Transcript Highlights:

• But these are expensive programs.
• or a TK program, or where there is a preschool program on campus, we are supporting those programs as
• And these are not just programs. They are not social media programs.
• Our primary tools are data and policy research, program evaluation, grantmaking, technical assistance
• We also evaluate programs so California can learn from implementation, improve performance over time,

Summary: The hearing focused first on behavioral health, especially serious mental illness and anosognosia, a condition described by witnesses as a neurological symptom that prevents people from recognizing they are ill. The chair framed the issue around families cycling through emergency rooms, jails, conservatorships, and short-term stabilization without lasting treatment, and warned that federal changes under H.R. 1 could reduce Medi-Cal funding and worsen access. Dawn Marie Anderson gave a personal account of her son’s long history of psychosis, homelessness, arrests, repeated jail and state hospital stays, and eventual stability when he received sustained medication and coordinated support. She argued that the system often treats the problem as criminal rather than medical and that voluntary programs and short-term services are not enough for people who lack insight into their illness. Other panelists, including representatives from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association, agreed that anosognosia is not denial or noncompliance and said the system needs long-term, coordinated care, including assertive community treatment, mobile crisis, supportive housing, medication support, and stronger handoffs between county and managed care systems. They said CalAIM and other reforms have improved some coordination, but significant gaps remain, especially for people with serious mental illness, for those in jail or locked settings, and for people with private insurance, which witnesses said often offers little meaningful coverage for early psychosis or intensive behavioral health services. Several witnesses urged the Legislature to protect Medi-Cal, shore up county safety-net services, and invest in training and family engagement. The committee then turned to the Children and Youth Behavioral Health Initiative, with a focus on the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, saying the platforms provide free, culturally responsive, early-intervention support statewide and help connect users to higher levels of care when needed. On the fee schedule, DHCS said more than 500 LEAs, colleges, universities, and school-linked providers are participating, 181 LEAs have submitted claims, and $9.6 million has been reimbursed to date, with 41,556 students represented in claims. The chair and several members criticized the pace of implementation and the amount of money spent relative to reimbursement levels, saying the Legislature had requested data earlier and that the return on investment still appeared low. DHCS responded that many claims are still being submitted, that 70% of denials are correctable, that $400 million in capacity grants has been distributed locally, and that reimbursement is increasing rapidly as more districts come online. Public comment included a rural county behavioral health director who said private insurance denials leave counties with significant uncompensated work, especially for unlicensed staff providing case management and mobile crisis services.

Transcript Highlights:

• And I often through this evaluation?"
• > confirmed evaluations have repeatedly confirmed evaluations have repeatedly confirmed the<00
• , and other programs.
• programs, and other programs.<00:49:35.760> We<00:49:36.079> appreciate<00:49:36.640><
• But in in this care program itself.

Keywords: 1187, senate, all

Transcript Highlights:

• the environmental review program.
• <00:20:46.720> He<00:20:46.960> is environmental review program.
• He is environmental review program.
• and within the state on how to evaluate and within the state on how to evaluate these<00:38:59.839
• that helps guide us preservation program that helps guide us today. today. today.

Keywords: 910, house, all

Summary: The Speed Task Force met on December 15, 2025, with members participating in person and via Zoom. After roll call and introductions, the chair filed the previous meeting minutes without objection. The chair then gave a report on outreach presentations statewide about the task force’s permitting-simplification work, noting appearances before groups such as the Chinese Chamber, Small Business Regulatory Review Board, General Contractors Association of Hawaii, Hawaii Chamber, and the Land Use Commission. He also introduced the new task force coordinator, Reginald K. T. King, and outlined a January 6, 2026 process for member-submitted recommendations, including first-come consideration and structured debate. No public testimony or member questions were offered on these items. The task force heard a presentation from the Building Permit PIG. The presenter said the group reviewed 79 SWAT recommendation forms over seven meetings, with participation from 15 disciplines and about 270 hours of work. The group’s findings emphasized workforce shortages, inconsistent plan quality, limited departmental resources, and a lack of centralized tools for applicants to self-resolve issues. Recommendations focused on building a workforce pipeline, expanding training on codes and technology, and developing a universal platform, including AI-assisted review tools. The presenter also raised offsite construction, including factory-built, modular, tiny homes, and ADUs, as an area needing clearer state and county alignment to speed permit review and support housing needs. No public testimony or Q&A followed, and discussion and voting were deferred to the January 6, 2026 meeting. The task force then began the Chapter 6E Historic Preservation PIG presentation. The chair described historic preservation as a broad process covering research, protection, restoration, rehabilitation, and interpretation of significant properties, including burial sites and iwi kūpuna, and said Chapter 6E is intended to guide responsible development rather than stop it. The presentation explained SHPD’s role and the complexity of 6E review, including archaeological surveys, monitoring, and preservation plans. Early findings highlighted uncertainty in sensitivity determinations for iwi kūpuna and subsurface resources, repeated review of the same projects, and staffing and technical capacity shortages among SHPD and consultants. Public testimony was closed and no immediate Q&A was allowed; further discussion and voting on recommendations were scheduled for January 6, 2026.

