Video & Transcript DataContr Research : 'cost subsidies'
Page 26 of 47
TX
Texas 2025 - 89th Regular
Local Government (Part I) Mar 31st, 2025
Senate Local Government Committee
Transcript Highlights:
- allow his division of property and resisted him at every turn until he had paid all of the requisite costs
- , increasing his costs by $30,000, $40,000, and even $50,000.
- Puga; those costs got up to over $50,000 in order to have
- It costs me as much to maintain those systems on an annual basis as the city wants to tax me.
- ...the infrastructure cost would crush the fee results.
Bills:
SB1079, SB1243, SB1504, SB1579, SB1708, SB1844, SB1851, SB1879, SB1921, SB1951, SB2237, SB2238, SB2406, SB2407
Keywords:
public utility agency, dissolution, local government, regulatory framework, municipal authority, telecommunication, board meetings, Gulf Coast Authority, conference call, videoconference, abandoned property, tax delinquency, urban development, receivership, local governance, disannexation, municipality, services, property owners, jurisdiction
Summary:
The committee meeting on [date] focused on several key pieces of legislation, primarily addressing land use and city governance issues. Prominent discussions included SB1579, which seeks to empower municipalities in El Paso County to manage abandoned properties through a court-appointed receiver process. This bill aims to tackle long-standing challenges posed by undeveloped and neglected land parcels that hinder community growth. Public testimonies highlighted concerns regarding safety, illegal dumping, and the economic potential of reclaiming these properties for housing and development. Notably, Mayor Rudy Cruz Jr. of Socorro expressed strong support for the bill, emphasizing the need for a clear process in handling unoccupied land.
Additionally, SB1851 was discussed, aimed at addressing audit compliance for Texas cities to improve financial transparency and accountability. Senator Nichols presented this bill, arguing for its necessity in ensuring cities cannot raise taxes without adhering to established audit requirements. Public testimonies underscored the experiences of city officials facing obstacles due to outdated audit practices, with calls for legislative action to protect taxpayers while enforcing compliance. The meeting was characterized by substantial participation from public officials, showcasing a collaborative effort to address these pressing issues.
TX
Texas 2025 - 89th Regular
Higher Education Apr 1st, 2025 at 10:30 am
House Higher Education Committee
Transcript Highlights:
- agency's accountability system, time to degree, and cost
- to healthcare costs.
- Our current cost for our student plan is about $3,500, which is about $287 a month.
- And these costs can add up to 20% of the cost of the premiums right there.
- Meet student needs and reduce our costs.
Bills:
HB173, HB184, HB484, HB678, HB1211, HB1507, HB1705, HB1868, HB2290, HB2851, HB2856, HB3041, HB3204
Keywords:
foreign donations, higher education, public institutions, national security, funding, higher education, foreign donations, prohibition, national security, Texas law, healthcare, insurance, affordability, access, public health, higher education, foreign donations, national security, foreign influence, education policy
Summary:
The meeting focused primarily on the evaluation of several bills related to higher education funding and performance. Notably, the committee discussed HB1868, which was transformed into a study to analyze funding disparities between community colleges and school districts. Representative Wilson highlighted concerns raised by community colleges regarding funding thresholds and the potential fiscal impact, which is estimated at over $1 billion over the next biennium. The committee also passed HB271 after adopting a committee substitute that addresses success rates for students with disabilities, reflecting a commitment to inclusivity in higher education. Overall, the discussions emphasized the need for equitable funding and data-driven decisions for future legislative sessions.
