Transcript Highlights:

• This includes resume assistance, training, job placement, and often case management.
• We offer two grants that help businesses cover the cost of training.
• One is the incumbent worker training grant, and the other is quick response training.
• Second, our quick response training grant helps new and expanding businesses in Florida quickly train
• employees to receive customized, skills-based training.

Summary: The committee met to receive a base budget overview for agencies under its jurisdiction, which include the Division of Emergency Management, Department of Commerce, Department of State, Department of Transportation, Department of Military Affairs, and Department of Highway Safety and Motor Vehicles. Staff explained the budget format and noted that the Legislature appropriated more than $20.2 billion to these agencies in the current fiscal year, a 66.7% increase over 10 years. The Department of Transportation then presented on the Moving Florida Forward initiative, describing it as a $7 billion effort to advance 20 major congestion-relief projects statewide. Secretary Jared Perdue said the department is ahead of schedule, with 14 of 20 projects expected to be underway by the end of the calendar year. He highlighted major projects including I-4 in Polk and Osceola counties, I-75 improvements, Southwest 10th Street in Broward County, Fruitville Road, Capital Circle in Tallahassee, and I-275, and discussed innovations such as aggregate supply grants, modified phase design-build, workforce hiring events, and voluntary acceleration. Senators asked about business impacts from construction, tourism-related transit funding, aggregate sourcing, and labor shortages; the secretary said FDOT works with local businesses and that additional revenue sources for transit would require legislative action. The Department of Highway Safety and Motor Vehicles reviewed motorist services, revenue collection, licensing, vehicle titling, specialty plates, insurance compliance, driver safety, and commercial driver licensing. Officials said the department collected about $2.9 billion in revenue in fiscal year 2023-24 and described modernization efforts, including electronic verification systems, Real ID compliance, mobile licensing units, and a planned digital driver license. Members asked about the driver license backlog in Miami-Dade and Broward, and the department said service delays were driven by growth and staffing constraints but should improve with $7.5 million in recent funding and the eventual transition of services to county tax collectors. Questions also addressed temporary paper licenses and birth certificate fraud prevention. The Department of Commerce presented on the Job Growth Grant Fund and Visit Florida. Commerce said the grant fund, created in 2017, has awarded $257 million to 70 projects in 37 counties since 2019, with demand exceeding supply about four to one. Officials emphasized that the program supports targeted industries and workforce and infrastructure projects, and they highlighted examples in CDL training, semiconductors, advanced manufacturing, and health care. Senators raised concerns about small businesses affected by transportation construction, and Commerce said it has an Office of Small Business Innovation and other tools, though the grant fund is limited by statute to targeted industries. Visit Florida then described its public-private tourism marketing role, saying the state’s $80 million appropriation is matched by private investment and that the latest EDR review found a $3.30 return in tax revenue for every state dollar spent. Visit Florida reported record visitation and tourism spending, along with hurricane recovery marketing and rural promotion efforts.

Transcript Highlights:

• Enrolled hundreds in training programs leading to industry-recognized credentials.
• And enrolled hundreds in work experience and on-the-job training opportunities that align with the training
• Jobs or training jobs don't deserve the kind of same compensations as others.
• Allocate so that the train and upskill our community.
• that are listed in the eligible training provider list.

Keywords: 988, house, all

Transcript Highlights:

• It's a 53,000-acre training site.
• It's a 53,000-acre training site.
• It's a 53,000-acre training site.
• It's a 53,000-acre training site.
• We help get them trained.

