Transcript Highlights:

• in that audit was they started to co-mingle it when they were starting to claw back money from their PBM
• and their pharmacy clients through their PBM.
• ...from their PBM and from the pharmacy clients through
• their PBM.

Keywords: government efficiency, accountability, public hearings, cybersecurity, state agencies, taxpayer dollars, oversight, modernization, legislative proposals

Summary: The meeting of the House Committee on Delivery of Government Efficiency marked the beginning of a new era focused on holding government agencies accountable and eliminating inefficiencies. Chairman Capriglione emphasized the committee's role in modernizing state government, implementing rigorous oversight, and ensuring that taxpayer dollars are used effectively. The committee plans to address waste, mismanagement, and corruption, aiming for an ambitious agenda over the next 22 months. Discussions included the establishment of public hearings to foster transparency and the development of legislative proposals to drive reform. Several state agencies provided insights into their operations, with a particular focus on how they can better serve the public through increased efficiency and enhanced cybersecurity measures.

Transcript Highlights:

• I also have experience working in the Pharmacy Benefit Manager (PBM) space.
• For three years, I worked for one of the largest PBMs in the country, so I have extensive experience
• Because of PBMs, insurance reimbursements are so low.

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, e-cigarettes, regulation, directory, certification, compliance, e-cigarettes, regulation, health and safety, manufacturers, directory, compliance, penalties, FDA, nicotine, mental health

Summary: During this meeting of the health committee, several key bills were discussed primarily focusing on health care practices and patient rights in Texas. In particular, House Bill 4553 drew significant attention as it aims to improve transparency in midwifery practices and ensure the safety of out-of-hospital births. Testimonies were presented both in support and opposition, with concerns raised by midwives regarding the implications of the bill on their practice and autonomy. Additionally, House Bill 3708, designed to assist those burdened by medical debt, was strongly supported by several witnesses bringing forth personal stories underscoring the need for improved access to charity care information. The meeting also covered discussions on organ transplant eligibility and informed consent related to vaccines, echoing larger public health considerations in the post-pandemic era.

Transcript Highlights:

• This committee's attempts to break up PBMs and its vertical

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Summary: The meeting of the Health and Human Services Committee covered a variety of bills focused on improving health care access, patient protections, and enhancing oversight of health-related services. Key discussions were held around SB1640, which aims to broaden the scope of criminal history checks for Medicaid providers to enhance accountability and prevent fraud. Senator Hagenbooth explained the committee substitute, emphasizing the necessity of strengthening vetting processes within Medicaid programs. Additionally, SB1784 was introduced, which seeks to protect patients from unexpected medical debt collection practices by mandating advance written notices before debt collection actions are initiated. Discussion around this bill reflected a collective concern for transparency in medical billing and the financial wellbeing of patients.

Transcript Highlights:

• House Bill 3233 prohibits pharmacy benefit managers (PBMs) from storing patient data of Texans in hostile

Bills: HB163, HB216, HB721, HB2035, HB2038, HB3057, HB3153, HB3233, HB3595, HB3801, HB3812, HB4076, HB4129, HB4377, HB4535, HB4666, HB4730, HB4743, HB4903, HB5149, HB5155, HB1534

Keywords: epinephrine, healthcare, emergency response, administration, medical policy, health care, itemized billing, patient rights, provider regulations, Texas Health and Safety Code, health care, cost disclosure, insurance, benefit plan, administrators, chemical dependency, treatment facilities, minor admissions, parental notice, mental health

Summary: The meeting of the Senate Committee on Health and Human Services discussed multiple bills focused on diverse health issues including maternal care, organ transplant eligibility, and child welfare regulations. Notably, HB215, presented by Senator Perry, received attention for its provisions on requiring itemized bills from healthcare providers to enhance transparency. The bill garnered support from various witnesses who emphasized the importance of clearer billing processes for patients. Another significant discussion point was HB4076, which aimed to prevent discrimination against individuals seeking organ transplants based on vaccination status. This bill sparked public testimony highlighting the ethical implications of such mandates on vulnerable patients, especially children. Overall, the committee's deliberations emphasized a commitment to improving health care transparency and patient rights in Texas.

