Transcript Highlights:

• And I would like to say that she's here to advise us on all the vet bills that we see in the vet prescription
• It clarifies that a prescription for antimicrobial drugs based on electronic examination may be issued
• for only one period of up to 14 days.
• It specifies that the veterinarian may not issue any further antimicrobial drug prescriptions with the
• It allows for a period of three months for veterinarian prescriptions for flea and tick drugs to be initially

Keywords: 1182, all

Transcript Highlights:

• I take one prescription, a generic drug, and I normally paid $30 for a three-month prescription.
• prescription.
• I take it one prescription, a generic drug, and I normally paid $30 for a three-month prescription.
• prescription.
• Health care is a basic human right, period.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on 16 bills, with the chairs noting a busy legislative day and asking speakers to keep testimony brief. The committee first heard testimony on Senate 860/House 1405, the Medicare for All bill, with Sen. Jamie Eldridge and many advocates, clinicians, municipal officials, and patients arguing that a single-payer system would make care a right, reduce administrative waste, lower costs, and protect residents from rising premiums, medical debt, and hospital closures. Several speakers cited the Steward hospital crisis, affordability problems, and polling or ballot questions showing public support for single-payer coverage. No vote was taken during the hearing. The committee then took testimony on S. 863, a bill on non-opioid options for chronic pain. Pain specialists, patients, and advocates said the bill would improve care coordination for MassHealth members, expand access to non-opioid medications, require provider education, and collect data on chronic pain. Testifiers described long delays in diagnosis and treatment, stigma toward pain patients, and the need for multidisciplinary care and transportation support. Again, the committee heard testimony only and took no action. A large portion of the hearing focused on H. 1360/S. 869, which would prevent discrimination against people with disabilities in health care. Disability advocates, clinicians, and patients described being denied or delayed care, pressured into DNR orders, or treated based on assumptions about quality of life rather than medical facts. Speakers referenced COVID-era crisis standards of care, discriminatory metrics, and personal stories involving canceled procedures, inadequate accommodations, and poor treatment in hospitals. Committee members thanked speakers for their testimony and said they would review the bill and its implications, but no vote was announced. The committee also heard testimony on H. 1399, an individual Medicare marketplace option for municipal retirees, where supporters said it would give cities and towns a lower-cost alternative for retiree health benefits through HRAs and individual Medicare plans. The hearing then returned to Medicare for All testimony, with additional supporters repeating arguments about cost, access, municipal budget pressure, and the need for global budgeting and universal coverage. The transcript ends with continued testimony and no recorded committee vote or final action on any bill.

Transcript Highlights:

• This allows a pharmacist to change your prescription. I had there some...
• This allows a pharmacist to change your prescription.
• And they had to go back and get a different prescription.
• That's that one-year period that the board will use to create the regulations. All right.
• I was coming to Dover one day, but before I came to Dover, I went and picked up prescriptions.

Keywords: 1064, all

Transcript Highlights:

• We think the bill is a little more prescriptive than it needs to be, but we'll continue to work with
• Current law allows the Board of Nursing discretionary period to have students and schools be on probation
• But expressly excludes prescriptive authority for legend drugs or prescription drugs, except as expressly
• Today, I take only two prescription medications.
• article in integrative oncology showing that naturopathic oncology services provided over a certain period

Bills: S0162, S0254, S0688, S0794, S1110, S1574

Keywords: surgical smoke, health standards, hospital safety, patient protection, medical regulations, nursing education, licensure, remedial courses, temporary license, graduate nursing preceptorship, Agency for Persons with Disabilities, background screening, support coordination services, developmental disabilities, Tatton-Brown-Rahman syndrome, public hearings, orthotics, prosthetics, healthcare, Medicaid

