Transcript Highlights:

• s guardians have agreed to settle the case for $600,000.
• So are we saying that these are just for existing units? You're going to be allowing more units?
• In that case, the tourist development tax would be reapproved before 2029, or before 2033 in the case
• of a lease case.
• of a lease case.

Summary: The committee took up several claims bills first and reported both favorably without debate. SB 20, relating to relief of J.N., a minor, would pay the remaining $400,000 of a $600,000 settlement after an 11-year-old was injured on a Hillsborough County sidewalk with a known defect; SB 14, relating to the estate of Pineal Januier, would authorize payment of the remaining $1.7 million of a $2 million settlement after a drowning at a Miami Beach youth center pool. Both bills were supported by the sponsors and the Senate Special Master’s favorable recommendations, and both passed on roll call votes. The committee then considered SJR 1510 and its implementing bill, SB 1512, both by Senator Avila, which would create a new property tax benefit for owners who lease a non-homestead residential property for more than six months in order to encourage more affordable rental housing. Local governments, the Florida League of Cities, and the Florida Association of Counties opposed the proposal, warning of major revenue losses, impacts on public safety and services, and uncertainty for local budgets; several senators also questioned whether landlords would pass savings on to renters and whether the measure would worsen density and parking issues. Despite the opposition, both measures were reported favorably after the sponsor said the bills would be refined and revised. SB 674, by Senator Wright, was reported favorably with support from property appraisers who said it would let them budget and pay hiring or retention bonuses, similar to authority already given to tax collectors, to help compete for specialized staff. CS for CS SB 268, by Senator Jones, also passed after an amendment adding congressional members; the bill would create a public-records exemption for certain home-address information for elected officials, and debate centered on balancing transparency with safety after members described death threats and harassment. The committee then approved SB 100, by Senator Fine, which would bar government buildings from displaying flags representing political viewpoints and allow active or retired military or National Guard members to use reasonable force to stop desecration of the U.S. flag; the bill drew extensive opposition from transparency, civil rights, and LGBTQ advocates who argued it was vague, unconstitutional, and aimed at pride flags, while supporters said government should not endorse political messages. Finally, CS for SB 1664, by Senator Trumbull, was reported favorably after a strike-all amendment. The bill would require voter reapproval every eight years for certain local discretionary taxes, including tourist development taxes and some local option taxes, unless pledged to revenue bonds. Cities, counties, tourism groups, and the lodging industry opposed it, saying the measure would create uncertainty, threaten tourism marketing and beach restoration funding, and make long-term infrastructure and debt planning difficult. Senator Trumbull argued the proposal simply gives voters a recurring chance to decide whether they still support the taxes and the projects they fund.

Transcript Highlights:

• Madam Chair, I would say that it is actually on a case-by-case basis, by the notice of the concerning
• On page three, we talk about egregious violations of the United States Charter or the United Nations
• So on page 5, line 13, before the word governor, add: President of the United States, comma, United States
• add chief of mission of the United States Embassy in Venezuela.
• Madam Chair, I would accept the first two: President of the United States and United States Secretary

Keywords: 996, all

Transcript Highlights:

• typically the Witnesses in those cases typically the Witnesses in those cases would<01:34:25.639
• <01:45:32.800> um treated as a Target selection case um treated as a Target selection case
• Next, a testimony from Deja Arski, welcome, please proceed. ...case-by-case basis which records contain
• tenant's name from their eviction case tenant's name from their eviction case so<02:13:55.239>
• They note that even if a case is sealed currently, searching a person's name still brings up the case