US
Us Congress 2025-2026 Regular Session
Hearings to examine the nominations of William Kimmitt, of Virginia, to be Under Secretary of Commerce for International Trade, and Kenneth Kies, of Virginia, to be an Assistant Secretary of the Treasury. Apr 10th, 2025 at 09:00 am
Senate Finance Committee
Transcript Highlights:
- The guy calling the shots either doesn't care or doesn't understand that this will still raise the cost
- 15" data-time="168">The Agriculture Secretary says families struggling to pay for food amid rising costs
- doesn't understand that today are still going to raise the cost
- 129" data-time="1536">The Agriculture Secretary says families struggling to pay for food amid rising costs
- They're not talking about helping parents with the astronomical costs of child care, but they're spending
Keywords:
Commerce, International Trade, Tax Policy, Nominees, Inflation, Middle-class, Trade Practices, Economic Concerns
Summary:
The committee convened to discuss various bills and nominees, including the critical nominations of William Kimmett for Undersecretary of Commerce for International Trade and Ken Keyes for Assistant Secretary for Tax Policy at the Treasury Department. Discussions highlighted the nominees' roles in managing critical trade and tax policies amidst rising economic concerns, particularly focusing on inflation and its impact on American families. Members expressed both support and skepticism, emphasizing the significance of fostering fair trade practices and ensuring tax policies that benefit the middle-class amidst claims of an agenda favoring affluent individuals and corporations.
TX
Transcript Highlights:
Cost information comes following the case resolution
- So it may end up costing school districts more.
- In NICU bills, therapy bills, special equipment, medications, it cost our family $25,000 just...
- Too often they pass this cost along to parents.
- Our cost as owners was over $500,000 in repairs last year.
Keywords:
Texas Education Agency, special investigations, transparency, disclosure, education compliance, financial literacy, education, high school curriculum, economic education, Texas education policy, transportation, school fees, education, school district, student services, inspection, special education, residential facilities, day placement, crisis intervention
Summary:
The meeting focused on several bills related to education, showcasing robust discussions on various legislative measures aimed at enhancing educational frameworks in Texas. Notably, Senate Bill 205 was presented as a refile intended to make fetal development instruction a permanent component of junior high health curricula. The bill garnered support from multiple members as they highlighted its significance in educating students about human development. Public testimony was invited, although no significant opposition was noted during this segment.
TX
Transcript Highlights:
- of litigation and the cost of settlement.
- It costs us at least $135 to test each sample.
- This adds exorbitant costs to deliver the medicine.
- Satellite locations will also reduce our delivery costs and thus the cost of the medicine for patients
- This also kept the cost really high.
Keywords:
water parks, liability, safety regulations, recreational activities, injury waivers, THC regulation, public safety, Senate Bill 3, Texas Compassionate Use Program, bipartisan support, public testimony, cannabis legislation, economic impact
Summary:
The meeting of the Senate State Affairs Committee provided a platform for discussing a comprehensive agenda featuring multiple bills, particularly focusing on concerns surrounding THC regulations and its implications for public safety. Notably, Senate Bill 3, which seeks to ban consumable hemp products containing THC, drew strong public testimony from various stakeholders who expressed both support and opposition. Supporters argued the necessity to curb the proliferation of high-potency THC products in schools and among youths, while opponents warned of the potential negative economic impacts and push towards unregulated markets if such a ban were implemented.
TX
Transcript Highlights:
- Insurance costs are increasing.
- The increase in the cost of litigation is reflected in the cost of goods and services Texans purchase
- This creates a cap on damages disconnected from actual medical costs.
- If the cap is applied and it's 50% of the cost, the police...
- , including TechStock, drastically increasing project costs.
Keywords:
gambling, criminal offenses, penalties, defense, electronic devices, tobacco advertising, youth protection, public health, criminal offense, retailer regulation, e-cigarettes, nicotine products, health, public safety, regulation, e-cigarettes, advertising restrictions, public health, youth protection, health and safety
Summary:
The meeting of the Senate Committee on State Affairs featured intense discussions centered around the regulation of tobacco and e-cigarette products, with a particular focus on protecting minors from harmful marketing practices. Senators presented various bills addressing the marketing of these products, which included SB1313, SB1314, and SB1316. Senator Cook laid out SB1313, aimed at prohibiting deceptive marketing techniques that entice minors, alongside testimony from concerned parents advocating for stronger regulations against smoke shops near schools. The committee also examined the App Store Accountability Act, led by Senator Paxson, which aims to ensure age verification for app downloads and hold app stores accountable for protecting minors online. Public testimony played a crucial role in the discussion, with parents and experts weighing in on the necessity of stringent regulations to safeguard youth from exploitation by marketers of addictive products.
