Transcript Highlights:

• The committee substitute first expands SB25's PE requirement and the provisions to the charter schools
• The committee substitute expands SB25's PE requirement and

Keywords: healthcare reform, pharmacy benefit managers, consumer protection, community-based care, child welfare, Senate Bill 513, House Bill 1919, House Bill 1763

Summary: The meeting involved in-depth discussions focused primarily on several significant bills aimed at reforming healthcare, improving consumer protection, and enhancing community-based care. Key highlights included House Bill 1919 and House Bill 1763, which address the roles and regulation of pharmacy benefit managers (PBMs) in Texas. Lawmakers emphasized the need for these bills to create a fairer landscape for independent pharmacies while ensuring patient access to necessary medications. Public testimonies reflected both support for the reforms and concerns regarding their potential implications. Another major topic was Senate Bill 513, which proposes the development of a pilot program for community-based care in rural West Texas, aiming to improve child welfare services in regions facing unique challenges.

Transcript Highlights:

• And I'll tell you, I think we covered that this session under SB25, where we had nutritional education
• ...schools that was in SB25.

Bills: SJR37, SJR57, SB7, SB8, SB16, SB108, SB125, SB207, SB318, SB371, SB379, SB396, SB406, SB503, SB533, SB565, SB578, SB599, SB686, SB689, SB707, SB763, SB854, SB857, SB875, SB878, SB920, SB924, SB961, SB965, SB985, SB988, SB1021, SB1024, SB1026, SB1038, SB1059, SB1185, SB1202, SB1207, SB1252, SB1330, SB1396, SB1484, SB1527, SB1535, SB1596, SB1619, SB1697, SB1737, SB1741, SB1841, SJR36, SJR12, SJR57, SJR37, SCR22, SCR12, SB565, SB765, SB62, SB666, SB707, SB888, SB687, SB847, SB1248, SB504, SB857, SB305, SB296, SB284, SB1497, SB1498, SB241, SB304, SB621, SB1023, SB1024, SB686, SB371, SB204, SB609, SB670, SB850, SB854, SB413, SB1346, SB1033, SB1220, SB1073, SB810, SB1539, SB447, SB875, SB406, SB985, SB965, SB1119, SB1505, SB1215, SB1302, SB856, SB583, SB673, SB681, SB1172, SB1252, SB608, SB955, SB957, SB988, SB1021, SB1120, SB251, SB541, SB379, SB1737, SB266, SB1415, SB1527, SB125, SB599, SB1330, SB53, SB1352, SB785, SB472, SB1450, SB1502, SB1566, SB414, SB1062, SB961, SB1038, SB578, SB711, SB746, SB942, SB1404, SB1448, SB1738, SB108, SB8, SB318, SB507, SB533, SB689, SB1026, SB1349, SB1355, SB1433, SB1434, SB1596, SB1403, SB763, SB667, SB1059, SB617, SB1567, SB503, SB16, SB310, SB311, SB396, SB505, SB1209, SB1210, SB1470, SB264, SB924, SB1029, SB1185, SB1202, SB1358, SB1364, SB1569, SB1697, SB1376, SB1228, SB519, SB878, SB1350, SB462, SB1535, SB827, SB1585, SB207, SB1207, SB1619, SB1396, SB920, SB1484, SB1273, SB1741, SB7, SB927, SB1227, SB1229, SB1353, SB1366, SB1464, SB1709, SB1729, SB1733, SB1744, SB1772, SB1816, SB1841, SB2188, SB1147, SB879, SB1008, SJR81, SJR50, SCR39, SB1536, SB2016, SB1453, SB1173, SB1163, SB996, SB27, SB568, SB1370, SB1321, SB1101, SB906, SB860, SB1563, SB993, SB693, SB1610, SB1537, SB836, SB1332, SB1307, SB963, SB493, SB922, SB984, SB1084, SB619, SB1098, SB1122, SB455, SB522, SB1057, SB1239, SB1254, SB1255, SB1259, SB1341, SB1664, SB1877, SB464, SB1277, SB32, SB732, SB660, SB731, SB921, SB268, SB1822, SB1188, SB1939, SB1589, SB397, SB1388, SB2230, SB1058, SB1036, SB1267, SB2112, SB1930, SB532, SB1035, SB2155, SB508, SB29, SB292, SB291, SB901, SB1333, SB1436, SB1494, SB964, SB779, SB1378, SB2312, SB1719