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics was heard first. The bill would require coverage for medically necessary orthotics and prosthetics without lifetime or continuous-use caps, direct AHCA to seek federal approval and update contracts, and require annual reporting. Testimony from a child using prosthetic “gymnastics blades,” his mother, and another young person with a prosthetic leg emphasized the high cost of activity-specific devices and the impact on children’s mobility, sports participation, and quality of life. Senators voiced strong support, and the bill was reported favorably. The committee then approved SB 1574, “Maddie’s Law,” which adds newborn screening for biliary atresia using the existing blood specimen collected at birth. The sponsor and the child’s father described the condition as time-sensitive and potentially fatal without early detection, and argued the screening could prevent transplants and save money. The bill was reported favorably. The committee also considered CS/SB 794 on background screening for employees of residential facilities and day training programs for people with developmental disabilities, plus a review of waiver support coordination quality, training, and access issues. Parents and a support coordinator testified that strong support coordination is essential for families and that the bill would help standardize expectations and improve services. An amendment aligning the bill with the House companion was adopted, and the bill was reported favorably. Members next heard SB 162, which requires hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. Supporters, including nurses and the Florida Nurses Association, described surgical smoke as a workplace hazard with toxic chemicals and potential cancer risks; hospital representatives said they support the intent but argued existing federal and state standards already regulate the issue and the bill is too prescriptive. A late-filed amendment clarifying the smoke must be “effectively captured and filtered” was adopted, and the bill passed favorably. The committee also approved CS/SB 254, a major nursing education bill that tightens oversight of low-performing nursing programs, creates a temporary provisional license and preceptorship pathway for graduates awaiting NCLEX results, requires remediation for delayed testing, and increases transparency by posting passage rates. Nursing groups supported stronger standards, while private nursing schools warned the bill could reduce capacity and discourage program directors; the amended bill was reported favorably. Finally, the committee heard SB 688, which would reestablish licensure and regulation of naturopathic doctors in Florida, create a board of naturopathic medicine, set licensure and renewal requirements, and define the scope of practice while excluding most prescription authority. Supporters said it would expand health care choices and allow naturopathic doctors to practice openly, while opponents from the medical community warned the bill could authorize diagnosis and treatment without sufficient training and rely on unproven therapies. The bill was reported favorably. The committee then adjourned after members thanked staff for their work.

Transcript Highlights:

• This bill extends the time period for which the owner of a motor vehicle is authorized to use license
• This bill extends the time period for which the owner of a motor vehicle is authorized to use license
• This bill extends the time period for which a special permit on a vehicle other than the vehicle for
• And she said, well, that prescription with insurance was $2,500.
• And so we went back to our pediatrician, who went, well, we'll just readjust the prescription.

Keywords: March 10, 2026 - Regular Session, 976, house, all

Transcript Highlights:

• <01:03:18.559> I I'm on more than one prescription. I I'm on more than one prescription.
• Um, ask for a prescription medication?
• We have HERSA, which is a federal regulator that does periodically audit covered entities and does periodically
• audit covered entities and periodically audit covered entities and does<01:30:18.639> periodically
• <01:44:05.199> or they can access their prescriptions or they can access their prescriptions

Keywords: 1187, senate, all

Transcript Highlights:

• Thank you very much. over a 3-year period the legislature over a 3-year period the legislature would<
• credential including prescriptive credential including prescriptive Authority<00:24:31.600> based
• <00:41:42.040> monitoring attendant was periodically monitoring attendant was periodically
• Medicaid access and limited prescriptive Medicaid access and limited prescriptive authority<02:14
• um allowed prescriptive rights limited prescriptive<02:25:53.279> rights<02:25:53.479> for<

