Transcript Highlights:

• These types of practitioners are meant to treat the patient and diagnose.
• The patients would have to basically acknowledge via signature.
• So the physician certification of the patient is for 52 weeks.
• And so they have to, a patient has to renew that annually.
• What we're exempting here is the registry's patient information, patient demographic, diagnosis, stage

Bills: S0688, S1414, S0186, S0902, S0196, S1574, S0878, S1092, S1032, S1684, S1686, S1760

Keywords: cytomegalovirus, education, maternal health, newborn care, infectious diseases, student health, epilepsy, seizure disorders, school safety, training requirements, medical marijuana, low-THC cannabis, neurofibromatosis, healthcare, state regulations, child care facilities, public safety, grant program, uterine fibroids, health database

Summary: The committee took up several health-related bills and confirmations. It first heard SB 1414 on congenital cytomegalovirus education, which would require the Department of Health to develop and distribute educational materials to expectant and new parents through maternity, prenatal, newborn, and OB-GYN settings; an amendment removed a section on required instruction for medical professionals, and the bill was reported favorably as a committee substitute. The committee then approved a block of appointees on tabs 2 through 7 and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after her testimony on Medicaid accountability, transparency, managed care oversight, rural health, behavioral health, and the state’s technology modernization efforts. Senators asked Harris about Hope Florida, Medicaid redeterminations, the CORE project, an anti-marijuana ad campaign at DCF, and compliance with a federal Medicaid-related court order; she said she would follow up on some issues. The confirmation was recommended favorably, with Senator Berman voting no. The committee next passed SB 186 on student health and safety, which expands epilepsy and seizure-disorder training requirements to more school personnel, including bus drivers and charter school staff, and requires seizure-first-aid posters and updated Department of Health education efforts. It also approved SB 902 on Department of Health issues after amendments narrowed the bill’s scope and added provisions on medical marijuana regulation, early childhood intervention, practitioner accountability, and autism workforce development; one speaker raised concerns about marijuana dispensary location restrictions and low-THC ratios. SB 196 creating a uterine fibroid research database was also reported favorably after an amendment protecting patient privacy; the bill drew emotional testimony from a patient describing severe symptoms and the need for more research. SB 688 on naturopathic medicine was approved after committee discussion about scope of practice, referral obligations, and whether naturopathic care should be adjunctive to conventional medicine; supporters described complementary care and access issues, while opponents worried about delayed treatment for serious disease. Later, the committee passed SB 1574, “Maddie’s Law,” to add biliary atresia screening to newborn screening using the same blood specimen already collected at birth and to launch an education campaign; parents of a child affected by the disease testified that earlier screening could have prevented severe harm. SB 878 on clinical laboratory personnel was reported favorably to address staffing shortages by allowing Florida to rely more directly on federal CLIA standards for qualified lab workers. SB 1092 on podiatric medicine was approved after an amendment narrowed it to cellular/tissue-based products and podiatrists’ use of certain therapies; the bill also addresses continuing education, informed consent, and advertising disclosures. SB 1032 on medical marijuana was amended and passed, aligning physician certification and card renewal timelines, setting 70-day and 35-day supply limits, and reducing the fee for honorably discharged veterans while preserving funding for FAMU; Senator Harrell opposed it, saying the longer timeframes were too much of an expansion. The committee also heard SB 1760 on Medicaid coverage transparency from Senator Brodeur, who said the bill focuses on accountability and fiscal responsibility, but the transcript cuts off before further discussion or action on that measure.

Transcript Highlights:

• It expands patient notice and informed consent requirements, including explicit disclosure that certain
• products are not FDA approved and encouraging patients to consult with their primary care physician
• And it requires school discipline... to be able to have the ability to grow for patients to have the
• It clarifies the Parkinson's Disease Registry.
• Under Florida statute, who diagnose and treat a patient must report to the registry.

Bills: S0042, S0196, S0878, S0902, S0914, S1092, S1168, S1340, S1404, S1414, S1684, S1686

Keywords: child protection, medical records, investigation, abuse, neglect, healthcare, Child Protection Team, diagnosis, uterine fibroids, health database, medical research, personal data protection, women's health, clinical laboratory, licensure, healthcare personnel, technologist, technician, medical marijuana, low-THC cannabis

