Video & Transcript DataContr Research : 'healthcare training'
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TX
Transcript Highlights:
- Over 6.1 million Texans live in healthcare deserts.
- go get healthcare.
- whether people will actually seek healthcare.
- APRNs are already trained and licensed to do this work.
- APRNs are already trained and licensed.
Keywords:
Maverick County, recognition, economic development, Texas Senate, community celebration, SB911, Heal Texans Act, healthcare access, nurse practitioners, health crisis, rural healthcare, Texas legislature
Summary:
The committee meeting centered around the discussion of SB911, the Heal Texans Act, aimed at improving access to healthcare in underserved areas of Texas. Senator Cesar Blanco opened the discussion by highlighting the healthcare crisis affecting millions of Texans, emphasizing the need for immediate reform to allow nurse practitioners (APRNs) to deliver essential services without cumbersome regulations. The senator expressed gratitude towards his colleagues, including Vice Chair Charles Perry, for their joint efforts in advocating for this critical legislation. The need for SB911 was reiterated by several speakers, including healthcare advocates and those impacted by the lack of accessible care, underscoring personal stories that illustrated the dire situation faced by many rural residents who cannot easily reach medical care.
TX
Texas 2025 - 89th Regular
Homeland Security, Public Safety & Veterans' Affairs Mar 19th, 2025 at 10:30 am
House Homeland Security, Public Safety & Veterans' Affairs Committee
Transcript Highlights:
- Some of the concerns were about who's doing the training and some of the developers' plans to train law
- Officers, when we go through the training, it's very clear, and the more training
- The training has improved; the training has expanded.
- I think we've trained over 10,000 in ALERT training, just the department, separate and aside from what
- and catalog and capture that training.
Keywords:
electronic monitoring, parole supervision, law enforcement, warrant execution, public safety, handgun license, judgment evaluation, medical advisory board, application denial, gun law procedures, abandoned property, unclaimed property, law enforcement, disposition, public safety, handgun, driver's license, commercial driver's license, weapon carry, gun rights
Summary:
The meeting of the House Committee on Homeland Security and Public Safety involved a range of discussions surrounding significant bills aimed at enhancing public safety measures, particularly in response to issues highlighted by past events. Notable was the discussion on HB33, proposed by Representative McLaughlin, which sought to overhaul school safety and establish a statewide emergency response protocol for active shooter situations. This bill emphasizes the importance of coordinated training among law enforcement and school officials to ensure a swift and effective response in emergencies, aiming to prevent delays seen in past incidents. The discussions also included input from law enforcement officials who acknowledged the necessity of improving communication and coordination between agencies, which was a highlighted failure in previous responses to crises.
TX
Transcript Highlights:
- Let's expand healthcare access.
- Someone in real healthcare could go to real healthcare right now. We know that there's a certain...
- 5% of physician training.
- medical school training.
- in the sense of the siloed training they get relative to the foundational training that a nurse...
Keywords:
grand jury, jury qualifications, jury wheel, small counties, Texas legislation, age verification, obscene devices, online sales, juvenile protection, penalties, antitrust, attorney general, Texas Free Enterprise, business regulations, legal confidentiality, personal identifying information, data brokers, judicial safety, civil rights, data privacy
Summary:
The Committee on State Affairs meeting featured in-depth discussions primarily centered around Senate Bills 2459 and 3055. SB 2459, presented by Senator Birdwell, aims to protect the personal information of judicial officials to reduce security risks associated with data brokers. This bill brought significant public testimony, with supporters highlighting the need for enhanced safety for judges and court personnel, given the increasing threats and incidents reported. The committee also considered amendments to further refine the bill's implementation process, ensuring the effective removal of personal data upon request.
Senate Bill 3055 addressed the scope of practice for advanced practice registered nurses (APRNs) in rural Texas, promoting greater healthcare access amidst ongoing shortages of providers. Advocates for the bill, including several nurse practitioners, voiced the necessity for legislative changes that would empower APRNs to practice more independently. Opposing testimony raised concerns regarding patient safety and the need for physician oversight. The meeting concluded with a commitment to review these bills further, reflecting the broader challenges of healthcare access and safety regulations in Texas.