Keywords: 910, house, all

Summary: The joint House Committee on Health and Committee on Consumer Protection and Commerce heard two midwifery bills, with testimony focused primarily on HB 1194. Committee chairs opened the hearing with rules for Zoom testimony and noted the bills relate to midwives. The Department of Commerce and Consumer Affairs said it supported the intent of HB 1194 and offered comments. Supporters of the bill, including the Midwives Alliance of Hawaii, argued that midwifery should remain subject to mandatory licensure to protect consumer safety, citing the state’s regulatory licensing standards and a 2025 state auditor sunset analysis. They said the bill would strengthen educational standards and public protection, and some offered clarifying amendments. Opponents argued HB 1194 would restrict access to care and fail to protect traditional, cultural, and community-based birth practices. Testifiers from the Hawaii Home Birth Task Force, the Hawaii Home Birth Collective, the Libertarian Party of Hawaii, the Center for Reproductive Rights, Pacific Birth Collective, and Papa Ola Lōkahi said the bill would limit licensure pathways, reduce access in rural and underserved areas, and burden Native Hawaiian and traditional practitioners. Several speakers said the measure could worsen Hawaii’s maternal health shortages, especially on Maui, and urged lawmakers to defer HB 1194 or instead advance HB 1328, which they said better protects practitioner access and cultural practices. The Hawaii affiliate of the American College of Nurse-Midwives said it opposed HB 1194 because it did not align with national or state standards for certified midwives and could create conflicts with Medicaid reimbursement and prescriptive authority. The ACLU also opposed the measure, emphasizing reproductive rights, privacy, and the need to preserve apprenticeship pathways to licensure. No vote or final committee action was taken during the portion of the hearing reflected in the transcript.

Transcript Highlights:

• What do you think during this period our legislature's involvement will be, if any at all?
• She would probably see 15 if she didn't have the NPs and the PAs charting, writing prescriptions, you
• She would probably see 15 if she didn't have the NPs and the PAs charting, writing prescriptions, you
• She would probably see 15 if she didn't have the NPs and the PAs charting, writing prescriptions, you
• Charting, writing prescriptions, you know, setting the next appointment.

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum and first took up Senate Joint Resolution 116, sponsored by President Stivers. The resolution directs the University of Kentucky, the University of Louisville, and Eastern Kentucky University to work over the next year on a statewide framework to improve health care access, especially in underserved and unserved areas. Members discussed physician shortages, maldistribution of doctors, recruitment and retention, loan forgiveness, scholarships, technology, and the connection between health care access and economic development in rural Kentucky. The resolution was reported favorably on a unanimous roll call vote. The committee then considered Senate Bill 116, relating to physician assistants and a shift from a supervisory to a collaborative practice model. The sponsor and PA witnesses explained that the bill was heavily revised through a committee substitute after discussions with the Kentucky Medical Association, physicians, and hospitals. They said the substitute keeps physician supervision in place while allowing health care teams to function more efficiently, and they emphasized that the bill is intended to improve access to care, particularly in rural areas with few doctors. Some members supported the compromise and the collaboration, while others raised concerns that expanding PA practice could worsen long-term physician shortages or reduce incentives for doctors to practice in rural Kentucky. The bill passed the committee 7-2 with favorable expression.

Transcript Highlights:

• It's a procedure that involves taking two prescription drugs to abort a little unborn child, and together
• There were three in-person visits involved with the prescription and dispensation of these drugs.
• No prescription. No, no doctor visit. That's right. No medical supervision. No oversight.
• Depending on luck to carry us through the time period while the study is going is not ideal.
• be prescriptive.

Bills: SB 2, SB 5, SB 10, SB 9, SB 7, SB 17, SB 4, HB17, HB7, HB7, HB15, HB15, HB27, HB1, HB7, HB15, HB18, SB9, SB7, SB17, SB4, HB17, HB27, HB1, SB8, HCR13, SB2, SB5, SB10

Keywords: disaster relief, flood preparedness, emergency funding, local government support, meteorological forecasting, school assessment, public education, accountability, transparency, education standards, STAAR, Texas Education Agency, TEA, public school accountability, school ratings, A-F ratings, assessment reform, student testing, benchmark tests, interim assessments

Transcript Highlights:

• We live, bank, shop, prescriptions.
• more prescriptions filled below cost. more prescriptions filled below cost.
• room take at least one prescription room take at least one prescription medication.<01:00:01.920
• America and the prices of prescription America and the prices of prescription drugs<01:09:08.159
• had enough revenue and the prescription had enough revenue and the prescription to<01:14:43.120>

Keywords: 1187, senate, all

Transcript Highlights:

• I come before you on House 1326, an act relative to prescription drug pricing, and I have with me to
• I'm here today to voice my strong support for H-1326, an act to ensure prescription...
• I'm here today to voice my strong support for H-1326, an act to ensure prescription medicines.
• They control 100% of the Medicare prescriptions in Massachusetts.
• Many pharmacies have told me that up to 70% of the prescriptions they fill are at a loss.

