Transcript Highlights:

• Chairman Darby, your bill relates to access. ...by a certified telecommunications provider to the rights
• It requires electric cooperatives to provide non-discriminatory access to their poles and rights-of-way
• First, it requires that we provide non-discriminatory access to rights-of-way, poles, and buildings.
• So, we are already required to provide non-discriminatory access to poles, as stated in existing Chapter
• So you believe you're under no obligation to provide non-discriminatory access currently?

Bills: HB3445, HB3448

Keywords: telecommunications, electric cooperative, rights-of-way, infrastructure, provider access, right-of-way, pole attachment, regulatory access, 1184, house, all

Transcript Highlights:

• Specifically, the program provides access to covered insulin and makes a series of technical updates
• I'm with Caring Hands Dental Clinic, a critical access safety net dental provider with two locations,
• To give each of you an idea of what the state access really looks like, I provided a heat map so you
• To give each of you an idea of what the state access really looks like, I provided a heat map so you
• CRNAs provide the sole anesthesia providers in 97% of our critical access hospitals.

Bills: HF4712, HF4801, HF3756, HF4860, HF4931, HF4289, HF4460

Keywords: residential pools, swimming classes, certification, private business, health safety, health care, prior authorization, managed care, medical assistance, mental health, substance use treatment, chronic conditions, health insurance, insulin, healthcare access, pharmacy regulations, patient assistance, affordable medication, healthcare, pharmacy

Summary: The committee met at 1:00 p.m., confirmed a quorum, and approved the April 8, 2026 minutes. The first bill heard was House File 4712, which was laid over after the committee adopted a DE2 amendment. Representative Schultz said the bill would create a narrow additional exception to public pool limitations so highly certified swimming instructors could use certain pools for specialized infant, youth, and developmental-disability swim instruction. The only testifier, Tessa Seppelt, described ISR instruction as water-safety and drowning-prevention training for very young children and children with developmental delays, and said access to appropriate facilities is the main barrier. Members raised questions about emergency egress, public safety, and insurance coverage, and the author said he would follow up on those concerns. The committee then took up House File 4801, a bill by Representative Nadeau aimed at health care program integrity. He said it would align commercial and Medicaid partners to reduce waste, fraud, and abuse by changing prior authorization and retrospective review processes, improving data sharing on suspected fraud, addressing conflicting or duplicative services, allowing managed care organizations to verify provider credentials, and making risk corridors in MCO contracts permanent. The Minnesota Council of Health Plans supported the bill, saying it would help detect fraud and improve coordination, while the Minnesota chapter of the American Academy of Pediatrics opposed it, arguing that expanded prior authorization would delay care, increase physician burden, and harm children with chronic conditions. Members debated patient safety, fraud detection, and whether the bill would undermine recent prior-authorization reforms. The bill was laid over. House File 3756, a technical update to the insulin safety net program, was also laid over. Representative Backer said the bill clarifies that a hospital-use intravenous insulin product is not part of the program because it is sold only to health care institutions and infused by practitioners, not dispensed to patients for self-use. The Board of Pharmacy testified that the language was drafted to avoid affecting future legitimate uses, and members asked whether the definition could limit new uses if treatments change. The committee then began House File 4860, but the transcript cuts off before the bill’s presentation is completed.

Transcript Highlights:

• And then, the existing rate add-on of 20% for critical access dental providers should be maintained.
• <00:03:36.840> dental<00:03:37.239> providers 20% for critical access dental providers
• 20% for critical access dental providers should<00:03:38.080> be<00:03:38.239> maintained.
• access dental providers, their critical access dental providers, their their<00:08:14.840> financial
• we provide.

Bills: HF4401, HF4466

Keywords: HF4401, Minnesota Medical Assistance, dental reimbursement, dental rates, critical access dental providers, Medicaid dental, MinnesotaCare, managed care plans, county-based purchasing plans, fee-for-service, oral health access, safety-net clinics, federally qualified health centers, rural health clinics, Indian health services, state-operated dental clinics, low-income patients, children's dental care, provider reimbursement, dental access

Transcript Highlights:

• It's free, and everyone can access it.
• Unfettered access was first passed by Nebraska in 1957.
• While SB 654 made important progress and provided much-needed access for Medicaid patients, it excluded
• House Bill 3151 designates FQHCs and FQHC providers as providers eligible for expedited credentialing
• The threat of an investigation caused providers, including mental health care providers, to cease caring

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

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:

• There's an in-between between us dispatching a provider and sending a provider to you.
• We've specifically worked with Charlie's Law and the access we’ve provided as a state.
• We were the first state in America to provide access to adult stem cells.
• the state that could provide the capability.
• access.

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

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:

• At times, it's important to ensure that coverage... is provided.
• Since Representative Paul brought up, it provides the benefit as well.
• the potential benefit is to providing those coverage to the health care.
• It would just provide additional information if you wanted it.
• Claims that the providers have. turn to us that we pay them.

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 bill aligns with with what the AP ECD is was intended to do is to provide better information to
• Do you do that mandate by the providers? No, I think we're having...
• Uh, and administrative cost apply both to the plans and to the physician. and health care providers.
• We have Texans who, for example, are covered by Medicaid and Medicare. care so this will just provide
• That way, when it comes to billing, the providers know, okay, we're going to talk to...

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 scope of practice bill is just designed to provide more access to these medical practitioners in
• areas where they have a tough time accessing care.
• We provide the only access to primary care and mental health care in those counties.
• Slater attempted to address the critical lack of access to primary care providers in Texas with the passage
• before you choose that provider, if that makes sense.

