Transcript Highlights:

• fruits and vegetables, grass-fed meat, venison that I harvested, and wild salmon from the waters of Alaska

Transcript Highlights:

• Alaska is obviously quite rural, and I think Senator Murkowski was one of the deciding votes.

Keywords: 908, all

Summary: The Rural Health Transformation Committee met to receive an extensive briefing from the Department of Health and Human Services on North Dakota’s federal Rural Health Transformation award. HHS leaders Pat Traynor, Donna Auckland, Jonathan Ollum, and Krista Freming described the $198.9 million award, the tight federal timelines for obligating and liquidating funds, and the need for rapid procurement, CMS approval, and technical assistance. They outlined broad funding priorities including connect tech/data, care closer to home, workforce recruitment and retention, and a “Make North Dakota Healthy Again” prevention initiative focused on chronic disease, movement, nutrition, behavioral health, and community connection. They also emphasized that the program cannot fund new buildings or supplant existing funding, and that sustainability will be a key requirement for all projects. The department previewed likely first-round grant opportunities, including recruitment and retention incentives, technical assistance and equipment grants for rural providers, financial analysis support for rural hospitals, and exploration of a unified electronic health record option. Freming also reviewed four policy bills tied to the award: a presidential fitness test, nutrition continuing medical education, the Physician Assistant Compact, and pharmacist scope-of-practice changes, explaining that these policy actions affect future scoring and funding. HHS said it will work with tribes, local public health, hospitals, medical and pharmacy associations, and other partners, and will use a website, listserv, listening sessions, and committee updates to communicate opportunities. Committee members raised concerns about how the money will reach rural residents, whether newspapers and existing local communication networks will be used, how “rural” and “frontier” will be defined, how faith communities might participate in behavioral health efforts, and how HHS will avoid CMS delays and supplanting issues. HHS responded that the focus will be on where the patient lives and on rural community need, that local public health units and existing structures will be part of outreach, and that technical assistance and template applications will help speed approvals. The committee approved the December 4, 2025 minutes, then recessed into divisions for further work on the appropriations bill and the four policy bills, with the full committee set to reconvene the next morning.

Transcript Highlights:

• This is what has been accomplished in states like New York and Alaska, and I will ensure you that these

Bills: AB93, AB204, AB414, AB504, AB598

Keywords: public employees, police officers, benefits, appropriation, law enforcement, medical debt, collection agency, healthcare, consumer protection, financial assistance, occupational safety, air quality, greenhouse gases, employee monitoring, safety program, hemp, hemp products, cannabidiol, CBD, cannabis

Transcript Highlights:

• currently offer home delivery for specialty plates, including Florida, Michigan, California, New York, Alaska

Bills: HB 341, HB 469, HB 971, HB 1624, HB 2721, HB 2959, HB 3365, HB 3731, HB 3793, HB 3861, HB 3946, HB 3966, HB 4348, HB 4401, HB 4402, HB 4924, HB 4966, HB 5563

Keywords: affordable housing, zoning, development, community support, local regulations, bicycle lanes, traffic collisions, Texas Department of Transportation, study, public safety, bicycles, electric bicycles, scooters, road safety, transportation study, commercial vehicle, safety standards, enforcement, Texas counties, transportation

Transcript Highlights:

• Michigan, California, New York, Alaska, and Oklahoma.

Bills: HB341, HB469, HB971, HB1624, HB2721, HB2959, HB3365, HB3731, HB3793, HB3861, HB3946, HB3966, HB4348, HB4401, HB4402, HB4924, HB4966, HB5563

Keywords: affordable housing, zoning, development, community support, local regulations, bicycle lanes, traffic collisions, Texas Department of Transportation, study, public safety, bicycles, electric bicycles, scooters, road safety, transportation study, commercial vehicle, safety standards, enforcement, Texas counties, transportation

Transcript Highlights:

• projects I've been working on around the country, in pretty much every state, even states like Maine, Alaska

Bills: HB42, HB 125, HB 1233, HB2853, HB3148, HB3326, HB3701, HB4066, HB4361, HB4762, HB4909, HB4912, HB42, HB125

Keywords: higher education, funding, financial allocation, state budget, Texas A&M University, University of Houston, education funding, medical education, osteopathic medicine, healthcare workforce, Tarleton State University, industry-recognized credentials, workforce development, career opportunities, feasibility study, student fees, university funding, student union, education, UT El Paso

Transcript Highlights:

• for at least two decades and had already molested other boys. for which he had served 90 days in an Alaska

Bills: HB170, HB865, HB748, HJR112, HB 1110, HB1495, HB786, HB 1130, HB170

Keywords: civil liability, self-defense, force, deadly force, legal immunity, attorney's fees, criminal justice, firearms, liability, veterans, gun ownership, immunity, firearm hold agreement, sexual abuse, nondisclosure, confidentiality, public policy, Trey's Law, parental rights, child upbringing

Transcript Highlights:

• In Philadelphia, in Alaska, and just yesterday in Arizona.

