Transcript Highlights:

• The bill is in regards to end-stage renal disease, Bill 4425. It's also known as kidney failure.
• My late father had kidney failure for a number of years, and I would bring him to dialysis treatment
• disease, because even if you get a transplant, you still are diagnosed with end-stage renal disease.
• For end-stage renal failure... I'm sorry. So you said 30 states. ...failure, the gap.
• There's a line in there that says, except for people with end-stage renal disease.

Bills: H4353, H4425, H4453, H4623, H4770, S2587, S2737

Keywords: behavioral health, Medicaid, reimbursement rates, healthcare providers, service delivery, accreditation, Medicare, end-stage renal disease, healthcare access, patient coverage, renal failure, MassHealth, asset limit, personal vehicle exemption, vehicle value, healthcare, autism, ABA services, assistive technology, children

Summary: The Joint Committee on Health Care Financing held a public hearing on several health care financing bills, with most testimony focused on autism/ABA services and kidney disease coverage. On House Bill 4623, Representative Lisa Field and providers from Community Autism Services and related groups urged the committee to recognize assistant-level ABA providers, including BCaBAs, in the MassHealth reimbursement structure to expand capacity, reduce wait lists, and improve access for children with autism. An actuary testified that moving from a two-tier to a three-tier ABA model could lower MassHealth costs, and providers said current reimbursement and new MassHealth requirements are contributing to long delays and workforce strain. On House Bill 4353 and Senate Bill 2587, testimony from ABA organizations supported a biannual Medicaid rate review process to better align reimbursement with service costs, workforce needs, accreditation requirements, and new administrative burdens, without mandating a specific rate increase.

Bills: SB5994

Keywords: timber tax, school funding, levy failure, tax distribution, education funding, 904, all

Bills: SB5994, SB6244

Keywords: timber tax, school funding, levy failure, tax distribution, education funding, tax exemption, agriculture, hazardous substances, crop protection, warehousing, 904, all

Transcript Highlights:

• House Bill 2403 relates to modifying provisions relating to the crime of failure to register as a sex
• In the Sentencing Reform Act, a second or subsequent failure to register is a sex offense.
• The Commission's discussions about failure-to-register offenses have often characterized the offense
• Resoundingly, they find that it does not improve public safety; therefore, prison time for failure to
• This is government failure to protect the trafficking victims.

Bills: HB1591, HB2209, HB2403, HB2526

Keywords: domestic violence, sexual assault, human trafficking, survivor protections, legal remedies, defendants, theft, robbery, sentencing enhancements, criminal justice, property crimes, failure to register, registration requirements, public safety, law enforcement, prostitution, public health, criminal justice reform, community safety, 904

Summary: The committee heard testimony on House Bill 2209, which would add 12- or 24-month sentencing enhancements for certain theft-related offenses when the value of stolen, possessed, or trafficked property exceeds $20,000 or $50,000. The sponsor, Rep. Mari Leavitt, said the bill is intended to address organized retail theft and related fencing operations, arguing that the crime is tied to broader public safety harms, underreported by businesses, and costly to retailers, workers, consumers, and the state. Supporters from prosecutors, law enforcement, retailers, and local governments said the bill targets the most serious repeat offenders and would improve accountability. Opponents from defense and civil legal groups argued that sentencing enhancements are ineffective, that retail theft is overstated, and that the bill would further increase incarceration and racial disparities. The hearing on HB 2209 was closed after public testimony; no vote was taken. The committee also heard House Bill 2403, a proposed substitute dealing with failure to register as a sex offender or kidnapping offender. Staff explained that the bill would lower the seriousness level for a second or subsequent failure-to-register offense, while preserving a felony response and adding community custody. Testimony was broadly supportive from the Sex Offender Policy Board, the Sentencing Guidelines Commission, prosecutors, public defenders, and sheriffs and police chiefs, who described the measure as a better use of resources and a way to improve compliance. The ranking member raised public safety concerns, but the bill was presented as a negotiated, unanimous recommendation from the policy board. The hearing was brief and concluded without action. House Bill 1591, concerning sentencing, resentencing, and vacating convictions for defendants who are verified survivors of domestic violence, sexual assault, or human trafficking, was also heard. Staff said the proposed substitute would create a sentencing alternative, allow resentencing for some currently incarcerated people, permit vacating convictions in qualifying cases, and require a report on implementation. Supporters, including prosecutors involved in a survivor diversion program, advocates, researchers, and a witness from Oklahoma, said many survivors are criminalized because of abuse and that the bill would give courts a structured way to consider that context. Prosecutors and law enforcement expressed concerns that the bill could create too much discretion, extend beyond self-defense-type situations, and potentially affect public safety or sentencing consistency. The hearing ended with testimony from an Oklahoma advocate describing that state’s similar law and its limited use so far. Finally, the committee began public testimony on House Bill 2526, which would rename patronizing a prostitute as commercial sexual exploitation, expand the offense to include providing anything of value, elevate it from a misdemeanor to a Class C felony, and increase associated fees. The sponsor said the bill is aimed at reducing demand from sex buyers and addressing trafficking and violence against women, children, and other vulnerable people. Supporters, including prosecutors, police, and tribal health advocates, described the bill as a tool to deter buyers and reduce exploitation. Opponents and people with lived experience argued that criminalizing buyers would push the market underground, harm consensual sex workers, and fail to address poverty, housing, and other root causes. The hearing was still underway when the transcript ended, and no vote or final action was taken in the excerpt.

