Transcript Highlights:

• We can't fully address the opioid crisis if we aren't not also addressing prevention and access to affordable
• Prevention also requires ensuring... ...the highest level of access to opioid antagonists like Narcan
• . of better chronic pain management can help prevent opioid misuse, and the social toll of grandparents
• Expanding access to non-opioid pain management is essential to address this gap and can help prevent
• We cannot lose focus, treatment, and access to prevention programs, and access to life-saving opioid

Keywords: opioid crisis, overdose, naloxone, drug trafficking, law enforcement, treatment, prevention, older adults, Medicaid expansion

Summary: The meeting convened to address the dire opioid crisis affecting communities nationwide, with a particular focus on the alarming rise of opioid use disorder among older adults. Key testimonies highlighted the critical need for a comprehensive approach that encompasses prevention, treatment, and strict law enforcement actions against drug traffickers. Sheriff Dennis Lima from Seminole County outlined successful strategies implemented in Florida, including increased access to naloxone and legislative changes to hold drug dealers accountable for overdoses. Various members expressed a united front on tackling this multifaceted issue, advocating for the expansion of Medicaid and better access to treatment as essential steps to curbing the epidemic.

Transcript Highlights:

• Line 1414 is our general fund cost track for the non-opioid directives authorization.
• Line 1442 reflects grants to change the outcome for opioid education. Line 1446 reflects.
• Sections 2 through 6 are from House File 1289, which authorize the use of non-opioid directives.
• You'll see more of us in emergency rooms, in homeless shelters, and on suicide prevention lines.
• And when people don't have insurance, they don't take preventive care. They can't.

Bills: HF2435

Keywords: healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health

Bills: HF2435

Keywords: healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health

Transcript Highlights:

• <00:10:57.120> directives tracked for the non-opioid directives tracked for the non-opioid
• Line 1442 reflects grants to change the outcome for opioid education.
• opioid opioid education.<00:12:16.880> Line<00:12:17.600> 1446<00:12:18.560> reflect
• We want to prevent more respond to them.
• You'll lose the prevention lines.

Bills: HF2435

Keywords: healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health, 1183, house

Bills: HF2435

Keywords: healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health, 1183, house

Transcript Highlights:

• We also combat opioid use in a number of ways in this bill through education, antagonists, and opioid
• We also combat opioid use in a number of ways in this bill through education, antagonists, and opioid
• We also combat opioid use in a number of ways in this bill through education, antagonists, and opioid
• use in a number of ways in this opioid use in a number of ways in this bill<00:10:42.800> through
• directives for non-usage in uh opioid directives for non-usage in uh medical<00:10:48.320> health

Bills: HF2436, HF2435

Keywords: child welfare, economic assistance, child care, grant program, video security cameras, healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health, 1183, house

Transcript Highlights:

• Members, the Opioid Abatement Fund Council was created to ensure that money recovered through statewide
• opioid settlement agreements with companies is allocated fairly and spent to remediate the opioid crisis
• , this bill makes several changes to clarify and strengthen the ethics and administration. of the Opioid
• It also ensures that opioid settlement funds distributed to cities and counties can be allocated quickly
• and efficiently to address the opioid crisis.

Bills: HB188, HB265, HJR35, HJR47, SB1901, HB188, HB265, HJR35

Keywords: Texas STRONG defense fund, severance tax revenue, oil and gas revenue, constitutional transfers, rainy day fund, economic stabilization fund, state highway fund, oil and gas production, qualifying county, county grants, water infrastructure, first responders, public safety, DPS staffing, commercial motor vehicle safety, gang violence prevention, human trafficking prevention, economic development, TxDOT grants, school districts

Transcript Highlights:

• This bill creates a narrow public records exemption to prevent personal home addresses and identifying
• Florida continues to face a maternal health crisis, one marked by preventable maternal deaths, high rates
• At its core, this bill is about dignity, prevention, and healthier beginnings.
• We have wonderful providers, but we also have many who are not well-informed about the use of opioids
• Insurance allows for preventative screenings, treatment after a diagnosis, and ongoing management.

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.

