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• <00:26:25.559> student<00:26:26.320> my story as a first generation student my story
• as a first generation student my parents<00:26:26.840> immigrated<00:26:27.320> to<00:
• Cloud Hospital and a new one in Willmar, which just matched its first batch of residents yesterday.
• So, um, the hospitals get a certain stipend that they're allowed per resident, and they are capped at
• Um, I was born in one of CentraCare's critical access hospitals.

Bills: HF2090, HF982, HF2229

Keywords: higher education, scholarship, financial aid, state grant, tuition assistance, Pell grants, student retention, education equity, disabled veterans, veterans' dependents, dependent children, college affordability, books and fees, University of Minnesota, public colleges, Office of Higher Education, veterans benefits, military families, permanent disability, 100 percent disability

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• I'm being told by general counsel for the committee that a minor does have to appear.

Bills: HB168

Keywords: certificates of obligation, local government debt, municipal finance, county finance, public works, bond election, voter petition, registered voters, refinancing certificates, Texas Local Government Code, municipality, county, hospital district, infrastructure financing, public improvement, debt issuance, general obligation alternative, public oversight, local bonds, historic preservation

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• million to 3 million overall, and we anticipate that to be an annual line item going forward in our general
• That's our share, which should be split between the general fund and the ETF.
• Amount of interest on our state deposit is standing up a lot of the money we have in the general fund
• Chairman Lee, this bill would extend the hospital provider tax through the fiscal year of 2028.
• On the same line with what we just heard on the last bill, this is again relating to the hospitals.

Bills: HB186, HB185, HB184, HB183, HB181, HB312, HB405, HB182, HB460

Keywords: Alabama budget, general fund appropriations, fiscal year 2026, state budget, appropriations act, HB186, executive branch funding, legislative branch funding, judicial branch funding, debt service, capital outlay, corrections, Medicaid, public health, mental health, transportation, education, law enforcement, tourism, veterans affairs

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• , which is a county hospital.
• Is this, is this hospitals, FQHCs?
• I'm a mother and a 6th generation Texan. My ancestor fought at the Alamo.
• Some providers, some hospitals.
• So that's 3 years in the hospital for possibly 2 years of health, OK?

Bills: HB46

Keywords: local government spending cap, expenditure limit, political subdivision, property tax, ad valorem tax, budget cap, taxpayer protection, spending restraint, inflation adjustment, population growth, voter approval, supermajority vote, county budget, municipal budget, school district finance, junior college district, hospital district, special district, attorney general enforcement, local fiscal limits

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• Okay, HB 1 is the general appropriation bill that outlines how the state will allocate funds for the
• State general fund savings in the Medicaid program.
• The bill includes $94.5 million from the State General Fund for the legislative branch.
• H.C.R. 3 is a hospital stabilization resolution.
• ACR3 is a hospital of stabilization resolution.

Bills: HB1, HB2, HB3, HB312, HB313, HB314, HB383, HB983, HB1126, HCR3

Keywords: state budget, appropriations, education funding, public health, social services, government operations, state institutions, capital outlay, budget, infrastructure, appropriation, general obligation bonds, bond authorization, capital improvement, financial management, state treasury, funding, state general fund, local government, fiscal year

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• Charitable bingo supports our local communities and directly contributes to city, county, and state general
• But at that point, the state of Texas, be it the Attorney General or state law enforcement,... ...the
• state of Texas, be it the Attorney General or state law enforcement, solicits at the parallel level

Bills: HB46, HB272

Keywords: local government spending cap, expenditure limit, political subdivision, property tax, ad valorem tax, budget cap, taxpayer protection, spending restraint, inflation adjustment, population growth, voter approval, supermajority vote, county budget, municipal budget, school district finance, junior college district, hospital district, special district, attorney general enforcement, local fiscal limits

