR dietitian

Bills: SB 21, SB21, SB72, SB140, SB262, SB370, SB372, SB495, SB627, SB703, SB764, SB842

Keywords: emergency alerts, weather alerts, public safety, local government, municipality, county, website posting, online notice, emergency management, disaster preparedness, evacuation, National Weather Service, NOAA, Texas Division of Emergency Management, TDEM, localized alerts, hazard warnings, severe weather, watch warning advisory, public information

Bills: SJR34, SB10, SB18, SB19, SB21, SB72, SB140, SB262, SB370, SB480, SB495, SB627, SB703, SB767, SB790

Keywords: parental rights, parents, children, custody, care and control, upbringing, family law, constitutional amendment, Texas Constitution, child welfare, education policy, medical decisions, parental authority, primary decision makers, family autonomy, education, Ten Commandments, public schools, religious display, First Amendment

Bills: SJR3, SB5, SJR36, SJR3, SB616, SB565, SB384, SB5, SB21, SB72, SB140, SB262, SB370, SB372, SB495, SB627, SB703, SB764, SB842, SB971, SB790, SB767, SB480, SB1066

Keywords: dementia, Alzheimer's disease, Parkinson's disease, research funding, state budget, prevention, healthcare, medical research, Dementia Prevention and Research Institute, research institute, funding, grants, state health initiatives, aquifer, water management, Edwards Aquifer, sustainability, regulatory framework, SB 565, Texas Water Code

Bills: SJR 3, SB 5, SJR 36, SJR 3, SB 616, SB 565, SB 384, SB 5, SB 21, SB 72, SB 140, SB 262, SB 370, SB 372, SB 495, SB 627, SB 703, SB 764, SB 842, SB 971, SB 790, SB 767, SB 480, SB 1066, SR 44, SR 135, SR 171, SR 180, SR 185, SR 187, SR 188, SR 191, SR 197, SR 198, SR 199, SR 200

Keywords: dementia, Alzheimer's disease, Parkinson's disease, research funding, state budget, prevention, healthcare, medical research, Dementia Prevention and Research Institute, research institute, funding, grants, state health initiatives, aquifer, water management, Edwards Aquifer, sustainability, regulatory framework, SB 565, Texas Water Code

Bills: SJR3, SB5, SJR36, SJR3, SB616, SB565, SB384, SB5, SB21, SB72, SB140, SB262, SB370, SB372, SB495, SB627, SB703, SB764, SB842, SB971, SB790, SB767, SB480, SB1066, SR44, SR135, SR171, SR180, SR185, SR187, SR188, SR191, SR197, SR198, SR199, SR200

Keywords: dementia, Alzheimer's disease, Parkinson's disease, research funding, state budget, prevention, healthcare, medical research, Dementia Prevention and Research Institute, research institute, funding, grants, state health initiatives, aquifer, water management, Edwards Aquifer, sustainability, regulatory framework, SB 565, Texas Water Code

Transcript Highlights:

• It's a very simple bill for our dietitians.
• I'll have the dietitians answer that. Again, to be a dietitian, it's a very hard program.
• The dietitian licensure compact allows licensed dietitians to practice across state lines. Thanks.
• I've been a dietitian for over 40 years.
• So, but in this case, a dietitian, you hire them.

Keywords: 959, house, all

Transcript Highlights:

• <00:10:32.399> will Kentucky board um for dietitians will Kentucky board um for dietitians
• <00:10:39.839> Um with the dietitian compact. Um with the dietitian compact.
• Overall, the dietitian compact will increase licensure portability for licensed dietitians in Kentucky
• The dietitian compact will increase licensure portability for licensed dietitians in Kentucky, support
• under or sorry for those um dietitians under or sorry not<00:15:06.720> dietitians<00:15:07.279

