Transcript Highlights:

• disrupt hormones and harm health with links to conditions like asthma, reproductive harm, metabolic disease
• We are developing therapies for autoimmune diseases like lupus, and particularly lupus nephritis, one
• , say myositis, one of these rare inflammatory diseases that we’re looking to develop therapies against
• I look at the case of the rare disease drugs.
• But I have nervousness when, in the rare disease products, we know that there's very few patients and

Committee: House Judiciary

Keywords: 988, house, all

Transcript Highlights:

• , diabetes, kidney disease, hepatitis, mental health conditions that direct dispense doesn't cover.
• I also think about HIV as the second disease other than substance use disorder disease that we also criminalize
• Directly or indirectly by this disease and what you're doing today with this amendment.
• You know, if you're a bench scientist, HIV is one of the most fascinating disease states to look at.
• You know, if you're a bench scientist, HIV is one of the most fascinating disease states to look at it

Summary: The Senate convened with a quorum, opening prayer, Pledge of Allegiance, page introductions, and recognition of guests, including a state champion Crossroads Academy basketball team and a student intern. The chamber then took up executive appointment reports from the Ethics and Elections Committee and related committees, which covered a large slate of gubernatorial appointees to state boards and commissions. Senators were given the opportunity to separate nominees for individual votes, and several members spoke in support of or opposition to specific appointees based on qualifications, ideology, and prior public service. The first major confirmation vote covered most of the 186 appointments on the report, with debate centered on three nominees highlighted by Senator Polsky: Ilya Shapiro, Thomas Zachary Smith, and Dr. John Lattell. The report was adopted 31-0 after those objections, and Jeffrey Aaron was then considered separately for the Public Employee Relations Commission. Senators Smith and Polsky opposed Aaron’s confirmation, citing his role as legal counsel to the Hope Florida Foundation and alleged involvement in the transfer of Medicaid settlement funds to political entities; Chair Gates defended Aaron as a lawyer representing a client and noted no disciplinary or law-enforcement action against him. Aaron was confirmed 26-10. The Senate next confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after debate focused on her prior leadership at the Department of Children and Families, Medicaid redeterminations, postpartum coverage issues, Hope Florida-related concerns, and a women’s shelter inspection dispute. Supporters emphasized her work stabilizing Medicaid funding and her responsiveness to agency problems, while opponents argued she had overseen serious failures and lacked suitability. The confirmation passed 32-5. Taylor Hatch was then confirmed as Secretary of the Department of Children and Families after committee members noted serious operational concerns at DCF, including SNAP/EBT compliance, child welfare practices, forensic audit issues, and questions about Hope Florida, but also cited her commitment to child welfare and willingness to address problems; the vote was 33-4. After the confirmations, the Senate recessed and later returned for a lengthy tribute to outgoing Senate President Kathleen Pasadomo. Senators from both parties offered personal remarks praising her leadership, diligence, toughness in committee, mentorship, and resilience after personal loss, while also joking about her reputation as a strict rules chair and “bill killer.” The session concluded with the recognition of her service and presentation of a handmade keepsake box filled with letters and mementos from staff and colleagues.

Transcript Highlights:

• that all employees and all tribal members get a physical because we wanted to try to weed out any diseases
• that all employees and all tribal members get a physical because we wanted to try to weed out any diseases
• that all employees and all tribal members get a physical because we wanted to try to weed out any diseases
• </c><00:30:52.720><c> or</c><00:30:53.039><c> any</c><00:30:53.279><c> issues</c> weed out any diseases
• or any issues weed out any diseases or any issues before<00:30:54.159><c> it</c><00:30:54.399><c> got

Bills: HF3388 , HF400

Committee: House Commerce Finance and Policy

Keywords: HF3388, Minnesota premium security plan, reinsurance, health insurance, group health carriers, MCHA, MNsure, individual market, premium stabilization, carrier assessment, health insurance assessment, premium security plan account, state innovation waiver, high-risk pool, reinsurance payments, healthcare premiums, insurance carriers, deferral of assessment, financially impaired condition, HF400

Transcript Highlights:

• It's not just about treating disease or pathology.
• now so many additional rural providers that you had deaths go down for chronic lower respiratory disease
• We studied the full scope of human disease and the physiology behind it, the why behind the symptoms.
• Standard nurse practitioners have one three-credit-hour class for medications and one for disease for
• Diseases, especially new ones, all manifest with very similar symptoms.

Bills: SB1888 , SB3003 , SB2417 , SB2459 , SB3055 , HB1393 , HB2884 , SB2943

Committee: Senate State Affairs

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

Transcript Highlights:

• , gases, or vapors, and all basically it just becomes all nuisances and all causes of sickness or disease
• Next up, we have HB 952, relating to Parkinson's disease and research.
• which may be known to them or disease which may be known to them or brought<00:34:58.079><c> to</c><
• It's a very complex disease. Queens supports this bill strongly.
• So for HB 952 relating to Parkinson's disease research, we're going to pass this with amendments.