Keywords: voter ID, citizenship, election integrity, constitutional amendment, voting rights, water infrastructure, financial assistance, Texas Water Development Board, water supply, environmental sustainability, immigration enforcement, ICE agreements, sheriff grants, law enforcement, county jail, federal immigration law, voter registration, proof of citizenship, Election Code, criminal offenses

Summary: The meeting featured discussions on several key bills concerning Medicaid fraud prevention and pension solutions for local government employees, particularly law enforcement. Notably, Senate Bill 961 aimed at ensuring the integrity of Medicaid by preventing fraudulent practices, was debated vigorously, highlighting the challenges faced by the healthcare system in Texas. Additionally, Senate Bill 1527 addressed the precarious pension fund of the Dallas Police and Firefighters, with lawmakers discussing the city's required financial input to meet its pension obligations, a topic that elicited strong reactions from multiple legislators regarding the implications for public service workers and their benefits.

Transcript Highlights:

• The Chair lays out SB25.

Bills: HB813, HB1680, HB3569, HB4074, HB4635, HB5178, SB527, SB1307, SB1822

Keywords: autism, health insurance, coverage, medical treatment, health benefit plan, HIV prevention, prescription drug, prior authorization, health benefits, insurance coverage, insurance, contract termination, property and casualty, insurance agents, discrimination, insurance, appraiser, umpire, licensing requirements, continuing education

Summary: The meeting of the House Committee on Insurance centered around numerous healthcare-related bills, focusing heavily on issues such as artificial intelligence (AI) in medical determinations, autism insurance coverage, and HIV prevention. Representative Garcia Hernandez presented HB4635, aiming to ensure transparency in the use of AI in medical claim denials, which has become increasingly prevalent. The bill introduces mandates for disclosures on AI algorithms used in decisions, enhancing patient rights and keeping the Texas Department of Insurance informed of potential denials. Public testimony supported the bill as essential for safeguarding Texans from unintended biases in AI applications. Additionally, HB813, presented by Representative Goodwin, garnered attention for its effort to update autism-related insurance mandates, removing outdated age restrictions for therapy coverage. This legislation is seen as a crucial step in accommodating the needs of all individuals on the autism spectrum, regardless of the timing of their diagnosis.

Transcript Highlights:

