Transcript Highlights:

• the expanded practices.
• the expanded practices.
• the expanded practices.
• the expanded practices.
• the expanded practices.

Bills: HB0143, HB0129

Keywords: health care providers, free speech, discrimination, governmental agencies, civil remedies, physician access, internationally trained physicians, medical licensing, provisional license, healthcare workforce, 916, all

Transcript Highlights:

• <00:02:50.600> of right now to prohibit this practice of right now to prohibit this practice
• There was no knowledge that citizens were to have input on that before it happened.
• There was no knowledge that citizens were to have input on that before it happened.
• There was no knowledge that citizens were to have input on that before it happened.
• know and and prohibit this practice. know and and prohibit this practice.

Keywords: 1183, house

Transcript Highlights:

• I see this every day in my practice.
• today or even how we practiced decades ago.
• I've been in private practice in Newton Center for 35 years.
• I've been in private practice in Newton Center for 35 years.
• I have practiced as a pediatric dietitian for nearly seven years.

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on four bills: H. 5013 and S. 2928, which would establish a three-year celiac disease screening pilot program for children during routine cholesterol/lipid screening at ages 8 to 12; H. 5087, regulating medical spas; and H. 5115, establishing statewide food truck regulations, though the transcript focused almost entirely on the celiac and medical spa bills. For the celiac proposal, Rep. Badger and Sen. Lovely described long diagnostic delays, the lack of a cure, and the potential for a simple blood test to identify children earlier and reduce long-term harm. Multiple patients, clinicians, and researchers supported the pilot, saying celiac is frequently missed because symptoms vary widely or are absent, and that early detection could prevent malnutrition, growth problems, osteoporosis, and other complications. Testifiers also emphasized that the bill would study feasibility, accuracy, cost, and acceptability, and would include family education and support resources if diagnoses are made through the program. Several experts and advocates backed the celiac screening pilot, including a pediatric gastroenterologist from Italy who described successful national screening efforts there, a Celiac Disease Foundation representative, pediatric gastroenterologists from Massachusetts and Colorado, a pediatric dietitian, and a parent whose child was diagnosed after severe malnutrition. They argued that routine screening alongside existing pediatric bloodwork could identify many undiagnosed children and improve health equity, since celiac disease is often overlooked in people of color and lower-income patients. Committee members asked about how the screening would work, and witnesses explained it could begin with a blood test, followed by confirmatory endoscopy if needed. No vote was taken in the hearing. On H. 5087, witnesses from the medical aesthetics industry largely opposed the bill as written, saying it was outdated, redundant with existing Massachusetts licensing and board oversight, and too restrictive for nurse practitioners, physician assistants, and other licensed providers. Testifiers, including a retired lobbyist, a nurse practitioner, a PA, a plastic surgeon, and a clinic owner, said the bill could reduce access, raise costs, and push care into less regulated settings, while not addressing the real issues of training, compliance, and patient safety. Committee members pressed for more specific feedback on what provisions were unnecessary or duplicative, and witnesses said they had submitted position papers and written testimony identifying conflicts with current law. The hearing ended with the chair noting that all oral and written testimony would be reviewed before any decisions are made.

Transcript Highlights:

• , I also practice educational law.
• But practicality ain't going to fill it in no seven day.
• They don't have any wealth of wisdom or knowledge or anything.
• They don't have any wealth of wisdom or knowledge or anything.
• They don't have any wealth of wisdom or knowledge or anything.

