Transcript Highlights:

• . physicians, nurses, and EMTs.
• Finally, we have nursing.
• We have nursing students.
• Programs (IEPs)?
• Program, the Rapid Rehousing Homeless Prevention Program, the Home Supportive Services Program, and the

Transcript Highlights:

• Post-secondary Education. Post-secondary Education.
• When we look at education programs in particular, and we know we need teachers out into the workforce
• <00:09:03.840> programs<00:09:04.520> in When we look at education programs in When
• we look at education programs in particular,<00:09:05.640> and<00:09:05.760> we<00:09:
• This is a similar analysis on nursing. This is a similar analysis on nursing.

Keywords: Call to Order and Roll Call: 0:00 Bills for Consideration: 26RS HB 94 – 2:40 26RS HB 307 – 15:00 Adjournment: 20:15, 958, all

Summary: The House Standing Committee on Postsecondary Education met with a quorum, welcomed new member Representative Beverly Chester-Burton, and recognized interns in attendance. The committee then took up House Bill 94, which would require the Council on Postsecondary Education to host an online transfer portal for students, require annual university updates to transfer data, and convene academic officers to study and report on streamlining high-demand pathways such as teaching and nursing. Representative Vanessa Grossl said the bill was revised in response to prior concerns and emphasized that the goal was to improve transparency, reduce time to degree, and lower student debt. Travis Powell of CPE supported the measure, saying the portal and study would improve transparency and help identify barriers to transfer. The committee adopted the committee substitute for House Bill 94 and then passed the bill out favorably by roll call vote, sending it to the House floor. The committee also reconsidered House Bill 307, dealing with proactive postsecondary admissions, after earlier discussion and additional meetings. Chair James Tipton explained that the new substitute made several changes, including addressing a FERPA concern by having KDE share student information directly with universities, limiting social security number use to the last four digits plus date of birth, and adding provisions for KIA to include a link or QR code to the common online application in KEYS scholarship notifications. Members adopted House Committee Substitute 3 for House Bill 307, with Representative Stalker noting support for the social security number change. The committee then passed House Bill 307 as amended with a favorable recommendation to the House floor. No other substantive actions were taken.

Transcript Highlights:

• I direct a program at Boston Children's Hospital called Roberts Program.
• These programs work.
• service agencies at skilled nursing facilities.
• directly employed CNAs and nurses do.
• As an educator and researcher, I have written extensively about how As an educator and researcher, I

Keywords: 995, all

Summary: The committee heard testimony on a wide range of public health and emergency services bills, with many speakers focusing on EMS system failures, hospital service closures, trauma preparedness, epilepsy awareness, drink-spiking response, sudden cardiac arrest, and survivor financial assistance. Several legislators and advocates described the EMS system as underfunded and overstretched, citing long ambulance waits, staffing shortages, and the need for statewide oversight, a special commission, and clearer recognition of EMS as an essential service. A number of speakers also supported bills to preserve essential hospital services after closures such as Nashoba Valley Medical Center and birthing services in Leominster, arguing that current closure rules lack enforcement and leave communities without critical care. Multiple panels testified in support of bills requiring trauma kits in public buildings, public education on SUDEP and epilepsy mortality, and improved cardiac arrest response. Supporters of the trauma-kit bill said public buildings should have bleeding-control kits and trained staff, comparing them to AEDs and first aid supplies. Epilepsy advocates, clinicians, and grieving parents urged a public health campaign on SUDEP, saying families are often not warned about the risk and that awareness could improve medication adherence, reduce guilt, and save lives. On cardiac arrest, EMS professionals and the American Heart Association backed measures to improve telecommunicator CPR, create an AED registry, and strengthen dispatch and training standards. The committee also heard extensive testimony on a bill addressing illicit drink spiking. Senators, city officials, victims, physicians, and an international anti-spiking advocate described cases in which hospitals refused toxicology testing unless a sexual assault was reported, and argued for standardized testing protocols, better data collection, and coordination with law enforcement and licensed venues. Another bill drew a sharp exchange over local public health control and the SAFE 2.0 law, with one senator arguing for more local approval and voluntary participation, while committee members defended the earlier law as a response to inequities in local public health capacity. Finally, advocates from Jane Doe, Inc. supported legislation to provide flexible financial assistance to survivors of domestic and sexual violence, saying unrestricted cash helps survivors meet basic needs, escape abuse, and rebuild stability.