Keywords: 1187, senate, all

Summary: The subcommittee held its first hearing of the session and began with introductions from members and staff, many of whom shared personal or family connections to military service. The chair emphasized that the committee would work respectfully and invited members to raise concerns directly. No votes or formal actions were taken during the opening portion of the meeting. The main substantive item was an overview presentation from the Minnesota Department of Veterans Affairs. Commissioner Brad Lindsay described the agency’s mission, statewide footprint, and strategic goals, noting Minnesota has more than 286,000 veterans and that MDVA serves veterans in all 87 counties. He outlined the department’s structure, including eight veterans homes, four state veterans cemeteries, tribal and campus outreach, and the agency’s focus on seamless support, awareness of programs, stewardship of resources, and workforce retention. Deputy Commissioner Ben Johnson then detailed the Programs and Services Division, including federal VA claims assistance, veterans employment and education support, state veterans cemeteries and memorial affairs, the State Soldiers Assistance Program, homelessness prevention, tribal veteran service officers, women veterans services, the Minnesota GI Bill, licensing and certification assistance, the state approving agency, veterans preference, emergency assistance, the LinkVet line, and the Minnesota Service Core partnership with Lutheran Social Services. He also noted the agency’s work on food insecurity and burial services. The presentation was informational only, with no committee action reported.

Transcript Highlights:

• training like they all have here.
• I how should I how should I training,<01:18:39.199> educational<01:18:39.840> training<
• /c><01:18:40.239> like<01:18:40.480> we training, educational training like we training
• Are we be trainings on each campus?
• co what the you think is the training co what the training<01:42:33.040> cost<01:42:33.360>

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:

• One is worker training and development, so a person being able or an agency able to really understand
• and say, here are my specific needs, and train workers to those needs, and having a line item in the
• One is worker training and development, so a person being able or an agency able to really understand
• know what I and what's their training know what I and what's their training requirements<00:42:45.119
• Destigmatizing disability was discussed each time from these discussions and trainings. inclusion trainings

Keywords: 1187, senate, all

Transcript Highlights:

• How do we monitor what they do with their own internal training?
• Internal training—how do we know it says they can't use state funds?
• through culturally competent and trauma-informed trainings.
• through culturally competent and trauma-informed trainings.
• through culturally competent and trauma-informed trainings.

Summary: The committee first confirmed Heather L. Turnbull to the Florida Commission on Community Service, with the motion adopted and the confirmation recommended favorably. Members then took up SPB 7022, which sets Florida Retirement System employer contribution rates beginning July 1, 2025, updates rates to address unfunded actuarial liability, and allows certain elected officers to elect a DROP accumulation; a technical title amendment was adopted, the bill was submitted as a committee bill, and it was reported favorably as a committee bill. The committee then heard extensive debate and public testimony on SB 1710, which would restrict diversity, equity, and inclusion-related policies, trainings, and activities in state agencies, state-funded contractors and grantees, and medical institutions of higher education. Sponsor Senator DiCeglie said the bill is intended to prevent state agencies and contractors from using state funds for DEI programs and to limit state agencies from adopting DEI-related official positions; he also said the medical-school portion would likely be amended out later. Senator Polsky and others questioned the bill’s breadth and how it would affect health-related grants, public universities, historically Black institutions, recruitment, and contractor training. Public testimony was overwhelmingly opposed, with speakers arguing the bill would harm health care, education, access, and inclusion; a few supporters said DEI is ideological, can undermine merit, and should not be used by state agencies or publicly funded institutions. After debate, Senator Polsky argued the bill was confusing, overbroad, and harmful to serving diverse communities, while Senator Arrington said it was an overreach into private business and could have significant fiscal impacts. Chair Fine closed by saying DEI is political ideology and that the bill is meant to ensure government focuses on talent rather than identity. SB 1710 was then reported favorably on a roll call vote, with Senator Arrington voting no and the remaining members voting yes. The committee then began SB 1678, relating to entities that boycott Israel, and heard the sponsor’s explanation of a delete-all amendment that would expand and clarify state restrictions on dealings with entities engaged in boycotts of Israel, including certain nonprofits, foreign educational institutions, and grants; the amendment was adopted, and the sponsor and a witness began answering questions when the transcript cuts off.

