Transcript Highlights:

• And so those companies that have the software could be considered a vendor that has data on the student's
• And so those companies that have the software, that could be considered a vendor that has data on the

Summary: The Senate convened with a quorum, opened with prayer and the Pledge, and heard several member introductions before moving to the special order calendar. The chamber first took up SB 200/HB 295 on a comprehensive waste reduction and recycling plan, which directs DEP to develop a statewide recycling strategy by 2026 with stakeholder input and a three-year implementation roadmap; the House bill was substituted and passed 38-0. Senators then approved CS/CS/SB 492 on mitigation banking and land development after adopting two McLean amendments, including one on out-of-service credits and another incorporating phosphate mining lands provisions; the bill passed 35-3 after debate over possible constitutional issues. CS/SB 494 on aggravated animal cruelty was also amended and substituted with the House companion to add a searchable FDLE database of convicted animal abusers and a sentencing multiplier, with an agriculture-related exemption; it passed 37-0. The Senate next passed CS/CS/SB 500/HB 711 creating the Spectrum Alert for missing children with autism, including training and coordinated alert procedures, with a House amendment to align implementation timing and funding; it passed 37-0. CS/CS/SB 524/HB 1089 added Duchenne muscular dystrophy to newborn screening tests and passed 36-0. CS/CS/SB 592/HB 393 revised the My Safe Florida Condominium Pilot Program by lowering approval thresholds, clarifying eligibility and ownership issues, and adding sliding-door wind-driven rain mitigation devices; it passed 37-0 after discussion about funding and insurance premium credits. CS/SB 742/HB 1145 on workforce education allowed charter schools direct access to grant funding and expanded money-back guarantees for certain programs, and it passed 37-0. CS/CS/SB 822/HB 443 on charter schools generated extensive debate and multiple amendments, including a Jones amendment requiring parent acknowledgment of school rules; the bill would expand charter autonomy, reporting flexibility, enrollment capacity, and governance provisions, and it was placed on the calendar for third reading after the amendment process. Later, the Senate passed HB 827 on a statewide study of automation and workforce impact, which would examine job displacement, wages, vulnerable regions, and training needs, by a 35-0 vote. It also passed CS/CS/SB 964/HB 181 on parole guidelines, CS/SB 976/HB 901 on court-appointed psychologists, and CS/SB 1084/HB 1451 on sexual cyber harassment and digitally forged intimate images, all unanimously. CS/CS/SB 1156 on a Home Health Aid for Medically Fragile Children Program was amended to clarify training requirements and passed 37-0 after supportive debate about helping parents care for medically fragile children. Finally, CS/CS/CS/SB 1240/HB 1091 on substance abuse and mental health care was amended to allow designated facilities to retain certain stabilized patients during the 72-hour involuntary examination period and passed 37-0. Several other bills were temporarily postponed, and the chamber also recognized guests and interns throughout the session.

Transcript Highlights:

• area are using it and, in conjunction, coordinating not only with the fire, but police and also embedded
• opportunity where they can train together, not only in fire and police, but all together, including embedded
• opportunity where they can train together, not only in fire and police, but all together, including embedded

Transcript Highlights:

• something that's kind of been been something that's kind of been been something that's kind of been embedded
• in you just any any way that embedded in you just any any way that embedded in you just any any way