Summary: The Appropriations Committee on Health and Human Services met to hear and vote on a series of health, human services, and education-related bills, along with a presentation of the committee’s proposed HHS budget. The budget was described as increasing by more than $2.1 billion over the current base, with major funding highlighted for Medicaid and KidCare, rural health, provider rate increases, child welfare, mental health and substance use, opioid treatment, Alzheimer’s initiatives, cancer research, ADAP, veterans’ services, and IT modernization. Public testimony on the budget focused heavily on AIDS Drug Assistance Program funding and concerns about Department of Health changes affecting access, premium assistance, notice, and continuity of care for people living with HIV/AIDS. Among the bills reported favorably were measures on podiatric medicine and tissue-based products (SB 1092), background screening and clearinghouse procedures (SB 1168), child protective investigations involving specific medical diagnoses and second opinions (SB 42), clinical laboratory personnel licensure standards (SB 878), uterine fibroid data tracking and research (SB 196), medical marijuana treatment center oversight and related health provisions (SB 902), dyslexia and dyscalculia screening and intervention in schools (SB 1340), memory care licensure for assisted living facilities (SB 1404), congenital CMV education materials (SB 1414), Parkinson’s disease registry and related public records exemption bills (SB 1684 and SB 1686), and occupational therapy dry needling licensure standards (SB 914). Several bills were amended before passage, including SB 1092, SB 42, SB 902, SB 1684, and SB 1404. Testimony generally came from professional associations, advocacy groups, and affected stakeholders, with support voiced for most measures. The committee adopted amendments on the floor, heard no opposition during debate on the bills described, and then voted to report each measure favorably. At the end of the meeting, senators requested to be recorded in the affirmative on selected bills, and the committee adjourned.

Transcript Highlights:

• Patients come to us... Patients come to us with a condition, a disease, a symptom.
• Yeah, it's an important question, and patients vary.
• And patients are different.
• A patient might be taking, that may be difficult.
• Okay, so you would say that the patient, or the consumer, right? I keep saying patient.

Bills: HB 265, HB25

Keywords: youth camp, safety regulations, advisory committee, child welfare, health standards, summer camp, camp safety, child abuse reporting, child neglect, mandatory reporting, background check, criminal history check, sex offender registry, CPR training, first aid, public health, child protection, camp operator, camp counselor, Health and Safety Code

Transcript Highlights:

• Patients come to us with a condition, a disease, a symptom.
• relationship and patients are different.
• Uh, are they healthcare I mean they're not a patient.
• Administer them and give patients discharge instructions.
• OK, so you would say that the patient or the consumer, right, I keep saying patient.

Bills: HB 265, HB25

Keywords: youth camp, safety regulations, advisory committee, child welfare, health standards, summer camp, camp safety, child abuse reporting, child neglect, mandatory reporting, background check, criminal history check, sex offender registry, CPR training, first aid, public health, child protection, camp operator, camp counselor, Health and Safety Code

Transcript Highlights:

• There's also some increase in the protections afforded to patients in terms of patient registry being
• c> registry</c><00:04:49.840><c> being</c><00:04:50.240><c> denied</c> terms of patient registry being
• denied terms of patient registry being denied access<00:04:51.039><c> to</c><00:04:51.199><c> things
• </c><00:05:10.800><c> areas</c> registry patients in those key areas registry patients in those key areas
• It is a patient consulting business that helps patients learn about cannabinoids.

Bills: HF1672, HF1877, HF1735, HF1734, HF1271, HF1634, HF1615

Keywords: medical cannabis, medical marijuana, cannabis, cannabinoids, hemp, marijuana registry, patient registry, visiting patient, Tribal cannabis, Tribal medical cannabis program, Tribal sovereignty, Office of Cannabis Management, designated caregiver, home cultivation, adult-use cannabis, cannabis flower, cannabis products, dispensary, cannabis retail endorsement, patient protections

Bills: SJR50, SJR52, SJR53

Keywords: Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, Oklahoma Health Care Authority, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs, provider regulations, benefits administration, rule approval

Bills: SJR50, SJR52, SJR53

Keywords: Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, Oklahoma Health Care Authority, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs, provider regulations, benefits administration, rule approval

Summary: The Administrative Rules Committee met to consider three joint resolutions approving major rules. Chairman Kendricks presented SJR 50 and SJR 52, both related to Oklahoma Health Care Authority rules, and SJR 53, which was clarified to concern the Oklahoma Medical Marijuana Authority. Members asked why the Health Care Authority rules were split into two separate resolutions, and were told they could have been combined but were being handled separately. Each resolution was moved for adoption, there was little to no debate, and the committee voted to approve them. SJR 50 passed 10-0, SJR 52 passed 11-0, and SJR 53 also passed unanimously. After the votes, members exchanged brief remarks thanking one another for their work during the year and noting the committee’s efforts to reduce bureaucracy. A member asked whether suggestions should be raised at that time, and was told that was not the appropriate time. With no further business, the committee adjourned.