Transcript Highlights:

• like Justin's had to be grandfathered in and an opportunity for those individuals to take the training
• <00:21:51.840> and should be at least as well trained and should be at least as well trained
• program, and then they could be well trained and certified for the IID and do something like that.
• program, and then they could be well trained and certified for the IID and do something like that.
• The vast majority of them are not that well trained, and so maybe they won't get certified.

Keywords: Meeting Start 00:00 Attendance Roll Call 00:30 Introduction of New Members 00:53 SB 69 Discussion 01:24, 958, all

Summary: The Senate Committee on Agriculture met for its first session and took up Senate Bill 69, as amended by a committee substitute. The substitute was adopted by motion and vote, and the chair noted that a fiscal note had been requested but not yet received, so the bill would proceed and the fiscal note would be trailed. The bill concerns equine dental care and related chiropractic services, creating a licensing and regulatory framework for equine dental providers and allied animal health practitioners. Senator Robin Webb, the bill sponsor, said the substitute made technical corrections requested by the Kentucky Veterinary Medical Association and the chiropractors association. She described the measure as a compromise intended to clarify scopes of practice, establish a credentialing/licensing board, and provide a legal pathway for people who have long provided equine dental services, especially in rural areas where veterinary access can be limited. Supporters said the bill would improve accountability, allow providers to obtain liability insurance, and preserve referrals to veterinarians for issues outside the defined scope. Kentucky Veterinary Medical Association and Board of Veterinary Examiners representatives said the bill was developed through a working group, modeled in part on Texas, and would include continuing education, grievance procedures, and due process protections. Justin Tallup, an equine dental provider, testified in favor, saying the bill would not change day-to-day practice but would legalize and formalize it. He said the scope would be limited to floating and balancing molars and incisors and removing caps and wolf teeth, with anything beyond that referred to veterinarians. He also said certification requires formal training, case submissions, testing, and annual continuing education. Senator Deneen asked about sedation, and witnesses said sedatives would still be prescribed and dispensed by a veterinarian under a valid veterinarian-client-patient relationship, with the owner administering them. Michelle Shane of the Board of Veterinary Examiners said the board supported the bill’s disciplinary framework and would defer to federal law on controlled substances. Dr. William Rainbow, a veterinarian, testified against the bill, arguing that equine dentistry is veterinary medicine and that the proposal would allow undertrained practitioners to work without sufficient standards, including a grandfathering provision. He said practitioners should have training comparable to licensed veterinary technicians and warned that the bill could leave horses vulnerable to poor care. The committee did not take final action on the bill in the portion of the meeting provided, but the chair indicated time was running short and that a vote would be needed.

Transcript Highlights:

• One looked like he was about to fall asleep, and as the train began moving, he became unconscious.
• Two passengers boarded the train car, and one looked like he was about to fall asleep.
• As the train began moving, he became unconscious.
• point he um called out um to the train point he um called out um to the train car<00:10:03.200><
• <01:04:41.440> Minnesota's educating and training Minnesota's educating and training Minnesota's

Keywords: 1187, senate, all

Transcript Highlights:

• It locks in consistent annual investment in apprenticeship and workforce training, so New Mexico can
• . ...800 apprentices is what we're projecting to be able to do and train, and we absolutely could not
• Apprenticeships, any type of training and education program that is unique and not in the box.
• A lot more people took advantage of the direct training program.
• . ...recruiting for those future industries is marketing these apprenticeships and trainings.