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:

• The bill establishes a five-year period of employment for all cancers.
• The other pharmacy in town was also unable to fill the prescription.
• If they can't fill their Ozempic prescription, they might overeat.
• If they can't fill their Suboxone prescription, they might overdose.
• Buprenorphine saves lives, but it cannot save lives if people cannot fill their prescriptions.

Keywords: 996, all

Transcript Highlights:

• Second, it ensures that when a patient switches from one health plan to another, there is a grace period
• So she needed an increased dose of her existing pain medicine, as well as a new prescription for a mild
• And since this was the prescription version and therefore stronger or more effective, she was able to
• But what does coding have to do, or do you code these prescriptions for services, or how does that all
• But what does coding have to do, or do you code these prescriptions for services, or how does that all

Keywords: 995, all

Summary: The committee held a hearing on several health care access and insurance-related bills, with most testimony focused on H.1136 to improve the prior authorization process. The Massachusetts Medical Society, Massachusetts Health and Hospital Association, Health Care for All, the Leukemia & Lymphoma Society, physicians, and hospital representatives all supported the bill, arguing that prior authorization delays care, increases administrative burden, contributes to clinician burnout, and can worsen patient outcomes. Witnesses described examples involving delayed cancer treatment, diabetes care, COPD medication, shingles pain treatment, and hospital discharge delays. They said the bill would preserve prior authorization but add guardrails such as longer validity periods, continuity-of-care protections, faster responses for urgent care, clearer lists of services requiring authorization, and more transparency and standardization. The committee also heard testimony on H.1142/S.783 regarding equitable reimbursement for certified registered nurse anesthetists (CRNAs), with Senator Lovely and CRNA advocates supporting parity with physician anesthesiologists. They said CRNAs provide the same services at the same standard of care, but private insurers sometimes reimburse them at lower rates than physicians, which they argued is inconsistent with federal and state policy and harms access. Senator Keenan testified in support of a bill addressing claim denials and appeals, saying insurers should provide clearer explanations, time to resubmit claims, and timely appeal responses. Dr. Lorraine Schratz supported H.1126 to align state patient disclosure requirements with federal No Surprises Act rules, and Dr. Michael Trimbley supported H.1120 to recognize direct primary care as not being insurance and to encourage primary care participation. The committee also heard testimony on H.1140/S.801 to remove barriers to patient care by updating insurance statutes to reflect nurse practitioners’ full practice authority, and on H.1168/S.A.18 to eliminate the PCP referral requirement for specialty gynecological care. Witnesses on those bills described delays and denials affecting autism diagnosis, nutrition coverage, and endometriosis care, and said the proposals would reduce unnecessary barriers and improve timely access. After testimony and a few member questions, the chair closed the hearing; no votes were taken during the session.

Transcript Highlights:

• There's always a ramp-up period.
• <00:15:52.880> I've There's always a ramp up period.
• I've There's always a ramp up period.
• <01:01:57.040> for instructions for prescript for instructions for prescript for prescriptions
• So again, prescriptions that they have.

Keywords: 1191, senate, all

Transcript Highlights:

• were seeing people entering in earlier in their course of treatment, which means they need longer periods
• They've been understaffed for extended periods of time.
• The challenge is that they haven't been able to sustain staffing over a period of time.
• That it has, they haven't been able to sustain staffing over a period of time.
• And we note that the average cost of a branded prescription drug has grown by almost 70% in the last