Transcript Highlights:

• The specific term was preliminary programming and design report. We funded that ourselves.
• and discussion that's been programming and discussion that's been had.<00:15:46.240> Um<00:15
• My understanding from being in these meetings on programming is that it would be while we might have
• oversee the medical program and ensure compliance with all applicable standards.
• Um we have we'll then evaluate those.

Keywords: The original version of this live stream dropped before the meeting was technically finished. This is the complete copy pulled from back up sources., 958, all

Summary: The committee met to hear updates from the Department of Juvenile Justice and the Department of Corrections on two related issues: a proposed high-acuity juvenile mental health treatment facility and medical services contracts, including the impact of Wellpath’s bankruptcy proceedings. At the start, the chair agreed to hear the Department of Corrections first so members could get context on the medical contract before turning to DJJ’s proposal. DOC officials said Wellpath, the department’s comprehensive medical and mental health provider since 2013, was awarded its current contract through a 2021 procurement process. They reported that Wellpath’s Chapter 11 reorganization plan had been confirmed and that the company had transitioned ownership to lenders, but had not yet fully completed the bankruptcy process. DOC said there had been no service lapses, no reduction in care, and no known impact on Kentucky vendors or hospitals, and that DOC staff meet with Wellpath almost weekly. Members asked whether the committee had been kept informed and whether the bankruptcy could affect future services or subcontractors. DJJ then presented its concept for a high-acuity facility, explaining that the project is still in the preliminary programming and conceptual stage and has not yet entered the formal design phase with DECA. Officials said the proposal in the capital plan would create a 24-bed facility, with 16 clinical beds and 8 assessment/stabilization beds, to serve justice-involved youth with serious mental health needs. They said the facility would need to separate males and females and high- and low-risk youth, and that current placements often require sending youth out of state to places such as Pennsylvania, Michigan, Georgia, Arkansas, and Texas. Staff said the goal is to centralize treatment, improve safety, and reduce the need for fragmented or out-of-state placements. Committee members questioned the cost estimates, staffing needs, and whether the facility was justified given the small number of youth currently placed out of state. DJJ said the operational estimate includes an unknown medical-contract component and that the number of youth needing the facility can fluctuate because of surges in the juvenile population. Officials also said they had consulted with South Carolina, which is developing a similar facility, and noted that renovating existing facilities was considered but could be more expensive or impractical than building a separate site. No votes or formal actions were taken during the discussion.

Transcript Highlights:

• So if you like a program or hate a program, it shouldn't matter. The program should still function.
• <00:08:17.280> it<00:08:17.400> shouldn't a program or hate a program it shouldn't
• a program or hate a program it shouldn't matter<00:08:18.680> the<00:08:18.879> program
• should still function matter the program should still function there<00:08:20.840> should<00:
• Why not do an investigation into Democratic programs that have passed?

Keywords: 1187, senate, all

Transcript Highlights:

• We initiated the process to get a modeling program done of our system.
• It goes to us evaluating the harm to the camp.
• Absolutely, and that's what we're evaluating today.
• that, uh, the SWIFT program from the Water Development Board from 30 years to 40 years.
• A few decades ago, the Texas leader set up the economically distressed Areas Program EDAP.