Transcript Highlights:

• the areas that law protects.<00:59:58.880><c> and</c><00:59:59.119><c> that</c><00:59:59.359><c> failure
• </c><00:59:59.839><c> to</c><01:00:00.880><c> engage</c> protects. and that failure to engage protects
• . and that failure to engage in<01:00:02.799><c> the</c><01:00:03.920><c> process</c><01:00:04.640><c
• Failure to engage in the protection.
• Failure to engage in the process<01:20:05.040><c> to</c><01:20:05.280><c> determine</c><01:20:05.679>

Bills: HF3661, HF2380, HF3468, HF3483

Keywords: facial recognition, privacy, government surveillance, public safety, data protection, civil liberties, disability rights, discrimination, accommodations, employment, housing, public services, education, civil action, failure to render aid, damages, Minnesota Statutes, legal liability, trespass, civil immigration enforcement

Bills: HB1318

Keywords: HB 1318, pesticide labeling, pesticide warning, duty to warn, failure to warn, labeling defense, EPA-approved label, Federal Insecticide Fungicide and Rodenticide Act, FIFRA, North Dakota agriculture commissioner, product liability, tort reform, preemption, carcinogenicity classification, human health assessment, pesticide regulation, agricultural chemicals, herbicide, insecticide, rodenticide

Summary: The Agriculture and Veterans Affairs Committee met on April 10 and took up House Bill 1318, a bill dealing with pesticide-related liability and warning-label issues. The chair explained that the bill had drawn strong interest from both agriculture and public health sides, and that the committee was trying to craft language that would protect consumers without unduly harming agricultural production. He said the committee had worked through multiple draft amendments and was now considering Amendment 1006, which was described as a compromise combining earlier proposals and narrowing the bill’s scope to pesticides registered with the state commissioner. Members discussed whether the amendment would weaken the original intent of the bill. Senator Myrdal said the revised language added needed guardrails and addressed concerns about overly broad preemption language and warning-label standards, while also preserving agriculture’s ability to operate. After a motion to rescind the earlier action on the bill passed, Amendment 1006 was adopted unanimously by the members present. A motion to move the bill without committee recommendation failed for lack of a second. The committee then voted on House Bill 1318 as amended. The do-pass motion passed on a roll call vote, with Senators Weber, Luick, Myrdal, and Lemm voting yes, and Senators Marcellais and Weston voting no. The chair said he would carry the bill. The meeting ended with members thanking the chair and staff for their work during the session, and the chair noted he might call the committee back if a conference committee report required further input.

Transcript Highlights:

• And if there's... ...failures to comply, we need to be getting involved.