Transcript Highlights:

• This program will authorize the Department of Education to stock bronchodilators for emergency use during
• of Education and the School of Nursing and Dental Hygiene, has been in existence since 2014.
• of Education and the School of Nursing and Dental Hygiene, has been in existence since 2014, will work
• Collaboration between the Department of Education and the School of Nursing and Dental Hygiene has been
• DOE is responsible for administering special education and Title I funded programs at the pre-K level

Keywords: 910, house, all

Summary: The Committee on Education heard several Department of Education-related bills and received extensive testimony on school meals and veteran diplomas. HB 628 would restore authority for the Department of Education to issue high school diplomas to veterans whose schooling was interrupted by World War II, the Korean War, or the Vietnam War. The superintendent testified in support, explaining the authority had sunset in 2020 and describing the measure as a way to recognize veterans. No opposition or questions were raised, and the bill was left without further action in the excerpt. The committee also heard HB 1074 and HB 110, both supported by the Department of Education and the School Facilities Authority. HB 1074 was described as a cleanup measure to clarify land-related language and make the statute more consistent across state agencies and DOE. HB 110 concerned benchmarking and the farm-to-school/local food effort; DOE and several supporters, including county councils, the Hawaii Public Health Institute, the Hawaii Farm Bureau, and the Hawaii Farmers Union, said the bill would help align metrics and support the 30% local food goal by 2030. Members questioned DOE about progress, and DOE said it was working on menus, procurement, and coordination with distributors and farmers. A Farm to School representative said the current bottleneck was poor communication with farmers and the need to bring them into planning earlier; DOE said it was still figuring out the process and that island-based procurement and separate RFPs were being explored. HB 328, relating to school meals and local resource food and plant-based options, drew the most testimony. DOE testified with comments, and the Attorney General’s office suggested revisions to clarify that the bill would apply to both DOE and charter schools, to separate public and private funds if donations or grants are accepted, and to add standards if nonprofit or private entities receive public money. Supporters included HSTA, the Hawaii Public Health Institute/Farm to School Network, Climate Protection Hawaii, the Hawaii Cattlemen’s Council, and numerous individuals and organizations. Supporters emphasized healthier school meals, student-requested plant-based options, support for local farms, and the 30% by 2030 goal. Some testimony urged more local purchasing and raised concerns about decentralization, while DOE said it was considering island-based procurement and separate contracts to better support local producers. No votes were taken in the excerpt.

Transcript Highlights:

• The bigger part of the data was based on the nursing programs, saying that the building was not sufficient
• to provide them what they need for their nursing programs.
• So moving the nursing program to the medical school, and some of the other ancillary services, would
• So $1 million for the program, and then $200,000... ...pilot program establishment.
• Is this replacing ESSER funds, this program? Mr. Chairman, Committee, no, this is a new program.

Keywords: 908, all

Summary: The committee first heard Senate Bill 2271, which would formally place adult residential facilities in code and rebase their Medicaid reimbursement rates. Sponsor Chairman Ruby and HHS staff explained that these facilities, often serving people with dementia or acquired brain injury, are reimbursed at a much lower rate than skilled nursing care and help reduce bottlenecks in higher-level facilities. Members questioned how the program differs from basic care and nursing facility memory care, and the bill was referred to the HR section for deeper review before possible action on Monday. The committee then took up Senate Bill 2396, as amended, which would authorize an independent third-party performance audit of the Department of Commerce and the North Dakota Development Fund, with findings shared with the state auditor. Sponsors said the proposal was prompted by concerns raised in testimony and that a private audit could begin faster than a state audit. The committee adopted an amendment adding an emergency clause and directing the report to the Legislative Audit and Fiscal Review Committee, then passed the bill 20-0 with 3 absent. Next, Representative Clemine presented Senate Bills 2226, 2036, and 2037. SB 2226 would presume an incarcerated person indigent at initial appearance so counsel can be provided at that critical stage; the commission said the appropriation would fund contract attorney hours, and the bill was sent to HR for further review. SB 2036 would create procedures for determining juvenile fitness to proceed in delinquency cases, with a $500,000 appropriation for mental health evaluations, and SB 2037 would begin a juvenile criminal code framework and include a $300,000 appropriation for fitness-to-proceed evaluations; both were also referred to HR, with some concern raised about staffing and overlapping functions. After a short break, the committee heard education-related appropriations bills. SB 2234 would replace expired ESSER funding for Choice Ready grants, but members noted the program was not included in the K-12 budget and sent it to E&E for comparison with existing appropriations. SB 2286, a University of North Dakota request for a new nursing school facility, drew extensive discussion about the age and condition of the current building and the size and scope of the project; the committee ultimately adopted a do-not-pass motion 22-0. SB 2213, the “science of mathematics” bill modeled on the science of reading initiative, would fund math professional development and implementation; it was also referred to E&E for further review. The committee then briefly passed the Racing Commission budget, SB 2023, and began discussion of the Trust Lands budget, SB 2013, including a proposed retention increase for investment-related positions.