TX
Texas 2025 - 89th Regular
Judiciary & Civil Jurisprudence Mar 12th, 2025 at 10:30 am
House Judiciary & Civil Jurisprudence Committee
Transcript Highlights:
- It is inefficient; it costs people money and time, but it's due process.
- It will increase the burdens of time, costs, and stress on those in Texas.
We know the cost of neglect for veterans.
- Evictions carry consequences, and they carry costs.
- ...funding mechanism for these costs, meaning these costs
Keywords:
eviction, landlord rights, tenant rights, justice court, property law, court procedures, chemical dependency, court-ordered treatment, mental health, health care, treatment facility, juvenile justice, criminal justice reform, deep fake, digital impersonation, age verification, private cause of action, explicit content, consumer protection, civil liability
Summary:
The meeting of the Judiciary and Civil Jurisprudence Committee included discussions on critical bills impacting public safety and tenant rights. Representative Garcia-Hernandez presented HB923, which aims to add two public members to the Texas Medical Disclosure Panel, thereby enhancing informed consent for medical procedures. This move sought to enhance transparency and public trust, especially since the panel previously lacked any public representation. The committee also received testimonies both for and against the bill, highlighting the importance of public input in health-related decisions. The bill faced opposition mainly due to concerns about balancing medical expertise with public representation.
Another significant discussion revolved around HB32, which seeks to streamline the eviction process in Texas. While proponents argue that the bill addresses inefficiencies affecting landlords, opponents, including activists and legal experts, expressed concerns that the bill could exacerbate homelessness and undermine tenant rights. They stressed the need for adequate protections and due process for tenants. As the committee moved through multiple bills, the need for careful consideration of both landlord and tenant rights remained a focal point of debate, indicating the complexities surrounding housing legislation in Texas.
TX
Transcript Highlights:
- heavily on the Higher Education Coordinating Board to give us an idea about how many and how much it costs
- From the Coordinating Board in terms of what has been the story since Senate Bill 25 related to the cost
- That way, the student doesn't incur any costs.
- Are still bearing the brunt of the costs associated with getting
Keywords:
higher education, transfer students, education transparency, academic credit, institutional reporting, Senate Committee on Education, SB2846, SB2847, higher education, curricula flexibility, workforce alignment, student transfer
Summary:
The Senate Committee on Education K through 16 convened to discuss two significant bills, SB2846 and SB2847, with a focus on enhancing educational structures in Texas. Senator Hagen-Booe introduced SB2847, which aims to provide greater flexibility in core curricula for bachelor's degree programs. The discussion highlighted the potential positive implications of this bill, particularly in terms of aligning education with workforce needs and reducing barriers for students seeking technical degrees. However, there was no public testimony registered for either bill, which limited the input from stakeholders outside the legislative body. The committee chair indicated that further review of SB3039 would be necessary, pending additional discussions and data collection on student transfer issues from community colleges to four-year universities.
TX
Transcript Highlights:
- All others have ceased citing ineffectiveness and high cost.
- institute mandates on these programs have ceased the requirement, citing federal intervention and costs
- The bottom line is this will cost the state over $8 million per year with no return on investment.
- Yeah, the chips, yeah, I think it is a bigger upfront cost, but less in perpetuity perhaps.
Keywords:
fraud prevention, Medicaid eligibility, verification, healthcare benefits, data matching, family preservation, foster care, child welfare, community-based care, parent-child relationship, Department of Family and Protective Services, case management, service provider selection, Senate Bill 1183, Lone Star card, snap fraud, caretakers, taxpayer funds, Senate Bill 1952, Public testimony
Summary:
In this meeting of the Committee on Human Services, key discussions centered on Senate Bills 1183 and 1952. The committee examined SB 1183, which proposes requiring the Lone Star card used for financial assistance programs to feature the recipient's name and photo. This bill faced significant opposition with members arguing that implementing the changes would lead to wasteful spending of taxpayer funds without effectively reducing fraud. Representatives highlighted that the majority of fraud involves retailers rather than recipients, raising questions about the bill's actual impact. The discussions also emphasized the potential challenges faced by caretakers and families in accessing benefits during emergencies due to new identification requirements imposed by the bill.
