Transcript Highlights:

• We just need more funding. We need more funding.
• We need to fix it and we need to fund it.
• and the need, and that's going into the access side of it, of the affordability, of their debt, their
• needs, right?
• They do need access to institutional capital, right?

Summary: The Assembly Select Committee on Housing Finance and Affordability held its first hearing of 2025 to examine California’s housing finance system, with opening remarks emphasizing the state’s severe housing shortage, high costs, and the need for practical recommendations to the Legislature and Governor. Co-chairs described the committee as an educational and problem-solving forum focused on financing housing production, first-time homeownership, mixed-income developments, and affordability across the income spectrum. Witnesses from state agencies and the development sector were invited to explain how housing is financed and where the system is breaking down. Panelists from the California Housing Partnership, the Business, Consumer Services and Housing Agency, the Tax Credit Allocation Committee/State Treasurer’s Office, CalHFA, and Related outlined the “capital stack” used to finance affordable housing, stressing that projects typically rely on multiple public and private sources, including federal and state low-income housing tax credits, tax-exempt bonds, state subsidies, local funds, and rental income. Speakers noted that affordable housing rents generally cannot support full project costs without public subsidy, and that recent federal changes—especially the expansion of the 4% and 9% tax credit programs and the reduction of the bond financing threshold for 4% credits—should allow California to finance substantially more units. CalHFA also described its homeownership programs, including My Home, Dream For All, and disaster-related mortgage assistance, as well as its multifamily lending and bond issuance programs. Several witnesses and committee members emphasized that the system remains too complex, too slow, and underfunded. They pointed to the need for more state funding, a housing bond, a permanent funding source, and better coordination among agencies, while also citing recent streamlining efforts such as AB 434’s SuperNOFA, AB 519’s one-stop-shop working group, and the planned California Housing and Homeless Agency reorganization. Members raised concerns about equity, access, missing-middle housing, gender and racial disparities, and whether current programs adequately serve extremely low-income households and those at risk of homelessness. No formal votes or actions were taken during the hearing; the discussion ended with committee members and witnesses agreeing that both funding and administrative reform are needed to increase production and improve affordability.

Transcript Highlights:

• <00:03:32.000> to<00:03:32.280> be and Senate staff need to be and Senate staff need
• <00:12:26.480> in a sizable level to maintain access in a sizable level to maintain access
• <00:15:13.000> needs<00:15:13.240> to medicine or not needs needs to medicine or not
• needs needs to happen<00:15:15.399> Senator<00:15:15.759> berel<00:15:16.279> that<
• The access and ease of engaging in especially a cognitive-based service that doesn't really need a physical

Keywords: 1191, senate, all

Transcript Highlights:

• includes access over the internet.
• And I did want to make some note addressing some of the testimony about access to justice and access
• > the right of access includes access over the right of access includes access over the internet
• to justice and testimony about access to justice and access<00:16:18.000> to<00:16:18.320>
• something about the access to justice. something about the access to justice.

Bills: HB2227, HB1775, HB1560, HB1642, HB1647, HB2003, HB1640, HB2198

Keywords: eviction, housing stability, tenant screening, court records, writ of possession, foreclosures, public sale, eligible bidders, housing, downpayment, judicial foreclosure, digital financial assets, consumer protection, financial kiosks, refunds, transaction security, HB1642, Hawaii, cryptocurrency ATM, crypto ATM