Keywords: 910, house, all

Summary: The House Committee on Judiciary and Hawaiian Affairs met on February 19, 2025, and first heard House Bill 150, which would prohibit lending a firearm to someone who does not have a firearm permit or a registered firearm. The Department of Law Enforcement and the Honolulu Police Department supported the bill, though HPD said enforcing any time limit on a loaned firearm would be difficult. Several members of the public opposed the measure, arguing it would interfere with lawful lending for hunting, competitions, training, military-related use, and family situations, and could create unintended criminal liability. One supporter said the bill would strengthen gun safety and encourage more responsible ownership. No vote was taken during the testimony portion described. The committee then heard House Bill 186, which would make harassment by stalking a class C felony. The Office of the Public Defender requested deferral, arguing the bill would remove a misdemeanor option that can help deter escalation and could be unnecessarily severe and burdensome. Honolulu Police Department supported the bill, saying stalking can be a precursor to more serious violence. The Hawaiʻi State Coalition Against Domestic Violence and the Department of the Prosecuting Attorney raised concerns about how the new felony would fit within the existing grading scheme, noting that aggravated harassment by stalking and first-degree terroristic threatening are already class C felonies. April Bautista testified in strong support, describing her own experience with domestic violence and stalking and urging passage of the bill. Committee members discussed whether other penalty structures might be possible, but no final action was taken in the portion provided. The committee also heard House Bill 991, which would delete the term “agent of the contractor” from criminal history record check provisions to comply with FBI requirements. The Hawaii Criminal Justice Data Center supported the bill with comments, explaining that the FBI had found the term too broad for fingerprint-based background checks tied to access to federal tax information. In addition, House Bill 995 was introduced, changing deadlines for annual firearms carry reporting; the Department of the Attorney General supported it, saying the revised deadlines would allow a more complete report, and HPD was also heard on the measure. The transcript ends before any votes or final committee actions on these bills.

Transcript Highlights:

• No, that is not the case.
• unit of $100,000.
• Oh, so in that case you get more than the OHRV case, absolutely.
• Accounting Unit 2288 on page 765.
• One-page report is strictly the accounting unit 2117 and the activity in that accounting unit.

Keywords: 928, house, all

Summary: The committee heard a presentation from the University System of New Hampshire chancellor on the system’s budget, enrollment, finances, workforce role, and response to federal policy changes. The chancellor said the governor’s recommended budget would reduce university system funding by about $16.5 million over the biennium, or roughly 8.3%, and asked that state funding be held at the governor’s level. She described planned cost reductions already underway, including lower headcount, reduced benefits and retirement contributions, property sales, and lease reductions, and said the system expects to remove about $20 million from its cost structure in fiscal year 2026. A large portion of the discussion focused on enrollment and finances. The chancellor said fall 2024 enrollment was about 23,000, with New Hampshire enrollment increasing for the first time since 2013, and noted that the system remains a major workforce pipeline, with about 3,000 graduates entering the state workforce each year. She explained that net tuition has fallen over time because of declining enrollment and increased financial aid, while research grants and contracts have grown significantly. She also walked through endowment funding, explaining that payouts are based on a 12-quarter rolling average and are intentionally smoothed to reduce volatility; members asked for follow-up information on payout comparisons, administrative salaries, headcounts, and compensation per student. Members questioned the university about the relationship between state support, tuition, endowments, and research spending. The chancellor said the system has used state capital support to leverage major investments, including the UNH Life Sciences building, Plymouth’s Hyde Hall, and the Olson Advanced Manufacturing Center, and described partnerships with businesses such as Lonza and regional manufacturers. She also explained a long-running New Hampshire 529-related revenue stream that has built endowment support for scholarships, and said the system’s endowment now totals about $988 million. In response to questions about possible cuts, she said the system is considering academic program sharing, consolidation of specialties, online delivery, AI-assisted administrative efficiencies, and footprint reductions, but declined to name specific programs. The committee also discussed DEI-related issues and federal grants. The chancellor said the system is reviewing executive orders and a U.S. Department of Education Dear Colleague letter, and that general counsel is working through websites, programs, and more than 1,200 federal grants to ensure compliance. She said the system spends about $3 million on what it calls DEI-related offices and services, but emphasized that these services include disability support, veteran support, Title IX, ADA, and employment-law compliance, and that the system does not have race-based programs, separate housing, or separate graduation ceremonies. She reported that the system had received stop-work orders on four federal grants totaling about $700,000 and warned that reductions in federal direct or indirect costs could affect research, jobs, and innovation.

Transcript Highlights:

• But as our medical assistance budget grows, so too must the Medicaid fraud control unit.
• Minnesota's Medicaid fraud control unit has existed for over 40 years.
• <00:01:58.759> it investigating these sorts of cases it investigating these sorts of cases
• in that same time our fraud control unit in that same time our units<00:04:10.560> won<00:04:
• similarly sized Medicaid fraud units similarly sized Medicaid fraud units we've<00:05:04.880>

Keywords: 1183, house

Transcript Highlights:

• Most of the activities that we fund are loans, in some cases, soft loans, and in some cases, amortizing
• This is where we have one of the highest numbers of units that we produce, with a little over 2,200 units
• They're all rental units, multi-family rental units, primarily in Santa Fe and Albuquerque, although
• It really is on a case-by-case basis; they look at specifics for investigations.
• We do receive those complaints as well, and they are taken on a case-by-case basis, depending on that

Transcript Highlights:

• I'm a social worker, case manager for a long time.
• I know that there has been one test case, one single case, with the Court of Appeals here in Missouri
• on a products liability case.
• I'm not familiar with what would be the case if that were to happen.
• I'm talking about high schools in particular in this case.

Keywords: 959, house, all

Transcript Highlights:

• But in the case of the pandemic, for example, clearly, it was...
• There's multiple different units that we have.
• In your units or in your... in all of the units, a peace officer? Yes, sir. Okay.
• For example, I have a case that we worked; he's a child exploitation. case.
• So our child exploitation unit got with our guys on the fugitive apprehension unit and he was able to

Bills: HB842, HB1907, HB2844, HB2892, HB3439, HB4211, HB4536, HB5111, HB5138, HB5182, HB5247, HB5269, HB5323, HB5435, HJR201, SB871, HB3896, SJR40

Keywords: power lines, Gulf Coast, weather-related outages, Public Utility Commission, infrastructure, government contracts, Chinese companies, information technology, cybersecurity, state regulations, food safety, mobile vendors, licensing, permitting exemptions, health inspections, nonprofit organizations, personal information, government disclosure, privacy, criminal penalties

Transcript Highlights:

• to be back reunited with their cases to be back reunited with their families.<00:09:52.200> We
• And this is the case with Andrea.
• And in her case, the purpose of surgery is fourfold. One is to get rid of the constant pain.
• Um, most likely, as in her case, but in most cases, as long as you're not a danger to the community,
• largest detention facility in the United largest detention facility in the United States<00:26:43.200

Keywords: 918, senate, all

Summary: The meeting focused on the detention of Andrea Pedro Francisco, a 23-year-old Burnsville resident and Minnesota constituent who was detained by ICE and transferred from Camp East Montana in El Paso to the El Paso Processing and Detention Center while awaiting surgery for a large ovarian cyst. Senator Lindsey Port, Congresswoman Angie Craig, and Senator Alese Matson argued that she has been denied adequate medical care, receiving only Tylenol and constipation medication despite an emergency room confirming she needs surgery. They said the delay could lead to severe pain, bleeding, loss of fertility, infection, or death, and repeatedly called for her immediate release on humanitarian parole. Pastor Ellery Deikman described visiting Andrea in detention with other clergy and her lawyer, saying she appeared thin, in pain, and deeply distressed, though she brightened when told people in Minnesota were praying for her. He and others framed her situation as a humanitarian and human rights issue, criticizing the detention system as punitive and for-profit. Senator Matson, who is also a physician, explained that the standard treatment for a cyst of this size would be surgery and that waiting is medically dangerous. Participants also said Andrea had been in detention for close to 80 days, had limited access to legal and medical records, and had been separated from family and faith community. The speakers tied Andrea’s case to broader concerns about immigration enforcement under the current administration, saying detentions and arrests have increased sharply and that many detainees have no criminal record. Vicki Schmidt of Abriendo Fronteras said detention numbers and costs have risen, conditions are often inhumane, and many people are being held in for-profit facilities. She and others urged support for HR 7335, the Humanitarian Standards for Individuals in ICE and CBP Custody Act, and called on DHS to grant Andrea parole immediately. In the question-and-answer portion, the physician-senator reiterated that surgery is the only treatment, that the condition could worsen at any time, and that prior practice generally allowed asylum seekers to remain in the community while their cases proceeded if they were not a danger.

Transcript Highlights:

• But that's not always the case.
• But that's not always the case.
• That wasn't the case necessarily here, but that frequently is the case.
• And in this case, it's not the old schools.
• And in this case, it's not the old schools.

Transcript Highlights:

• Currently, our industry produces just north of 7,000 units a year.
• cities in the United States.
• It's because our housing units are housing fewer people.
• housing unit someone can build or buy.
• What is there, a mobile service unit or...

Bills: SB211, SB131, SB183, SB222, SB246, SB254

Keywords: appropriation, local government, Las Vegas, Rodriguez Park, public facilities, zoning reform, building regulations, residential apartments, commercial use, multigenerational housing, local government authority, healthcare, urgent care, emergency services, feasibility study, medical facilities, physician training, medical residency, New Mexico, massage therapy

Transcript Highlights:

• Again, to fund vertical prosecution for human trafficking cases.
• as a single-celled honor housing unit for level three participants.
• able to actually work the case.
• We brought up cases.
• Tana Opliger with Californians United for a Responsible Budget.

Summary: Assembly Budget Subcommittee No. 6 heard the Governor’s May Revision proposals for the judicial branch, the Board of State and Community Corrections, the Department of Justice, and the California Department of Corrections and Rehabilitation. The Legislative Analyst’s Office opened with a warning that the state budget remains structurally imbalanced and urged the Legislature to avoid new ongoing spending unless offset by reductions elsewhere. In the judicial branch discussion, the Judicial Council highlighted language access funding, appellate court security, a backfill for the state court facilities construction fund, and an extension of the lactation room mandate; Finance supported most items but suggested reporting language on interpreter costs and reducing the General Fund backfill. Members raised concerns about judicial vacancies, long-term salary freezes, remote hearings, and the lack of progress on court staffing in some counties. For the Board of State and Community Corrections, the administration proposed $10 million one-time each for the Missing and Murdered Indigenous People grant program and a human trafficking vertical prosecution grant program. The LAO said both should be weighed against other priorities and suggested the Legislature consider whether the Tribal Nations Grant Fund could support MMIP work, while Finance said it preferred General Fund support and wanted more review before any fund swap. Members strongly supported MMIP funding and asked whether ongoing support would be considered. On the human trafficking grant, Finance said BSC was a good fit because of its grant administration experience and prior vertical prosecution work, while legislators asked why the program was not placed with the Office of Emergency Services as originally contemplated in prior legislation. The Department of Justice presented antitrust litigation funding, Medi-Cal Fraud and Elder Abuse staffing, completion of organized retail criminal enterprise cases, and trailer bill language for a continuous appropriation from the Victims of Consumer Fraud Restitution Fund. The LAO supported the antitrust account use but questioned the Unfair Competition Law Fund’s ability to cover the full request without General Fund repayment, and recommended against a continuous appropriation for the restitution fund in favor of a more limited mechanism with legislative oversight. Finance said the fund would remain solvent and defended the continuous appropriation as necessary to pay victims promptly. In the CDCR portion, the largest discussion centered on the Boston Consulting Group efficiency review and sharply reduced savings estimates; LAO said the department had not fully explained the proposed position eliminations or future $100 million savings target, while Finance said the work reflected deeper analysis and ongoing efforts to find savings. Members repeatedly pressed CDCR and Finance on the gap between earlier promised savings and the revised figures. CDCR also outlined population projections showing continued declines in prison and parole populations, while LAO again urged the state to close an additional prison to save ongoing costs. The department then walked through several May Revision items, including workers’ compensation funding, a Corcoran honor housing dorm, incarcerated firefighter pay implementation, an incarcerated menopause program, mental health receiver staffing, mental health resource teams and crisis intervention teams, medical classification staffing changes, and AI note-taking for the electronic health record. LAO generally recommended limiting-term funding and more reporting for many of these proposals, while Finance defended them as necessary ongoing investments or court-ordered obligations. Members questioned the cost of workers’ compensation, the need for more prison closures, the lack of funding for women’s facility violence prevention, and the timing and transparency of the BCG savings process. No votes were taken.

Transcript Highlights:

• Frankly, I filed about 80% of the cases that were lodged there.
• We would have to shut down the case, go to Circuit Court to have the matter heard, then have the case
• We would have to shut down the case, go to Circuit Court to have the matter heard, then have the case
• So that varies from case to case.
• <00:28:30.600> and then we have to reopen the case and then we have to reopen the case and

Keywords: 910, house, all

Transcript Highlights:

• we've handled, how many cases we've settled, how many cases the attorney general's office has settled
• So that's kind of our case.
• many case we've settled how many cases many case we've settled how many cases the<00:07:46.880><
• One of our teams is hearing cases today. I'll be hearing cases again this week.
• There's a special investigations unit. There's a special investigations unit.

Keywords: 1191, senate, all

Transcript Highlights:

• We have many pending cases in the civil division, including tort suits.
• What can you tell us about your involvement in that case and what your involvement in that case sort
• In a way that goes beyond the parties to the case, but applies nationwide or in some cases universally
• What's the United States Supreme Court opinion?
• case.

Keywords: John Eisenberg, assistant attorney general, national security, China Initiative, Department of Justice, judicial authority, executive actions, nomination hearing

Summary: The committee meeting primarily involved discussions around key nominations and pressing legal issues pertaining to the Department of Justice. Notable discussions included the nomination of John Eisenberg for assistant attorney general for national security, where concerns over the revival of the China Initiative were raised. Senators expressed significant apprehensions regarding previous actions taken under this initiative and its implications for national security. Additionally, there were critiques of the broader implications of executive actions that challenge judicial authority, aligning with ongoing dialogues about the integrity of the judiciary and executive oversight.

Transcript Highlights:

• The committee has certainly heard about this case for a very long time.
• and remanded the case back to the special master for trial.
• I can tell you that the lead attorney on the case was Jeff Wexler.
• It's sort of the foundational case.
• Is that the same case, or has that been resolved now? Mr.

Transcript Highlights:

• And so hopefully this will help us in many cases.
• That would be the United States, Mexico, and Cuba.
• We would like for this bill to apply to those cases as well as cases against defense contractors.
• States and defend the Constitution of the United States.
• States and defend the Constitution of the United States.

Bills: SB801, SB1200, SB1410, SB1717, SB1862, SB1863, SB2216, SB2681, SB506, SB2626, SJR63

Keywords: SB 801, birth certificate, birth record, certified copy, homeless, homelessness, unhoused, vital records, state registrar, local registrar, county clerk, fee waiver, identity documents, ID access, housing insecurity, shelter, transitional housing, Health and Safety Code, HHSC, Health and Human Services Commission

Summary: The Senate Committee on State Affairs heard testimony on several bills, with most measures left pending after public testimony closed. SB 801, by Sen. Menéndez, would require DSHS and local clerks to issue birth certificates at no cost to people experiencing homelessness. The author and Maria Benavides of SA Youth said the fee and mailing requirements are major barriers to obtaining ID, housing, and work, and Benavides described clients who were able to secure housing and employment after getting birth records and IDs through her program. The bill was left pending. The committee also heard a set of bills related to the Gulf of Mexico/Gulf of America naming issue: SB 1410 would require state agencies to use “Gulf of Mexico” in official documents, SB 1717 would conform state law to the federal renaming to “Gulf of America,” and SJR 63 would amend the Texas Constitution to match that change. Support testimony for the latter two emphasized alignment with federal action and the use of different geographic names by different countries. All three measures were left pending. Members then heard SB 1200, which would require plaintiffs suing defense contractors to disclose in discovery whether they are receiving litigation funding from adversarial nations such as China, Russia, or Cuba. The author and Texans for Lawsuit Reform said the bill targets third-party litigation funding and foreign influence on lawsuits, especially those affecting defense contractors; the committee substitute narrowed the definition of defense contractor and expanded applicability to actions involving defense contractors’ activities. SB 2626, which requires continuing medical education on pregnancy-related emergencies for OB-GYN physicians and nurses, drew support from witnesses who said it would reduce confusion about Texas abortion law and improve care in emergencies. SB 506, SB 2681, SB 1862, SB 1863, and SB 2216 all focused on elections, including ballot language standards, voter registration challenges, interstate voter-roll cleanup, procedural audits, and election equipment security; testimony split between supporters who said the bills improve transparency and integrity and opponents who warned of vague standards, added costs, and possible voter disenfranchisement. Each of those bills was left pending after testimony.

Transcript Highlights:

• , the proceeding of the case will say how does the defendant plead.
• But that is not the case.
• These are not cases you have all heard of.
• But the overwhelming majority of these cases are misdemeanors.
• We do it all the time for drug trafficking cases.