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301

Transcript Highlights:

• The bill is that the providers may not be able to provide all the services.
• Our ability to develop a network that provides affordable, accessible, and robust eye care and eyewear
• Access for Texans.
• and provider protection.
• We are fully committed to providing the best care possible to the patients in our state, and that access

Bills: HB139, HB1818, HB1942, HB1959, HB2221, HB2254, HB2563, HB2067, HB2275, HB3211, HB139

Keywords: HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301

Transcript Highlights:

• It's the number that has been provided by TD.
• company has provided over 125,000 of these procedures safely.
• Providers per health plan. That's a lot of data.
• to provide outpatient care for their employees.
• Localized access points and their business model.

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:

• necessary procedures, it must also provide the anesthesia.
• This bill is needed so we can provide timely care to patients.
• But I also know when we give more access, it always leads to more access and more utilization.
• Access equals utilization. There's always a correlation there.
• TALA's members strive to provide their residents with community.

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:

• necessary procedures, it must also provide the anesthesia for medically necessary dental procedures.
• Uh, this bill's needed to ensure we can provide timely care to patients.
• some necessary care and you can't get general anesthesia access.
• But I also know when we give more access, it is always, it always leads to more access, more utilization
• Uh, it's access equals utilization. Uh, there's, there's always a correlation there.

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:

• And unfortunately, hospice providers were omitted.
• to provide written notice at least 60...
• By requiring health care providers to provide written notice at least 60 days before initiating debt
• So, and that's good and reassuring about the public access.
• So it provided a competitive factor in the sense that it's providing a different business model that

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:

• Senate Bill 101, Health Care Delivery and Access Repeal.
• Providers that became a base of a Medicare match. Is that...? So, Mr.
• I want to provide some level of certainty.
• And one other thing I would just like to say is that what we do provide, the product we provide, is energy
• And the solar provides stability for that.

Bills: SB101, SB58, SB55

Keywords: SB 101, Health Care Delivery and Access Act, repeal of repeal, sunset repeal, delayed repeal, health care, healthcare, access to care, medical services, provider regulation, state health law, New Mexico, SB58, metropolitan redevelopment, redevelopment property, property tax exemption, payments in lieu of taxes, PILOT, municipal redevelopment, local government

Transcript Highlights:

• The Minnesota Building Families Act would lower cost sharing and provide access to infertility diagnosis
• infertility, if we're going to provide infertility, if we're going to provide assistance, we<00:
• <01:04:21.920> to and age that we haven't had access to and age that we haven't had access
• <01:09:54.400> This providing services to seniors. This providing services to seniors.
• what networks uh per people can access what networks uh per people can access and<01:22:58.639><

Bills: HF4609, HF4401

Keywords: infertility, fertility treatment, fertility preservation, IVF, assisted reproductive technology, ART, oocyte retrieval, embryo transfer, egg freezing, sperm freezing, reproductive health, maternity coverage, health insurance mandate, health plan benefits, Medical Assistance, Medicaid, MinnesotaCare, family planning, oncology fertility preservation, chemotherapy

Transcript Highlights:

• And this bill will provide a lot of choice and support our seniors in New Mexico.
• through the provider assessment that hospitals pay.
• How many providers will you be able to accommodate?
• So you have fewer providers.
• You'll be able to provide for— You'll be able to provide for, I don't know if you have midwives or OBGYN

Bills: SB21, SB42, SB81, SB101, SB139

Keywords: SB 21, Medicare supplement, Medigap, open enrollment, guaranteed issue, birthday month enrollment, health insurance, insurance regulation, senior health coverage, elderly, retiree, Medicare beneficiaries, preexisting conditions, underwriting restrictions, premium discrimination, New Mexico insurance law, superintendent of insurance, health care coverage, policy portability, healthcare

Bills: HB689, HB742, HB926, HB946, HB948, HB1028, HB1095, HB1114, HB1121, HB1155, HB1185, HB1217, HB1220, HB1227, HCR76

Keywords: public assistance, child welfare, benefit adjustment, DCFS, LDH, fraud detection, household reporting, Medicaid, immunization, healthcare eligibility, Family Independence Temporary Assistance Program, health policy, vaccination requirements, vaccination status, vaccine mandate, medical freedom, medical autonomy, public buildings, public access, government services

Transcript Highlights:

• <00:09:22.839> professional the providers professional the providers professional obligation
• evolved and um we think that providing evolved and um we think that providing informed<00:09:56.160
• So I appreciate your goal to provide safety and a good experience and all that.
• that provides um let's just say that provides um let's just say Employment<00:55:29.200> Services<
• So this would provide the organization with the ability to do that work.

Bills: HF2371, HF2147, HF2557, HF1165, HF2466, HF2465, HF2482

Keywords: informed consent, sensitive examinations, healthcare, patient rights, anesthesia, hot water pools, rental properties, public health, safety regulations, Minnesota Statutes, health care access, hospital surcharge, fund allocation, medical assistance, health funding, health care, education, bonding capacity, financing, Minnesota Higher Education Facilities Authority

Transcript Highlights:

• We provide assisted living in Alzheimer's certified care.
• Our mission is to provide high quality care in a home-like setting at an affordable price.
• To provide continuity of service if a contract with an SSCC ends prematurely.
• Currently, an SSCC has to provide 60 days' notice of contract termination.
• Uh, what we don't want to have happen is our provider, uh.

Bills: HB 1531, HB 2667, HB 2809, HB 2865, HB 3589, HB 3151, HB 3748, HB 3750, HB 4419, HB 4643, HB 3597, HB 4129, HB 4130, HB 4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Transcript Highlights:

• We provide assisted living and Alzheimer's certified care.
• They provide important customer and industry protections. Referral agencies are...
• Currently, an SSCC has to provide 60 days' notice of contract termination.
• time to successfully transition from one provider to the next.
• The next 180 days is a solid amount of time and should provide plenty of time for that.

Bills: HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies