Transcript Highlights:

• Senate Bill 512 makes clear that a user cannot be fined for a violation of terms of service by a money
• This policy was set to go into effect later that year, prohibiting customers from using its services
• of what they say their terms of service are.
• of their terms of service.
• This serves as a disincentive for money transmission businesses from imposing these fines.

Bills: SB512, SB1024

Keywords: SB 512, Texas Finance Code, money transmission, money services business, money transmitter, money transmission licensee, terms of service, consumer protection, civil penalty, attorney general enforcement, account closure, refund of balance, financial services regulation, payments industry, fintech, prepaid accounts, remittance, licensee compliance, local government debt, municipal finance

Transcript Highlights:

• We provide all of the services listed on this slide, including technical assistance presentations like
• <00:04:06.480> listed<00:04:06.799> on we provide all of the services listed on we
• provide all of the services listed on this<00:04:07.120> slide,<00:04:07.439> including
• I'm the executive director of MAXA and the human services policy analyst for the Association of Minnesota
• know, where we have listed, you know, starting at 3.23, two, three, we start inpatient hospital services

Bills: HF3439, HF3763

Keywords: Medical Assistance, Medicaid, MNsure, MinnesotaCare, disability determination, expedited eligibility, state medical review team, compassionate allowance, rare disease, home and community-based services, long-term care, managed care, county-based purchasing, eligibility redetermination, periodic data matching, death master file, Social Security Administration, program integrity, income eligibility, asset test

Summary: The House Health Finance and Policy Committee met on March 4, 2026, approved the minutes from its February 25 and March 2 meetings, and then heard a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid eligibility changes in the federal One Big Beautiful Bill Act (HR1/OB3). The presentation focused on provisions affecting Medicaid expansion adults ages 19 to 64, including new work and community engagement requirements, changes to retroactive eligibility, quarterly death master file checks, address verification requirements, six-month redeterminations for expansion enrollees, and new limits on some lawful permanent residents and other immigrant groups. Castanza also discussed state implementation issues, including the need for new data-sharing systems, system modernization, outreach, and options for helping people transition to other coverage if they lose eligibility. She said the work and community engagement rules take effect January 1, 2027, with states given flexibility on look-back periods, consecutive versus nonconsecutive months, and optional hardship exemptions, and noted that CMS guidance is not expected until June 2026. She also described federal support for implementation, including $200 million in grants and a 90% federal match for eligibility system work, while warning that the fast timeline could lead to coverage losses, churn, and challenges for special populations such as caregivers, people with behavioral health conditions, incarcerated individuals, and rural residents. She further explained that an erroneous payment provision could expose states to federal recoupment later if eligibility errors increase. During member questions, Representative Beerman asked about the overall size of the Medicaid cuts and the cumulative national impact; Castanza said estimates vary by state and cited KFF analysis suggesting states could lose 4% to 19% of federal Medicaid revenue, with a newer RAND analysis recently released. Beerman also asked about the history and effectiveness of state work requirements, but that discussion was not completed in the excerpt. Representative Elkins noted the presentation was not initially posted on the committee website, and the chair said it had since been posted.

Transcript Highlights:

• regional transmission organizations. regional transmission organizations.
• <00:05:08.960> Uh transmission. Uh so that's phase one. Uh transmission.
• a regional transmission organization. a regional transmission organization.
• focusing on transmission. focusing on transmission.
• We don't oppose transmission planning. We don't oppose studying transmission needs.

Bills: SF0102, SF0113

Keywords: energy transmission, load growth, Wyoming energy authority, transmission planning study, public utilities, regional cooperation, hand count audit, ballots, election integrity, transparency, voting system, 916, all

Bills: SB 1113, SB 1117, SB 1206, SB 1460, SB 1802, SB 1906, SB 1917, SB 2340, SB 2455, SB 2680, SB 2690, SB 705, SB 748

Keywords: dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, electricity, transmission services, municipal consent, utility regulations, construction, state highways, ethics, compliance, licensing, government, transparency, landlord, tenant rights, repair obligations, housing conditions

Transcript Highlights:

• Uh, advanced transmission technology.
• So basically making the current transmission system more efficient.
• I’m the chairman of the Wyoming Public Service Commission.
• <00:09:09.600> Uh Wyoming Public Service Commission.
• Uh Wyoming Public Service Commission.