Bills: HB329, HB8, HB353, HB329, HB8, HB353, HB50, HB78, HB225, SB75, SB209

Keywords: military installations, tall structures, local government, construction approval, wind energy facilities, tobacco regulation, vaping, sales restrictions, youth protection, tobacco compliance, public health, education programs, electronic nicotine delivery systems, judicial compensation, salary adjustments, district attorneys, Judges, local officials, computer science, education reform

Transcript Highlights:

• This is a practical, financial hardship.
• come into the DMV and take the knowledge come into the DMV and take the knowledge test<01:15:47.600
• test and be successful on the knowledge test and be successful on the knowledge test,<01:15:49.920
• practicing to learn. And I'm a witness. practicing to learn. And I'm a witness.
• <02:40:57.920> and where compassion and practicality and where compassion and practicality

Keywords: 1191, senate, all

Transcript Highlights:

• I’ve been practicing fertility medicine for over 20 years.”
• Midwives practicing in birth centers and home birth practices are optimally positioned to provide this
• I'm a physician and have practiced... Can you hear me? Yes.
• And we do the best we can with the knowledge of our patients and the knowledge of this disease to appropriately
• Let them practice their medicine.

Keywords: 995, all

Summary: The hearing opened with the Senate and House chairs of the Joint Committee on Financial Services explaining that the day’s agenda would focus on health insurance and other insurance matters, with a large number of witnesses and a request for brief testimony. Legislators were taken out of order to accommodate their schedules, and the committee heard testimony on several bills, including coverage for hair prostheses for alopecia (H. 1223/S. 832), medically necessary oral and dental care for head and neck cancer survivors (H. 1258), modernizing fertility and family-building coverage (H. 715/H. 1190 and related bills), coverage for prosthetic devices to support physical activity for people with limb loss (the “So Everybody Can Move” bill), remediation coverage for home heating oil releases (S. 813/H. 1302), and expanded access to physical therapy for Ehlers-Danlos syndrome (H. 1170). A separate bill on sickle cell care and registry development (S. 788) was also discussed by Senator Liz Miranda. Witnesses largely offered personal stories and expert testimony in support of the bills. Advocates for alopecia coverage described the medical and emotional impact of hair loss, the high cost of quality wigs, and the argument that scalp and facial hair prostheses should be treated like other medically necessary prosthetics. Cancer survivors and supporters of H. 1258 said oral and dental care after head and neck cancer treatment is a quality-of-life issue and often not covered despite major out-of-pocket costs. Fertility specialists, LGBTQ+ advocates, and legislators supporting the modern family-building bills said the current infertility definition is outdated and discriminatory, excluding same-sex couples, people needing donors or gestational carriers, and others with medical barriers to conception. For the limb-loss bill, parents and adults with prosthetic needs stressed that activity-specific prostheses are essential for children and adults to run, swim, play sports, and stay healthy, but are often excluded from coverage. The home heating oil testimony focused on the financial devastation caused by residential oil spills and the need to make spill coverage automatic in homeowners policies. Environmental professionals and homeowners described cleanup costs ranging from tens of thousands to hundreds of thousands of dollars, the strict liability homeowners face, and the fact that many policyholders do not know the rider exists. The insurance industry testified in opposition to the mandatory-coverage approach, arguing for clearer distinctions between first- and third-party coverage, risk-mitigation standards, a delayed effective date, and more emphasis on education and notification rather than mandates. Committee members pressed the industry witness on why agents do not routinely tell customers about the rider and suggested that the issue may require broader disclosure by insurers, agents, and fuel dealers. No votes were taken during the hearing; the committee heard testimony and discussed possible compromise language and future action.

Transcript Highlights:

• test questions to a student's individual performance, leading to more accurate assessment of their knowledge
• We know what the best... to teach math is we've used that knowledge to develop those TEKS.
• It bans practice tests and non-curricular benchmark tests.
• What a system does do is it prevents districts from from requiring 10 practice tests just related to
• We know with certainty that that's a bad instructional practice.

Bills: HB8

Keywords: HB 8, Texas public school accountability, school accountability, public school transparency, STAAR, state assessments, instructionally supportive assessment program, Student Success Tool, Texas Education Agency, TEA, accountability ratings, A-F ratings, through-year assessment, benchmark testing, norm-referenced assessment, college career military readiness, CCMR, local accountability plan, school district performance, campus turnaround

Transcript Highlights:

• Theory of knowledge is the only course required for the IB diploma that does not generate performance
• So basically what this does, it treats teachers who successfully teach students' theory of knowledge,
• In 1982, my cousin, George Wade, died in basketball practice at South Plantation High School.
• In 1982, my cousin, George Wade, died in basketball practice at South Plantation High School.
• And he went to basketball practice... And I remember getting that phone call.

Summary: The Pre-K-12 Education Committee took up a series of education, school safety, health, and student access bills. SB 754 on International Baccalaureate bonus funds was amended to clarify the theory of knowledge course and then reported favorably. SB 370 would allow routine non-invasive school health screenings, such as vision, hearing, and dental checks, to proceed with written notice and an opt-out process rather than active parental consent; supporters said it would improve participation and access, while opponents argued it was too broad and weakened parental rights. After debate over scope, funding, and consent, the bill was reported favorably. The committee also advanced SB 1070, which would require ECG screenings for student athletes under a phased rollout beginning in 2026, with religious and medical opt-outs. The bill was renamed the Second Chance Act in honor of Chance Gainer. Supporters described it as a life-saving measure to detect hidden cardiac conditions, while some members raised cost and implementation concerns. SB 508, the Family Empowerment Scholarship bill, would require private schools to disclose in writing what accommodations and services they will provide to students with IEPs, 504 plans, or ELL plans before enrollment; it was supported by parents, advocacy groups, and some school representatives and was reported favorably. School safety measures were also considered. SB 1470 would refine campus locking and supervision rules, create clearer exceptions, expand training and security options for school safety personnel, and allow district-employed law enforcement officers to use canines for threat detection. Witnesses from school safety and Parkland-related advocacy groups supported the bill but urged caution on exemptions and implementation details. SB 1472 would extend a public records exemption to certified school security guards, matching the protection already given to school guardians, and it was reported favorably. Finally, SB 248 would expand participation in FHSAA sports for private school and home education students at public schools when their own schools do not offer the sport, and SB 1618 made broad changes to VPK through grade 12 policy, including reading instruction, financial literacy, school funds restrictions, teacher certification, and advisory council rules; both bills were reported favorably. Several members later recorded votes in support of specific tabs before the committee adjourned.

Transcript Highlights:

• They can discuss some of the best practices that they see that work and also comply with the law.
• So we provide them direct support around instructional practices, behavior management so we can stand
• Okay is a practice.
• We share best practices. We bring an expert speakers. We bring in department education.
• They have teacher background knowledge.

Keywords: 999, senate, all

Transcript Highlights:

• Act 365 of 1987, also known as the Arkansas Catfish Processors Fair Practice Act, required Arkansas's
• They've lost the knowledge since the time they were licensed.
• Is that something that we practice quite often?” “No, not typically.
• And so, no, it’s certainly not a common practice. I don’t know.”
• And so, no, it’s certainly not a common practice, nor one that we would want to repeat.

Summary: The Administrative Rules Subcommittee reviewed several agency rules and most were approved without objection. The Department of Agriculture moved to repeal rules tied to the now-repealed Arkansas Catfish Processors Fair Practice Act. The Department of Human Services updated Medicaid policy to clarify that pregnant women may still be referred to child support enforcement but will not be sanctioned during pregnancy and the 60-day postpartum period, removed the word “forcible” from rape/incest good-cause language, and eliminated a 90-day waiting period for ARKids B when group health coverage ends. DHS also received approval for a CMS cell and gene therapy model for sickle cell disease and a technical Medicaid medication-assisted treatment update that does not change coverage. The Department of Labor and Licensing presented several rules. One created procedures for the department to issue interpretations in local construction plan disputes under Act 591 of 2025. The Contractors Licensing Board and Residential Contractors Committee amended rules to raise the restricted commercial license threshold and light building project limit from $750,000 to $1.5 million, and to allow deferral of owner-complaint investigations while related civil litigation is pending. The HVACR Licensing Board presented broader cleanup and policy changes under Act 746 of 2025, including eliminating the Class C license by moving those holders into Class B, expanding work limits for Class A and B licensees, changing continuing education to eight hours per three-year code cycle, and keeping annual license renewal. Members asked detailed questions about impacts on businesses, training, youth working with parents, and whether any unintended burdens were created; the board said it had notified licensees and had received little pushback. The committee also granted the Department of Inspector General’s request for exclusion from rulemaking reporting for Act 473 of 2025, concluding that the statute was sufficiently detailed and did not require additional rules. In addition, the Arkansas State Library’s report was accepted, with the Department of Education stating that the library’s three existing rules should remain in effect. During the update on outstanding 2023-session rulemaking, Education explained that many delayed rules were held back because they were likely to be amended again in 2025, and members expressed concern about the length of time some rules have remained unfinished. The meeting ended after written 2025 rulemaking updates were noted, with no further action taken.

Transcript Highlights:

• be some intervention knowledge be some intervention knowledge intervention<04:02:25.640> so
• <04:13:59.359> whose perpetuating a misguided practice whose perpetuating a misguided practice
• question then form consent practices question then form consent practices regarding<04:40:07.560
• <04:54:48.040> in a cultural and religious practice in a cultural and religious practice in
• Muslims who seek to um seek to practice Muslims who seek to um seek to practice their<05:04:08.280

Keywords: 1189, house, all

Transcript Highlights:

• First, by supporting and elevating tribal knowledge to identify tribal cultural resources.
• Tribal knowledge to identify tribal cultural resources.
• Tribal knowledge is not abstract. It is rooted in generations of cultural continuity.
• Recyclability is also not practical in many applications.
• Goals, best practices, and response measures for impacted communities in San Diego County.

Summary: The committee heard several bills, with SB 1350 by Senator McNerney presented first. The measure would expand California’s use of renewable hydrogen in the power sector by allowing renewable portfolio standard credit for power plants using green hydrogen, with supporters emphasizing grid reliability, clean-energy goals, in-state investment, and construction jobs. Support came from labor, clean-energy, municipal utility, and local government representatives; NRDC Action Fund withdrew opposition after amendments, while a few groups remained opposed or neutral. The committee later took a roll call and SB 1350 passed out on a due pass recommendation. The committee also heard SB 1180 by Senator Allen, which would set operational rules for the Plastic Pollution Mitigation Fund created under SB 54, including clearer eligible uses, transparency, technical assistance, and access for tribes and smaller community groups. Environmental justice, ocean, conservation, and local government groups strongly supported the bill, saying it would ensure the fund addresses plastic pollution’s public health and environmental harms. Industry and manufacturing groups opposed unless amended, arguing the bill should stay tightly tied to plastic waste reduction and not broaden into source-reduction policy. After quorum was established, the committee approved SB 1180 on a due pass recommendation to Appropriations. SB 1326 by Senator Wahab was then heard to strengthen tribal consultation and tribal cultural resource protections under CEQA by recognizing tribal registers and requiring feasible avoidance or mitigation measures when tribes identify resources. Tribal representatives and supporters said the bill would better protect sacred sites and tribal knowledge, while cities, counties, utilities, builders, and rural county groups opposed unless amended, citing implementation concerns, possible litigation, and uncertainty for infrastructure and housing projects. The committee voted the bill out on a due pass recommendation to Appropriations. Finally, SB 954 by Senator Blakespear was presented as a cleanup of last year’s SB 131 advanced-manufacturing CEQA exemption, narrowing eligible projects and adding guardrails such as setbacks, air-quality limits, tribal consultation, labor standards, and habitat protections. Environmental and labor groups supported the bill as a needed correction to an overly broad exemption, while business, manufacturing, housing, and local-government groups opposed, warning it could make the exemption unusable and slow investment. Members debated the balance between environmental protection and manufacturing competitiveness, and the committee voted SB 954 out on a due pass recommendation to the Labor and Employment Committee; the transcript then moved on to SB 1031 on compostable plastics, which was introduced but not acted on in the portion provided.

Transcript Highlights:

• I think the data but in the practices I think the data<04:13:25.720> the<04:13:25.920> practices
• <04:30:31.359> no were free to do so to my knowledge no were free to do so to my knowledge
• <05:26:28.240> let<05:26:28.440> alone parental knowledge let alone parental knowledge
• I like to think that all of us come from a place of some knowledge.
• <06:42:10.920> and identifying policies practices and identifying policies practices and barriers

Keywords: 928, house, all

Summary: The committee opened with House Bill 184, which would create a committee to study changing school start times. Members discussed Amendment 0394, which made the study committee’s duties more investigative and adjusted reporting recipients, including the Governor. Several members raised questions about whether the committee should review evidence-based studies, local district decisions, and existing district reports; supporters said the amendment would better allow the committee to gather information and recognize local control. The amendment passed 17-0, and the bill as amended also passed 17-0. Representative Litchfield noted that no one had testified in opposition and encouraged the future study committee to review an Oyster River School District report on school start times. The committee then took up House Bill 394, concerning cooperative school district budget committees and board member representatives. Amendment 0476 was adopted 17-0 after discussion that it clarified the bill’s language and reflected work with the School Boards Association. The committee then voted OTPA on the bill, which also passed 17-0. House Bill 738, requiring background checks for employees and volunteers at certain non-public schools or education service providers receiving public funds, was moved inexpedient to legislate. Supporters said the bill would create practical and legal problems for private citizens and homeschooling families, and the motion passed 15-2 with no minority report, placing the bill on consent. The committee next considered House Bill 235, which would amend the educator code of ethics and conduct to add responsibilities to parents. Supporters argued parents should be explicitly included in the code, while opponents said parents were already covered in existing ethics language and statute. The bill passed narrowly, 9-8. The committee then returned to House Bill 532 on alternate dispute resolution and individualized education plan team meeting facilitation. Amendment 0480H clarified that different rules would apply separately to neutral conference, mediation, and IEP facilitation; it passed 17-0, and the bill as amended also passed 17-0. Finally, the committee moved to House Bill 564, concerning adoption of school administrative unit budgets, and voted to retain the bill for further review because members said there was still confusion about how it would apply to single-district and multi-district SAUs.

Transcript Highlights:

• I appreciate the knowledge that you have shared with me.
• I appreciate the knowledge that you have shared with me, Rep. Bankson, and members.
• I appreciate the knowledge that you have shared with me.
• I appreciate the knowledge that you have shared with me, rep banks and members.
• We have not made any, to my reduction, to my knowledge, any reduction in public education funding.

Summary: The Ways and Means Committee met on April 2, 2025, with a quorum present and took up four bills. The committee first heard HB 4041, which would create the Corkscrew Grove Stewardship District in Collier County to finance and maintain infrastructure such as transportation, utilities, and stormwater systems without changing county regulatory authority. The bill drew no opposition, was reported favorably, and passed 14-0. The committee then considered HB 1485, which repeals Florida’s aviation fuel tax provisions. The sponsor argued the change would simplify the tax code, attract airline investment, and support lower fares and more routes. Members raised concerns about the estimated recurring $22.8 million impact on the State Transportation Trust Fund and $2 million on general revenue, and airport representatives warned of reduced grant and development funding, especially for general aviation and municipal airports. Supporters said the change would increase competition and fuel sales in Florida. The bill was reported favorably on a 12-5 vote. Next, the committee heard HB 999, which would recognize gold and silver as legal tender, allow electronic debit access to bullion accounts, and remove tax burdens on transactions involving precious metals. The sponsor and supporters described the bill as a way to protect purchasing power and provide an alternative parallel to the dollar, while opponents and some members raised concerns about consumer protections, predatory practices, privacy, and the role of the Office of Financial Regulation in rulemaking. After extensive testimony, the bill was reported favorably 19-0. Finally, the committee considered PCB WMC 25-01, which would reduce the state sales tax rate from 6% to 5.25% and also lower several related taxes, including the business rent tax, nonresidential electricity tax, mobile home sales tax, and coin-operated amusement machine tax. The proposal was estimated to reduce revenue by about $5.5 billion annually. Members discussed impacts on the budget, education funding, and whether savings would reach consumers, while supporters emphasized relief for Floridians and business competitiveness. The bill passed unanimously 19-0 and was reported favorably. The chair then noted a prior procedural apology on the record, and the meeting adjourned.

Transcript Highlights:

• practice for bicyclist and um and others practice for bicyclist and um and others that<00:49:49.119><
• That's the extent of my knowledge.
• <01:42:17.199> and that's the extent of my knowledge and that's the extent of my knowledge
• <01:42:59.360> Test pay for and to offer uh Knowledge Test pay for and to offer uh Knowledge
• look at those seven knowledge look at those seven knowledge tests<01:44:07.639> and<01:44

Keywords: 928, house, all

Summary: The Transportation Committee opened its public hearing with HB 249, sponsored by Representative Seth Miller, which would allow bicycles, human-powered vehicles, and electric bicycles to treat stop signs as yield signs and red lights as stop signs in certain situations. Miller argued the bill would improve cyclist safety and traffic flow at no cost to the state, citing Idaho and Delaware as examples where similar laws were associated with fewer injuries and crashes. He emphasized that the proposal would remain optional for cyclists, who would still be required to yield to cross traffic and obey right-of-way rules, and said the bill is intended to help riders maintain momentum and avoid the instability that comes from repeatedly starting from a full stop. Committee members raised concerns about uncertainty for drivers and pedestrians, liability, and whether the bill would create a special class of road users with different rules. Representative Crawford asked about the red-light left turn language, and Miller explained it was included because bicycles may not trigger some traffic signals. Representative Hill questioned how other road users would know what a cyclist intended to do at an intersection, and Representative Gon noted the bill did not appear to address liability the way some motorcycle-related laws do. Miller responded that cyclists would still be expected to yield appropriately and said he would be open to an amendment if liability language was needed. Representative Emble also questioned whether the bill would create a special vehicle class, and Miller replied that bicycles already have different roadway rules and that the bill was meant to improve safety and flow. Several supporters testified in favor of the bill. Michael Frank, a cyclist and League cycling instructor from Spofford, said he regularly rides a cargo bike for errands and that stopping fully at intersections leaves him exposed longer and makes it harder to restart on hills. He said the bill would let cyclists slow, assess traffic, and proceed safely while maintaining momentum, and noted that he had not personally received a ticket for rolling through a stop sign, though he had been warned by police. Tim Blagden, former head of the Bike-Walk Alliance of New Hampshire, said the bill reflects how many people already ride, saves energy, and helps bicycles move through intersections faster and more safely. No vote or committee action was taken during the portion of the hearing provided.

Transcript Highlights:

• <00:03:52.640> of local anesthesia and the practice of local anesthesia and the practice of
• name is Lori Rosado I'm a practicing name is Lori Rosado I'm a practicing dentist<00:04:55.919><
• by hygienist as a profession practiced by hygienist as a profession practice<00:05:25.840> safely
• optometric practices.
• and optometric practices.

Keywords: 928, house, all

Summary: The committee held public hearings on House Bill 144 and House Bill 145, both related to professional licensing for dietitians and dental hygienists. HB 144 was described as a technical fix to align statute with existing Board of Dental Examiners rules allowing dental hygienists to administer nitrous oxide and local anesthesia, with supporters saying the bill would add needed training and examination requirements to statute. A dentist and dental society representative testified that the practice is already being done safely within scope, and committee members discussed whether nitrous oxide is still used and whether the bill was mainly to keep the paperwork and law consistent. The committee moved HB 144 forward on a 12-0 vote and placed it on consent. HB 145 would join New Hampshire to a dietitian licensure compact and add a criminal history check for initial licensure to match compact language. The sponsor and board witnesses said the compact would improve portability, support telehealth, help military families and spouses, and maintain public safety by ensuring qualified practitioners and information-sharing among member states. Committee members asked about withdrawal from the compact, the difference between single-state and compact licensure, and why a background check was included; the witness said the compact is not yet active, with four states enacted and seven needed, and that the background check is required by the compact language. Additional testimony from a private-practice dietitian supported the bill, citing continuity of care, rural access, and workforce mobility, while some members raised concerns about telehealth across state lines and the practical effect of the background check.

