Transcript Highlights:

• And um, you know, I would >> Yeah, we um, we go around to daycares and provide training as well.
• If I've been a provider for 20 years, am I really taking new stuff away from those um training modules
• <00:08:47.279> So<00:08:47.440> every provide training as well.
• So every provide training as well.
• This proposal would only mandate this training for child care providers, but I'm just curious—you had

Bills: HF3831, HF3603, HF1900, HF495, HF3750, HF4316, HF2136, HF4384

Keywords: SNAP, income limits, asset limits, nutrition assistance, children and families, federal poverty guidelines, federal waiver, food assistance, low-income families, nutritional support, day care, tax subtraction, child care costs, licensed child care, dependent care assistance, child care, family child care, child care center, licensing, correction order

Transcript Highlights:

• the bottom of page three, number five, we were clear that the Child Care Advisory Committee will provide

Bills: HB1119

Keywords: child care, childcare, day care, daycare, early childhood education, child care licensing, provider licensing, child care regulations, administrative rules, Department of Health and Human Services, HHS, licensing advisory committee, child care providers, group child care, preschool programs, child to provider ratios, square footage requirements, staff training, certification requirements, child care funding

Summary: The Workforce Development Committee reconvened to consider House Bill 1119 with amendment version 02005. Senator Hogan explained that the amendment removed a section requiring the Department of Human Services to respond to legislative management, in order to make the bill feel more like a program evaluation than an audit and to avoid placing an unreasonable burden on the executive branch. The amendment also clarified that the Child Care Advisory Committee would provide an update and that the committee would dissolve after the rewrite of licensing standards, making it a time-limited body. Committee members discussed the bill as a novel approach to forming a group to study an issue and then disbanding after reporting back. Senator Larson noted the concept was similar to broader performance-review ideas, and Senator Hogan said the Legislative Council program evaluation effort was parallel to, but separate from, other performance-review proposals. The committee then voted 4-0-1 to adopt the amendment. Afterward, the committee moved to give House Bill 1119, as amended, a do pass recommendation. That motion also passed on a roll call vote, and the committee adjourned.

Transcript Highlights:

• A doula is a healthcare professional who is specifically trained in labor and childbirth support.
• We are here to provide informational, educational, and emotional support. physical, and advocacy support
• Part of some doulas' training includes loss support and helping families as they navigate that process
• If I’m noticing that a provider is not acting in a way that I’ve seen other providers act with urgency
• Based on my research and the stories told to me, a doula is not a medically trained professional but

Bills: HB2140, HB2610, HB3121, HB3339

Keywords: maternal health, mortality review, health committee, obstetrics, public health, Medicaid, cancer treatment, healthcare reimbursement, physical therapy, dental services, protheses, compression garments, mortality, morbidity, doula services, disparities, Black women, maternal mortality, health disparities, socioeconomic status

Transcript Highlights:

• We've heard<00:02:37.560> from<00:02:37.720> providers<00:02:38.280> that<00:02:
• With this amendment and providing With this amendment and providing funding<00:43:10.120> for
• Providers are here and ready to work together on that.
• And I think we can provide clearer definitions for people in that process, too.
• I think we can provide clearer definitions for people in that process, too.

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

Transcript Highlights:

• Providers and the work in October of 25.
• law enforcement response, which provides law enforcement response, which provides more<00:08:18.240
• <00:50:45.680> because moved to thirdparty providers because moved to thirdparty providers
• What we really need is training.
• <01:29:59.920> the case managers are not providing the case managers are not providing the

Bills: HF3738, HF2295, HF3520, HF3666

Keywords: pediatric care, hospital discharge, home care, healthcare accessibility, nursing services, family support, mental health, crisis services, Dakota County, mobile crisis response, public safety, treatment services, rehabilitation, behavioral health fund, client eligibility, home and community-based services, case management, waiver services, county services, disability advocacy

Transcript Highlights:

• And individualized home supports with family training provides both support and training to an individual
• <00:21:08.000> provides<00:21:08.520> both What do we mean when we say training?
• <00:26:42.440> units of their IHS with training units of their IHS with training units provided
• with the Learnability organization for IHS training, who is his IHS with training service provider.
• with the Learnability organization for IHS training, who is his IHS with training service provider.

Bills: HF3526, HF3375, HF3469

Keywords: home care, licensing, fines, advisory council, grant program, client safety, healthcare regulation, HF3375, Minnesota disability waiver, waiver rate system, human services, individualized home supports, individualized home supports with training, individualized home supports with family training, positive support services, employment support services, employment development services, employment exploration services, billing limits, service authorization year

Transcript Highlights:

• . providers. providers.
• . providers. providers.
• provided last year. provided last year.
• centralized provider. centralized provider.
• The EIDBI providers. Which levels of providers?