Transcript Highlights:

• and patients.
• It's to serve patients better sometimes.
• This activity reduces patient choice, reduces patient access, and distorts the market for vision services
• Of their quality or whether they're accepting new patients.
• Because the care of an ALS patient—ALS patients have a motor neuron disease...

Bills: HB107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655, HB107

Keywords: sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records

Transcript Highlights:

• and patients.
• It's to serve patients better sometimes.
• This activity reduces patient choice, reduces patient access, and distorts the market for vision services
• Because the care of an ALS patient, ALS patients, it's a motor neuron disease, you lose the ability to
• Improper staffing harms patient outcomes.

Bills: HB 107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655

Keywords: sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records

Summary: The committee heard testimony on a series of health and human services bills and left each one pending after public testimony. HB 4655 would expand financial literacy instruction for youth aging out of foster care to include credit scores, predatory lending, scams, banking, budgeting, and related consumer topics; the sponsor and Buckner International described the need to protect foster youth from financial pitfalls. HB 923 would add three public members and one physician to the Texas Medical Disclosure Panel; supporters said it would improve informed consent and patient voice, while a witness raised concerns about a House amendment requiring a physician majority for decisions and senators questioned scope-of-practice limits. HHSC said the panel is an independent body and the bill expressly bars it from changing scope of practice.

Transcript Highlights:

• If they don't know the patient has already received their two or four, they end up rendering services
• For example, Senate Bill 1066 from 2025 requires us to maintain a registry of recommending physicians
• Cancer patients have used a tremendous amount.

Bills: SJR50, SJR51, SJR52, SJR53, SJR54

Keywords: Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, healthcare regulations, Oklahoma Health Care Authority, permanent rules, joint resolution, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs

Summary: The Senate Committee on Administrative Rules met with a quorum and considered five Oklahoma Health Care Authority and OMMA rules resolutions. Senate Joint Resolution 50 was presented as a federal-law conformity change allowing licensed professional counselors, LBHPs, and licensed alcohol and drug counselors to work as eligible providers in federally qualified health centers and rural health clinics; despite questions about the fiscal estimate, it passed 9-0. SJR 51 was amended to correct rule citations related to human genome sequencing, then failed on a 4-5 vote after members noted an estimated $860,000 fiscal impact tied to legislation. SJR 52, removing physician visit limits in Medicaid, was described as an access-to-care and rural health measure that could reduce ER use; it passed 8-1. The committee then took up SJR 53 from the Oklahoma Medical Marijuana Authority, which would align rules with statutes requiring prepackaging of medical marijuana products and other provisions. Members questioned OMMA extensively about the economic impact, the discrepancy between the agency’s estimate and Loft’s much larger estimate, and whether the rules were already being implemented under emergency authority. OMMA said the rules mirrored existing statutes and that the cost would fall on the industry and ultimately consumers, not the agency. After debate about regulatory fairness and the effect on the industry, the resolution passed 5-4. Finally, SJR 54, a non-major OMMA rule change renaming the adjudicator from administrative law judge to hearing examiner to match the Administrative Procedures Act, drew concerns about independence and whether OMMA should be required to contract for outside adjudicators. The director said the change was only a terminology alignment and would not alter current practice, and Senator Bergstrom said he would pursue legislation next year to require outside contracting. An amendment changed the committee’s position from disapprove to approve, but the underlying resolution still failed 4-5. The committee then adjourned.

Bills: SCR7, SCR59, SCR182

Keywords: emergency care, reproductive health, abortion services, EMTALA, patient safety, hospital regulations, medical treatment, health care professionals, emergency response, licensure, disaster response, telehealth, SCR182, S.C.R. 182, Hawaii Trauma System, trauma care, trauma center, Tripler Army Medical Center, military-civilian partnership, civilian trauma patients

Summary: The Committee on Health heard testimony on three concurrent resolutions. SCR-7 would affirm that hospitals must provide life-saving emergency care to pregnant people; supporters included the Hawaii State Commission on the Status of Women, AAUW Hawaii, the Healthcare Association of Hawaii, and Hawaii Women’s Lawyers, with two individuals in opposition. A member raised a wording concern about “pregnant people” versus “pregnant women,” and the chair agreed to note the comment in the committee report. The committee then recommended passage, and the measure was adopted by vote, with Representatives Alcos voting no and Garcia not voting. SCR-59 SD1 would ask the governor to establish procedures allowing certain health care professionals to practice in Hawaii without a Hawaii-issued license during a state of emergency. The Hawaii Organization of Nurse Leaders strongly supported the resolution, citing emergency response problems during Kona low storms and the Lahaina wildfires when out-of-state licensed providers were available but could not serve. The committee recommended passage as is, and the recommendation was adopted, with Representative Garcia voting with reservations. SCR-182 would request that the governor and Department of Health work with the U.S. Department of Defense and other federal military partners to explore a military-civilian trauma partnership to strengthen Hawaii’s trauma system. The Department of Health supported the measure, and a member suggested the title should reflect “Department of War,” while another member noted the federal department name has not changed; the chair said the comments would be noted in the report. The committee recommended passage, and the resolution was adopted without objection, with Representatives Martin and Olds excused.