Keywords: 912, senate, all

Summary: The committee opened its Health and Human Services calendar, noted quorum, and first took up HB 194. The chair explained amendments to add an exemption for a person invited by a patient to attend a birth outside an accredited birth facility when no compensation is involved, remove a date reference in section 9, and accept Department of Health amendments. Members raised no objections, and the committee voted to pass HB 194 with amendments. The committee then heard HB 139 on insurance, with the Attorney General flagging possible unlawful delegation issues and suggesting clarifying language, while the Insurance Division stood on written testimony. A number of health organizations and advocates, including HMSA, Hawaii Association of Health Plans, oncology and fertility groups, testified in support. HB 613 on homeless youth drew broad support from state agencies, counties, youth advocates, and community groups; testimony emphasized the need for permanent safe spaces and more attention to unaccompanied minors, with one witness asking for clarity on funding and shelter capacity. HB 71 on a tax credit for family caregivers drew support from AARP, Alzheimer’s and children’s advocates, and several individuals, while the Tax Foundation raised concerns about blank provisions and the cost-effectiveness of administering a small credit. The Department of Taxation said a prior version with a $5,000 nonrefundable credit would have cost the general fund about $397.4 million. HB 716 on health care technology support received strong support from SHPDA, OHIN, and many provider groups, who described it as a one-time investment of roughly $20–25 million to connect rural and neighbor island providers to electronic health records; members questioned how the grant program would be allocated. HB 799 on physician hospital privileges also drew mixed testimony: supporters said it would align Hawaii with updated CMS rules and improve access, especially on Maui, while Maui Health and some members worried it could reduce on-call coverage and hospital safety, leading to discussion of a possible report and sunset date.

Transcript Highlights:

• insurance premiums for plans that cover neither the diagnosis nor the standard treatment of this disease
• And it is a disease. Fertility care is not a luxury. It is essential medical care.
• The ability to treat a disease should not depend on your zip code or financial situation.
• The ability to treat a disease of care.
• The ability to treat a disease should<00:14:47.680><c> not</c><00:14:47.880><c> depend</c><00:14:48.240

Keywords: 1183, house

Transcript Highlights:

• Yeah, that's what conservation is really concerned about, this chronic wasting disease.
• But we're concerned about the disease that's inside of these fenced areas.
• Right, it may have the disease.
• up a disease and carry it from trough to trough.
• . ...are totally resistant to this disease.

