Transcript Highlights:

• Origin is a protected class under the Civil Rights Act of 1964.
• National origin has been a protected class since the Yick Wo case, Yick Wo v. Hopkins.
• Our federal government issues two classes or types of visas to foreigners.
• I would just like to recognize the fourth grade class from Grace Academy.
• A special class of people that already exists. I disagree with that.

Bills: HJR175, HJR88, HB21, HB49, HB216, HB346, HB573, HB565, HB954, HB1953, HB2686, HB1441, HB2734, HB1650, HB3161, HB2876, HB3185, HB3388, HB2761, HB3233, HB 1186, HB1534, HB5506, HB5129, HB3619, HB778, HB2867, HB3221, HB3672, HB2434, HB4903, HB3687, HB3675, HB4609, HB4582, HB4921, HB3866, HB3901, HB4534, HB2446, HB3984, HB700, HB4012, HB4491, HB4088, HB229, HB4234, HB722, HB4136, HB4105, HB4413, HB170, HB551, HB2858, HB3053, HB3142, HB3180, HB3722, HB2200, HB1794, HB1784, HB1581, HB2530, HB4308, HB1896, HB2974, HB3359, HB4580, HB2458, HB2215, HB3332, HB2278, HB3015, HB3151, HB1368, HCR9, HCR40, HB5138, SB17, HB4944, HB2284, HB3421, SB1569, SB2420, SB1968, SB2351, SB2544, SB1490, SB1349, SB1568, SB2776, HB3531, HB2149, HB4327, HB3158, HB3717, HB4520, SB888, SB552, HB3138, HB3704, HB2921, HB4853, HB4506, HB3892, HJR161, HJR175, HJR88, HB1937, HB3334, HB5444, HB5137, HB361, HB321, HB5447, HB464, HB678, HB2294, HB4172, HB3225, HB1769, HB5394, HB1837, HB1787, HB2271, HB2440, HB5134, HB5149, HB2151, HB2073, HB2186, HB2025, HB1936, HB1777, HB1663, HB 1306, HB 1290, HB1527, HB4802, HB3462, HB2963, HB2462, HB2560, HB644, HB2725, HB2621, HB2588, HB1443, HB1403, HB3032, HB1557, HB1664, HB2811, HB2088, HB2598, HB3062, HB3134, HB3940, HB4027, HB4097, HB4862, HB4170, HB4157, HB4205, HB4279, HB4377, HB4838, HB5424, HB5294, HB4870, HB4763, HB5639, HB4112, HB2275, HB1677, HB5014, HB3848, HB3797, HB3727, HB3709, HB3177, HB3057, HB4176, HB4202, HB2180, HB3528, HB3658, HB21, HB49, HB216, HB346, HB573, HB565, HB954, HB1953, HB2686, HB1441, HB2734, HB1650, HB3161, HB2876, HB3185, HB3388, HB2761, HB3233, HB 1186, HB1534, HB5506, HB5129, HB3619, HB778, HB2867, HB3221, HB3672, HB2434, HB4903, HB3687, HB3675, HB4609, HB4582, HB4921, HB3866, HB3901, HB4534, HB2446, HB3984, HB700, HB4012, HB4491, HB4088, HB229, HB4234, HB722, HB4136, HB4105, HB4413, HB170, HB551, HB2858, HB3053, HB3142, HB3180, HB3722, HB2200, HB1794, HB1784, HB1581, HB2530, HB4308, HB1896, HB2974, HB3359, HB4580, HB2458, HB2215, HB3332, HB2278, HB3015, HB3151, HB1368, HCR76, HCR127, HCR9, HCR40

Keywords: constitutional amendment, medium of exchange, currency rights, digital currency, financial autonomy, tax exemption, rainwater harvesting, graywater system, local government, ad valorem taxation, housing finance, multifamily residential, low income, audit requirements, affordable housing, development bonds, oil waste, gas waste, liability, treatment processes

Transcript Highlights:

• There are certain classes of people who, under the law, we do not discriminate based solely on.
• He starts making zeros in all his classes. So we're catching up, trying to...
• Schools lose money. and children lose crucial educational time when they are yanked from class.
• Like Class E, and so somebody gets fined for practicing without a license. Okay. Thank you.
• Several prerequisite classes in basic sciences are required.

