Transcript Highlights:

• Each session, over 100 bills are filed. mandating private insurance coverage.
• Cost and Coverage Program at UT Health Science Center in Houston.
• As a new benefit coverage requirement or expands an existing coverage requirement.
• At times, it's important to ensure that coverage... is provided.
• Let's talk about where a bill might create a new coverage requirement.

Bills: HB138, HB335, HB388, HB138

Keywords: health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers

Transcript Highlights:

• This also is a case when maybe you have coverage under your employer and under your spouse's employer
• This bill offers a simple solution to what has unfortunately proven to be a barrier to health care coverage
• It's needed so that when dual plans are involved, the patient can feel comfortable that they're involved
• errors can sometimes lead to these nasty surprise bills, or as I like to call it. surprise lack of coverage

Bills: HB138, HB335, HB388, HB138

Keywords: health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, education, funding, classroom resources, teacher support, student outcomes, health benefits, provider dentists, payment reimbursement, insurance code, noncontracting, dental care, reimbursement, health benefit plans, noncontracting providers

Transcript Highlights:

• for dual credit by the state department to be available to eligible high school students.
• So that's pretty... ...dual enrollment process, so that's pretty much it in a nutshell.
• Every time I go into my high school, I'm asking, "Are you in dual enrollment?"
• All of our ... ...lot about dual enrollment.
• can do. ... ...in watching what dual enrollment can do.

Bills: HB9, HB102, HB9

Keywords: three-cueing system, reading instruction, K-12 education, structured literacy, scientific strategies, dual enrollment, high school, community college, university, educational access, high school credit, 1136, house, all

Transcript Highlights:

• :55.679> that commercial product that we cover that commercial product that we cover that coverage
• 59.280> if<01:35:59.440> we<01:35:59.639> continue<01:36:00.199> this coverage
• because if if we continue this coverage because if if we continue this way<01:36:01.080> we<01

Bills: HF601, HF271, HF1101, HF979

Keywords: agriculture, depredation compensation, livestock, crop damage, elk, wolves, wildlife management, skills path program, career and technical education, CTE, dual credit, postsecondary options enrollment, apprenticeship, apprenticeship readiness, dual training, work-based learning, career pathways, skilled trades, workforce development, high school to career

Transcript Highlights:

• also will eliminate errors with the various forms of different carriers and plans for appropriate coverage
• House Bill 388 would require TDI to create and use one document coordinating benefits under dual plans
• A uniform coordination of benefits is needed so that when dual plans are involved, the patient can be
• A uniform coordination of benefits is needed so that when dual plans are involved, the patient can be
• George. ...surprise bill or, in the worst-case scenario, they get a denial of coverage.

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The committee first reopened testimony on House Bill 2216, which would strengthen child welfare requirements by expanding “active efforts” to help families avoid removal and support reunification, while also raising standards related to removals and terminations. Supporters from child welfare and family defense groups said the bill would better protect families and align Texas more closely with ICWA-style principles, but several warned it would require significant new funding, staffing, and community services such as mental health care, housing, child care, and substance use treatment. The committee then left HB 2216 pending. The committee next heard Senate Bill 1782, aimed at boarding and group homes. Senator Miles said the bill closes enforcement gaps left by prior law by requiring retention of background-check records and creating misdemeanor penalties for failing to conduct or keep them, or for knowingly hiring people with serious convictions. Harris County sheriff’s investigators testified in support, describing illegal boarding homes, operators who evade permits and background checks, and exploitation of vulnerable residents; the bill was left pending. The committee also took up Senate Bill 481 on emergency preparedness for nursing facilities and assisted living facilities, adopted a new committee substitute that softened some requirements and removed the fiscal note, and left the bill pending. The committee then heard House Bill 388, which would require the Texas Department of Insurance to create a single standardized coordination-of-benefits form for dual health plans to reduce errors and surprise bills; it was left pending. Senate Bill 1590 would move paternity registry searches for adoptions to an electronic process with a 10-day target, and House Bill 2809 would track child suicide attempts in managing conservatorship and require related reporting and parental notice; both were left pending. The committee also heard Senate Bill 1887, which would prohibit administering mRNA-containing products for immunization for 10 years, with exceptions for cancer and genetic disorders. Supporters argued the bill was needed for safety, informed consent, and medical freedom, while opponents from the medical, research, and public health communities said mRNA vaccines are well-studied, save lives, and that the bill would harm access, research, and Texas’s biotech economy. The bill remained under discussion as testimony concluded.

Transcript Highlights:

• It mandated insurance coverage for the use of coronary artery calcium scoring, CACS.
• So I only bring that up to say we do have insurance coverage for screening for heart disease, but it
• The other piece of this bill that we are concerned about is that it mandates this coverage at $2,000
• But every, for example, one of the essential health benefits is drug coverage, one of them is mental
• health coverage and substance abuse coverage.

