Transcript Highlights:

• the lack of passing lanes and many slow motor homes and RVs, people pass recklessly, and many are foreign

Bills: SB1063, SB1118, SB1153, SB1154, SB1209, SCM1001

Keywords: appropriation, transportation, safety improvements, Route 70, infrastructure, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes, townhomes, historic preservation, Grand Canyon, Grand Canyon National Park, special license plate, special plate, license plate, vanity plate

Transcript Highlights:

• increased dramatically and are continuing to increase, particularly since we have tariffs on the foreign

Keywords: 959, house, all

Transcript Highlights:

• critical natural resources that we could provide here, providing domestic security, not relying on foreign
• How do you audit if they've exceeded what is normally called public relations?

Keywords: 987, senate, all

Transcript Highlights:

• Senate bills 801 Senate draft 1 relating Senate bills 801 Senate draft 1 relating to<00:16:21.639
• SB 1050, SD1 passes third reading. relating to insurance is there any relating to insurance is there
• Senate Bill 955 Senate draft 2 relating Senate Bill 955 Senate draft 2 relating to<00:26:57.799>
• Senate Bill 657 Senate draft 1 relating Senate Bill 657 Senate draft 1 relating to<00:42:32.480>
• Third reading of Senate Bill 242, Senate Draft 2, relating to foreign ownership of agricultural land.

Keywords: 912, senate, all

Transcript Highlights:

• are a vital part of the state's culture and economy, and one out of every 70 jobs in the state is related
• My comments today are specifically related to the bill's language.”
• “My comments today are specifically related to the bill's language, and then I guess I have a couple
• of questions related to the amendment, but it does bring some relevance, so I'm going to be as quick
• it right now, if there is an infected pin, I don't know of any buffer zones or anything like that related

Summary: The committee first considered several local property-transfer and wildlife/fisheries bills, including SB 229 (Bojeur Parish property transfer), SB 71 (Lafayette Parish property transfer), and a series of Department of Wildlife and Fisheries measures. SB 203 simplified possession rules for fish on multi-day trips and remote camps; SB 429 created an administrative path to register “orphan” boats with lapsed registrations; SB 204 removed a residency-based restriction on certain commercial fishing gear licenses; SB 205 reduced duplicate registration requirements for federally documented boats; SB 213 clarified titling rules for vessels and outboard motors; and SB 257 removed Social Security number requirements from certain commercial fishing tags. Each of these bills was reported favorable, generally without objection, after brief explanations from sponsors and department counsel about reducing red tape, improving enforcement, or modernizing records. The committee also heard SB 214, which would allow the Teche-Vermilion Fresh Water District to stop pumping during an imminent flood threat identified by the National Weather Service or GOSEP, addressing liability concerns and giving local officials more flexibility in emergencies. SB 274, as amended, required lead hazard risk assessments for certain child care, early learning, and pre-kindergarten facilities and required hazards found in assessments to be addressed before licensing. Both bills were reported favorable. SB 379, a technical reorganization bill for the Department of Conservation and Energy, received two amendment sets: one changing investment language and another standardizing judicial-review procedures and online notice requirements; it was reported favorable after those amendments. The committee then adopted HCR 62, urging FEMA to review flood maps every five years instead of every ten and to better account for local flood-protection projects, with members discussing the burden of flood insurance and the need for FEMA to recognize levees, pump stations, and elevated homes. HCR 78 was also reported favorable, memorializing Congress to pass the American Seafood Competitiveness Act of 2026 in support of Louisiana’s seafood industry. HB 662, as substituted, was reported favorable after being rewritten to codify the department’s internal protocol for seized sick, injured, or orphaned wildlife, prioritizing release, rehabilitation, placement, and euthanasia as a last resort. Finally, the committee considered two more contentious items. HR 216, which urged repudiation of the Louisiana Climate Action Plan of 2022, drew extended debate over whether the plan had been adopted without legislative input and whether it could affect permits or future policy; after discussion, the sponsor voluntarily deferred the resolution to return with a revised approach focused on a legislative hearing or review. SCR 24, dealing with chronic wasting disease rules, was introduced with amendments that would raise the prevalence threshold, cap samples, allow zone removal after three years without new detections, and lift baiting/feed prohibitions above a higher prevalence level; the transcript cuts off before final action on that measure.

