Transcript Highlights:

• Research and Development Foundation to search for solutions to citrus greening and citrus canker disease
• for the Citrus Health Response Program to survey citrus groves for pests and prevent the spread of diseases
• Research and Development Foundation to search for solutions to citrus screening and citrus canker disease
• for the Citrus Health Response Program to survey citrus groves for pests and prevent the spread of diseases
• . $5 million for the continuation of the e-com. prevent the spread of diseases. $5 million for the continuation

Committee: Senate Appropriations Committee on Agriculture, Environment, and General Government

Summary: The committee first took up confirmation of five water management district appointees: Ted Everett and Jerome Pate to the Northwest Florida Water Management District, Michael Romano to the Big Cypress Basin Board of the South Florida Water Management District, and Paul Bissfam, John Hall, and Virginia Johns to the Southwest Florida Water Management District. Senator McClain moved confirmation, the roll was called, and the committee recommended all appointees favorably. Members then received the Governor’s Florida First budget presentations for environmental agencies. The environmental package totaled about $5.8 billion and emphasized Everglades restoration, water quality, resilience, land conservation, state parks, hazardous waste cleanup, wildlife management, wildfire response, and citrus support. DEP highlighted more than $1.4 billion for water resources, including $810 million for Everglades restoration, $202 million for Resilient Florida, $150 million for Florida Forever, $70 million for state parks, and $221 million for contamination cleanup. FWC, Agriculture, and Citrus funding priorities were also outlined. Members asked about Florida Forever funding, state park wastewater and septic needs, a reduction at the Florida Wildlife Research Institute, and beach renourishment funding for storm damage. The committee also heard the General Government portion of the budget, which totaled about $2.9 billion and covered DBPR, Lottery, Financial Services, Management Services, Revenue, PERC, and the Gaming Control Commission. DBPR requested funds for license processing, an animal abuse hotline, fleet replacement, and IT retention. FGCC sought new enforcement squads and an IT licensing/enforcement system. The Lottery proposed marketing, retail engagement, IT, and retention funding. DMS emphasized building modernization, fleet telematics, 911 and radio upgrades, cybersecurity, a local government cybersecurity grant program, and data interoperability. PERC described a sharp increase in labor cases and elections after SB 256 and requested staffing, election administration, and hearing officer pay increases. DFS highlighted My Safe Florida Home, fire marshal and first responder support, financial investigations, and gold and silver legal tender implementation. Revenue requested operational and IT funding and support for fiscally constrained counties. Questions focused on DBPR’s condo and HOA initiatives, cybersecurity grant reductions, and the My Safe Florida Home program’s abandoned grants and matching requirements. No additional votes were taken, and the committee adjourned.

Transcript Highlights:

• And the existing statute provided for no consent being needed for treatment of venereal disease, and
• the logic to allowing parents a veto power about whether their child can get treated for venereal disease
• And the existing statute provided for no consent being needed for treatment of venereal disease, and
• and that involved those diseases that were given to them by... ...and that involved those diseases that
• Would you call that a compelling government interest to protect children from those types of diseases

Transcript Highlights:

• I had a fatal disease.
• I had a fatal disease.
• I had a fatal disease.
• I had a fatal disease.
• I had a fatal disease.

Summary: The joint hearing covered HB 553 on biomarker testing coverage, HB 556 on colorectal cancer screening access, and later HB 712 on 340B drug pricing. For HB 553, the American Cancer Society Cancer Action Network, patient advocates Natalie Heyman and Susan Hirano, a surgical oncologist, and the American Lung Association strongly supported the bill, arguing that biomarker testing should be covered when ordered by a doctor and guided by current evidence. DHS and several insurers offered comments and requested amendments, with DHS saying it appreciated the intent but wanted changes. The committees then voted to pass HB 553 with amendments, including a House draft and a defective date of July 1, 3000; both the House Health and Human Services and Homelessness committees adopted the recommendation unanimously. For HB 556, testimony focused on closing gaps in colorectal cancer screening, especially for uninsured and underinsured patients who can get stool-based screening but then cannot access follow-up colonoscopies. Community Clinic of Maui, ACS CAN, and the American Cancer Society supported the bill, with ACS CAN urging a program similar to the breast and cervical cancer control program and offering amendments. DHS requested that the program and appropriation not conflict with executive budget priorities, and the committees noted technical amendments, a defective date, a blank appropriation amount, and corrections changing Medicare references to Medicaid. HB 556 was also passed with amendments by both committees. The hearing then moved to HB 712 on 340B drug pricing and contract pharmacies. The Department of Health and the Attorney General’s office expressed concern that the bill would require the state to regulate private commercial activity and said the department lacked the expertise and resources to implement it as written, suggesting it might belong in a different statutory section. In contrast, PhRMA opposed the bill, while Hawaii Pacific Health and Hawaii Island Community Health Center supported it, saying 340B savings are important for hospital services and patient access to low-cost medications, especially where manufacturers have restricted shipments to contract pharmacies. No vote on HB 712 was taken in the portion provided.

Transcript Highlights:

• Disease prevention and women and children's health will come to order.
• Of this protein can slow disease progression and improve outcomes, such as delaying loss of ambulation
• And while the disease primarily afflicts boys, females who are carriers are also at risk for other diseases
• It's a life-threatening disease where bacteria attack the intestines, which may require surgery, and
• This reduces the burden of chronic disease, lowers health care costs, and improves quality of life.

Bills: HB321 , HB 1027 , HB 1295 , HB1782 , HB2295 , HCR29 , HCR56

Committee: House S/C on Disease Prevention & Women's & Children's Health

Keywords: Medicaid, child health, express lane option, income verification, supplemental nutrition assistance, telepharmacy, healthcare access, remote dispensing, rural clinics, pharmacy regulations, health literacy, state health plan, health care, patient outcomes, public health, economic impact, healthcare, breast cancer, cervical cancer, insurance eligibility

Transcript Highlights:

• It's pretty much every occupation in the state of North Dakota.
• It's not every, but it is a lot of occupations. Okay.
• So you can do the same thing with occupational therapy.
• Currently, the formula is getting an occupational therapy student over the course of three years.
• Same thing for occupational therapy, physical therapy.

Summary: The Higher Ed Funding Committee met to review how North Dakota might identify and address low-producing academic programs and to discuss draft funding formulas for the university system. Lisa Johnson of the NDUS explained that the State Board of Higher Education is already developing a system-wide policy, using models from other states such as Texas, Virginia, North Carolina, Colorado, Kentucky, Ohio, and Connecticut. She described how low-producing programs are typically flagged by multi-year enrollment or completion thresholds, then reviewed for workforce demand, mission fit, cost, accreditation, and regional need before any action is taken. Committee members asked about what counts as a program, how costs are analyzed, whether certificates are included, how exemptions work for mission-critical or high-demand fields, and whether the board or legislature should set the rules. Johnson said the board is the appropriate body to lead the process, but legislators could use funding leverage if they wanted to encourage action; the chair asked the board to bring a detailed proposal to the June meeting. The committee then heard a Legislative Council presentation on a draft formula for UND and NDSU. The proposal uses fall census FTE enrollment, with a placeholder undergraduate rate of $7,000 per FTE and a graduate/professional rate of $10,500, plus incentives for completions in in-demand fields and research productivity. Alex from Legislative Council walked through the projected funding effects, noting that the model would increase funding for NDSU and reduce it for UND in the current biennium, with different results in the next biennium as enrollment changes are recognized. Members questioned the use of the placeholder rates, the definition of in-demand programs, the treatment of research funding, and the exclusion of state-appropriated dollars from the external grants calculation. The chair emphasized that the numbers were illustrative and that appropriators would set the actual dollar amounts later. A second draft formula for the other nine institutions was also reviewed. That model uses fall census FTE without a weighted economic factor, applies a higher undergraduate rate, and adds completion incentives for in-demand credentials and all other completions. Members noted that the formula would benefit some institutions, such as Bismarck State College, while reducing funding for others, such as Mayville State, and discussed whether the nine institutions should be treated more uniformly or split into smaller groups because of their different missions and sizes. Committee members and staff repeatedly stressed that the formulas are still being refined and that some institutions would likely need hold-harmless adjustments or other transition measures. The meeting ended with the chair directing the committee to continue the discussion later and to expect further work on both the low-producing program policy and the funding formulas.

Transcript Highlights:

• I have two autoimmune diseases: one called celiac disease and another called systemic lupus, commonly
• I have two autoimmune diseases: one called celiac disease and another called systemic lupus, commonly
• </c> 18 years with the disease. 18 years with the disease.
• Right now there are over 7,000 rare diseases, and one in 10 people in the U.S. have a rare disease.
• </c> and growing. 70% of rare diseases and growing. 70% of rare diseases present<02:07:39.199><c> in<

Committee: Senate Health and Human Services

Transcript Highlights:

• </c> program forign animal disease program forign animal disease investigations<00:19:03.240><c> import
• </c><00:19:04.880><c> investigations</c> reportable disease investigations reportable disease investigations
• </c> in Staffing and diminished disease in Staffing and diminished disease response response response
• </c><00:41:48.520><c> we</c> they don't have some of the diseases we they don't have some of the diseases
• We hope it never does, but foot and mouth disease is also another big concern.

Committee: Senate Agriculture, Veterans, Broadband, and Rural Development

Transcript Highlights:

• Diseases and pests can negatively impact the agriculture industry, resulting in millions and possibly
• Diseases and pests can negatively impact the agriculture industry, resulting in millions and possibly
• Furthermore, the bill establishes a pest and disease control depredation program to provide funding for
• Texas A&M AgriLife and the Texas Animal Health Commission to proactively address pests, diseases, and
• the Texas Animal Health Commission to proactively address pests, diseases, and predators that threaten

Bills: HB43 , HB519 , HB 1275 , HB1592 , HB2842 , HB3088 , HB3479 , HB4163 , SB823 , HB609

Committee: Senate Water, Agriculture and Rural Affairs

Summary: The Senate Committee on Water, Agriculture, and Rural Affairs met with only four members initially present, so quorum was not established until later in the hearing. The committee heard several agriculture-, wildlife-, and food-labeling-related bills, including HB 3479 on expanding the Rio Grande vegetative management program beyond carrizo cane to other noxious vegetation, SB 823 on shrimp origin labeling and restrictions on misrepresenting imported shrimp as Texas or Gulf shrimp, HB 3088 on giving Texas Parks and Wildlife more flexibility to procure resale goods for park gift shops, HB 1275 on permits for non-bovine dairy farms in certain TB-affected areas, HB 519 on honey production and packaging rules, HB 609 on cleaning oyster cages in-bay with bay water only, HB 1592 on a voluntary AgriLife pest and disease alert system, HB 2842 on targeted urban deer depredation permits, and HB 4163 on limiting city requirements that agricultural operators maintain roadside rights-of-way. Testimony generally came from industry groups, agency resource witnesses, and affected producers, with most witnesses supporting the bills and several bills drawing questions about enforcement, labeling responsibility, and the scope of local authority. The most extensive discussion centered on SB 823, where Vice Chair Hancock and others questioned why wholesalers would be covered if they cannot relabel products. The bill author and restaurant association witness said the measure was intended to improve transparency and allow enforcement against intentional mislabeling, while preserving a good-faith defense and clarifying that the bill does not create a private cause of action. HB 519 also drew supportive testimony from beekeepers and a family farm, who argued that current rules treat honey extraction and bottling too much like food manufacturing and burden small operations. HB 609 was presented as a way to save time and resources for cultivated oyster mariculture by allowing cage cleaning in the bay without soaps or chemicals, and HB 1592 was described as a voluntary opt-in alert system for pests and diseases coordinated through AgriLife and other state agencies. HB 43 generated the most detailed policy debate. The bill would restructure and expand the Texas Agricultural Finance Authority, update grant and loan programs, and create a pest and disease control depredation program. The committee substitute reduced some funding caps, changed references from predators to depredating animals, and made the financial provisions contingent on appropriations. Supporters from Texas Farm Bureau, cotton growers, grain and feed interests, and young farmers described severe drought, inflation, land loss, rising input costs, and shrinking infrastructure as major threats to agriculture, while one witness urged preserving priority for young farmers. After testimony, the committee adopted the committee substitute and reported HB 43 favorably. The committee also voted HB 519, HB 609, HB 1275, HB 1592, HB 3088, HB 3479, HB 2842, and HB 4163 favorably, with several recommended for the local and uncontested calendar. SB 823 was reported from committee on a 6-2 vote after adoption of the committee substitute. The meeting ended with notice that the committee would tentatively reconvene Friday morning and then recessed subject to the chair's call.

Transcript Highlights:

• </c> Health insurance and health occupations — perinatal behavioral health conditions, favorable with
• House Bill 1365, Delegate Pena-Melnyk — Health Occupations, Public Health, and Insurance — Menopause
• Certain health occupation symptoms.
• Certain health occupation boards<00:08:01.360><c> must</c><00:08:01.560><c> grant</c><00:08:01.800><c
• House Bill 1135, Delegate Lopez, Health Occupations, pharmacist vaccination orders.

Transcript Highlights:

• Shani Shar Kim and members of the committee, I'm Candace, EO, an executive officer for the Occupational
• </c> executive officer for the Occupational executive officer for the Occupational Therapy<00:43:26.160
• The IEP team has determined that the child has a need that requires physical therapy or occupational
• therapy or speech and occupational therapy or speech and language Services<00:47:21.319><c> okay</c>
• , we do have 1,172 students who receive occupational therapy services.

Committee: Senate Education

Summary: The joint Committee on Education and Committee on Public Safety and Military Affairs heard Senate Bill 422, which would authorize the Department of Education to award a high school diploma to qualified people whose schooling was interrupted by military service or wartime practices during World War II, the Korean War, or the Vietnam War. The Department of Education testified in support, noting a prior law that created the Kono diploma program before it sunset in 2020. Several members of the public also testified in support. Both committees later recommended passage of SB 422 without amendments, and the recommendation was adopted by voice votes. The committees then heard Senate Bill 530 on Braille literacy. The bill would establish Braille literacy as state policy, require Braille-related literacy assessments for eligible blind and low-vision students, authorize DOE rulemaking, create a Braille Literacy Resource Center, and appropriate funds. DOE and the Department of Human Services supported the measure, as did the National Federation of the Blind, Hawaii Disability Rights Center, and a blind testifier who described the importance of early Braille instruction. The Attorney General’s office raised concerns about statutory language requiring yearly assessments and suggested revisions so annual decisions remain with IEP teams. The committees voted to pass SB 530 with amendments, including the Attorney General’s suggested changes, and adopted the recommendation. The next measure was Senate Bill 532, which would allow school staff and agents trained by a licensed clinician to volunteer to administer medication to students in public schools under certain conditions and clarify who may prescribe such medication. DOE and Department of Health testimony supported the bill. The Attorney General recommended replacing the term “licensed clinician” with the defined term “health care professional.” The Hawaii Academy of Physician Assistants supported the bill but asked that physician assistants be included among providers who may prescribe medications for school administration. After questions about current school health aide duties and field-trip medication procedures, the committees voted to pass SB 532 with amendments, including the Attorney General’s terminology change, and adopted the recommendation.

Transcript Highlights:

• Some of us are in remission or with no evidence of disease. This does not mean we are cured.
• So please allow Californians struggling with cancer and other life-threatening diseases to receive the
• but it would dangerously expand existing law, which is intended for people with life-threatening diseases
• She added that the definition of life-threatening disease and care is pretty limited, and said the committee
• She said the definition of life-threatening disease and care is pretty limited.

Committee: Senate Business, Professions and Economic Development

Summary: The Senate Business, Professions and Economic Development Committee met first without quorum and heard several bills in subcommittee before later reconvening and taking formal votes. The consent calendar included SB 1263, SB 1148, SB 1376, and SB 1391. The committee also heard SB 1002, SB 1311, and SB 1416, all of which were ultimately advanced to the Senate Appropriations Committee, with SB 1311 amended. After quorum was reached, the committee later ratified the earlier actions and adjourned. SB 1002 by Senator Niello would expand the David Hall Act to allow certain patients who were originally eligible for out-of-state telehealth care because of an immediately life-threatening diagnosis to continue receiving that care after entering remission. Supporters, including a cancer survivor, said the bill would preserve continuity of care for patients who still need specialist monitoring. The Medical Board of California and the California Medical Association opposed the bill, arguing that licensure is an important consumer protection and that the bill would weaken oversight and standards of care. Senator Caballero supported the measure, emphasizing access to care, especially for rural patients. SB 1311, presented by the chair, updates the Dental Practice Act so unlicensed dental assistants can satisfy infection control training requirements either through the Dental Assisting National Board exam or approved courses. The California Dental Association and California Association of Orthodontists supported the bill, saying it would help strengthen the dental workforce and improve patient access. The California Academy of General Dentistry raised concerns that the exam option lacked hands-on training and should be limited unless amended. The committee approved the bill as amended. SB 1416 by Senator Wahab would shorten from 30 days to 21 days the time a physician or dentist has to refund duplicate payments to consumers. Support was brief and largely focused on the bill’s consumer affordability benefits, and no opposition was voiced. The committee passed the bill to Appropriations.

Transcript Highlights:

• Some of us are in remission or with no evidence of disease. This does not mean we are cured.
• So please allow Californians struggling with cancer and other life-threatening diseases to receive the
• He argued the current law is meant for people with life-threatening diseases who have not been accepted
• She said the current definition of life-threatening disease and care is limited, and that the state can
• She said the current definition of life-threatening disease and care is pretty limited, and that the

Committee: Senate Business, Professions and Economic Development

Transcript Highlights:

• For the past 12 years, I've worked and developed therapies for genetically defined diseases.
• Massachusetts residents, including those that have a family history of cancer or other genetically defined diseases
• therapies, especially as we move forward toward more personalized medicine and ultimately curing this disease
• A genetic predisposition does not mean someone will ever develop a disease.
• A genetic predisposition does not mean someone will ever develop a disease.

Committee: Joint Joint Committee on Financial Services

Summary: The Joint Committee on Financial Services held a fully virtual public hearing because the State House was closed due to the prior day’s blizzard and ongoing cleanup and travel concerns. Chairs Paul Feeney and James Murphy opened by thanking first responders, DPW crews, plow operators, healthcare workers, and others who responded to the storm, and they explained the hearing was kept on schedule because of upcoming reporting deadlines. The committee heard testimony on H. 5112, An Act Prohibiting Genetic Discrimination, and also noted two other bills on the docket: H. 4914, An Act Relative to the Massachusetts Uniform Commercial Code, and S. 2921, An Act Relative to Travel Insurance. Representative Dave Rogers testified in support of H. 5112, joined by constituent Robin Biggs, who described her experience as a BRCA2 mutation carrier and said she was advised to secure life insurance before genetic testing because results could affect coverage. Biggs said genetic knowledge helped her make preventive health decisions, but she and others fear financial discrimination if insurers can use genetic information. Lindsay Jack of the ALS Association also supported the bill, arguing that people should not have to choose between learning about their health risks and protecting their financial future, and saying the measure would encourage testing and early intervention without harming the insurance market. Lisa Schlager of FORCE likewise backed the bill, saying many people with hereditary cancer risks avoid testing because of insurance concerns and that the federal law does not fully protect against discrimination in life, long-term care, and disability insurance. Committee members asked questions about whether insurers currently request genetic testing information and whether such information is used in underwriting. Testifiers said insurers routinely ask about genetic testing or obtain the information from medical records, and that the bill would prohibit using genetic test results in underwriting and would prevent insurers from requiring testing. No votes were taken; after testimony concluded and no additional witnesses came forward, the chairs closed the hearing and adjourned the meeting.

Transcript Highlights:

• of the disease.
• of the disease.
• of the disease.
• The disease.
• of the disease.

Committee: House Commerce and Consumer Affairs

Transcript Highlights:

• </c><00:13:36.959><c> Uh</c><00:13:37.200><c> we</c> against vaccinereventable disease.
• Uh we against vaccinereventable disease.
• Permanent Subcommittee on Alzheimer's Disease and Other Related Dementias annual report.
• as individuals living with the disease as well<00:33:10.640><c> as</c><00:33:10.880><c> their</c><00
• ,</c><00:36:10.800><c> dementia,</c> between Alzheimer's disease, dementia, between Alzheimer's disease

Summary: The committee first handled routine business, including roll call and approval of the prior meeting minutes, with one member abstaining because of absence and one member opposing. The main informational items were a Department of Health and Human Services update on the rural health transformation grant and a public health briefing on vaccines, followed by a quarterly budget and staffing update and an annual report from the Permanent Subcommittee on Alzheimer’s Disease and Other Related Dementias. Commissioner Lori Weaver reported that the department submitted the rural health transformation grant application on November 4, described it as reflecting input from communities and providers statewide, and said CMS review and budget negotiations would follow before final approval on December 31. She said the grant could support hiring as long as administrative costs stay within the 10% cap, and that the governor’s office will oversee administration with HHS. Ian Watt then testified that New Hampshire remains committed to vaccine access, including through the universal purchase program and annual respiratory virus guidance for flu, RSV, and COVID-19. He said the state continues to use evidence-based review for vaccine policy, noted the CDC’s change regarding the combined MMRV vaccine for the first dose in young children, and said New Hampshire’s school vaccine mandates remain at nine for schoolchildren and 10 for child care, with statutory exemptions still in place. Department staff also said there have been no supply or funding problems affecting childhood vaccine access. Nathan White, the department’s CFO, reviewed the DHHS budget and vacancy trends. He said DHHS makes up a large share of the state budget, that about 31% of its budget is general funds subject to lapse, and that lapse projections are difficult because much of the budget is driven by utilization rather than personnel. He reported current projected general fund lapse of just under $20 million, compared with about $39 million in the statewide surplus statement, and explained that only about a third of DHHS general funds can actually lapse because of statutory restrictions. He also said the department has about 400 unfunded positions, contributing to roughly a $30 million general fund reduction across the biennium, and that the hiring freeze has pushed vacancy trends upward while critical direct-care positions are being prioritized. The Alzheimer’s subcommittee reported six meetings this year, presentations on state services, silver alerts, brain health awareness, and palliative/hospice care, and work toward a new state Alzheimer’s plan. The subcommittee is developing a needs-assessment survey for people living with dementia, caregivers, and service providers, with the goal of using the results and other data sources to inform the plan. Its recommendations focus on integrating Alzheimer’s and dementia materials into chronic disease and aging outreach, embedding brain health into systems of care, adding cognitive health measures to BRFSS, and continuing partnerships with statewide organizations. Members also discussed recent research and prevention efforts, and the committee noted that a separate bill is being pursued to include Alzheimer’s and dementia in existing public health awareness campaigns.

Transcript Highlights:

• It's a completely different type of occupancy, and they can go up to 16.
• If they exceed 16, it becomes a dormitory, a third type of occupancy.
• If they exceed 16, it becomes a dormitory, a third type of occupancy.
• </c><03:28:17.640><c> leases</c> um we didn't have per occupant leases um we didn't have per occupant
• </c> comment um zoning and occupancy comment um zoning and occupancy ordinances<04:13:53.960><c> help

Committee: House Housing

Transcript Highlights:

• As you know, chronic disease across America, and if you read any studies, it's As you know, chronic disease
• I always want to include that with chronic disease. And so he is an expert in that.
• And so this is a challenging disease, and you need care, and eventually in the disease you're going to
• But, you know, it's changed a lot in the way that we look at this disease.
• Like my mother has Alzheimer's, or my mother-in-law has Alzheimer's disease.

Summary: The committee was called to order, the roll was taken, and the March 18 minutes were approved. Members then received several project and program updates, beginning with CHI St. Alexius’s behavioral health buildouts in Bismarck, Williston, and Grand Forks. St. Alexius reported that the Bismarck project remains on track for June 2027 completion, with demolition underway and final design work nearing completion. Williston reported construction is progressing, staffing recruitment is underway for psychiatrists and other staff, and an air handler replacement is creating a roughly $750,000 unbudgeted barrier that will slightly delay the timeline. Grand Forks reported its expansion is about 30% complete, with no major barriers beyond weather, and leaders said the project should be substantially complete in the first quarter of 2027. The Department of Health and Human Services then presented a series of budget and program updates. Donna Ockland explained several recent line-item transfers as technical corrections that net to zero and do not require new spending, then reviewed salaries, wages, and FTE counts, noting the department remains within its authorized staffing levels. Pat Rainer followed with an update on the Rural Health Transformation Program, saying 12 opportunities have been posted, 422 applications received, and $8.4 million obligated so far, with a goal of obligating the full $199 million by September. He described grants for workforce retention, rural rotations and housing, community gardens, school wellness, behavioral health promotion, safety net services, equipment, technology, EMS, and other initiatives, emphasizing that the program is intended to be transformational and tied to metrics. Members asked extensive questions about how rural eligibility is defined, how grants will support both rural facilities and hub hospitals, and how future years of funding will build on current awards. The committee also heard an update on certified community behavioral health clinics from Elena Zeller, who said North Dakota has been accepted as a demonstration state, implementation is underway in Williston, North Central/Minot, Fargo, and Dickinson, and care coordination and service counts are increasing. Rebecca Askins then reviewed SNAP payment error rates, saying the 2025 rate was finalized at 9.89%, with the state aiming to get below 6% through policy updates, training, data tools, and a quality assurance team. Members pressed her on the causes of the error rate, the role of the SPACES software system, and the need for accountability and improvements. Finally, Dirk Wilkie reported the state laboratory project reached substantial completion on June 12 and is on budget at about $69.95 million, though a service elevator had to be redesigned because it was too small for equipment.

Transcript Highlights:

• . ...life-saving functions, including responding to health threats such as infectious diseases, natural
• Natural disease did not cause the death.
• For these substances, our local public health labs test for pathogens and communicable diseases.
• And we have consumers that have Crohn's disease, all these different autoimmune disorders, and they go
• It is nicknamed the suicide disease. I am, in fact, a suicide survivor.

Committee: Senate Health

Summary: The committee held an informational hearing on kratom and 7-hydroxymitragynine (7-OH), focusing on public health risks, overdose deaths, and regulatory gaps in California. The chair opened by noting that FDA and CDPH consider kratom and 7-OH products unlawful for consumption, yet they remain widely sold in smoke shops, vape stores, gas stations, and convenience stores. The hearing was framed as part of ongoing legislative work, including a future review of AB 1088, and members emphasized the need to weigh potential benefits against risks and consider whether stronger safeguards are needed. Expert testimony from a toxicology professor and several public health and medical officials described kratom as a plant with multiple alkaloids, with 7-OH identified as the more potent opioid-like compound associated with tolerance, dependence, withdrawal, and respiratory depression. CDPH reported 362 kratom-related overdose deaths in California from 2019 to 2023 and 15 deaths involving 7-OH, while Los Angeles County officials described unexplained deaths in young adults that led them to expand toxicology testing and identify 7-OH as a common factor. County and state public health representatives said they have issued advisories, contacted retailers, removed products from shelves, and taken enforcement actions, but they stressed that local enforcement is patchy, under-resourced, and limited by unclear jurisdiction and lack of testing capacity. Medical witnesses said patients are presenting with 7-OH dependence and withdrawal in ways similar to fentanyl-related cases, sometimes requiring buprenorphine, methadone, or repeated naloxone. They argued that unregulated retail sales and misleading marketing make the products especially risky, and that a statewide framework would be more effective than a patchwork of local ordinances. Some officials said the safest current policy is to keep kratom and 7-OH unlawful for consumption, while others said any new regulation would need resources, packaging rules, and clearer authority for enforcement. Industry and consumer advocates urged the committee to distinguish natural kratom leaf from concentrated or synthetic 7-OH products. They argued that kratom leaf has long-standing use, that 7-OH should be targeted rather than the whole plant, and that regulation should focus on age limits, labeling, testing, serving-size caps, and restrictions on adulterated products rather than prohibition. Several speakers warned that bans could push demand to the black market and reduce access for people using the products for pain relief or harm reduction, while critics of the industry said the products are being marketed deceptively and that more comprehensive regulation is needed.

Transcript Highlights:

• SB 1653 would enact the Occupational Therapy Licensure Compact and would authorize Oklahoma to enter
• Occupational Therapy Licensure Compact and would authorize Oklahoma to enter into the compact with participating
• This would facilitate interstate practice of occupational therapy with the goal of improving public access