Bills: SB65, SB444, SB592, SB640, SB1242, SB1257, SB1304, SB1501, SB1642, SB1946, SB2178

Keywords: SB65, naloxone, Narcan, opioid overdose, overdose reversal, opioid antagonist, emergency opioid antagonist, substance abuse services, harm reduction, public health, overdose prevention, good samaritan, civil immunity, criminal immunity, controlled substances, addiction treatment, fentanyl, opioid crisis, school overdose response, first aid

Transcript Highlights:

• Just as a predicate matter, what is a backflow preventer?
• A backflow preventer in that instance would be required.
• Nobody in this room is arguing against backflow prevention.
• Methadone is an opioid, whether people want to agree with it or not; it’s a synthetic opioid.
• I’m a wound care and infection prevention nurse.

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.

Transcript Highlights:

• There are a number of other state agencies that are part of the AG's Human Trafficking Prevention Task
• We partner with the Texas Governor's Child Sex Trafficking Prevention Team and the Office of the Attorney
• General to collect and analyze trafficking data, which has helped produce critical data-driven preventions
• In addition to the training program, HB1837 establishes the Lethal Opioid Poison Prevention Task Force
• Nothing preventing people from saying, "Officer so-and-so from so-and-so county.

Bills: HB1583, HB1775, HB1832, HB1836, HB1837, HB1866, HB1983, HB2029, HB2217, HB2318, HB2363, HB2486

Keywords: mental health, emergency detention, peace officer, mental illness, prevention of harm, border security, private landowners, study and report, General Land Office, participation, controlled substances, opioid antagonists, law enforcement training, substance abuse prevention, Texas-Mexico border, criminal justice, public safety, law enforcement, National Park Service, arrest powers

Transcript Highlights:

• Um, is there language in here that prevents the change of party registration?
• Senate Memorial 21 is studying overdose prevention tools to save lives in New Mexico.
• According to the Centers for Disease Control and Prevention, overdose deaths in New Mexico rose by...
• ...the Centers for Disease Control and Prevention.
• an overdose, prevent deaths, and connect people to treatment and medical care.

Bills: SB238, HJR1, SM21, SM22

Keywords: Governor's Residence, management committee, government administration, New Mexico, advisory, commission, general services, nominating committees, boards of regents, student representation, political party registration, New Mexico constitution, overdose prevention centers, harm reduction, drug overdose, opioid crisis, substance use disorder, public health, addiction treatment, naloxone

Transcript Highlights:

• <00:05:10.400> use to help reduce unnecessary opioid use to help reduce unnecessary opioid
• 12.759> before<00:05:13.000> they and prevent new addictions before they and prevent new
• <00:05:29.680> un prescribed or administered an opioid un prescribed or administered an opioid
• <00:14:35.720> put practitioner don't give me opioids put practitioner don't give me opioids
• <00:15:54.360> conversation part of of of our opioid conversation part of of of our opioid

Bills: HF1379, HF1596, HF2260, HF1429

Keywords: nonopioid directive, opioid refusal, opioid-free care, pain management, health care directive, advance directive, patient autonomy, informed consent, substance use disorder, opioid epidemic, prescriber immunity, provider liability, emergency medical services, EMS, health record, Minnesota Department of Health, health care agent, medical power of attorney, Metropolitan Council, Minnesota government data practices

Transcript Highlights:

• We are transitioning to prevention.
• There is a beauty in working in the prevention space.
• Yes, for opioids. Sure.
• Certainly the medical field is pivoting from the opioids, thank goodness.
• All opioids have potential risk to cause respiratory depression, also known as OIRD, opioid-induced respiratory

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:

• There is a beauty in working in the prevention space.
• opioids.
• Standpoint is the least we can do, and we know how bad opioids are.
• All opioids have potential risk to cause respiratory depression, also known as Opioid-Induced Respiratory
• Opioids such as morphine, fentanyl, and oxycodone are well known for causing...