Summary: The Senate Committee on State Affairs heard several House bills and took no final votes, leaving each bill pending after testimony. HB 272 would align venue and evidentiary rules for fraudulent use or possession of credit/debit card information with existing credit card abuse law; the sponsor said it would improve prosecutions, and the Texas Financial Crimes Intelligence Center supported it. HB 1661 would increase penalties for certain election-related offenses, including failure to distribute election supplies and early release of election results; no substantive opposition was heard. HB 551 would protect the residential addresses of people who receive campaign expenditures on public Texas Ethics Commission reports, similar to donor privacy protections, and a witness from Texas Eagle Forum later indicated support for the privacy change. The committee also heard HB 2820, which would raise the amount charitable bingo organizations may keep in operating capital from $50,000 to $100,000. The sponsor and a Texans for Charitable Bingo representative said inflation and operating costs have made the current cap too low and that the bill would help charities maintain stable operations without expanding gaming. HB 3181 would impose stronger consequences for repeated denial of court-ordered child possession and access, including limiting probation and requiring attorney’s fees after multiple contempt findings; a family court judge and a parent testified in support, while another witness argued the bill should be paired with stronger criminal enforcement and that parents already face high costs. HB 4157 would update Texas law for commercial spaceflight by recognizing liability waivers and preserving workers’ compensation rights; no one testified against it. The committee also heard HB 4145, which would let health care providers satisfy a timely billing requirement by sending bills to a patient’s legal representative in a personal injury case, closing what supporters described as a loophole in letter-of-protection situations. Finally, HB 46, relating to the Texas Compassionate Use Program, drew the most extensive discussion: supporters said it should expand access for legitimate medical cannabis patients and add more delivery methods and conditions, while opponents warned against broader marijuana expansion and questioned adding chronic pain and other conditions. The sponsor said he still supports the program and wants a balanced, regulated expansion, but noted the bill is still being worked on. All bills were left pending at the close of the hearing.

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• the AOC for any use but for the general the AOC for any use but for the general operation<00:08:
• >> but it also allows it for general >> but it also allows it for general operations
• The next $500,000 general fund.
• >> And every year we have committed general >> And every year we have committed general
• She feel not affect the general fund.

Bills: HB304, HB285, HB312, HB311, SB60

Keywords: impoundment, driver licenses, vehicle redemption, local identification cards, law enforcement, HB285, TJ's Law, traffic infraction, traffic ticket, uniform traffic ticket and complaint, minor driver, juvenile driver, parent notification, guardian notification, emergency contact, citing agency, traffic citation, driver safety, youth safety, Alabama traffic law

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• By adopting this policy, the Rural Health Transformation Program will be able to generate an additional
• We've been told that we're going to be a billion dollars less than we were last year in the general fund
• Our children and our children's children That will plague future generations.
• It says no bill may be amended on its passage through either house in a manner which changes its general
• It says no bill may be amended on its passage through either house in a manner which changes its general

Bills: SB2401, SB2402, SB2403, SB2404

Keywords: SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine

Summary: The Senate convened with prayer, roll call, and a quorum present, then took up second reading and final passage of several House bills related to the Rural Health Transformation Program and other matters. House Bill 1621, requiring the presidential fitness test in school physical education with exceptions and a delayed effective date, passed 43-3. House Bill 1623, appropriating federal rural health transformation grant funds and creating a related loan program and reporting structure, passed 46-0 after extensive debate about using the federal money for community health, infrastructure, and sustainability. House Bill 1622, joining the physician assistant licensure compact, also passed unanimously 46-0. House Bill 1625, authorizing the Ray Richards Golf Course land sale to support a Grand Forks transportation project and golf course improvements, passed 46-0. House Bill 1626, clarifying that the primary residence credit is applied after the early payment discount so taxpayers receive the full $1,600 benefit, passed 40-6.

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• So therapeutic substitution, this is not a brand name for a generic.
• This is not a brand name for a generic.
• Of course, you don't create legislation for one hospital or for one district.
• They suggested the general, the general, the I did ask Legislative Council on the best place to provide
• They suggested the general fund, with the large amount of turnback that we have.

