Transcript Highlights:

• And now we’re giving them everything from preparing the body to preparing the drug to injecting the drug
• “People who use drugs are going to use drugs because they do use drugs, and so whether or not the needle
• And I understand...” “...to preparing the drug, to injecting the drug, to cleaning up afterwards.
• I’m a drug user.” Thank you.
• You cannot fix a drug problem with a drug.

Bills: SB274, SB301, SB249

Keywords: healthcare, life-sustaining treatment, patient preferences, POLST, advance directive, medical orders, hospital discharge, pregnancy, patient care, discharge planning, healthcare policy, substance use, harm reduction, syringe services, needle exchange, overdose prevention, naloxone, opioid antagonist, drug paraphernalia, syringe

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.

Bills: SB 437, SB 528, SB 626, SB 636, SB 884, SB 968, SB 1044, SB 1608, SB 2336

Keywords: healthcare, training, abuse, neglect, penalties, chemical dependency, safety, regulation, newborn screening, Duchenne muscular dystrophy, heritable diseases, public health, early detection, mental health, telemedicine, physical examination, healthcare access, inpatient facility, pharmaceuticals, Texas Pharmaceutical Initiative

Bills: SB 437, SB 528, SB 626, SB 636, SB 884, SB 968, SB 1044, SB 1608, SB 2336

Keywords: healthcare, training, abuse, neglect, penalties, chemical dependency, safety, regulation, newborn screening, Duchenne muscular dystrophy, heritable diseases, public health, early detection, mental health, telemedicine, physical examination, healthcare access, inpatient facility, pharmaceuticals, Texas Pharmaceutical Initiative

Transcript Highlights:

• They pay the net cost of the drug.
• in a drug formulary.
• , which would be a screening.
• But what happens with the specialty drugs, and what is the definition of a specialty drug?
• And what happens is this list of expensive drugs, everything from breast cancer drugs to drugs for irritable

Bills: HB591, HB765, HB826, HB870, HB938, HB1151, HB1162, HB1176, HB1196, HB1236, HB1241

Keywords: family leave, insurance, paid leave, employment benefits, caregiver support, liability insurance, coverage defenses, direct action, judgment enforcement, legal procedures, insurance referrals, compensation, non-licensed agents, consumer protection, insurance products, HB 870, Act 907, Louisiana insurance, health insurance, prescription drugs

Transcript Highlights:

• In addition to preventing overdose, these centers are shown to reduce public drug use, drug-related litter
• time that we've had the war on drugs.
• drug war.
• use and address the demand for drug use.
• And we still have a completely unregulated drug supply that is essentially poisonous.

Bills: HB10, HB12, HB34, SB130, SM21

Keywords: physician assistants, interstate compact, medical services, licensure, cross-state practice, military families, regulatory authority, physical therapy, licensure compact, interstate practice, healthcare, military spouses, criminal background check, HB34, school nurse, school nurses, nurse licensure, charter school, charter schools, school district

Transcript Highlights:

• This screening tool is validated.
• universal screening for youth within care.
• Implementing a standardized screening process is imperative.
• universal screening for youth within care.
• Implementing a standardized screening process is imperative.

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:

• 'of' on line nine and before the Semicolon on line 10, all language, and inserting the words 'any drug
• So, by changing this language to include any drug, medicine, serum, or vaccine, and what are what are
• I do want to point out that this is based on children already being mandated to be screened.
• review the assessment as part of the Hearing for discharge or conditional release, it also adds a drug
• screening requirement if the court orders substance use monitoring as a condition of release.

Bills: SB1328, SB1380, SB1436, SB1558, SB1572, SB1651, SB1805, SB1831, SB1836, SB2014, SB2023, SB2044, SB2179, SB933

Keywords: parents' rights, healthcare consent, minors, medical records, protection, legal guardianship, hospital, fetal death, miscarriage, healthcare, state health department, vital records, patient rights, child care, licensing, definitions, foster care, child welfare, mental health, substance abuse

Transcript Highlights:

• This screening tool is validated.
• The reality is that in 2023, DFPS only screened about 336 children.
• universal screening for youth within care.
• Implementing a standardized screening process is imperative.
• I encourage you to support it and mandate universal screening.