Keywords: transportation, air traffic control, safety regulations, Boeing 737 MAX, Department of Transportation, infrastructure funding, public safety, legislative oversight

Summary: The committee meeting addressed several pressing issues concerning transportation, particularly focusing on the need for improved safety standards and efficient management at the Department of Transportation. Specific discussions revolved around air traffic control, with members highlighting the urgency for a significant upgrade in systems and personnel. Notably, concerns were raised regarding past practices, especially the handling of safety regulations during the Boeing 737 MAX incidents. The committee expressed a clear intent to ensure rigorous safety oversight moving forward, emphasizing that the health and safety of the public must remain the top priority in all legislative and funding decisions.

Transcript Highlights:

• We are not Alaska.<00:23:37.120> So,<00:23:37.440> you<00:23:37.520> know,<00:23
• :23:37.840> get<00:23:38.000> down<00:23:38.159> at<00:23:38.400> the Alaska
• So, you know, we get down at the Alaska.

Keywords: 928, house, all

Summary: The committee first approved the draft minutes from September 26. Senator Gray then raised the idea of creating a continuing subcommittee or recurring agenda item on palliative care and hospice, noting that the issues are evolving and suggesting the committee revisit the idea in coming months. The bulk of the meeting focused on Department of Health and Human Services updates. Officials described contingency planning for SNAP amid the federal shutdown, including a USDA notice that November benefits may not be fully funded, letters to participants warning of possible delays, and coordination with the New Hampshire Food Bank and local pantries. They said New Hampshire serves about 42,000 SNAP households, with average benefits around $300 a month, and that the department is also preparing to transfer funds for a special fiscal committee meeting. WIC was discussed separately: officials said WIC benefits had been extended through November 7 using additional USDA funds, but that some community agency-based WIC services may need to pause while money is redirected to food benefits. Officials also outlined New Hampshire’s rural health transformation grant application under the federal One Big Beautiful Bill, describing a potential five-year, up-to-$1 billion opportunity focused on critical access hospitals, small rural hospitals, federally qualified health centers, community mental health centers, and EMS. Members asked about transportation, workforce, and nursing retention; officials said transportation is included in the proposal, housing is not, and workforce supports may include lower tuition or awards but not loan repayment or traditional scholarships. They also said the final application would be submitted in early November and that priorities would be adjusted depending on the eventual federal award. Finally, Medicaid director Henry Lipman gave a quarterly postpartum coverage update. He said postpartum coverage is now nearly universal nationwide, and in New Hampshire 2,351 women had used the benefit through May 2025. He reported that mental health services were the most frequently used postpartum service, followed by preventive care, substance use disorder treatment, and cardiovascular-related care, and noted that Medicaid women have experienced a disproportionate share of maternal deaths. Committee members asked about rural distribution and the share of women receiving mental health services, and Lipman said the department would follow up with additional data. The meeting then moved into the annual update on New Hampshire’s 10-year mental health plan, with staff describing progress toward a more integrated continuum of care and improved data infrastructure.

Transcript Highlights:

• Alaska, Arizona, Delaware, Florida, Alaska, Arizona, Delaware, Florida, Alaska, Arizona, Delaware, Florida