Keywords: 958, all

Summary: The committee met on October 23, 2025, approved the September 25 minutes, and heard several informational presentations on occupational licensing and workforce access. The first major topic was the dietitian licensure compact, presented by Rep. Vanessa Gracel, Whitney Duddy, and Caitlyn Bison. They said the compact would be revenue-neutral, improve licensure portability, support military families, expand telehealth and rural access, and preserve state regulatory authority. Testimony noted that 15 states had joined the compact, including Ohio and Tennessee, and that Kentucky would have a seat on the compact commission if it enacted the measure. Members asked about bordering states and possible telehealth competition concerns; witnesses said they had not seen evidence of harmful effects in other compacts and described the compact as expanding access rather than displacing local providers. The committee then heard testimony on music therapy licensure, with Chris Millet, Laura Elliot Buckner, and Dr. Kimberly Cinemore speaking in support of Senate Bill 42. They described music therapy as a clinical, board-certified profession requiring formal education, supervised training, and national certification, and argued that state licensure would protect the public, clarify scope of practice, and help retain Kentucky-trained professionals. Witnesses said the bill would not require new state funding, could be administered through a self-sustaining licensing structure, and would not prevent others from using music in their work. In response to questions, they said licensure could help open doors to insurance, waiver, and HSA reimbursement, but would not guarantee coverage. Finally, the committee heard testimony on expanding physician access through a provisional licensure pathway for internationally trained physicians. Adam Meyer of the Cicero Institute said Kentucky faces a severe physician shortage, especially in rural areas, and argued that qualified international physicians should not have to repeat residency if they meet strict criteria, including an employment offer, prior training and experience, good standing, U.S. exam passage, and a three-year provisional period before full licensure. Rapender Carr of Baptist Health supported the concept, saying it could help fill hard-to-recruit positions across the state and improve access in rural markets. No votes were taken on these policy topics during the meeting.

Transcript Highlights:

• I am a registered dietitian and current chair of the board of licensed dietitians.
• services have licensed the dietitians services have licensed the dietitians but<01:05:43.839>
• and adopting the dietitian licensure compact, requiring background checks for dietitians is vital to
• I am a registered dietitian and a licensed dietitian. I live and work in New Hampshire.
• I’m a registered dietitian.

Keywords: 928, house, all

Summary: The committee held public hearings on House Bill 144 and House Bill 145, both related to professional licensing for dietitians and dental hygienists. HB 144 was described as a technical fix to align statute with existing Board of Dental Examiners rules allowing dental hygienists to administer nitrous oxide and local anesthesia, with supporters saying the bill would add needed training and examination requirements to statute. A dentist and dental society representative testified that the practice is already being done safely within scope, and committee members discussed whether nitrous oxide is still used and whether the bill was mainly to keep the paperwork and law consistent. The committee moved HB 144 forward on a 12-0 vote and placed it on consent. HB 145 would join New Hampshire to a dietitian licensure compact and add a criminal history check for initial licensure to match compact language. The sponsor and board witnesses said the compact would improve portability, support telehealth, help military families and spouses, and maintain public safety by ensuring qualified practitioners and information-sharing among member states. Committee members asked about withdrawal from the compact, the difference between single-state and compact licensure, and why a background check was included; the witness said the compact is not yet active, with four states enacted and seven needed, and that the background check is required by the compact language. Additional testimony from a private-practice dietitian supported the bill, citing continuity of care, rural access, and workforce mobility, while some members raised concerns about telehealth across state lines and the practical effect of the background check.

Transcript Highlights:

• So what is a registered dietitian?
• Dietitians are also in industry research Dietitians are also in industry research and consulting.
• as a registered dietitian.
• <00:47:39.839> being other element of the dietitians being other element of the dietitians
• <00:56:05.440> in note that on registered dietitians in note that on registered dietitians

Keywords: 958, all

Summary: The committee approved the minutes unanimously and then heard extended testimony from Senator Jimmy Higdon, who reflected on Kentucky’s 2011 childhood obesity task force and said the state’s childhood obesity problem has worsened since then. He described prior recommendations from that task force, including more physical education, nutrition education, classroom-based physical activity, complete streets, bike lanes, sidewalks, and safe routes to school. Higdon also argued that government programs have contributed to obesity and drug abuse, focusing especially on SNAP and Medicaid, and said he has long advocated for a waiver to distribute SNAP benefits twice a month rather than once a month. Higdon said SNAP fraud and abuse are significant, claiming some recipients sell benefits and some retailers bend the rules on eligible purchases. He also said spreading benefits through the month could help families keep fresh food in the home and stabilize grocery store business, especially in food deserts and rural areas. In response to questions, he said he would not support allowing hot prepared foods under SNAP, though he said a grocery-store produce incentive similar to the farmers market match could be beneficial if structured separately. He also said the WIC program is a model for how SNAP could be better administered. Members thanked Higdon for his service and discussed whether the issue is food insecurity or poor nutrition. Senator Douglas emphasized adding stronger guardrails to nutrition-related programs, and Representative Proctor asked about the challenges of operating grocery stores in rural areas and food deserts. Higdon said independent grocers face thin margins, competition, and cyclical market pressures, and that SNAP distribution patterns can worsen those challenges. After Higdon’s testimony, the committee heard from Ann Cressilious, a registered dietitian with the Kentucky Academy of Nutrition and Dietetics, who began a presentation on the profession and on efforts to improve nutrition and access to nutrition information in Kentucky.