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.

Transcript Highlights:

• Simultaneously, the medical policy denies coverage, stating it's not a covered benefit.
• It makes sense to provide insurance coverage for this much-needed care.
• And that's the person that's seeking to find insurance coverage, correct? That's right.
• That makes it even harder to find coverage for those individual clients as well.
• They are not supposed to be making decisions based on policy coverages or interpretation.

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:

• task force to analyze the dual task force to analyze the dual enrollment<00:59:59.920> funding
• They all have different perspectives and different uses of PSO and dual credit programs.
• They all have different perspectives and different uses of PSO and dual credit programs.
• <01:04:01.200> Um<01:04:01.440> and to take PSO and dual credit.
• Um and to take PSO and dual credit.

Bills: HF3714, HF4399, HF4176, HF2544, HF60, HF4231, HF4232

Keywords: foster care, child welfare, enrollment priority, education programs, child care assistance, education, school board, elections, local governance, school district, site-governed schools, education reform, local control, autonomy, interchange, bond issuance, transportation, infrastructure funding, Sherburne County, student eligibility

Transcript Highlights:

• stake this bill does not change coverage stake this bill does not change coverage levels<00:18:40.240
• Lifeline policy meets Minnesota coverage Lifeline policy meets Minnesota coverage requirements<01
• <01:29:49.280> a and underinsured motorist coverage a and underinsured motorist coverage a
• it is a dollar additional uh coverage it is a dollar one<01:45:58.560> coverage<01:45:59.040>
• > which coverage a motorcycle coverage which coverage a motorcycle coverage which will<01:46:34.880

Bills: HF2228, HF46, HF856, HF2149, HF2215

Keywords: homeowners insurance, property insurance, commercial property insurance, insurance affordability, insurance market stabilization, reinsurance, catastrophic reinsurance fund, self-insured pool, premium costs, coverage notice, liability reform, climate risk, climate change, housing affordability, multifamily housing, rental housing, common interest communities, cooperatives, small business insurance, Minnesota Commerce Department

Transcript Highlights:

• The program offers dual credit and college-level courses, providing students with early exposure to these
• Chairman Bell, Chairman Bhojani, I just wanted to tell you I looked through this bill and it also allows dual

Bills: HB446, HB1609, HB4443, HB4464, HB4735, HB5476

Keywords: heat illness prevention, workplace safety, Texas Workforce Commission, advisory board, employee rights, administrative penalties, training requirements, employee training, occupational health, employer penalties, worker rights, heat illness, volunteer firefighter, volunteer emergency responder, emergency medical services volunteer, EMS volunteer, firefighter, fire department, emergency services, declared disaster

Bills: SB140, HB102, SB133, SB34

Keywords: Coach Safely Act, youth athletics, noncompliance penalties, Department of Public Health, youth athlete, dual enrollment, high school, community college, university, educational access, high school credit, violence prevention, conflict resolution, mediation, public education, high school graduation, 1136, house, all

Transcript Highlights:

• Currently the plans ensuring our public servants lack coverage for IVF treatment.
• In support of HB 618, presented by Representative Wally, which expands insurance. coverage for in vitro
• So in the That's a good question, so page two, if you look at section... 1366.0045 coverage for certain
• This is pro-teacher, a teacher wants to have a family, this coverage, this. option for them, for that
• People have less, you know, less physical health issues and. when they actually get the coverage they

Bills: HB201, HB272, HB618, HB 1094, HB 1142, HB201, HB272

Keywords: financial crime, card fraud, motor fuel theft, law enforcement, criminal activity, skimmers, prevention, training, credit card fraud, debit card fraud, prosecution, illegal possession, state law, HB 618, Texas insurance code, IVF, in vitro fertilization, fertility treatment, infertility coverage, government employee health benefits

Transcript Highlights:

• They're not just in dual enrollment.
• Obviously, a first step towards college would be getting on the dual enrollment track if they're ready
• revert back to give them credit in high school for math or science or whatever they needed, similar to dual
• Now, they can, like we talked about, do the dual enrollment track, which is kind of a partway.
• It really is a dual enrollment program on steroids.