Bills: HJR 98 , HB 142 , HB 912 , HB 2525 , SCR 19 , SB 66 , SB 128 , SB 209 , SB 250 , SB 317 , SB 383 , SB 393 , SB 397 , SB 517 , SB 571 , SB 612 , SB 614 , SB 715 , SB 731 , SB 801 , SB 865 , SB 867 , SB 872 , SB 905 , SB 913 , SB 945 , SB 946 , SB 986 , SB 1013 , SB 1015 , SB 1071 , SB 1086 , SB 1087 , SB 1113 , SB 1117 , SB 1181 , SB 1212 , SB 1241 , SB 1250 , SB 1263 , SB 1278 , SB 1285 , SB 1444 , SB 1483 , SB 1525 , SB 1528 , SB 1553 , SB 1556 , SB 1588 , SB 1660 , SB 1708 , SB 1802 , SB 1833 , SB 1844 , SB 1854 , SB 1957 , SB 1965 , SB 1999 , SB 2056 , SB 2082 , SB 2119 , SB 2133 , SB 2138 , SB 2203 , SB 2221 , SB 2337 , SB 2340 , SB 2373 , SB 2419 , SB 2422 , SB 2452 , SB 2477 , SB 2487 , SB 2501 , SB 2533 , SB 2586 , SB 2587 , SB 2615 , SB 2622 , SB 2633 , SB 2675 , SB 2681 , SB 2690 , SB 2713 , SB 2717 , SB 2753 , SB 2781 , SB 2782 , SB 2835 , SB 2841 , SB 2857 , SB 2891 , SB 2929 , SB 2933 , SB 2994 , SB 3016 , SJR 3 , SB 5 , SB 29 , SB 72 , SB 326 , SB 494 , SB 509 , SB 530 , SB 616 , SB 769 , SB 783 , SB 963 , SB 985 , SB 1143 , SB 1172 , SB 1238 , SB 1267 , SB 1271 , SB 1273 , SB 1506 , SB 1759 , SB 1786 , SB 1967 , SB 2312 , SB 2361 , SB 1 , SB 260 , SB 1506 , SB 1637 , HJR 98 , HJR 99 , HJR 2 , HJR 1 , HB 1109 , HB 1392 , HB 22 , HB 2525 , HB 3093 , HB 517 , HB 912 , HB 1130 , HB 142 , HB 1689 , HB 2018 , HB 136 , HB 2884 , HB 1393 , HB 2730 , HB 1399 , HB 1244 , HB 467 , HB 331 , HB 2559 , HB 29 , HB 26 , HB 166 , HB 353 , HB 2000 , HB 2756 , HB 3248 , HB 3513 , HB 3204 , HB 3135 , HB 3012 , HB 2763 , HB 2523 , HB 2457 , HB 2415 , HB 2198 , HB 2143 , HB 1708 , HB 1672 , HB 767 , HB 1327 , HB 2723 , HB 451 , HB 140 , HB 109 , HB 3096 , HCR 6 , HCR 12 , HCR 29 , HCR 50 , HCR 55 , HCR 56 , HCR 58 , HCR 70 , HCR 71 , HCR 74 , HCR 78 , HCR 80 , HCR 107 , HCR 116 , HCR 117 , SJR 36 , SJR 50 , SJR 63 , SJR 59 , SCR 12 , SCR 39 , SCR 48 , SCR 19 , SB 2023 , SB 1844 , SB 2533 , SB 62 , SB 666 , SB 847 , SB 284 , SB 854 , SB 1073 , SB 810 , SB 1505 , SB 583 , SB 507 , SB 1434 , SB 1772 , SB 2016 , SB 1163 , SB 1122 , SB 731 , SB 397 , SB 508 , SB 1436 , SB 287 , SB 261 , SB 1882 , SB 393 , SB 1791 , SB 209 , SB 2429 , SB 1999 , SB 511 , SB 2309 , SB 510 , SB 1085 , SB 1975 , SB 2717 , SB 1262 , SB 636 , SB 2056 , SB 884 , SB 517 , SB 1200 , SB 1845 , SB 2681 , SB 2458 , SB 801 , SB 3014 , SB 3013 , SB 758 , SB 1013 , SB 2797 , SB 2076 , SB 2876 , SB 2929 , SB 715 , SB 1640 , SB 2538 , SB 1449 , SB 986 , SB 1181 , SB 1359 , SB 410 , SB 1234 , SB 2926 , SB 2138 , SB 2615 , SB 2972 , SB 2841 , SB 3016 , SB 1856 , SB 1528 , SB 1373 , SB 672 , SB 2891 , SB 1854 , SB 317 , SB 2539 , SB 2532 , SB 1250 , SB 2082 , SB 2203 , SB 1285 , SB 1454 , SB 2520 , SB 1237 , SB 1586 , SB 2819 , SB 629 , SB 2342 , SB 2903 , SB 2477 , SB 3029 , SB 1957 , SB 375 , SB 250 , SB 777 , SB 2367 , SB 2703 , SB 2608 , SB 2965 , SB 2521 , SB 865 , SB 2165 , SB 2501 , SB 2675 , SB 2452 , SB 