Transcript Highlights:

• This is a proactive program by which we would create a fund, and the fund would be the dollars that would
• It is a federal insurance program, a federal program obviously backstopped by the federal government
• It is a federal insurance program, a federal program obviously backstopped by the federal government
• Um, if this is such a good idea, why doesn't the insurance industry fund these programs?
• There is a federal program that exists. We already do this.

Keywords: 928, house, all

Summary: The committee heard testimony on a non-germane amendment to HB 297 that would create the Granite State Home Mitigation and Resiliency Program. Insurance Commissioner DJ Beton, joined by department staff, explained that the proposal is intended to help homeowners afford insurance by funding proactive home improvements that reduce risk and improve insurability. He said the program would be funded by the first $1 million collected annually from the insurance premium tax, with grants of up to $10,000 available on a first-come, first-served basis. Beton described the problem as rising homeowners insurance premiums, hard-market underwriting, nonrenewals, and the resulting shift to more expensive surplus lines coverage. He said eligible projects could include roof fortification, exterior improvements, flood-related foundation work, and removal of hazardous trees or limbs. He cited similar programs in other states, especially Alabama, Louisiana, and North Carolina, as evidence the model can work and noted that industry representatives were present in support. He also said the program would use means testing aligned with the Department of Energy’s weatherization program to target lower-income applicants. Members asked about the non-germane process, who would administer the program, and how the bill would prevent misuse of grant funds. The commissioner said the department would administer the program using one repurposed existing position, with Treasury handling fund flow through an MOU. Staff explained that applicants would have to show completed work through a signed contract, itemized work, and a sworn contractor affidavit, with some upfront payment allowed for materials and the remainder paid after completion. The chair and members discussed that the amendment is being attached to a different bill only to move the proposal through committee and on to House Finance for further consideration.

Transcript Highlights:

• Trail Stewardship Program Fund.
• funds.
• . to comply with standards relating to the audit and review of medical assistance program funds.
• You want to fund it? Let's fund it by getting rid of the fraud, waste, and abuse.
• receiving state funds.

Keywords: 993, senate, all

Summary: The Senate Finance Committee, chaired for the day by Senator John Liu, took up a long agenda of bills covering labor and benefits, corrections, health, taxation, government transparency, and public services. Early measures included increasing short-term disability benefits, adjusting a poverty-level-related earned income disregard, expanding correctional health staffing review, and authorizing the Inspector General to investigate sexual assault complaints in correctional facilities; each of these advanced to the floor. The committee also advanced bills on ovarian cancer screening access, retirement system membership changes, a trail stewardship program, live agency representative access, FOIL/open meetings fee awards, a Harriman campus development plan, court data reporting, educator conventions, park water testing, an energy storage tax abatement, a Native American Affairs office, adult changing tables in public facilities, Medicaid Inspector General audit standards, remote training certification for agency personnel, newborn Gaucher disease testing, electronic self-exclusion requests for gambling, and child daycare inspections and opioid antagonist requirements. Several bills drew discussion. The prescription drug transparency bill (Print 488A) prompted questions about possible overlap with federal Hatch-Waxman/FTC oversight and whether a New York notice requirement could slow generic-drug settlements; sponsors and staff said it was intended as a supplemental transparency measure for consumers. The court reporting bill (Print 1849A) raised concerns about mandates on local governments, but supporters said it mainly required OCA to compile data in one format. The Medicaid local-share phaseout bill (Print 5519) generated the most debate, with supporters arguing it would provide major property tax relief and should be addressed in the budget, while opponents emphasized the need to curb Medicaid fraud, waste, and abuse first. Two major fiscal oversight proposals were defeated. Print 8661, which would have required the Comptroller to hire an independent private auditing firm to review state-funded programs for fraud and abuse, was opposed despite support from some members who argued outside auditing was overdue; it failed by one vote. Print 5519 was also ultimately defeated after a recount confirmed it lacked the required majority of the full 22-member committee. Most other bills were approved and sent either to the floor or, in the case of the drug transparency bill, to the Rules Committee.