Bills: HB 1106, HB 3284, HB 541, HB 713, HB 1403, HB 1586, HB 1942, HB 2070, HB 2844, HB 2851, HB 3151, HB 3749, HB 3940, HB 3963, HB 4454, HB 4466, HB 4795, HB 5154, HB 5394, SB 1357, HB 1052, HB 4099, HB 4638, HB 5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Bills: HB 1106, HB 3284, HB 541, HB 713, HB 1403, HB 1586, HB 1942, HB 2070, HB 2844, HB 2851, HB 3151, HB 3749, HB 3940, HB 3963, HB 4454, HB 4466, HB 4795, HB 5154, HB 5394, SB 1357, HB 1052, HB 4099, HB 4638, HB 5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• The bill also creates a kidney health clinic and a kidney health clinical trials registry to keep patients
• It's over $100,000 a year to dialyze one patient, and Texas has close to 80,000 patients, which is not
• Patients are not able to work, so the burden of caring for those patients when they're unable to work
• and a two-time kidney transplant patient.
• It's case-by-case, patient-by-patient.

Bills: HB514, HB1652, HB2117, HB2298, HB3269, HB46, HB46

Keywords: maternal health, maternal care, pregnancy, labor and delivery, postpartum, doula, birth worker, midwife, obstetric care, women's health, rural health, health workforce, workforce development, trauma-informed care, public outreach campaign, health equity, minority health, underserved communities, Texas Department of State Health Services, HHSC

Transcript Highlights:

• permit for pediatric patients under 13.
• If a sick patient arrives but does not need emergency care, the FEC... Must turn the patient away.
• Many of the patients we care for are among the most vulnerable, including preterm infants, patients with
• But we have a duty to protect our patients, period. That's what it comes down to: patient safety.
• And that's to reduce the transmission between a physician and a patient or for a patient or healthcare

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• Insurance to cover general anesthesia for some pediatric dental patients suffering from significant pathology
• Of pediatric patients creates an unnecessary risk and often results in a significant increase in the
• Patients are experiencing significant delays in care and decreased access secondary to this lack of.
• This bill is needed so we can provide timely care to patients.

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• found it difficult to get medical insurance to cover general anesthesia for some pediatric dental patients
• coverage of general anesthesia until a health emergency arises just prolongs the suffering of pediatric patients
• As we have just heard and earlier today, our pediatric patients are experiencing significant delays in
• Uh, this bill's needed to ensure we can provide timely care to patients.

Bills: SB 227, SB 269, SB 407, SB 463, SB 527, SB 547, SB 1283, SB 1380, SB 1383, SB 1511, SB 1640, SB 1784, SB 2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• This, Senators, is a patient care issue.
• of these patients.
• If the patient has insurance, the FEC... ...patient care rendered at FECs.
• Many of the patients we care for are among the most vulnerable, including preterm infants, patients with
• And that's to reduce the transmission between a physician and a patient or for a patient or health care

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Summary: The Senate Committee on Health and Human Services met with several members initially absent, then later established a quorum. The committee heard multiple bills, with most testimony focusing on access to care, insurance practices, senior safety, and health care worker protections. Several bills were laid out with committee substitutes, and public testimony was limited to two minutes per witness. Most bills were left pending after testimony, with no final votes taken in the portion provided. Senate Bill 2069 would create a work group to study the feasibility of a statewide acute psychiatric bed registry; the substitute shifts appointment authority to the Health and Human Services Commissioner and extends reporting and sunset dates. Senate Bill 463 would expand workplace violence protections to additional hospice, home and community support, intermediate care, and state-supported living center settings. Senate Bill 1283 would require background checks and transparency measures for senior retirement communities after testimony about the Dallas-area serial killings of elderly residents. Senate Bill 1784 would require 60 days’ written notice before medical debt is sent to collections. Senate Bill 527 would require medical insurance coverage for general anesthesia for medically necessary pediatric dental procedures for children under 13 with qualifying conditions; pediatric dentists testified that denials delay needed care. A major portion of the meeting centered on prior authorization. Senate Bill 1380 would eliminate prior authorization for a broad list of services, including emergency, primary, mental health, substance use, chemotherapy, preventive, pediatric hospice, and certain chronic-condition care. Physicians and hospice advocates supported the bill, describing delays, administrative burden, and patient harm, while health plans opposed blanket exemptions and argued prior authorization helps prevent unnecessary care and control costs. Relatedly, Senate Bill 547 would require insurers to report gold-card prior authorization exemptions to TDI and create a centralized database and annual report; TMA supported better tracking, while health plans warned of duplicative reporting and administrative cost. Senate Bill 407 would require health care facilities to honor conscience- and religion-based vaccine exemptions for employees, with testimony from a physician and vaccine-choice advocate supporting the bill. The committee also heard Senate Bill 1383, which would regulate senior living referral agencies, allow more flexible compensation structures, and add disclosure and consumer protections; an out-of-state referral company and A Place for Mom supported it. Senate Bill 1511 would allow freestanding emergency centers to provide outpatient services in addition to emergency care, with consumer protections such as estimates, limits on facility fees, and restrictions on balance billing. The chair repeatedly announced that bills were being left pending after testimony, and no final committee action or recorded votes were taken in the transcript provided.