Keywords: 996, all

Summary: The House Labor, Veterans, and Military Affairs Committee met to hear House Bill 7, sponsored by Representative Garrett and Representative Cates, which would continue and support apprenticeship and workforce training funding. The sponsors and the Department of Workforce Solutions described strong growth in apprenticeship participation, especially in the building trades, and said the fund has helped expand programs while maintaining high retention and employment outcomes. They emphasized that the bill would provide predictable, sustained investment in skilled labor needed for construction, infrastructure, and other growing sectors. Supportive testimony came from contractors, chambers of commerce, trade unions, and a small business owner, all of whom said apprenticeship funding is essential to meeting workforce shortages and keeping workers in New Mexico. Committee members asked about program demographics, geographic distribution, rural participation, reentry and high school dropout data, and how apprenticeships connect to displaced workers from energy and industrial closures. The secretary explained that the department uses Rapid Response and economic transition programs for layoffs and closures, and also surveys current energy workers to gauge retraining interest. Several members praised the bill’s return on investment and retention of workers in the state, while Representative de Rassas suggested adding more public transparency and performance metrics. Representative Ortiz asked about future funding after 2031 and whether the program could scale with more money. After discussion, Representative Hall moved a do pass, Representative de Rassas seconded, and the committee approved House Bill 7 with no opposition. The chair also announced upcoming committee meetings and asked members to consent to sharing contact information for committee purposes.

Transcript Highlights:

• Student enrollment is up 90 percent and workforce training is up more than 185 percent. percent in that
• In 1947, the legislature authorized us. to train veterans of World War II for jobs needed by industry
• This begins through our extensive partnerships with high schools to provide career training programs.
• LSEO is dedicated to training nurses, carpenters, electricians, plumbers, HVAC, pipe fitters, welders
• So we can train those individuals. All right. Well, thank you very much.

Keywords: 1184, house, all

Transcript Highlights:

• They do go through training, right?
• They have the training of what their role is.
• The board conducts training annually.
• But we train as a composite board. Training is not the primary issue.
• As regards to training, we focus on what the law actually says.

Bills: HB2016, HB2104, HB2105, HB2288, HB2289

Keywords: tax penalties, filing, tax returns, administration, Arizona Revised Statutes, agricultural property, classification, county assessor, property inspection, appeal process, property tax, agricultural classification, Department of Revenue, property valuation, inspection notice, inspection report, on-site inspection, full cash value, rural land, farm land

Transcript Highlights:

• that required extensive training.
• In all cases, poor training was directly correlated to...
• Unsafe drivers that required extensive training.
• In all cases, poor training was directly correlated to incident and accident.
• which training includes, among other things, 31 detailed curriculum requirements.

Summary: The Assembly Business and Professions Committee heard a full agenda of bills focused on reproductive health, professional licensing and sunset reviews, consumer protection, and business regulation. Early testimony centered on AB 260, which would protect access to medication abortion, mifepristone, and telehealth reproductive care in California; supporters emphasized state protections against federal restrictions, while an opponent argued the bill removed safety safeguards. The committee also heard AB 714 on closing a loophole in regulation of low-cost commercial driving schools, AB 968 on allowing pharmacists to prescribe non-hormonal contraception, AB 671 on streamlining restaurant permitting, AB 1027 on strengthening cannabis product testing oversight, AB 1271 on broadband pricing and speed transparency, and AB 1332 on narrowly allowing medicinal cannabis shipments for seriously ill patients. Several sunset bills were also taken up, including AB 1482 on animal shelter and breeder transparency, AB 1501 on the Podiatric Medical Board and Physician Assistant Board, AB 1502 on the Veterinary Medical Board, AB 1503 on the Board of Pharmacy, and AB 1504 on the Massage Therapy Council. Testimony was largely in support of the measures, with many bills drawing co-sponsors or support from industry, consumer, or professional groups. AB 1503 generated the most sustained opposition, with nurses, physicians, and drug industry representatives objecting to expanded pharmacy technician ratios, standard-of-care language, and therapeutic interchange authority; supporters argued the bill would modernize pharmacy practice and expand access. AB 1504 also drew mixed testimony, with massage therapy groups supporting continuation of the council but raising concerns about proposed public records and governance provisions. AB 1271 drew a policy dispute over whether broadband reporting requirements duplicated federal FCC processes, while supporters argued California needed its own consumer-facing data and complaint system. After quorum was established later in the hearing, the committee began taking roll-call votes. AB 1271, AB 1332, AB 1482, AB 1501, and AB 1502 were all reported out on due-pass motions, with AB 1271 amended and the others generally amended or as introduced as noted. Earlier bills including AB 260, AB 671, AB 714, AB 968, and AB 1027 also received motions and were approved once the quorum was present. The chair repeatedly noted the lack of quorum during the hearing, but once one was secured, the committee completed votes on the agenda items and advanced the measures to Appropriations.