• SB4, SB6, SB9, SB22, SB23, SB25, SB26, SB27, SB28, SB29,

Bills: HCR158, HCR159, HCR160, HCR161, HCR162, HCR163, HCR164, HR174, HR427, HR790, HR810, HR857, HR866, HR882, HR883, HR962, HR966, HR1001, HR1045, HR1085, HR1097, HR1127, HR1138, HR1141, HR1150, HR1152, HR1292, HR1296, HR1304, HR1305, HR1306, HR1308, HR1309, HR1310, HR1311, HR1312, HR1313, HR1315, HR1317, HR1318, HR1320, HR1321, HR1322, HR1323, HR1324, HR1325, HR1327, HR1328, HR1329, HR1330, HR1331, HR1332, HR1333, HR1334, HR1335, HR1338, HR1340, HR1341, HR1342, HR1343, HR1344, HR1345, HR1346, HR1347, HR1348, HR1349, HR1352, HR1353, HR1354, HR1355, HR1358, HR1359, HR1360, HR1361, HR1362, HR1363, HR1364, HR1365, HR1366, HR1368, HR1369, HR1370, HR1380, HR1383, HR1384, HR1385, HR1386, HR1387, HR1388, HR1389, HR1390, HR1392, HR1393, HR1396, HR1397, HR1398, HR1399, HR1400, HR1402, HR1403, HR1404, HR1405, HR1406, HR1407, HR1408, HR1409, HR1410, HR1411, HR1412, HR1413, HR1414, HR1415, HR1417, HR1418, HR1419, HR1420, HR1421, HR1422, HR1424, HR1425, HR1426, HR1427, HR1428, HR1429, HR1430, HR1431, HR1432, HR1433, HR1434, HR1435, HR1436, HR1437, HR1438, HR1440, HR1441, HR1442, HR1443, HR1444, HR1445, HR1447, HR1448, HR1449, HR1450, HR1452, HR1453, HR1454, HR1455, HR1456, HR1458, HR1459, HR1460, HR1461, HR1462, HR1463, HR1464, HR1465, HR1466, HR1467, HR1469, HR1470, HR1471, HR1472, HR1473, HR1475, HR1477, HCR132, HCR154, HR17, HR49, HR170, HR275, HR355, HR356, HR364, HR369, HR672, HR690, HR755, HR756, HR759, HR762, HR763, HR781, HR785, HR848, HR1240, HR1265, HR1303, HR1307, HR1314, HR1316, HR1319, HR1326, HR1336, HR1337, HR1350, HR1351, HR1367, HR1371, HR1372, HR1373, HR1374, HR1375, HR1376, HR1377, HR1378, HR1379, HR1382, HR1391, HR1395, HR1451, HR1457, HR1468, HR1474, HR1476, SB1637, SB2878, HB2885, HB2017, HB5246, SB8, SB2308, SB1405, HB119, SB3059, SB15, SB568, SB2900, HB3642, HB3909, SB268, HB493, SB2217, HB2516, SB650, HB2963, SB1610, HB705, SB2972, SB1540, HB40, SB2753, SB1660, SB2024, HB1545, HB46

Keywords: Cecil Newton, military service, 100th birthday, honor, contribution, community, family legacy, philanthropy, nonprofit, veterans, community support, charitable contributions, pro-life, historical preservation, animal welfare, healthcare, physician program, recognition, Eastland County, public health

Summary: The meeting convened to address a variety of bills, with substantial attention devoted to the conference committee reports on multiple pieces of legislation. Notably, the discussion included SB268, where a fix was made to restore language regarding serious bodily injury referrals to law enforcement. Members expressed appreciation for the collaborative efforts during the conference committee stages of the bills, with several members highlighting the enhancement of the legislative process through a united front. Additionally, notable discussions surrounded HB5246 and SB2308, which focused on drug trials and the necessity of establishing clear protocols moving forward. The meeting concluded with significant voting outcomes, showcasing the supportive stance of the majority on various measures discussed.

Transcript Highlights:

• Kishnik, Vice President of Policy with Texas Business Leadership Council, testifying in support of SB25

Bills: SB451, SB762, SB1490, SB1262, SB1459, SB1750, SB1962, SB2252, SB2253, SB2365

Keywords: instructional materials, public schools, Education Code, adoption, rejected materials, local funds, open educational resources, instructional materials, Texas Education Code, rejected materials, school districts, open enrollment charter schools, funding restrictions, environmental regulation, business compliance, local authority, economic development, state preemption, instructional materials, public schools

Summary: The committee meeting primarily addressed several education-related bills, notably focusing on strengthening teacher certification pathways and accountability measures within the Texas school system. Notable discussions revolved around Senate Bills 2252 and 2253, which aim to enhance early education and teacher preparation programs. Participants included various committee members who debated the merits of each bill and carefully considered public testimony that presented both support and concerns regarding the implications of the proposed legislation.

Transcript Highlights:

• The chair lays out on second reading SB25.