Summary: The committee on Consumer Protection and Commerce met on February 5, 2026, and heard testimony on several bills, beginning with HB 227 relating to eviction records. Supporters, including the Public First Law Center and the Office of Hawaiian Affairs, argued the bill would help people who prevail in eviction cases avoid long-term housing harm from online court records, while the Public First Law Center said keeping records off eCourt Kokua would not violate the First Amendment because the records would still be available in person. Members discussed access-to-justice concerns, and a witness said legal aid attorneys could still access the records through the attorney-only Jeff’s system and the court’s access-to-justice room. The chair also asked about precedent, and a witness cited a Hawaii Supreme Court case as supporting removal from the online database rather than sealing records entirely. The committee then took up HP 1775 relating to foreclosures, but the transcript only shows in-person opposition comments from the Hawaii State Bar Association Collection Law Section, the Hawaii Credit Union League, and the Hawaii Bankers Association. The credit union and banking groups said they had concerns about broader negative impacts on mortgage lending and other requirements, but no detailed discussion or action was captured before the committee moved on. The next measure, HB 1560 relating to consumer protection, drew support from the Office of Consumer Protection and cryptocurrency companies including Coinflip and America Digital, which said they already use wallet-pinning and other safeguards to prevent fraud. AARP Hawaii did not take a formal position but said the bill addressed a real problem, noting that Hawaii residents, especially in Kona, had lost more than $920,000 in 2024 to cryptocurrency ATM scams and arguing that stronger oversight was needed. The committee also heard HB 1642, which would ban cryptocurrency kiosks. The Office of Consumer Protection supported the ban as the best way to protect consumers from fraud, while Coinflip, Bitcoin Depot, and America Digital opposed it, arguing kiosks provide cash-based access to crypto, especially for unbanked or underbanked consumers, and that targeted regulation would be better than an outright ban. AARP Hawaii took no formal position but strongly emphasized the harm caused by scams, saying victims are often frightened into acting quickly and that kiosk transactions currently lack enough friction or intervention. Finally, HB 1647, also on consumer protection, would impose liability on host businesses that provide space for crypto kiosks. The Office of Consumer Protection warned small businesses might not understand the liability, while Coinflip, Bitcoin Depot, and America Digital opposed the bill, saying it would unfairly shift enforcement duties to host stores and could discourage businesses from hosting kiosks, effectively creating a de facto ban. No votes or final committee actions were taken in the portion of the meeting provided.

Transcript Highlights:

• and their needs to access certain systems change, is important.
• access system, we can only access what they give us permission to do.
• We should be able to instantaneously stop their access to some things or add access to other things based
• Coming back to 2021, when the reality was that the system needed to be really modernized and needed to
• And then today, right now, that Floridian can access ReConnect and they can access Florida DOE's VR Aware

Transcript Highlights:

• It’s not always needed.
• > need or my wife needs or my child needs need or my wife needs or my child needs when<00:24:22.080><
• And so I think we need to have those kinds of conversations about because I brought up access to care
• Access to care. What what task force. Access to care.
• Uh for us, of access there.

Keywords: 958, all

Summary: The Make America Healthy Again task force held its first meeting to set interim priorities rather than take formal action. Co-chairs and members said the group’s goal is to identify practical policy ideas to improve Kentucky’s poor health outcomes, with an emphasis on prevention, and to gather input from members and outside stakeholders. Roll was called, several members were present, and the co-chairs noted the meeting would be limited in length and would not include a lunch break. Members identified a wide range of possible focus areas, including childhood and adult obesity, nutrition in schools, food deserts, agriculture and support for local farms, health responsibility, physical activity, mental health, and provider education on nutrition. Several speakers stressed that Kentucky’s health care costs are rising unsustainably and that prevention is cheaper than treatment. Others emphasized that the task force should work with agencies, hospitals, universities, and experts, and should narrow its work to a few actionable areas rather than “chase every rabbit.” There was also discussion of food as medicine, improving the quality of food in schools and hospitals, and making healthier choices more accessible and affordable. Members referenced conversations already underway with industries, the Kentucky Department of Education, the Kentucky Hospital Association, and agricultural leaders. No votes or formal motions were taken during the portion of the meeting provided; the main action was the exchange of priorities and direction for future task force work.

Transcript Highlights:

• Motans need access to non-pharmacological options for pain management, and today I'm asking that acupuncture
• needs to be done.
• needs to be done.
• such a needed coverage. such a needed coverage. >> You<01:40:30.080> bet.
• So, if you needed to have an egg retrieval, if you needed Clomid, if you needed to do an IUI cycle, if

Keywords: 1187, senate, all

Transcript Highlights:

• Our communities desperately need that.
• We just need to do our part to help them as well.
• We just need to do our part to help them as well.
• And that's an area that needs to be highlighted.
• Christine Smith, Health Access California.