Transcript Highlights:

• I'm a registered and licensed dietitian.
• That's my state organization for my profession of registered dietitians.
• I'm a registered and licensed dietitian.
• I'm not just a dietitian, but I'm a mom.
• And so, Um, we strongly request that a registered dietitian, um, registered and licensed dietitian from

Bills: HB25, HB38

Keywords: ivermectin, pharmacist authority, prescription-free, healthcare regulation, patient access, interest rate, ad valorem taxes, homesteads, property tax, tax deferral

Transcript Highlights:

• or registered dietitian.
• So technically, a dietitian could be one of those people.
• So, I cannot put a dietitian on the list.
• My dietitians have sponsors for their events, for their convention.
• The dietitians and the nurse. This amendment.

Bills: SB835, SB3070, SB22, SJR59, SB926, SB1494, SB251, SB456, SB500, SB1307, SB2615, SB2995, SB2321, SB973, SB974, SB865, SB506, SB781, SB1522, SB1558, SB510, SB667, SB763, SB2073, SB1858, SB1660, SB505, SB2900, SB1433, SB1540, SB1964, SB1300, SB1644, SB2217, SB2373, SB2431, SB1758, SB2480, SB3039, SB3047, SB3073, SB2920, SB2781, SB826, SB766, SB2460, SB527, SB1946, SB2885, SB1243, SB2610, SB2595, SB857, SB37, SB8, SB10, SB227, SB261, SB12, SB15, SJR27, SB552, SB835, SB3070, SB22, SJR59, SB25, SB57, SB127, SB293, SB441, SB3059, SB512, SB241, SB1718, SB140, SB2055, SB2075, SB2018, SB1534, SB1567, SB785, SB1233, SB1580, SB1663, SB413, SB447, SB519, SB467, SB1579, SB1191, SB1021, SB1838, SB2807, SB2835, SB546, SB2121, SB2167, SB2035, SB2024, SB1032, SB1049, SB1266, SB1400, SB1302, SB401, SB1596, SB1281, SB1242, SB1343, SB310, SB1346, SB2753, SB2703, SB2221, SB1719, SB2177, SB800, SB790, SB748, SB571, SB1957, SB1923, SB1896, SB1760, SB1335, SB2368, SB2477, SB2587, SB2972, SB2986, SB2965, SB1563, SB1467, SB1164, SB1137, SB614, SB705, SB961, SB918, SB955, SB869, SB850, SB863, SB1610, SB1055, SB2206, SB457, SB2337, SB1362, SB926, SB1494, SB251, SB456, SB500, SB1307, SB2615, SB2995, SB2321, SB973, SB974, SB865, SB506, SB781, SB1522, SB1558, SB510, SB667, SB763, SB2073, SB1858, SB1660, SB505, SB2900, SB1433, SB1540, SB1964, SB1300, SB1644, SB2217, SB2373, SB2431, SB1758, SB2480, SB3039, SB3047, SB3073, SB2920, SB2781, SB826, SB766, SB2460, SB527, SB1946, SB2885, SB1243, SB2610, SB2595, SB857, SCR9, HB5560, HB762, HB 107, HB 114, HB300, HB138, HB4386, HB2495, HB581, HB3348, HB5323

Keywords: sexual abuse, nondisclosure agreements, confidentiality agreements, public policy, victim rights, lottery, bingo, regulation, Texas Lottery Commission, Department of Licensing and Regulation, criminal offenses, state administration, audits, transfers, Texas, moving image industry, incentive program, film production, grant funding, job creation

Bills: HB231, HB231, HB475, HB488, HB632, HB821, HB1786, HB1955, HB2036, HB2060, HB2659, HB2677

Keywords: HB 231, Texas Water Code, TCEQ, permit exemption, dam, reservoir, erosion control, flood control, floodwater control, sediment control, watershed protection, Natural Resources Conservation Service, NRCS, Watershed Protection and Flood Prevention Act, local sponsor, water appropriation, small dam, water diversion, maintenance, rehabilitation