TX
Texas 2025 - 89th 2nd C.S.
Agriculture & Livestock Aug 19th, 2025 at 02:08 pm
House Agriculture & Livestock Committee
Transcript Highlights:
- me how much it would cost to run it, maybe.
- need and how much it would cost us?
- I think it cost me less than $3 a head, so it's very reasonable.
- mean, there's no added cost on that.
- above the cost of the product in addition to putting that in the feed.
Keywords:
New World Screw Worm, livestock management, sterile fly facility, Texas agriculture, FDA emergency use, animal health
Summary:
The meeting of the Committee on Agriculture and Livestock addressed the ongoing threat of the New World Screw Worm, which poses significant risks to both livestock and wildlife in Texas. Chairman Kitzman emphasized the importance of a coordinated response among state and federal agencies, including the recent $750 million investment for a new sterile fly facility in south Texas, crucial for combating this threat. Several invited witnesses provided insights on current research, management strategies, and the collaboration needed to effectively handle potential infestations.
TX
Texas 2025 - 89th Regular
89th Legislative Session Apr 7th, 2025 at 03:00 pm
Texas House Floor Meeting
Transcript Highlights:
- marker="226" data-time="1350">HB 5191 by Smith, providing a one-time supplemental payment for the cost
- marker="229" data-time="1368">HB 5191 by Smith, providing a one-time supplemental payment for the cost
- marker="292" data-time="1746">HB 5191 by Smith, providing a one-time supplemental payment for the cost
- marker="343" data-time="2052">HB 5191 by Smith, providing a one-time supplemental payment for the cost
- marker="382" data-time="2286">HB 5191 by Smith, providing a one-time supplemental payment for the cost
Keywords:
HCR65, HCR119, resolutions, memorial, veterans, legislative business, committees, recognition, honor, ceremonial
Summary:
The committee meeting addressed significant topics, including two resolutions, HCR65 and HCR119. HCR65 commemorated the life of Tracy Lee Vincent from Longview, while HCR119 also addressed another memorial. These discussions involved motions for deferring other bills’ readings and the scheduling of a congratulatory memorial resolutions calendar. The meeting included formal recognitions of important individuals, including veterans and milestones in their contributions, illustrating the dignity of the proceedings and the respect given to public service. Additionally, the committee conducted motions to allow for committee meetings during session hours, ensuring legislative business continued smoothly despite scheduling challenges.
Amidst these discussions, members recognized first responders and notable citizens whose actions had significantly impacted their communities. This highlighted the meeting's focus not only on legislative duties but also on honoring the individuals that contribute to societal welfare. The session was characterized by a spirit of collaboration and respect, as well as moments of solemn remembrance, establishing a balanced agenda that combined urgency in legislative work with the ceremonial aspects of governance. By the end of the meeting, a clear path forward was established with several motions ordered and memorials acknowledged.
US
Us Congress 2025-2026 Regular Session
Hearings to examine the nominations of Jonathan Gould, of Virginia, to be Comptroller of the Currency for a term of five years, Luke Pettit, of the District of Columbia, to be an Assistant Secretary of the Treasury, Paul Atkins, of Virginia, to be Mar 27th, 2025 at 09:00 am
Senate Banking, Housing, and Urban Affairs Committee
Transcript Highlights:
- During that time, I advocated for greater transparency at the agency and emphasized robust cost-benefit
- This blinkered approach to risk management has implications for the cost and availability of credit,
- cost millions more their jobs.
If the companies pass the cost on to the Americans?
- It costs a lot of money and a lot of effort both by the SEC and with respect to market participants.
Keywords:
financial regulations, SEC, Comptroller of the Currency, Federal Transit Administration, nominees, Empowering Main Street in America Act, capital formation, economic growth
Summary:
The committee meeting focused on several nominees within key financial institutions, including discussions surrounding the SEC, the Federal Transit Administration, and the Comptroller of the Currency. Notable dialogue included concerns over regulatory balance, with various members emphasizing a need to streamline regulations to foster innovation while ensuring accountability and safety for investors. The importance of the proposed 'Empowering Main Street in America Act' was highlighted as a means to facilitate access to capital for small businesses, underlining the current administration's approach towards financial regulations.