2835 , SB 872 , SB 1212 , SB 1278 , SB 1588 , SB 1602 , SB 1704 , SB 1723 , SB 1833 , SB 1858 , SB 1946 , SB 2009 , SB 2177 , SB 2460 , SB 2785 , SB 2373 , SB 1660 , SB 614 , SB 867 , SB 1608 , SB 1525 , SB 905 , SB 640 , SB 2487 , SB 1698 , SB 383 , SB 705 , SB 748 , SB 1113 , SB 1117 , SB 1802 , SB 2340 , SB 2586 , SB 2680 , SB 2690 , SB 2994 , SB 2747 , SB 1950 , SB 913 , SB 1071 , SB 1086 , SB 1087 , SB 1483 , SB 1444 , SB 1553 , SB 1556 , SB 1703 , SB 2133 , SB 2297 , SB 2298 , SB 2622 , SB 2955 , SB 3059 , SB 2782 , SB 2781 , SB 2637 , SB 2633 , SB 2337 , SB 2334 , SB 1861 , SB 2043 , SB 1367 , SB 946 , SB 945 , SB 2857 , SB 128 , SB 571 , SB 1263 , SB 3058 , SB 612 , SB 2221 , SB 2587 , SB 2044 , SB 2363 , SB 2713 , SB 2311 , SB 1986 , SB 2565 , SB 2943 , SB 1888 , SB 2417 , SB 3048 , SB 3052 , SB 3053 , SB 3036 , SB 3057 , SB 3056 , SB 3043 , SB 3037 , SB 3050 , SB 3063 , SB 3047 , SB 3035 , SB 2446 , SB 466 , SB 2611 , SB 2794 , SB 2105 , SB 2017 , SB 1790 , SB 1778 , SB 1730 , SB 2995 , SB 2847 , SB 205 , SB 2619 , SB 1903 , SB 203 , SB 3061 , SB 1581 , SB 2600 , SB 2799 , SB 2790 , SB 2688 , SB 2515 , SB 1230 , SB 876 , SB 2522 , SB 2639 , SB 2137 , SB 2519 , SB 2403 , SB 2459 , SB 3051 , SB 2655 , SB 2251 , SB 2764 , SB 2878 , SB 1884 , SB 111 , SB 582 , SB 2617 , SB 1835 , SB 2751 , SB 2959 , SB 250 , SB 614 , SB 865 , SB 872 , SB 905 , SB 986 , SB 1113 , SB 1212 , SB 1278 , SB 1525 , SB 1588 , SB 1660 , SB 1802 , SB 1833 , SB 2487 , SB 2586 , SB 2675 , SB 2690 , SB 2929 , HB 912 , HB 2525 , SB 1844 , SB 2533 , SB 1957 , SB 1999 , SB 2138 , SB 2615 , SB 3016 , SR 469 , SB 29 , SB 326 , SB 494 , SB 530 , SB 769 , SB 783 , SB 1238 , SB 1967 , SB 2312 , SB 1506 , HJR 34 , HB 42 , HB 198 , HB 247 , HB 367 , HB 449 , HB 632 , HB 668 , HB 677 , HB 766 , HB 1105 , HB 1160 , HB 1169 , HB 1592 , HB 1778 , HB 1781 , HB 1868 , HB 2017 , HB 2038 , HB 2128 , HB 2240 , HB 2316 , HB 2510 , HB 2516 , HB 2563 , HB 2582 , HB 2663 , HB 2712 , HB 2715 , HB 2760 , HB 2788 , HB 3010 , HB 3069 , HB 3112 , HB 3120 , HB 3146 , HB 3157 , HB 3305 , HB 3348 , HB 3464 , HB 3474 , HB 3505 , HB 3512 , HB 3560 , HB 3597 , HB 3686 , HB 3783 , HB 3860 , HB 4063 , HB 4081 , HB 4214 , HB 4215 , HB 4224 , HB 4273 , HB 4325 , HB 4361 , HB 4386 , HB 4395 , HB 4665 , HB 4783 , HB 5032 , HB 5180 , HJR 34 , HB 42 , HB 198 , HB 247 , HB 367 , HB 449 , HB 632 , HB 668 , HB 677 , HB 766 , HB 1105 , HB 1160 , HB 1169 , HB 1592 , HB 1778 , HB 1781 , HB 1868 , HB 2017 , HB 2038 , HB 2128 , HB 2240 , HB 2316 , HB 2510 , HB 2516 , HB 2563 , HB 2582 , HB 2663 , HB 2712 , HB 2715 , HB 2760 , HB 2788 , HB 3010 , HB 3069 , HB 3112 , HB 3120 , HB 3146 , HB 3157 , HB 3305 , HB 3348 , HB 3464 , HB 3474 , HB 3505 , HB 3512 , HB 3560 , HB 3597 , HB 3686 , HB 3783 , HB 3860 , HB 4063 , HB 4081 , HB 4214 , HB 4215 , HB 4224 , HB 4273 , HB 4325 , HB 4361 , HB 4386 , HB 4395 , HB 4665 , HB 4783 , HB 5032 , HB 5180