Summary: The Assembly Budget Committee met to consider the final three-party agreement for the 2026-27 state budget and 19 implementing bills, including two budget bill juniors and 17 trailer bills. Committee leadership and administration officials described the budget as a balanced plan that reduces out-year structural deficits, maintains large reserves, and makes major investments in health care, education, housing, child care, public safety, and other core services while also responding to expected federal cuts and fiscal uncertainty. The Department of Finance outlined the package’s major components, including Medi-Cal adjustments, education funding increases, higher education changes, child care and human services updates, housing and homelessness funding, energy and transportation provisions, and tax and general government changes. Members asked questions about several provisions, including CSU enrollment targets and turnaround plans, the Prop. 98 settle-up mechanism, the plastics market development payment program, housing accountability measures, NextGen 9-1-1 implementation, and veteran services. Staff and administration witnesses explained that the higher education language is intended to improve campus-by-campus reporting and oversight, that Prop. 98 settle-up would be finalized later through the statutory certification process, and that NextGen 9-1-1 now includes one-time funding, quarterly reporting, an independent technical review, and a state audit. Members also discussed the HAP homelessness funding increase to $900 million and the balance between accountability and timely distribution of funds. The most extended exchange centered on comparisons between funding for veterans and Medi-Cal/immigrant health coverage. Republican members argued the budget spends far more on undocumented immigrant services than on veterans, while Democratic members and Finance staff responded that the comparison was misleading because many veterans’ services are federally funded and the state budget also includes dedicated veteran support. The chair and other members emphasized that the budget reflects difficult tradeoffs and that the package protects vulnerable populations, preserves health care access, and advances affordability. No final vote was described in the excerpt, but members indicated support for the overall package and said they would support it on the floor.

Transcript Highlights:

• It's the transparency of readily accessible criteria for what is needed for approval or denial, right
• It's the transparency of readily accessible criteria for what is needed for approval or denial, right
• It's the transparency of readily accessible criteria for what is needed for approval or denial, right
• It's the transparency of readily accessible criteria for what is needed for approval or denial, right
• problem where it have a serious access problem where it needs<01:03:07.280> addressing.

Keywords: 1189, house, all

Transcript Highlights:

• What do we know about access to care, travel time, workforce needs, closures of services, etc.?
• access, not managing decline. access, not managing decline.
• will be needed to be spent by hospitals? will be needed to be spent by hospitals?
• that 26 is needed at that type of cost? that 26 is needed at that type of cost?
• don't have the resources that we need. don't have the resources that we need.

Bills: HF1925

Keywords: nurse licensure, multistate license, healthcare, public safety, interstate compact, nursing regulation, 1183, house

Transcript Highlights:

• She needed something to do and needed a purpose.
• That demonstrates that your constituents need and want access to vaccination.
• I mean, or access.
• <03:53:13.040> gone or or access in fact access has gone or or access in fact access has gone
• It's a basic human need.

Keywords: 1189, house, all

Transcript Highlights:

• Programs like this need more than just pilots; they need longevity.
• Families need to understand and access these resources, and the community needs to see success stories
• to understand longevity families need to understand and<00:18:16.960> access<00:18:17.360>
• these resources and the and access these resources and the community<00:18:19.600> needs<00:18
• The need is obviously immense, and I don't need to reiterate that or go into statistics.

Keywords: 1187, senate, all

Transcript Highlights:

• As I do know, our youth need us, our adults need us, and we need to get this right, because we are saving
• Despite these needs, tribal communities continue to face barriers accessing prevention and behavioral
• What tribal communities need now is equitable access to prevention resources, sustained investment, and
• We need help.
• A strong response system requires both timely access and appropriate in-person response when needed.