Bills: SJR 12, SCR 39, SB 27, SB 29, SB 241, SB 406, SB 414, SB 464, SB 568, SB 578, SB 609, SB 660, SB 689, SB 693, SB 785, SB 857, SB 879, SB 921, SB 922, SB 955, SB 985, SB 993, SB 996, SB 1008, SB 1035, SB 1036, SB 1059, SB 1098, SB 1120, SB 1122, SB 1147, SB 1188, SB 1197, SB 1209, SB 1227, SB 1245, SB 1267, SB 1307, SB 1321, SB 1332, SB 1386, SB 1396, SB 1453, SB 1484, SB 1494, SB 1536, SB 1537, SB 1596, SB 1610, SB 1664, SB 1741, SB 1814, SB 1822, SB 1841, SB 1948, SB 2065, SB 2155, SB 2188, SB 2230, SB 2406, SB 2407, SJR 36, SJR 12, SJR 81, SJR 50, SCR 22, SCR 12, SCR 39, SB 406, SB 689, SB 765, SB 62, SB 666, SB 888, SB 687, SB 847, SB 1248, SB 504, SB 857, SB 305, SB 296, SB 284, SB 241, SB 304, SB 1023, SB 204, SB 609, SB 670, SB 850, SB 854, SB 413, SB 1346, SB 1033, SB 1220, SB 1073, SB 810, SB 1539, SB 447, SB 1119, SB 1505, SB 1215, SB 1302, SB 583, SB 673, SB 681, SB 1172, SB 955, SB 957, SB 1120, SB 541, SB 266, SB 1415, SB 53, SB 1352, SB 785, SB 1450, SB 1502, SB 1566, SB 414, SB 1062, SB 711, SB 746, SB 1404, SB 1448, SB 507, SB 1026, SB 1349, SB 1355, SB 1433, SB 1434, SB 1596, SB 1403, SB 667, SB 1059, SB 1567, SB 310, SB 311, SB 505, SB 1209, SB 1210, SB 1470, SB 264, SB 1029, SB 1358, SB 1364, SB 1569, SB 1376, SB 1228, SB 519, SB 1350, SB 462, SB 827, SB 1585, SB 1396, SB 1484, SB 1273, SB 1741, SB 927, SB 1227, SB 1229, SB 1353, SB 1464, SB 1709, SB 1729, SB 1733, SB 1744, SB 1772, SB 1841, SB 2188, SB 1147, SB 879, SB 1008, SB 1536, SB 2016, SB 1453, SB 1173, SB 1163, SB 996, SB 27, SB 568, SB 1370, SB 1321, SB 1101, SB 860, SB 993, SB 693, SB 1610, SB 1537, SB 1332, SB 1307, SB 963, SB 493, SB 922, SB 984, SB 619, SB 1098, SB 1122, SB 455, SB 522, SB 1057, SB 1239, SB 1254, SB 1255, SB 1259, SB 1341, SB 1664, SB 1877, SB 464, SB 1277, SB 32, SB 732, SB 660, SB 731, SB 921, SB 268, SB 1822, SB 1188, SB 1589, SB 397, SB 2230, SB 1058, SB 1036, SB 1267, SB 2112, SB 1930, SB 532, SB 1035, SB 2155, SB 508, SB 29, SB 292, SB 291, SB 901, SB 1333, SB 1436, SB 1494, SB 964, SB 779, SB 1378, SB 2312, SB 1719, SB 1386, SB 287, SB 2143, SB 1245, SB 261, SB 1247, SB 1948, SB 2406, SB 2407, SB 1882, SB 1197, SB 1814, SB 618, SB 38, SB 393, SB 2065, SB 1371, SB 1394, SB 1365, SB 2243, SB 2226, SB 2039, SB 1919, SB 1895, SB 1598, SB 1493, SB 1810, SB 1791, SB 1706, SB 1644, SB 1238, SB 783, SB 458, SB 22, SB 651, SB 897, SB 1809, SB 1080, SB 745, SB 826, SB 989, SB 1320, SB 1437, SB 2320, SB 2289, SB 1171, SB 664, SB 1637, SB 27, SB 29, SB 857, SB 879, SB 922, SB 1098, SB 1453, SB 1536, SB 1741, SB 2188, SB 2230, SB 406, SB 689, SJR 12, SR 358, SR 361, SR 362, SR 368, SJR 74, SJR 76, SB 2408, SB 2409, SB 2461, SB 2462, SB 2463, SB 2464, SB 2465, SB 2466, SB 2467, SB 2468, SB 2469, SB 2470, SB 2471, SB 2472, SB 2473, SB 2474, SB 2475, SB 2476, SB 2477, SB 2478, SB 2479, SB 2480, SB 2481, SB 2482, SB 2483, SB 2484, SB 2485, SB 2486, SB 2487, SB 2488, SB 2489, SB 2490, SB 2491, SB 2492, SB 2493, SB 2494, SB 2495, SB 