Keywords: 995, all

Summary: The committee heard budget testimony from Department of Mental Health Commissioner Brooke Doyle, who said DMH serves about 29,000 people and is facing rising demand, higher operating costs, and uncertainty about federal funding. She explained that the FY26 budget prioritizes fully funding the state-operated inpatient system, which is at 100% occupancy and often serves people transferred from Bridgewater State Hospital, while making reductions in other areas to balance the budget. Those reductions include a 50% cut to case managers, a pause on closing the Pocasset unit pending a working group on Cape access, and changes to youth and contracted services such as right-sizing IRTP and CIRT, reducing Youth PACT from seven teams to three, scaling back flex and jail diversion grants as ARPA funds wind down, and preserving the behavioral health helpline and community-based crisis services. Members from Western Massachusetts and the Cape raised concerns about access, staffing, and the impact of cuts, and Doyle said the department would continue operating IRTP services, improve the referral process, and work with stakeholders on the Pocasset review and other access issues. The committee also discussed school-based mental health, 988, loan forgiveness for workforce recruitment, and the role of co-response programs for law enforcement. Secretary Robin Lipson then testified for the Executive Office of Aging and Independence, describing a proposed FY26 budget increase of about 21% to support councils on aging, home care, elder abuse investigations, caregiver support, care transitions, and nutrition programs. She said the agency is managing rising demand, especially from the growing 80-plus population, and noted uncertainty around federal Older Americans Act funding after the federal disbursement agency was disbanded. To control costs, the office will manage intake and caseload growth in a fully state-funded home care program, but current clients will not lose services. Lipson also highlighted a new $1 million line item for local mini-grants to support age-friendly initiatives. In questions, members focused on elder scams, and Lipson said scams are increasing and the agency is working with banks, district attorneys, and public awareness campaigns. The Health Policy Commission’s Executive Director David Seltz presented the agency’s FY26 request and said the biggest challenge is health care affordability, with family premiums near $29,000 annually and many residents delaying care because of cost. He emphasized that recent legislation significantly expands HPC’s role through a new Office of Pharmaceutical Policy and Analysis, which will examine the drug supply chain and pricing, and a new Office of Health Resource Planning, which will support statewide planning around closures and access gaps. The new law also creates task forces on maternal health access and primary care, and adds transparency and oversight for private equity in health care. Members asked about pharmaceutical costs, GLP-1 weight-loss drugs, 340B, and maternal health closures; Seltz said the data show rapid growth in GLP-1 spending and that the new offices will help the state better understand cost drivers and access problems. The Center for Health Information and Analysis then began its testimony, describing its role as the state’s data hub for health care spending, utilization, quality, and affordability analysis.

Transcript Highlights:

• It can be brought again if in the proper time period.
• So the amendment clarifies that the holding period in the bill runs concurrently with the time period
• That's why that period is considered a cooling off period. Right.
• A, we're extending the time period for prosecution.
• Increases the maximum period of imprisonment for negligent homicide.

Summary: The Criminal Justice Committee met on May 6, 2026, and considered a series of juvenile justice, criminal procedure, public corruption, domestic violence, sentencing, and victim-notification measures. Early in the meeting, SB 396 was amended and reported favorably to allow children in Office of Juvenile Justice custody to attend review hearings by secure video conference, with OJJ staff also participating virtually. SB 181 was amended and reported favorably to create a limited raffle license for nonprofit health care organizations within a single health system. SB 81, a bill requiring prosecutorial consent before a defendant may waive a jury trial in a non-capital felony case, drew extensive debate; supporters said it would align Louisiana with federal practice and other states, while opponents argued it would give the state more power and reduce defendants’ control over their own trial rights. After testimony from district attorneys, defense lawyers, and advocacy groups, the committee reported SB 81 favorably by a 7-3 vote. The committee then took up SB 207, which extends the prescriptive period for prosecuting certain corruption offenses committed by elected officials and public employees to 10 years after they leave office. Supporters said it would help prevent officials from using their influence to avoid prosecution; opponents raised concerns about optics and scope. The bill was reported favorably by an 8-3 vote. SB 92, requiring district attorneys to submit sexual assault kits to the statewide tracking system, was also reported favorably without objection. SB 156, which increases the maximum penalty for negligent homicide and includes special treatment for cases involving children under 13, was reported favorably after sponsors said they would make a technical fix before floor debate. SB 58, imposing a mandatory minimum sentence for aggravated flight from a law enforcement officer and dedicating fine revenue to pursuit training and technology, was reported favorably after supporters cited fatal high-speed pursuits and law enforcement backing. Later, the committee approved SB 97, the constitutional amendment companion to SB 81, after similar testimony for and against the proposal; it was reported favorably by a 7-3 vote. SB 141, moving the Integrated Criminal Justice Information System Policy Board’s functions to the Louisiana Supreme Court, was reported favorably without objection. SB 410, increasing penalties for accessories after the fact to sex offenses, was also reported favorably. The committee then considered HB 251, which requires notice to victims or their families in resentencing proceedings; after amendments and testimony about post-conviction procedure and possible unintended consequences, it was reported favorably as amended. Finally, the committee heard HCR 50, a resolution calling for reports on opioid abatement and treatment programs in correctional facilities and guidance on available funding; the sponsor described it as a study effort to improve access to treatment and recovery, and the resolution was moved favorably.

