Transcript Highlights:

• Senator Magrum, I think Senator Beckadol was going to visit with you about the wastewater treatment because

Bills: SB2399

Keywords: mental health, psychiatric treatment, reimbursement, medical assistance, legislative report, 908, all

Summary: The committee reconvened and first reconsidered House Bill 1612, the aerospace medical and mental health support center bill. Senator Cleary offered an amendment to reduce the general fund appropriation from $500,000 to $250,000 and require the university or project sponsors to find the remaining funding from other sources. The amendment passed, and the bill was then recommended do pass as amended, with members citing concerns about university funding, but others supporting the project as a one-time seed investment. The committee also discussed a possible future FMAP increase beginning October 1, 2026, which could reduce general fund costs by roughly $9 million, though members noted the figures were still preliminary and could be addressed later if needed. The committee then returned to Human Services budget items, including early childhood and child care funding, a community cultural center grant, and several other adjustments. Members discussed reducing the “best in class” amount, changes to child care grants and quality/infrastructure funding, and clarifying that prior child care assistance appropriations were in fact being spent. They also agreed to reduce the 1915(i) Medicaid waiver line by $2 million, with the understanding that the entitlement would still be funded as needed. The committee also considered taking guardianship funding out of House Bill 1012 because a separate bill, Senate Bill 2029, would move that funding elsewhere; members agreed that removing it from the budget could help the overall bill and could be restored if the separate bill failed. Several study amendments were discussed. Senator Cleary proposed adding a maternal health study related to prenatal services, doulas, midwives, and Medicaid, and members expressed support. The committee also discussed a software/case-management study proposal, but the department said it had not requested it and would not support it as presented, so members leaned against advancing it unless the department first evaluated it. Another amendment would authorize the department to work with the city of Grafton on a long-term plan for the LSTC campus and require a report back to the legislature; members supported that as legislative intent. The committee also agreed to remove a truancy study section for later conference discussion, and it reviewed other possible study ideas, including assistive technology, before adjourning to await updated long sheets and bill text.

Transcript Highlights:

• I'd like to mention the only other bill that we still have out there is 1577 regarding wastewater treatment
• So the first item under behavioral health is voluntary treatment program qualified, or QRTPs, private
• I wonder if we can back up to that voluntary treatment program for qualified residential treatment program
• And then we don't have this thing for, in the adolescent world, we call psychiatric residential treatment
• And that's where a person really doesn't need a hospital, but they need a supervised psychiatric care

Bills: SB2399

Keywords: mental health, psychiatric treatment, reimbursement, medical assistance, legislative report, 908, all

Summary: The Senate Appropriations HR Division met to work through amendments and budget items in House Bill 2012/HB 1004, focusing first on long-term care, disability services, and behavioral health. Members discussed competing approaches to a four-plex for medically complex individuals, a value-based care payment withhold for nursing facilities, accreditation requirements for providers, a study of developmental disability services, and funding for Family Voices and Ann Carlson-related services. Several amendments were accepted or set aside after discussion, including a study amendment for disability services and a Family Voices grant amendment that was adjusted to remove “one-time” language so it could continue as an ongoing grant. The committee also agreed to keep or defer some items for conference committee, including the youth crisis stabilization pilot and other long-term care proposals. A major discussion centered on the state hospital project. Members debated whether the $330 million project should remain in the DHS budget or be moved to the OMB budget for construction management. After discussion of costs, alternates, and the role of a steering committee and BND loan language, the committee agreed to remove the state hospital funding and related loan language from the DHS budget while leaving the steering committee language in place. The committee also considered a proposed Altru grant for additional beds and settled on a smaller planning-focused approach, with a $1 million grant and a line of credit concept to be refined later. The committee then turned to behavioral health items, including QRTP funding, nursing home behavioral health training, and a youth crisis stabilization pilot. Members generally supported keeping the QRTP funding level, but were divided on the nursing home behavioral health training and the crisis stabilization pilot, with some preferring to leave those issues for conference committee. The division also reviewed the HHS block grant and underfunding structure, with Donna Ackland explaining salary, vacancy, and flexibility calculations; the committee discussed adjusting the underfund and revenue assumptions but did not finalize every number before moving on. Finally, the committee took up House Bill 1577 on wastewater treatment grants. Senator Davison moved to hoghouse the bill into a study-focused version using the proposed amendment language, and the motion passed. The committee then moved HB 1577 as amended with a do pass recommendation; the roll call passed with Senators Cleary, Davison, Dever, and Mathern voting yes, and Senator Magrum not recorded as voting. The meeting adjourned with plans to return later in the day to continue budget work.