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• Are they just interested, or are they fulfilling a requirement of a class or some kind of credit?
• Again, depending on, you know, if it's the kindergarten class or a 12th-grade AP Government class, teachers
• c> you<01:30:15.080> know<01:30:15.239> a<01:30:15.360> 12th kindergarten class
• > government<01:30:16.679> class<01:30:17.080> right<01:30:17.600> um<01:
• 30:18.159> uh grade AP government class right um uh grade AP government class right um uh teachers

Keywords: 1187, senate, all

Transcript Highlights:

• career I was at Penn State at a time when Penn State was 70,000 students, and you're used to large classes
• When you're preparing a half dozen CDL drivers for plow trucks for the winter season, that's a good class
• and you're used to used to large classes and you're used to large large large numbers<02:04:12.400><
• <02:04:33.400> that's<02:04:33.559> a<02:04:33.760> good<02:04:34.119> class
• the winter season that's a good class the winter season that's a good class it's<02:04:35.000>

Keywords: 928, house, all

Summary: The meeting was the first session of a newly created House Education Funding Committee, which also handles career technical education and higher education legislation. The chair explained that the committee was split off from the larger education committee because of the high volume of bills in the prior biennium, and said its focus would be on education funding policy and related fiscal issues. He noted that the committee had already reviewed major topics with the Department of Education, including the foundation formula, building aid, career technical education, special education aid, catastrophic aid, and higher education funding, and that chancellors from the university and community college systems were scheduled to appear later that morning. The bulk of the meeting was an orientation on committee procedures and decorum. The chair reviewed attendance and replacement rules, hearing procedures, time limits for testimony, and how the committee would handle crowded hearings, early bills, and fiscal notes. He emphasized that hearings are not debates, that sponsors and co-sponsors may present but should not use their position to dominate questioning, and that the chair controls whether additional technical questions are asked of witnesses. He also stressed neutrality, saying members should not display buttons or placards or engage in running debates with testifiers, and that the committee should treat all testimony respectfully regardless of party or viewpoint. Additional housekeeping guidance covered security procedures, use of cell phones and computers during hearings, breaks and hydration in the dry hearing rooms, and courtesy toward the clerk and other staff. The chair also asked members to notify leadership in advance of absences and explained that some bills may require larger rooms or overflow arrangements. No votes were taken and no bills were acted on during this portion of the meeting.

Transcript Highlights:

• Um, I’ll further expand that right now: the OPLC has rolled out the new licensing portal for one class
• licensing portal for rolled out the new licensing portal for one<00:21:50.320> uh<00:21:50.559> class
• <00:21:50.799> of<00:21:51.120> license<00:21:51.600> class<00:21:51.840>
• of one uh class of license class of one uh class of license class of licences<00:21:53.200> and

Keywords: 1189, house, all

Transcript Highlights:

• So there's an assessment we do, it's called the CLASS, and that measures interactions between children
• <00:53:16.800> that<00:53:17.040> measures<00:53:17.599> interactions the class
• and that measures interactions the class and that measures interactions between<00:53:18.800> children
• and<01:06:14.240> I<01:06:14.480> got<01:06:15.039> the<01:06:15.280> class
• food program and I got the class food program and I got the class assessment<01:06:16.079> and

Keywords: 919, house, all

Summary: The presentation focused on Think Small’s recommendations for Minnesota child care licensing modernization, including a proposed three-tier system for early care and education: unregulated “trusted caregivers,” state-licensed health and safety programs, and “recognized” early care and education programs that would pursue board-approved quality pathways. Dr. Nicole Smarillo said the recommendations came from an extensive engagement process with providers and field experts, and emphasized that the goal is not deregulation but a right-sized system with clearer funding aligned to state expectations, a reduced and more health-and-safety-focused licensing framework, and a profession-led quality system with multiple pathways rather than a single rating model. A major recommendation was creating a Minnesota Board of Early Care and Education with real decision-making power, made up of providers, families, and experts. The board would set quality expectations, approve multiple recognition pathways, address professional qualifications, advise on funding and supports, and monitor policy impacts on child outcomes, supply, and workforce stability. Presenters said the current Parent Aware system would be replaced in this future model, and that programs would have a roadmap from health-and-safety licensing to a time-limited candidate status and then to recognized program status. Several providers testified in support of the framework. Shauna Maranovich said the process welcomed field voices and produced recommendations grounded in proximity expertise. Cindy Cunningham, a licensed family child care provider, said the proposal reflected provider feedback, supported a Minnesota-specific model, and would separate health and safety licensing from quality improvement while reducing fear-based enforcement. Maria Harms, a child care center operator, said current licensing is overly burdensome and that the board and multiple pathways would better reflect day-to-day practice and reduce silos across program types. Candace Yates of Child Care Aware of Minnesota supported aligning supports with quality pathways and said the system needs a shared floor for quality and more continuous, less fragmented support. No votes or formal committee actions were taken in the excerpt.