2496, SB 2497, SB 2498, SB 2499, SB 2500, SB 2501, SB 2502, SB 2503, SB 2504, SB 2505, SB 2506, SB 2507, SB 2508, SB 2509, SB 2510, SB 2511, SB 2512, SB 2513, SB 2514, SB 2515, SB 2516, SB 2517, SB 2518, SB 2519, SB 2520, SB 2521, SB 2522, SB 2523, SB 2524, SB 2525, SB 2526, SB 2527, SB 2528, SB 2529, SB 2530, SB 2531, SB 2532, SB 2533, SB 2534, SB 2535, SB 2536, SB 2537, SB 2538, SB 2539, SB 2540, SB 2541, SB 2542, SB 2543, SB 2544, SB 2545, SB 2546, SB 2547, SB 2548, SB 2549, SB 2550, SB 2551, SB 2552, SB 2553, SB 2554, SB 2555, SB 2556, SB 2557, SB 2558, SB 2560, SB 2561, SB 2562, SB 2563, SB 2565, SB 2566, SB 2567, SB 2568, SB 2569, SB 2570, SB 2571, SB 2572, SB 2573, SB 2574, SB 2575, SB 2576, SB 2577, SB 2578, SB 2579, SB 2580, SB 2581, SB 2582, SB 2583, SB 2584, SB 2585, SB 2586, SB 2587, SB 2588, SB 2589, SB 2590, SB 2591, SB 2592, SB 2593, SB 2594, SB 2595, SB 2596, SB 2597, SB 2598, SB 2599, SB 2600, SB 2601, SB 2602, SB 2603, SB 2604, SB 2605, SB 2606, SB 2607, SB 2608, SB 2609, SB 2610, SB 2611, SB 2612, SB 2613, SB 2614, SB 2615, SB 2616, SB 2617, SB 2618, SB 2619, SB 2620, SB 2621, SB 2622, SB 2625, SB 2626, SB 2627, SB 2628, SB 2629, SB 2630, SB 2631, SB 2632, SB 2633, SB 2634, SB 2635, SB 2636, SB 2637, SB 2638, SB 2639, SB 2640, SB 2641, SB 2642, SB 2643, SB 2644, SB 2645, SB 2646, SB 2647, SB 2648, SB 2649, SB 2650, SB 2651, SB 2652, SB 2653, SB 2654, SB 2655, SB 2656, SB 2657, SB 2658, SB 2659, SB 2660, SB 2661, SB 2662, SB 2663, SB 2664, SB 2665, SB 2666, SB 2667, SB 2668, SB 2669, SB 2670, SB 2671, SB 2672, SB 2673, SB 2674, SB 2675, SB 2676, SB 2677, SB 2678, SB 2679, SB 2680, SB 2681, SB 2682, SB 2683, SB 2684, SB 2685, SB 2686, SB 2687, SB 2688, SB 2689, SB 2690, SB 2691, SB 2692, SB 2693, SB 2694, SB 2695, SB 2696, SB 2697, SB 2698, SB 2699, SB 2700, SB 2701, SB 2702, SB 2703, SB 2704, SB 2705, SB 2706, SB 2707, SB 2708, SB 2709, SB 2710, SB 2711, SB 2712, SB 2713, SB 2714, SB 2715, SB 2716, SB 2717, SB 2718, SB 2719, SB 2720, SB 2721, SB 2723, SB 2724, SB 2725, SB 2726, SB 2727, SB 2728, SB 2729, SB 2730, SB 2731, SB 2732, SB 2733, SB 2734, SB 2735, SB 2736, SB 2737, SB 2738, SB 2739, SB 2740, SB 2741, SB 2742, SB 2743, SB 2744, SB 2745, SB 2746, SB 2747, SB 2748, SB 2749, SB 2750, SB 2751, SB 2752, SB 2753, SB 2754, SB 2755, SB 2756, SB 2757, SB 2758, SB 2759, SB 2760, SB 2761, SB 2762, SB 2763, SB 2764, SB 2765, SB 2766, SB 2767, SB 2768, SB 2769, SB 2770, SB 2771, SB 2772, SB 2773, SB 2774, SB 2775, SB 2776, SB 2777, SB 2778, SB 2779, SB 2780, SB 2781, SB 2782, SB 2783, SB 2784, SB 2785, SB 2786, SB 2787, SB 2788, SB 2789, SB 2790, SB 2791, SB 2792, SB 2793, SB 2794, SB 2795, SB 2796, SB 2797, SB 2798, SB 2799, SB 2800, SB 2967, SB 3034, HJR 1, HJR 4, HB 9, HB 13, HB 22, HB 135, HB 143, HB 195, HB 908, HB 1392, SB 861, SB 1013, SJR 74, SJR 76, SB 2408, SB 2409, SB 2461, SB 2462, SB 2463, SB 2464, SB 2465, SB 2466, SB 2467, SB 2468, SB 2469, SB 2470, SB 2471, SB 2472, SB 2473, SB 2474, SB 2475, SB 2476, SB 