Bills: SB2401, SB2402, SB2403, SB2404

Keywords: SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine

Summary: The Senate convened with prayer, the Pledge of Allegiance, and a quorum present. It adopted the procedural employment committee report naming Senate staff for the special session. The chamber then took up several health-care and appropriations measures, first adopting amendments to Senate Bills 2401, 2402, and 2403 before moving them to final passage. Senate Bill 2401 passed 44-2 and requires physicians to complete at least one hour of continuing education in nutrition and metabolic health, part of a broader rural health care package. Senate Bill 2402 passed 46-0 after major amendments negotiated between the medical and pharmacy boards; as amended, it expands pharmacists’ prescriptive authority and therapeutic substitution in limited areas while excluding categories such as antidepressants, antipsychotics, chemotherapy agents, Schedule II drugs, biological products, and narrow therapeutic index drugs. Supporters said it would improve rural access and help secure rural health transformation funding, while questions focused on how pharmacist competence would be measured and enforced. Senate Bill 2403, also passed 46-0, creates a short-term medical facility emergency operating loan program through the Bank of North Dakota, reduced by amendment from $10 million to $5 million, to help a financially distressed rural hospital. Senators discussed the hospital’s mismanagement, the need for a bridge loan, and safeguards including a limited application window and expiration in 2027. Senate Bill 2404 passed 46-0 and provides supplemental appropriations to the Information Technology Department for ADA-related website accessibility compliance and to the Public Service Commission for additional legal costs in federal energy-rate litigation. The Senate then made announcements about a Highway Patrol safety presentation and filing deadlines, excused an absent member, and adjourned until the next morning.

Bills: SB2401, SB2402, SB2403, SB2404

Keywords: SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine

Summary: The Senate convened in special session with prayer, the Pledge of Allegiance, and roll call establishing a quorum of 45 members present and two absent. The chamber received certification from the Secretary of State and the governor’s executive order calling the special session to address funding for the Rural Health Transformation Program and to act quickly to accept and appropriate federal funds. The main action was adoption of the procedural rules for the extraordinary session. Senator Klein explained the proposed rule changes, which were designed to speed up consideration of bills during the short session, including limits on bill introduction, same-day second reading and final passage, elimination of standing committees for the session, creation of a Joint Policy Committee and Joint Appropriations Committee, and authorization for remote testimony and limited remote participation. The procedural committee’s report on these rules was adopted without opposition. The Senate also adopted reports naming members to the Joint Policy Committee and Joint Appropriations Committee. Announcements noted that the Senate Employment Committee, Joint Policy Committee, and Joint Appropriations Committee would meet later that morning, that the Senate would not reconvene at 4 p.m., and that a Highway Patrol presentation on legislator safety would be held. The Senate then moved through the listed orders of business and recessed, planning to meet in joint session with the House before adjourning until Thursday, January 22, 2026.

Transcript Highlights:

• We have placed on the general register.
• > records<00:02:10.800> are generally request these records are generally request these
• groups or you know or is it the hospital groups or you know or is it the hospital association<00
• <00:12:53.200> dentists, orthodontists, general dentists, orthodontists, general dentists,
• And that was just a profit-generating center, not for the hospitals, but for the medical record companies

Bills: HF3521, HF1807, HF1270, HF2070, HF3136

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

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• Um, as you recall, region's hospital.
• <00:04:51.360> construction exception to the hospital construction exception to the hospital
• <00:10:34.959> can't regulation that says a hospital can't regulation that says a hospital
• can operate, our safety net hospitals can operate, our safety net hospitals<00:12:36.800> can
• . hospital. hospital.

Bills: HF3521, HF1807, HF1270, HF2070, HF3136

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

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• I just know, as you and I have talked about... ...the climate general fund budget's going to have that
• Representative Lee, this is the one regarding hospitals and private hospital...
• This bill addresses hospitals and private hospital assessments for Medicaid funding.

Bills: HB186, HB185, HB182, HB183, HB184, HB312, HB460, HB405, HB186, HB185, HB182, HB183, HB184, HB312, HB405

Keywords: Alabama budget, general fund appropriations, fiscal year 2026, state budget, appropriations act, HB186, executive branch funding, legislative branch funding, judicial branch funding, debt service, capital outlay, corrections, Medicaid, public health, mental health, transportation, education, law enforcement, tourism, veterans affairs

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• Next, Fortner Walker County Hospital District.
• Walker County Hospital District effectively reorg bill. Any questions? All right, great.