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:

• A patient with prescription drug coverage is made to pay more than someone without insurance simply because
• And there's no reason a patient should be incentivized to pay more for prescription drugs, but that's
• exactly how the PBMs have designed... our prescription drug system.
• perfectly clear to anyone outside of the system which of the many... ...opaque structures within the drug
• And sometimes he paid, as we heard before in previous testimonies, more for the drug than we were going

Bills: HB854, HB 1052, HB1642, HB2076, HB3042, HB3695, HB3787, HB4062, HB4092, SB213, SB493, SB896, HB5519, HB4635

Keywords: insurance, replacement cost, homeowner's policy, renter's policy, condominium insurance, property damage, claims process, telemedicine, teledentistry, telehealth, health benefit plan, insurance coverage, out-of-state services, anxiety, pain management, contraceptive devices, women's health, medical procedures, healthcare, laboratory

Bills: HB854, HB 1052, HB1642, HB2076, HB3042, HB3695, HB3787, HB4062, HB4092, SB213, SB493, SB896, HB5519, HB4635

Keywords: insurance, replacement cost, homeowner's policy, renter's policy, condominium insurance, property damage, claims process, telemedicine, teledentistry, telehealth, health benefit plan, insurance coverage, out-of-state services, anxiety, pain management, contraceptive devices, women's health, medical procedures, healthcare, laboratory

Transcript Highlights:

• House Bill 198 seeks to ensure the firefighters have access to life-saving care. search screenings.
• Do not screen them.
• Unfortunately, Wade was too young for our health insurance to cover his cancer screenings.
• At 31, you go in for a colonoscopy screening, your insurance tends to... not, they screen at 45.
• That medical screening is roughly an average of about $500 a firefighter.

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:

• They'll help make prescription drugs more affordable.
• Hopefully, transparency driving down the cost of prescription drugs.
• The fact is drug prices are too high.
• The Drug Competition Enforcement Act would prohibit product hopping.
• drug dealer. manufacturer from offering patients a far more affordable generic version of the drug.

Bills: SB1040, SB1041, SB1095, SB1096, SB1097, SB527

Keywords: drug competition, product hopping, generic drugs, biosimilars, federal regulations, FTC Act, patent, biological products, healthcare access, affordable prescriptions, Medicare, Federal Trade Commission, sham petitions, competition, public health, unfair competition, healthcare, pharmaceutical, antitrust law, pay-for-delay

Summary: The meeting focused on addressing the high cost of prescription drugs and the abusive practices that contribute to elevated prices affecting American families. Several bills were presented, including proposals to end pay-for-delay deals and to enhance transparency in the operations of pharmacy benefit managers (PBMs). The discussion was notable for its emphasis on consumer protection and ensuring that cheaper generic drugs reach the market more effectively. Members expressed frustration over past attempts to pass similar legislation stalling in the Senate, leading to renewed efforts to push these bills forward.

Bills: SB1519, SB1775, SB1900, SB1948, SB2080, SB1226, SB1456, SB1462, SB1463, SB1980, SB1479, SB1608, SB1923

Keywords: municipal zoning, home-based businesses, no-impact businesses, local government, regulation, short-term rentals, municipal ordinance, municipal court, court of record, court not of record, city penalties, fine limits, penalty cap, ordinance enforcement, state statute, traffic offenses, speeding, parking, DUI, DWI

Bills: SB1519, SB1775, SB1900, SB1948, SB2080, SB1226, SB1456, SB1462, SB1463, SB1980, SB1479, SB1608, SB1923

Keywords: municipal zoning, home-based businesses, no-impact businesses, local government, regulation, short-term rentals, municipal ordinance, municipal court, court of record, court not of record, city penalties, fine limits, penalty cap, ordinance enforcement, state statute, traffic offenses, speeding, parking, DUI, DWI

Bills: SB1519, SB1775, SB1900, SB1948, SB2080, SB1226, SB1456, SB1462, SB1463, SB1980, SB1479, SB1608, SB1923

Keywords: municipal zoning, home-based businesses, no-impact businesses, local government, regulation, short-term rentals, municipal ordinance, municipal court, court of record, court not of record, city penalties, fine limits, penalty cap, ordinance enforcement, state statute, traffic offenses, speeding, parking, DUI, DWI

Transcript Highlights:

• Americans to drug poisonings, primarily due to illicit fentanyl flooding across our borders.
• They're involved in drugs, fentanyl. Extortion, kidnapping, drugs, intimidation, money laundering.
• I'm claiming that... ...in terms of drug dealing? Sorry to interrupt you, sir.
• How does this diversion of resources help us fight drugs in our communities?
• And so many times violent crime is tied to drug trafficking.