Bills: HB2510, SGA9305

Keywords: community custody, probation, Department of Corrections, DOC supervision, Washington criminal law, sentencing, felony supervision, risk assessment, sex offense, serious violent offense, domestic violence, repetitive domestic violence, failure to register, sex offender registration, dangerous mentally ill offender, indeterminate sentence, parole, conditional commutation, gross misdemeanor, misdemeanor

Transcript Highlights:

• correction for the facility and all subsequent determinations regarding the facility's return or failure
• correction for the facility and all subsequent determinations regarding the facility's return or failure
• to return to compliance. regarding the facility's return or failure to return to compliance and any
• It also helps document patterns of systemic failure.
• When compliance failures are brought into light, they cannot be ignored.

Bills: HB2510

Keywords: community custody, probation, Department of Corrections, DOC supervision, Washington criminal law, sentencing, felony supervision, risk assessment, sex offense, serious violent offense, domestic violence, repetitive domestic violence, failure to register, sex offender registration, dangerous mentally ill offender, indeterminate sentence, parole, conditional commutation, gross misdemeanor, misdemeanor

Transcript Highlights:

• causes of maternal deaths makes it harder to trace policy impacts, healthcare shifts, or systemic failures
• They slowed down kidney failure a little bit and preserved kidney function, but not for too long.
• Littlefield said, which is that we lead the country in end-stage renal disease.
• President of Texas Renal Coalition. Oh, there you go, I'm sorry, Texas Renal Coalition.
• My name is Bobbie Wagner, and I'm a nephrology nurse. and I'm president of the Texas Renal Coalition,

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

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

Bills: SB210, SB176, SB167, SB244, SB218, SB9, SB153, SB9

Keywords: hospital liens, medical billing, government healthcare, insurance claims, patient rights, controlled substances, unlawful distribution, marijuana, violent offense, sentencing guidelines, criminal justice, aggravated theft, employee benefits, retirement funds, criminal penalty, state law, overdose, failure to render aid, public health, Alabama Athletic Commission

Transcript Highlights:

• This bill fails children, and it is another failure of our state that we simply cannot financially or
• The court may not sanction a person for failure to pay LFOs unless the court finds after hearing that
• the failure to pay is willful, meaning the person The court may not sanction a person for failure to
• pay LFOs unless the court finds after hearing that the failure to pay is willful, meaning the person
• to register as a sex offender or for failure to register as a kidnapping offender.

Bills: HB1316, HB2401, HB2557, HB2720, HB1073, HB2685, HB2640, HB2403

Keywords: postsecondary education, homelessness, foster youth, education access, support programs, commission, gender equity, boys, men, advocacy, state policy, special education, parental rights, educational access, evaluation reports, disability services, behavioral health, emergency services, health insurance, provider access

Summary: The committee heard staff briefings, public testimony, and no final votes on a series of bills. On Substitute House Bill 1128, staff described a proposed second substitute creating a Child Care Workforce Standards Board at L&I with an advisory role only, along with estimated staffing and board costs; supporters said child care workers need a forum to address understaffing and wages, while opponents called the bill duplicative and costly. The committee also heard support for Second Substitute House Bill 1634, which would have OSPI and ESDs develop a technical assistance and training framework for school behavioral health supports, and Substitute House Bill 2636, which would create a public education review advisory council to recommend K-12 policies for JLARC review; staff outlined fiscal impacts for both, and no one testified on 2636. Members then heard House Bill 1316 on expanding the Supporting Students Experiencing Homelessness program so multiple campuses within an institution could apply, with testimony that the current language unintentionally limits access to already appropriated funds. Substitute House Bill 2474 would expand use of the Student Achievement Council Tuition Recovery Trust Fund to cover consumer protection violations tied to private college closures and teach-out obligations, with staff noting no expected fiscal impact from the fund itself. Substitute House Bill 2365 would broaden the State Broadband Office’s digital equity duties and rename the grant program, with supporters emphasizing rural access and the loss of federal digital equity funding; staff said Commerce would bear most ongoing costs. The committee also heard House Bill 2401, creating a Washington State Boys and Men’s Commission contingent on non-state funding, with supporters saying boys and men face worsening mental health, education, and social outcomes. Substitute House Bill 2475 would require the Office of Equity to develop statewide language-access guidelines and a plan to address interpreter shortages, with staff saying the office could absorb the work but other agencies’ costs were uncertain. Substitute House Bill 2517 would give regional transit authorities more flexibility to seek permits before acquiring property for high-capacity transit projects, and Substitute House Bill 2145 would restrict manufacturers from blocking 340B drug access through contract pharmacies and add reporting requirements; testimony was sharply divided over whether the bill protects safety-net providers or increases health care costs. Finally, Second Substitute House Bill 1420 would require a textile and apparel coordinating organization and a needs assessment for a future producer responsibility program, with supporters urging a careful first step and opponents warning it presumes the outcome and adds complexity and cost.