TX
Texas 2025 - 89th Regular
Judiciary & Civil Jurisprudence Mar 26th, 2025 at 10:30 am
House Judiciary & Civil Jurisprudence Committee
Transcript Highlights:
- With that in mind, you really can't call this a healthcare
- expansion bill if the net effect is that more people lose healthcare than gain it.
- However, when trans people pursue the same care, that healthcare is scrutinized.
- Everyone deserves access to the healthcare they need.
- I lost my train of thought now.
Bills:
HB1239, HB1990, HB1748, HB1749, HB2578, HB2986, HB1970, HB3163, HB2733, HB1922, HB113, HB1088, HB1938, HB3004, HB2637, HB2960
Keywords:
public health, access to healthcare, insurance reforms, medical expenses, healthcare providers, mental health, protective custody, preliminary examination, detention period, emergency circumstances, mental health, protective custody, detention period, emergency detention, legal framework, mental health, protective custody, detention, healthcare, emergency detention
Summary:
During the meeting, the committee engaged in substantial discussions surrounding several key pieces of legislation, particularly focusing on HB3004 which aims to enhance safety standards around high voltage power lines. Testimonies revealed concerns about the historical inadequacies of existing safety protocols, with multiple stakeholders advocating for strengthening provisions to avoid incidents of electrocution. Additionally, HB1088 was addressed, with debates regarding its potential implications on healthcare access, especially concerning transgender youth. There were conflicting opinions expressed regarding the necessity and impact of these legislative changes, highlighting the broader societal debates occurring around health and safety regulations.
TX
Transcript Highlights:
It just seems to be a training problem, and, and the
Well, do we need Part B or is it truly a training
- And I will say this: if that happens and it's because of a training issue, shame on us.
- Shame on whoever is responsible for the training; we need to get that fixed.
Bills:
HB741, HB1199, HB2070, HB2402, HB2542, HB2665, HB2789, HB3096, HB3396, HB3595, HB3747, HB4116, HB4127
Keywords:
child welfare, relative caregiver, monetary assistance, Department of Family and Protective Services, child custody, family law, emergency power, nursing facilities, assisted living, generator requirements, health and safety, emergency generators, nursing facilities, assisted living, power outage, health and safety, emergency generator, nursing facilities, assisted living facilities, power source
Summary:
The meeting convened with Chair Hull overseeing the discussions, and a quorum was confirmed with all members present. The primary focus was on voting several bills that had been discussed in previous hearings. Notable among them was HB1155, which relates to monetary assistance from the DFPS to certain parents. The committee adopted a substitute for the bill without objection and subsequently moved it forward with recommendations for favorable approval to the full House. Another significant topic was HB136, which aimed to include lactation consultation in Medicaid coverage, which also passed out of committee with a substitute.
TX
Transcript Highlights:
- The healthcare professionals...
- So not in this particular realm, the healthcare...
- and healthcare consolidation.
- of Healthcare Consolidation."
- I should know where to go, where they trained.
Bills:
HB5141, HB4638, HB2264, HB2035, HB4813, HB4408, HB2684, HB1621, HB2300, HB216, HB3829, HB4466, HB1747, HB2284, HB3614, HB2587, HB3219, HB3318, HB5147, HB4014
Keywords:
lease, state property, public purpose, Travis County, Health and Human Services, pharmaceutical initiative, drug distribution, healthcare services, generic drugs, advanced pharmaceuticals, cost savings, mental health, patient discharge, medical records, health care professionals, substance use, family involvement, chemical dependency, treatment facilities, minor admissions
Summary:
The Committee on Public Health convened to discuss various bills related to mental health, public health initiatives, and animal care. Notably, representatives presented House Bill 2264, which aims to facilitate communication between mental health patients and their families, allowing family members to provide important medical information during emergencies. The bill sparked a substantial discussion, with advocates from the National Alliance on Mental Illness supporting its intention to improve patient outcomes. Other significant bills included HB 1747, introduced to create a council for mental health and substance use, fostering collaboration among affected systems, and HB 2684, which focuses on palliative care options for parents facing life-limiting diagnoses for their unborn children. Public testimonies supported these measures, highlighting their importance in enhancing care and support for vulnerable populations.
TX
Texas 2025 - 89th Regular
S/C on Disease Prevention & Women's & Children's Health Apr 17th, 2025 at 09:04 am
House S/C on Disease Prevention & Women's & Children's Health
Transcript Highlights:
- When Texans become obese, their healthcare costs tend to go up.