Transcript Highlights:

• The Medicare beneficiary QMB program.
• program.
• , and they are in the most robust of those programs, the QMB program.
• homes, who works in nursing homes.
• homes, who works in nursing homes.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing focused largely on senior long-term care issues, family caregiving, post-acute care access, and direct care workforce pay. Testimony strongly supported bills to raise the personal needs allowance for nursing home and rest home residents (including H. 1411, S. 482, and related bills), with speakers from Mass Senior Action, Dignity Alliance, nursing home residents, providers, and former state officials arguing that the current $72.80 monthly allowance has been unchanged since 2008 and is inadequate for basic items like clothing, toiletries, haircuts, and transportation. Witnesses also backed bills to increase MassHealth asset and income limits for seniors and to stop counting life insurance as cash, describing the current rules as outdated and harmful to low-income elders. The committee also heard testimony on bills allowing family members, including spouses and guardians, to be paid caregivers (H. 1394/S. 886), with supporters saying this would help families keep loved ones at home and reduce reliance on costly institutional care. Another set of bills (H. 1412/S. 903) drew support from a physician who said clearer MassHealth communication and improved post-acute care determination processes would help reduce delays and backlogs for patients awaiting skilled nursing, rehabilitation, or other post-acute placement. Several speakers emphasized that better home- and community-based care can prevent hospital readmissions and support independence. A major portion of the hearing focused on S. 877, which would establish an enhanced care worker minimum wage of $25 per hour, indexed to inflation, for certain home care and human services workers. Union representatives and direct care workers from SEIU Local 509, 1199 SEIU, and the AFL-CIO described severe staffing shortages, burnout, low wages, and high turnover across home care, mental health, disability services, and crisis response. They argued that higher pay is necessary to recruit and retain workers and to stabilize services for vulnerable residents. Committee members asked about costs, comparisons with other states, and whether non-wage incentives could help, but witnesses repeatedly said wages were the central issue. The hearing concluded after all registered testimony was heard, with the committee noting it would continue accepting written testimony and then adjourning.

Transcript Highlights:

• So is it common practice for the nurse practitioner training programs in the system?
• So is it common practice for the nurse practitioner training programs in the state of Utah to require
• clinical nursing, registered nursing experience before admitting students to those programs?
• or becoming a nurse or nurse practitioner can count.
• and then went straight from nursing school to nurse...

Keywords: 985, all

Transcript Highlights:

• students who are entering into careers in technical education programs.
• Both practical nursing and the program are the top recipients of Open Door Scholarships.
• , and adult education workforce programs.
• , is our nursing program.
• And even our nursing programs continue to see increases in enrollment.

Keywords: 999, senate, all

Transcript Highlights:

• Um we now have a nurse we had one nurse.
• Um, like I said, nurses, nurse practitioner, and every—um, we have one nurse practitioner.
• and a nurse practitioner than we were for two to three nurses.
• Martin told you: that with a nurse in every school and a nurse practitioner and a provider nurse that
• nurse practitioner and a provider nurse nurse practitioner and a provider nurse that<00:40:32.960

Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:01:32 3. Getting to Know the Foundation for a Healthy Kentucky – 00:02:26 4. Healthy Kids Clinic – 00:26:58 5. Pharmacy Payment Parity – 00:56:36 6. Ibogaine – 01:17:37 7. Consideration of Referred Administrative Regulations – 01:53:05 8. Adjournment – 01:53:19, 958, all

