Transcript Highlights:

• Residential treatment centers provide around the clock supervision and care for children with serious
• Most res Residential treatment centers in Texas, um, do have a charter school on campus, um, but some
• Uh, you are with Texans Care for Children. Is that correct? Excuse me, yes, that's correct.
• I am Kate Murphy, director of child protection policy at Texans Care for Children.
• care, it should be considered temporary because parents are working to get their children home.

Bills: SB 2041, SB 1777, SB 1681, SB 2311

Keywords: child welfare, foster care, Department of Family and Protective Services, DFPS, Family Code, conservatorship, placement selection, contract residential care, kinship care, relative placement, designated caregiver, best interest of the child, least restrictive setting, placement stability, child protective services, residential treatment, group home, family reunification, Texas foster system, residential care

Transcript Highlights:

• Residential treatment centers provide around-the-clock supervision and care for children with serious
• You are with Texans Care for Children, correct? Excuse me. Yes, that's correct.
• Our concern is that when a child is initially placed in foster care or placed in any care, it should
• But once the child is placed in care, they always ask, are you willing?
• Care providers or their staff to violate this provision.

Bills: SB2041, SB1777, SB1681, SB2311

Keywords: child welfare, foster care, Department of Family and Protective Services, DFPS, Family Code, conservatorship, placement selection, contract residential care, kinship care, relative placement, designated caregiver, best interest of the child, least restrictive setting, placement stability, child protective services, residential treatment, group home, family reunification, Texas foster system, residential care

Transcript Highlights:

• I see them relying on medical assistance for their health care coverage to access primary care.
• care system money.
• primary care provider.
• facilities, intensive residential treatment, and assertive community care and treatment.
• ><c> care</c> assertive assertive community care care assertive assertive community care care and<01:

Bills: HF1005

Keywords: health insurance, medical assistance, behavioral health, reimbursement rates, primary care services, physician fee schedule, managed care, residential services, 1183, house

Transcript Highlights:

• PACE is an integrated system of care for older adults who are eligible for nursing home care but who
• PACE is an integrated system of care for older adults who are eligible for nursing home care but who
• PACE is an integrated system of care for older adults who are eligible for nursing home care but who
• and managing long-term care.
• care</c><01:08:26.880><c> these</c> providing them with care these providing them with care these caregivers

Bills: HF1937, HF2407, HF1678, HF1477, HF2040, HF1840, HF257

Keywords: PACE, elderly, Medicaid, health services, long-term care, community-based services, support person, healthcare, patient rights, assisted living, community support, caregiver respite, financial eligibility, Minnesota Statutes, HF1477, residential program licensing, community residential setting, small group home, licensed capacity six or fewer, rental licensing

Transcript Highlights:

• It allows child care operators and at-home child care facilities to provide assistance or to provide
• child care without additional regulations.
• Finally, child care is a revenue generator.
• For every dollar invested in child care, states realize about $2 in local spending because child care
• Which would be utilities and health care.

Bills: HB303, SB96, HM6

Keywords: public utility, certificate of public convenience and necessity, certificate of need, Public Regulation Commission, PRC, utility regulation, ratemaking, energy storage, battery storage, grid reliability, renewable energy, transmission, distribution, generation plant, utility expansion, service territory, mutual domestic water consumer association, economic development department, clean energy, fossil fuel reduction

Transcript Highlights:

• Health care facility.
• , which is a barrier to care.
• the volume of care rather than the quality of care. provided.
• care, fee-for-service, to paying for health care that keeps people healthy.
• care.

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:

• practitioners or associations of health care practitioners.
• practitioners or associations of health care practitioners.
• They don't care about their gold, silver, millennium, whatever they've got... Bring it in.
• They don't care about their gold, silver, millennium, whatever they've got.
• She'll take care of you. Madam Chair, senators, we did in the last committee...

Bills: SB12, SB36, SB92, SB120, SB133, SB151, SB18, SB96

Keywords: tax credit, physician, healthcare, income tax, rural health, quantum technology, infrastructure, economic development, New Mexico, corporate tax, research and development, innovation, affordable housing, gross receipts tax, tax deduction, construction materials, multifamily housing, low income, journalism, local news

Transcript Highlights:

• Children within the care of the state foster care system or juvenile justice system are at a higher risk
• Residential treatment centers, RTCs, provide around-the-clock supervision and care for children with
• Residential treatment centers, RTCs, provide around-the-clock supervision and care for children with
• A lot of children and youth in foster care, particularly in residential treatment centers, also have
• lower total cost of care.

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.

Transcript Highlights:

• So, when child care operators who are offering care in a home go from serving six to seven children suddenly
• Programs and child care centers.
• they provide care in that home that they live in A child's care center would only be permitted in commercial
• One, these homes are there because people who live in that residential neighborhood need care.
• And there are places that offer 24-hour care or care from midnight to 6 a.m. for infants.