- We've worked with these healthcare providers to develop training in obesity management for them.
- I just want to stay with this train of thought there.
- Trained therapists who provide mental health services can deliver this effectively.
- The clinician is trained to do this.
Keywords:
food access, food deserts, communities of color, health disparities, socioeconomic impact, nutritious food, food deserts, communities of color, food access, health effects, socioeconomic disparities, legislative recommendations, food deserts, communities of color, nutrition, health disparities, legislative recommendations, food deserts, nutrition, health disparities
Summary:
The committee meeting engaged in comprehensive discussions surrounding various health-focused bills aimed at improving community services and mental health care access. Notably, House Bill 475 was refiled by Representative Johnson, highlighting the deficiencies in Texas Medicaid regarding community-based care for youth at risk for criminal behavior. The committee examined the merits of the bill, emphasizing the need for evidence-based intervention programs. Meanwhile, House Bill 2060 received attention for its focus on ensuring automatic Medicaid coverage for infants, addressing gaps in access highlighted by a report indicating a significant number of newborns missed enrollment at birth. Members expressed strong support for this initiative, delineating the critical nature of health coverage for Texas’ youngest citizens.
TX
Keywords:
appropriations, budget, state funding, education, healthcare, infrastructure, appropriations, budget, state funding, education, healthcare, infrastructure, Senate, SJR36, SB1, constitutional amendment, historical preservation, appropriations, weather impact, legislative session
Summary:
This meeting of the Senate included the introduction and discussion of several key legislative items, notably SJR36, which proposes a constitutional amendment pertaining to the preservation of historical items, and SB1, the general appropriations act for financing. The session was notably affected by inclement weather, as members were advised about travel conditions and attendance was impacted as a result. There were specific discussions led by Senator Hall regarding the significance of the proposed amendment, with emphasis on the importance of historical conservation in the state.
TX
Texas 2025 - 89th Regular
Energy Resources Mar 31st, 2025 at 02:03 pm
House Energy Resources Committee
Transcript Highlights:
- There was also a component that would allow training programs for law enforcement to...
- ...including increased penalties, additional resources for law enforcement, including effective training
- Texas Higher Education Coordinating Board, to create a geothermal energy workforce education and training
- My former boss would always say, better trained employees make better decisions, and if this is going
- We train the most pilots year in and year out at Laughlin Air Force Base in Del Rio on an annual basis
Keywords:
carbon sequestration, environmental policy, Texas, energy, climate change, regulatory council, geothermal energy, workforce development, education and training, energy industry, apprenticeship, geothermal energy, energy production, Texas, energy policy, renewable energy, state council, administrative law, public information, transparency
Summary:
The meeting of the Energy Resources Committee was marked by extensive discussions on several key legislative bills, particularly those concerning carbon capture, geothermal energy, and oilfield theft. Representative Zwiener laid out HB2612, aimed at creating a carbon dioxide sequestration policy council under the Railroad Commission. The bill's supporters emphasized its potential economic benefits while addressing safety concerns raised by witnesses regarding existing underground injection practices. Notably, there was a strong consensus among proponents that addressing these complex issues proactively is essential for Texas to maintain its leadership in the energy sector. The committee also heard testimony on HB1647, focused on combating petroleum product theft, which remains a growing concern within the state. Witnesses highlighted the pressing need for improved coordination among law enforcement and the establishment of a dedicated task force to tackle this issue effectively.
TX
Transcript Highlights:
- Our goal is to elevate people out of the system, and we are preparing them for that uplift with training
- ranging from job postings and Work in Texas to placing job-ready SNAP or TANF clients and other training
- graduates into jobs, and even developing customized training programs.
- its goals to help inmates reduce recidivism rates by ensuring that inmates receive the necessary training
- ...Furthermore, many SNAP and TANF families independently enroll in post-secondary education or training
Keywords:
Texas Constitution, Declaration of Independence, victory or death letter, display, historic preservation, economic development, local workforce, employment vacancies, public assistance, job training, employment services, cross-agency initiative, workforce development, client data, resource optimization, municipal authority, tax revenue, hotel projects, economic development, convention centers
Summary:
The meeting of the Economic Development Committee focused on various bills aimed at enhancing workforce development and economic incentives in Texas. One of the key discussions centered around Senate Bill 2603, which proposed a collaboration between businesses receiving state and local economic development incentives and local workforce development boards to improve job placement outcomes for participants. Public testimony highlighted the importance of connecting job seekers, especially those receiving public assistance, with potential employers to reduce reliance on state support systems. Additionally, Senate Bill 2607 emphasized interagency cooperation to better serve individuals engaged in workforce reentry programs, ensuring streamlined access to vital services.