Bills: SF0102, SF0123, SF0021, SF0099

Keywords: energy transmission, load growth, Wyoming energy authority, transmission planning study, public utilities, regional cooperation, energy, funding, grants, loans, coal, natural gas, mineral processing, economic development, stable token, liquidity, trust account, Wyoming, fund distribution, financial regulation

Transcript Highlights:

• Other states offer this service, and we need to be able to do it.
• Other states offer this service, and we need to be able to do it.
• <00:04:47.360> they actually provide expedited service. they actually provide expedited service
• Uh, I think this will be a great service which will align us with other states and enhance our services
• Uh, I think this will be a great service which will align us with other states and enhance our services

Bills: SF0102, SF0123, SF0021, SF0099

Keywords: energy transmission, load growth, Wyoming energy authority, transmission planning study, public utilities, regional cooperation, energy, funding, grants, loans, coal, natural gas, mineral processing, economic development, stable token, liquidity, trust account, Wyoming, fund distribution, financial regulation

Transcript Highlights:

• We are the largest trade association representing money service businesses.
• We provide essential services to people in Alabama.
• Uh, MSB is money servicing business and...
• Uh, MSB is money servicing business and that's what all of these people have.
• What we did, uh, we are very good on the money transmission side.

Bills: HB297

Keywords: cash transactions, money transmission, regulatory compliance, criminal penalties, Alabama Securities Commission, 1136, house, all

Bills: HB59, HB74, HB159, HB167, HB175, HB255, HB330, HB364, HB458, HB525, HB568, HB656, HB1033, HB1034, HB1070

Keywords: public defender, funding, district court, East Baton Rouge, judicial expenses, Autism Spectrum Disorder, missing children, law enforcement, public safety, Spectrum Alert, inmate documentation, post-release employment, special identification card, Louisiana Department of Public Safety, reentry services, veterans, veterans services, lottery proceeds, special fund, grant board

Transcript Highlights:

• district to establish a minister the Andrew Gibbs Memorial Nursing Endowment to honor his life of service
• no fiscal note on this as, uh, as your local municipalities will, will be required to pay for the service
• Uh, it's on the 5th, uh, year of service. They can choose to do so. They are not required to do so.
• I think it's a great thing as a as a 32 year veteran of the fire service. I think it's great.
• Ours is Emergency Services District, El Paso County Emergency Services District.

Bills: HB318, HB198

Keywords: ERCOT, interconnection, electric utilities, power grid, transmission, election administration, school board elections, trustee terms, general election, Education Code

Transcript Highlights:

• and help them for their service and get them back on their feet?
• I'm the CEO of Central Arizona Shelter Services, also known as CASS.
• Thank you for your service. And as you know, Mr.
• We save the government money by providing services that are free or low-cost.
• I have been a longtime home and community-based service operator.

Bills: HB2211, HB2229, HB2389, HB2403, HB2445, HB2502, HB2620, HB2813, HB2872, HB2889, HB2960, HB4028, HCR2007

Keywords: contractors, subcontractors, resident preference, public contracts, materials supply, Arizona Revised Statutes, local businesses, pregnancy resource center, pregnancy center, crisis pregnancy center, DHS, Arizona Department of Health Services, state appropriation, general fund, nonprofit grant, women's health, maternal health, reproductive health, abortion funding, pro-life