Bills: HB 148, HB 334, HB 554, HB 762, HB 1520, HB 1593, HB 3526, HB 3810, HB 5092, SB 2215, HB 2607

Keywords: family leave, leave pool, county employee, sick leave, vacation leave, family care, pandemic, guardianship, HB 554, fireworks, Juneteenth, Juneteenth holiday, retail fireworks permit, Texas Occupations Code, Local Government Code, county commissioners court, drought conditions, Texas A&M Forest Service, fire safety, holiday sales

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• The military TDCJ hospitals.
• Methodist Hospital, which has its own police force, but for smaller hospitals where you don't have police
• What Methodist, the DFW Hospital Council, and the Texas Hospital Association have agreed upon as the
• of the Hospital Council.
• of people from all of our hospitals, including the VA hospital in North Texas.

Bills: HB1826, HB2854, HB3006, HB4614, HB5261, HB5639

Keywords: mental health, women's health, county jail, depression screening, criminal justice, HB 2854, Pokuaa-Flowers Act, parole, mandatory supervision, electronic monitoring, releasee, parole officer, hospital visit approval, general hospital, law enforcement notification, DSHS, Department of State Health Services, corrections, public safety, liability immunity

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• So really, what it does on lines 102 through 103, it states that the attorney general in...
• It stated that the attorney general, in the attorney general's opinion, had to inform the governor if
• So we took out that the attorney general was going to... ...that the attorney general was going to issue
• Minimum security inmates will generally be assigned to community work.
• Gener... See, this is why I can't have this.

Bills: SB210, SB176, SB167, SB244, SB218, SB9, SB153, SB9

Keywords: hospital liens, medical billing, government healthcare, insurance claims, patient rights, controlled substances, unlawful distribution, marijuana, violent offense, sentencing guidelines, criminal justice, aggravated theft, employee benefits, retirement funds, criminal penalty, state law, overdose, failure to render aid, public health, Alabama Athletic Commission

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• <00:03:27.680> Steve I've spoken to Attorney General Steve I've spoken to Attorney General
• If I'm to be very generous, it's quite uneven.
• a headquartered, you're generating a headquartered, you're generating a different<00:57:17.119><
• There's people who do work all the time and generate extra cost.
• <00:58:42.720> extra do work all the time and generate extra do work all the time and generate

Bills: SB222, HB560, HB475, HB484, HB583, HB542, HB566

Keywords: medical clinic board, clinic board, hospital bankruptcy, Chapter 11, bankruptcy, debt restructuring, municipal indebtedness, municipal bankruptcy, health care provider, acute care hospital, lease property, board immunity, director liability, civil liability, healthcare finance, insolvency, debt readjustment, federal bankruptcy law, Alabama Code 11-58-5.2, library materials

Bills: HB1845, HB2192, HB2438, HB2529, HB2607, HB2658, HB3348, HB3505, HB3305

Keywords: rural prosecution, salary assistance, staffing grant, legal support, criminal justice, fireworks, permit requirements, sale, county regulations, public safety, hospital district, administration, elections, director qualifications, public contracts, salary supplement, county judges, judicial functions, state law, government compensation

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• We had our Texas Attorney General, and I think that’s a great point.
• I'm Kelly Holcomb, general manager of the Angelina-Natchez River Authority.
• And authorizes the Walker County Hospital District to lease all or part of its property, including hospital
• Exempting teaching hospitals from the provisions of the bill.
• The teaching hospitals compete with private hospitals, and it was a thought in the House that the executive

Bills: HB148, HB334, HB554, HB762, HB1520, HB1593, HB3526, HB3810, HB5092, SB2215, HB2607, HB148

Keywords: family leave, leave pool, county employee, sick leave, vacation leave, family care, pandemic, guardianship, HB 554, fireworks, Juneteenth, Juneteenth holiday, retail fireworks permit, Texas Occupations Code, Local Government Code, county commissioners court, drought conditions, Texas A&M Forest Service, fire safety, holiday sales

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• Next is the Warner-Walker County Hospital District.
• The hospital is Walker County.
• All right, Walker County Hospital District, effectively reorganizational bill. Any questions?

Bills: HB148, HB148, HB334, HB554, HB762, HB1520, HB1593, HB3526, HB3810, HB5092, SB2215, HB2607

Keywords: HB 148, Texas Education Code, Texas Education Agency, TEA, artificial intelligence, AI, machine learning, automated scoring, constructed response, open-ended answers, student assessments, state testing, standardized tests, public schools, education policy, assessment instruments, school accountability, test scoring, 2026-2027 school year, family leave