Transcript Highlights:

• > to<00:41:05.880> support learning and training to support learning and training to support
• Training Center. Training Center.
• director of the Kentucky Autism Training director of the Kentucky Autism Training Center.
• staff with the Kentucky Autism Training staff with the Kentucky Autism Training Center<00:50:47.320
• So, now we have and less training.

Keywords: 958, all

Transcript Highlights:

• with trains or striking cars.
• <00:41:57.720> train<00:41:58.040> collisions anyway um so train to train collisions
• anyway um so train to train collisions are<00:41:58.720> human<00:41:59.560> factor<00
• <00:42:19.119> or in front of an approaching train or in front of an approaching train or
• um grade crossing accidents with trains um grade crossing accidents with trains or<00:42:32.119>

Keywords: 1191, senate, all

Transcript Highlights:

• So you mentioned implicit bias training.
• No, they're all going through the same training and being effective.
• And that is not something that gets done in the matter of one training or a series of trainings.
• And so... ...experience DEI at their workplaces through training programs.
• And again, for DEI training for police and the U.S.

Keywords: 995, all

Summary: The Joint Committee on Racial Equity, Civil Rights, and Inclusion held an informational hearing on diversity, equity, and inclusion in Massachusetts; no bills were heard or voted on. Chairs Bud Williams and Liz Miranda opened by framing the hearing as a response to recent federal actions they said threatened DEI efforts, funding, and civil rights protections in education and other sectors. They said the committee would hear from experts, agencies, advocates, and businesses about the legality and benefits of DEI and the impact of federal actions on the Commonwealth. Secretary of Education Patrick Tutwiler testified virtually that Massachusetts is pushing back against federal efforts to restrict DEI, including guidance and certification demands directed at schools. He highlighted state investments in early education, child care, early college, career and technical education, and educator diversity, arguing these efforts help close opportunity gaps for Black and brown students, students with disabilities, English learners, and other underserved groups. In response to member questions, he said federal education dollars are core to services for students and that the state is prepared to fight funding cuts while monitoring impacts across K-12, early education, and higher education. Elizabeth Matos of the Attorney General’s Office said DEIA programs remain legal under state and federal law and described AG guidance issued to help institutions navigate federal confusion. She reviewed litigation the office has joined or won, including efforts involving withheld school funds, museums and libraries, the Minority Business Development Agency, Head Start, AmeriCorps, and other federal actions. Members asked about immigration-related fear and profiling, and Matos pointed to existing Know Your Rights guidance, said complaints to the Civil Rights Division have increased, and noted the office is seeing issues involving housing discrimination, employment, public accommodations, and threats to call ICE. She also said the office is open to further legislative ideas but did not discuss specifics. Evelyn Carter, a social psychologist, testified that diversity, equity, and inclusion are often misunderstood and defined the terms plainly, emphasizing that diversity is a group characteristic, equity addresses unequal starting points, and inclusion is about belonging and access. She argued that DEI matters because it creates guardrails against bias, helps make environments accessible, and addresses ongoing inequities. In response to questions, she suggested practical strategies such as using clear criteria and written records in decision-making, broadening who is considered part of one’s in-group, and pairing bias awareness with concrete behavior-change tools. The hearing also included testimony from Meredith Tewitt of the Massachusetts Commission on the Status of Women, who spoke about the importance of DEI for women, veterans, and people who rely on federal institutions, and urged lawmakers to continue supporting inclusion and access.