Summary: The committee first took up HB 2211 only for discussion, not a vote. The strike-everything amendment would make it unprofessional conduct for certain health care licensees to submit an independent dispute resolution offer above 300% of Medicare or 300% of the qualified payment amount. The chair said he wanted more stakeholder meetings and broader consensus before moving the bill. Testimony was split: an ARMA representative opposed the measure, arguing it reflected insurer concerns, QPA data lacked transparency, and licensing discipline was the wrong tool for billing disputes; a Blue Cross Blue Shield representative supported it, saying a small number of private equity-backed providers were driving up surprise-billing costs and abusing the No Surprises Act. No action was taken on HB 2211. The committee then considered HB 4028 on accessory dwelling units. The bill would remove the 1,000-square-foot cap as an absolute limit, change setback rules, bar municipalities from requiring an administrative use permit and certain elevation criteria, and extend the deadline for cities to adopt ADU regulations. Rep. Kyle Powell said the bill was meant to give homeowners more flexibility and help address housing shortages. Supporters framed it as a property-rights and housing issue, while opponents from neighborhood and city groups warned it would allow oversized ADUs, increase density, create safety and parking concerns, and weaken local zoning control. After extensive debate, the committee voted 8-9 with one present, and HB 4028 failed. The committee next passed HB 2620, as amended, by a 17-0 vote with one member not voting. The bill appropriates $300,000 per year for five years to the Arizona Department of Veterans’ Services for grants to emergency shelters serving veterans. An amendment removed age and non-congregate-setting limits for eligible shelters. Rep. Blackman said the bill was intended to help homeless veterans, and shelter advocate Nathan Smith supported it, saying targeted resources could help veterans exit homelessness and stay housed. The committee then took up HB 2960, which would create a veterans specialty court grant program. The bill was amended to have the Office of the Courts administer the fund and to allow support for expansion of existing veterans courts. Testimony highlighted the success of the Lake Havasu veterans court and the need for more standardized programs and data collection; the transcript cuts off before the final vote on HB 2960.

Transcript Highlights:

• The committee on Pensions, Investments, and Financial Services will come to order.
• That relates to the money transmission portion of that chapter.
• What is a digital asset service provider?
• We are one of the largest automotive retailers and account servicers in the country.
• House Bill 3805 seeks to clarify that this applies to money service businesses.

Bills: HB3803, HB3804, HB3805, HB3806, HB3833, HB4134, HB4233, HB4238, HB4243

Keywords: HB 3803, Texas Health and Safety Code, Chapter 712, perpetual care cemetery, perpetual care trust fund, cemetery regulation, financial confidentiality, confidential records, regulatory examination, Texas Department of Banking, commissioner disclosure, interagency information sharing, state agency enforcement, federal agency disclosure, trust fund oversight, burial services, cemetery trust, consumer protection, state banks, Texas Finance Code

Bills: HB 1106, HB 3284, HB 541, HB 713, HB 1403, HB 1586, HB 1942, HB 2070, HB 2844, HB 2851, HB 3151, HB 3749, HB 3940, HB 3963, HB 4454, HB 4466, HB 4795, HB 5154, HB 5394, SB 1357, HB 1052, HB 4099, HB 4638, HB 5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Bills: HB 1106, HB 3284, HB 541, HB 713, HB 1403, HB 1586, HB 1942, HB 2070, HB 2844, HB 2851, HB 3151, HB 3749, HB 3940, HB 3963, HB 4454, HB 4466, HB 4795, HB 5154, HB 5394, SB 1357, HB 1052, HB 4099, HB 4638, HB 5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Bills: HB297, HB587

Keywords: cash transactions, money transmission, regulatory compliance, criminal penalties, Alabama Securities Commission, information technology, auditors, financial institutions, cybersecurity, certifications, state regulations, 1136, house, all

Bills: SF0114, SF0102, SF0117

Keywords: elections, Wyoming House of Representatives, state representatives, multi-member districts, county-based districts, party list voting, list voting, proportional representation, Jefferson method, greatest divisors method, ranked choice voting, RCV, primary elections, party conventions, minor parties, major parties, ballot design, apportionment, redistricting, nomination procedures