TX
Texas 2025 - 89th Regular
Land & Resource Management Apr 24th, 2025 at 08:04 am
House Land & Resource Management Committee
Transcript Highlights:
- What they changed and what that means is they changed the street widths, which results in more costs
- to me from my standpoint, as well as being a long-term cost to the county, because later on, they're
- So that cost is involved in there. That goes straight to the lot.
- Obviously, the cost is inside of that from the...
- Cost-effective options for the extension of utilities by
Bills:
SB840, HB2025, HB2512, HB3139, HB3798, HB3892, HB4373, HB4398, HB4582, HB4689, HB5187, HB5658, HB5666
Keywords:
municipality, extraterritorial jurisdiction, residents rights, local governance, petition, Edwards Aquifer, municipal utility district, bond issuance, county authority, water management, Ashe juniper, tree removal, municipal regulation, military base, property rights, environmental impact, county regulation, infrastructure planning, subdivisions, building codes
Summary:
The committee meeting included extensive discussions on various bills, with a notable focus on housing issues. The members deliberated on HB3892, which aims to address ambiguities in local government regulations and improve the accessibility of affordable housing in Texas. Public testimony was received from multiple stakeholders, including city representatives who voiced support for the bill, highlighting its significance in balancing development and local regulations. The chair also laid out additional bills such as HB5437 to establish a new municipal utility district and HB5650 focused on land use optimization, all of which were passed unanimously with zero nays.
TX
Transcript Highlights:
- By reducing the effective cost of recapture, HB 1939 also mitigates the financial burden on local taxpayers
- Funds that can be used to address operational costs, support students and staff, and maintain essential
- districts that pay recaptures six months ahead of the August 15th deadline will help us manage rising costs
- 277" data-time="1656"> And if the state held onto this lump sum money for six months, it reduces the cost
- ...without imposing any mandates or additional costs on districts
Keywords:
sick leave, public education, employee benefits, school district policy, retirement, school health, respiratory distress, airway clearance devices, medication training, public health, education policy, foreign military, admission age, Texas schools, military families, education funding, school district, attendance credit, financial incentive, public school finance
Summary:
In this committee meeting, various educational bills were discussed, reflecting significant attention on improving public schooling. Notably, the discussion on HB123 focused on foundational literacy and numeracy for public school students, which received widespread support from multiple testimonies emphasizing the need for early intervention in education. Stakeholders highlighted the importance of investing in teacher training to effectively teach critical subjects like math. Additionally, HB1939, aimed at providing financial incentives for school districts to pay recapture payments early, generated a robust discourse around fiscal responsibility and budgeting in education funding. The meeting concluded with all bills being favorably reported to the full Senate for further review.
TX
Texas 2025 - 89th Regular
Local Government (Part I) Apr 28th, 2025
Senate Local Government Committee
Transcript Highlights:
- 25" data-time="144"> This is a bill that, again, adds licensed social workers to this program at no cost
- to the state whatsoever, with no cost coming from general revenue, as it is funded through bonds.
- You say it won't cost the state anything.
- Our city's last standalone election cost the city taxpayers over $180,000.
- injunctive relief, costs, and attorney's fees.
Bills:
SB250, SB375, SB536, SB845, SB1633, SB1944, SB1957, SB2081, SB2137, SB2262, SB2299, SB2419, SB2452, SB2522, SB2549, SB2594, SB2605, SB2631, SB2639, SB2675, SB3029, SJR60, HB22, HB1392, HB2525
Keywords:
municipal annexation, railroad, adjacent areas, local government, property rights, healthcare provider, Harris County Hospital District, hospital funding, healthcare services, public health program, home loans, nurses, veterans, public servants, Texas Heroes program, low-interest loans, social workers, home loans, housing assistance, veterans
Summary:
The committee meeting predominantly focused on various pieces of legislation, notably Senate Bill 2299, which aims to redefine municipal immunity. Deep concerns were raised during discussions, particularly by public witnesses who underscored the bill's potential to undermine citizen accountability and local governance. Representative Monty Bennett argued passionately against the bill, citing its conflict with recent local charter amendments passed by Dallas voters, reflecting a significant public sentiment for local governance autonomy. Multiple attendees voiced strong opposition due to fears of increased litigation against municipalities, which could strain local resources and hinder governance effectiveness. In contrast, proponents of the bill, including city representatives, argued that it is essential for preventing frivolous lawsuits and maintaining fiscal responsibility for city budgets.