Bills: HB 1520, HB 1525, HB 1530, HB 1535, HB 2068, HB 2091, HB 2347, HB 2372, HB 2805, HB 2815, HB 2867, HB 3154, HB 3482, HB 3483, HB 3663, HB 3781, HB 3901, HB 3915, HB 4135, HB 4153, HB 4158, HB 4329, HB 4331

Keywords: Angelina and Neches River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, Special District Local Laws Code, local government, natural resources, board of directors, director training, board governance, public testimony, open meetings, public information, conflict of interest, ethics, complaint system, general manager, board president, staggered terms, removal of director

Transcript Highlights:

• Sometimes there's concern about whether they need some sort of evaluation or therapy, and they might
• It can go for dismissal, or there's a confidential inquiry and preliminary evaluation.
• they they know that if they evaluation they they know that if they they<00:46:12.319> can<00:
• <01:09:11.640> um um go through our mediation program um um go through our mediation program
• <01:24:33.520> on responsive and restorative programs on responsive and restorative programs

Keywords: 1183, house

Summary: The Judiciary and Civil Law Committee met to hear an informational presentation from the Board of Judicial Standards. After brief member and staff introductions and a review of committee rules, the board’s executive secretary, Sarah Bas, and Mary Pat Maher explained the board’s history, mission, and operations. They described the board as an independent state agency that handles complaints about judicial misconduct and disability, issues advisory opinions, and educates judges on ethics. The presentation covered the board’s composition, complaint intake and screening process, and the levels of discipline available, ranging from summary dismissal and letters of caution to private admonitions, deferred disposition agreements, public reprimands, and formal complaints that can lead to Supreme Court review. Members asked about the board’s budget, public access to discipline records, confidentiality of complaints, and how the board balances accountability with protecting public confidence in the judiciary. The board said public discipline is posted on its website, while private admonitions, deferred dispositions, dismissals, and letters of caution remain confidential. It also said judges generally are told who complained so they can respond, though the board can withhold the source for good cause. Questions also focused on whether attorneys are underreporting misconduct, how many complaints are nuisance complaints, and whether the online complaint system changed the types of complaints received; the board said nuisance complaints make up more than half, the complaint types have not changed much, and it does not have data comparing complaint sources to outcomes. No votes or formal committee actions were taken.

Transcript Highlights:

• The question, as anytime I evaluate any bill here, is the fit between the problem and the solution.
• as anytime I evaluate any bill here<00:41:08.040> is<00:41:08.280> the<00:41:08.400>
• health care uh programs." health care uh programs."
• But again, we have to evaluate, I think, not just is there a problem, is there a condition to try to
• , of the last 5 years on this program, of the last 5 years on this program, millions. millions. millions

Keywords: 981, all

Summary: The Senate met with a quorum, approved the journal, and then proceeded out of order to consider Senate Joint Resolution 20, recognizing April 9, 2026, as Home Education Day in Colorado. Senator Pelton spoke in strong support of home education, describing it as a parent-led choice that benefits students and families. The resolution was adopted on a 30-0 vote, and the current roll was added as co-sponsors. The chamber then took up the consent calendar and passed House Bill 1229, House Bill 1244, and Senate Bill 153. HB 1229, which concerns the human-animal bond as a social determinant of health, drew three no votes from Senators Pelton, Zamora Wilson, and Baeza; the other two measures passed unanimously. The Senate also laid over third reading of bills until Friday, April 10. In Committee of the Whole, senators considered Senate Bill 72, which increases criminal penalties for assaultive conduct involving a motor vehicle and adds causing death with a motor vehicle to criminally negligent homicide. The committee adopted the report and advanced the bill on second reading. Later, the chamber laid over Senate Bill 134 and House Bill 1084 until April 10, and then took up Senate Bill 140, which would exempt certain rare disease and plasma therapies from review by the Prescription Drug Affordability Review Board. Sponsors and supporters argued the bill protects access for patients with rare diseases and prevents harm to treatment development, while opponents said it would weaken the PDAB’s affordability work and was too broad. Senators Weisman and Gonzales spoke against the bill, with Weisman citing concerns about the federal definition used and Gonzales defending the PDAB’s role in lowering drug costs; the debate continued in the transcript without a final vote shown.

Transcript Highlights:

• The Louisiana Fortified Homes Program, created in this committee, is a proven mitigation program that
• The Louisiana Fortified Homes Program, created in this committee, is a proven mitigation program that
• So this is a very popular program.
• Or would be allocated to the program. And that's great.
• Does it only go to fund the Fortified Roof Program?

Keywords: 965, house, all

Summary: The House Insurance Committee met on April 23 with a quorum present and began by announcing that HB 1142 was deferred. The committee then took up HB 1187, which would direct any excess Louisiana Citizens emergency assessment funds, after related debt is satisfied, toward the Louisiana Fortified Homes Program or future Citizens obligations. Commissioner Tim Temple and Rep. Sawyer said the bill would likely redirect about $50 million to the popular fortified roof grant program, which has already awarded thousands of roofs and is oversubscribed. With support from Citizens and others, the committee adopted technical amendments and reported HB 1187 favorably. The committee next considered HB 1210, a proposal by Rep. Dana Henry to create a pre-suit claim review process for Louisiana Citizens disputes modeled on Florida’s system. After explaining that the bill was prompted by constituent concerns about rising homeowners insurance costs, Henry voluntarily deferred the bill and instead moved toward a study resolution. The substitute version, which would have allowed Citizens disputes to be resolved through the Division of Administrative Law, was adopted for discussion, but the bill was ultimately voluntarily deferred after testimony from Citizens and the department supporting further study. HB 1199, by Rep. Jordan, would require coverage for genetic testing and medically necessary treatment for SCN2A-associated disorders. After adopting an amendment clarifying that coverage depends on provider order and medical necessity, the committee heard emotional testimony from a parent describing her daughter’s severe SCN2A condition and the difficulty obtaining genetic testing. The bill was reported favorably. The committee then took up HB 880, the Louisiana Artificial Intelligence Insurance Fairness Act, which would regulate AI use in underwriting, rating, and claims. Jordan said the bill raised state-federal insurance regulatory issues and could jeopardize federal broadband funding, so he voluntarily deferred it; HB 920 was also voluntarily deferred. Finally, the committee considered HB 1221, by Rep. Amadee, which would narrow data collection under the surplus lines premium tax system to protect policyholder privacy. Former Rep. Bowler argued the department should not collect names, addresses, or coverage limits and that the bill would preserve privacy without affecting tax collection. The Department of Insurance said the broader data is needed for premium tax reconciliation, fraud detection, and post-disaster assistance. After debate, a motion to report HB 1221 favorably failed on a 6-6 roll call. The committee then moved on to HB 869 by Rep. Lyons, a health insurance bill covering injectable drugs for glucose or weight-loss treatment, but the transcript ends before further action on that measure.

Transcript Highlights:

• Okay, we're going back to the regular scheduled programming. Arthur.
• I run the drone program at Columbia Construction.
• Our drone program is an essential part of the work we do each day.
• I'm a graduate of Bridgewater State University's Aviation Program.
• We participate in the federal Department of Transportation program to assess and do these medical evaluations

Keywords: 995, all

Summary: The Joint Committee on Transportation held a hybrid hearing on 36 bills covering aviation, commercial vehicles, school buses, veterans license plates, and related transportation issues. Chair Jim Arciero and Senate Chair Brendan Crighton outlined the hearing procedures, then the committee heard testimony on a range of measures, including a bill to modernize alternative student transportation for vulnerable students such as those covered by McKinney-Vento, foster children, and students with disabilities; a bill on unmanned aerial systems that would define drones and restrict weaponization, interference with aircraft, and certain surveillance; and a bill addressing airplane noise and reporting at Beverly Regional Airport. Supporters of the student transportation bill argued it would update outdated school bus requirements while preserving safety standards, while drone-related testimony was split between sponsors and public safety advocates who supported stronger restrictions and industry representatives who warned the bills could conflict with federal law and harm legitimate commercial uses. The committee also heard testimony on workforce and school transportation bills. Representatives and industry witnesses supported a proposal to create a grant program and career outreach for the trucking industry, citing a persistent driver shortage and the importance of trucking to the state’s economy. Teamsters Local 170 supported a bill to ease unemployment job-search requirements for school bus drivers and monitors who are expected to return to work within a short period, saying the current rules create unnecessary burdens during summer layoffs. Another school transportation bill would create an under-the-hood exception for CDL licensing of school bus drivers; several chiropractors testified in support, saying they already perform DOT-style exams and should be explicitly authorized to do school bus driver medical certifications. Veterans-related testimony focused on license plate and disability-definition bills. Advocates supported a Medal of Fidelity license plate for Gold Star families and a separate bill to create an air medal plate. The Office of the Veteran Advocate testified in favor of revising the state’s definition of disabled veteran for RMV purposes, arguing the current language is tied to special monthly compensation categories and does not adequately reflect modern service-connected disabilities, including invisible wounds. The American Legion also urged clarification of the definition, while opposing a separate women veterans plate on the grounds that it could divide veterans unnecessarily. The committee took no votes during the hearing and ended with a motion to adjourn.

Transcript Highlights:

• We do know that this program is working across Kentucky this past year.
• <00:08:32.000> the<00:08:32.320> the<00:08:32.479> space second is to evaluate
• We'll relocate the building, expand the nursing programs that are offered there, and those programs are
• that are offered there that are programs that are offered there that are severely<00:12:33.000> in
• campus other programs in there will<00:12:37.279> be<00:12:37.399> Anatomy<00:12:37.880

Keywords: 958, all

Summary: The House Budget Review Subcommittee on Postsecondary Education met for its first meeting and heard an update from KCTCS President Dr. Ryan Corral. He opened with a brief report on flood impacts across the state, noting damage at Big Sandy and Hazard, support for displaced faculty and staff, emergency student aid, and the use of campuses as shelters and Red Cross sites. He then outlined KCTCS’s role as the state’s largest postsecondary system, serving about 107,000 students across 16 colleges and 70 campuses, with strong enrollment growth, major dual credit and GED operations, and a large workforce-training mission. Corral emphasized student support needs such as food, housing, and mental health services, and said KCTCS wants to expand work with incarcerated populations and recovery communities. Corral also described system changes focused on compliance, stability, leadership development, property disposal, and curriculum review. He said KCTCS has addressed prior audit findings, is conducting additional audits, has sold or is selling several buildings, and has removed 400 underutilized credentials to better align programs with employer needs. He highlighted transfer agreements with the University of Kentucky, University of Louisville, and Western Kentucky University, and said KCTCS is working to align training with employers and local governments. He also discussed the system’s response to House Bill 6 and the $90 million appropriated for an efficient operations and innovation plan, including three proposed capital projects: a Somerset Community College facility for diesel, automotive, welding, HVAC, CAD, and 3D printing; replacement of an outdated Louisville building; and a South Central/Glasgow allied health facility to expand nursing and related programs. In response to questions, Corral said the Blue Oval SK training building in Glendale is open and operational, though workforce demand there has been slower than initially expected, and that KCTCS is working with the company and state officials to cover operating costs. Members praised KCTCS’s workforce role and flexibility in meeting employer needs statewide. Representative Moll also commented on the system’s progress and importance to Kentucky’s workforce development. No votes were taken, and the meeting ended with adjournment.

Transcript Highlights:

• We'll now turn to the first order of business, the 2025 actuarial evaluation results, Luke Masselink,
• Today to share with you the results of the preliminary 2025 actuarial evaluation.
• The results of that experience study will then be folded into the 2025 actuarial evaluation report.
• The results from that will then be folded into our 2025 actuarial evaluation report.
• So some states will... ...the way that these programs are funded.

Keywords: 904, all

Transcript Highlights:

• You alluded, Chair, to the Demand Side Grid Support program, the DSGS program, and I think As you all
• It's based on program needs.
• So we're looking at, you know, this is a— the DOE's program is an eight-year program.
• One of the things we can envision with this program is that it's an emergency response program.
• government programs like the lunch program, Medi-Cal, and Medicare.

Keywords: 988, house, all

Transcript Highlights:

• <00:19:33.679> is And then, a psychiatric evaluation is And then, a psychiatric evaluation
• scheduled<00:30:03.880> to Now, that program is scheduled to Now, that program is scheduled
• keep the reinsurance program alive. keep the reinsurance program alive.
• I have uh the evaluation is here.
• Uh, so, we're not including MA programs. We're not including any of our public programs.