Transcript Highlights:

• can share why we're doing an additional $6 million, and were there good estimates last year as it related
• As it related to, I'm on page... I'm on page... I'm on page...
• So as it relates to page three, and I'm looking at particular capital expenditures, do you know when
• There is not a direct actuarial report related to this change other than communication with the pension
• So the bottom line, as it relates to the Price Business School, is that this is a workforce investment

Bills: HB3257, HB3176, HB3544, HB3619, HB3546, HB1782, HB2293, HB4358, HB3081, HB3983, HB3790, HJR1023, HB4139, HB3297, HB3041, HB3673, HB4105, HB3338, HB3048, SR33, SCR21, SCR20, HB4030, HB4031, HB4032, HB4034, HB4036, HB4037, HB4038, HB4040, HB4041, HB4042, HB4043, HB4045, HB4046, HB4047, HB4048, HB4044, HB4050, HB4051, HB4052, HB4053, HB4054, HB4056, HB4057, HB4071, HB4065, HB4067, HB4072, HB2992, HB4338, HB4170

Keywords: veterans, disability benefits, federal law, Oklahoma Statutes, military service, Oklahoma, Gas Hub, artificial intelligence, national laboratory, public-private partnerships, aerospace, high-performance computing, economic development, social AI companions, minors, emotional attachment, safety protocols, civil penalties, parental controls, geographic information

Summary: The Senate opened with roll call, prayer, and several gallery introductions recognizing guests and honorees, including the Medford Cardinals football team for their academic and athletic success, Guthrie Day, the Oscar J. Upham post office designation, the OKC Spark professional softball team, the Elks organization, and the YMCA’s 175th anniversary. Senators also welcomed a new intern and acknowledged Senator Carl McDowell’s return to the chamber. Most of the early floor time was devoted to ceremonial citations and concurrent resolutions, all of which were adopted without recorded opposition. The chamber then moved through a series of Joint Committee Reports and third-reading votes on appropriations and related measures. HB 4031 reauthorized $41 million for previously approved ODAA projects and passed 36-8, declared an emergency. HB 4032 redirected industry fees to the Department of Mines and passed 34-11, emergency. HB 4034 appropriated $142,137 for salary increases for certified shorthand reporters and passed 45-0, emergency. HB 4036 transferred $5 million from the Film and Oklahoma revolving fund to a new sitcom-related revolving fund and passed 30-15. HB 4037 raised the Ethics Commission Fund retention cap from $150,000 to $250,000 and passed 45-0, emergency. Several transportation, health, and public safety measures also advanced. HB 4038 moved $5 million for the eight-year road plan and additional project funding, passing 28-17 and then as an emergency measure after vote changes. HB 4040 set up cash-flow funds for the State Department of Health’s $223 million federal award and passed 45-0, emergency. HB 4041 appropriated $2.25 million to the Attorney General, including $2 million for a trafficking victim pilot program and $250,000 for a public safety technology fund, and passed as an emergency. HB 4042 appropriated $500,000 for the Commerce census revolving fund and passed 35-9. HB 4043 transferred $1 million to Emergency Management for Oklahoma Task Force 1 and passed 44-0, emergency. The most extended debate centered on HB 4045 and HB 4046, which expanded and funded the Military Readiness, Innovation, Education, and Aviation program. Supporters said the measures would help military bases, schools, infrastructure, simulation training, and defense-related economic development; critics questioned the broad language, lack of detail, and whether the projects fit a broader strategy. HB 4045 passed 37-7 and HB 4046 passed 39-7, both as emergency measures. HB 4047 funded Commerce projects including housing for aged-out foster youth, the State Fair, a university upgrade, and a COG-related economic development request; it passed 30-16 and then 40-6 as an emergency. HB 4048 appropriated $13 million for transportation infrastructure, drew criticism for bypassing the eight-year plan, and passed 36-10 before being declared an emergency. Finally, HB 4030, the Education Budget Limits Bill, was explained in detail, including $43.75 million for the Strong Readers formula, $5 million for literacy coaches, and $5 million for a charter school revolving loan fund; after questions about bonds, charter schools, and the revolving fund, it passed 39-5 and was declared an emergency measure.