Summary: The committee first approved the prior meeting minutes and recognized Eric Clark for his service, noting this may be his last meeting before he leaves state government. The main presentation was from Allison Adams, president and CEO of the Foundation for a Healthy Kentucky, who described the organization’s history, nonpartisan mission, and focus on health equity, prevention, and upstream policy solutions. She said Kentucky’s poor rankings in chronic disease, preventable hospitalizations, and life expectancy show the need to shift resources toward prevention and community-driven strategies rather than relying mainly on treatment after people become sick. Adams emphasized leading health indicators, arguing that lawmakers should track actionable measures such as quit attempts and smoke-free policies instead of only lagging indicators like disease rates and mortality. In response to questions, she said accountability should be shared across communities and systems, with possible incentives and disincentives tied to outcomes, and she supported creating a public data utility or dashboard, ideally with university partners, to help legislators and communities monitor progress. She also cited examples of accountable health community models and said Kentucky could adapt similar approaches. The committee then heard from Meade County Schools Superintendent Mark Martin and district health coordinator Karen Kotche about the Healthy Kids Clinic partnership with Cumberland Health. They described a seven-year effort that led to full implementation in the district, which now has a nurse in every school and a nurse practitioner, allowing services such as sports physicals and other clinic functions to be provided on campus. They said the program has been a strong investment for students and the community and began explaining how the district built the partnership after earlier efforts and delays, including the pandemic.

Transcript Highlights:

• I mean, programs like the FAME program.
• Their welding program is incredible, and the electrical line worker program, which is very important
• I'll sit in a room of guidance counselors and people from the education system. ...educational system
• , include 232,000 registered nurses in Texas, assisted by nearly 60,000 vocational nurses.
• been a nurse.

Keywords: 1185, senate, all

Transcript Highlights:

• This is a program that we partner with the Office of Higher Education on, and this supports employers
• This is a program that we partner with the Office of Higher Education on, and this supports employers
• This is a program that we partner with the Office of Higher Education on, and this supports employers
• This is a program that we partner with the Office of Higher Education on, and this supports employers
• This is a program that we partner with the Office of Higher Education on, and this supports employers

Keywords: 1183, house

Summary: The committee held an introductory organizational meeting for the newly named Workforce and Economic Development Committee, with Chair Dave Baker noting a quorum and that no votes or formal actions were scheduled. Members and staff introduced themselves and described their districts, backgrounds, and priorities. Several members emphasized worker protections, labor experience, small business concerns, rural economic issues, and the importance of balancing employer and employee interests. Others highlighted education-to-workforce pathways, affordability, support for seniors, and opportunities for immigrant and refugee communities. Chair Baker said he wants the committee to find a balance between protecting labor and ensuring a strong employment base, fair rules, and fair taxes, while also acknowledging concerns about recent policy trends and the need to get proposals right before they leave the committee. Members from both parties echoed themes of collaboration and economic opportunity, though some Republicans criticized past rules and regulations as burdensome on small businesses. The committee also welcomed nonpartisan staff and DFL/GOP staff, including the committee administrator, legislative assistant, House Research, and fiscal analysis staff. The committee then received an overview from DEED Commissioner Matt Varilek and deputy commissioners. Varilek described DEED’s mission as empowering growth of the Minnesota economy for everyone, increasing prosperity and extending it broadly, and coordinating with other agencies such as Labor and Industry to avoid duplication and use taxpayer dollars efficiently. He said DEED focuses on business attraction, retention, and expansion, workforce development, and helping Minnesotans—including people with disabilities—prepare for jobs and independent living. A deputy commissioner began outlining the economic development division’s structure and operations, but the transcript cuts off before the full presentation was completed.

Transcript Highlights:

• 28.880> ATRIP<00:07:29.520> program university programs, the ATRIP program university programs
• program in 2019 to 2025. program in 2019 to 2025.
• university directed payment program. university directed payment program.
• The state-federal program creates access to care for Medicaid patients and supports our education and
• It is also important to note this program also supports Kentucky's medical education pipeline, training

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.