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

Bills: HB1012

Keywords: health and human services, DHHS, appropriations, biennial budget, behavioral health, substance use disorder, opioid settlement, medical assistance expansion, Medicaid, basic care, long-term care, child care assistance, early childhood care, child care provider payments, guardianship, conservatorship, housing loan fund, disability services, extraordinary medical needs, community health trust fund

Summary: The Senate Appropriations Human Services Division met to consider House Bill 1012, the Department of Human Services budget, and reviewed three previously made amendments: correcting a reference to $30 million underfunding, changing “human service centers” to “behavioral health clinics,” and revising section 31 language so the department would review medical assistance services and report findings and recommendations rather than directly implement adjustments. The committee also discussed whether to include funding related to two other bills with fiscal impacts, House Bill 1485 (personal needs allowance) and House Bill 2399 (PRTF reimbursement), noting those measures may go to conference committee and that appropriations could be added there instead of in HB 1012. The committee agreed to proceed with HB 1012 and members noted provider inflation questions would be raised later in full committee. The division then approved a due pass recommendation on the amendments to HB 1012 and, after a roll call vote, approved HB 1012 as amended on a 4-1 vote, with Senator Mathern voting no. Senator Davison was named as carrier. Members also discussed House Bill 1577, involving wastewater project financing and possible amendments related to a line of credit from the Bank of North Dakota for specific projects, and House Bill 1619, for which additional amendments were expected before full committee action. The meeting ended with general thanks and adjournment.

Transcript Highlights:

• Commonly prescribed opioids are no longer the major cause of opioid overdose deaths.
• opioid settlement funds.
• So when we think of prevention, prevention can be sort of primordial prevention, which is social determinants
• I don't want the opioids.
• deaths or opioid overdoses.

Bills: HF696, HF1429, HF1379

Keywords: HF696, rural EMS, ambulance, emergency medical services, uncompensated care, payment pool, rural health, Office of Emergency Medical Services, public safety answering point, PSAP, nontransport, unpaid ambulance calls, EMS reimbursement, rural ambulance provider, general fund appropriation, Minnesota health finance, specialized life support, metropolitan counties, emergency response funding, HF1429

Transcript Highlights:

• Texas must act now to retain our existing incentives and provide certainty for business to prevent the
• This credit incentivizes private sector investment in preventative, community-based family support services
• The Opioid Abatement Fund Council was created to ensure that money recovered through statewide opioid
• settlement agreements with ...companies is allocated fairly and spent to remediate the opioid crisis
• ensures that these funds are distributed to cities and counties quickly and efficiently to address the opioid

Bills: SB214, SB935, SB1030, SB1901, SB2018, SB2020, SB2066, SB2206

Keywords: HVAC, tax exemption, energy efficiency, residential heating, installation services, Energy Star, sales tax, residential, installation, sales tax exemption, Environmental Protection Agency, temporary exemption, motor fuel tax, county exemption, diesel fuel, gasoline tax, transportation funding, SB 1030, Texas Tax Code, use tax exemption

Transcript Highlights:

• to get people to want to be in these positions, help them get there, and also understand what is preventing
• about how to get people to want to be in these positions and help them get there, but also what is preventing
• and and help them get there but also and and help them get there but also what's<01:07:03.039> preventing
• <01:07:03.440> employers<01:07:04.039> from<01:07:04.640> doing what's preventing
• employers from doing what's preventing employers from doing things<01:07:05.200> to<01:07:05.359

Bills: HF110, HF111, HF263, HF105

Keywords: HF110, Adrian Independent School District, Independent School District No. 511, school construction, sales tax exemption, use tax refund, refundable exemption, construction materials, capital improvements, school roofing, playground remodel, retaining walls, plumbing, bathroom remodel, locker room remodel, window replacements, local tax relief, general fund appropriation, Minnesota chapter 297A, retroactive tax refund

Transcript Highlights:

• ,<00:20:45.520> you've<00:20:45.720> got And so, to prevent that, you've got And so
• , to prevent that, you've got prosecutors<00:20:46.880> thinking<00:20:47.280> in<00:20
• and I'm really excited about prevention and I'm really excited about that. that. that.
• <00:36:53.440> day<00:36:53.600> long,<00:36:53.840> but But, we can prevent
• Um, I was on preventing homelessness.

Bills: HF4338

Keywords: human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review, postpayment review, surety bond, compliance training, case management, targeted case management