Transcript Highlights:

• And carrying out finance commission responsibilities relating to the financial services study.
• The most controversial by far relates to the COLAs.
• Now, there are two groups that are opposing HB4609, and it relates to them liking the aspect that it's
• Do you know which specific investments this bill talks about in relation to the investments that the
• Airports and so forth, they're going to want to be able to take foreign... Credit cards.

Bills: HB245, HB700, HB2783, HB3526, HB3900, HB4061, HB4124, HB4166, HB4395, HB4534, HB4609, HB4641, HB4736, HB4738, HB4739, HB4945, HB5015, HJR175, HB245

Keywords: military service, retirement, law enforcement, custodial officer, Employees Retirement System, commercial financing, brokers, registration, disclosures, finance, consumer protection, fees, deferred compensation, automatic participation, county employees, payroll deductions, retirement plans, fiscal transparency, local government, bond issuance

Transcript Highlights:

• that we're working on and one of the commissioners down there who's very smart and happens to be related
• And it basically boils down to two separate but related buckets.
• We are working with Chairman Perry and Senator Sparks on a bill related to this very topic this session
• We should harden our systems against foreign and domestic attacks.
• Without sufficient revenue, they fall behind on infrastructure upgrades and growth-related projects,

Transcript Highlights:

• SB 843 by Colcourt, relating to an education agency database of school district bonds, taxes, and bond-related
• SB 2112 by Kolkhorst, relating to the punishment of certain criminal offenses related to cultivated oyster
• SB 1388 by Kohlkorst relating to family.
• SB 1662 by Zaffirini, relating to notice provided for certain...
• SB 1952 by Paxson, relating to the administration. ...operation of the School Health and Related Services

Bills: SB4, SB23, SB3, SJR2, SJR85, SB34, SB60, SB75, SB706, SB1814, SB1220, SB523, SB565, SB1253, SB840, SB764, SB2383, SB2155, SB1535, SB1405, SB1423, SB1566, SB1804, SB1728, SB1816, SB1952, SB1948, SB2037, SB2068, SB1455, SB213, SB243, SB627, SB646, SB670, SB896, SB917, SB1184, SB971, SB1255, SB1261, SB1283, SB1358, SB991, SB1733, SB21, SB231, SB739, SB1252, SB1371, SB664, SB40, SB9, SJR1, SB687, SB1332, SB458, SB482, SB927, SB984, SB651, SB1620, SB2124, SB2448, SB841, SB843, SB402, SB2662, SB2053, SB2332, SB2112, SB745, SB1247, SB1789, SB27, SB207, SB2938, SB1901, SB1227, SB1248, SB912, SB1321, SB2143, SB2145, SB1497, SB1239, SB2180, SB1388, SB1662, SB1951, SB1537, SB493, SB378, SB1020, SB1018, SB992, SB958, SB920, SB1350, SB1762, SB552, HCR109, SB2185, SB4, SB23, SB3, SJR2, SJR85, SB34, SB60, SB75, SB706, SB1814, SB1220, SB523, SB565, SB1253, SB840, SB764, SB2383, SB2155, SB1535, SB1405, SB1423, SB1566, SB1804, SB1728, SB1816, SB1952, SB1948, SB2037, SB2068, SB1455, SB213, SB243, SB627, SB646, SB670, SB896, SB917, SB1184, SB971, SB1255, SB1261, SB1283, SB1358, SB991, SB1733, SB21, SB231, SB739, SB1252, SB1371, HB2970, HB 109, SB2308

