Transcript Highlights:

• I have not provided direct input into the bill with the sponsor, no.
• That the university has already provided us space for.
• And we need to develop a network where we're all sharing best practices.
• And we have a network that really develops workforce across the state.
• As I mentioned, a network of community colleges and vocational schools networked into the universities

Bills: SB1046

Keywords: telecommunications, broadband, internet infrastructure, critical infrastructure, cybersecurity, national security, foreign adversary, China, Chinese equipment, supply chain security, network equipment, microchips, Arizona Corporation Commission, telecommunications provider, communications infrastructure, Huawei, ZTE, state-owned enterprise, sanctions, infrastructure security

Transcript Highlights:

• Today, the TMHP is also responsible for provider support.
• It has been indicated that their own provider support representatives... ...report perceived provider
• for provider support, including an online portal for providers to rate their support. ...and to rate
• You can't always provide privileges if you can't provide the services.
• on site that can provide.

Bills: SB623, SB1266, SB1310, SB1373, SB1580, SB1952, SB2032, SB2269, SB2544, SB2653, SB2796

Keywords: pharmacist, vaccine administration, COVID-19, exclusive authority, healthcare, Medicaid, provider enrollment, credentialing, administrative burden, Texas Health and Human Services, senior retirement communities, emergency response, residential safety, contract provisions, health and safety regulations, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges

Transcript Highlights:

• It removes the determination by the network provider of whether it is medically appropriate to follow
• provider does not prevent the employer from providing on-site treatment at the worker's choice.
• It modifies provisions relating to a worker seeking treatment from a non-network provider, including
• It allows L&I or the self-insurer to assist the worker in finding a network provider before the worker
• may seek treatment from a non-network provider.

Bills: SB6197, SB6158, SB6302, SB5437, SB6117, SB5852, SB5847, SB6067, SB6152, SB6136

Keywords: SB 6197, plumbing contractor, plumber, contractor licensing, licensing enforcement, infractions, administrative penalties, license suspension, certificate suspension, endorsement suspension, registration suspension, Department of Labor and Industries, advisory board of plumbers, penalty schedule, repeat violations, workplace standards, construction trades, professional licensing, Washington state, factory built housing

Bills: SB279, HB478, SB279, HB478

Keywords: Alabama State House, Montgomery, Legislative Council, demolition, state capitol, state capitol building, historic preservation, state property, inventory removal, fixtures, furnishings, reuse, recycling, upcycling, surplus property, public assets, legislative chambers, desk sale, chair sale, state auditor

Transcript Highlights:

• Why would it be that a doctor wouldn't be in-network?
• So sometimes that relationship does not equate to that physician being in-network.
• House Bill 3151 designates FQHCs and FQHC providers as providers eligible for expedited credentialing
• This is then also able to provide some risks and benefits.
• 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:

• Outside of the EMS licensure, care is being provided by community. paramedicine.
• I also have that to provide. You don't get a call on your own accord.
• There's an in-between between us dispatching a provider and sending a provider to you.
• Of the telehealth services that we contract with providing third-party services?
• We were the first state in America to provide access to adult stem cells.

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:

• Workers with open claims are required to have ongoing treatment from a provider in the network.
• A non-network provider may provide treatment for an injured worker for the initial visit and emergency
• The professions listed as attending providers must be enrolled in the network.
• providers within that type must join the medical provider network.
• providers within that type must join the medical provider network.