Bills: HF4207, HF4338

Keywords: housing aid, local housing trust, funding projects, income provisions, technical changes, 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

Transcript Highlights:

• c> to<00:02:16.920> providers<00:02:18.120> who Provide a 10-day notice to providers
• Changing the services I provide and how they are provided.
• that I provide. that I provide.
• care providers that do. care providers that do.
• Don't talk to the provider. Don't talk to the provider.

Bills: HF4491, HF4338, HF4288, HF4566

Keywords: Medical Assistance, Medicaid, prepayment review, claims review, fee-for-service, provider integrity, high-risk provider, high-risk service, fraud prevention, program integrity, Department of Human Services, CMS, Centers for Medicare and Medicaid Services, health care billing, medical claims, provider enrollment, Indian Health Service, Minnesota Statutes chapter 256B, human services, medical assistance

Bills: SB43, SB50, SB145, SM2

Keywords: parole, life imprisonment, rehabilitation, criminal justice, victim rights, law enforcement, training requirements, mental health, domestic abuse, child abuse, public safety, crisis intervention, auditing, financial reporting, state auditor, public agencies, capital outlay, compliance, federal audits, pediatric palliative care

Bills: SB43, SB50, SB145, SM2

Keywords: parole, life imprisonment, rehabilitation, criminal justice, victim rights, law enforcement, training requirements, mental health, domestic abuse, child abuse, public safety, crisis intervention, auditing, financial reporting, state auditor, public agencies, capital outlay, compliance, federal audits, pediatric palliative care

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:

• The bill is that the providers may not be able to provide all the services.
• and provider protection.
• First, small businesses want to provide health insurance, and we need to provide health insurance to
• If you're going to provide prescription drugs, you are providing an essential health benefit.
• We have a wide network of providers.

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:

• We have local veterans that are trained to provide peer support to other veterans and families in their
• So, y'all already have training programs?
• train them to do?
• This model allows for providers to take on an amount of risk providing care for their patients in exchange
• It also provides guardrails to protect providers in contracting requirements and from retaliatory action

Bills: HB35, HB138, HB754, HB1314, HB1612, HB2254, HB2510, HB2789, HB3560, HB3597, HB4224, HB4273, HB4643, HB4783, HB138

Keywords: peer support, first responders, mental health, confidentiality, emergency services, health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, human trafficking, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting

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:

• And then the companies that are providing these people—anesthesia providers, internists and hospitalists
• to the providers.
• I think providing a little bit of context about the bill provides some opportunity to understand what
• I trained in Texas, so I know all about that.
• It’s one thing and you go to another and your insurance provider provides for that.

Bills: HB99, HB49, HB164, SB30, SB43, SB50, SB136

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• And when I talk with the actual providers of that care, they have a security…” “…actual providers of
• So I also hear on the other side from providers that…” “We’re not providing CBCs with adequate funds
• that’s actually providing the care.
• But we have talked to the providers, and we’ve heard the same comment as well, is that the provider is
• It is expectation that the provider will provide a goal of 30 per month. That's one adoption a day.

Bills: S0042, S0578, S0624, S7018

Keywords: child protection, medical records, investigation, abuse, neglect, healthcare, Child Protection Team, diagnosis, Alzheimer's disease, Alzheimers, dementia, related dementias, brain health, early detection, caregiver support, elderly affairs, Department of Elderly Affairs, Department of Health, public health outreach, memory loss

Summary: The committee met with a quorum and first heard SB 624, which would codify DCF’s current practice of allowing batterers intervention programs to offer supplemental faith-based activities so long as participation is voluntary. The bill drew support from faith-based and family organizations, which argued it would restore access to effective rehabilitation options and remove discriminatory barriers. SB 624 was reported favorably after a roll call vote. The committee then heard SB 42, which would require child protective investigators and child protection teams to rely on qualified medical professionals when a child has a documented pre-existing diagnosis or when a parent requests an exam, and would require clearer notice to parents and custodians at the start of an investigation. Testimony overwhelmingly came from parents, advocates, and disability rights representatives describing cases in which medically complex children were allegedly misdiagnosed as abuse victims and families were separated unnecessarily. Members expressed sympathy and support, and SB 42 was reported favorably. Next, the committee considered CS/SB 578, creating an Alzheimer’s disease awareness initiative within the Department of Elder Affairs to promote early detection, brain health education, research updates, and clinical trial awareness, with outreach focused on older adults and at-risk populations. An amendment was adopted to place the campaign within the Alzheimer’s Disease Initiative. A caregiver testified about the need for public education and early diagnosis, and the bill was reported favorably. The committee also took up SPB 7018, a committee bill on child welfare that would extend the definition of “visitor” for foster homes to reduce repeated background checks, make the Step Into Success foster youth workforce pilot permanent and statewide, and create a program through the Florida Institute for Child Welfare to catalog best practices among community-based care lead agencies. The bill was approved as a committee bill and reported favorably. Finally, the Department of Children and Families presented its 2025-26 final funding methodology and rates report for community-based care. Members questioned the proposed tiered model, including insurance costs, risk corridors, prevention funding, performance measures, and regional funding disparities. No vote was taken on the presentation, but members discussed the possible need for follow-up legislation and additional stakeholder input.