Keywords: Article V, federal government, fiscal restraints, constitutional amendment, term limits, HB 142, Texas Health and Human Services Commission, HHSC, Office of Inspector General, OIG, Medicaid, Medicaid managed care, recovery audit contractor, RAC, overpayment recovery, underpayment, fraud, waste, abuse, provider enrollment

Transcript Highlights:

• for Senate Bill 398, a bill to be entitled an act relating to an awareness program for Alzheimer's disease
• for Senate Bill 398, a bill to be entitled an act relating to an awareness program for Alzheimer's disease
• for Committee Substitute for Senate Bill 1800, a bill to be entitled an act relating to Parkinson's disease
• Committee Substitute for Senate Bill 1800, a bill to be entitled an act relating to Parkinson's disease
• There are good people that have substance use disorder disease. And we just need an opportunity.

Summary: The Senate convened with opening prayer, the Pledge of Allegiance, and several recognitions and introductions, including guests from Miami Northwestern Senior High School, Clay County, and a moment of silence for Pope Francis. The chamber then took up a motion to reconsider the prior day’s failed vote on CS for SB 1080 (local government land regulation), which was adopted without objection, and moved into the special order calendar. A series of bills were debated and mostly passed, often after substituting House companions. Measures approved included funding for expedited DNA testing grants, additional aggravating factors in capital cases, fertility preservation coverage for cancer patients, commuter rail indemnification, migrant vessel disposition, specialty license plates, an Alzheimer’s and dementia awareness campaign, relocation of the Council on the Social Status of Black Men and Boys to Florida Memorial University, charter school changes, sexual offender registration updates, utility worker assault/battery penalties, juvenile justice revisions, student mental health outcome reporting, foster home licensure transfers, water access facilities, Florida Virtual School changes, school readiness resources for children with disabilities, sexual images/child exploitation penalties, tampering with electronic monitoring devices, certified recovery residences, the FSU Election Law Center, the Office of Faith and Community, and bonuses for county tax collector/property appraiser employees. Several bills were temporarily postponed, including measures on social media use by minors, veterans’ nursing homes, Parkinson’s disease, mental health and substance use disorders, education, educator preparation, benefits for certain officers injured in the line of duty, school social workers, and brownfields. Debate centered on public safety, health care access, education, recovery housing, and government administration. Some of the most substantive discussion came on the Office of Faith and Community bill, where an amendment to bar political activity by office staff was offered and defeated after extended debate over election-related communications and the proper scope of existing ethics laws. The certified recovery residences bill also drew extensive support and testimony about addiction recovery and housing stability. Most bills passed on strong bipartisan votes, with a few receiving notable opposition, including the charter schools bill, the aggravating factors bill, and the Office of Faith and Community bill.

Transcript Highlights:

• for Senate Bill 398, a bill to be entitled an act relating to an awareness program for Alzheimer's disease
• for Senate Bill 398, a bill to be entitled an act relating to an awareness program for Alzheimer's disease
• for Committee Substitute for Senate Bill 1800, a bill to be entitled an act relating to Parkinson's disease
• Committee Substitute for Senate Bill 1800, a bill to be entitled an act relating to Parkinson's disease
• There are good people that have substance use disorder disease, and we just need an opportunity.

Summary: The Senate convened with opening prayer, the Pledge of Allegiance, and several recognitions, including guests from Miami Northwestern Senior High School, Clay County, and others. Senators also observed a moment of silence for Pope Francis. After routine announcements, the chamber moved to the special order calendar and took up a long series of bills, often substituting House companions for Senate bills before final passage. Among the measures approved were bills creating an expedited DNA testing grant program for local law enforcement, adding aggravating factors in capital cases involving gatherings for religious, school, or government activities, requiring state health coverage for fertility preservation services for cancer patients, authorizing indemnification for commuter rail providers, prohibiting abandonment of migrant vessels in Florida waters, and creating new specialty license plates. The Senate also passed bills on Alzheimer’s awareness, relocating the Council on the Social Status of Black Men and Boys to Florida Memorial University, charter schools, sex offender registration, utility worker protections, juvenile justice, student mental health reporting, foster home licensure transfers, water access facilities, Florida Virtual School, school readiness, sexual images involving children, tampering with electronic monitoring devices, certified recovery residences, the FSU Election Law Center, the Office of Faith and Community, and bonuses for county property appraiser employees. Several other bills were temporarily postponed, including measures on social media use by minors, veterans’ nursing homes, Parkinson’s disease, mental health and substance use disorders, education, educator preparation, officers injured in the line of duty, school social workers, and Brownfields. Debate was especially extensive on the Office of Faith and Community bill, where an amendment to bar political activity by office staff was offered but failed 13-23 after arguments over election-related communications and the scope of existing law. The certified recovery residences bill also drew notable debate, with supporters emphasizing housing as essential to recovery and opponents raising concerns about implementation and local control. Most other bills passed with little or no opposition, though a few drew dissenting votes, including the capital aggravating factors bill, charter schools, and the Office of Faith and Community measure.

Transcript Highlights:

• Even the smallest decline in community vaccination rates places everyone at risk for preventable diseases
• :51:50.680><c> preventable</c> everyone at risk for preventable everyone at risk for preventable diseases
• Health Fairview diseases Minnesota Health Fairview explains<00:51:54.520><c> that</c><00:51:54.640><
• </c><00:52:23.200><c> while</c><00:52:23.480><c> decreasing</c> preventable disease while decreasing
• preventable disease while decreasing Community<00:52:24.640><c> safety</c><00:52:25.200><c> for</c><00