Transcript Highlights:

• But what we do on a monthly basis, we look at every accounting unit and we look at every class line,
• <00:24:02.640> look<00:24:02.720> at<00:24:02.880> every<00:24:03.200> class
• c><00:24:03.520> line<00:24:03.840> and<00:24:04.080> we and we look at every class
• line and we and we look at every class line and we look<00:24:04.320> at<00:24:04.480> what
• <01:18:32.640> where you in paying for um the classes where you in paying for um the classes

Keywords: 928, house, all

Summary: The committee first handled routine business, including roll call and approval of the prior meeting minutes, with one member abstaining because of absence and one member opposing. The main informational items were a Department of Health and Human Services update on the rural health transformation grant and a public health briefing on vaccines, followed by a quarterly budget and staffing update and an annual report from the Permanent Subcommittee on Alzheimer’s Disease and Other Related Dementias. Commissioner Lori Weaver reported that the department submitted the rural health transformation grant application on November 4, described it as reflecting input from communities and providers statewide, and said CMS review and budget negotiations would follow before final approval on December 31. She said the grant could support hiring as long as administrative costs stay within the 10% cap, and that the governor’s office will oversee administration with HHS. Ian Watt then testified that New Hampshire remains committed to vaccine access, including through the universal purchase program and annual respiratory virus guidance for flu, RSV, and COVID-19. He said the state continues to use evidence-based review for vaccine policy, noted the CDC’s change regarding the combined MMRV vaccine for the first dose in young children, and said New Hampshire’s school vaccine mandates remain at nine for schoolchildren and 10 for child care, with statutory exemptions still in place. Department staff also said there have been no supply or funding problems affecting childhood vaccine access. Nathan White, the department’s CFO, reviewed the DHHS budget and vacancy trends. He said DHHS makes up a large share of the state budget, that about 31% of its budget is general funds subject to lapse, and that lapse projections are difficult because much of the budget is driven by utilization rather than personnel. He reported current projected general fund lapse of just under $20 million, compared with about $39 million in the statewide surplus statement, and explained that only about a third of DHHS general funds can actually lapse because of statutory restrictions. He also said the department has about 400 unfunded positions, contributing to roughly a $30 million general fund reduction across the biennium, and that the hiring freeze has pushed vacancy trends upward while critical direct-care positions are being prioritized. The Alzheimer’s subcommittee reported six meetings this year, presentations on state services, silver alerts, brain health awareness, and palliative/hospice care, and work toward a new state Alzheimer’s plan. The subcommittee is developing a needs-assessment survey for people living with dementia, caregivers, and service providers, with the goal of using the results and other data sources to inform the plan. Its recommendations focus on integrating Alzheimer’s and dementia materials into chronic disease and aging outreach, embedding brain health into systems of care, adding cognitive health measures to BRFSS, and continuing partnerships with statewide organizations. Members also discussed recent research and prevention efforts, and the committee noted that a separate bill is being pursued to include Alzheimer’s and dementia in existing public health awareness campaigns.

Transcript Highlights:

• The unique perspective with this picture and with this class is I have had the privilege of working with
• the class of 2025 since they were kindergarteners.”
• Jessica Cabine continued, “One interesting fact again about this senior class is that I wanted to show
• /c><00:53:17.680> that<00:53:18.160> I<00:53:18.240> wanted about this senior class
• is that I wanted about this senior class is that I wanted to<00:53:18.559> show<00:53:18.720>

Keywords: 1183, house

Transcript Highlights:

• Mahalo for your time and support. citizenship classes, voter registration, citizenship classes, voter
• Our year-long classes that were serve.
• Our year-long classes that were cut<01:49:34.560> teach<01:49:35.520> ABCs,<01:49:36.320
• The working-class families in our learning ʻohana that rely on our child care are only open to specific
• The working-class families in our learning ʻohana that rely on our child care are only open to specific