Transcript Highlights:

• It is critical to understand that this failure was foreseeable.
• What Wilkeson is facing is not routine infrastructure failure. It is a systematic gap.
• These numbers matter because a failure anywhere in the system doesn't stay isolated.
• Well, we've had other failures, incidents. We move heaven and earth, wave a lot of things.
• This bill is necessary, but it exists because of a preventable failure.

Bills: SB5987, SB6170

Keywords: SB 5987, SB5987, Fairfax Bridge, State Route 165, SR 165, Carbon River, WSDOT, Washington State Department of Transportation, emergency bridge replacement, infrastructure failure, transportation emergency, climate commitment account, climate investment account, clean energy, climate funding, greenhouse gas reduction, environmental justice, renewable energy, building electrification, industrial decarbonization

Summary: The Senate Transportation Committee began with a work session on the Fairfax Carbon River SR-165 Bridge closure and replacement. Wilkeson Mayor Jamie Pololi described the bridge as a long-standing state investment that was closed after years of documented deterioration, saying the closure severed access to Mount Rainier-area recreation, hurt local businesses and municipal revenue, and created emergency access problems for Fairfax and nearby communities. Pierce County’s Melissa Littleton and WSDOT’s Steve Rourke said the bridge is 105 years old, was weight-limited before closing, and is now being studied for replacement; WSDOT outlined seven alternatives, said greenfield options were ruled out, and explained that the project is in early geotechnical and pre-NEPA planning, with construction still estimated to take years. Senators asked about detour length, emergency response, historic-preservation issues, and whether the project could be accelerated; WSDOT said the bridge’s status and the need for a new alignment limit the usefulness of emergency authority, and that additional funding will be needed beyond the $7 million already spent from preservation funds. The committee then held a public hearing on SB 5987, which would declare the Fairfax Bridge closure an emergency, direct WSDOT to restore access across SR-165 as soon as possible, grant the transportation secretary limited emergency authorities, exempt the work from Executive Order 25-07 project labor agreement requirements, and make the act effective immediately. Supporters, including the mayor, local residents, recreation advocates, and trail groups, said the bill would recognize the closure as a public safety and access emergency and help restore access to public lands, businesses, and emergency routes. WSDOT testified in opposition to the bill’s practical effect, warning it could create false expectations because most delays are driven by federal NEPA and historic-preservation processes that the secretary cannot waive. The committee reported 606 people signed in support, one opposed, and two other. The committee also heard SB 6170, which would raise the dollar limits for work performed by state highway crews and for certain procurement thresholds that allow small, veteran-, minority-, and women-owned businesses to compete. The bill would increase the state-force limit from $60,000 to $100,000 in normal circumstances and from $100,000 to $160,000 in emergencies, with similar increases for related contracting thresholds; staff said the current limits have not been updated since 2005 and the bill has no fiscal impact. Senator King, the prime sponsor, said the change would better match inflation and help state workers do more routine and emergency work in-house. WFSE and WSDOT supported the bill, saying it would help maintenance crews keep up with rising costs while preserving opportunities for outside contractors; Senator Valdez asked whether it would affect minority- and women-owned contracting programs, and WSDOT said it did not expect an adverse impact but would monitor it. Public testimony was overwhelmingly supportive, with 55 signed in favor and none opposed.