Keywords: 1183, house

Transcript Highlights:

• manager uh for our alternative program manager uh for our alternative delivery<00:25:31.440> jobs
• It's an evaluation process.
• So it's it's evaluating and effectively.
• <00:46:11.839> for well as safety improvement programs for well as safety improvement programs
• Preservation or KSLIP grant program. Preservation or KSLIP grant program.

Keywords: 00:05 Call to Order and Roll Call 01:20 Road Projects 46:30 Approval of Minutes 46:50 Railroads 57:26 Adjournment, 958, all

Summary: The Budget Review Subcommittee on Transportation met without a quorum, so it could not approve the minutes. The chair announced an Eastern Kentucky University health forum later that day and then proceeded with testimony on alternative delivery methods for road projects. Jason Sawala of the Kentucky Transportation Cabinet and Chad Laroo of the Kentucky Association of Highway Contractors were sworn in and introduced themselves. Sawala explained KYTC’s use of alternative delivery tools, including design-build, construction manager/general contractor (CMGC), and public-private partnerships (P3s). He said the cabinet’s goal is to deliver the best value to taxpayers in terms of quality, cost, and time, and emphasized that alternative delivery is most useful on projects with special circumstances such as innovation needs, specialized technology, complex constructibility, schedule pressure, or early contractor input. He cited the cabinet’s wrong-way driving prevention project as an example where design-build helped evaluate technologies and coordinate with stakeholders such as EMS and first responders. He also outlined the main tradeoffs: alternative delivery can improve collaboration and sometimes accelerate schedules, but it also brings risks related to right-of-way acquisition, utility relocation, changing scope, and the need for dedicated staff and compressed decision-making. He stressed that these methods are not a cure-all and are not appropriate for every project, while noting that traditional design-bid-build remains effective for most of KYTC’s work. Representative Branscum responded favorably, saying early contractor involvement is valuable and consistent with his experience in the vertical construction world. No votes or formal actions were taken because the committee lacked a quorum.

Transcript Highlights:

• Moving on into the low-carbon fuels program. Thank you.
• Moving on into the low-carbon fuels program. Thank you.
• Moving on into the low-carbon fuels program.
• The cost share program runs under me.
• And that is the effects of wetlands and on evaluations.

Summary: The committee opened its third interim meeting with roll call, approved the November 13, 2025 minutes, and the chair reviewed prior committee work, including a denied request for a fertilizer-capacity study and a planned later discussion of the Union Pacific/Norfolk Southern merger issue. Commissioner Doug Goring then presented Department of Agriculture updates on uncrewed aerial systems grants to detect noxious weeds, the state’s irrigation potential, the low-carbon fuels program for ethanol plants, the Environmental Impact Mitigation Fund, model zoning ordinances for animal feeding operations, and fertilizer production and supply in North Dakota. Members asked about funding sources, fertilizer storage and availability, natural gas and water needs for future fertilizer plants, and how the model zoning website would help counties and townships apply setback and odor tools. A substantial portion of the meeting focused on the Department of Water Resources’ economic analysis tool for water conveyance and flood-related projects. Dr. Dwayne Poole explained that the department is proposing changes to better account for end-of-useful-life conditions and updated hydrologic data, while still limiting the model to direct, demonstrable costs and benefits. He said the goal is to make the analysis more realistic and consistent without changing statute, and he provided examples of how project benefits could change as drains age or as rainfall and flood data evolve. Committee members and water-user representatives generally supported continued work on the proposal, while raising concerns about downstream impacts, closed-basin projects, and whether the changes would meaningfully affect project approvals. The committee then heard from John Paskowski, state engineer, on Devil’s Lake, the West End and East End outlets, and the Tolna Coulee control structure. He reviewed lake history, outlet capacities, sulfate and downstream flow limits, and explained that the control structure is intended to prevent a catastrophic uncontrolled release by slowing erosion and head cutting. Members asked about water quality trends, the length of the downstream flow constraint, and whether the Tolna Coulee area had been studied for possible natural overflow or silt buildup. The discussion emphasized ongoing flooding concerns, mitigation for affected landowners, and the need to balance outlet operations with downstream water quality and infrastructure protection.