2477, SB 2478, SB 2479, SB 2480, SB 2481, SB 2482, SB 2483, SB 2484, SB 2485, SB 2486, SB 2487, SB 2488, SB 2489, SB 2490, SB 2491, SB 2492, SB 2493, SB 2494, SB 2495, SB 2496, SB 2497, SB 2498, SB 2499, SB 2500, SB 2501, SB 2502, SB 2503, SB 2504, SB 2505, SB 2506, SB 2507, SB 2508, SB 2509, SB 2510, SB 2511, SB 2512, SB 2513, SB 2514, SB 2515, SB 2516, SB 2517, SB 2518, SB 2519, SB 2520, SB 2521, SB 2522, SB 2523, SB 2524, SB 2525, SB 2526, SB 2527, SB 2528, SB 2529, SB 2530, SB 2531, SB 2532, SB 2533, SB 2534, SB 2535, SB 2536, SB 2537, SB 2538, SB 2539, SB 2540, SB 2541, SB 2542, SB 2543, SB 2544, SB 2545, SB 2546, SB 2547, SB 2548, SB 2549, SB 2550, SB 2551, SB 2552, SB 2553, SB 2554, SB 2555, SB 2556, SB 2557, SB 2558, SB 2560, SB 2561, SB 2562, SB 2563, SB 2565, SB 2566, SB 2567, SB 2568, SB 2569, SB 2570, SB 2571, SB 2572, SB 2573, SB 2574, SB 2575, SB 2576, SB 2577, SB 2578, SB 2579, SB 2580, SB 2581, SB 2582, SB 2583, SB 2584, SB 2585, SB 2586, SB 2587, SB 2588, SB 2589, SB 2590, SB 2591, SB 2592, SB 2593, SB 2594, SB 2595, SB 2596, SB 2597, SB 2598, SB 2599, SB 2600, SB 2601, SB 2602, SB 2603, SB 2604, SB 2605, SB 2606, SB 2607, SB 2608, SB 2609, SB 2610, SB 2611, SB 2612, SB 2613, SB 2614, SB 2615, SB 2616, SB 2617, SB 2618, SB 2619, SB 2620, SB 2621, SB 2622, SB 2625, SB 2626, SB 2627, SB 2628, SB 2629, SB 2630, SB 2631, SB 2632, SB 2633, SB 2634, SB 2635, SB 2636, SB 2637, SB 2638, SB 2639, SB 2640, SB 2641, SB 2642, SB 2643, SB 2644, SB 2645, SB 2646, SB 2647, SB 2648, SB 2649, SB 2650, SB 2651, SB 2652, SB 2653, SB 2654, SB 2655, SB 2656, SB 2657, SB 2658, SB 2659, SB 2660, SB 2661, SB 2662, SB 2663, SB 2664, SB 2665, SB 2666, SB 2667, SB 2668, SB 2669, SB 2670, SB 2671, SB 2672, SB 2673, SB 2674, SB 2675, SB 2676, SB 2677, SB 2678, SB 2679, SB 2680, SB 2681, SB 2682, SB 2683, SB 2684, SB 2685, SB 2686, SB 2687, SB 2688, SB 2689, SB 2690, SB 2691, SB 2692, SB 2693, SB 2694, SB 2695, SB 2696, SB 2697, SB 2698, SB 2699, SB 2700, SB 2701, SB 2702, SB 2703, SB 2704, SB 2705, SB 2706, SB 2707, SB 2708, SB 2709, SB 2710, SB 2711, SB 2712, SB 2713, SB 2714, SB 2715, SB 2716, SB 2717, SB 2718, SB 2719, SB 2720, SB 2721, SB 2723, SB 2724, SB 2725, SB 2726, SB 2727, SB 2728, SB 2729, SB 2730, SB 2731, SB 2732, SB 2733, SB 2734, SB 2735, SB 2736, SB 2737, SB 2738, SB 2739, SB 2740, SB 2741, SB 2742, SB 2743, SB 2744, SB 2745, SB 2746, SB 2747, SB 2748, SB 2749, SB 2750, SB 2751, SB 2752, SB 2753, SB 2754, SB 2755, SB 2756, SB 2757, SB 2758, SB 2759, SB 2760, SB 2761, SB 2762, SB 2763, SB 2764, SB 2765, SB 2766, SB 2767, SB 2768, SB 2769, SB 2770, SB 2771, SB 2772, SB 2773, SB 2774, SB 2775, SB 2776, SB 2777, SB 2778, SB 2779, SB 2780, SB 2781, SB 2782, SB 2783, SB 2784, SB 2785, SB 2786, SB 2787, SB 2788, SB 2789, SB 2790, SB 2791, SB 2792, SB 2793, SB 2794, SB 2795, SB 2796, SB 2797, SB 2798, SB 2799, SB 2800, SB 2967, SB 3034, HJR 1, HJR 4, HB 9, HB 13, HB 22, HB 135, HB 143, HB 195, HB 908, HB 1392, SB 861, SB 1013