TX
Transcript Highlights:
- > Recommendations reduce this appropriation to $5 million for the biennium to cover administrative costs
- And what's it going to cost? Because every session...
- **Glenn Hager**: ...What's it going to cost?
- What do we have, and what's it going to cost? Because every session...
- I don't want to be trapped with a sole vendor that then ramps up costs.
Summary:
The meeting involved a comprehensive review of various legislative bills, with members voicing their opinions and concerns on each. Significant discussions centered around land use policies, education reforms, and public health initiatives. A number of witnesses were called to share their insights, providing both supportive and opposing perspectives on the proposed bills. The committee demonstrated a commitment to thorough deliberation, ensuring all voices were heard before taking votes on the legislation.
TX
Transcript Highlights:
- Before this change in law, only out-of-state shipping costs were covered by the Instructional Materials
- Since 2019, shipping costs have increased by up to 12% of the total order value, even when the real costs
- Districts have reported massive increases in costs, with
- Even for digital content, they are charging shipping and receiving costs.
- Example he said of the cost from $3,000 to $80,000, that
Keywords:
JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, student athletes, name image likeness, compensation, intercollegiate athletics, representation, fentanyl prevention, drug poisoning awareness, higher education, mental health resources, substance abuse education, student policy, communication devices, school regulations, disciplinary measures
Summary:
The committee meeting primarily focused on discussions surrounding various bills aimed at improving educational standards and safety in Texas. Notable discussions included House Bill 121, which was proposed to enhance school safety by allowing the Texas Education Agency to commission peace officers for schools, a measure that received both support and opposition regarding the authority of local school district police. Additionally, House Bill 367 addressed the issue of excused absences for students with serious illnesses, emphasizing the need for clear documentation requirements to assist families and educators in managing these situations. The meeting was marked by public testimonies from various stakeholders, including educators and policy advocates, who provided insights and experiences that illustrated the importance of the legislation being considered.
TX
Transcript Highlights:
- This is a cost-effective way to do that.
- Over the past decade, the cost of prescription drugs has significantly increased.
- shall disclose the lowest cost cash price at the pharmacy
- The overall cost-benefit analysis showed that for every dollar invested in Haven, the community saw a
- I think you're going to see the numbers, and the cost diversions in and of themselves will pay for the
Keywords:
dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, physician health, regulation, surcharges, occupational licensing, national practitioner data bank, healthcare, training, abuse, neglect, penalties
Summary:
The meeting primarily focused on discussions surrounding mental health and homelessness, particularly through the lens of SB2487, which aims to provide better mental health services and support systems for individuals in crisis. Testimonies highlighted the shortcomings of current interventions, which often lead to incarceration rather than treatment, and emphasized the need for a centralized hub to assist people experiencing mental health crises. Various stakeholders, including city officials and social service representatives, voiced their support for the bill, citing its potential to improve access to care and reduce the burden on emergency services, such as jails and hospitals. However, concerns were raised regarding the implementation and the potential for coercion in treatment options, suggesting that the bill could undermine established rights to voluntary mental health care.
The committee also addressed SB437, which pertains to modernizing training for substance use disorder providers in Texas, and SB660, regarding safety measures for emergency rooms. The overall tone of the meeting reflected a commitment to reforming how the state handles mental health crises and the intersection of homelessness, with a clear push for systems that prioritize compassionate care rather than punitive measures.
TX
Transcript Highlights:
Texas Medicaid costs for Alzheimer's patients alone were
- In 2024, the cost to the U.S. economy was $340 billion.
- Assisted living today costs over $60,000 a year. year.
- There's also the enormous economic cost, Chairman, of all the lost time, the lack of.
- and cost-benefit of assisted in-home versus nursing home care for patients.
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.