TX
Texas 2025 - 89th Regular
89th Legislative Session Apr 10th, 2025 at 09:00 am
Texas House Floor Meeting
Transcript Highlights:
- because of the healthcare, because of the proximity to the
- It provides healthcare for a lot of kids and some adults.
We are penny wise and pound foolish in healthcare
- In my training, but not in my practice.
- If we pass this train wreck.
Keywords:
appropriations, budget, state funding, education, healthcare, infrastructure, appropriations, state budget, mental health funding, education funding, infrastructure improvements, public safety, appropriations, budget, state funding, education, healthcare, infrastructure, groundwater, water conservation
Summary:
The committee meeting opened with a recognition of 'Donna Day', celebrating the contributions of the City of Donna to the state, led by various representatives. Significant discussions then shifted towards the budget matters, including the consideration of HB3794 about licensing and regulations concerning Advanced Practice Registered Nurses. Members expressed their support and acknowledged the importance of addressing healthcare provisions within the community. The discussion brought forth various motions aimed at suspending the rules to facilitate the timely deliberation of proposed bills and recommendations.
TX
Transcript Highlights:
- Thousands of doctors, nurses, EMTs, and healthcare professionals are trained in the state each year using
One of our members trained nearly 1,000 healthcare
- in the state, and these events collectively trained over 3,200 healthcare professionals.
- And that means you can't do the education and training and research.
- Additionally, it's collaboration between healthcare and our engineers that drives healthcare innovation
Keywords:
e-cigarettes, marketing prohibition, youth protection, criminal penalties, public health, school funding, education reform, state budget, property taxes, equity in education, health care, licensing, complaint procedure, disciplinary action, law enforcement, death records, vital statistics, healthcare, trauma facility, Medicaid
Summary:
The meeting of the Committee on Public Health was centered around discussions on several significant bills, including HB4175 and SB2721. HB4175 seeks to expand mental health leave policies to cover a wider range of qualified employees, including peace officers and parole officers. The motion for HB4175 was approved with a roll call vote showing a majority in favor. Conversely, SB2721 sparked extensive dialogue concerning the regulation of anatomical donations. Testimonies revealed public concerns over unclaimed bodies and the necessity for informed consent in body donation practices. The bill underwent substantial scrutiny, highlighting the balance between supporting medical education and protecting family rights.
TX
Keywords:
low-THC cannabis, dispensing organization, Texas Compassionate-Use Program, medical use, patient access, registration, healthcare, legislation, credit card fraud, debit card fraud, prosecution, illegal possession, state law, political contributions, address privacy, Texas Ethics Commission, election transparency, campaign finance, election supplies, ballots
Summary:
The meeting of the State Affairs Committee focused on several significant bills, notably HB4145, HB2820, and HB4157, which address healthcare billing practices, charitable bingo operations, and protections for employees in the commercial spaceflight industry, respectively. Each bill received attention from members of the committee, with public testimony highlighting both support and concern among stakeholders. For instance, testimony on HB4145 underscored the importance of timely healthcare billing to prevent patient financial distress, while discussions surrounding HB2820 illuminated the challenges charities face in maintaining sufficient reserves amidst outdated regulations.
TX
Texas 2025 - 89th Regular
Health and Human Services (Part I) Mar 26th, 2025
Senate Health & Human Services Committee
Transcript Highlights:
- "> ...decision tree of an AI-based algorithm used for utilization reviews, a description of each training
- data set used by AI-based algorithms for utilization reviews, compliance with training requirements
- court orders, the court that appoints a receiver must choose one that is qualified by education, training
- I was active duty, stayed in Austin, and switched to the National military training.
- In my training, we conducted a study in the Valley, examining all five counties.