Transcript Highlights:

• from a board-approved nursing education program.
• So the RN and LPN programs are already being approved for the nursing education, so it would be just
• program or essentially the first year of an approved nursing education program, and they’re actually
• from a board approved Nursing education from a board approved Nursing education program<00:43:31.680
• education program and improved nursing education program and and<00:44:58.520> they're<00:44:

Keywords: 1191, senate, all

Transcript Highlights:

• discipline, we have over 42 academic affiliations where we participate in educating over 4,000 nurses
• in educating over 4,000 nurses<00:04:55.680> annually<00:04:56.680> so<00:04:57.240>
• the Family Medicine Residency education the Family Medicine Residency program<00:15:26.680> is
• higher education was critical in my transition into nursing.
• These experiences make the work I do... became a nurse Kelsey the program uh became a nurse Kelsey the

Keywords: 1183, house

Transcript Highlights:

• amendatory language that would just allow municipal authorities to collect debt through the OTC intercept program
• unable to collect because existing language exempted them from having access to the OTC's intercept program

Bills: HB1322, HB2015, HB2933, HB2941, HB2959, HB2977, HB2981, HB3040, HB3055, HB3062, HB3087, HB3115, HB3134, HB3244, HB3297, HB3298, HB3299, HB3304, HB3319, HB3321, HB3322, HB3323, HB3345, HB3407, HB3471, HB3497, HB3500, HB3505, HB3544, HB3581, HB3648, HB3755, HB3764, HB3765, HB3767, HB3906, HB3974, HB3982, HB4104, HB4105, HB4106, HB4107, HB4108, HB4126, HB4130, HB4139, HB4144, HB4170, HB4202, HB4226, HB4227, HB4236, HB4260, HB4343

Keywords: domestic violence, offenders registry, public safety, law enforcement, victim protection, conviction records, landlord, tenant rights, rental agreement, housing safety, tenant protections, insurance regulation, homeowner claims, premium discounts, catastrophe mitigation, civil penalties, fentanyl, overdose, first responders, drug reporting

Transcript Highlights:

• I'm a client of the AIDS Drug Assistance Program. I'm a client of the AIDS Drug Assistance Program.
• We require nurses now as a part of their continuing education program to have a two-hour course in human
• We require our doctors to have a similar course in continuing medical education, but our nurses themselves
• , during their nursing education, have no education in how to identify victims of human trafficking.
• That way, our nurses will be educated before they go actually out and practice.

Summary: The Appropriations Committee on Health and Human Services heard public comment on several health and human services funding concerns before moving through a series of bills. Testimony at the start focused on the AIDS Drug Assistance Program, with a client warning that proposed changes to eligibility and drug access could disrupt care for thousands of people living with HIV/AIDS, and urging the Legislature to intervene. Another speaker asked for support for the iBudget waiver, saying provider costs have risen and requesting about a 7% increase for direct support professionals to help stabilize the developmental disabilities workforce. The committee then unanimously reported favorably several bills. SB 428 expanded Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7, based on drowning-prevention recommendations. SB 68 required hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligned reporting dates with the House version. SB 1718 changed the definition of when an adult visitor in an out-of-home placement becomes a non-visitor, reducing repeated background checks, made the Step Into Success pilot permanent, adjusted foster youth stipends, and created a best-practices program within the Florida Institute for Child Welfare. The committee also approved SB 606, which adds drowning-prevention and safe-bathing education to postpartum materials provided to new parents and requires hospitals and birthing centers to document compliance; members highlighted bathtub drownings as a key concern. SB 96 expanded eligibility for the Veterans Dental Care Grant Program to veterans up to 400% of the federal poverty level, while an amendment removed the bill’s specific appropriation so funding can be handled in the budget process. SB 340 required nursing students to complete a two-hour human trafficking course before taking the NCLEX. SB 1480 created a grandfathering process for certain health care providers in federally designated areas of critical need if an area is de-designated, to avoid disrupting patient-provider relationships. All bills were reported favorably, and the committee adjourned at the end of the agenda.