Bills: HCR 21, HCR 22, HCR 23, HCR 24, HCR 25, HCR 26, HCR 27, HCR 31, HCR 41, HCR 42, HCR 43, HCR 44, HCR 45, HCR 52, HCR 53, HCR 66, HCR 67, HCR 73, HR 8, HR 10, HR 13, HR 20, HR 21, HR 50, HR 59, HR 61, HR 71, HR 74, HR 79, HR 84, HR 86, HR 90, HR 91, HR 102, HR 103, HR 107, HR 113, HR 125, HR 126, HR 132, HR 142, HR 145, HR 149, HR 150, HR 152, HR 167, HR 179, HR 181, HR 183, HR 186, HR 192, HR 196, HR 199, HR 207, HR 211, HR 212, HR 213, HR 216, HR 249, HR 256, HR 259, HR 261, HR 263, HR 272, HR 281, HR 285, HR 294, HR 295, HR 300, HR 305, HR 311, HR 313, HR 315, HR 316, HR 323, HR 331, HR 339, HR 340, HR 346, HR 349, HR 352, HR 357, HR 358, HR 360, HR 363, HR 374, HR 377, HCR 20, HCR 28, HCR 30, HCR 32, HCR 49, HR 14, HR 15, HR 19, HR 23, HR 24, HR 25, HR 26, HR 27, HR 29, HR 47, HR 48, HR 55, HR 56, HR 66, HR 85, HR 92, HR 93, HR 95, HR 96, HR 140, HR 155, HR 164, HR 204, HR 241, HR 242, HR 250, HR 253, HR 260, HR 262, HR 265, HR 279, HR 310, HR 312, HR 328, HR 332, HR 359, HR 362, HR 367

Keywords: recognition, award, petroleum industry, leadership, community service, HCR 22, House Concurrent Resolution, Texas Legislature, commendation, honorary resolution, Dr. James Olson, James Olson, University of Texas Permian Basin, UT Permian Basin, psychology professor, 50 years of service, faculty recognition, academic award, Piper Professor Award, Regents' Outstanding Teaching Award

Transcript Highlights:

• talked about the charitable gaming commission, your use of the word legacy charities, and it becomes embedded
• talked about the charitable gaming commission, your use of the word legacy charities, and it becomes embedded
• Bill, your use of the word commission, legacy charities, and it becomes embedded in the system, the higher

Keywords: 928, house, all

Summary: The committee held a public hearing on HB 530, a bill to increase funding for New Hampshire’s Affordable Housing Fund. Representative Jessica Lontine, the sponsor, described the state’s housing crisis, citing high rents, low vacancy, and the lack of affordable units. She said the bill would double the annual transfer-tax deposit into the fund from $5 million to $10 million, and she later presented an amendment to hold the Education Trust Fund harmless by directing the housing-fund deposit from remaining revenue after that trust fund is funded. She also explained a prospective appropriation idea tied to a possible future sale of the Laconia State School property, with the goal of supporting community housing for people with intellectual and developmental disabilities. Much of the testimony focused on the shortage of accessible and supportive housing for people with disabilities and aging family caregivers. Lontine, Ben Saul of Visions for Creative Housing Solutions, Lori McIntosh of Our Place NH, and Maddie Mandelbaum all described the difficulty families face in planning for adult children with disabilities as parents age or die. They emphasized that many people need not only affordable housing but accessible, supportive settings, and they argued that state investment would help nonprofit providers build such housing and prevent homelessness or inappropriate institutional placement. Several witnesses also noted that existing projects rely on capital funding and that operating revenues are limited because residents often depend on SSI and Medicaid. Committee members asked questions about the fiscal impact of the bill and amendment, including whether the proposal would shift money from the general fund or education trust fund and whether the Finance Committee should have final say over spending priorities. Lontine said she understood those concerns but argued that housing should be prioritized. Housing Action New Hampshire’s Tom Duroza also testified in support of the bill, saying the state’s housing shortage is driving record prices and vacancy rates below 1%, and that the Affordable Housing Fund has leveraged more than $500 million in private investment and helped build thousands of rental homes. He said his organization supported the underlying bill but had not yet reviewed the amendment. No vote or final action was taken at the hearing.

Transcript Highlights:

• True, but I know that there are exact, I mean, there are better sort of software programs.

Bills: HB2015, HB2060, HB2129, HB2170, HB2210, HB2228, HB2352, HB2460, HB2533, SB1019, SB1045, SB1050, SB1078, SB1083, SB1167, SB1184, SCR1006

Keywords: budget procedures, late filing penalty, accounting standards, financial reporting, state appropriations, abortion, educational institutions, health education, state aid, public schools, municipal libraries, annual reporting, state legislation, transparency, government accountability, procurement, foreign adversary, China, state contracts, information technology

