Transcript Highlights:

• This is an expensive disease. It's a devastating disease.
• It's very important to think about prevention because a lot of the diseases we see could be prevented—up
• Grouper Clinic, which is an internationally recognized center for preventing and ameliorating disease
• Prevention matters.
• to prevent and benefit patients with Parkinson's disease.

Bills: SB5, SJR3, SB 5, SJR 3

Keywords: dementia, research institute, Alzheimer's disease, Parkinson's disease, funding, grants, state health initiatives, research funding, state budget, prevention, healthcare, medical research, Dementia Prevention and Research Institute, disaster relief, flood preparedness, emergency funding, local government support, meteorological forecasting, district apportionment, legislative rules

Transcript Highlights:

• I'm the damage prevention manager at CenterPoint Energy.
• biosecurity is not enough to prevent biosecurity is not enough to prevent High<01:26:21.040>
• Part of the reason this was blank is the department rolled this into a livestock disease prevention program
• year<01:30:52.119> and disease prevention program last year and disease prevention program
• <01:37:45.080> program of avant influenza prevention program of avant influenza prevention

Bills: HF47, HF434, HF1503, HF1702

Keywords: telecommunications, installation, certification, safety, underground utilities, HF434, cervidae, deer, elk, moose, chronic wasting disease, CWD, wildlife importation, animal health, biosecurity, zoo, Association of Zoos and Aquariums, AZA, USDA exhibitor, species survival plan

Bills: HB 1550, HB 1592, HB 1964, HB 2002, HB 2063, HB 2118, HB 2128, HB 2669, HB 2765

Keywords: veterinary, regulation, licensing, practices, board, administration, facilities, pest control, wildlife management, agriculture, disease prevention, alert system, Texas A&M, nonprofit, food banks, agricultural products, grant eligibility, poverty alleviation, transportation, disaster relief

Bills: HB 1550, HB 1592, HB 1964, HB 2002, HB 2063, HB 2118, HB 2128, HB 2669, HB 2765

Keywords: veterinary, regulation, licensing, practices, board, administration, facilities, pest control, wildlife management, agriculture, disease prevention, alert system, Texas A&M, nonprofit, food banks, agricultural products, grant eligibility, poverty alleviation, transportation, disaster relief

Transcript Highlights:

• We are transitioning to prevention.
• There is a beauty in working in the prevention space, and so we have CSEA advocate agencies across the
• There is a beauty in working in the prevention space, and so we have CSEA advocate agents.
• There is a beauty in working in the prevention space.
• There's a disease.

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:

• :01.520> verification<00:08:02.240> system<00:08:02.639> to<00:08:02.960> prevent
• address verification system to prevent address verification system to prevent duplicate<00:08:03.919
• We must protect people's access to preventative care and out of the emergency room.
• We must protect people's access to preventative care and out of the emergency room.
• access to preventative care and out<01:08:55.279> of<01:08:55.440> the<01:08:55.679>

Bills: HF3439, HF3763

Keywords: Medical Assistance, Medicaid, MNsure, MinnesotaCare, disability determination, expedited eligibility, state medical review team, compassionate allowance, rare disease, home and community-based services, long-term care, managed care, county-based purchasing, eligibility redetermination, periodic data matching, death master file, Social Security Administration, program integrity, income eligibility, asset test

Summary: The House Health Finance and Policy Committee met on March 4, 2026, approved the minutes from its February 25 and March 2 meetings, and then heard a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid eligibility changes in the federal One Big Beautiful Bill Act (HR1/OB3). The presentation focused on provisions affecting Medicaid expansion adults ages 19 to 64, including new work and community engagement requirements, changes to retroactive eligibility, quarterly death master file checks, address verification requirements, six-month redeterminations for expansion enrollees, and new limits on some lawful permanent residents and other immigrant groups. Castanza also discussed state implementation issues, including the need for new data-sharing systems, system modernization, outreach, and options for helping people transition to other coverage if they lose eligibility. She said the work and community engagement rules take effect January 1, 2027, with states given flexibility on look-back periods, consecutive versus nonconsecutive months, and optional hardship exemptions, and noted that CMS guidance is not expected until June 2026. She also described federal support for implementation, including $200 million in grants and a 90% federal match for eligibility system work, while warning that the fast timeline could lead to coverage losses, churn, and challenges for special populations such as caregivers, people with behavioral health conditions, incarcerated individuals, and rural residents. She further explained that an erroneous payment provision could expose states to federal recoupment later if eligibility errors increase. During member questions, Representative Beerman asked about the overall size of the Medicaid cuts and the cumulative national impact; Castanza said estimates vary by state and cited KFF analysis suggesting states could lose 4% to 19% of federal Medicaid revenue, with a newer RAND analysis recently released. Beerman also asked about the history and effectiveness of state work requirements, but that discussion was not completed in the excerpt. Representative Elkins noted the presentation was not initially posted on the committee website, and the chair said it had since been posted.