Keywords: 910, house, all

Summary: This joint informational briefing on Act 310 grants and aid focused on organizations describing how federal funding cuts, Medicaid/SNAP changes, and related policy shifts are affecting their services and budgets. Committee members explained there would be no Q&A, testimony would be limited to one minute, and in-person participants would be heard before Zoom callers. Members repeatedly asked testifiers to identify the amount of federal funding lost or at risk. Testimony came from a wide range of nonprofits and community providers, including Aloha Care, Hawaii Bicycling League, Hawaii Literacy, Hawaii Youth Symphony, Healthy Mothers Healthy Babies Coalition of Hawaii, the Tsunami Museum, The Kohala Center, West Hawaii Community Health Center, West Hawaii Region Hospital Foundation, Sounding Joy Music Therapy, Big Brothers Big Sisters Hawaii, Dynamic Community Solutions, Feeding Hawaii Together, Girl Scouts of Hawaii, Hawaii Disability Rights Center, Hawaii Youth Services Network, Hawaiian Lending and Investments, Homana, Honolulu Theatre for the Youth, Kids Hurt Too Hawaii, and Kokua Kalihi Valley. Most described reduced or threatened federal support and requested state funding to maintain services such as health care access, food security, disaster preparedness, literacy and digital inclusion, youth mentoring, arts education, housing, and climate or agricultural resilience. Several speakers emphasized direct impacts on vulnerable populations, including kūpuna, low-income families, immigrants, homeless youth, and people with disabilities. Requests ranged from relatively small planning or program grants to multi-million-dollar stabilization asks, with some organizations citing specific losses such as reduced Medicaid or USDA funding, canceled EPA or FEMA support, or expiring federal grants. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• I mean, I'm thinking, why would the state set up basically two classes of students: one that are not
• <01:02:24.720> of<01:02:24.960> of basically uh uh two classes of of basically uh uh
• two classes of of students?
• That wasn't in my lower level graduate classes, but we hand out certifications that say they're ready
• level classes for special education. level classes for special education.

Keywords: 928, house, all

Summary: The subcommittee opened its second meeting on House Bill 742, which would require catastrophic special education aid to be drawn from the education trust fund, and discussed whether to also examine differentiated aid within the adequacy formula. The chair said the committee had previously heard from HHS/Medicaid officials and now wanted to hear from local special education directors about how the aid system works in practice, including billing, training, data collection, and whether districts handle claims consistently. Members also referenced Arkansas as a possible comparison state and said they hoped to develop ideas by November to address the current funding process. Committee members focused on the current special education aid thresholds and the impact of proration. The chair described the existing formula as requiring districts to absorb costs up to 3.5 times the state average per student, with the state paying 80% from 3.5 times through 10 times and paying above that, and said FY25 appropriated about $34 million while actual claims were about $50.1 million, leaving roughly a $16 million shortfall that caused proration. Members also raised the possibility of lowering the threshold to 2.5 times and asked how that would affect the number of eligible students and costs. Another member asked about how districts decide whether services are education-related or medical-related and how Medicaid or private insurance reimbursement affects later state aid claims. District representatives from Boothby Therapy Services, Bedford, and Guilford introduced themselves and described their roles. Guilford’s director said the district tracks students with paraprofessional support, nurses, transportation, or specialized programming, uses a data system to log every service touchpoint, and tries to maximize both Medicaid and special education aid; she said a lower threshold would likely capture all students with paras or nurses and that rising staffing and service costs would increase the number of students over the cap. Bedford’s assistant director said the district uses a different system, tracks roughly 60 to 80 students a year, and pursues Medicaid and special education aid simultaneously but does not pursue private insurance if it would affect FAPE; she said reducing the threshold to 2.5 times would likely double the number of qualifying students. Members asked follow-up questions about software, data entry, and how districts decide whether to bill Medicaid or seek state catastrophic aid, and the directors explained that their systems log services by staff type and student, with some districts using the same data for both Medicaid and state reimbursement claims.

Transcript Highlights:

• We've also had, we, like TRS, have a variety of asset classes, including alternative asset classes and
• public asset classes.
• If somebody tells us there's a Class A office building that we own in Georgia.
• You want smaller class sizes, smaller student-teacher ratios.
• Parents want smaller class sizes, but that inherently means more adults employed.

Keywords: 1184, house, all

Transcript Highlights:

• is not necessarily related to the topics of the study, but that all schools must endeavor to have class
• sizes of not must endeavor to have class sizes of not more<00:15:08.920> than<00:15:09.200>
• That's roughly or less than 30 class periods over the course of a entire school year.
• That's roughly or less than 30 uh class That's roughly or less than 30 uh class periods<02:27:38.440>
• around too much in class. around too much in class.

Keywords: 916, all

Transcript Highlights:

• And a licensed engineer is required to indicate a class one or class two wetland, any streams, the contours
• <02:49:57.680> one<02:49:57.920> or<02:49:58.319> class<02:49:58.720> 2
• c> to indicate a class one or class 2 to indicate a class one or class 2 wetland,<02:50:00.000> any
• unmapped or unelineated class 2 wetland. unmapped or unelineated class 2 wetland. doesn't<02:52:
• Maybe we didn’t consider what that is now as a class 2 wetland then. So, it wasn’t a problem.