Bills: SF0114, SF0102, SF0117

Keywords: elections, Wyoming House of Representatives, state representatives, multi-member districts, county-based districts, party list voting, list voting, proportional representation, Jefferson method, greatest divisors method, ranked choice voting, RCV, primary elections, party conventions, minor parties, major parties, ballot design, apportionment, redistricting, nomination procedures

Transcript Highlights:

• The Senate Committee on Health and Human Services will come to order.
• Again, thank you for your service.
• They’re all messenger delivery services, correct?
• these services.
• In a Child Protective Services case, you can be ordered into services on something less.

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The committee first reopened testimony on House Bill 2216, which would strengthen child welfare requirements by expanding “active efforts” to help families avoid removal and support reunification, while also raising standards related to removals and terminations. Supporters from child welfare and family defense groups said the bill would better protect families and align Texas more closely with ICWA-style principles, but several warned it would require significant new funding, staffing, and community services such as mental health care, housing, child care, and substance use treatment. The committee then left HB 2216 pending. The committee next heard Senate Bill 1782, aimed at boarding and group homes. Senator Miles said the bill closes enforcement gaps left by prior law by requiring retention of background-check records and creating misdemeanor penalties for failing to conduct or keep them, or for knowingly hiring people with serious convictions. Harris County sheriff’s investigators testified in support, describing illegal boarding homes, operators who evade permits and background checks, and exploitation of vulnerable residents; the bill was left pending. The committee also took up Senate Bill 481 on emergency preparedness for nursing facilities and assisted living facilities, adopted a new committee substitute that softened some requirements and removed the fiscal note, and left the bill pending. The committee then heard House Bill 388, which would require the Texas Department of Insurance to create a single standardized coordination-of-benefits form for dual health plans to reduce errors and surprise bills; it was left pending. Senate Bill 1590 would move paternity registry searches for adoptions to an electronic process with a 10-day target, and House Bill 2809 would track child suicide attempts in managing conservatorship and require related reporting and parental notice; both were left pending. The committee also heard Senate Bill 1887, which would prohibit administering mRNA-containing products for immunization for 10 years, with exceptions for cancer and genetic disorders. Supporters argued the bill was needed for safety, informed consent, and medical freedom, while opponents from the medical, research, and public health communities said mRNA vaccines are well-studied, save lives, and that the bill would harm access, research, and Texas’s biotech economy. The bill remained under discussion as testimony concluded.

Transcript Highlights:

• That service hasn't come easy.
• One of them is preventive services.
• We looked at their service plans.
• in more places, we have prevention services, in-home services, a problem.
• We have more services, in more places, we have prevention services, in-home services, a plethora of laws

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.

Transcript Highlights:

• The Senate Committee on Health and Human Services will come to order.
• So, the fiscal note is really about the impact of making the services online.
• Obtain a permit or pay a permitting fee to operate a food service establishment, temporary food service
• In the United States Postal Service, we call it snail mail.
• I am a former investigator for Child Protective Services.

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health

Transcript Highlights:

• I appreciate these ladies' service.
• Of the telehealth services that we contract with providing third-party services?
• Telehealth services? Yes, ma'am. Who does the physical exam?
• The service that you contract with that makes contact with a patient.
• , the Department of State Health Services, Health and Human Services Commission, and the Texas Workforce

Bills: HB1106, HB3284, HB541, HB713, HB1403, HB1586, HB1942, HB2070, HB2844, HB2851, HB3151, HB3749, HB3940, HB3963, HB4454, HB4466, HB4795, HB5154, HB5394, SB1357, HB1052, HB4099, HB4638, HB5147

Keywords: child abuse, neglect, gender identity, sexual orientation, child welfare, marriage, family, Texas Commission, family welfare, marriage support, stability, premarital education, child development, strong families, direct patient care, healthcare, physicians, medical services, insurance regulation, maternal health