Transcript Highlights:

• Diseases and pests can negatively impact the agriculture industry, resulting in millions and possibly
• Diseases and pests can negatively impact the agriculture industry, resulting in millions and possibly
• Effective deer population control is essential to prevent overbrowsing and to ensure successful tree
• Furthermore, the bill establishes a pest and disease control depredation program to provide funding for
• Texas A&M AgriLife and the Texas Animal Health Commission to proactively address pests, diseases, and

Bills: HB43, HB519, HB 1275, HB1592, HB2842, HB3088, HB3479, HB4163, SB823, HB609

Keywords: agriculture, finance, young farmers, financial assistance, pest control, honey production, beekeeping, food safety, local regulation, bovine producers, dairy farms, permits, bovine tuberculosis, public health, wildlife management, disease prevention, alert system, Texas A&M, white-tailed deer, public safety

Summary: The Senate Committee on Water, Agriculture, and Rural Affairs met with only four members initially present, so quorum was not established until later in the hearing. The committee heard several agriculture-, wildlife-, and food-labeling-related bills, including HB 3479 on expanding the Rio Grande vegetative management program beyond carrizo cane to other noxious vegetation, SB 823 on shrimp origin labeling and restrictions on misrepresenting imported shrimp as Texas or Gulf shrimp, HB 3088 on giving Texas Parks and Wildlife more flexibility to procure resale goods for park gift shops, HB 1275 on permits for non-bovine dairy farms in certain TB-affected areas, HB 519 on honey production and packaging rules, HB 609 on cleaning oyster cages in-bay with bay water only, HB 1592 on a voluntary AgriLife pest and disease alert system, HB 2842 on targeted urban deer depredation permits, and HB 4163 on limiting city requirements that agricultural operators maintain roadside rights-of-way. Testimony generally came from industry groups, agency resource witnesses, and affected producers, with most witnesses supporting the bills and several bills drawing questions about enforcement, labeling responsibility, and the scope of local authority. The most extensive discussion centered on SB 823, where Vice Chair Hancock and others questioned why wholesalers would be covered if they cannot relabel products. The bill author and restaurant association witness said the measure was intended to improve transparency and allow enforcement against intentional mislabeling, while preserving a good-faith defense and clarifying that the bill does not create a private cause of action. HB 519 also drew supportive testimony from beekeepers and a family farm, who argued that current rules treat honey extraction and bottling too much like food manufacturing and burden small operations. HB 609 was presented as a way to save time and resources for cultivated oyster mariculture by allowing cage cleaning in the bay without soaps or chemicals, and HB 1592 was described as a voluntary opt-in alert system for pests and diseases coordinated through AgriLife and other state agencies. HB 43 generated the most detailed policy debate. The bill would restructure and expand the Texas Agricultural Finance Authority, update grant and loan programs, and create a pest and disease control depredation program. The committee substitute reduced some funding caps, changed references from predators to depredating animals, and made the financial provisions contingent on appropriations. Supporters from Texas Farm Bureau, cotton growers, grain and feed interests, and young farmers described severe drought, inflation, land loss, rising input costs, and shrinking infrastructure as major threats to agriculture, while one witness urged preserving priority for young farmers. After testimony, the committee adopted the committee substitute and reported HB 43 favorably. The committee also voted HB 519, HB 609, HB 1275, HB 1592, HB 3088, HB 3479, HB 2842, and HB 4163 favorably, with several recommended for the local and uncontested calendar. SB 823 was reported from committee on a 6-2 vote after adoption of the committee substitute. The meeting ended with notice that the committee would tentatively reconvene Friday morning and then recessed subject to the chair's call.

Transcript Highlights:

• Transitioning to prevention, we are also fulfilling our moral obligation to protect these children who
• There is a beauty in working in the prevention space.
• As I mentioned, I have over 12 years of experience in human trafficking prevention.
• The mom's sick; there's a disease, there's a name for that, I think."
• And you all know that poor nutrition is a major contributor to chronic diseases.