Keywords: property tax, homestead exemption, school funding, state aid, constitutional amendment, elderly, disabled, ad valorem taxation, school district funding, SJR 2, Senate Joint Resolution 2, property tax relief, school property tax, ad valorem tax, residence homestead, school district taxes, Texas Constitution Article VIII, public school finance, homeowner exemption, elderly exemption

Transcript Highlights:

• I appreciate both you and the comptroller working with Chair Geehan as it relates to the fiscal note.
• They also have foreign trade zone designation in which there is no objections from the city, county,
• suggesting that this committee doesn't have jurisdiction I said I don't know it obviously does as it relates
• I'm thinking about your community as it relates to Dell and thinking about Samsung and Taylor.

Bills: HB134, HB135, HB 1109, HB 1243, HB1392, HB1399, HJR99, HB134, HB135

Keywords: sales tax, use tax, local tax, municipal tax, county tax, tax sourcing, place of business, principal business location, small business, retailer, marketplace seller, economic development agreement, Chapter 321, Chapter 323, Tax Code, Texas Comptroller, local sales and use tax, tax jurisdiction, order consummation, ship-to location

Transcript Highlights:

• Nearly half the tourism businesses statewide indicate some level of disruption related to the federal
• Chair, members of the committee, Devin Baldry, government relations director.
• Devin Baldry, government relations Devin Baldry, government relations director.<00:48:57.760>
• Chair, members of the committee, Devin Baldry, government relations director.
• residents, which also is in the top 3% nationally of percentage of foreign-born residents.

Keywords: 1187, senate, all

Transcript Highlights:

• I don't know what that means, and how would you relate the phrase credible risk of abduction to probable
• uh<01:24:46.320> how<01:24:46.560> would<01:24:46.719> you<01:24:46.960> relate
• <01:24:47.440> the<01:24:48.239> phrase uh how would you relate the phrase uh how would
• you relate the phrase credible<01:24:49.280> risk<01:24:49.600> of<01:24:49.760> abduct
• So, rather than those children be removed, whether lawfully or unlawfully, to a foreign territory.

Keywords: 1189, house, all

Transcript Highlights:

• These aren't related to federal rules at all.
• to lodging establishment sanitation standards which are not related to changes in state law. related
• loan approval, 67-12 related to standards for school buses, 67-13 related to school cooperative agreements
• , 67-23 related to special education, and then, in addition to that, the creation of 67-34 related to
• And in addition to that, the creation of 67-34 related to math curriculum, 67-35 related to assessment

Keywords: 908, all

Summary: The committee first approved the December 3 minutes, then heard a request from the Board of Clinical Laboratory Practice to amend its proposed rule on exempt test methods to add certain closed-system DNA/RNA tests, including rhinovirus. After testimony explaining that the board had considered late comments from BioMérieux and wanted the rule record to reflect that review, the committee agreed to a limited amendment and passed the motion unanimously. The Department of Agriculture then outlined broad rule updates affecting dairy, eggs, poultry, pesticides, animal health, environmental mitigation, and the Egg Product Utilization Commission. The commissioner said the changes mostly clarified existing requirements, updated references, and reduced some burdens, such as easing dairy hauler training/licensing timing and clarifying out-of-state grade A milk language. Members asked about dairy industry decline, the APUC scoring system, and the rationale for the milk-hauler and out-of-state milk provisions. The State Board of Dental Examiners presented extensive rule changes tied to recent legislation and workforce issues, including a new professional health program for dentists, expanded duties for assistants and hygienists, broader local anesthetic authority for hygienists, and fee increases to fund the program and cover administrative costs. Testimony from Dr. Edward May strongly supported the professional health program based on his own recovery experience. The committee also heard from Game and Fish on rules easing some guide/outfitter experience requirements, allowing electronic exams, and modifying boating safety equipment rules, with no public comment and no fiscal impact. Later, Health and Human Services received approval for an extension to update tattoo/body art rules and a separate motion to repeal an obsolete nurse aide training chapter. HHS also described nursing facility rule updates, lodging sanitation revisions, and related clarifications on licensing, safety, pest control, and fire requirements. The Department of Environmental Quality received an extension for septic-system installer rules, and also presented rules for above-ground storage tanks and water/wastewater operator certification, including new fees and third-party testing options. The Industrial Commission’s oil and gas division described multiple rule changes, some withdrawn after comments, including drilling unit flexibility, site stability, wildfire authority, and streamlined transport/reporting procedures. Finally, DPI began presenting several rule packages, including school construction loan limits, school bus standards, cooperative agreements, special education rules for public charter schools, and new math curriculum and intervention requirements.