Keywords: fentanyl crisis, DEA, drug trafficking, public safety, Judea Serrata, Terrence Cole, judicial security, social media, drug prevention

Summary: The committee meeting centered on the urgent crisis of fentanyl abuse and the government’s response to the drug trafficking epidemic. Key discussions revolved around the nomination of Terrence Cole as the Administrator of the DEA and Judea Serrata as Director of the U.S. Marshals Service. Cole emphasized his commitment to combating the fentanyl crisis, highlighting the rising number of overdose deaths and the necessity of bipartisan efforts to dismantle drug cartels. Members engaged in dialogue on the effectiveness of various strategies and the importance of education aimed at preventing drug-related deaths among youth. Additionally, the challenges of social media in drug trafficking were highlighted, indicating a need for greater accountability in how platforms handle such issues. Senators voiced concerns about the impact of administration policies on judicial security and the resources available for marshals to perform their critical roles.

Transcript Highlights:

• Yes, it's the Typical background check, so all of these must be screened through the department.
• There is a name which appears on the screen after mine on the board, and that lends me to believe that

Bills: SB1558, SB1983, SB1796, SB1806, SB1426, SB633

Keywords: child care, licensing, definitions, foster care, child welfare, SB1983, resource family partner, resource family partners, Department of Human Services, DHS, foster homes, foster children, placement data, data sharing, de-identified data, aggregated data, sibling groups, placement disruptions, foster parent recruitment, foster parent retention

Transcript Highlights:

• court for any drug case.
• This is for someone who might have a drug charge and would be a good candidate.
• And we know that many DV abusers have drug problems.
• We're gonna let you go to drug court and get you some help. This has the intent.
• be an abuser once again, then the DA can send him to drug court and help that person.

Bills: SB2065, SB1641, SB1642, SB1589, SB1597, SB1216, SB2173, SB2028, SB2117, SB2127, SB2134, SB2014, SB1805, SB2044, SB1836, SB1380, SB2179, SB1436, SB1558, SB933, SB1651, SB1328, SB1572, SB1966, SB175, SB1475, SB1950, SB2049, SB2052

Keywords: pollinator, state symbols, agriculture, insects, environment, business entities, limited liability company, LLC, foreign LLC, domestic LLC, limited partnership, foreign limited partnership, registered agent, Secretary of State, annual certificate, good standing, certificate of authority, designated office, email address, electronic mail

Transcript Highlights:

• substance abuse disorder, and behavioral health treatment would be covered, as well as prescription drugs
• under these prescription drugs under these healthcare plans.

Bills: HB506, HB513, HB437

Keywords: emergency vehicles, off-road vehicles, public safety, liability, regulations, background check, criminal history, biometric identifiers, fingerprints, iris scan, palm print, photograph, rap back, NGI Rap Back, ALEA, Alabama Law Enforcement Agency, AJIC, Alabama Justice Information Commission, employment screening, licensing

Transcript Highlights:

• It's the deadliest drug in American history.
• It's actually used by people who are using drugs to test their drug beforehand.
• To see, am I really taking an Adderall or whatever the drug that again is illegal.
• Chairman, of wanting to defer to states, but in the area of drug enforcement and drug definition and
• drug scheduling, that really is very much a federal function.

Bills: SB331

Keywords: fentanyl, controlled substances, drug trafficking, public health, research regulations, law enforcement, S-331, Halt All Lethal Trafficking and Fentanyl Act, fentanyl crisis, public testimony, drug legislation, bipartisan support

Summary: In this committee meeting, the focus was primarily on S-331, the Halt All Lethal Trafficking and Fentanyl Act, aimed at addressing the fentanyl crisis. The bill's key components include making permanent the class scheduling of fentanyl-related substances, confirming existing sentencing penalties, and easing registration requirements for scientific research on Schedule I substances. Numerous parents shared heartbreaking testimonies about their losses due to fentanyl, which fueled an urgent call to pass the legislation without alterations. The committee members engaged in passionate discussions highlighting the urgency of the situation as overdoses continue to claim American lives.