Bills:
SB397, SB481, SB596, SB760, SB855, SB1195, SB1196, SB1233, SB1257, SB1318, SB1368, SB1388, SB1398, SB1524, SB1558, SB1589, SB1677, SB1792, SB2034
Keywords:
data privacy, consumer rights, technology, business regulation, cybersecurity, emergency preparedness, nursing facilities, assisted living, resident safety, power outage, voting by mail, assisted living, nursing facilities, legal guardian, electoral process, foster care, medical consent, out-of-network, healthcare access, Medicaid
Summary:
The Senate Committee on Health and Human Services convened to discuss various pieces of legislation, addressing critical issues affecting healthcare and social services in Texas. Notable discussions included Senate Bill 481, which mandates backup power provisions for nursing homes and assisted living facilities to ensure the safety of vulnerable residents during outages, and Senate Bill 596, aimed at improving reporting requirements related to child welfare, enhancing the oversight of removals and placements. The committee also reviewed several other bills aimed at supporting healthcare access and enhancing protections for children under various circumstances.
TX
Bills:
HB345, HB721, HB2580, SB815, HB3057, HB4603, HB3233, SB495, HB3863, HB3914, HB4570, HB5099, HB5173, SB458
Keywords:
insurance, appraisal process, disputed losses, residential property, policyholder rights, insurer obligations, natural disasters, appraisal expenses, insurance, appraisal process, disputed losses, residential property, policyholder rights, umpire selection, appraisal expenses, natural disasters, insurance, residential property, appraisal process, disputed losses
Summary:
The committee meeting primarily focused on discussions surrounding SB458 and its companion bill HB4570, which address appraisal provisions in insurance policies. Chairman Dean emphasized the importance of preserving consumer rights regarding appraisals in dispute resolution and thanked stakeholders for their involvement. Testimonies were presented by various experts who supported the bill, highlighting how it could help consumers by providing a more efficient alternative to litigation in settling claims and potentially leading to higher awards for policyholders. The bill aims to streamline the appraisal process and ensure timely resolutions for insurance claims related to both personal and auto insurance.
TX
Texas 2025 - 89th Regular
Health and Human Services Apr 15th, 2025
Senate Health & Human Services Committee
Transcript Highlights:
- providers, with little explanation on the part of the certifying entity, the Texas Medicaid and Healthcare
- professionals who are expected to use our judgment, training, and conscience in the delivery of care
- To keep these professionals we're training at UTRGV, we must fix this.
- Thank you for your time and commitment to healthcare access. Members, any questions for the panel?
- In the ensuing 40 years, podiatrists have become very valuable members of the healthcare community.
Keywords:
pharmacist, vaccine administration, COVID-19, exclusive authority, healthcare, Medicaid, provider enrollment, credentialing, healthcare, administrative burden, Texas Health and Human Services, senior retirement communities, emergency response, residential safety, contract provisions, health and safety regulations, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code
Summary:
The committee meeting showcased extensive discussions surrounding multiple bills, predominantly focusing on the health sector and legislative processes. Senator Cook presented Senate Bill 1310, emphasizing the need for independent living facilities to develop disaster response plans to better protect vulnerable residents during emergencies. This bill sparked discussions on the importance of balancing regulatory oversight with compliance implementation, showcasing testimonies from stakeholders who supported the proactive measures outlined in the bill. Together, the members evaluated the relevance of continuing legislation aimed at strengthening emergency preparedness for Texas' senior population, illustrating a palpable concern for their welfare and safety.
TX
Transcript Highlights:
Members, healthcare provider insurance credentialing is
- by which insurers validate the qualifications of providers to determine eligibility to deliver healthcare
- Joining already credentialed healthcare practices, there are
Bills:
HB854, HB1052, HB1642, HB2076, HB3042, HB3695, HB3787, HB4062, HB4092, SB213, SB493, SB896, HB5519, HB4635
Keywords:
insurance, replacement cost, homeowner's policy, renter's policy, condominium insurance, property damage, claims process, telemedicine, teledentistry, telehealth, health benefit plan, insurance coverage, out-of-state services, health benefit plan, anxiety, pain management, contraceptive devices, insurance coverage, women's health, medical procedures
Summary:
The meeting focused on House Bill 1642, which aims to establish an expedited credentialing process for chiropractors to help ensure patients receive timely treatment. Representative Cain presented the bill and emphasized that the lengthy credentialing delays harm patients seeking prompt care. Witnesses, including representatives from the Texas Chiropractic Association, voiced support for the bill, reiterating how essential it is for chiropractors to have the same expedited process available as other healthcare providers. The discussions highlighted the impact of delays in credentialing on patient care, particularly for those in pain, and proposed that the bill would alleviate these issues by enabling faster access to care for chiropractic patients.