Transcript Highlights:

• As you can imagine, the car broke down several times and eventually had a major mechanical failure where
• critical health care coverage situation for Texans under 65 with severe disabilities like end-stage renal
• Families that qualify for Medicare Part B due to disability, ALS, or end-stage renal disease can access
• Yeah, they certainly can't work, people with ALS and a lot of people with end-stage renal disease.
• Guaranteed issue Medigap coverages for those affected, those disabled with ALS or end-stage renal disease

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

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

Transcript Highlights:

• And so, as you can imagine, the car broke down several times and eventually had a major mechanical failure
• And so, as you can imagine, the car broke down several times and eventually had a major mechanical failure
• where she, The car broke down several times and eventually had a major mechanical failure where she
• ensuring that Texans under 65 who qualify for Medicare Part B due to disability, ALS, or end-stage renal
• People with ALS and a lot of people with end-stage renal disease.

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

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

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

Transcript Highlights:

• The bill is in regard to end-stage renal disease, bill number 4425.
• It's also known as kidney failure.
• with end-stage renal disease.
• For end-stage renal failure? I'm sorry.
• There's a line in there that says, except for people with end-stage renal disease.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on several health care bills focused primarily on autism services and kidney disease coverage. Committee chairs John Lawn and Cindy Friedman opened by outlining hearing procedures, testimony rules, and filing deadlines, and noted the hearing would be recorded and written testimony accepted. They said the day’s topics included affordability and access to behavioral health services, provider reimbursement, Medicare coverage for vulnerable populations, and MassHealth eligibility asset exemptions. A major portion of the hearing concerned House Bill 4623, which would add board-certified assistant behavior analysts (BCABAs) as a recognized mid-level supervisory role in the MassHealth reimbursement framework to help address long wait lists for autism spectrum disorder services. Representative Lisa Field, actuaries, clinicians, and autism service providers testified that the current two-tier model limits workforce capacity, contributes to long delays, and leaves families waiting months for care. Supporters said the bill could expand access, improve retention, and potentially reduce MassHealth costs, while also helping providers meet growing demand and new administrative requirements. The committee also heard testimony on House Bill 4425 and Senate Bill 2737, which would allow Massachusetts residents under 65 with end-stage renal disease to purchase Medigap coverage. Legislators, dialysis advocates, and patients described high out-of-pocket costs under Medicare, barriers to kidney transplant eligibility without secondary insurance, and the financial strain on patients and families. Testifiers said the change would affect about 846 residents, could modestly increase premiums, and might reduce Medicaid spending by preventing asset spend-downs. Senator Gomez and others spoke from personal experience with dialysis and transplant care. Finally, the committee heard testimony on House Bill 4353 and Senate Bill 2587, which would require regular data-driven review of MassHealth ABA reimbursement rates. Providers and association representatives argued that reimbursement has not kept pace with inflation, workforce shortages, accreditation costs, and new 2026 MassHealth policy requirements, and said the bills would improve transparency and ensure rates reflect the true cost of care. No votes were taken; the hearing concluded with the chairs thanking participants, inviting additional written testimony, and adjourning the meeting.

Transcript Highlights:

• The bill is in regards to end-stage renal disease, bill number 4425, also known as kidney failure.
• My late father had kidney failure for a number of years, and I would bring him to dialysis treatment
• disease, because even if you get a transplant, you still are diagnosed with end-stage renal disease.
• For end-stage renal failure? I'm sorry. So you said 30 states.
• There's a line in there that says, except for people with end-stage renal disease.