Keywords: parental rights, education, constitutional amendment, school choice, child education, border security, southern border, federal immigration policy, illegal immigration, cartels, transnational cartels, fentanyl, drug trafficking, human trafficking, Operation Lone Star, Texas border, National Guard, state guard, border wall, border barriers

Transcript Highlights:

• Looking at the subpopulation of American Indian and Alaska Native, these oftentimes are left out of the
• This is lower than the American Indian, Alaska Native patient population, but still very, very, very

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:

• And before that, there were three in 1992, during an outbreak in Texas, Kentucky, and Alaska.
• This is a constitutional carry state. in Texas, Kentucky, and Alaska.

Keywords: 1182, all

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to people 65 and older to also offer them to Medicare beneficiaries under 65 with ALS or end-stage renal disease, with enrollment periods and premium protections tied to 65-year-old rates. Supporters, including dialysis and ALS advocates, said the bill would help a small population facing high out-of-pocket costs and could improve access to transplants and care; opponents argued it would shift costs onto older seniors and raise Medigap premiums. The committee recommended the bill do pass on a 12-0 vote. The committee also heard House Bill 2593, appropriating $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps obstetric and pediatric providers quickly consult on perinatal depression, postpartum psychosis, suicidality, and other mental health crises, improving outcomes for mothers, children, and families and reducing costly emergency and crisis care. The bill received a do pass recommendation on a 10-1 vote. House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, drew emotional testimony from a young woman with spina bifida and another speaker supporting the sanctity of life. Some members objected that the state should focus on practical supports such as paid leave, child care, and health care access, while others supported the resolution as a statement of human dignity. The resolution passed the committee 7-5. The committee then approved House Bill 4010, creating a Board of Genetic Counselors and licensure standards, after testimony from genetic counselors and a patient advocate about the need for qualified counseling and better access; it passed 11-1. Later, the committee approved House Bill 2196, which would require pharmacy benefit managers to reimburse non-affiliated pharmacies at least their acquisition cost and pay a dispensing fee, and establish an appeals process. Independent pharmacists and their coalition said PBM practices are driving closures and unfairly favor affiliated pharmacies, while PBM and employer representatives warned of major cost increases and said the bill would interfere with private contracts; the bill passed 11-1. The committee also adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, and then gave the amended bill a 12-0 do pass recommendation. Finally, the committee approved House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, with the sponsor and board staff saying it would help implement routine ventilator care in the home; it passed 12-0. The committee then began hearing House Bill 2404, a strike-everything amendment on inter-facility transports for behavioral health patients, but the transcript cuts off before action on that bill.

Transcript Highlights:

• But John Green, in particular, a Florida-raised author, *The Fault in Our Stars*, *Looking for Alaska
• And if you just read a paragraph of *Looking for Alaska*, you might feel like it's inappropriate.