Keywords: 988, house, all

Summary: The joint oversight hearing focused on AB 988 implementation and suicide prevention in California Indian communities. Members and the chairs emphasized that 988 was intended to create a behavioral health crisis system with “someone to call, someone to come, and somewhere to go,” and then turned to the disproportionate suicide burden facing Native youth and the need for culturally responsive outreach and services. Assemblymember Bauer-Kahan, the bill’s author, said the law has already saved lives but argued that key parts of the system—especially interoperability between 911 and 988, mobile crisis dispatch, and adequate funding—are not yet working as intended. The first panel of stakeholders and call center leaders largely said California’s 988 network is underfunded and not fully integrated. Speakers from the Steinberg Institute and 988 California said call, text, and chat demand has grown sharply, but staffing and funding have not kept pace, leaving text/chat answer rates far below the state’s goals and sending many contacts to out-of-state backup centers. They also said mobile crisis teams are not being dispatched through 988 statewide, and that the state’s current governance and funding structure is too fragmented. WellSpace Health and other providers described 988 as the “front door” to crisis care, urged more stable funding, and recommended broader use of the CCBHC model to support mobile crisis and behavioral health infrastructure. San Joaquin County offered a local success story, describing a countywide crisis continuum that links 988, mobile crisis, behavioral health access lines, and follow-up services through warm handoffs and coordinated outreach. County officials said the model has reduced reliance on emergency departments and involuntary holds, and they noted that local partnerships and repeated community meetings were key to implementation. Members asked about staffing, tribal outreach, and how to make the system more measurable and interoperable; panelists said staffing projections should be based on actual call volume and contact length, and that tribal-specific outreach has often depended on temporary grant funding. State officials from CalHHS and DHCS then described the five-year implementation plan, the roles of multiple agencies, and current performance data. They said California’s 988 system has handled more than 74,000 contacts in a recent month, with in-state answer rates of 87% for calls and lower rates for chats and texts, and that unanswered contacts are routed to backup centers. They highlighted training efforts, LGBTQ+ competency work after the end of the federal “Press 3” option, and efforts to improve reimbursement for mobile crisis services. No formal votes or committee actions were taken during the hearing.

Transcript Highlights:

• mean there would be some sort of needs mean there would be some sort of needs from<00:22:26.559>
• maternal deaths in Minnesota we need maternal deaths in Minnesota we need good<00:29:04.519>
• Um, we need a lifeline. We need something quick right now.
• Um, we need a lifeline. We need something quick right now.
• preserve prescription access preserve prescription access and<00:48:57.960> improve<00:48

Keywords: 1183, house

Transcript Highlights:

• But more work needs to be done.
• to capital for small businesses who need it.
• Disaster assistance is tailored to the needs of rural America.
• AND INFORM THEM OF RESOURCES THAT APPLY TO THEIR DIRECT NEEDS.
• This ensures veterans have the resources they need to thrive.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, February 24, 2025, 1012, house, all

Transcript Highlights:

• We need to ensure that they've got vehicles that are fully wheelchair accessible.
• We need to ensure that they've got vehicles that are fully wheelchair accessible.
• We need to ensure that they've got vehicles that are fully wheelchair accessible.
• About what is really needed to ensure good accessible transportation for all.
• We need to ensure that they've got vehicles that are fully wheelchair accessible.

Keywords: 1183, house

Summary: The committee took up House File 5313, a bipartisan bill to create a statewide framework for autonomous vehicles in Minnesota. The author said the bill is intended to improve safety, provide regulatory clarity, avoid a patchwork of local rules, and support economic development and mobility for seniors and people with disabilities. The bill was described as a work in progress, and the committee adopted three author amendments: A12, a technical correction; A15, which states MDOT and Public Safety can absorb the bill’s incidental costs within existing resources; and A14, which added clarifying airport-related language requested by the Minneapolis-St. Paul airport/MAC. The Minnesota Department of Transportation testified in support of continued discussion but said the bill needs more work in several areas, including an annual MDOT permitting process for AV operators, defining operational design domains, adding stronger enforcement authority, clarifying remote assistance roles, and requiring fully automated vehicles to be registered with Public Safety. MDOT said it has worked with the governor’s connected and automated vehicles council and more than 70 stakeholders on recommendations. Industry and transit witnesses strongly supported the bill, citing existing AV deployments and safety benefits. Southwest Transit’s CEO said its Eden Prairie AV service has carried 27,000 riders over 112,000 miles with no accidents, strong customer satisfaction, and increased ridership. A Whimo representative said the bill would create regulatory certainty and help expand AV deployment. Several public witnesses emphasized accessibility and safety. A disability advocate described how autonomous vehicles could improve independence for people who cannot drive, including those with epilepsy and other disabilities, and urged passage of the bill. A former 911 dispatcher and state patrol employee said AVs could reduce crashes and protect drivers, pedestrians, and officers, contrasting a dangerous human ride-share experience with a safer autonomous ride. Another disability advocate and blind Minnesotan testified that AVs could help address transportation barriers, though he also noted ongoing discrimination problems with ride-hailing services for blind riders with guide dogs. After the amendments were adopted, the bill was moved to the Commerce Committee.