Transcript Highlights:

• I did hear rumor that there were some concerns in committee related to placements in community, placements
• <00:57:48.200> to<00:57:48.640> placements<00:57:49.400> in in committee related
• to placements in in committee related to placements in community,<00:57:50.200> placements<00
• > community<00:58:20.640> care<00:58:20.960> portion<00:58:21.560> of related
• to the community care portion of related to the community care portion of this<00:58:22.400> as

Keywords: 981, all

Transcript Highlights:

• It boils down to two separate but related buckets.
• We are working with Chairman Perry and Senator Sparks on a bill related to this.
• We are glad to see some movement on that. our systems against foreign and domestic attacks.
• And helps guide our engagement on groundwater related legislation this session.
• Without sufficient... they fall behind on infrastructure upgrades and growth-related projects, which

Keywords: 1184, house, all

Transcript Highlights:

• Things like the the veterans of foreign Things like the the veterans of foreign wars,<00:24:34.960
• <00:37:03.040> to<00:37:03.280> whether related to whether related to whether um<00:37:
• <01:17:11.440> Um<01:17:11.840> some relate to the tax cap statutes.
• Um some relate to the tax cap statutes.
• [cough and clears throat] Uh, this act is related to...

Keywords: 1189, house, all

Transcript Highlights:

• So I can relate to the farming aspect of going to the Big E.
• We have noticed all of the remaining early bills that we still need to work through and also related
• bills to that um as we've also related bills to that um as we've included<01:01:24.559> the<01
• <01:55:02.080> to bill because they are very related to bill because they are very related
• I particularly represent Foreign War.

Keywords: 1189, house, all

Transcript Highlights:

• Circuit related to sexual orientation and gender identity.
• But it relates to obscenity because these are obscene devices, and it relates to community standards.
• And that's how it relates to the penal code.
• But it relates to our community standards.
• I know this is non-lawyer-related.

Bills: HB2242, HB2446, HB2799, HB4502, HB2920, HB2790, HB5620, HB5060, HB5076, HB5080, HB5081, HB5128, HB5130, HB3847, HB5116, HB2969, HB4546, HB4202, HB5624, HB3964, HB4803, HB872, HB4775, HB4777, HB4961, HB5570, HB2988, HB4260, HB1375, HB5009, HB5411, HB5134, HB4388, HB3095, HB1387

Keywords: constables, civil rights, local government, law enforcement, policy-making authority, affidavit, medical bills, civil actions, reasonable charges, healthcare services, judicial statistics, court performance, family law, civil cases, efficiency reporting, court security, emergency management, harassment penalties, judicial safety, court committee