Transcript Highlights:

• Admittedly, it may have a role for experimental treatments.
• This bill does not mandate medical coverage for dental diagnosis or treatments.
• She had 13 decayed teeth needing extractions, nerve treatments, and crowns, treatment that we had to
• Treatment leads to increased pain and infection.
• Often the treatment then takes place in the emergency room.

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:

• insurers to approve payment for the medically necessary anesthesia when a child needs to have dental treatment

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:

• insurers to approve payment for the medically necessary anesthesia when a child needs to have dental treatment

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:

• Admittedly, it may have a role for experimental treatments and treatments which are not common, but senators
• This bill does not mandate medical coverage for dental diagnosis or treatments.
• She had 13 decayed teeth, needing extractions, nerve treatments, crowns, treatment that we had to perform
• Delayed treatment leads to increased pain and infection.
• Often, the treatment then takes place in the emergency room acutely.

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:

• This is borne out by our DUI treatment program in the Las Vegas Justice Court.
• Appropriate screening, assessment, and treatment of DUI offenders in our justice system can be part of
• And we want to see if we can intervene at that point and create some individualized treatment.
• I'd like to see continuous DUI bills come through, and if it's treatment, if it's education, if it's
• Instead of jail time, we are failing to consider resources or treatment options that would be better

Bills: SB60, SB85, SB323, SB309, SB465

Keywords: elderly, vulnerable persons, criminal penalties, theft, civil penalties, criminal justice reform, traffic stops, law enforcement, data recording, public safety, racial profiling, SB323, Nevada, Department of Corrections, offenders, inmates, incarcerated people, prison phone calls, free phone calls, family communication

Transcript Highlights:

• Only 6% of Texas residents right now who need mental health and substance abuse treatment get.
• There are multiple causes for this lack of treatment access.
• with treatment options.
• In light of recent multi-million dollar fraud. use cases in private psychiatric facilities.
• So in order to ensure that person does get the treatment that they very clearly need.

Bills: HB 3772, HB 1656, HB 4504, HB 1896, HB 4420, HB 4421, HB 4076, HB 3708, HB 2806, HB 3540, HB 1586, HB 5459, HB 4553, HB 4535, HB 3811, HB 3749, HB 4255, HB 4051, HB 5098, HB 3554, HB 4539, HB 5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• This addresses the charges against the person where they were apprehended and the treatment options available
• We reached out to law enforcement and APS, but again, his rights allowed him to refuse treatment.
• emotional distress. ...and mental deterioration or if the person cannot recognize the benefits of treatment

Bills: SJR27, SB53, SB311, SB1164, SB2807, SB1574, SB 53

Keywords: judicial conduct, state commission, judicial misconduct, commission membership, constitutional amendment, mental health, court proceedings, notice requirements, legal filings, electronic documents, Texas Supreme Court, writ power, mandamus, quo warranto, certiorari, procedendo, extraordinary writs, Government Code Section 22.002, separation of powers, judicial authority

Transcript Highlights:

• These treatments should be, and are in fact, treated as medical treatments.
• In fact, they were treated as medical treatments prior to this bill.
• I think we can all agree that IV therapy is a medical treatment.
• The person doing the treatment has to be trained and qualified.
• Having medication on hand to begin treatment is essential.