Transcript Highlights:

• We need pediatric palliative care providers and teams to help us provide the best care, the most humane
• This is only because I have the training, but not the resources, to provide them with such care.
• So there's just a dearth of providers who have that skills training.
• So there's a dearth of providers that are able to provide that care because there's no benefit.
• And there's not a number, there's not providers that are able, there's very few providers that can do

Bills: SJR1, SM2

Keywords: school elections, partisan elections, voting rights, constitutional amendment, New Mexico, elector registration, pediatric palliative care, pediatric hospice, Medicaid, state plan amendment, Health Care Authority, children with serious illness, life-limiting conditions, complex medical conditions, curative care, concurrent care, family-centered care, hospice services, managed care, pain management

Transcript Highlights:

• House Bill 3305 is the House companion to Senate Bill 1375, which creates the Collin County local provider
• TRA also provides raw water to customers that are primarily municipalities, monitors water quality in
• TRA also provides raw water to customers that are primarily municipalities, monitors water quality in

Bills: HB198, HB303, HB1535, HB2742, HB3305, HB3348, HB3505, HB3711, HB4753, HB2715, HB21, HB30

Keywords: HB 198, Wade Cannon Act, firefighter cancer screening, occupational cancer screening, fire protection personnel, local government, political subdivision, Texas Commission on Fire Protection, National Fire Protection Association, NFPA standards, occupational medical examination, public safety, firefighter health, cancer prevention, annual health screening, confidential medical exam, pulmonary function test, electrocardiogram, chest x-ray, blood test

Summary: The Committee on Local Government heard and discussed a series of House bills dealing with municipal structure, tax payment timing, local provider participation funds, firefighter cancer screenings, sunset review of the Trinity River Authority, replacement certificates of occupancy, and open meetings enforcement. HB 303 would remove the 501-resident floor so very small type A and B municipalities can convert to type C cities; HB 2742 would give property owners a later first split-payment deadline when tax bills are mailed after November 30; HB 3305 and HB 3348 were local provider participation fund measures with committee substitutes; HB 198 would require political subdivisions to offer occupational cancer screenings for firefighters; HB 1535 was a sunset bill for the Trinity River Authority; HB 4753 would allow a municipality-issued proof of a certificate of occupancy to substitute for a lost original; and HB 3711 would treat certain Open Meetings Act violations as offenses against public administration and require public explanation when prosecutors decline to act. Testimony was generally supportive or limited, with several witnesses and senators emphasizing practical fixes, firefighter health and cost savings, local government transparency, and administrative cleanup. For HB 198, firefighter representatives gave emotional testimony about cancer deaths and the value of early screening. On HB 3711, a witness supported the bill but urged stronger enforcement and broader application. Several senators raised policy concerns on HB 2715 about routing removal proceedings through a regional presiding judge rather than the local county, arguing it could politicize the process. The committee took no public testimony on most bills and repeatedly left them pending subject to call of the chair before later voting them out. HB 21, HB 30, HB 1535, HB 1520, HB 198, HB 303, HB 2742, and HB 4753 were reported to the full Senate, generally by unanimous or near-unanimous votes, and several were also recommended for the local and uncontested calendar. HB 30 passed on a 5-1 vote, while the other reported bills were approved unanimously or with no recorded opposition. The committee then recessed subject to the call of the chair.

Transcript Highlights:

• Patients deserve access to highly trained providers who already have the trust of their patients and
• Before I even started training, I spent 10 years in training, including cadaver anatomy training and
• I am not aware of a hard statistic that I can provide for you.
• They aren't trained in full head and neck anatomy.
• And they do intense surgical training for reconstruction.

Bills: SB1117, SB1373, SB672, SB1986, SB1098, SB626, SB1784, SB2480, SB2487, SB437, SB660

Keywords: dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness

Transcript Highlights:

• Just because you're a DPM, regardless of how much training you have, you may even train the guys.
• Senate Bill 1784 protects patients by requiring health care providers to provide written notice at least
• must provide eight hours of in-service training on a daily basis.
• They have to provide eight hours every year.
• It curbs needless training and focuses on essential training requirements.

Bills: SB1117, SB1373, SB672, SB1986, SB1098, SB626, SB1784, SB2480, SB2487, SB437, SB660

Keywords: dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness