Transcript Highlights:

• Members, Representative Rrower has an author's amendment labeled A2.
• Members, Representative Rrower has an author's amendment labeled A2.
• Um, I Rrower has an author's amendment labeled Rrower has an author's amendment labeled A2.<00:04:43.199
• Members, we have another amendment in our packets, um, labeled A1.
• Members, we have another amendment in our packets, um, labeled A1.

Bills: HF3432, HF3411

Keywords: resident tuition, employment, higher education, Minnesota, tuition rates, state universities, immigration status, immigration, postsecondary education, privacy, data access, federal officers, 1183, house

Transcript Highlights:

• some of these or start looking at how we're going to address and attack that, and why are students labeled
• uh that and and and uh why<00:17:20.240> are<00:17:20.480> students<00:17:20.799> labeled
• So I guess what I'm saying is for some of these things, like referral rates and why students are labeled
• <00:52:18.319> other<00:52:18.559> health students are labeled other health students
• are labeled other health impaired<00:52:19.359> like<00:52:19.520> we<00:52:19.760>

Keywords: 928, house, all

Summary: The commission met to approve the November 21, 2025 minutes, making several clerical corrections before adopting them as amended. The edits included adding the date, correcting a misspelled name, clarifying references to a scholarship fund representative’s title, removing an incorrect “DOE” reference, and fixing a few wording errors. The minutes were approved with one abstention from members who were absent. The bulk of the meeting focused on organizing the commission’s work under SB 57 and identifying which special education cost issues should be prioritized for research and reporting. Members discussed a long list of topics, including student referral rates, why students are classified as other health impaired, increases in referrals since school closures, interventions before referral, costs of non-medically necessary services in IEPs and 504 plans, differences between federal and state requirements, reporting of special education costs, out-of-district and residential placements, dispute resolution, Medicaid and insurance use, graduation rates, and adult learning participation. Several members emphasized the need to combine or narrow topics and to gather better data before the report due July 1, 2026. Representative Ames highlighted HB 742, which would eliminate prorated special education aid payments when state appropriations fall short, and explained that the Education Funding Committee recommended interim study. He argued that local districts are bearing too much of the cost and that the state and federal governments should provide more support. Other members raised concerns about rising special education identification rates, possible overidentification, school climate and mental health factors, bullying, staffing, speech therapy access, and residential placements. One member cautioned that DOE website numbers may be inflated or at least difficult to interpret because of how students are counted. Department of Education staff then explained how special education data and costs are monitored. They said student counts are tied to IEPs and SASIDs in the state system, districts are checked through both desk audits and on-site monitoring, and billed services are compared against IEP requirements. They also described IDEA funding, noting that most DOE special education staffing is federally funded, with a large share of federal money flowing through to local education agencies and the remainder supporting administration, monitoring, and training initiatives. Members discussed whether more staff and more robust oversight would improve accuracy and accountability.

Transcript Highlights:

• back and jumped out of civics and history Education two years ago, and she has been a family and consumer
• An extreme abortion ban labeled as the strictest in the country, forcing physicians to leave.

Bills: HR1036, HB2975, HB3026, HB3297, HB2981, HB2978, HB4144, HB1322, HB1818, HB3194, HB3767, HB3342, HB3344, HB4170, HB3287, HB3288, HB4454, HB3264, HB3266, HB3268, HB4095, HB4115, HB4316, HB3530, HB3428, HB4272, HB4273, HB4274, HB3405, HB3406, HB3467, HB3469, HB3931

Keywords: poultry waste, nutrient management, environmental regulations, agriculture, water quality, pollution prevention, best management practices, kindergarten, military families, education policy, school districts, international military dependents, age eligibility, towing services, Oklahoma Wrecker and Towing Services Fund, Department of Labor, vehicle storage fees, consumer protection, nonconsensual towing, open meetings

Transcript Highlights:

• Board members must be able to ask hard questions and express differing views without fear of being labeled
• as to outline it, that is currently one of the processes, but because it is both costly and time-consuming

Bills: SB23, SB73, SB210, SB234, SB243, SB244, SM16

Keywords: student use, wireless devices, public schools, policy implementation, education technology funding, driver education, driver's ed, driving school, motorcycle safety, traffic safety, vulnerable road users, pedestrian safety, bicycle safety, cyclist, bike lane, micromobility, scooter, moped, motorcycle training, DWI prevention

Transcript Highlights:

• There's no requirements for proper labeling, etc.
• There's no requirements for proper labeling, etc.
• We've also reviewed a lot of aspects of the program, for example, product testing and labeling.
• program. for example, product testing program. for example, product testing and<01:05:57.760> labeling
• We held a listening and labeling.

Keywords: 1189, house, all

Summary: The Health and Human Services Oversight Committee met on April 17 and approved the prior meeting minutes, then set its next meeting for May 29 at 9:30 a.m. Members also discussed a New Futures effort to collect questions about Medicaid changes and post answers as an FAQ, with a preference that the FAQ live on New Futures’ website rather than the state website. The commissioner’s office said it would coordinate responses and that the issue is still evolving. The main presentation was an HHS update focused on the state public health laboratory and its work during Public Health Lab Week. Officials reviewed the lab’s history, its biosafety functions, and its role in disease prevention, food safety, preparedness, and response. They highlighted mosquito surveillance for eastern equine encephalitis, West Nile virus, and Jamestown Canyon virus, noting that the lab tested more than a quarter million mosquitoes last year and that mosquito testing helps provide early warning for local public health decisions. They also discussed rabies testing, saying New Hampshire’s lab is the only one in the state that performs it, that rabies is fatal once symptoms begin, and that the work is preventable through early prophylaxis. Members asked about federal funding cuts, water testing, and whether CDC changes to rabies testing would affect New Hampshire. The department said it had been affected by an $80 million federal clawback but was managing through other funds and staff reassignments; for the water lab, temporary staff had been hired to continue swimming-area testing. Officials said the state remains able to handle rabies testing and that federal changes would mainly affect areas without similar services. They also answered questions on Jamestown Canyon virus, saying New Hampshire had one human case in 2025 and three in 2024, compared with zero West Nile cases in 2025 and one in 2024, and that weather and protective measures influence mosquito-borne disease levels. Additional questions covered biosafety levels, cyanobacteria coordination with the Department of Environmental Services, and the Brown Building flood mitigation, which was described as about halfway complete with a hoped-for reopening of the west side by June.

Transcript Highlights:

• recently and they I buy a lot of balloons and I've never seen I mean so to require some type of a label
• recently and they I buy a lot of balloons and I've never seen I mean so to require some type of a label
• recently and they I buy a lot of balloons and I've never seen I mean so to require some type of a label
• <01:38:08.000> I so to require some type of a label.
• I so to require some type of a label.

Keywords: 1191, senate, all

Transcript Highlights:

• I think that what we've heard from a lot of, especially from LaBelle Winery, is there appears to be a
• LaBelle, you know, was very persuasive in that respect. So, I think we need to address that issue.
• And the first is the LaBelle discussion.
• And And the first<02:05:16.960> is<02:05:17.480> the<02:05:17.640> LaBelle first
• is the LaBelle first is the LaBelle discussion. discussion. discussion.

Keywords: 1189, house, all

Transcript Highlights:

• And the shallowest argument you can make is name-calling, labeling.
• But that's the question that is in front of us, and I hope people won't get lost in the labeling and

Keywords: 988, house, all

Transcript Highlights:

• To your point about what have I learned, I've learned a lot about how things get labeled and the consequences
• of them being labeled incorrectly.

Summary: The State Administration Budget Subcommittee heard presentations from the Department of Financial Services on the My Safe Florida Home program, the My Safe Florida Condominium Pilot, and the Florida PALM financial system replacement project. For My Safe Florida Home, Stephen Fielder explained the wind-mitigation grant program, including its inspection-first process, two-to-one matching grants for most homeowners, low-income exemptions from the match, and eligible improvements such as roofs, clips/straps, water barriers, and opening protection. He reported roughly 109,000 initial inspections, nearly 59,000 grants approved, 31,000 final inspections, 25,000 reimbursements, and about $240 million paid out through the end of 2024. Members asked about premium savings, contractor pricing, fraud, owner-builder eligibility, reimbursement timing, and whether the program should have a dedicated funding source; Fielder said the program is currently closed, more than 40,000 people have signed up for updates, and the office has seen some price-gouging and impersonation issues but no major fraud trend. The committee also discussed the new prioritization rules that took effect July 1, 2024, which direct grant awards by age and income. Fielder said the program used a survey of existing applicants to implement the new priority groups and that the first group was over age 60 and low-income. Members raised questions about how premium reductions are measured, whether insurance company changes or rising insured values affect the data, and whether the program can track long-term outcomes after reimbursement. Fielder said the office reports raw premium changes based on declarations pages, knows the insurer for participants, and has validated results with multiple insurers, but does not track homeowners after they leave the program or enforce continued insurance coverage. For the My Safe Florida Condo Pilot, Fielder said the program is modeled on the home program but uses association-level applications, a maximum grant of $175,000 per association, and a similar two-to-one match. He said the application window opened briefly in November and was closed quickly because available funding could be exhausted and the department is prohibited from creating a waiting list. He identified several needed statutory changes, including better distinguishing condos from single-family homes, adjusting roof requirements for flat concrete roofs, and revisiting the unanimous unit-owner vote requirement, which he said has been a major obstacle. Chair Lopez noted the pilot is intended to be a learning process and thanked DFS staff for identifying implementation issues. The final presentation covered Florida PALM, the state’s effort to replace the 40-year-old FLAIR accounting system with a PeopleSoft-based financial management system. Fielder and PALM Director Jimmy Cox said the project began in 2014, the state contracted with Accenture in 2018, cash management went live in 2021, and the project was paused in 2022 for legislative review and remediation. They said the system is expected to go live in 2026, possibly in July rather than January, and that the project has spent about $225 million to date, with a current-year budget of about $60.9 million and a projected next-year request of about $64 million. Members asked about cybersecurity, cloud hosting, project scope, and whether the system is unique to Florida; staff said the system is not Florida-specific, access is credentialed through agency identity management, and the cloud host location is confidential. After the presentations, Chair Lopez assigned members to work with specific agencies on budget review meetings, asked them to discuss agency structure, priorities, staffing, waste reduction, and other budget issues, and set a deadline to report findings in the first week of regular session. The meeting then adjourned without objection.

Transcript Highlights:

• c><01:29:51.840> we<01:29:52.320> pretty<01:29:52.520> much<01:29:52.679> labeled
• committed a who we pretty much labeled committed a who we pretty much labeled them<01:29:53.639>
• For example, an elderly man loses his wife and now, suddenly, as a widower, is so consumed by grief that
• For example, an elderly man loses his wife and now, suddenly, as a widower, is so consumed by grief that
• <05:59:16.478> by suddenly as a widower is so consumed by suddenly as a widower is so consumed

Keywords: 1189, house, all

Transcript Highlights:

• And Senator Davis, no, they're not FDA-approved uses, but they are being used off-label. ...but they
• are being used off-label.
• In the biosimilar sector that they're talking about, because they own white label this molecule, they

Bills: S0688, S1414, S0186, S0902, S0196, S1574, S0878, S1092, S1032, S1684, S1686, S1760

Keywords: cytomegalovirus, education, maternal health, newborn care, infectious diseases, student health, epilepsy, seizure disorders, school safety, training requirements, medical marijuana, low-THC cannabis, neurofibromatosis, healthcare, state regulations, child care facilities, public safety, grant program, uterine fibroids, health database

Summary: The committee took up several health-related bills and confirmations. It first heard SB 1414 on congenital cytomegalovirus education, which would require the Department of Health to develop and distribute educational materials to expectant and new parents through maternity, prenatal, newborn, and OB-GYN settings; an amendment removed a section on required instruction for medical professionals, and the bill was reported favorably as a committee substitute. The committee then approved a block of appointees on tabs 2 through 7 and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after her testimony on Medicaid accountability, transparency, managed care oversight, rural health, behavioral health, and the state’s technology modernization efforts. Senators asked Harris about Hope Florida, Medicaid redeterminations, the CORE project, an anti-marijuana ad campaign at DCF, and compliance with a federal Medicaid-related court order; she said she would follow up on some issues. The confirmation was recommended favorably, with Senator Berman voting no. The committee next passed SB 186 on student health and safety, which expands epilepsy and seizure-disorder training requirements to more school personnel, including bus drivers and charter school staff, and requires seizure-first-aid posters and updated Department of Health education efforts. It also approved SB 902 on Department of Health issues after amendments narrowed the bill’s scope and added provisions on medical marijuana regulation, early childhood intervention, practitioner accountability, and autism workforce development; one speaker raised concerns about marijuana dispensary location restrictions and low-THC ratios. SB 196 creating a uterine fibroid research database was also reported favorably after an amendment protecting patient privacy; the bill drew emotional testimony from a patient describing severe symptoms and the need for more research. SB 688 on naturopathic medicine was approved after committee discussion about scope of practice, referral obligations, and whether naturopathic care should be adjunctive to conventional medicine; supporters described complementary care and access issues, while opponents worried about delayed treatment for serious disease. Later, the committee passed SB 1574, “Maddie’s Law,” to add biliary atresia screening to newborn screening using the same blood specimen already collected at birth and to launch an education campaign; parents of a child affected by the disease testified that earlier screening could have prevented severe harm. SB 878 on clinical laboratory personnel was reported favorably to address staffing shortages by allowing Florida to rely more directly on federal CLIA standards for qualified lab workers. SB 1092 on podiatric medicine was approved after an amendment narrowed it to cellular/tissue-based products and podiatrists’ use of certain therapies; the bill also addresses continuing education, informed consent, and advertising disclosures. SB 1032 on medical marijuana was amended and passed, aligning physician certification and card renewal timelines, setting 70-day and 35-day supply limits, and reducing the fee for honorably discharged veterans while preserving funding for FAMU; Senator Harrell opposed it, saying the longer timeframes were too much of an expansion. The committee also heard SB 1760 on Medicaid coverage transparency from Senator Brodeur, who said the bill focuses on accountability and fiscal responsibility, but the transcript cuts off before further discussion or action on that measure.

Transcript Highlights:

• So we need to have consistent definitions for our data, how we label our data, right?
• more granular level, we're talking about different fields and different systems, and how are we labeling
• I think... ...talking about different fields and different systems and how are we labeling those things
• Are we labeling them as case numbers? Are we labeling them?

Summary: The committee opened with a moment of silence honoring a deceased member, then approved the April minutes. The first major presentation was from Chelsea Florey of Child and Family Services on the Diversion Task Force and related grant programs created with one-time funding from HB 1012. She reported that five of six proposals were funded, with youth diversion services operating in Bismarck, Fargo, Grand Forks, Minot, and a Red River Children’s Advocacy Center program focused on problematic sexualized behavior. Members discussed barriers such as staffing shortages, voluntary family engagement, service fatigue, and the need for better coordination, broader outreach, and possible changes to diversion eligibility rules so low-level cases can remain in diversion longer. Several legislators pressed for more practical system changes and clearer service navigation, while Florey said the task force is trying to build a service array or hub and is leaning on the Children’s Cabinet for broader recommendations. The committee then heard from North Dakota Lottery Director Thomas Lawler, who gave an operational overview and biennium report. He described the lottery’s history, games, retailer commissions, Pick and Click subscriptions, Players Club membership, and revenue distribution. For the 2023-25 biennium, about $67 million in tickets were purchased, with roughly $16.2 million transferred overall, including money for the general fund, drug task force grants, and compulsive gambling prevention and treatment. Members asked about the compulsive gambling allocation and whether the amount is set by statute. A lengthy presentation followed from the Department of Corrections and Rehabilitation on criminal justice data connectivity and reentry. Adam Anderson explained that North Dakota’s jail, court, HHS, and correctional systems use multiple separate databases that do not communicate in real time, requiring manual cross-checks and staff communication. He said the department is exploring a centralized hub or other integration approach, but noted challenges with identifiers, vendor contracts, confidentiality, and cost. Robin Schmolenberger then updated the committee on a Medicaid data-sharing project with HHS, saying monthly application assistance is now occurring in correctional facilities and that automated bi-directional data exchange is expected in late 2026 to help suspend and reactivate Medicaid coverage and identify former foster care youth. Members also discussed parole, probation, transitional housing, and the need for better real-time notifications and clearer data definitions. The committee also received an update from county representatives on the 24/7 sobriety program, including a recent attorney general opinion that if a court waives 24/7 fees, sheriffs may use the cheaper twice-daily breath test or urine testing instead of SCRAM bracelets or drug patches. Finally, Bruce Johnson of the Racing Commission presented on an audit report, acknowledging serious findings involving overspending from the promotion fund, grant documentation failures, a breeders fund eligibility reversal, and repeated procurement violations. He said the commission has already changed its procedures by tracking fund limits monthly, requiring grant applications and itemized reports, enforcing breeders fund rules as written, and routing purchases through procurement with written contracts. The committee asked follow-up questions throughout but took no formal votes on these presentations.

Transcript Highlights:

• So we need to have consistent definitions for our data, how we label our data, right?
• more granular level, we're talking about different fields and different systems, and how are we labeling
• Talking about different fields and different systems and how are we labeling those things?
• Are we labeling them as case numbers? Are we labeling them?

Summary: The committee opened with a moment of silence for a deceased member, then approved the April minutes and heard a presentation from HHS on the Diversion Task Force and related youth services grants. Chelsea Florey described the $750,000 one-time appropriation from HB 1012, the five awarded grants, and how programs in Bismarck, Fargo, Grand Forks, and Minot are using the funds for youth diversion, including school-based groups, physical activity, and services for problematic sexual behavior. Members raised concerns about staffing shortages, family engagement, service silos, and whether diversion eligibility rules are too rigid; Florey said the task force is focused on better coordination, broader education about available services, and possible changes to diversion criteria, with the Children’s Cabinet likely to drive broader recommendations. The committee then received a North Dakota Lottery biennium report from Director Thomas Lawler, who reviewed the lottery’s history, games, retailer commissions, player programs, and revenue distribution. He reported about $67 million in ticket sales for the 2023-2025 biennium, about $16.2 million transferred overall, including roughly $13.6 million to the general fund, plus transfers to drug task force and compulsive gambling funds. Members asked about the compulsive gambling allocation and whether it is set by statute. Next, the Department of Corrections presented on criminal justice data sharing and reentry. Adam Anderson explained that jails, courts, DOCR, HHS, and other entities use separate systems with limited interoperability, making real-time communication largely manual. He outlined possible hub or point-to-point IT solutions, but noted cost, vendor, identifier, and data-definition challenges. Robin Schmolenberger followed with an update on a Medicaid data exchange project between DOCR and HHS to suspend and reactivate inmate Medicaid coverage automatically and improve care coordination, with full bi-directional exchange expected in fall 2026. The committee also heard from county representatives on 24-7 sobriety program fees and an AG opinion allowing local sheriffs to use cheaper testing options when courts waive fees. Finally, the North Dakota Racing Commission reviewed a troubling audit. Bruce Johnson acknowledged serious findings involving overspending from the promotion fund, missing grant documentation, a reversed decision on breeders fund eligibility, and repeated procurement violations. He said the commission has begun corrective actions, including monthly tracking of the promotion fund cap, stricter grant documentation, written procurement procedures, and clearer eligibility rules in condition books. Members pressed him on how the overspending occurred, whether the commission board would impose consequences, and whether statutory clarification is needed on the promotion fund limit and related spending rules.

Transcript Highlights:

• it was wise to kind of put allow people if they so choose the towns to enable themselves to put a label
• it was wise to kind of put allow people if they so choose the towns to enable themselves to put a label
• it was wise to kind of put allow people if they so choose the towns to enable themselves to put a label
• it was wise to kind of put allow people if they so choose the towns to enable themselves to put a label
• voters can have more information and hopefully more of them show up and vote. ...themselves to put a label

Keywords: 1191, senate, all

Transcript Highlights:

• Look for the vans labeled EOC. Thank you.

Summary: The State Administration Budget Subcommittee was called to order and a roll call established a quorum. Chair Lopez noted Vice Chair Mager was excused, and members present were recorded before the meeting proceeded. The chair explained that, unlike the committee’s usual budget work, the subcommittee would conduct a site visit to the new State Emergency Operations Center. The purpose was to see how taxpayer funding is being used and to compare the current and new facilities. The chair said both the current and new EOC are managed by the Department of Management Services and are part of the Florida facilities pool. The chair also summarized the funding history for the project, stating the Legislature appropriated $100 million for construction in fiscal year 2021-2022 and $80 million in fiscal year 2022-2023, with additional funding for technology infrastructure, bringing the total appropriated amount to just over $200 million. Members were instructed to begin the tour by visiting the current EOC, then travel to the new EOC for a tour and questions.

Transcript Highlights:

• They don't want to label them as a threat.
• They don't want to label<00:26:23.279> them<00:26:23.440> as<00:26:23.600> a<00:
• <00:26:24.000> And<00:26:24.159> let's<00:26:24.400> be label them as a threat
• And let's be label them as a threat.
• people,<00:33:59.519> but<00:33:59.760> the<00:34:00.000> vast things to label

Keywords: 1187, senate, all

Transcript Highlights:

• And in nearly every community in which there is a hospital, they’re the largest food consumers in that
• And in nearly every community in which there is a hospital, they’re the largest food consumers in that
• And in nearly every community in which there is a hospital, they’re the largest food consumers in that
• Two-thirds of all fruits and vegetables consumed in America come from outside of America.
• and those consumers, that is the<00:53:48.480> great<00:53:48.720> impact.

Keywords: This meeting was pulled from back ups and uploaded in it's entirety due to technical issues., 958, all

Summary: The Make America Healthy Kentucky Task Force met with a quorum, approved the minutes, and then heard a presentation on the state’s “food is medicine” work from Kentucky Hospital Association and Kentucky Department of Agriculture leaders, including Jim Muser, Holly Harris, and Commissioner Jonathan Shell. The chair framed the discussion around personal wellness, injury prevention, and the broader goal of improving health through better sleep, nutrition, and activity, then asked the presenters to describe current initiatives and any policy changes needed. The witnesses described a partnership linking hospitals and Kentucky farmers to improve health outcomes while supporting rural agriculture. They said the effort has moved beyond the pilot stage and now includes more than 40 hospitals statewide, with programs such as healthier hospital cafeterias, grab-and-go options, farmers markets at hospital sites, subsidized CSA boxes for employees, and medically tailored meals or groceries for patients with chronic conditions. ARH was highlighted as a leading model, with local food procurement, employee wellness efforts, and measurable outcome pilots, including a Russell County Hospital project focused on diabetes, heart disease, and obesity. They also emphasized barriers to scaling the model, including fragmented short-term funding, lack of reimbursement for food-as-medicine programs, and burdensome procurement and testing requirements that can make it difficult for small farmers to participate. The presenters said hospitals are using their own funds or temporary grants to sustain programs and argued that policy changes are needed to simplify sourcing, expand reimbursement pathways, and support clinical measurement of outcomes. No votes or formal actions beyond approving the minutes were taken during the portion provided.

Transcript Highlights:

• And so we're taking the approach in this budget of getting stakeholders together—members, consumers,
• recommends $918 million to fund our home care and community choices programs to absorb increased consumer
• We run one of the largest MassHealth home- and community-based waivers, with more than 10,000 consumers
• area that they can't get to that pharmacy in a certain geographic zone by census tract, we can now label
• Office of Patient Protection is responsible for regulating and administering certain health care consumer

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs. EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle. MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.

Transcript Highlights:

• individual is indigent versus willfully refusing to pay court-ordered fines and fees, categorically labeling
• and it basically goes against what many condo owners have been seeking to protect themselves as consumers
• <01:14:38.800> as seeking um to protect themselves as seeking um to protect themselves as consumers
• 40.560> um<01:14:40.640> from<01:14:40.960> malfeasants<01:14:41.760> of consumers
• . ers um from malfeasants of consumers. ers um from malfeasants of developers,<01:14:42.960> community

Keywords: 910, house, all

Transcript Highlights:

• They're used or approved initially for mild to moderate pain, but they're always used off-label as well
• for... ...mild to moderate pain, but they're always used off-label as well for more severe patients.
• There's about 30,000 codes that can actually be appropriate when you think about the label of just our
• The label is broad enough to include that.

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.