Transcript Highlights:

• Basically, we have the permanent fund, which feeds a program fund, right?
• And so the program fund, I believe, is already making distributions.
• From the permanent fund of the program fund, it's not needed initially. Good.
• So, the fund is essentially. Operating as it was designed, where we will feed the program fund.
• We manage the permanent fund—well, not a permanent fund, a long-term endowment—that feeds the program

Transcript Highlights:

• program with new federal requirements in House Resolution 1.
• > program taxpayer-funded health insurance program taxpayer-funded health insurance program originally
• <00:10:32.240> to program funding, our state continues to program funding, our state continues
• This isn't a program funding<00:10:43.680> issue, funding issue, funding issue, but<00:10:45.519
• c><00:12:17.680> requirements program with a new federal requirements program with a new federal

Keywords: 958, all

Summary: The House convened with an invocation and Pledge of Allegiance, established a quorum, excused absent members, suspended rules to allow co-sponsorships and vote modifications, and approved the journal from February 26, 2026. The clerk then reported several bills on second reading, including measures on state personnel, domestic violence, fish and wildlife resources, open records, workforce investment, data centers, guardians ad litem and domestic relations, along with Senate Concurrent Resolution 9 on a Medicaid pilot feasibility study and Senate Joint Resolution 23 declaring Kentucky a “food is medicine” state. The main floor business was House Bill 2, the Medicaid reform and appropriation bill. The sponsor described it as a response to rising Medicaid costs and federal changes, saying it would improve transparency, oversight, fraud prevention, and program operations. He said the bill would apply mainly to the Medicaid expansion population and include community engagement, cost-sharing, eligibility safeguards, stronger managed care oversight, transportation and dental delivery changes, waiver program prioritization, greater legislative access to CHFS data, a transparency dashboard, periodic auditor review, and limits on certain weight-management drug coverage. A House committee substitute was adopted, and a floor amendment on phasing in a marginal medical loss ratio requirement over four years was offered as a friendly amendment and adopted. The House then debated House Floor Amendment 1, which would have removed state-mandated co-payments and limited cost sharing to the federal minimum, while also prohibiting reporting medical debt to credit agencies. Supporters argued the amendment would protect low-income Kentuckians from barriers to care and prevent medical debt from worsening poverty. Opponents said the bill’s co-pays were intended to encourage appropriate use of care, especially to reduce non-emergency emergency room visits, and noted that providers and MCOs could waive or work around some charges. After a roll call vote, the amendment failed 20-39. After the amendment vote, the House continued discussion of the bill, with the sponsor defending the co-payment structure as a way to promote personal responsibility and sustainability while preserving access to primary care. The transcript ends during further debate on House Bill 2, and no final passage vote is shown in the provided excerpt.

Transcript Highlights:

• Member, Senate Bill 1489 codifies what is commonly known as the federal IDEA program into state law.
• definitions due to the fact that We could move into block grant funding from the federal level, and
• President, we have a gap in our funding, and if we don't fix our state definitions with the federal,
• if the block grants come down from federal, IEP students are going To lose funding and services.
• Now, the way this program is currently funded, we put a large dollar amount already into this program

Bills: HB1427, SB1403, SB1448, SB1489, SB1546, SB1557, SB1614, SB1377, SB1990, SB1439, SB1630, SB1632, SB1696, SB1796, SB1824, SB1362, SB1849, SB2066, SB2071, SB2104, SB933, SB1633, SB1224, SB1246, SB1280, SB1303, SB1346

Keywords: tax credit, clean-burning fuel, hydrogen fuel cells, compressed natural gas, liquefied petroleum gas, environmental impact, vehicle modification, renewable energy, job incentives, tax rebates, Oklahoma Quality Jobs Program, employment growth, wage requirements, Oklahoma Consumer Protection Act, consumer protection, unfair trade practices, deceptive practices, exemptions, statutory exemptions, Corporation Commission

Transcript Highlights:

• AB 1882 establishes the Safe Delivery Fund Pilot Program to protect access to essential maternity and
• I'm pleased to present AB 1731, the California Healthy Food Procurement Fund Program.
• AB 1754 requires succinct tracking and reporting on bond-funded programs after the programs are completed
• It will provide necessary funding for tribal organizations and community-led beneficial fire programs
• It will provide necessary funding for tribal organizations and community-led beneficial fire programs