The meeting also included public testimony, where individuals expressed their concerns about current delays and the financial burden on patients. Representative Cain responded to queries and emphasized the importance of passing the bill to prevent unnecessary suffering and provide patients with timely access to chiropractic services. Ultimately, HB 1642 was left pending, allowing for further consideration, and the meeting concluded with appreciation for the witnesses and attendees present.
TX
Transcript Highlights:
- passed out, I will say that last session we had some really emotionally stirring testimony from some healthcare
- the first maintenance crew began training at Chanute Field
Keywords:
Hemphill, bass fishing, tourism, state recognition, conservation, recreational activities, Nacogdoches, Garden Capital, public gardens, sustainability, horticultural heritage, hospice, palliative care, awareness day, healthcare, patient care, state regulation, healthcare, taxation, education
Summary:
The Senate Committee meeting encompassed a variety of discussions surrounding significant bills, including the passage of resolutions aimed at designating specific honors and months for recognition. SB644, relating to palliative care and hospice, was notably highlighted for its recurrence from the previous legislative session, underscoring ongoing support for healthcare improvements. Multiple resolutions, including those aimed at recognizing American patriotism and the contributions of the Tuskegee Airmen, exhibited a theme of honoring historical and present contributions of various groups within Texas. The committee struck a positive tone with unanimous votes on several bills, indicating broad support among members present. Notably, several bills were recommended to be placed on the local and uncontested calendar for future consideration, reaffirming the committee's commitment to advancing legislation efficiently.
TX
Texas 2025 - 89th Regular
Pensions, Investments & Financial Services Mar 17th, 2025 at 10:00 am
House Pensions, Investments & Financial Services Committee
Transcript Highlights:
- A maternal-fetal medicine doctor is an OBGYN who has specialized training for women with high-risk pregnancies
Keywords:
financial crime, card fraud, motor fuel theft, law enforcement, criminal activity, skimmers, prevention, training, credit card fraud, debit card fraud, prosecution, illegal possession, state law, transportation protection agreement, funeral services, insurance exemption, regulation, deceased transportation, mental health, substance use disorders
Summary:
The meeting of the Committee on Pensions, Investments, and Financial Services convened to discuss various bills aimed at enhancing financial governance and protections in Texas. Notably, Representative Perez laid out House Bill 201, which proposes expanding the scope of the Financial Crimes Intelligence Center to combat organized financial crimes, such as motor fuel theft. This bill garnered significant support from witnesses, including Captain Jeff Headley from the Financial Crimes Intelligence Center, who highlighted the urgent need for legislative measures to address increasing thefts that impact both consumers and state revenue. Subsequently, testimony from several members elucidated the impact of these crimes, emphasizing their detrimental effects on Texas' economic stability. The committee members expressed their interest in the advancements in tackling such issues through the proposed legislation.
TX
Transcript Highlights:
- ...loved ones, and our overall healthcare system.
The excellent training offered by these two outstanding
- Having trained at UTMB and Baylor College of Medicine, a new take...
The cost of Parkinson's to the U.S. healthcare system
- " data-time="6624">Related incidences of these diseases mean that states shoulder half of those healthcare
Keywords:
dementia, research institute, Alzheimer's disease, Parkinson's disease, funding, grants, state health initiatives, dementia, Alzheimer's disease, Parkinson's disease, research funding, state budget, prevention, healthcare, medical research, Dementia Prevention and Research Institute, dementia, Alzheimer's, SB5, SJR3
Summary:
The meeting focused on important legislative considerations surrounding dementia and healthcare funding in Texas. Discussions were centered on SB5 and SJR3, which aim to establish the Dementia Prevention and Research Institute of Texas (DPRIT) and enhance funding for dementia research and prevention efforts. Senators highlighted the urgency of addressing the growing prevalence of dementia, emphasizing that nearly half of nursing home residents suffer from Alzheimer's or other related disorders. Public testimonies from experts and advocates underscored the need for research funding and the dire need for comprehensive care that could affect millions of Texans.