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• <00:02:43.480> so to receive more intensive treatment so to receive more intensive treatment
• to use the terms residential treatment to use the terms residential treatment or<00:02:47.560>
• <00:04:47.840> or term residential treatment or term residential treatment or Therapeutic<
• admissions to direct care and treatment admissions to direct care and treatment mha<00:33:58.600
• um in an NOA Metro Regional treatment um in an NOA Metro Regional treatment center<00:46:01.200>

Bills: HF2196, HF2586, HF2187, HF2037

Keywords: mental health, emotional disturbance, terminology update, statutory cleanup, conforming amendments, children's mental health, serious mental illness, severe emotional disturbance, case management, residential treatment, outpatient services, crisis services, health plan coverage, antipsychotic drugs, medical assistance, Medicaid, foster care, juvenile court, school discipline, county board

Transcript Highlights:

• <00:50:28.720> Elliot Addiction Treatment Center. Elliot Addiction Treatment Center.
• substance use treatment here at home. substance use treatment here at home.
• Because even when an into treatment.
• <00:51:21.599> becomes ohana because local treatment becomes ohana because local treatment
• substance use disorder or treatment substance use disorder or treatment journey, journey, journey

Bills: HB1853, HB1591, HB1961, HB1854, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115

Keywords: HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health, dementia screening, care coordination, referral network, neighbor islands, rural health

Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.

Transcript Highlights:

• currently have in our state Medicaid program, which is the EPSTd, the early prevention screening, treatment
• We can push this, maybe some of these, the onset of it later in life, and give some education and treatment
• pediatric neurologists, developmental pediatricians, licensed physicians trained in ASD diagnosis and treatment
• secure, real-time statewide registry showing licensed, staffed, and available behavioral health treatment
• This is supported by the Oklahoma Psychiatric Hospital Association and also the alliance of mental health

Bills: SB1421, SB1427, SB1484, SB1503, SB1553, SB1557, SB1564, SB1566, SB1567, SB1591, SB1642, SB1794, SB1837, SB2044

Keywords: mental health, nonphysical intervention, training, youth care, conflict resolution, staff training, pediatric screenings, type 1 diabetes, health care providers, parental consent, reimbursement, state funding, public health, medicolegal investigation, medical examiner, coroner, sudden infant death syndrome, SIDS, sudden unexpected infant death, SUID

Bills: HB816, HB1535, HB1537, HB1541, HB1562, HB1574, HB1591, HB1853, HB1854, HB1871, HB1965, HB1966, HB1969, HB1973, HB1974, HB2315, HB2343, HB2501, HB2505, HB1577, HB2443, HB2498, HB2581, HB2622

Keywords: HB816, Hawaii, opioid overdose, opioid crisis, buprenorphine, naloxone, Narcan, paramedics, emergency medical services, EMS, first responders, substance use disorder, addiction treatment, withdrawal management, overdose reversal, pilot program, Department of Health, DOH, county population under 100,000, rural health

Bills: HB946, HB1093, SB26, SB29, SB30, SB195, SB219, SB222, SB255, SB314, SCR2, SCR22

Keywords: healthcare transparency, hospital pricing, consumer protection, collection actions, fines, naturopathic medicine, Louisiana Board of Naturopathic Medicine, licensing, healthcare, prescriptive authority, natural therapies, opioid treatment, regulation, addiction recovery, state law, SB 29, Act 732, coroner, autopsy, child death

Transcript Highlights:

• They're the only psychiatric hospital in northwest Louisiana.
• prescribed for any gender-affirming hormone therapy and the incidence of psychosis and related psychiatric

Bills: HR290, HR298, SB405, SCR61, HR318

Keywords: gender-affirming care, gender affirming therapy, gender-affirming hormone therapy, transgender health, trans youth, LGBTQ, mental health, psychosis, psychiatric conditions, puberty blockers, androgen blockers, cross-sex hormones, estrogen, testosterone, informed consent, screening, monitoring protocols, Louisiana Department of Health, LDH, House Health and Welfare