Summary: The committee first handled Senate Bill 1045, which would bar cities, towns, and counties from taxing or charging fees on the use of blockchain technology in residences, with limited exceptions. The sponsor said the bill was a repeat of a measure vetoed the prior year and framed it as a tax-preemption issue. There was no testimony, and the bill was moved and passed out of committee on a 4-3 vote. The committee then heard Senate Bill 1019, which would prohibit the addition of fluoride to public water systems. Senator Shamp argued the bill was about health freedom, informed consent, and emerging research she said raised concerns about fluoride’s benefits and possible neurodevelopmental risks. Opponents, including representatives of Arizona dental and public health groups, testified that community water fluoridation is safe, effective, and especially important for low-income and rural communities with limited dental access. After extended debate, the bill received a do pass recommendation on a 4-3 vote. Senate Bill 1050 would provide free lifetime state park passes to Arizona veterans. State Parks testified neutrally but warned the measure could reduce revenue used to support park operations and rural economies; the sponsor said the bill was prompted by a park visit where veterans were charged admission. The committee also approved SB 1050 on a 4-3 vote. Later, SB 1078, dealing with de novo review in public records denial cases, passed unanimously after support from the Goldwater Institute, and SB 1083, which would prevent HOAs and condo associations from banning certain lighted home address devices for emergency response, also passed after testimony from the sponsor and a homeowners coalition.

Transcript Highlights:

• The updated fiscal plan covers development of new software that safeguards patients' information at every

Bills: HB 107, HB742, HB1639, HB1700, HB2071, HB2187, HB2402, HB2516, HB3211, HB4529, HB5342, HB694, HB923, HB4655

Keywords: sickle cell disease, registry, health data, confidentiality, healthcare access, human trafficking, first responders, health care, training, reporting, protection, cancer, female firefighters, health study, state health services, fire protection, telemedicine, teledentistry, telehealth, health records

Summary: The committee heard testimony on a series of health and human services bills and left each one pending after public testimony. HB 4655 would expand financial literacy instruction for youth aging out of foster care to include credit scores, predatory lending, scams, banking, budgeting, and related consumer topics; the sponsor and Buckner International described the need to protect foster youth from financial pitfalls. HB 923 would add three public members and one physician to the Texas Medical Disclosure Panel; supporters said it would improve informed consent and patient voice, while a witness raised concerns about a House amendment requiring a physician majority for decisions and senators questioned scope-of-practice limits. HHSC said the panel is an independent body and the bill expressly bars it from changing scope of practice.

Transcript Highlights:

• proposal to add three positions to the program and trailer bill language requiring tax preparation software

Summary: The committee’s first major discussion focused on higher education facilities across UC, CSU, and the community colleges, with Chair Alvarez framing the issue as a final budget hearing before the May Revise. The LAO presented findings that campuses have grown substantially in buildings and square footage, while classroom and lab utilization remains below legislative standards and deferred maintenance backlogs continue to rise. The LAO also emphasized that the state and segments lack comprehensive data on capital renewal spending and recommended better reporting, clearer funding targets, and long-term planning for renewal and maintenance. UC, CSU, and community college representatives each described large five-year capital plans, aging facilities, seismic and deferred maintenance needs, and the role of student housing, while noting that construction costs are rising faster than inflation. Members questioned the segments about debt service, utilization rates, and how projects are prioritized. UC said its debt service tied to state support is about $665 million annually and described a $30 billion five-year capital financial plan, including housing, medical centers, and building renewal. CSU said it has about $31 billion in five-year needs and more than $8 billion in deferred maintenance, with funding coming from a mix of state-related and one-time sources since the state shifted capital responsibility to CSU. Community colleges said their unmet facilities needs total about $33.5 billion and explained their use of a scoring matrix and FUSION system to rank projects. The chair and members pressed all three systems to better distinguish between projects that are truly shovel-ready and those that are long-term needs, and discussed whether facilities condition data, total cost of ownership, and more standardized metrics should guide future bond proposals. The committee then turned to Proposition 2 and the Governor’s proposed community college capital outlay projects. The Department of Finance said Prop. 2 provides $1.5 billion for community colleges and that the Governor’s budget proposes 29 projects, with two continuing Prop. 51 projects also included. The LAO supported the overall use of the funds but raised concerns about the current 65/35 split between modernization and growth, the unusually large share of gymnasium projects, and some scoring metrics that favor larger campuses and certain regions. Community college officials said the scoring system was developed through participatory governance and would take one to two years to revise, but they supported the funding and agreed to follow up on questions about project categories and the rationale for the weighting. Members also suggested giving more weight to modernization, regional access, and intersegmental or collaborative projects. A final item addressed the CalKids program. The Department of Finance proposed $56,000 ongoing General Fund for three positions, while the LAO recommended approving two positions but rejecting a manager position until the current $7.5 million marketing campaign is evaluated. ScholarShare’s executive director said CalKids has enrolled more than 5 million children, with nearly 600,000 claims and over $45 million distributed, and argued that additional staff and outreach are needed to reach a goal of 1 million claimed scholarships by the end of 2025 and to implement AB 2808. Members asked about marketing effectiveness, data sharing, and eligibility rules, and the program said it is expanding partnerships with Cradle to Career and CSAC. No final vote was taken in the hearing, and the chair indicated the facilities item would be held open.