Summary: The House convened with prayer, moments of silence for former member Terry Fields and the Parkland victims, the Pledge of Allegiance, and recognition of guests and visitors. The chamber then adopted the Rules and Ethics Committee’s special order report setting the day’s calendar and debate times. The main measure taken up was HB 1119, relating to materials harmful to minors in public schools and charter schools, which the sponsor described as a clarification of existing law to keep pornographic or sexually explicit material away from minors and to give districts clearer standards for review and objection processes. The bill drew extensive debate over constitutional concerns, local control, litigation risk, and the scope of the definition of “harmful to minors.” Members supporting the bill argued it was needed to close loopholes and protect children, while opponents warned it could lead to overbroad book removals, conflict with federal court rulings, and costly lawsuits. A series of amendments sought to narrow or redirect the bill: proposals by Gant, Aristide, Bartleman, Eskamani, Nixon, Rainer, Woodson, and Harris would have preserved literary value review, protected educational and abuse-prevention materials, exempted LGBTQ-inclusive books, limited objections, preserved funding for districts, or delayed enforcement during ongoing litigation. Supporters of the amendments framed them as protecting parental choice, academic value, student safety, and district finances; opponents said they would weaken the bill’s child-protection purpose. All of the amendments failed. After the amendment process, the House waived rules, read HB 1119 a third time by title, and entered structured debate on final passage. Debate continued along the same lines, with opponents emphasizing book removals, First Amendment concerns, and the impact on students and schools, and supporters reiterating that the bill was intended to prevent minors from accessing obscene material. The transcript provided ends during structured debate and does not include the final vote on HB 1119.

Transcript Highlights:

• And a number of states, including Alaska, Connecticut, Maine, and Washington, task university entities
• And a number of states, including Alaska, Connecticut, Maine, and Washington, task university entities

Keywords: 910, house, all

Summary: The House Committee on Higher Education met on February 4 and began with announcements about committee protocol, including posting hearing notices and testimony earlier than required and using written HD1 drafts for more complex amendments. The chair also noted the new AV system and asked speakers to be clear because the microphones are sensitive. The committee then took up several University of Hawaiʻi-related measures, with most testimony coming from UH officials, state agencies, and advocacy groups, and no votes were taken in the portion provided. HB 1596, relating to student basic needs support at the University of Hawaiʻi, drew support from UH, the Oʻahu Youth Action Board, and an individual. UH said it stood on its written testimony and could answer questions. HB 1597, relating to Alzheimer’s disease and related dementias research, received support from UH/JABSOM, the Alzheimer’s Association, the Hawaii Medical Association, and others; the Attorney General’s Office offered a procedural reminder about statewide concern. HB 1970, funding the University of Hawaiʻi Cancer Center and the Hawaii Tumor Registry, was supported by UH, the American Cancer Society Cancer Action Network, the Hawaii Medical Association, and others, with testimony emphasizing the registry’s role in cancer surveillance, prevention, and federal funding. The committee also heard HB 1598, creating a Hawaii Climate Institute. UH testified in support, citing worsening drought, heat, sea level rise, and extreme weather, and said the institute would hire climate modelers and faculty across several schools. Members questioned funding, and UH said it would seek state startup money, possible green-fee support, and federal grants, noting recent federal cuts and the need for permanent positions. HB 1989, on water retention, was supported by UH as a study to slow runoff and improve aquifer recharge. HB 1951, on biosecurity, drew support from UH, DLNR, the Hawaii Farm Bureau, students, and other organizations; testimony stressed invasive species threats, the need for biocontrol research and containment capacity, and possible sites for a statewide facility. HB 1952, funding agricultural research station improvements on Kauaʻi, was supported by UH, the Farm Bureau, and others, with testimony noting aging facilities and the need to modernize stations across the islands. Finally, HB 2005, relating to language access, received UH support, with a UH representative noting that credit programs may fit best in a credit-bearing academic program and that Outreach College could be an option for noncredit programs.

Transcript Highlights:

• license plates to honor fallen law enforcement officers and support their surviving families, including Alaska

Keywords: 995, all

Summary: The House took up several Senate and House bills, mostly under suspension of the rules, and advanced a number of measures to third reading or engrossment. Early in the session, the House dealt with a Senate bill on student learning and mental health by insisting on its position and appointing a committee of conference. It also referred a Senate petition on alleviating poverty to the Committee on Children and Families after the House declined to concur with a Judiciary referral. The chamber then considered and advanced multiple Ways and Means bills, including legislation on police interactions with people with autism spectrum disorder, honoring Blue Star families, land conveyance in Bolton, newborn screening for congenital cytomegalovirus, affordable housing and cultural space in Brighton, increasing access to epinephrine, and civil rights and technology. Several bills drew extended floor debate. Supporters of the epinephrine bill emphasized its life-saving purpose and described the death of Michael Brown as a catalyst for the measure; the House adopted the bill after a roll call vote of 149-0. The newborn CMV screening bill also prompted substantial testimony in favor from public health advocates and parents, who argued that universal screening would enable earlier treatment and reduce long-term harm; an amendment to add other rare diseases was withdrawn, and a later amendment creating a broad opt-out was defeated 1-153 before the bill passed 154-1. The civil rights and technology bill focused on banning weaponized drones and robotic devices, restricting misuse, and preserving law enforcement and civil liberties; it passed 154-1. The Blue Star families bill, creating commemorative plates for families of fallen law enforcement officers, passed 156-0 after emotional remarks from members and supporters. The House also passed without recorded opposition a bill facilitating better interactions between police and people with autism, and it approved a Bolton land conveyance bill and the Brighton affordable housing/cultural space bill. The chamber observed moments of silence for former Congressman Barney Frank and State Trooper Kevin Traynor, welcomed several guest groups, and concluded by adopting an order to meet the next day at 11 a.m. before adjourning.