Bills: SB20, SB53, SB86, SB96, SB129

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder

Transcript Highlights:

• I don't care who's supposed to request it. It's law and you have to request it.
• I don't care who's supposed to request it. It's law and you have to request it.
• , skilled nursing, memory care, rehab services, and hospice.
• SB 1522 addresses this issue by updating what constitutes continuing care.
• What a continuing care contract is and what it is not.

Bills: SB500, SB1522, SB1137, SB1266

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Summary: The Committee on Human Services met with a quorum and first voted out Senate Bill 1589, relating to contract requirements between a single-source continuum contractor and DFPS. The motion to report the bill favorably to the full House with a recommendation that it do pass and be printed prevailed on a 7-0 vote. The committee then heard Senate Bill 500, which would set deadlines for providing foster care adoption records, including health, social, educational, and genetic history reports, to speed adoptions. The bill’s author and witnesses from Addie’s Hope Social Services supported it, saying delays in redacted files can take months, slow permanency for children, and increase costs to the state. Members asked about redactions and sibling/family information, and witnesses explained the bill would mainly speed the preliminary file used to decide whether to proceed with placement. SB 500 was left pending. Members also heard Senate Bill 1266, which would require regular reevaluation of the Medicaid provider support team and add written notice of provider disenrollment at least 30 days in advance. There were no witnesses, no questions, and the bill was left pending. Senate Bill 1522, concerning continuing care retirement communities, was then laid out and supported by LeadingAge Texas and counsel, who said it updates outdated definitions, clarifies licensing and disclosure rules, and strengthens consumer protections for seniors. It was also left pending. After a brief recess, the committee heard Senate Bill 1137, which would prohibit group home consultants from referring people to unlicensed or unpermitted group homes except in limited circumstances, require disclosure of complaints, and create a Class B misdemeanor for violations. Members discussed whether consultants are regulated and noted concerns about unlicensed referral practices. The bill was left pending, and the committee adjourned after completing its agenda.

Transcript Highlights:

• Residential treatment centers (RTCs) provide around the clock... ...provisioning care for children with
• in the foster care system.
• A lot of children and youth in foster care, particularly in residential treatment centers, also have
• Care for those people.
• The bill amends Government Code 540 to allow Medicaid-managed care organizations to provide medical care

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001, HB136

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

Transcript Highlights:

• progressive levels of care.
• living, skilled nursing, memory care, and rehab services. and hospice.
• The delivery of long-term care, like other sectors of health care, continues to evolve.
• their CCRC certificate because of an outdated definition of continuing care.
• Continuing care is not clear in the statute.

Bills: SB500, SB1522, SB1137, SB1266

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Transcript Highlights:

• Our health care system also has home care and direct care, and the certified direct support professional
• </c> Care Resources like Youth Care Care Resources like Youth Care transition<01:24:41.960><c> teams<
• I'm also a member of the Residential Care or Residential Providers Association board of directors.
• <01:37:21.040><c> care</c><01:37:21.440><c> or</c><01:37:21.639><c> residential</c> residential care
• or residential residential care or residential providers<01:37:22.480><c> Association</c><01:37:22.880

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

Transcript Highlights:

• </c> health care costs and health care health care costs and health care services services services &
• Residential care carries a significantly less cost compared to institutional long-term care type facility
• Residential care carries a significantly less cost compared to institutional long-term care type facility
• Residential care carries a significantly Residential care carries a significantly less<00:33:01.840><
• </c> long-term care type facility. long-term care type facility.

Bills: SB2479, SB2557, SB2861, SB3204, SB3324, SB3325

Keywords: criminal procedure, family violence, dating violence, child abuse, evidence admissibility, reduced sentencing, homelessness, reporting requirements, statewide office, housing solutions, kauhale projects, public oversight, SB2861, Hawaii, Office of Wellness and Resilience, OWR, Department of Human Services, DHS, Kakou Pilot Program, Kakou