Transcript Highlights:

• They play a very key role in patient care.
• They play a very key role in patient care.
• registries, facilitator registries, and the cultivation and testing of the drug itself, which is usually
• registries, facilitator, registries and the cultivation and testing of the drug itself, which is usually
• Ketamine does not work for all patients.

Bills: HF3454, HF3917, HF2906, HF3832, HF3769

Keywords: social work, licensure, employment titles, health occupations, professional standards, medication repository, drug donation, healthcare, Minnesota Statutes, pharmacy, public health, controlled substances, psilocybin, psilocin, psychedelic, psychedelic medicine, hallucinogen, mushrooms, magic mushrooms, therapeutic use

Transcript Highlights:

• Informed consent is an essential part of the patient-physician...
• It allows patients and physicians to address concerns together.
• and to discuss with our patients.
• I think what the CDC and the FDA are going to say is healthy patients.
• This was the same diagnosis, the same patient, the same need, but...

Bills: HB163, HB216, HB721, HB2035, HB2038, HB3057, HB3153, HB3233, HB3595, HB3801, HB3812, HB4076, HB4129, HB4377, HB4535, HB4666, HB4730, HB4743, HB4903, HB5149, HB5155, HB1534

Keywords: epinephrine, healthcare, emergency response, administration, medical policy, health care, itemized billing, patient rights, provider regulations, Texas Health and Safety Code, cost disclosure, insurance, benefit plan, administrators, chemical dependency, treatment facilities, minor admissions, parental notice, mental health, medical licensing

Summary: The committee met without a quorum at first, then established a quorum with five members present. Members heard and left pending several House bills, including HB 4743 on allowing hospitals to license mobile stroke units under a hospital license, HB 4129 on earlier DFPS enforcement tools for single-source continuum contractors in community-based foster care, HB 4903 creating a Quad Agency Child Care Initiative to coordinate child care regulations across state agencies, HB 3812 revising the gold card/prior authorization process for physicians, HB 4535 requiring written informed consent before COVID-19 vaccination and a standardized state information sheet, and HB 4666 reducing the frequency of some HHSC reports to the legislature. The chair also noted HB 35 would be voted on later after a subcommittee back was received, and that a large number of bills would be heard the next day. Most of the testimony focused on HB 4535 and HB 4730. On HB 4535, supporters argued the bill would strengthen informed consent for COVID vaccination by requiring written consent and clearer state-level information about risks, manufacturer liability protections, and adverse-event reporting; opponents, including a pediatrician and medical groups, said existing federal and state informed-consent materials already cover these topics and warned the bill could create duplicative paperwork and penalties. On HB 3812, the Texas Medical Association supported changes that would extend the gold-card evaluation period to one year, raise transparency, and make prior authorization exemptions easier to administer, while health plans said they were neutral and viewed the bill as a balance between reducing burden and preventing fraud or unsafe care. HB 4730 drew extensive testimony from adoption professionals, birth mothers, adoptive parents, and child welfare advocates. The bill would require DFPS to create a relinquishment form, train child-placing agency staff, and extend the minimum waiting period for voluntary relinquishment from 48 hours to seven days. Supporters of the current law argued the 48-hour period aligns with hospital discharge, allows informed decisions, and helps birth parents and adoptive families begin healing and bonding without pushing children into foster care or creating legal and Medicaid complications. The author said the bill would be revised and that the seven-day provision was a work in progress. No votes were taken on the bills during the meeting; each bill was left pending after public testimony closed.