Transcript Highlights:

• Alaska is 200 feet. Arkansas, which is our border, is 100 feet in terms of from the polling place.

Keywords: 959, house, all

Transcript Highlights:

• This is a photo of Bristol Bay, Alaska.

Summary: The Select Committee on Alternative Protein Innovation held its first informational hearing to examine the state of alternative protein research, industry growth, and policy needs in California. The chair opened by noting California’s $5 million public investment in UC research in 2022 and framed the hearing around three panels: the climate, environmental, and security potential of alternative proteins; industry scaling and commercialization; and university-led research and workforce development. Members emphasized that the committee will continue with site visits and additional hearings across the state. The first panel focused on the case for alternative proteins as a climate, land, water, biodiversity, and food-security solution. Shana Fertig of the Good Food Institute argued that plant-based, fermentation-derived, and cultivated proteins can reduce greenhouse gas emissions, land use, and water use while helping California meet its climate and conservation goals. Zane Swanson of CSIS added that alternative proteins could reduce risks tied to zoonotic disease, antimicrobial resistance, supply-chain disruption, and broader national security concerns. In questions, members discussed the role of pharmaceuticals in animal agriculture and how alternative proteins might complement, rather than replace, traditional farming by creating new markets for California crops and helping farmers diversify. The second panel featured industry leaders Ethan Brown of Beyond Meat, Myra Passick of Upside Foods, and Arye Elfenbein of Wildtype. Brown highlighted plant-based meat’s health and climate benefits, criticized misinformation campaigns against the sector, and urged better labeling, reduced subsidies for factory farming, and more plant-based food in public institutions. Passick described cultivated meat as a scalable food-production technology, said Upside Foods has already produced millions of pounds annually at its Emeryville facility, and asked for grants, low-interest loans, and possible participation in cap-and-trade or similar revenue programs. Elfenbein described cultivated seafood as a way to address overfishing, contamination, traceability problems, and the heavy import dependence of the U.S. seafood supply, while also noting conservation benefits and the need for California to remain a hub for the industry. The final panel centered on research and workforce development. UCLA’s Amy Rowat described state-funded work on technical bottlenecks such as growing fat cells and creating edible scaffolds, along with a Future Food Fellows program that trains students across science, engineering, law, and policy. UC Santa Cruz economist Galina Hale argued that alternative proteins are necessary to meet future protein demand while reducing food-system emissions, and said California must support the sector through grants, loans, procurement, and research centers to avoid losing leadership to other states and countries. The hearing ended with the chair thanking the witnesses, noting that all materials would be posted online, and saying the committee would continue building policy and budget proposals to support the sector.

Transcript Highlights:

• the borders, southern border roughly 2,000 miles, northern border about 4,000 miles, you include Alaska

Keywords: Customs and Border Protection, Rodney Scott, border security, asylum, transparency, Hernandez Rojas, migrant treatment, public testimony

Summary: The meeting centered on the nomination of Rodney Scott to serve as the Commissioner of U.S. Customs and Border Protection (CBP). Throughout the session, various senators expressed concerns regarding CBP's recent practices, including issues related to border security and the treatment of migrants. Questions were raised about Scott's involvement in previous incidents, particularly surrounding the controversial death of Mr. Hernandez Rojas while in custody, which sparked a heated discussion about accountability and transparency in current border policies. Senators emphasized the importance of balancing efficient border security with humane treatment of individuals seeking asylum.

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• Several my nephews and nieces are educators upon the teachers after the ability to Alaska have and nephews

Keywords: 999, senate, all

Transcript Highlights:

• California's excess contribution to the federal government is larger than the combined state budgets of Alaska

Keywords: 988, house, all