Summary: The committee heard testimony on several measures related to criminal procedure, homelessness, family resilience, Medicaid-funded services, and school Medicaid reimbursement. On SB 2479 SD2, the Judiciary testified in neutral opposition with concerns that the bill could require imprisonment even for probation-eligible defendants, expand sentence reconsideration in ways that could undermine finality for victims, conflict with existing sentencing statutes, and require additional judicial resources. The Office of the Public Defender supported the bill’s intent but asked for language changes so people serving sentences could raise the new evidence in Rule 40 petitions and so probation would remain available in appropriate felony cases. Written testimony also included opposition from several county prosecutors and police, and support from the Office of Hawaiian Affairs. The chair later deferred SB 2479 SD2, citing unintended consequences and problems with the bill. For SB 2557 SD1, which would require annual reporting by the State Office on Homelessness and Housing Solutions, the office said it supported the intent but noted it already produces annual and quarterly reports, that some requested data is already available, and that staffing and cost constraints could make the new reporting burdensome. The State Council on Mental Health supported the measure and suggested narrowing the reporting language to data on individuals with serious mental illness or co-occurring behavioral health conditions, to the extent practicable and in collaboration with relevant agencies. A committee member asked about the availability of point-in-time count data, and the office explained that some figures may not be available every year and may need to be generated through HMIS. Dr. Jack Lewin testified in support, saying the data would be useful for understanding health care costs. The committee passed SB 2557 SD1 with amendments, including a deferral of the effective date. The committee also heard SB 2861 SD2 and SB 3204 SD1, both family resilience pilot program measures. For SB 2861 SD2, the Office of Wellness and Resilience and DHS supported the bill but requested amendments to clarify that the office’s role is planning and advisory, that DHS is a key partner, and that federal compliance safeguards are included. The chair raised concerns about overlap with DHS’s existing Ka Ohana program and asked for language to avoid redundancy while allowing the bill to cover other at-risk children; decision-making was deferred to the next hearing. For SB 3204 SD1, which would create a peer-navigator-based family resilience pilot, the Office of Wellness and Resilience and DHS supported the measure, with the office requesting a two-year pilot period, and both agencies and several advocacy groups submitted support. The committee discussed funding, the proposed five peer navigators, and whether the pilot should be limited to one or two geographic areas; no final action was taken in the portion provided. The committee also heard and supported SB 3324 SD1 on Medicaid home and community-based services, with the Department of Health emphasizing caregiver shortages and the cost-effectiveness of community care, and SB 3325 SD1 HD1 on public school Medicaid reimbursement, where DOE and the Attorney General requested clarifying amendments to reporting language and position titles.

Transcript Highlights:

• </c><00:02:46.760><c> treatment</c> to use the terms residential treatment to use the terms residential
• </c><00:04:50.199><c> might</c> Therapeutic Foster Care some might Therapeutic Foster Care some might
• </c> Department of Human Services Direct Care Department of Human Services Direct Care and<00:09:09.920
• </c><00:24:37.840><c> and</c> or 94 capacity across Direct Care and or 94 capacity across Direct Care
• We want the staff of the care facility to stay working within the care facility, within Direct Care and

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:

• referral agencies that help families find senior living communities like assisted living or memory care
• Or a fixed fee based on the cost of rent or care.
• 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.
• So because they care. OK.

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:

• from agencies that help families find senior living communities, such as assisted living or memory care
• Per referral or a fixed fee based on the cost of rent or care.
• We provide assisted living and Alzheimer's certified care.
• When I first started my business 20 years ago, we had to take good care of our residents and build a
• Our services are free to find. ...and our advisors provide personal guidance based on individual care

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.
• Texans rely on highly trained and skilled health care workers to deliver essential medical care.
• Okay, so it could be a foster care agency that gets a lease for a residential house in a neighborhood
• For instance, if a personal care attendant does not have a personal care attendant for a day or two,
• They bring the primary care there that we need.

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:

• </c> care, reducing long-term health care care, reducing long-term health care costs,<00:05:25.919><c
• This patient centric care care care and<00:14:50.240><c> um</c> and um and um excuse<00:14:53.199><c>
• direct primary care.
• direct primary care.
• and long-term care long-term care and long-term care services<00:42:23.040><c> and</c><00:42:23.520>

Bills: HF2400, HF1724, HF3437, HF4333, HF2874, HF4052

Keywords: real estate, appraisers, disciplinary actions, sanction matrix, Minnesota Statutes, direct primary care, healthcare agreements, medical services, patient care, health insurance, mortgage fees, residential loans, commercial loans, finance regulations, investment properties, insurance, supplemental health insurance, short-term care, home health care, nursing care

Transcript Highlights:

• survivors agree that increasing access to jobs and stable housing provides the stability needed to care
• Nick Hudson: We care about equality of justice under the law and what this bill does is it sets up a
• I understand that the concerns about ensuring a fair trial and we care deeply about that.
• But we often are so worried about our community we don't take care of ourselves.
• Second thing is, I've been a critical care nurse for 25 years. I take care of open hearts.

Bills: HB200

Keywords: HB 200, emergency communication, backup communications, satellite phone, portable satellite equipment, radio, floodplain, 100-year floodplain, FEMA, natural disaster, disaster preparedness, emergency preparedness, vulnerable populations, children, elderly, seniors, people with disabilities, care facilities, residential care, assisted living