Transcript Highlights:

• These are also known as the managed care access rules, and they really aim to strengthen access to services
• rule, much like the managed care access rule, aims to improve access, quality, transparency, and accountability
• Its need is driving this.
• It gives Medicaid families access to birth doulas, more doulas certified, and doulas have access to continued
• And so this is a new step, and just knowing that we needed access to our mentors, to grief circles for

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.

Transcript Highlights:

• more amendments and access dear on Maui. more amendments and access dear on Maui.
• those people who have chronic physical and mental health conditions and need health care access provided
• needs to receive healthcare insurance. needs to receive healthcare insurance.
• We need to give people the opportunity to have access to care. I stand by the rest of my testimony.
• Why do we need to go back? >> Oh, sorry. Need to talk directly. Okay.

Keywords: 912, senate, all

Summary: The joint HHS, Agriculture, Environment, Energy, and Intergovernmental Affairs hearing focused first on SB 2262, a pollution and illegal dumping measure. The Department of Health said it stood on its written testimony, and public testimony included support from CARES with suggested amendments to involve the counties in standardized response planning and to address pollution caused by individuals. Members questioned the bill’s fines, where they would go, and how the department would handle carcasses and illegal dumping enforcement. DOH said administrative fines go to the general fund, criminal fines are collected by the Attorney General, carcasses are generally buried by the landowner under existing rules, and DOH mainly regulates solid waste and coordinates with counties and other agencies when violations arise. After discussion, the chair recommended SB 2262 be passed with substantial amendments. The proposed amendments would add DLNR to the task force, deposit all fines into a special fund to support enforcement, allow fines below $5,000 for littering and higher fines for excessive or chronic illegal dumping, and include a January 30, 2050 effective date. The committee adopted the recommendation, with members voting aye. The hearing then moved to the HHS calendar. On SB 2087, relating to health insurance, agencies including DHS, DCCA, the Attorney General, and Labor stood on written testimony, while several advocacy and medical groups testified in support. One Medicaid recipient opposed the bill, arguing the coverage should be immediate rather than phased in over three years. Angela Melody Young supported the bill but urged amendments to prioritize people with disabilities, kupuna, and mothers. Members questioned whether the rural health transformation program could support the bill’s deductible structure; the Department of Human Services said it was unlikely CMS would allow that level of coverage, though rural funds might help in other ways. The committee then moved on to SB 2089, which would expand services eligible for Medicaid prospective payment system reimbursement, hearing support from OHA, DHS, and others, along with testimony about mental health access and training. The transcript also began SB 2106, relating to health and eating disorder prevention, with a student testifying in support and citing youth eating disorder harms, but the discussion was cut off before any action on that bill.

Transcript Highlights:

• Once they met their skill goals to get the employment they need, they need to get on with it when they
• Once they met their skill goals to get the employment they need, they need to get. individual.
• And what we did in Access was that any, should the governor's scholarship amount need to exceed balance
• We know we need to increase utilization rate. There does need to be an amount in the bank.
• Specific skill that they needed.