Keywords: 988, house, all

Summary: The Assembly convened in session, established a quorum, offered a prayer and pledge, and then moved through a very large third-reading file while urging members to be at their desks for their bills. The day featured many support measures on housing, health care, public safety, local government, labor, education, and consumer protection, with repeated reminders that absent authors would have their bills skipped. Several bills were passed temporarily or retained on file, but the chamber spent most of the time taking up individual measures and voting on them. Among the bills discussed were measures on land surveying, nurse midwifery access, historic-district transit zoning, EV charging infrastructure, foreclosure equity protections, tribal inclusion in interstate cannabis commerce, outdoor advertising permitting delays, commercial building permit timelines, DUI penalties, farmworker disadvantaged-community designation, restaurant reservation bots, open-space tax exemptions, pop-up business permits, anti-hate training for officials, sideshows and street takeovers, utility rate transparency, CalWORKs eligibility, dynamic electricity rates, interior designer licensure, compost contamination, modular housing standards, small claims limits for businesses, Native American Day as a paid state holiday, rural maternity care funding, protective orders tied to defendant release, immigrant service provider privacy under Safe at Home, mentally disordered offender evaluations, compounded weight-loss drug regulation, plasma donation center rules, missing persons DNA database updates, AI chatbot safeguards for children, an official state apology to California Native peoples, foster youth housing navigation, CTE teacher credentialing, Medi-Cal protections against federal cuts, CalFresh protections, public hospital physician employment authority, child care, and film tax credit changes for post-production work. Testimony was generally supportive from authors, who framed the bills as cleanup, modernization, consumer protection, or targeted equity measures. A few measures drew notable opposition or debate, especially AB 2624 on Safe at Home privacy protections for immigrant service providers, where opponents argued it could chill journalism and transparency while supporters said it was needed to protect people facing doxing and threats. AB 2208 and AB 2299 were presented as responses to federal HR 1 impacts on Medi-Cal and CalFresh, and AB 2023 on AI chatbots drew emotional support centered on child safety and a reported suicide case. The chamber also heard strong advocacy for Native American recognition bills, rural health access, and housing affordability. Most bills passed with little or no opposition, often unanimously. Recorded votes included AB 1933 (48-0), AB 1696 (49-0), AB 2415 (54-0), AB 1820 (50-0), AB 1957 (53-0), AB 2506 (60-0), AB 2024 (58-0), AB 2418 (61-0), AB 1578 (44-17), AB 1600 (46-9), AB 1661 (44-10), AB 1715 (46-7), AB 1755 (66-0), AB 1787 (43-5), AB 1796 (45-6), AB 1812 (47-1), AB 1815 (57-0), AB 1827 (59-0), AB 1841 (64-0), AB 1868 (61-0), AB 1882 (64-0), AB 1889 (69-0), AB 2624 (49-19), AB 1897 (57-1), AB 1990 (52-0), AB 2009 (65-0), AB 2018 (60-0), AB 2023 (58-8), AB 2115 (65-0), AB 2162 (60-0), AB 2206 (62-0), AB 2208 (42-17), AB 2237 (54-0), AB 2241 (62-0), AB 2246 (56-1), AB 2249 (51-0), AB 2299 (51-1), AB 2311 (65-0), and AB 2314 (68-0). The session ended with the Assembly still working through the file, including the opening of AB 2319 on film tax credits.

Transcript Highlights:

• :19.120> federal we uh access funds through the federal we uh access funds through the federal
• Um but these are the federal funds.
• We do get federal funding to do that. Some of this ceiling is in case that program goes away.
• ><00:57:52.160> funding<00:57:52.640> to<00:57:52.880> do program we do get federal
• funding to do program we do get federal funding to do that.<00:57:53.680> Um,<00:57:54.160>

Keywords: 910, house, all

Transcript Highlights:

• funds.
• The federal government ended BRIC on April 4, 2025, cancelling existing and future grants for the program
• flexible funding.
• We need to put together projects. in a way that are meaningful and this federal funding is a part of
• And when we look at that as a combined, we think that the only way to look at funding from the federal

Keywords: 988, house, all

Transcript Highlights:

• One is moving unspent funds, the $4 million from the dairy program to farm to school.
• Many of our small producers, as we all heard, utilize the federal program.
• As we all heard previously, that federal program is in jeopardy.
• The eligibility requirements I took from the local food purchasing grants from the federal programs,
• funded, especially when we're losing some federal funding.