Transcript Highlights:

• I think the whole PBM arena has gotten out of control and I think...
• You alluded to PBMs; there are organizations that we're learning about...

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.

Transcript Highlights:

• House Bill 4638 addresses Pharmacy Benefit Managers (PBMs

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, healthcare

Summary: The committee meeting featured extensive discussions surrounding various bills, notably focusing on HB3284, which aims to establish a commission to promote marriage and family stability while addressing the needs of vulnerable children in the Texas foster care system. Witnesses provided diverse perspectives, with some expressing support for the bill's goal of strengthening family units, while others raised concerns about the potential discrimination against single-parent households and LGBTQ+ families. Additional highlights included debates on HB1106 regarding the treatment of transgender youth and HB4638, which sought to streamline the state's engagement with developers and capacity builders, addressing concerns over administrative efficiencies and child welfare.

Transcript Highlights:

• This is the bill we passed yesterday that has some protections in it for pharmacy benefit managers (PBMs

Bills: HB3902, HB4420, HB3269, HB469, HB336, HB316, HB5396, HB993, HB1342, HB5216, HB2046, HB2188, HB2450, HB2813, HB2857, HB4075, HB2911, HB4682, HB3117, HB3253, HB3442, HB4820, HB4336, HB5356, HB3669, HB3428, HB5465, HB3662, HB2590, HB2288, HB1886, HB3458, HB5603, HB5620, HB1489, HB4101, HB4990, HB5685, HB4950, HB4980, HB5684, HB3507, HB3566, HB4487, HB4462, HB4876, HB4915, HB4663, HB5570, HB2929, HB5261, HB2920, HB4642, HB4746, HB1609, HB5403, HB5453, HB3844, HB2336, HB1572, HB1226, HB2806, HB2617, HB2827, HB3948, HB3945, HB4266, HB4542, HB3319, HB1772, HB2496, HB1970, HB3434, HB5545, HB5577, HCR59, HCR135, HB4, HB46, HB3221, HB1403, HB3892, HB4234, HB722, HB4105, HB4413, HB170, HB551, HB3053, HB3142, HB3180, HB3722, HB1794, HB1784, HB1581, HB2530, HB4308, HB1896, HB2974, HB3359, HB4580, HB2458, HB2215, HB3332, HB2278, HB3015, HB3151, HB1368, HB40, HB101, HB112, HB146, HB214, HB413, HB1523, HB493, HB521, HB594, HB557, HB305, HB549, HB854, HB1057, HB1052, HB842, HB3174, HB3196, HB824, HB1039, HB2529, HB2713, HB4936, HB4995, HB4830, HB4864, HB5219, HB5263, HB5154, HB2674, HB5525, SB529, SB541, SB2004, SB1012, SB2269, SB1886, SB1236, SB693, SB2308, HB2486, HB4862, HB4689, HB4520, HB2225, HB168, HJR218, HB4921, HB5623, HB2494, HB2545, HB2587, HB2625, HB5520, HB5436, HB4926, HB1573, HB5165, HB4811, HB5081, HB4755, HB3179, HB4310, HB4611, HB2159, HB4626, HB3637, HB3153, HB3066, HB2786, HB2966, HB638, HB640, HB876, HB497, HB5539, HB4809, HB5308, HB4687, HB4070, HB4421, HB4412, HB3284, HB3369, HB3420, HB3449, HB4098, HB4281, HB4120, HB4504, HB4370, HB1106, HB2370, HB2404, HB3863, HB2407, HB2253, HB2273, HB2040, HB1586, HB3788, HB3993, HB4690, HB4309, HB4696, HB2308, HB1142, HB1533, HB1621, HB2242, HB2012, HB2193, HB2442, HB2464, HB2348, HB2313, HB2289, HB1942, HB2011, HB1629, HB2993, HB3592, HB3824, HB4076, HB4535, HB4623, HB4773, HB1091, HB5115, HB5515, HB3372, HB5659, HB127, HB386, HB115, HB2868, HB1249, HB4766, HB3720, HB4656, HB4879, HB105, HB5383, HB4621, HB5431, HB5678, HB5534, HB4174, HB4212