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:

• Diseases and pests can negatively impact the agriculture industry, resulting in millions and possibly
• Texans to protect themselves from pests and diseases of regulatory concern. So, Mr.
• Furthermore, the bill establishes a pest and disease control depredation program to provide funding for
• That's how we created the other side of the microloan program, which was the Farmer Suicide Prevention
• This pertains to pest and disease management administered by Texas A&M AgriLife Extension Service.

Bills: HB43, HB519, HB1275, HB1592, HB2842, HB3088, HB3479, HB4163, SB823, HB609

Keywords: agriculture, finance, young farmers, financial assistance, pest control, honey production, beekeeping, food safety, local regulation, bovine producers, dairy farms, permits, bovine tuberculosis, public health, wildlife management, disease prevention, alert system, Texas A&M, white-tailed deer, public safety

Transcript Highlights:

• prevention and economic viability.
• Federal CWD herd certification programs continue to fail to prevent the spread of CWD.
• Federal CWD herd certification programs continue to fail to prevent the spread of CWD.
• There was a farm there that imported elk from Alberta that later tested positive for the disease.
• There was a farm there that imported elk from Alberta that later tested positive for the disease.

Bills: HF2103, HF4508

Keywords: energy, renewable energy, ammonia, hydrogen, certificate tracking, funding, environment, elk, cervidae, cervid importation, chronic wasting disease, CWD, animal health, livestock, wildlife disease, Minnesota Department of Natural Resources, state veterinarian, zoo, Association of Zoos and Aquariums, AZA

Transcript Highlights:

• It is used to diagnose, monitor, and treat a variety of conditions including cancer, heart disease, and
• The current system addressing this preventative measure is burdened by unnecessary bureaucracy.
• Individuals from taking a simple preventative measure for their health.
• It empowers individuals and removes the government from the way of preventative care.
• PrEP, as Representative Jones outlined, is up to 99% effective at preventing HIV acquisition.

Bills: HB813, HB1680, HB3569, HB4074, HB4635, HB5178, SB527, SB1307, SB1822

Keywords: autism, health insurance, coverage, medical treatment, health benefit plan, HIV prevention, prescription drug, prior authorization, health benefits, insurance coverage, insurance, contract termination, property and casualty, insurance agents, discrimination, appraiser, umpire, licensing requirements, continuing education, admin penalties

Transcript Highlights:

• It is the cheap version of wasting disease—basically the same disease.
• we spread the disease and all sorts of things.
• Deer breeders will be the cure for the disease.
• It weakens the protective measures in place to prevent that spread. measures in place to prevent that
• or other diseases.

Bills: HB509

Keywords: HB509, game breeder, game breeder license, cervid, deer breeder, whitetail deer, elk, fallow deer, deer farm, captive deer, cervidae, wildlife disease, disease testing, antemortem testing, state veterinarian, Department of Conservation and Natural Resources, property rights, private property, animal transfer, breeding stock

Bills: HB25, HB38, HB997, HB 1119, HB25, HB38

Keywords: HB 25, Texas nutrition, nutrition education, healthy living, public health, school physical activity, recess, physical education, nutrition and wellness course, health curriculum, State Board of Education, Texas Nutrition Advisory Committee, ultra-processed foods, artificial colors, food additives, chronic disease, metabolic health, culinary medicine, functional medicine, dietary guidelines

Bills: HB25, HB38, HB997, HB 1119, HB25, HB38

Keywords: HB 25, Texas nutrition, nutrition education, healthy living, public health, school physical activity, recess, physical education, nutrition and wellness course, health curriculum, State Board of Education, Texas Nutrition Advisory Committee, ultra-processed foods, artificial colors, food additives, chronic disease, metabolic health, culinary medicine, functional medicine, dietary guidelines

Transcript Highlights:

• Preventative care is very cheap. It keeps guys in the line of duty longer.
• Firefighters are covered under workers' compensation for 11 cancers, heart attacks, and various infectious diseases
• . diseases.
• Unfortunately, the current law does not mandate yearly medical screenings aimed at detecting many of these diseases
• Firefighters are also covered for other non-cancer diseases. diseases, and we're working with Representative

Bills: HB467, HB318, HB503, HB198, HB318, HB198

Keywords: hospital district, Cedar Creek, scholarship, dissolution, county judges, healthcare funding, grant program, rural counties, law enforcement, sheriff's departments, funding, public safety, deputy shortages, sheriff, prosecutor, salary assistance, HB 198, Wade Cannon Act, firefighter cancer screening, occupational cancer screening

Transcript Highlights:

• It also requires reimbursement for diabetes prevention programs.
• So you're at risk for arterial disease in your cardiac muscle, you're at risk for kidney disease, you're
• heart disease."
• Because obesity drives so many other chronic diseases.
• The benefits, I'm sure we all know, include nutrition, preventing disease, and preventing obesity.