Keywords: 919, house, all

Summary: The committee heard testimony on House File 16, and the chair moved the bill with a recommendation that it be re-referred to Elections Finance and Government Operations. Representative Rymer said the bill would require reporting to ICE when an illegal immigrant is arrested on suspicion of a violent crime, even if the county attorney does not prosecute, and would bar state and local entities from blocking federal immigration enforcement. He described the bill as narrowly focused on serious offenses such as murder, assault, robbery, kidnapping, and criminal sexual conduct, and said it was intended to improve communication with federal authorities about dangerous offenders. Supporters argued the bill would improve public safety and cooperation with federal law enforcement. David Zimmer, a former local law enforcement official, said cooperation with ICE is consistent with law enforcement practice and helps with information-sharing, warrants, consulate notifications, and locating individuals. Several other supporters, including a crime victim family member and a security officer, said the bill would help identify dangerous criminals and protect communities. Opponents said the bill would reduce trust in local law enforcement and discourage victims and witnesses from reporting crimes. Testifiers from the Immigrant Law Center of Minnesota, The Advocates for Human Rights, Violence Free Minnesota, the Minnesota Council on Latino Affairs, the Northstar Alliance, the City of Minneapolis, and others said mandatory ICE notification could deter domestic violence and trafficking victims from seeking help, harm due process, and undermine community safety. Some also warned it would interfere with local separation policies, burden local agencies, and have negative economic and civil rights impacts. The committee also heard emotional testimony from individuals describing domestic abuse and immigration-related fears, and from family members of a murder victim who supported the bill.

Transcript Highlights:

• this is going to be mental health conditions, postpartum depressions, postpartum psychosis, bipolar disease
• Psychosis, bipolar disease, and that's what we're going to talk about here as we go forward.
• Chronic disease, sometimes undiagnosed chronic disease in these patients, knowledge of the patient, provider
• include hypertension, dyslipidemia, obesity, and diabetes, indicating that prevention and chronic disease
• What that needs to be matched up with is certainly the appropriateness and the disease area, right?

Committee: Joint Health Care Committee

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• poisoning waters and soils, and have not even proven to be effective at controlling mosquito-borne diseases
• , and soils are expensive and have not even proven to be effective at controlling mosquito-borne diseases
• Therefore, ...are expensive and have not even proven to be effective at controlling mosquito-borne diseases
• Rodents spread over 35 known diseases, including hantavirus and leptospirosis.
• So rodents, they spread over 35 known diseases, including hantavirus and leptosporosis.

Committee: Joint Joint Committee on Environment and Natural Resources

Keywords: 995, all

Summary: The Joint Committee on Environment and Natural Resources held a hybrid hearing on a large slate of bills focused on pesticides, pollinators, rodenticides, mosquito control, invasive species, and local authority over pesticide regulation. Chair Becca Rausch set strict two-minute testimony limits due to the very large number of speakers. Early testimony from Senator Moore and Representative Hawkins strongly supported a bill to restrict second-generation anticoagulant rodenticides, citing harms to wildlife, pets, and public health, and noting that California has already adopted a similar model. Testimony also supported a Lowell home rule petition to allow the city to prohibit or restrict these rodenticides, with local officials describing documented raptor poisonings and municipal efforts to phase out use on city property. A major portion of the hearing focused on pollinator protection and neonicotinoid-treated seeds. Witnesses from environmental groups, conservation organizations, academics, and beekeepers argued that neonics harm bees and other beneficial insects, contaminate soil and water, and provide little or no economic benefit in most corn and soybean fields. Several speakers pointed to New York, Vermont, and Quebec as models for restricting treated seeds, and one panel cited research showing only a small percentage of fields benefit economically from the treatments. Support was also voiced for a bill establishing an ecologically based mosquito management program, with advocates criticizing aerial and truck spraying and urging non-chemical, locally tailored approaches. Other testimony supported bills to reform the pesticide board and pesticide regulation process, to give vulnerable municipalities more local control over pesticide use, to protect schoolchildren from pesticides on school grounds, and to respond to invasive species through a centralized state office, coordinator, strategic plan, and trust fund. Many speakers, including representatives from Mass Audubon, MSPCA, the Xerces Society, the Sierra Club, watershed groups, and local wildlife rehabilitators, described impacts on hawks, owls, pets, fish, and broader ecosystems. No votes were taken during the hearing, and committee members generally asked few questions, with the hearing remaining in testimony mode throughout.

Transcript Highlights:

• Alzheimer's disease is a progressive, irreversible, and chronic neurological condition marked by abnormal
• For many years, little could be done to slow or stop the disease once identified, but that reality began
• medications that meaningfully reduce amyloid plaque and slow clinical decline of early Alzheimer's disease
• bill sharpens existing law and aligns coverage policies to reflect the necessary urgency of this disease
• They can mean interrupted treatment, preventable disease flares, pain, and suffering, and, of course,

Keywords: 987, senate, all

Transcript Highlights:

• Without adequate medical and prescription drug coverage, managing this disease becomes financially impossible
• Without adequate medical and prescription drug coverage, managing this disease becomes financially impossible
• The median annual cost of brand disease-modifying treatments was over $113,000 as of July last year.
• And that allows them to have early diagnosis and consistent treatment of their disease.
• And those allows them to have early diagnosis and consistent treatment of their disease.