Summary: The committee approved the November 3 minutes and then received an extensive presentation from Arkansas education and workforce officials on how the LEARNS and ACCESS Acts are affecting career and technical education, concurrent enrollment, and postsecondary readiness. Officials said the state’s goal is for students to leave high school employed, enrolled, or enlisted, and reported increases in K-12 CTE enrollment from about 161,000 to 171,000 students and concurrent CTE enrollment from about 12,000 to 16,000. They also described the new success-ready pathways, merit and distinction designations, and how those measures tie into school accountability and graduation outcomes. The discussion then turned to scholarships and grants. Officials explained that ACCESS expanded concurrent credit support, increased funding per credit hour, and broadened eligibility for the Arkansas Academic Challenge and Governor’s Scholar programs by adding diploma-of-merit and diploma-of-distinction pathways. They said the Governor’s Distinguished Scholarship itself did not change, but the non-distinguished Governor’s Scholar award now includes diploma of distinction as an additional eligibility route. Members raised concerns about how these requirements apply to private school and homeschool students, and officials said the intent is to ensure those students can qualify if they meet the same standards, though some implementation details are still being worked out. Questions also focused on whether students who explore multiple pathways could be penalized in school letter grades; officials said the system allows multiple ways to earn credit, including AP, IB, concurrent credit, technical certificates, and apprenticeships. Officials also reviewed workforce scholarships and short-term training funding. They said the state is developing policy for the Workforce Challenge and related professional skills training to set an 80-hour minimum and tiered funding, and they discussed the new federal Workforce Pell rules, which they said are very narrow and will likely apply to only a small number of Arkansas programs unless providers repackage training into stackable, credit-bearing pathways. Members asked for lists of eliminated programs, apprenticeships, and data on scholarship recipients, and staff said they could provide those. The committee also heard from Cody Waites on a $35.8 million U.S. Department of Labor cooperative agreement for the American Manufacturing Apprenticeship Incentive Fund, which Arkansas will administer nationally. He said the grant will support advanced manufacturing apprenticeships, use a pay-for-performance model, and be distributed to sponsors after apprentices are employed for 90 days, with applications opening January 28 and the state expecting to keep administrative costs under 8-9%.

Transcript Highlights:

• We meet as needed depending.
• And I think, you know, that's fair because that's supported by data, open access, open appropriate access
• Because it needs to be done in some fashion. barrier because it needs to be done in some fashion.
• And we're, but we need to, you know, we need to be very careful how we do that.
• Do we need 10 more $100,000 loan forgiveness? Or do they need one more?

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:

• This year, we requested $6 million to address two really urgent needs: creating a secure and accessible
• For visitors with accessibility<00:25:42.320> needs,<00:25:42.799> the<00:25:43.039>
• process<00:25:43.360> is<00:25:43.520> even accessibility needs, the process is even
• accessibility needs, the process is even more<00:25:44.080> complicated<00:25:44.640> and<
• As facilities age, as we replace them, we of course meet accessibility needs.

Keywords: 1183, house

Summary: The committee first approved the March 3, 2026 minutes by voice vote. It then heard a presentation from the Minnesota Zoo on its aging facilities and bonding needs. Zoo staff highlighted the zoo’s economic and educational role, its 1.4 to 1.5 million annual visitors, and its Free to Explore program, while stressing that many of its 50-year-old buildings are in poor condition, with more than $78 million in backlog and safety concerns for visitors, staff, and animals. The zoo said the governor recommended $4 million for critical life-support systems and asked for an additional $6 million in asset preservation to renovate the original animal hospital building so a new hospital wing can function properly. Testimony emphasized that the renovation is necessary for staff space, storage, code compliance, asbestos removal, and safe animal care, and described recent injuries and close calls tied to outdated facilities. Members asked questions about porcupine quills, natural predators, and the meaning of the zoo’s incident rate. Zoo staff explained that quills are not poisonous but are barbed and can be difficult to remove, and that predators include larger cats, owls, and fishers. On incidents, staff said they include close calls and injuries linked to aging infrastructure, such as a tiger reaching farther through a wall after fencing shifted over time, and staff injuries during animal procedures in older spaces. Members also confirmed that the hospital project has shifted from a standalone building to a wing attached to the existing hospital because of rising construction costs. The committee then heard from Perpich Center for Arts Education. Perpich described its statewide role as both a public high school and an arts education resource center, serving students and educators across Minnesota. It said it hosted 313 events last year for nearly 2,000 educators and administrators and worked with 275 school districts across all 67 Senate districts. Perpich emphasized that nearly seven in 10 students rely on its residential programs because there are no comparable arts high school options in greater Minnesota, and noted strong student outcomes including a 100% graduation rate and national recognition as an exemplary school. For capital needs, Perpich said it received $1.26 million last year for HVAC and building automation work, is grateful for the governor’s recommended $1.3 million this year, and requested $6 million to create a secure, accessible main entrance and upgrade outdated restrooms to ADA compliance.