Summary: The committee took up a long list of Senate bills covering business regulation, professional licensing, transportation, tourism, consumer credit, and other policy areas. Among the measures discussed were SB 378 on bail bondsmen regulation and capital requirements, SB 1061 on brokered loans and renewal assessments, SB 1534 on charity enforcement, SB 1684 on liability insurance for highway remediation contractors, SB 1826 eliminating a sunset on the Oklahoma Enterprise Zone Incentive Leverage Act, SB 1217 on real estate touring contracts, SB 1948 on fireworks sales, SB 540 joining a dental compact, SB 1035 on utility contractors working near private property, SB 1475 renaming a bridge as the Toby Keith Interchange, SB 1327 giving the Oklahoma Tourism and Recreation Board more authority, SB 2159 designating wheat as the official crop, SB 2049 requiring Transportation Commission review before ODOT bond claims, SB 1447 on prescription drug plan procurement, SB 1443 on anesthesiologist compensation, SB 1641 requiring LLC articles to include an email address, SB 1873 on continuing education dates and hours, SB 265 creating pollinator state designations, SB 1521 on safeguards for conversational AI systems, SB 1326 on self-storage operations, SB 2155 on Route 66 Commission MOUs, SB 1531 on UAS/AAM governance and FAA Part 108 readiness, SB 1824 on corporate code modernization, SB 1653 joining the Occupational Therapy Licensure Compact, SB 1920 raising the auto salvage threshold, and SB 1277 on OESC job-search practices. Several bills were amended before passage, including SB 1948, SB 1521, SB 1326, and SB 1531. Testimony and questions focused on practical effects and committee jurisdiction. On SB 378, members pressed for a plain-language explanation of why bail bondsmen’s capital requirements should increase; the author clarified that the bill affects bondsmen’s regulatory capacity, not the amount criminal defendants must post. On SB 1327, members asked why the tourism board had been advisory and whether the change would add expertise and gubernatorial appointment authority. SB 1824 drew concern about impacts on minority stockholders, with the author saying fiduciary protections remain and that the bill is intended to reduce frivolous lawsuits while preserving flexibility. SB 1521 was described as a light-touch child protection bill for conversational AI, adding suicide-prevention protections, parental controls, and transparency requirements. A young FFA ambassador, Lucille Morehouse, presented SB 265 in support of pollinator designations, describing her pollinator project and the importance of pollinators to agriculture and ecosystems. Most measures advanced with little or no opposition, though several recorded dissenting votes. SB 378, SB 1061, SB 1534, SB 1684, SB 1217, SB 1948, SB 1035, SB 1475, SB 1327, SB 2049, SB 1447, SB 1443, SB 1641, SB 1873, SB 265, SB 1521, SB 1326, SB 2155, SB 1531, SB 1824, SB 1653, SB 1920, and SB 1277 were all declared out of committee, with vote totals generally ranging from 11-0 to 15-0 and some split votes such as 12-2, 13-1, 14-1, or 11-2. One bill, SB 1966, was laid over at the sponsor’s request. The chair closed by noting additional bills were still being negotiated, including one involving the Oklahoma Turnpike Authority.

Transcript Highlights:

• I believe Senator Wallace has given that report, occupational licensing. There you go.
• The Occupational License Review Subcommittee met on Thursday and received reports for various occupational

Committee: All ARKANSAS LEGISLATIVE COUNCIL (ALC)

Summary: The meeting opened with prayer, approval of the prior minutes, and a monthly revenue report from the Bureau of Legislative Research. The report showed gross general revenue collections up year to date and net general revenue above forecast, with the increase attributed in part to income tax growth, a fiscal-year shift, and lottery-related collections. Members asked no questions, and no action was required on the revenue report. Several subcommittee reports were then presented and adopted, including executive, administrative rules, game and fish/state police, hospital/Medicaid/developmental disability, occupational licensing, PEER, revenue, state insurance programs, and personnel. The executive report noted a waiver request for Jackson County School District construction services and an audit with no findings. The administrative rules report covered agency directives, rulemaking updates, and a few rules pulled for later consideration. The revenue subcommittee held one District 4 tire removal contract until its next meeting, while the state insurance subcommittee reviewed the EBD contract with Boston Consulting Group and approved pharmacy formulary and drug recommendations. A substantial portion of the meeting focused on the State Insurance Department’s examination of pharmacy benefit managers, especially Navitus Health Solutions. Commissioners and staff explained that Navitus objected to producing certain claims data for self-funded plans, raising an ERISA preemption argument, and that the matter was being set for an administrative hearing, likely in April. Members questioned compliance, due process, and the implications of the objection, while the department said the state initiated the examination and was continuing to seek resolution. The committee also reviewed an Arkansas Teacher Retirement System agreement, with one member noting a potential conflict and abstaining. The meeting ended after members reviewed additional reports with no further action and adjourned.