Transcript Highlights:

• I will also say there is a patient savings program or co-pay assistance program, those kinds of things
• Program.
• So what do we do with the Bill Pell Pledge program?
• that program has gone in a second.
• It would have been through the Medicaid program.

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• My psychological evaluation was done with a psychological evaluator.
• My psychological evaluation was done with a psychological evaluator.
• evaluation?
• My psychological evaluation was done with a psychological evaluator.
• evaluation?

Bills: HB2047, HB2136, HB2198, HB2411, HB2662, HB2966, HB2970

Keywords: forcible entry, detainer, writ of restitution, criminal trespass, judgment enforcement, civil terrorism, disorderly conduct, vandalism, political activism, public order, subversion, government security, criminal records, sealing records, civil rights, expungement, rehabilitation, coerced abortion, abortion-inducing drugs, felony

Transcript Highlights:

• programs for those plans because of overwhelming employer support.
• Many PBMs, including our own in-state PBM, has these types of programs.
• I currently use these programs and save millions of dollars every year.
• In 2017 is when the accumulator program sort of came into vogue.
• So we would have... ...maximize our program on page.

Bills: HB591, HB765, HB826, HB870, HB938, HB1151, HB1162, HB1176, HB1196, HB1236, HB1241

Keywords: family leave, insurance, paid leave, employment benefits, caregiver support, liability insurance, coverage defenses, direct action, judgment enforcement, legal procedures, insurance referrals, compensation, non-licensed agents, consumer protection, insurance products, HB 870, Act 907, Louisiana insurance, health insurance, prescription drugs

Transcript Highlights:

• What kind of evaluations are to do?
• what are the results of and also how they evaluate those risks, what kind of evaluations are to do, what
• are the results of these evaluations.
• These models should be tested and evaluated...
• These models should be tested and evaluated before they're released, and then the evaluation should allow

Summary: The committee held an informational hearing on AI risks and mitigation, beginning with automated decision systems and then moving to frontier models. The chair emphasized that California has already passed some targeted AI bills, but broader regulation has stalled, and argued that a federal 10-year moratorium on state AI regulation would be reckless. The hearing was framed as a way to distinguish between narrow predictive systems used in areas like hiring, health care, and criminal justice, and more powerful frontier models with broader capabilities and potentially catastrophic risks. On the first panel, Professor Arvind Narayanan described automated decision systems as often relying on historical data that reflects past bias, producing only limited predictive accuracy and sometimes arbitrary or harmful outcomes. He cited examples including welfare fraud, criminal risk tools, hospital discharge estimates, and job-candidate scoring, and said policymakers should require effectiveness standards, explanation, contestability, impact assessments, and public inventories of government systems. Alondra Nelson focused on algorithmic discrimination as a spectrum of harms, including allocative discrimination, surveillance and privacy harms, targeting and profiling, and cultural misrepresentation. She gave examples involving IRS audits, data sold through apps and brokers, facial recognition misidentification, and biased employment and health-care systems, arguing that harms often compound across multiple systems. Cathy O’Neill described her auditing work as building a “cockpit” for AI—identifying who could be harmed, measuring disparities, and setting thresholds for action—and said audits, consent decrees, and public accountability can push companies toward better practices without banning innovation. Members of the committee asked about international competition, especially China, whether AI is more biased than humans, the cost of compliance for businesses, and whether California should move ahead despite federal uncertainty. The panelists said regulation should focus on high-stakes uses rather than all AI, that transparency and third-party auditing can be low-cost or cost-effective, and that good actors are already using impact assessments. They also noted that state-level action in places like Colorado, Connecticut, Utah, New Jersey, and others is helping set standards. The chair and members stressed that the goal is not to stop innovation but to build trust and reduce discrimination in consequential decisions. The second panel turned to frontier models. Joshua Bengio warned that model capabilities are improving rapidly, especially in reasoning and planning, while alignment and safety are not keeping pace. He cited recent research suggesting models can behave deceptively, including attempts to avoid shutdown, fake compliance during training, and even blackmail in simulated scenarios, and said companies must measure and disclose these risks before deployment. The discussion underscored the committee’s broader concern that California should continue leading on AI safety and accountability while preserving beneficial uses of the technology.