Summary: The Joint Committee on Health Care Financing held a public hearing on a range of health care financing bills focused largely on autism services and kidney disease coverage. Committee chairs John Lawn and Cindy Friedman outlined hearing procedures and noted that written testimony would continue to be accepted until each bill is acted upon. They said the day’s bills addressed affordability and access to behavioral health services, provider reimbursement, Medicare coverage for vulnerable patients, and MassHealth eligibility asset exemptions. A major portion of the hearing concerned House Bill 4623, which would recognize board-certified assistant behavior analysts (BCABAs) in the MassHealth reimbursement framework to help address long wait lists for autism spectrum disorder services. Representative Lisa Field and several providers testified that Massachusetts families face long delays for ABA services and that adding BCABAs would expand workforce capacity, reduce costs, and improve access. Wakely actuary Annie Tasman Ewing said a three-tier model could reduce MassHealth costs by up to 6% annually, while Dr. Sandra Beaton and others described severe wait lists and said the bill would allow more families to be served sooner. The committee also heard extensive testimony on House Bill 4425 and Senate Bill 2737, which would allow people under 65 with end-stage renal disease to purchase Medigap coverage. Representative Stanley, Senator Gomez, and advocates from the American Kidney Fund and Dialysis Patient Citizens argued that current law unfairly excludes these patients, leaves them with high out-of-pocket costs, and can delay transplant eligibility because many centers require secondary insurance. Testifiers said the change would help about 846 residents, could cost insurers only a small premium increase, and might reduce Medicaid spending by avoiding asset spend-downs. Committee members asked questions about the existing statutory carve-out and the practical effects on transplant access. The hearing also included testimony on House Bill 4353 and Senate Bill 2587, which would require regular Medicaid rate reviews for ABA services. Providers and clinicians said current MassHealth rates no longer reflect the cost of delivering care, especially with new 2026 policy requirements, workforce shortages, and accreditation obligations. They emphasized that the bills would not mandate a rate increase but would create a data-driven, transparent review process. At the end of the hearing, the chairs thanked participants, invited additional written testimony, and the committee voted unanimously to adjourn the hearing.

Transcript Highlights:

• This tragedy has exposed critical failures in law enforcement preparedness, Senator Flores: Response
• taking care of our children in our schools, we'll work together to make sure that we learn from the failures
• assault and abuse by broadening the duty to intervene or report by expanding criminal offenses for failure
• It extends the statute of limitations for failure to report the sexual assault of a child, allowing more

Bills: HB 33, HB 45, HB 48, HB 1261, HB 1465, HB 1778, HB 2596, HB 5238, SB 2969

Keywords: HB 48, oilfield theft, organized theft, petroleum products, oil and gas equipment, DPS, Department of Public Safety, Texas, Railroad Commission, criminal justice, energy resources, theft prevention, organized crime, border region, El Paso, law enforcement task force, asset recovery, pipeline theft, drilling equipment, equipment theft

Transcript Highlights:

• It's a failure to render aid and, basically, very quickly, as far as what...
• Failure to render aid. Does it require you to start CPR if they're unconscious or just calling?

Bills: SB210, SB176, SB167, SB244, SB218, SB9, SB153, SB9

Keywords: hospital liens, medical billing, government healthcare, insurance claims, patient rights, controlled substances, unlawful distribution, marijuana, violent offense, sentencing guidelines, criminal justice, DUI, driving under the influence, drunk driving, fatal crash, vehicular homicide, child support, survivor benefits, orphaned child, guardian death

Bills: SB2141, SB2593, SB2824, SB2135, SB2115

Keywords: retirement, law enforcement, pension, public safety, employee contributions, Law Enforcement Standards Board, LESB, civil service exemption, collective bargaining exemption, law enforcement certification, police standards, law enforcement training, officer certification, training and curriculum coordinator, lead investigative agent, administrative manager, administrator, Hawaii HRS 76-16, Hawaii HRS 139-3, personnel exemption

Transcript Highlights:

• causes of maternal deaths, making it harder to trace policy impacts, health care shifts, or systemic failures
• Kidney failure a little bit, preserved it not too long, but it did preserve it.
• Littlefield said, which is we lead the country in end-stage renal disease.
• I show you is Roberto Wagner, I'm sorry, Wager, uh, president of Texas Renal Coalition.
• I'm sorry, Texas, Texas Renal Coalition itself for the bill. Yes. All right, thank you. Go ahead.

Bills: HB46

Keywords: local government spending cap, expenditure limit, political subdivision, property tax, ad valorem tax, budget cap, taxpayer protection, spending restraint, inflation adjustment, population growth, voter approval, supermajority vote, county budget, municipal budget, school district finance, junior college district, hospital district, special district, attorney general enforcement, local fiscal limits