, HB3954, HB3966, HB3636, HB3918, HB1422, HB4765, HB4732, HB4742, HB5122, HB4518, HB5084, HB3986, HB4045, HB4144, HB3911, HB3976, HB4473, HB3425, HB3641, HB3642, HB3475, HB3509, HB3424, HB3383, HB4744, HB4531, HB4539, HB3159, HB5228, HB5370, HB4359, HB4398, HB4443, HB4466, HB3861, HB3849, HB4240, HB4706, HB4685, HB5354, HB5141, HB5686, HB3629, HB3554, HB3567, HB2015, HB3575, HB5381, HB1431, HB3514, HB4614, HB4546, HB4683, HB5681, HB5673, HB5663, HB4271, HB4350, HB4035, HB3807, HB3812, HB3552, HB3540, HB3715, HB3710, HB3664, HB4196, HB4233, HB4173, HB1998, HB3333, HB3510, HB4222, HB2070, HB2854, HB2347, HB113, HB983, HB4847, HB1449, HB3833, HB5151, HB265, HB1845, HB782, HB108, HB1960, HB158, HB1954, HB1955, HB2512, HB605, HB2581, HB2803, HB627, HB2667, HB1738, HB636, HB3679, HB2638, HB2655, HB871, HB2438, HB1107, HB1765, HB1822, HB2153, HB4099, HB3732, HB3171, HB3178, HB3182, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2132, HB2658, HB2413, HB2757, HB2080, HB3154, HB3063, HB3009, HB3448, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3946, HB3460, HB3405, HB475, HB3463, HB3441, HB3520, HB2060, HB4731, HB4991, HB1991, HB5596, HB2014, HB2142, HB2673, HB2731, HB2417, HB2399, HB2301, HB3335, HB3234, HB3320, HB5573, HB4848, HB4748, HB4769, HB4795, HB2086, HB2234, HB2203, HB4916, HB5624, HB4505, HB139, HB5093, HB5302, HB5402, HB5606, HB2333, HB4630, HB4701, HB2583, HB2983, HB4924, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5430, HB5561, HB5611, HB5043, HB5064, HB3733, HB3781, HB3219, HB32, HB4515, HB5348, HB3902, HB4420, HB3269, HB469, HB336, HB316, HB5396, HB993, HB1342, HB5216, HB2046, HB2188, HB2450, HB2813, HB2857, HB4075, HB2911, HB4682, HB3117, HB3253, HB3442, HB4820, HB4336, HB5356, HB3669, HB3428, HB5465, HB3662, HB2590, HB2288, HB1886, HB3458, HB5603, HB5620, HB1489, HB4101, HB4990, HB5685, HB4950, HB4980, HB5684, HB3507, HB3566, HB4487, HB4462, HB4876, HB4915, HB4663, HB5570, HB2929, HB5261, HB2920, HB4642, HB4746, HB1609, HB5403, HB5453, HB3844, HB2336, HB1572, HB1226, HB2806, HB2617, HB2827, HB3948, HB3945, HB4266, HB4542, HB3319, HB1772, HB2496, HB1970, HB3434, HB5545, HB5577, HCR76, HCR127, HCR9, HCR40, HCR118, HR559, HCR59, HCR135

Keywords: Medicaid, reimbursement, nursing facilities, ownership change, healthcare policy, commercial vehicle, safety standards, enforcement, Texas counties, transportation, law enforcement, law enforcement, sheriff, constable, contracts, county governance, motor fuel, criminal offense, metering device, organized crime

Summary: The meeting covered various legislative bills with significant discussions surrounding HB4279, a proposal aimed at stabilizing funding for the Urban Scholarship Program. Representative Yvonne Davis emphasized the need for timely disbursement of funds to nonprofits supporting urban students. The motion to reconsider the failed vote on this bill was successful, indicating a shift towards understanding its importance in ensuring educational support in urban areas. The committee also addressed concerns regarding the regulation of roadside vendors with HB2012, where local counties would gain the power to implement regulations to enhance public safety and welfare. This bill received the support of the Montgomery County Commissioner's Court, showcasing local backing for the initiative.