Bills: SB175, SB195, SB196, SB199

Keywords: aircraft, tax exemption, sales tax, lease tax, maintenance, Alabama, health insurance, Medicare, retirees, public education, contracts, education, high school, community college, dual enrollment, secondary credit, Move on When Ready, parental leave, state employees, local education agencies

Transcript Highlights:

• dollar in revenue that we have, so between commercial discounts, 340B, Medicaid, and Medicare. ...coverage
• I might, my coverage is with the state because I'm a dependent, and so the state could be losing out.
• Their pharmaceutical coverage.
• The result is coverage decisions driven by profit and not by what's best for the patient.
• Back in 2017, NAMI Texas testified before this committee on how changes in drug coverage were harmful

Bills: HB712, HB722, HB946, HB1687, HB1809, HB1899, HB2528, HB2583, HB2741, HB2750, HB3021, HB3150, HB3265, HB3658, HB3812, HB3960, HB4392, HB4432

Keywords: prostate cancer, health benefit plans, insurance coverage, cost sharing, preventive health care, auto insurance, total loss evaluation, disclosure, insurance materials, vehicle appraisal, HB 946, Texas Insurance Code, automobile insurance claims, oral release, written release, settlement agreement, claim release, property damage, bodily injury, psychological injury

Transcript Highlights:

• They will deny that coverage if it was for weight loss versus diabetes on that care. Okay.
• heard in the past is, well, you could still go do that; it's just that we're not going to provide coverage
• It may even result in a denial or a non-renewal of coverage.
• If that group looks at a preventive service and gives it an A or a B rating, then it's required coverage

Bills: HB712, HB722, HB946, HB1687, HB1809, HB1899, HB2528, HB2583, HB2741, HB2750, HB3021, HB3150, HB3265, HB3658, HB3812, HB3960, HB4392, HB4432

Keywords: prostate cancer, health benefit plans, insurance coverage, cost sharing, preventive health care, auto insurance, total loss evaluation, disclosure, insurance materials, vehicle appraisal, HB 946, Texas Insurance Code, automobile insurance claims, oral release, written release, settlement agreement, claim release, property damage, bodily injury, psychological injury

Bills: HJR5, HB39, HB 102, HB 126, HB290, HB300, HB1330, HB2110, HB2143, HCR64, HCR101

Keywords: education funding, Texas State Technical College System, constitutional amendment, capital projects, workforce education, military education, early registration, ROTC, corps of cadets, higher education, military academy, student athletes, name image likeness, compensation, intercollegiate athletics, representation, tuition assistance, military, Texas State Guard, education

Bills: SB3294

Keywords: wrongful conviction, compensation, Hawaii Revised Statutes, innocence, legal process, burden of proof, case manager, medical coverage, judicial discretion, 912, senate, all

Summary: The committees first took up SB 3294, a controversial measure concerning post-release assistance for people pursuing reversals of prior court decisions where innocence is in question. Members discussed keeping the bill moving on the “human side” while a House companion addressed the legal issues. The adopted amendments removed advanced compensation language and instead required DCR, with DHS, to help petitioners prepare applications for financial and medical assistance, notify DHS upon release, assign a case manager to assist with a cell phone for one year, housing, employment, mental health counseling, and expedited benefits, and provide a state ID upon release. The measure also included technical amendments and a defective date, and it passed unanimously. The joint committees then heard SB 2237 on fire prevention, which would require state agencies to create and update hazard maps and direct DNR to adopt rules and clear brush. DLNR testified that a single lead agency should develop the maps with input from other agencies, that a five-year timeline would be more reasonable, and that assigning DNR all fuels management on state lands would create an unfunded mandate. Members discussed using the newly created fire marshal’s office as the lead, and the committees ultimately deferred the bill in favor of a broader wildfire mitigation measure already moving in another committee. The final agenda included SB 2596 on government leases, SB 30002 on the Hawaii State Planning Act and green infrastructure, and SB 3067 on records and filing requirements. SB 2596 was advanced unamended to Ways and Means. On SB 30002, OPSD explained that a 2025-2027 comprehensive review of chapter 226 is underway, with a report and draft legislation due in 2027, and members debated whether to move piecemeal changes now or wait for the broader review; the bill nevertheless passed unamended. SB 3067, which updates outdated filing formats and drawing scales, also passed unamended with DAGS supporting the measure in writing.

Transcript Highlights:

• We would prefer that companies for new business would be allowed to say you can buy both coverages or
• For new business to say, if you want to buy this coverage, we would like for you to also buy this coverage
• That's the gap in coverage right now that doesn't exist, but it's also the other way around.
• And I'm not saying that they're denying coverage, right?
• These programs only alert health plans which lab claims filed are within policy coverage or not.

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:

• lays out House Bill 21. 2911 by Chairman Frank relating to participation in the Uniformed Group Coverage

Bills: HB 1178, HB1411, HB1441, HB1773, HB1813, HB2107, HB2598, HB2911, HB2967, HB3672, HB5263, HB3797

Keywords: education, temporary certification, out-of-state educators, teacher shortage, military spouses, personal leave, school holidays, employee compensation, overtime provisions, school safety, peace officers, mental health, de-escalation techniques, trauma-informed care, student trustee, school board, student representation, education policy, nonvoting position, school governance