Transcript Highlights:

• I was often the lone female in my coursework and on the software engineering team when we drove to Tampa

Summary: The committee heard and voted on two higher education bills before moving to a long series of university and college board appointment confirmations. CS/SB 742 would let charter schools directly access the Workforce Development Capitalization Incentive Grant Program for career and technical education programs tied to industry certifications, and would expand the money-back guarantee requirement from three to six programs at career centers and Florida College System institutions. A question was raised about whether the charter school access could reduce district funding or grant availability; the sponsor said it could, depending on available funds. The bill was supported by one appearance form and was reported favorably. The committee also heard SB 892, which codifies the Florida State University Election Law Center so it can continue and receive recurring funding. The sponsor and FSU witnesses said the center is nonpartisan and focused on evidence-based research, especially on election administration issues related to natural disasters and public confidence in elections. After testimony and questions, including about the center’s scope and funding, the bill was reported favorably. The remainder of the meeting consisted of testimony from numerous appointees to boards of trustees for state colleges and universities, including Tallahassee State College, Valencia College, New College, Pensacola State College, Florida Gulf Coast University, University of North Florida, St. Johns River State College, Palm Beach State College, Santa Fe College, Daytona State College, and Florida Atlantic University. Most nominees emphasized their personal ties to the institutions, support for workforce education, student success, and local economic development. Several highlighted priorities such as keeping tuition affordable, expanding internships and career pathways, strengthening nursing and other workforce programs, and improving graduation and retention rates. Some appointees also described campus-specific goals, including research growth at FAU and Harbor Branch, community engagement at New College, and continued support for health care workforce partnerships at FGCU. The most notable exchange came during testimony from Dr. Joel Rudman for the Pensacola State College board, where Senator Leek questioned him extensively about prior public comments that appeared to reference threats and drug testing legislators. Rudman said his remarks were aimed at Florida House members and not the Senate, denied any knowledge of illicit drug use by current or former senators, and said he was speaking candidly as a private citizen. Public testimony on his nomination included both support and strong opposition, with one speaker praising his community service and another warning about his alleged disruptive behavior and social media posts. The committee also heard from several supporters and appointees who were not questioned further, and the meeting ended with plans to vote on the appointments after all testimony was completed.

Transcript Highlights:

• Force pilot and an astronaut, Jared found out that he was smarter than most and started a disruptive software

Keywords: state policy, governance, legislative processes, public concerns, policy improvement

Summary: During the committee meeting, various issues surrounding state policy and governance were deliberated. Although the specifics of bills under discussion were not highlighted, comments from several committee members indicated a focus on improving legislative processes and addressing public concerns. The chairman facilitated discussions that included several points of critique as well as suggestions for enhancement of existing laws. The atmosphere remained constructive despite the complexity of the topics at hand.

Transcript Highlights:

• One of them is that this measure requires a technology solution in the form of software that can.

