Transcript Highlights:

• This bill seeks to expand the use of the screening tools to other geographical areas of the state.
• This is a tool that is validated, was identified by the governor's child sex trafficking team and is
• They are the organization that created and validated this tool.
• This tool is a flat fee, so there's no additional cost for increasing the number of children screened
• Both DFPS and juvenile probation departments already have access to this validated screening tool, and

Bills: HB 451, HB 645, HB 1041, HB 1151, HB 1155, HB 1536, HCR 12

Keywords: 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, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

Bills: HB451, HB645, HB 1041, HB 1151, HB 1155, HB1536, HCR12, HCR12

Keywords: 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, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

Bills: HB451, HB645, HB 1041, HB 1151, HB 1155, HB1536, HCR12, HCR12

Keywords: 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, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

Transcript Highlights:

• This screening tool is validated.
• As you've heard, we already have the tool in place.
• Texas possesses the tools.
• universal screening for youth within care.
• universal screening for youth within 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:

• This screening tool is validated.
• As you've heard, we already have the tool in place.
• It's an information integration tool.
• So this tool is meant to be done more than one time.
• universal screening for youth within 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:

• Does it concern you that our hospitals may end up being a tool of law enforcement?
• Representative, we don't have the tools right now.
• Have the teachers asked for any other tools? What do you mean?
• We understand those are very valid concerns.
• We have screening involved with children who are in foster care and TJJD. And I move.

Bills: HB 120, HB20, HB150, HB6, HB 100, HB 124, HB210, HB215, HB1393, HB1587, HB 1151, HB 1268, HB142, HB451, HB39, HB 102, HB 126, HB290, HB300, HB2143, HJR2, HB147, HJR6, HB 120, HB20, HB150, HB6, HB 100, HB 124, HB210, HB215, HB1393, HB1587, HB 1151, HB 1268, HB142, HB451, SB1

Keywords: career readiness, education reform, workforce training, public schools, financial aid, applied sciences, career education, high school diploma, certificate program, work-based learning, job placement, high-growth jobs, technical training, cybersecurity, state command, information resources, data protection, incident response, mental health, telehealth

Transcript Highlights:

• As we continue to tackle the fentanyl crisis, it is important that healthcare providers have the tools
• An important portion of this bill arms local law enforcement with the tools they need to prosecute the
• and not just a mechanism for denial, a tool for reemployment.
• This is due in part to the fact our state newborn screening program screens for 60 diseases, and only
• Let's light up the screen green. They ask for your favorable support. CS for HB 1153.

Bills: SB 2, HB 2, HB 2000, HB 2196, HB 213, HB 222, HB 645, HB 1458, HB 1022, HB 141, HB 502, HB 643, HB 3093, HB 1700, HB 117, SB 503, SB 2, HB 120, HB 20, HB 150, HB 6, HB 100, HB 210, HB 215, HB 1393, HB 1151, HB 1268, HB 142, HB 451, HB 124, HB 2, HB 2000, HB 2196, HB 213, HB 222, HB 645, HB 1458, HB 1022, HB 141, HB 502, HB 643, HB 3093, HB 1700, HB 117

Keywords: public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, child grooming, sex offender registration, criminal justice, reportable conviction, law enforcement, virtual education, hybrid learning, school funding, average daily attendance

Transcript Highlights:

• Speaker and members, a teacher's number one teaching tool is the instructional materials.
• It should be number 451 by Thompson relating to a screening for the risk of commercial sexual exploitation
• of certain children. opportunity to be able to screen children, particularly those who are in foster
• And so what this bill will do is simply give a parent another tool in their toolbox. so that they can
• This is simply another tool in the toolbox for parents to utilize. when it's in the best interest of

Bills: SB2, HB2, HB2000, HB2196, HB213, HB222, HB645, HB1458, HB 1022, HB141, HB502, HB643, HB3093, HB1700, HB 117, SB503, SB2, HB 120, HB20, HB150, HB6, HB 100, HB210, HB215, HB1393, HB 1151, HB 1268, HB142, HB451, HB 124, HB2, HB2000, HB2196, HB213, HB222, HB645, HB1458, HB 1022, HB141, HB502, HB643, HB3093, HB1700, HB 117

Keywords: public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, child grooming, sex offender registration, criminal justice, reportable conviction, law enforcement, virtual education, hybrid learning, school funding, average daily attendance

Transcript Highlights:

• House Bill 198 seeks to ensure the firefighters have access to life-saving care. search screenings.
• Do not screen them.
• Unfortunately, Wade was too young for our health insurance to cover his cancer screenings.
• At 31, you go in for a colonoscopy screening, your insurance tends to... not, they screen at 45.
• That medical screening is roughly an average of about $500 a firefighter.

Bills: HB467, HB318, HB503, HB198, HB318, HB198

Keywords: hospital district, Cedar Creek, scholarship, dissolution, county judges, healthcare funding, grant program, rural counties, law enforcement, sheriff's departments, funding, public safety, deputy shortages, sheriff, prosecutor, salary assistance, HB 198, Wade Cannon Act, firefighter cancer screening, occupational cancer screening

Bills: HB506, HB513, HB437

Keywords: emergency vehicles, off-road vehicles, public safety, liability, regulations, background check, criminal history, biometric identifiers, fingerprints, iris scan, palm print, photograph, rap back, NGI Rap Back, ALEA, Alabama Law Enforcement Agency, AJIC, Alabama Justice Information Commission, employment screening, licensing

Transcript Highlights:

• So, uh, this is a prostate screening bill that we had handled last year that went downstairs to the House

Bills: SB19

Keywords: SB19, prostate cancer, prostate cancer screening, PSA test, digital rectal exam, preventive screening, health insurance mandate, no cost sharing, copay, deductible, coinsurance, high-risk men, African American men, men over 50, men over 40, family history, genetic marker, health benefit plan, insurer coverage, Alabama insurance code

Transcript Highlights:

• I think they're going to pop it up on your screen, and it's front and back.
• received for a mobile unit to serve the Northeast of New Mexico, and that they'll be doing diagnostic screenings

Bills: SB37, SB29

Keywords: high-quality literacy instruction, science of reading, structured literacy, reading instruction, literacy assessment, dyslexia screening, phonics, phonemic awareness, fluency, vocabulary, comprehension, biliteracy, English language learner, ELL, bilingual education, dual language program, reading intervention, reading difficulty, reading improvement plan, literacy coach

Transcript Highlights:

• Does such a planning tool exist? So, Mr.

Bills: SB37, SB29

Keywords: high-quality literacy instruction, science of reading, structured literacy, reading instruction, literacy assessment, dyslexia screening, phonics, phonemic awareness, fluency, vocabulary, comprehension, biliteracy, English language learner, ELL, bilingual education, dual language program, reading intervention, reading difficulty, reading improvement plan, literacy coach

Transcript Highlights:

• going to be prepared to do all the more necessary staffing to do the assessments for the K–2, K–3 screenings
• You know, this is something I support, but I just want to make sure that we are really providing the tools

Bills: SB29, SB37

Keywords: SB29, math requirements for teaching license, teacher licensure, teacher endorsement, mathematics methods, elementary education, secondary education, special education, early childhood education, reciprocity, Public Education Department, Mathematics and Science Education Act, mathematics instructional leadership framework, professional learning plan, K-3 screening, mathematics screening assessment, mathematics difficulty, support plan, multilevel support, intervention

Transcript Highlights:

• It addresses a gap in our newborn screening system by adding screening for biliary atresia, a rare but
• This bill requires the Department of Health to incorporate screening for biliary atresia into the existing
• newborn screening program using the same blood specimen already collected at birth.
• adding screening for billiary atresia, a rare but life-threatening condition that affects infants in
• newborn screening program using the same blood specimen already collected at birth.

Bills: S0162, S0254, S0688, S0794, S1110, S1574

Keywords: surgical smoke, health standards, hospital safety, patient protection, medical regulations, nursing education, licensure, remedial courses, temporary license, graduate nursing preceptorship, Agency for Persons with Disabilities, background screening, support coordination services, developmental disabilities, Tatton-Brown-Rahman syndrome, public hearings, orthotics, prosthetics, healthcare, Medicaid