Bills: HF2784, HF2785, HF2778, HF2281, HF2576, HF2280, HF2579

Keywords: beginning farmers, agriculture, loans, economic opportunity, farmers' equity, agriculture appropriations, farm to school, early care, child care food program, school lunch program, local food, Minnesota agriculture, food access, farm-to-institution, limited market access, county fairs, biofuels, E25, ethanol, meat processing

Transcript Highlights:

• Our primary funding comes from a federal United States Geological Survey base grant, which is typically
• of additional dollars in federal funding into the state of North Dakota.
• So essentially what we are is a federal funding project from the National Science Foundation.
• So the engine's program, you can see with this map, is a dedicated line of funding from the National
• Madam Chair, before it steps down, I just, like on the page, your funding potential for the federal government

Summary: The committee met in Fargo and approved the minutes from the March 31 meeting before hearing a series of informational presentations focused on North Dakota agriculture, water, and research. NDSU President David Cook opened with remarks about NDSU’s land-grant mission, emphasizing statewide service through research, teaching, and extension, and highlighting examples such as the Lilac Agriculture startup and the university’s role in applying research to real-world problems. He said he intends to spend time listening across the state to better understand local needs. The committee then received a detailed presentation on a state irrigation and drainage study from Tom Bodine on behalf of Agriculture Commissioner Doug Goehring. The study projected significant potential for expanded irrigation acreage, especially in counties such as McLean, Williams, Sargent, Burleigh, Mountrail, McKenzie, McIntosh, Dunn, and Bottineau, and estimated major economic gains from irrigation, including higher farm returns and support for value-added agriculture. Members discussed water permits, surface water versus aquifers, infrastructure, drought resilience, and the role of legal drains in improving productivity and generating economic activity. The presenters also noted that the full report is available online. Dr. Greg Lardy followed with NDSU’s required interim report, outlining the university’s agricultural research and extension system, including the State Board of Agricultural Research and Education, seven research-extension centers, and the economic importance of agriculture to the state. He highlighted recent research impacts such as new crop varieties, potato breeding successes, virtual fencing, AI-assisted weed control, weather-network tools, and 4-H programming. He also described NDSU’s budget priorities: restoring the governor’s proposed 10% cuts, additional operating support, and deferred maintenance funding. Committee members asked about the new agricultural field lab, storage sheds, and NDSU’s partnership with Grand Farm. The committee also heard from the North Dakota Water Resources Research Institute and a professor presenting water-related research, including data center cooling, water reuse, smart irrigation, and a feasibility study on co-locating data centers with greenhouse and aquaculture production. Members asked about water use, ownership, and whether the concepts were operational or still speculative. Finally, North Dakota AgTech presented its NSF-funded innovation engine work, describing startup commercialization, on-farm trials, workforce development, and partnerships with NDSU, UND, tribal colleges, and other land-grant institutions. No formal votes were taken beyond approval of the prior meeting minutes.

Transcript Highlights:

• Next, Ethan Vogal asks me. and the disabled funding for these and the disabled funding for these programs
• <00:32:00.440> we're Federal Medicaid funds so what we're Federal Medicaid funds so what we're
• <00:53:57.359> first program that funding was the first program that funding was the first
• But when that money goes into the 340B outpatient drug program, it leverages federal matching funds and
• matching funds such the loss of federal matching funds such reductions<01:46:29.800> will<01:

Keywords: 1187, senate, all

Transcript Highlights:

• We've been able to fund at least part of that while we still funded other parts of government.
• You've used the phrase 'manage the program,' and so my assumption is if you're going to manage this program
• But depending on what our funding abilities are, fending to what's coming out of the federal government
• funds for Medicaid, 38 other states have the ability to manage that program.
• On seeing the $2,350,000 for the school's secure program, knowing that we've had some other funding related