Transcript Highlights:

• Chairman. step therapy for a prescription, step therapy for a prescription, they<00:08:31.840> should
• <00:15:15.560> will combination products, prescriptions will combination products, prescriptions
• <00:19:36.080> they for the schedule two prescriptions they for the schedule two prescriptions
• for these schedule two prescriptions for these schedule two prescriptions will<00:19:43.400>
• <00:19:57.480> signed, to get a prescription signed, to get a prescription signed, have<00

Keywords: 958, all

Summary: The committee opened its sixth and final interim meeting with roll call, quorum confirmation, approval of the prior minutes, and a brief change in agenda order to preserve quorum and accommodate presenters’ schedules. Members then moved through several proposed health-related items with limited discussion, and the chair noted the committee would reconvene in January for further conversation. The first substantive item was a proposal relating to utilization controls for non-opioid analgesics in Medicaid. Senator Gerald Neal and Tara Hyde of People Advocating Recovery argued that pain parity is needed so patients can access non-opioid options without prior authorization or step therapy barriers, especially in acute pain situations and for people in recovery. Senator Berg supported the concept and suggested expanding the approach to other prescriptions by allowing physicians to explain why step therapy is inappropriate at the time of prescribing; another member cautioned against unintended cost increases if non-opioid drugs are used as add-ons to opioids. The committee then heard a proposal on physician assistants from Senator Scott and Andrew Rutherford of the Kentucky Academy of Physician Assistants. They described a shift from a supervisory to a collaborative practice model, with practice scope set at the practice level, limited Schedule II prescribing authority under guardrails, and permission for PAs to perform driver’s license vision testing. Supporters said the changes would improve rural access, reduce administrative burden, and align Kentucky with neighboring states; a question from Representative Bratcher focused on experience requirements and how the proposal compares with nurse practitioner rules. No vote was taken. Finally, Representative Nancy Tate, Adia Wuchner, and Representative Jason Nemes introduced a 2026 proposal aimed at “protecting vulnerable people.” They described a broad package focused on abortion pill trafficking, marketing to minors, commercial surrogacy, assisted suicide, and organ procurement safeguards, arguing that current law leaves gaps and that additional criminal and civil penalties are needed. The presentation was informational only, with no action taken before the meeting ended.

Transcript Highlights:

• do is lower those prescription drug prices by taking out middlemen that hike those drug prices higher
• The cost of prescription drugs is out of sight. This is an absolutely appropriate amendment.
• during which these contributions would need to be prohibited, after which that period, you know, that
• The cost of prescription drugs is out of sight. This is an absolutely appropriate amendment.
• When I look at prescription prices being as much as $300 a month for a single prescription, I think we

Keywords: 1182, all

Transcript Highlights:

• And the heroin supply took over our prescription pill supply.
• We really cut down, cut back as a country on prescription pills.
• This is the class of drugs that includes fentanyl, heroin, and many prescription pills.
• You get longer periods of stability, increased functioning.
• And so to go get a prescription is a huge issue.

Keywords: 959, house, all

Transcript Highlights:

• The period that we're looking at is within the pregnancy and up to one year after the pregnancy is over
• What we're not seeing that translate to, though, is prescription opioid-related deaths, right?
• And that 24- to 72-hour period post-discharge is the most critical.
• Once within a 90-day period, right? So you're not coming back for a refill again and again.
• That continues into the post-surgery period, where there's a really important three- to five-day period

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.