Summary: The Assembly Budget Subcommittee on Health held a hearing on the impacts of H.R. 1 and related federal actions on Covered California, Medi-Cal, and immigrant access to care. The chair framed the discussion around three main issues: expected losses in marketplace coverage as enhanced federal premium subsidies expire, new federal work and renewal requirements that would add administrative burden to Medi-Cal, and the loss of eligibility for certain lawfully present immigrants. Covered California testified that H.R. 1 and new federal rules, combined with the end of enhanced premium tax credits, are driving higher premiums, lower new enrollment, and more cancellations, especially among middle-income, Latino, and Black enrollees. The agency said California’s $190 million state subsidy program is helping lower-income enrollees but cannot replace the lost federal assistance, and it noted that roughly 120,000 lawfully present immigrants in Covered California will lose federal tax credits in 2027. On Medi-Cal, the Department of Health Care Services said H.R. 1 will require work and community engagement verification, six-month renewals for certain adults, and other changes that the department expects will reduce enrollment substantially. DHCS estimated 233,000 members could lose coverage by June 2027 from the work requirement and 289,000 from six-month renewals, with losses rising much higher by 2028; it also said it is using automation, outreach, clinic navigators, coverage ambassadors, community health workers, and street medicine providers to reduce procedural disenrollments. The department described a two-phase outreach plan and said it is working with counties on implementation, while the Department of Finance said the Governor’s budget maintains $190 million for the state subsidy program and does not propose additional changes at this time. The LAO said its independent forecast is somewhat higher than the administration’s, estimating about 2.1 million fewer Medi-Cal enrollees by June 2028, and urged the Legislature to review county administrative workload and readiness. Public testimony and member comments focused on the human and fiscal consequences of coverage losses. A representative from the Sacramento Native American Health Center warned that reduced reimbursement and coverage losses would destabilize community health centers, increase uncompensated care, and worsen outcomes by pushing patients into emergency care. Members raised concerns about paperwork burdens, county capacity, outreach effectiveness, and whether the state should do more to preserve coverage, including possible modeling of additional H-CARF spending and support for middle-income consumers and immigrant enrollees. The hearing did not take any votes or formal actions, but it ended with public comment and continued discussion of implementation and budget options.

Transcript Highlights:

• Without adequate medical and prescription drug coverage, managing this disease becomes financially impossible
• “Without adequate medical and prescription drug coverage, managing this disease becomes financially impossible
• The median annual cost of brand disease-modifying treatments was over $113,000 as of July last year.
• And those allow them to have early diagnosis and consistent treatment of their disease.
• And those allows them to have early diagnosis and consistent treatment of their disease.

Keywords: 988, house, all

Transcript Highlights:

• behavioral health treatment, prescription drugs, rehabilitative and habilitative services, chronic disease
• enacted in 1997 and requires coverage of medical foods for the treatment of an inherited metabolic disease
• gaps, and we want to prevent and detect early rather than having folks wait and deal with late-stage disease
• I think the intention for comprehensive medication management was around chronic disease.
• person is likely a few months down the road, it should be pneumonia in conjunction with a chronic disease

Keywords: 908, all

Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.

Transcript Highlights:

• So, for instance, with rat lungworm disease, those specimens come to our lab for analysis and DNA barcoding
• So, for instance, with rat lungworm disease, those specimens come to our lab for analysis and DNA barcoding
• So, for instance, with rat lungworm disease, those specimens come to our lab for analysis and DNA barcoding
• So, for instance, with rat lungworm disease, those specimens come to our lab for analysis and DNA barcoding
• So, for instance, with rat lungworm disease, those specimens come to our lab for analysis and DNA barcoding