Summary: The committee heard testimony on several bills affecting civil practice, judicial conduct, and attorney regulation. HB 4961 and the similar HB 3095 would bar uninsured motorists from recovering non-economic damages after a collision, with HB 3095 also addressing certain exceptions and limiting economic damages in some cases. Supporters said the measures would encourage insurance coverage and fairness for insured drivers, while opponents argued they would unfairly punish injured people who were not responsible for the lack of insurance, including pedestrians, passengers, children, and others. HB 3095 drew constitutional concerns from witnesses, and the committee later withdrew the committee substitute and left the bill pending; HB 4961 was also left pending after questions about its scope, including passengers. HB 5570 would expand a continuing legal education exemption to attorneys appointed by the governor and confirmed by the Senate who serve on boards or commissions. The author and witness said the bill would free up time for public service while still requiring ethics training. A committee member raised a discrepancy in the number of attorneys covered, and the bill was left pending. HB 2969 would prohibit the State Bar from adopting rules or penalties that unreasonably burden attorneys’ religious exercise or free speech, especially in relation to sincerely held religious beliefs. Supporters framed it as a protection for lawyers of faith against an ABA-style speech code, while no one testified in opposition; the bill was left pending. HB 4260 would prohibit county judges and county commissioners from practicing law in courts over which they have jurisdiction. The author described it as an ethics measure to avoid conflicts of interest, but county officials and the County Judges and Commissioners Association opposed it, saying existing ethics rules already address conflicts and that the bill would impose hardships, especially in rural counties. The bill was left pending. HB 4388 would require all judges, including those who serve only in administrative roles, to remain subject to the Code of Judicial Conduct; supporters said some judges avoid discipline by relinquishing judicial functions, while opponents said the bill was unnecessary and could burden county judges who serve as administrators. It was also left pending. The committee also heard HB 5134, which would limit Rule 202 pre-suit depositions to people who have suffered or reasonably expect to suffer actual damages and allow attorney’s fees against abusive petitioners. The author said the bill would curb harassment and fishing expeditions, but members questioned how the standard would work in practice; the bill was left pending. Finally, HB 3964 would narrow common-law public nuisance claims by barring suits over lawful conduct, conduct already addressed by other remedies, and products, while preserving other causes of action. Supporters said the bill would prevent regulation through litigation and protect legislative authority; opponents said it would eliminate important remedies and that no Texas abuse had been shown. The author indicated he would revise the bill, and it was left pending.

Transcript Highlights:

• the regulation of health related the regulation of health related occupations<00:01:14.520> mdh
• Representative Backer, the next topic is the health-related licensing boards.
• Medical Services, and by one of 16 health-related licensing boards.
• Medical Services, and by one of 16 health-related licensing boards.
• Medical Services, and by one of 16 health-related licensing boards.

Keywords: 1183, house

Summary: The meeting was an informational walkthrough for the Health Finance and Policy Working Group, focused on committee structure, budget basics, and major health-related accounts and programs. Staff explained the roles of House Research and House Fiscal, then reviewed key funds used by the committee, including the general fund, government special revenue fund, federal funds, the health care access fund, remediation account, and drinking water revolving fund. They also outlined the committee’s main budget areas, noting that medical assistance is the largest general fund item and that the Department of Health is a substantial agency funded by a mix of federal, general fund, and special revenue dollars. A major portion of the presentation covered subsidized health coverage programs. Staff described Medical Assistance (Minnesota’s Medicaid program) as an entitlement for eligible Minnesotans, with no premiums or cost sharing, and explained its managed care and fee-for-service delivery systems. MinnesotaCare was presented as a separate federal-state basic health program for people who are not eligible for MA, with income limits, premiums for adults age 21 and older, and cost-sharing requirements; staff noted that federal premium tax credit changes affect MinnesotaCare premium ranges. The presentation also summarized MNsure’s role in the individual market and in determining eligibility for premium tax credits, cost-sharing reductions, MinnesotaCare, and MA. The committee also received an overview of health-related licensing boards and occupational regulation. Staff said Minnesota has 16 health-related licensing boards, funded mainly through the state government special revenue fund and subject to legislative appropriation, and explained that health occupations may be regulated by the Department of Health, the Office of Emergency Medical Services, or the boards under chapter 214. Interstate licensure compacts were briefly noted as a way to ease practice across states. No bills were debated and no votes or formal actions were taken during the meeting.

Transcript Highlights:

• We have six decisions that we, when we meet, make: was death pregnancy-related, truly related?
• Probably a pregnancy-related death, okay? That's what I'm talking about.
• So bullet point 1A is related to dental care for low-income children.
• So bullet point 1A is related to dental care for low income children.
• Okay, 1J is related to state and tribal partnerships.

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.