Bills: SB2405, SB2406, SB2407, SB6, SB7, SB36, SB38, SB815, SB1856, SB379, SB1171, SB1121, SB1061, SB1036, SB1019, SB890, SB11, SB868, SB1188, SB1120, SB1254, SB2778, SB2543, SB2443, SB1333, SB1259, SB1401, SB1404, SB2139, SB2165, SB2237, SB2268, SB1202, SB1198, SB1212, SB1451, SB1470, SB1498, SB965, SB1547, SB1667, SB1818, SB1902, SB2129, SB2078, SB2069, SB1737, SB1589, SB1318, SB387, SB1150, SB1574, SB2127, SB3034, SB860, SB1278, SB263, SB370, SB663, SB924, SB1939, SB1937, SB1598, SB2798, SB2801, SB2580, SB2569, SB2514, SB2064, SB1940, SB1621, SB2601, SB1379, SB1376, SB1372, SB1353, SB2216, SB552, SB2405, SB2406, SB2407, SB2166, SB2148, SB535, SB777, SB827, SB1141, SB1330, SB1352, SB1664, SB1612, SB1862, SB1936, SB1453, SB1448, SB1398, SB2137, SB2111, SB53, SB226, SB1677, SB1723, SB1839, SB6, SB7, SB36, SB38, SB815, SB1856, SCR5, SCR32, SCR8, HCR88, HCR91, HCR129, HCR130, HCR131, HCR133, HCR137, HCR138, HCR139, HCR140, HCR143, HCR145, HCR147, HCR150, HCR152, HR6, HR105, HR112, HR124, HR146, HR151, HR158, HR221, HR222, HR237, HR469, HR543, HR571, HR605, HR702, HR703, HR704, HR705, HR706, HR707, HR708, HR709, HR710, HR713, HR714, HR715, HR716, HR717, HR718, HR719, HR720, HR721, HR722, HR723, HR724, HR725, HR726, HR727, HR728, HR729, HR730, HR731, HR732, HR733, HR734, HR735, HR736, HR737, HR738, HR739, HR740, HR741, HR742, HR743, HR744, HR745, HR746, HR747, HR748, HR749, HR750, HR751, HR752, HR782, HR787, HR789, HR796, HR798, HR799, HR800, HR801, HR802, HR804, HR807, HR812, HR813, HR814, HR817, HR819, HR820, HR821, HR822, HR824, HR827, HR828, HR830, HR831, HR832, HR833, HR837, HR839, HR840, HR841, HR842, HR843, HR844, HR847, HR849, HR850, HR851, HR852, HR853, HR854, HR855, HR856, HR858, HR859, HR861, HR865, HR871, HR873, HR874, HR875, HR876, HR880, HR881, HR884, HR886, HR887, HR890, HR892, HR894, HR895, HR898, HR900, HR901, HR903, HR904, HR905, HR908, HR910, HR912, HR913, HR915, HR916, HR917, HR918, HR919, HR920, HR921, HR922, HR923, HR924, HR925, HR926, HR927, HR928, HR930, HR931, HR932, HR936, HR937, HR938, HR939, HR940, HR941, HR942, HR943, HR946, HR947, HR948, HR949, HR952, HR953, HR954, HR955, HR956, HR960, HR964, HR965, HR967, HR968, HR969, HR970, HR972, HR973, HR974, HR975, HR976, HR977, HR978, HR979, HR980, HR981, HR982, HR983, HR984, HR985, HR987, HR988, HR989, HR990, HR991, HR992, HR993, HR994, HR995, HR996, HR997, HR998, HR999, HR1000, HR1002, HR1003, HR1004, HR1005, HR1006, HR1007, HR1008, HR1009, HR1010, HR1011, HR1012, HR1013, HR1014, HR1015, HR1016, HR1017, HR1018, HR1019, HR1020, HR1024, HR1025, HR1026, HR1027, HR1028, HR1029, HR1030, HR1032, HR1034, HR1035, HR1036, HR1038, HR1040, HR1041, HR1042, HR1043, HR1044, HR1046, HR1047, HR1048, HR1049, HR1050, HR1051, HR1052, HR1053, HR1055, HR1056, HR1057, HR1059, HR1064, HR1067, HR1068, HR1069, HR1070, HR1071, HR1073, HR1074, HR1075, HR1077, HR1078, HR1079, HR1080, HR1081, HR1083, HR1086, HR1087, HR1088, HR1089, HR1090, HR1091, HR1092, HR1093, HR1094, HR1095, HR1096, HR1098, HR1099, HR1100, HR1101, HR1103, HR1104, HR1105, HR1106, HR1109, HR1111, HR1112, HR1115, HR1116, HR1117, HR1118, HR1119, HR1121, HR1123