Transcript Highlights:

• In the case of nursing, skilled nursing level care, you know, is that in a facility on site or is that
• , skilled nursing facilities on site.
• So things like state monitoring, directed plans of correction, loss of nurse aide training programs,
• A skilled nursing facility.
• So if they were to close the nursing, the licensed nursing setting, they would have to go as a closure

Keywords: 995, all

Summary: The Special Commission on Continuing Care Retirement Communities met for its third meeting, focused on regulations, oversight, and enforcement. Staff and agency presenters reviewed the current framework: the Executive Office of Aging and Independence explained that assisted living regulations generally do not apply to CCRCs unless an assisted living component markets itself separately, and that CCRCs must submit marketing materials, contracts, and disclosure statements for public posting. The Attorney General’s office described Chapter 93A consumer protection standards and noted it is working on draft assisted living-specific regulations. DPH outlined its oversight of licensed nursing facilities associated with some CCRCs, including routine surveys, complaint investigations, and enforcement tools such as admissions freezes, fines, receivership, and license actions, along with federal CMS sanctions for certified facilities. Commission members and presenters then discussed gaps and ambiguities in how CCRCs are defined and regulated, especially whether communities without on-site skilled nursing should still be treated as CCRCs, how assisted living-like services within CCRCs are classified, and whether residents have enough clarity about the services they are buying. A major theme was disclosure: members raised concerns about entrance fees, refund timing and conditions, whether skilled nursing is on-site or provided by contract, and how residents can compare communities. Several participants suggested more standardized disclosure and possibly broader consumer protection rules, while others cautioned that overly rigid requirements could affect community finances and development. The commission also explored enforcement and resident protections. Some members argued that independent living residents are already covered by landlord-tenant law and that existing complaint systems and community education may be sufficient, while others said residents in supported or assisted settings within CCRCs should have clearer access to ombudsman services and oversight. The discussion turned to closure and ownership transfer, with members citing recent national examples of sales and bankruptcies that changed resident terms. DPH explained its closure process for licensed nursing facilities, and members noted that Chapter 197 of 2024 adds oversight for facility transfers and financial disclosures. The meeting ended with logistics for the next session at Brookhaven at Lexington on June 2, a public hearing on June 16, and a request to circulate the hearing notice broadly to residents and stakeholder organizations.

Transcript Highlights:

• The local governments provide paramedics and nurses from their existing EMS and visiting nurse systems
• Such programs typically cost more in the short term than a skilled nursing-based program, but if they
• Such programs typically cost more in the short term than a skilled nursing-based program, but if they
• And I'd like to highlight that our midwives lead a program called Curbside Care, a mobile health program
• We're the coaches, we're the educators. Most childbirth education in this state is run by doulas.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• Right now, there's nothing mandated as far as education or Canadian education or education in any way
• It begins with on-the-ground direct education and support. Program.
• It begins with on the ground direct education and support. program.
• Also related to expanding education, at the November meeting, you heard from the oral health program
• We develop so many programs, whether it's paying for education or Medicaid or Medicaid expansion, and

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:

• in in nursing.
• Again, given the nursing in in nursing.
• another program?
• The student-to-faculty ratio in a program versus another program?
• an understanding of education law. an understanding of education law.

Keywords: 928, house, all

Summary: The committee met to review the annual report on collaboration between the University System of New Hampshire and the Community College System of New Hampshire, and the meeting began with approval of the prior minutes and a gubernatorial proclamation recognizing the community college system’s 80th anniversary. Both chancellors praised the proclamation and described the report as a statutory follow-up to the public higher education task force. They said the two systems have built a close working relationship and that the collaboration is intended to continue, though progress may be limited by resources and staffing changes. Much of the discussion focused on transfer pathways and new academic models. The chancellors said House Bill 1530 helped drive the creation of more than 100, and possibly about 130, “universal pathways” between the systems, with a reported 30% increase in community college associate-degree graduates transferring to the university system in the last academic year. They also discussed direct-admit outreach for community college graduates, early college and CTE-to-workforce pathways, and the development of three-year bachelor’s programs at Plymouth State and in some health-care fields. Members asked about nursing, allied dental health, and radiologic technology, and the chancellors said they are exploring whether some programs can be streamlined, while noting that nursing’s requirements may limit how short a pathway can be. Members also raised concerns about whether transfer pathways could affect university enrollment, but the university chancellor said declining enrollment is more likely due to a smaller pool of college-age students and broader competition, not the transfer programs. Another topic was the ERP/technology platform recommendation from the task force: the university system is moving to Workday, while the community college system is working to align business practices and move from an on-premises system to a cloud-based solution. Officials said a shared enterprise system could create efficiencies in the future, but it is not expected in the short term; student-facing tools like Canvas are already shared. The committee also discussed House Bill 112, which would require passing a civics test for graduation, and the chancellors said they support civic education but see implementation challenges. No votes or formal actions were taken beyond approving the minutes and receiving the report.