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics was heard first. The bill would require coverage for medically necessary orthotics and prosthetics without lifetime or continuous-use caps, direct AHCA to seek federal approval and update contracts, and require annual reporting. Testimony from a child using prosthetic “gymnastics blades,” his mother, and another young person with a prosthetic leg emphasized the high cost of activity-specific devices and the impact on children’s mobility, sports participation, and quality of life. Senators voiced strong support, and the bill was reported favorably. The committee then approved SB 1574, “Maddie’s Law,” which adds newborn screening for biliary atresia using the existing blood specimen collected at birth. The sponsor and the child’s father described the condition as time-sensitive and potentially fatal without early detection, and argued the screening could prevent transplants and save money. The bill was reported favorably. The committee also considered CS/SB 794 on background screening for employees of residential facilities and day training programs for people with developmental disabilities, plus a review of waiver support coordination quality, training, and access issues. Parents and a support coordinator testified that strong support coordination is essential for families and that the bill would help standardize expectations and improve services. An amendment aligning the bill with the House companion was adopted, and the bill was reported favorably. Members next heard SB 162, which requires hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. Supporters, including nurses and the Florida Nurses Association, described surgical smoke as a workplace hazard with toxic chemicals and potential cancer risks; hospital representatives said they support the intent but argued existing federal and state standards already regulate the issue and the bill is too prescriptive. A late-filed amendment clarifying the smoke must be “effectively captured and filtered” was adopted, and the bill passed favorably. The committee also approved CS/SB 254, a major nursing education bill that tightens oversight of low-performing nursing programs, creates a temporary provisional license and preceptorship pathway for graduates awaiting NCLEX results, requires remediation for delayed testing, and increases transparency by posting passage rates. Nursing groups supported stronger standards, while private nursing schools warned the bill could reduce capacity and discourage program directors; the amended bill was reported favorably. Finally, the committee heard SB 688, which would reestablish licensure and regulation of naturopathic doctors in Florida, create a board of naturopathic medicine, set licensure and renewal requirements, and define the scope of practice while excluding most prescription authority. Supporters said it would expand health care choices and allow naturopathic doctors to practice openly, while opponents from the medical community warned the bill could authorize diagnosis and treatment without sufficient training and rely on unproven therapies. The bill was reported favorably. The committee then adjourned after members thanked staff for their work.

Transcript Highlights:

• It also benefits education-wise, to help them get the tools they need in this area to make them experts

Bills: SB29, SB64

Keywords: SB29, math requirements for teaching license, teacher licensure, teacher endorsement, mathematics methods, elementary education, secondary education, special education, early childhood education, reciprocity, Public Education Department, Mathematics and Science Education Act, mathematics instructional leadership framework, professional learning plan, K-3 screening, mathematics screening assessment, mathematics difficulty, support plan, multilevel support, intervention

Transcript Highlights:

• We understand the student screening and notification are meaningful and critical involvement.
• We understand the student screening per notification are meaningful and critical involvement.
• and parent-informed support plans to By improving teacher preparation and requiring early screening
• I took a screening for dyscalculia for the first time in my whole entire life in college.
• Early screening became a part of this growth.

Bills: SB29, SB64

Keywords: SB29, math requirements for teaching license, teacher licensure, teacher endorsement, mathematics methods, elementary education, secondary education, special education, early childhood education, reciprocity, Public Education Department, Mathematics and Science Education Act, mathematics instructional leadership framework, professional learning plan, K-3 screening, mathematics screening assessment, mathematics difficulty, support plan, multilevel support, intervention

Bills: SB325, HB513, SB357, HB513, HB626

Keywords: youth residential facilities, abuse prevention, law enforcement, video surveillance, civil penalties, record keeping, child rights, background check, criminal history, biometric identifiers, fingerprints, iris scan, palm print, photograph, rap back, NGI Rap Back, ALEA, Alabama Law Enforcement Agency, AJIC, Alabama Justice Information Commission

Transcript Highlights:

• So the first thing is that I recognize and validate their personal experience.
• I didn’t get handed the tools to go get high.
• I thought recovery was about giving us the tools to stay clean, not the tools to get high.
• I’m a board member... ...giving people permission and the tools to continue using.
• We need real, long-term treatment, not more tools that normalize this behavior.

Bills: SB274, SB301, SB249

Keywords: healthcare, life-sustaining treatment, patient preferences, POLST, advance directive, medical orders, hospital discharge, pregnancy, patient care, discharge planning, healthcare policy, substance use, harm reduction, syringe services, needle exchange, overdose prevention, naloxone, opioid antagonist, drug paraphernalia, syringe

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.

Bills: SB190, HB515, SB190

Keywords: SB190, prostate cancer, prostate screening, PSA test, digital rectal exam, preventive screening, health insurance mandate, cost-sharing, copay, deductible, coinsurance, high-risk men, African American men, family history, genetic marker, men over 50, men over 40, health benefit plan, insurance coverage, mandated benefits