Transcript Highlights:

• This is the creation of a psychiatric residential treatment facility in Clay County.
• Minnesota is facing a critical shortage of psychiatric residential treatment facilities, especially for
• <00:05:20.479> residential<00:05:20.960> treatment of psychiatric residential treatment
• of psychiatric residential treatment facilities<00:05:22.400> ptfs<00:05:23.400> especially
• the pressing shortage of treatment the pressing shortage of treatment options<00:10:09.160> for

Bills: HF1380, HF1166, HF487, HF1553, HF1472, HF258, HF1911

Keywords: psychiatric treatment, human services, mental health funding, per diem rate, Clay County, disability services, assistive technology, remote support, advocacy, training programs, HF487, Wellness in the Woods, Minnesota human services, grant funding, general fund appropriation, peer support, substance use recovery, addiction recovery, reentry services, reentry after incarceration

Transcript Highlights:

• allows the court on its own motion or by request of a party to order mental health evaluation and treatment

Bills: SB1023, SB1145, SB1242, SB1247

Keywords: optometrists, eye exams, eyeglass prescriptions, healthcare, vision care, behavior analysis, licensing, psychologist examiners, state regulations, committee authority, mental health, court-ordered treatment, outpatient treatment, audiovisual technology, secure facilities, evaluations, guardian powers, patient rights, assisted living, occupants

Summary: The House Committee on Health and Human Services heard and advanced four Senate bills. SB 1242 would allow courts to conduct mental health evaluation and treatment hearings, or specified testimony in those hearings, virtually by telephone or video if the court finds no unfair prejudice; a speaker said it would codify existing practice and help avoid dismissals caused by technical issues. SB 1145 would transfer licensure and regulation of behavior analysts from the Arizona Board of Psychologist Examiners to the existing Behavior Analyst Committee, with supporters saying it would improve efficiency and eliminate unnecessary board ratification delays. Both bills received due pass recommendations on 11-0 votes, with one member absent. The committee also considered SB 1247, an emergency measure allowing a person who does not receive care services to live with a resident in an assisted living center or home if the facility permits it. Supporters said the bill would clarify a recent statutory interpretation and preserve longstanding arrangements, such as spouses or other companions living together; one member raised concerns about the bill’s broad wording and potential fraud or safety issues, while another noted facilities could still impose background checks or other conditions. SB 1247 passed with a 10-0 recommendation, with one member voting present and one absent. Finally, SB 1023 would set standards for optometrists’ eye examinations, including a recommended one-year exam interval and authority to extend eyeglass prescription validity up to two years depending on patient factors. The Arizona Optometric Association supported the bill as codifying best practices, and one member said a constituent from the blind community had helped bring the issue forward. The committee gave SB 1023 a due pass recommendation on an 11-0 vote, then adjourned.

Transcript Highlights:

• boarding to the community and treatment boarding to the community and treatment settings<01:21:37.960
• We know detention is not an appropriate treatment setting or a safety net for our kids.
• <01:24:47.679> center hospital to the right treatment center hospital to the right treatment
• <01:26:19.199> they being deprived of the treatment they being deprived of the treatment they
• Treatment Center where she could receive Treatment Center where she could receive Specialized<01:28:31.440

Bills: HF2367, HF2319, HF2523, HF1742, HF671, HF2331, HF2722, HF2406, HF1674

Keywords: HF2367, Community First Services and Supports, CFSS, personal care assistance, PCA, consumer-directed community supports, CDCS, home and community-based services, HCBS, direct support professionals, direct care workers, caregivers, support workers, SEIU Healthcare Minnesota & Iowa, collective bargaining agreement, retention stipend, health care cost stipend, training stipend, orientation program, retirement trust