Keywords: 910, house, all

Summary: The Committee on Culture and the Arts held an informational briefing with representatives from ʻIolani Palace and Bishop Museum to discuss how the Legislature can better support state-funded cultural institutions during the interim and into the next session. Chair Capella said the goal was to understand current needs, preserve Hawaiian culture and history, and expand educational access. No votes or formal actions were taken during the briefing. ʻIolani Palace’s representative described the Friends of ʻIolani Palace’s role as the nonprofit supporting repair, restoration, maintenance, and public education for the state monument. She said state operational funding and ARPA funds were critical to keeping the palace open, maintaining HVAC and other systems, and funding repairs that would otherwise fall to DLNR. She highlighted ongoing and planned projects including a fire suppression system, HVAC improvements, basement exhibit work, plumbing repairs, elevator replacement, etched glass restoration, and school-tour access. She also noted that a prior $150,000 CIP for windows and doors had not yet been released, and said the organization is exploring ways to bring more neighbor island students to the palace through transportation support, airline partnerships, and digital outreach. Bishop Museum’s representatives outlined the museum’s history, its role as the state museum of natural and cultural history, and its extensive collections in archives, archaeology, botany, entomology, zoology, and cryopreservation. They emphasized the museum’s work in preservation, research, environmental stewardship, and public education, including free access through Museums for All, daily programming, and cultural festivals and community events. They said state funding has been essential for staffing, IT security, fire suppression, and infrastructure needs, and that digitization of the museum’s 25 million objects is a major ongoing initiative to preserve and share Hawaiʻi’s history and knowledge.

Transcript Highlights:

• or treating... ...which defines the practice of medicine broadly to include diagnosing or treating disease
• board oversight. which defines the practice of medicine broadly to include diagnosing or treating disease

Summary: The committee first heard House Bill 120, which would revise New Mexico law on restraint and seclusion in public schools. The sponsor and supporters said the bill grew out of a year-long stakeholder working group and would clearly define terms such as chemical, mechanical, prone restraint, seclusion, timeout, de-escalation, and elopement; prohibit chemical, mechanical, and prone restraint; require continuous supervision during seclusion; update school safety plans and staff training; and improve reporting to parents and the state. Testimony from disability advocates, the Public Education Department, educators, and parents emphasized that students with disabilities are disproportionately affected, that clearer rules would help staff act safely, and that better reporting and de-escalation practices would reduce trauma. Committee members asked about the meaning of timeout, chemical restraint, data accuracy, and the juvenile detention facility exception, and the sponsor indicated an amendment on parent-notification timing would not be pursued to avoid delay. The committee then began House Bill 213, which would expand the Optometry Act to allow trained optometrists to perform certain laser procedures, including treatment for capsular clouding and glaucoma-related procedures. The sponsor said the bill adds training, certification, supervised live-procedure requirements, adverse-outcome reporting, and an Optometry Board member qualified to perform the procedures. Supporters argued the measure would improve access to care, especially in rural areas, and that the procedures are already performed safely in other states. Opponents, including ophthalmologists and the New Mexico Medical Board, argued the bill would move surgery outside the Medical Practice Act, lower the standard of care, and create regulatory and malpractice-accountability concerns because optometrists would not be subject to the same oversight and emergency-care authority as physicians. The committee did not reach a final vote on HB 213 before the transcript ended.

Transcript Highlights:

• memory of Alan Stewart Hammond IV, who passed on January 11th after a long battle with Parkinson's disease
• Since disease, born and raised in Washington, D.C., Alan's passion for civil rights and equality shaped

Summary: The Assembly met in session, established a quorum, and dispensed with the reading of the previous day’s journal. Members handled routine procedural motions, including permission for guest seating and adjournment-in-memory remarks. A motion by Assemblymember Tangipa to suspend the rules so ACA 12, described as preventing double taxation on roads, could be taken up without reference to file failed on a roll call vote of 17 ayes to 46 noes. The floor then featured several guest introductions and recognitions. Assemblymember Elhawary honored Los Angeles Trade Technical College on its centennial, highlighting its role in accessible education, workforce training, and reentry programs. Assemblymember Addis recognized Cal Poly San Luis Obispo and Cal Poly Maritime for Cal Poly’s 125th anniversary and its students and leadership. Assemblymember Haney welcomed representatives from Heel Palestine and six children from Gaza receiving medical care in California, describing the organization’s humanitarian work and the children’s resilience. The remainder of the session was devoted to adjournment-in-memory tributes. Members honored former Congressman Doug LaMalfa, emphasizing his long public service, rural advocacy, and work on agriculture, water, wildfire prevention, and local representation. The Assembly also remembered Alan Stewart Hammond IV for his civil rights and media policy work, and Rob and Michelle Reiner for their contributions to early childhood programs, equality, and public service. The House then adopted the adjournment motion and recessed until Thursday, February 5 at 9 a.m.

Transcript Highlights:

• about are those that include reimbursement for medical expenses related to exposure to contagious diseases
• respond to the same scenes as law enforcement and EMS and face many of the same risks, including disease

Bills: HB669 , HB 1306 , HB3173 , HB3807

Committee: House S/C on Workforce

Keywords: healthcare, Medicare, insurance, financial assistance, families, wage theft, employers, penalties, Texas Workforce Commission, employee rights, employer database, worker rights, death investigation, emergency services, medical benefits, exposure claims, public safety, workforce development, TWC, youth workforce