, HR1125, HR1128, HR1130, HR1131, HR1132, HR1139, HR1140, HR1143, HR1144, HR1146, HR1147, HR1148, HR1149, HR1151, HR1153, HR1154, HR1155, HR1156, HR1157, HR1158, HR1159, HR1160, HR1161, HR1162, HR1163, HR1164, HR1165, HR1166, HR1167, HR1168, HR1169, HR1170, HR1171, HR1172, HR1173, HR1174, HR1175, HR1176, HR1177, HR1178, HR1179, HR1180, HR1181, HR1182, HR1183, HR1184, HR1185, HR1186, HR1187, HR1188, HR1189, HR1190, HR1191, HR1192, HR1193, HR1194, HR1195, HR1196, HR1197, HR1198, HR1199, HR1200, HR1201, HR1202, HR1203, HR1204, HR1205, HR1206, HR1207, HR1208, HR1209, HR1210, HR1211, HR1212, HR1213, HR1214, HR1215, HR1216, HR1217, HR1218, HR1219, HR1220, HR1221, HR1222, HR1223, HR1224, HR1225, HR1226, HR1227, HR1228, HR1229, HR1230, HR1231, HR1232, HR1233, HR1234, HR1235, HR1236, HR1237, HR1238, HR1241, HR1243, HR1244, HR1245, HR1246, HR1247, HR1248, HR1249, HR1252, HR1253, HR1255, HR1256, HR1257, HR1260, HR1261, HR1262, HR1263, HR1264, HR1266, HR1267, HR1268, HR1269, HR1270, HR1271, HR1272, HR1273, HR1274, HR1275, HR1278, HR1280, HR1281, HR1282, HR1283, HR1284, HR1285, HR1286, HR1287, HR1288, HR1289, HR1290, HR1291, HR1293, HR1294, HR1295, HR1299, HR1300, HR1301, HR1302, SCR49, HCR134, HCR136, HR18, HR247, HR428, HR494, HR538, HR540, HR786, HR791, HR803, HR805, HR808, HR809, HR811, HR816, HR825, HR826, HR836, HR838, HR845, HR846, HR862, HR869, HR870, HR878, HR879, HR896, HR899, HR902, HR911, HR914, HR933, HR934, HR935, HR951, HR958, HR959, HR986, HR1021, HR1022, HR1039, HR1054, HR1058, HR1061, HR1062, HR1065, HR1072, HR1107, HR1108, HR1110, HR1114, HR1120, HR1122, HR1129, HR1142, HR1145, HR1239, HR1242, HR1250, HR1251, HR1254, HR1258, HR1259, SCR21, HB3228, HB2802, HB45, HB1318, HB5560, HB2894, HB4344, HB4238, HB130, HB2775, HB34, HB33, HB12, HB148, HB4273, HB4850, HB2733, HB4783, HB4187, HB39, SB2155

Keywords: criminal justice, parole, medical supervision, rehabilitation programs, Texas Board of Pardons and Paroles, Texas Department of Criminal Justice, offenders with medical impairments, Windham School District, Sabine River Authority, board of directors, term limits, removal grounds, government oversight, training requirements, Texas Sunset Advisory Commission, Lower Neches Valley Authority, board of directors, Sunset Advisory Commission, term limits, government oversight

Summary: The committee meeting covered a broad range of topics including measures like SB815, which ensures that health insurance decisions are made by licensed professionals rather than by automated systems. Senator Spiller emphasized the importance of human oversight in medical decisions, raising concerns about fairness and accountability as technology becomes more integrated into healthcare. The bill passed unanimously, highlighting a collective agreement on prioritizing patient protection over automation in critical health decisions. Additionally, the committee discussed several resolutions that focused on naming public facilities and honoring significant individuals in Texas history, reflecting the committee's role in recognizing cultural contributions while addressing legislative actions.