Bills: HB3312, HB3700, HB2981, HB2961, HB3016, HB4478, HB4326, HB3025, HB3710, HB4125, HB2951, HB3082, HB4142, HB4106, HB1752, HB3268, HB4440, HJR1067, SB1144, SB1145, SB1146, SB1147, SB1148, SB1156, SB1157, SB1158, SB1159, SB1161, SB1162, SB1163, SB1164, SB1165, SB1166, SB1149, SB1167, HJR1024, SB1174, SB1175, SB1176, HB3419, HB3748, HB4335, HB3057, HB3279, HB4428, HB3420, HB3040, HB4140, HB1638, HB3298, HB4113, HB1082, HB4301, HB3269, HB3587, HB4226, HB4324, HB4339, HB4342, HB3278, HB3996, HB4236, HB4352

Keywords: firearm safety, public schools, education policy, student safety, gun control, opt-out option, grading system, student assessment, academic integrity, state funding, opinion conduct, open meetings, school boards, transparency, public access, education governance, HB2961, TSgt Marshal Dakota Roberts Gold Star Survivor Act, Gold Star family, Gold Star recipient

Transcript Highlights:

• Okay, and the private activity bond program is going to be funded administratively. How?
• Both programs are funded through application fees and then reservation fees.
• We thank the Senate for including funding for these programs.
• We thank the Senate's proposal for including funding for these programs.
• Our coalition can Funding for affordable housing programs and homelessness programs as well.

Keywords: 987, senate, all

Summary: The subcommittee heard May Revision proposals focused on housing, homelessness, and related administrative changes, and took no votes, holding items open for later action. Item 1 would realign staff positions and resources as part of the Governor’s housing and homelessness reorganization, including shifting two Cal ICH positions to HCD, moving one Cal ICH position for communications/external affairs, and authorizing a chief deputy director at the new Housing Development Finance Committee. Administration witnesses said the changes were technical and net zero-cost, while the LAO recommended approval but asked for clarification on funding for the chief deputy. Several senators questioned whether the staffing shifts would weaken Cal ICH’s homelessness work and whether adding communications capacity was appropriate without new housing funding. Item 2 proposed creating a $100 million Disaster Rebuilding Fund at CalHFA, with $56 million General Fund and $44 million in existing National Mortgage Settlement funds, to support disaster-impacted homeowners through tools such as loan loss guarantees and interest rate buy-downs. CalHFA said the fund would help homeowners bridge the gap between insurance proceeds and rebuilding costs and would work through approved lenders. The LAO raised concerns about the lack of alternatives in the proposal, the broad discretion left to CalHFA in program design, and the General Fund cost. Senators pressed for more detail on eligibility, equity safeguards, lender oversight, and how many homeowners would actually benefit, with some warning the proposal was too open-ended and could miss the most vulnerable households. Item 3 addressed trailer bill language for HAP Round 7, including a proposed $500 million General Fund allocation tied to new accountability measures, pro-housing designation requirements for 14 large cities and 11 counties, local match requirements, streamlined system performance metrics, and recapture/reallocation of unspent funds. HCD said the proposal would avoid a new application process by treating Round 7 as additional disbursements of Round 6 and would provide technical assistance to jurisdictions. The LAO and several senators questioned the timing, the burden of pro-housing designation and local match requirements, the vagueness of some standards, and whether the proposal would delay rather than speed up funding. Members also debated whether the trailer bill preserved or weakened existing homelessness accountability metrics and whether the approach was too complicated given local budget pressures and ongoing homelessness needs.

Transcript Highlights:

• variety of federal funds uh that the variety of federal funds uh that the department<00:30:08.399
• Um, I don't federal funding available.
• <01:14:45.600> I'm federal programs. I apologize. I'm federal programs. I apologize.
• > out of the the federal programs that are out of the the federal programs that are out there.<01
• applying for federal funds. applying for federal funds.