Transcript Highlights:

• This is both practical and feasible.
• <00:09:46.640> And both practical and feasible. And both practical and feasible.
• I'm a practicing marriage and family therapist.
• I'm a practicing marriage and family therapist.
• <00:20:59.760> because people who are as knowledgeable because people who are as knowledgeable

Bills: HB161

Keywords: building codes, standardization, commercial construction, architectural services, energy conservation, federal compliance, local governance, 923, senate, all

Transcript Highlights:

• He brings a tremendous amount of knowledge in the visitor industry and has been helpful in guiding our
• Thank you. knowledge in the visitor industry and knowledge in the visitor industry and has<00:01:31.680
• Um, I've had the privilege and knowledge of working with her over the last decade.
• <00:43:56.920> of I've had the privilege and knowledge of I've had the privilege and knowledge
• There and perform and practice and, you know, utilize the convention center.

Keywords: 912, senate, all

Summary: The Senate Committee on Economic Development and Tourism heard several governor’s message nominations to the Hawaii Tourism Authority’s advisory board. The first nominee, Daniel O’Leary, received strong support from HTA leadership and Deputy Director James Kunane Tokioka, who praised his visitor-industry knowledge and work on brand marketing and tourism planning. O’Leary said he hoped to contribute his experience and strengthen the organization’s integrity. Joel Guy was also supported by HTA, Tokioka, and several community testifiers, who highlighted his long work in Hana, his film-industry background, and his role in community-focused tourism planning. During questioning, Guy said the advisory board should still have influence, especially on strategic planning and community concerns, even though its role is advisory rather than decision-making. The committee then considered Linda Wong’s nomination. HTA and Tokioka strongly supported her, citing her long community experience and familiarity with HTA work. Wong said the new advisory board was collaborative, had no conflicts so far, and was trying to balance resident concerns with attracting higher-value tourists. Senator Kim questioned her about the advisory structure, and Wong said she believed the Legislature had reduced HTA’s authority because of past conflicts but that the new board could help turn things around and possibly regain more authority in the future. The committee also heard testimony on Kimberly Algos and Terry Fisher. Algos was described by HTA and Tokioka as a strong leader and solid board member; Tokioka explained that she and another co-chair were selected because of their busy schedules and that the advisory board’s committees were created so members could contribute beyond the single statutory duty of selecting the chair, president, and CEO. Fisher was supported for his tour-operator experience and strategic planning work. In questioning, he endorsed performance-based contracting and accountability for contractors, while acknowledging that external events can affect results. He also said the convention center is critical infrastructure that should be repaired and used to help fill tourism lulls and attract major conferences. The hearing included supportive testimony from industry representatives, but no votes or final actions were taken in the portion provided.

Transcript Highlights:

• You break that down further and you look at what is a cause of these factor classes: knowledge, knowledge
• on part of the patient, knowledge on part of the provider, the system.
• But, you know, they practically came in with flaming torches because anybody— you know, in fact, one
• Scope of practice wise. Who's authorized? Chair McLeod and Senator Roos, yes.
• We don't have to be the knowledge of the CNA. My point is we look at the earnings of a nurse.

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• Uh the throughout the practices act.
• With their skill and knowledge, I could not have returned without their skill and knowledge.
• Updating the athletic training practice Updating the athletic training practice act<00:08:49.080
• . practice. practice.
• before practicing independently. before practicing independently.

Keywords: 1187, senate, all