Keywords: 988, house, all

Transcript Highlights:

• So, you know, if it's a given kind of card and it's a seller's software who's got a 30% chargeback rate

Bills: SB231, SB584, SB600, SB668, SB841, SB986, SB1003, SB1244, SB1625, SB1960, SB1963, SB1964, SB2026, SB2056, SB2368

Keywords: temporary emergency electric energy facility, temporary generation, emergency power, backup generation, mobile generator, portable generator, grid resilience, power outage restoration, transmission and distribution utility, TDU, Public Utility Commission of Texas, PUCT, Utilities Code Section 39.918, competitive bidding, lease authorization, emergency procurement, bulk power system, locational marginal pricing, reliability model, black start

Transcript Highlights:

• It is ensuring that software and applications allowed are compliant with all of the relevant data retention

Transcript Highlights:

• That meant that our public service hours were not there. software, there are processing times for filing

Keywords: 988, house, all

Transcript Highlights:

• You know, we've got fraud prevention software we're providing to the attorneys.

Summary: The Judiciary Committee met with a quorum present and considered several bills. SB 106 on exploitation of vulnerable adults would allow service of process on scammers through the same nontraditional communication methods they use; it passed 8-0. CS/SB 280 on candidate qualification would create an enforceable party-affiliation requirement and a private right of action to disqualify noncompliant candidates; it passed unanimously. CS/SB 948 on flood disclosures was amended to extend disclosure requirements to residential leases, condo developer leases, and mobile homes, with tenant remedies if disclosures are not provided and flooding causes major losses; it passed 8-0. The committee also advanced CS/SB 498 on IOTA interest rates after a lengthy debate over legal aid funding and bank regulation. Supporters argued the bill would restore sustainability and fairness to the program by setting alternative interest-rate benchmarks, while opponents said it would cut funding for civil legal aid and that banks participate voluntarily. After testimony from legal aid leaders and bankers, the bill passed 7-2. SB 774, requiring clerks to electronically transmit certain mental health, substance abuse, and risk protection orders to sheriffs within six hours, was presented in response to a fatal Volusia County incident and passed 11-0. CS/SB 752 on defamation and online publication was amended to require removal from a website rather than the internet, then passed 8-2 after testimony from the media, a private attorney, and supporters who said it would help people harmed by false online reports. The committee also heard SB 832 on former phosphate mining lands, which would create a narrow defense against strict liability claims if notice and gamma radiation survey requirements are met. The bill was amended to clarify notice provisions and received support from industry and technical witnesses describing radiation surveys and reclamation practices. The transcript cuts off before the final vote on SB 832, so no committee action on that bill is shown in the excerpt.

Transcript Highlights:

• It's a complex software, but it's taking too long to deploy.

Keywords: veteran services, homelessness, unemployment, VA funding, mental health, congressional oversight, testimonies, American Legion, Dole Act, suicide prevention

Summary: This meeting focused on veteran services, emphasizing the urgent need to address the alarming rate of unemployment and homelessness among veterans. Numerous testimonies were presented detailing the impact of mass furloughs and cutbacks at the VA on personnel, notably veterans who were serving as employees. Various representatives expressed deep concern over how these firings could drastically affect the quality of care available to those who have served the nation. There was a strong call for Congress to bolster funding for existing programs aimed at alleviating veteran homelessness and improving overall care quality, especially in mental health services.

Transcript Highlights:

• skiffs, ships, but you can build the right equipment, put it all in, install it, have the right software