Bills: HB231, HB475, HB488, HB632, HB821, HB1786, HB1955, HB2036, HB2060, HB2659, HB2677, HB231

Keywords: food access, food deserts, communities of color, health disparities, socioeconomic impact, nutritious food, health effects, socioeconomic disparities, legislative recommendations, nutrition, access to food, Medicaid, multisystemic therapy, healthcare, reimbursement, mental health services, education, funding, local control, school system

Transcript Highlights:

• . >> So, House Bill 36, um, the sub adds on the athletic trainers and dietitians to this compact.
• Um do I have anybody from the dietitians or the athletic trainers that would like to make a few comments
• And lastly, the dietitians. Here we go.
• I think this will help dietitians be able to pay one fee and work across state lines without having to
• I think this will help dietitians be able to pay one fee and work across state lines without having to

Keywords: Call to Order 00:00 Roll Call 0:31 HB 36 Discussion 1:10 HB 36 Vote 8:20 HB 776 Discussion 9:42 HB 776 Vote 12:19 HB 236 Discussion 14:15 Adjournment 20:40, 958, all

Transcript Highlights:

• , researchers, and families. the Celiac Disease Foundation, where I work with physicians, dietitians,
• Including educational materials, connection to registered dietitians and medical experts, and practical
• celiac disease program alongside our physicians, dietitians, and social work colleagues.
• I have practiced as a pediatric dietitian for nearly seven years.
• I have practiced as a pediatric dietitian for nearly seven years, and I was personally diagnosed with

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on four bills: H. 5013 and S. 2928, which would establish a three-year celiac disease screening pilot program for children during routine cholesterol/lipid screening at ages 8 to 12; H. 5087, regulating medical spas; and H. 5115, establishing statewide food truck regulations, though the transcript focused almost entirely on the celiac and medical spa bills. For the celiac proposal, Rep. Badger and Sen. Lovely described long diagnostic delays, the lack of a cure, and the potential for a simple blood test to identify children earlier and reduce long-term harm. Multiple patients, clinicians, and researchers supported the pilot, saying celiac is frequently missed because symptoms vary widely or are absent, and that early detection could prevent malnutrition, growth problems, osteoporosis, and other complications. Testifiers also emphasized that the bill would study feasibility, accuracy, cost, and acceptability, and would include family education and support resources if diagnoses are made through the program. Several experts and advocates backed the celiac screening pilot, including a pediatric gastroenterologist from Italy who described successful national screening efforts there, a Celiac Disease Foundation representative, pediatric gastroenterologists from Massachusetts and Colorado, a pediatric dietitian, and a parent whose child was diagnosed after severe malnutrition. They argued that routine screening alongside existing pediatric bloodwork could identify many undiagnosed children and improve health equity, since celiac disease is often overlooked in people of color and lower-income patients. Committee members asked about how the screening would work, and witnesses explained it could begin with a blood test, followed by confirmatory endoscopy if needed. No vote was taken in the hearing. On H. 5087, witnesses from the medical aesthetics industry largely opposed the bill as written, saying it was outdated, redundant with existing Massachusetts licensing and board oversight, and too restrictive for nurse practitioners, physician assistants, and other licensed providers. Testifiers, including a retired lobbyist, a nurse practitioner, a PA, a plastic surgeon, and a clinic owner, said the bill could reduce access, raise costs, and push care into less regulated settings, while not addressing the real issues of training, compliance, and patient safety. Committee members pressed for more specific feedback on what provisions were unnecessary or duplicative, and witnesses said they had submitted position papers and written testimony identifying conflicts with current law. The hearing ended with the chair noting that all oral and written testimony would be reviewed before any decisions are made.

Transcript Highlights:

• I'm a registered and licensed dietitian.
• Um, and we represent the, um, interests of more than 7000 licensed dietitians in the state.
• And so what we would need to do is, is establish a provider type of a licensed dietitian.
• Sorry. 249 licensed dietitians.
• So, sorry, correction, over 1000 CCP providers and 249 licensed dietitians, OK.

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:

• I am a registered dietitian.
• I am a registered dietitian in support of this bill.
• In collaboration with dietitians... ...especially when complications arise.
• Studies have shown that registered dietitians who utilize MNT see improved patient outcomes.
• Studies have shown that registered dietitians who utilize MNT see improved patient outcomes.

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.