Transcript Highlights:

• , technical training, is going to come from our community colleges.
• Okay, real quick, and the other guy back up, we've got money in there for the alert training.
• These are crucial steps in addressing the nursing shortage and enhancing the training pipeline.
• So the goal would be to train and then retain by investing in the clinical site.
• That's where a lot of the training and retention of nurses happens.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• A lot of the fires that concern us happen in our training areas.
• It's actually a training facility. So we have soldiers training in that building.
• This six-week NAC training program allowed your WDVA instructors to train NACs in our homes at both Ordean
• We trained about 41 NACs since the beginning of this program.
• center, used to train U.S.

Summary: The Joint Committee on Veterans and Military Affairs met to hear updates from Joint Base Lewis-McChord, the Washington Military Department, the Washington Department of Veterans Affairs, and the Department of Commerce on federal and state impacts affecting veterans, military families, and military installations. JBLM’s garrison commander said the base remains focused on housing, child care, and spouse employment, but is facing workforce reductions tied to federal personnel actions, especially in air traffic control, 911 dispatch, and firefighting. He also said JBLM is preparing for increased mutual-aid needs during fire season, and that the Army Transformation Initiative could change unit composition at JBLM over time without a major overall population shift. He confirmed that the Lewis Army Museum is on a closure list, but said the building will remain in use for training and that the base is exploring partnerships to keep museum functions operating, possibly with volunteers or local partners. The Washington Military Department reported about 400 Guard members deployed on federal missions and described ongoing state missions in cybersecurity and firefighting. The department said the Army National Guard’s 81st Stryker Brigade will transition to a mobile combat team, with associated changes in equipment, manning, and end strength. It also warned that continuing resolutions are delaying funding, limiting new military construction starts, and increasing costs. The Washington Department of Veterans Affairs outlined a $3.2 million reduction from the governor’s budget and related cuts affecting internships, vacant positions, outreach travel, claims support contracts, counseling and wellness, veterans’ innovation assistance, and the military transition and readiness council staff position. WDVA said it is ending or scaling back several programs, including in-house nursing assistant training, the veteran farm at Ordean, Vet Corps due to AmeriCorps funding changes, and the tobacco cessation program, while noting that the legislature funded about $23.7 million in capital projects for veteran homes, cemeteries, and transitional housing. The Department of Commerce presented on the Defense Community Compatibility Account, which funds projects that reduce conflicts between military installations and nearby communities. The program currently has 10 projects across five legislative districts, including school and child care improvements, water wells, land acquisition, and a joint firefighting training center in Everett. The presenter said the main challenge is that DCCA projects often need non-state funding secured before they can compete, which can make it hard to leverage federal Defense Community Infrastructure Program dollars; he recommended more flexible state timing to help projects qualify for federal funding. In closing discussion, members raised possible future agenda items including child care near bases, veteran homelessness, suicide prevention, Navy Day, military family housing, and a possible Department of Licensing issue involving guard and reserve designations on driver’s licenses. No formal votes were taken, and the meeting adjourned after members were invited to suggest topics for the October and December committee meetings.

Transcript Highlights:

• the day, is an act relating to education, eliminating deadlines for active transportation safety training
• <00:01:11.439> that of transportation safety training that of transportation safety training
• Anyway, this training is a good thing. It's a good thing for Minnesota.
• It's a good training is a good thing.
• Members, I would training intact.

Keywords: 1183, house

Transcript Highlights:

• need to train more, do lists.
• Also a rubric, an assessment tool to accept more trainings. That kid trained do list.
• So if a duet receives those approved, trainings in those trainings are are then to look and panel for
• to receive those trainings.
• That's not part of their initial training they got.

Keywords: 999, senate, all

Transcript Highlights:

• appropriate training to apply the sealants.
• So what goes into on-the-job training?
• staff to conduct the training.
• I'm almost done, so we're getting towards the caboose of my train.
• And that's not a highly trained career, but a desperately important one.

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.