Keywords: 1189, house, all

Transcript Highlights:

• to seek additional funding outside of federal funds to expand to individuals with class C.
• for our program to seek additional<00:45:50.160> funding<00:45:50.560> outside<00:45:50.880
• > of<00:45:51.040> federal additional funding outside of federal additional funding outside
• is declared and we'll get federal is declared and we'll get federal funding<01:41:45.280> is<
• funded positions um up of uh federally funded positions um that<01:42:41.600> are<01:42:41.840

Bills: HB1769

Keywords: criminal justice reform, rehabilitation, private prisons, racial equity, Native Hawaiians, community well-being, mass incarceration, 910, house, all

Summary: The committee heard House Bill 1769, which would require the Department of Corrections and Rehabilitation to incrementally reduce the number of people incarcerated in private out-of-state correctional institutions. The DCR director opposed the bill, saying the department does not control overall prison population levels because courts determine admissions, and arguing that Hawaiʻi’s in-state facilities are already over capacity, especially Halawa, which he said is 165% over design capacity. He said only a small portion of the population is under departmental control through furlough programs and argued that bringing people home would require building a new medium-security prison. Supporters, including the Office of Hawaiian Affairs, the Hawaii Correctional System Oversight Commission, the Public Defender’s office, and several individuals, argued the bill creates a phased, accountable path to reduce reliance on mainland prisons and bring people home. Supporters emphasized the harms of separating incarcerated people from ʻohana and culture, the disproportionate impact on Native Hawaiians, and the need for diversion, treatment, re-entry support, and fair sentencing. Several testifiers also said the department has more control than it claimed, pointing to underused furlough options, reclassification, and empty beds at some in-state facilities, while others urged clearer statutory language and guardrails. Members questioned the director about whether people could be reclassified or moved to available beds at facilities such as Kulani and Waiawa, and about whether the department could do more through staffing and contract changes. The director said some proposals had been sent to the Department of Human Resource Development, but that major facility changes would be costly and that minimum-security facilities would need substantial upgrades to house medium-security inmates. After discussion, the chair said the committee would defer HB 1769 to Wednesday, February 18, 2026, at 11:30 a.m. for decision-making and adjourned the meeting.

Transcript Highlights:

• I wanted to try to strip out the federal only funds as part of IIJA.
• Voluntary incentive-based programs, grant programs in coordination with federal partners, are recommended
• programs, Voluntary incentive-based programs, grant<01:15:52.160> programs<01:15:52.760> in
• grant programs in coordination with federal<01:15:53.920> partners<01:15:54.520> are<01
• federal wayside detectors. federal wayside detectors.

Keywords: 1187, senate, all

Transcript Highlights:

• If a federal program used nationwide.
• federal funds if we million per state in federal funds if we accept<00:50:29.440> something<00
• <00:50:37.200> for worth of federal funds on the table for worth of federal funds on the table
• This is a is 100% federally funded.
• Um, as Representative Altonorf mentioned, the program is 100% federally funded, yet in Minnesota and

Bills: HF3831, HF3603, HF1900, HF495, HF3750, HF4316, HF2136, HF4384

Keywords: SNAP, income limits, asset limits, nutrition assistance, children and families, federal poverty guidelines, federal waiver, food assistance, low-income families, nutritional support, day care, tax subtraction, child care costs, licensed child care, dependent care assistance, child care, family child care, child care center, licensing, correction order

Transcript Highlights:

• funding from 400,000, given the news from the federal government that they want to eliminate federal
• eliminate federal funding uh for adult eliminate federal funding uh for adult ed.<03:00:27.200><
• development fund, discretionary fund, and the federal government gives states...
• development fund, discretionary fund, and the federal government gives states...
• development fund, discretionary fund, and the federal government gives states...

Keywords: 1191, senate, all

Transcript Highlights:

• We were funded for a program totaling $364,000 about a year ago, which I'll share the details of how
• There's an opportunity to invest more funding to help stabilize the program, and increasing reimbursement
• This makes their providers eligible for both federal and state loan repayment programs.
• Then the federal program is the National Health Service Corps, which is available through HRSA, the Health
• ; additional funding for dental safety net clinics to include mobile, nonprofit, and federally qualified

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• It's funded by governments.
• , the Section 529 funds.
• Just for roadway construction, but for some other programs that are determined mostly by the federal
• The Transportation Project Fund is a local government infrastructure grant program that we manage.
• The state road fund does something that our federal funds cannot do: it pays for maintenance.