Bills: SB5437, SB6152, SB6058, SB5944, SB6039, SB6117

Keywords: noncompete, noncompetition agreement, restrictive covenant, nonsolicitation, employment contract, worker mobility, labor law, wage suppression, trade secrets, confidentiality agreement, franchise, independent contractor, employee mobility, economic growth, entrepreneurship, job mobility, restraint of trade, customer solicitation, post-employment restrictions, FTC noncompete rule

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

Transcript Highlights:

• Responsibility for certain out-of-network medical care provided to children in foster care.
• If we use self-provided unverified information from...
• Categories: Number one is the provider.
• So for example, if there's trying to single case agreement for somebody to get a provider in network
• Hudson indicated, there are other providers 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

Transcript Highlights:

• In-network provider contracts, and this is important, prohibit patients from being billed for retrospective
• This subdivision provides valuable insight when multiple providers unknowingly deliver overlapping or
• </c> providers being paid for that care. providers being paid for that care.
• CRNAs provide the sole anesthesia providers in 97% of our critical access hospitals.
• CRNAs<01:42:25.560><c> provide</c> CRNAs provide CRNAs provide sole<01:42:27.760><c> uh</c><01:42:27.840

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

Transcript Highlights:

• It provides additional disclosure. It provides... ...themselves or a loved one.
• It provides additional disclosure.
• Do you in any way see where this facility providers bill of rights posted next to that patient's bill
• Are we requiring then the corporations to provide both?
• Providing this documentation. That's a good question. Valid question.

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Transcript Highlights:

• Who currently provides oversight? I believe it's a complete system.
• So as far as, like, a state agency, when we provide state dollars, who provides oversight to them?
• So can someone who provides, I know that if, say, in that ultrasound they don't notice that there's a
• First Pharmacy provided.
• health care providers in their communities, the communities die.

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Transcript Highlights:

• We provide the only access to primary care and mental health care in those counties.
• action or coercion by insurers if providers choose not to enter into these contracts.
• before you choose that provider, if that makes sense.
• is an A, this provider has a 92 quality score," according to some...
• So, you mentioned data sets have to be provided in Excel spreadsheet format to TDI.

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:

• Meets the credentialing standards or requirements of a VBM can participate as an in-network provider.
• into the network, even if the provider is not able to furnish full services to the patient, including
• Our ability to develop a network that provides affordable, accessible, and robust eye care and eyewear
• We have a wide network of providers.
• One of the features of the plan is that even if the provider is not on the network, they negotiate with

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:

• Doctors want to be in network.
• If, in fact, all these providers go out of network and you can reduce the hospital payment by 10 percent
• provider actually provided a service as part of that surgery.
• How many network providers did we have drop out of network?
• in the network.

Bills: HB12, HB145, HB222, HB291, HB430, HB821, HB874, HB909, HB951, HB979, HB1193

Keywords: survivor benefits, law enforcement, reserve officer, auxiliary officer, public safety, firefighters, medical expenses, dental expenses, disability benefits, Medicaid, dental coverage, healthcare access, medical necessity, Louisiana Department of Health, health insurance, provider agreements, contracting actions, participating facilities, network status, survivors benefits

Transcript Highlights:

• Andard tuition rates, we are one of 10 states that do not allow this currently, and this will help providers
• And so, we spoke with many providers and members of the legislature.
• The childcare regulators and licensors, they're in very close contact with our providers, and so they
• I got with staff had them draft this bill to provide for an insurance policy by the group home provider
• They steer patients and they provide below-cost reimbursements to businesses they don't own.

Bills: HB3552, HB2984, HB4124, HB3934, HB3448, HB3131, HB4200, HB4201, HB3011, HB1912, HB3380, HB3881, HB3538, HB3851, HB3907, HB4430, HB4431, HB4457

Keywords: childcare, differential pricing, Department of Human Services, child care subsidy, licensed providers, emergency legislation, child care, subsidy program, annual report, program integrity, overpayments, ivermectin, over-the-counter medication, pharmacy immunity, healthcare access, FDA approval, prescription, public health, dentistry, licensing

Transcript Highlights:

• And so I spoke with many providers and members of the legislature.
• Our child care regulators and licensors, they're in very close contact with our providers.
• The company that provides the packaging for ivermectin.
• The company that provides the packaging for ivermectin.
• I got with staff, had them draft this bill to provide for an insurance policy by the group home provider

Bills: HB3552, HB2984, HB4124, HB3934, HB3448, HB3131, HB4200, HB4201, HB3011, HB1912, HB3380, HB3881, HB3538, HB3851, HB3907, HB4430, HB4431, HB4457