Bills: SJR2, SB4, SJR36, SJR2, SB4, SJR1, SJR5, SB9, SB40, SJR2, SB4, SR98, SJR40, SJR41, SJR42, SJR43, SJR44, SJR45, SJR46, SJR47, SCR13, SB6, SB13, SB21, SB826, SB827, SB828, SB829, SB830, SB831, SB832, SB833, SB834, SB835, SB836, SB837, SB838, SB839, SB840, SB841, SB842, SB843, SB844, SB845, SB846, SB847, SB848, SB849, SB850, SB851, SB853, SB854, SB855, SB856, SB857, SB858, SB859, SB860, SB861, SB862, SB863, SB864, SB865, SB866, SB867, SB868, SB869, SB870, SB871, SB872, SB873, SB874, SB875, SB876, SB877, SB878, SB879, SB880, SB881, SB882, SB883, SB884, SB885, SB886, SB887, SB888, SB889, SB890, SB891, SB892, SB893, SB894, SB895, SB896, SB897, SB898, SB899, SB900, SB901, SB902, SB903, SB904, SB905, SB906, SB907, SB908, SB909, SB910, SB911, SB912, SB913, SB914, SB915, SB916, SB917, SB918, SB919, SB920, SB921, SB922, SB923, SB924, SB925, SB926, SB927, SB928, SB929, SB930, SB931, SB932, SB933, SB934, SB935, SB936, SB937, SB938, SB939, SB940, SB941, SB942, SB943, SB944, SB945, SB946, SB947, SB948, SB949, SB950, SB951, SB952, SB953, SB954, SB955, SB956, SB957, SB958, SB959, SB960, SB961, SB962, SB963, SB964, SB965, SB966, SB967, SB968, SB969, SB970, SB971, SB972, SB973, SB974, SB975, SB976, SB977, SB978, SB979, SB980, SB981, SB982, SB983, SB984, SB985, SB986, SB987, SB988, SB989, SB990, SB991, SB992, SB993, SB994, SB995, SB996, SB997, SB998, SB999, SB1000, SJR40, SJR41, SJR42, SJR43, SJR44, SJR45, SJR46, SJR47, SCR13, SB6, SB13, SB21, SB826, SB827, SB828, SB829, SB830, SB831, SB832, SB833, SB834, SB835, SB836, SB837, SB838, SB839, SB840, SB841, SB842, SB843, SB844, SB845, SB846, SB847, SB848, SB849, SB850, SB851, SB853, SB854, SB855, SB856, SB857, SB858, SB859, SB860, SB861, SB862, SB863, SB864, SB865, SB866, SB867, SB868, SB869, SB870, SB871, SB872, SB873, SB874, SB875, SB876, SB877, SB878, SB879, SB880, SB881, SB882, SB883, SB884, SB885, SB886, SB887, SB888, SB889, SB890, SB891, SB892, SB893, SB894, SB895, SB896, SB897, SB898, SB899, SB900, SB901, SB902, SB903, SB904, SB905, SB906, SB907, SB908, SB909, SB910, SB911, SB912, SB913, SB914, SB915, SB916, SB917, SB918, SB919, SB920, SB921, SB922, SB923, SB924, SB925, SB926, SB927, SB928, SB929, SB930, SB931, SB932, SB933, SB934, SB935, SB936, SB937, SB938, SB939, SB940, SB941, SB942, SB943, SB944, SB945, SB946, SB947, SB948, SB949, SB950, SB951, SB952, SB953, SB954, SB955, SB956, SB957, SB958, SB959, SB960, SB961, SB962, SB963, SB964, SB965, SB966, SB967, SB968, SB969, SB970, SB971, SB972, SB973, SB974, SB975, SB976, SB977, SB978, SB979, SB980, SB981, SB982, SB983, SB984, SB985, SB986, SB987, SB988, SB989, SB990, SB991, SB992, SB993, SB994, SB995, SB996, SB997, SB998, SB999, SB1000

Keywords: SJR 2, Senate Joint Resolution 2, constitutional amendment, homestead exemption, 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, senior tax relief, disabled exemption, tax year 2025, voter approval, November 2025 ballot, local government, Ways & Means

Transcript Highlights:

• some of these cases.
• We review cases.
• We had 1,222 cases, maternal mortality. 2021, we had 1,222 cases, maternal mortality.
• And that is just not the case.
• And that is just not the case.

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:

• So again, what we're asking for is to give the commissioner flexibility to determine that on a case-by-case
• So again, what we're asking for is to give the commissioner flexibility to determine that on a case-by-case
• 37:42.240> to<00:37:42.480> determine Commissioner flexibility to determine that on a case-by-case
• Um Montana is now is I United States.
• They're under the United situation.

Bills: HB0116, HB0056

Keywords: water rights, beneficial use, industrial production, hydrogen, applications, public welfare, carbon capture, energy standards, public utilities, environmental regulation, state law, 916, all