Summary: The subcommittee first heard an overview from Department of Education Chancellor Paul Burns on Florida’s K-12 governance structure and major divisions, including early learning, public schools, safe schools, school choice, and accountability. He highlighted school readiness and VPK, teacher preparation and licensure, school safety functions, scholarship and virtual/home education programs, and FAST progress monitoring. Burns also cited statewide gains such as higher mid-year reading performance, a record graduation rate of 89.7%, and record CTE enrollment, while members questioned the meaning of Florida’s “number one” education rankings, teacher pay, post-COVID learning loss, vacancies, and chronic absenteeism. St. Lucie County Superintendent John Prince then described the scale and responsibilities of a mid-sized district, emphasizing student safety, transportation, meals, hurricane shelter operations, career and technical education, teacher recruitment and retention, progress monitoring, remediation, and mental health supports. Members asked about school shelter construction standards, remediation funding, late school start times, attendance, and concordance scores; Prince argued for more flexibility for CTE pathways and noted that local districts use a mix of state and federal funds to support remediation and staffing. The committee then moved to an early warning systems panel. Burns explained that Florida law requires districts to use attendance, behavior/suspensions, course performance, FAST results, and other academic indicators to identify students needing support, with districts and families developing intervention plans. Superintendents from Putnam, St. Johns, and St. Lucie counties said chronic absenteeism is tied to achievement and NAEP decline, but causes vary by district, including poverty, transportation, daycare, family instability, travel, and student athletics. They described MTSS, PBIS, home visits, attendance letters, and community partnerships as responses. Members also discussed VPK access, full-day VPK funding, excused versus unexcused absences, and the need for earlier intervention in pre-K and K-2. Finally, Vice Chancellor Darren Norris outlined Florida’s post-Parkland school safety measures, including armed school officers, anonymous reporting, behavioral threat assessment teams, mental health training, panic alert systems, emergency drills, active assailant response policies, and firearm detection canines. Superintendents said compliance is costly and often requires shifting local funds, but they praised state grants for mental health, hardening, and mapping. They noted ongoing challenges with new mandates, capital costs, manual reporting burdens, and the need to balance safety requirements with classroom resources.

Transcript Highlights:

• So I've been in health care since 2001, wrote software packages in health care, have physician offices

Summary: The Health Care Budget Subcommittee met to organize the new term, take roll, and hear introductory presentations from the six agencies under its jurisdiction: the Agency for Health Care Administration, Agency for Persons with Disabilities, Department of Children and Families, Department of Elder Affairs, Department of Health, and Department of Veterans’ Affairs. The chair outlined the committee process, including assigning members to review agencies and make budget recommendations. Each agency head gave a high-level overview of their budget, staffing, major programs, and priorities, with recurring themes including Medicaid, long-term care, disability services, child welfare, mental health, aging services, public health, and veterans’ health care. Several agency leaders highlighted recent initiatives and funding priorities. AHCA emphasized Medicaid managed care, provider regulation, Hope Florida, hospital-at-home, and cancer-related efforts; APD discussed iBudget services, Hope Florida, a managed-care pilot, online applications, and forensic care costs; DCF focused on child protection, foster care, adult protective services, food/cash/medical assistance, mental health, and opioid treatment; Elder Affairs highlighted Alzheimer’s services, community-based senior care, guardianship, ombudsman services, and disaster outreach; DOH covered cancer innovation, maternal telehealth, cybersecurity, HIV/hepatitis/syphilis screening, and school nursing; and Veterans Affairs described benefits and health care access for veterans, long-term care, and federal reimbursement. Several speakers also raised concerns about rising costs, provider rates, disaster response, and access to services. The committee heard two public comments from disability advocates about Medicaid redeterminations affecting iBudget waiver recipients and provider payment delays. In response, AHCA and APD said they were coordinating on data sharing, early outreach, escalation processes, and efforts to reduce disenrollments and make recertification smoother. Members then asked questions about provider rates, opioid settlement spending, managed care quality measures, pediatric rare disease grants, group home transparency, senior outreach, ABA services moving into managed care, annual Medicaid recertification, veterans’ service utilization, waiting lists for elder services, and prevention spending. No formal votes were taken during the meeting.

Transcript Highlights:

• Our company does hardware, software, sheet metal, wiring harnesses, customer support, and we've kept
• Those are the places that we got that gave us the lead that we have in software in the computer industry
• Those are the places that we got that gave us the lead that we have in software in the computer industry
• we have<09:35:49.916> in<09:35:50.720> in<09:35:50.800> in<09:35:51.360> software
• in the computer have in in in software in the computer industry.<09:35:54.000> GPS<09:35:54.480

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, September 17, 2025, 1012, house, all

Transcript Highlights:

• These slides are also embedded into the agenda for everyone as well, too.

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:

• It removes a hidden cost embedded in outdated building and health code requirements that no longer reflect

Keywords: 987, senate, all