Keywords: childcare, differential pricing, Department of Human Services, child care subsidy, licensed providers, emergency legislation, child care, subsidy program, annual report, program integrity, overpayments, ivermectin, over-the-counter medication, pharmacy immunity, healthcare access, FDA approval, prescription, public health, dentistry, licensing

Summary: The committee took up a series of health, human services, and related bills. House Bill 3552, allowing child care providers to bridge the gap between subsidy reimbursement rates and standard tuition rates, was adopted and reported out 11-2. House Bill 2984, as a substitute, would direct DHS to compile a report on the child care system, including subsidy payment error rates, the number of facilities, closures, and voluntary closure feedback; it was reported out 14-0. House Bill 4201, changing master teacher requirements in child care from licensed capacity to actual enrollment, also passed unanimously. House Bill 3380, creating the Fostering the Future for Oklahoma Children and Families Act to modernize foster care data systems and improve outcomes, passed 12-0. House Bill 4430 and House Bill 4431, both cleanup measures tied to prior nurse practitioner/PA scope and pharmacy-related provisions, each passed 13-0. Several bills focused on health care access, regulation, and public safety. House Bill 4124 would allow over-the-counter ivermectin sales for human use with labeling and dosing information; after extensive questioning about safety, labeling, children, and liability, it passed 9-5. House Bill 3934, a large amended measure affecting dental practice and supervision rules, passed 14-0 after discussion about x-rays, telemedicine, and dental assistants. House Bill 3448, requiring insurance coverage related to group home provider liability for property damage, passed 14-0. House Bill 3131, setting baseline standards and oversight for homeless shelters with roles split between Commerce and Health, drew concerns about local control, temporary shelters, and fiscal impact, but passed 8-6. House Bill 4200, creating a revolving fund for forensic assertive community treatment teams to address the jail-to-homelessness cycle for people with severe mental illness, passed 11-3. The committee also advanced several public health, consumer, and industry bills. House Bill 1912, the Corn Masa Nutrition Enhancement Act, generated extensive debate over folic acid fortification, parental choice, MTHFR genetics, and potential health effects; with a PCS allowing a non-fortified option, it passed 9-5. House Bill 3011 repealed the home brewing license while keeping home-brewing limits and sales restrictions, and passed 11-3. House Bill 3881, the Alternative Nicotine Products Regulatory Act, increased application costs and removed a registry deemed inconsistent with federal law, passing 13-0. House Bill 3538, targeting pharmacy benefit manager vertical integration and its effects on access and pricing, passed 13-0 after discussion of mail-order restrictions and pharmacy closures. House Bill 3851, defining private label/control label alcoholic beverages under the three-tier system, also passed 13-0. House Bill 3907, requiring direct-hire staffing for facilities serving vulnerable adults and children with a short temporary staffing grace period, passed 13-0. The committee then moved on to House Bill 4457, a specialty-drug/PBM measure, with discussion beginning about PBM practices and specialty pharmacy access.

Transcript Highlights:

• Price that the PBM providers could kind of pull you out of their network. Do we know that?
• of termination, provided that no covered services were provided to the employees after the employee's
• The bill is clear that providers cannot have a conscientious objection to providing emergency... care
• A sole vaccine provider could refuse to give vaccines, and a provider could refuse to provide medical
• If the options are restricted, they may have to turn to private providers or out-of-network care or travel

Bills: SB95, SB268, SB493, SB619, SB660, SB922, SB984, SB1098, SB1188, SB1307, SB1332, SB1822

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit

Transcript Highlights:

• Furthermore, the definition of 'out-of-network provider' lacks sufficient clarity regarding how groups
• provider groups... ...and accountability in out-of-network claims.
• First, it revises the definition of out-of-network provider in the statute, Section 1467.016A, to include
• Under Texas law, if a carrier underpays an out-of-network provider... ...the patient is rightly held
• You've seen more providers come in network since that 2019 passage, but you also see patients protected

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.