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

Transcript Highlights:

• This is an area where residents often face systemic barriers that prevent them from accessing both affordable
• probably know, Texas currently has three limited benefit programs focused on women's health and preventative
• health and key stakeholders. women providers from across the state to solve complex problems in preventive

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:

• Thank you for the opportunity to testify today in support of House File 4080, which seeks to prevent
• in the prevent further consolidation in the meat<00:10:29.839> industry.
• the American Society for the Prevention the American Society for the Prevention of<00:56:59.839>
• Neither does the Infectious Disease Society of America.
• There are more fish diseases now.

Bills: HF4080, HF3693, HF1857, HF4350

Keywords: agriculture, livestock, retailers, ownership interest, exclusive contracts, meat packing companies, dominant retailers, state law, Department of Agriculture, appropriation, funding, agriculture policy, state budget, animal welfare, cat declawing, animal cruelty, therapeutic procedures, civil penalties, Minnesota Department of Agriculture, aquatic life

Transcript Highlights:

• little to no formal training on sickle cell disease, which leads to mismanagement of pain and preventable
• I live with sickle cell disease.
• do not understand the disease.
• My name is Kenley LaFrance, and I live with sickle cell disease.
• It's an organ damage disease. I've had my gallbladder removed.

Bills: S0036, S0864, S0268, S0844, S0514, S1404, S0914, S1758

Keywords: nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, uterine fibroids, public records, health privacy, epidemiology, medical information, emergency department, physicians, privacy, personal information, sickle cell disease, sickle cell anemia, pain management, controlled substances, prescribing education, continuing medical education

Summary: The committee first considered SB 268, a public records exemption for emergency physicians. Senator Rodriguez’s strike-all amendment narrowed and clarified the exemption, and testimony from an emergency physician described threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported the bill favorably as a committee substitute. Members then heard SB 514, creating the Dula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women affected by substance use disorder. Senator Osgood explained the pilot would provide non-medical doula support and data collection, and an amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and complement medical providers. The committee adopted the amendment and reported the bill favorably as a committee substitute. The committee also approved SB 36 on use of professional nursing titles after extensive debate over whether nurses with doctoral degrees should be allowed to use “doctor” in clinical settings, with concerns raised about patient confusion and the need for clearer identification. The bill was amended to align with the House version and then reported favorably as a committee substitute. The committee next approved SB 864, a public records exemption for uterine fibroid research data, after a technical amendment setting a July 1, 2026 effective date; Senator Sharif said the exemption is needed so the Department of Health can collect sensitive data for the related research bill. SB 844, requiring continuing education on sickle cell disease care management for certain licensed physicians and nurses, was also reported favorably after emotional testimony from patients and advocates describing delayed care and bias. Later, the committee approved SB 1404 on memory care, after a strike-all amendment creating a new memory care specialty license for assisted living facilities that advertise or provide specialized memory care services, while allowing optional supportive services without the new license. Supporters from the senior living industry backed the clarification. The committee then passed SB 914, which clarifies that licensed occupational therapists may perform dry needling, after an amendment adjusting supervision and continuing education language. Finally, the committee took up SB 1758, a broad Medicaid and SNAP reform bill that would strengthen fraud enforcement, impose Medicaid work requirements for certain able-bodied adults, expand behavioral health services, modernize drug purchasing and prior authorization, and require SNAP fraud-reduction measures. Several amendments were adopted, and members questioned the work requirement, implementation costs, EBT card photo identification, and due process concerns; debate continued as the transcript ended.

Transcript Highlights:

• Well, if we do anything here, we ought to do something to prevent you from having to go to Georgia.

Bills: HB4568, HB5458, HB4543, HB2703, HB3728, HCR113, HCR126

Keywords: film industry, incentives, grants, Texas, moving image, economic development, production companies, content standards, HB 5458, Texas Parks and Wildlife Department, TPWD, chronic wasting disease, CWD, cervids, deer, elk, moose, wildlife management, game animals, disease management