Keywords: 926, house, all

Summary: The House returned from recess and took up S. 208, a bill on standards for law enforcement identification. The House Judiciary Committee explained that it had rewritten the bill into a model-policy approach focused on Vermont state and local agencies, rather than imposing direct requirements on all law enforcement, because of constitutional and preemption concerns raised by a recent Ninth Circuit decision. The amended bill would direct the Law Enforcement Advisory Board to develop a statewide policy on officer identification and facial coverings by July 2027, require agencies to adopt a consistent policy by October 1, 2027, and deem agencies to have adopted the model policy if they do not act. The committee reported the bill favorably on a 6-5 vote. Members then debated an amendment offered by Representatives Berbeco and McGill to restore federal officers to the bill. Supporters argued that public authority should not be anonymous, that visible identification is necessary for transparency, accountability, and public trust, and that the bill should apply to federal agents as well as state and local officers. They said the amendment included exemptions for undercover work, tactical teams, protective equipment, and safety concerns, and argued Vermont should not wait for courts to resolve every constitutional question before acting. Opponents on the Judiciary Committee said the language remained likely unconstitutional and could jeopardize the bill’s passage; the committee had found the amendment unfavorable on an 8-1 vote. The floor debate continued with several members speaking in favor of the amendment, including arguments that other states have adopted similar requirements and that Vermont should lead on the issue. One member raised a point of order that was not sustained, and the Speaker ruled federal authority relevant to the question. The transcript ends while debate on the amendment was still underway, after a request for a roll-call vote was granted, with no final floor vote on the amendment shown in the excerpt.

Transcript Highlights:

• They're regular middle-class families trying to get by, and we added again more money into that to move
• with middle class home middle class<01:26:01.679> towns<01:26:02.080> that<01:26:02.400
• towns that have a a a high class towns that have a a a high necessarily<01:26:05.840> um<01:26
• homes. their regular middle-class homes. their regular middle-class families<01:26:15.760> trying
• families uh more money middle class families uh more money towards<01:26:24.159> education<01

Keywords: 1189, house, all

Transcript Highlights:

• is like classes on entomology.
• But we're talking about classes, right? We haven't gone... the academy has a number of classes.
• But we're talking about classes, LFA. But we're talking about classes, right? right? right?
• <00:20:58.040> And<00:20:58.120> then number of classes. Yeah. Yeah.
• And then number of classes. Yeah. Yeah.

Keywords: 912, senate, all

Transcript Highlights:

• And Wyoming really does have a world-class fossil heritage.
• Uh and there for uh the class 6 program.
• . >> Okay. >> Uh, it is not permitted for Class 6 yet.
• We would need to issue a permit to convert it to Class 6.
• We also have primacy over the Class 2 UIC program.

Keywords: 916, all

Transcript Highlights:

• A or Class B members and would have to relinquish that status in order to accept positions such as a
• Thank you very much to the testifiers. or Class B members and would have to or Class B members and would
• <01:52:12.000> trust<01:52:12.440> and<01:52:12.639> safety best-in-class trust
• and safety best-in-class trust and safety protections<01:52:13.679> including<01:52:14.079>
• C felony a second offense, and a class B felony for a third offense.

Keywords: 910, house, all

Summary: The committee met on February 12 at 2 p.m. and heard several measures related to corrections, re-entry, law enforcement, retirement benefits, and gun violence prevention. On HB 10002, which would extend the Hawaii Correctional System Oversight Commission coordinator’s term and clarify unannounced inspection authority, the Department of Corrections and Rehabilitation said it had no objection to the term length or to 24/7 unannounced access. The commission’s chair, Commissioner Mark Patterson, asked for a longer term, saying the commission needs more time and stability to manage reform efforts after years without staff during COVID. Community Alliance on Prisons and Carolyn Eaton also supported a longer term, with both suggesting six years would better insulate the position from politics. The chair noted he had asked Chair Bot for background on the prior committee’s changes and said that could be discussed during decision-making. The committee then heard HB 67, which would require DCR to help inmates obtain civil identification documents such as IDs, birth certificates, and Social Security cards as soon as practicable, including for people in furlough or community placement programs. DCR said it supported the bill and described ongoing work with the city and county on ID machines and with agencies on certificates and Social Security cards. The Office of Hawaiian Affairs, the Oversight Commission, Community Alliance on Prisons, and the Office of Public Defense all supported the measure, emphasizing that identification is essential for housing, employment, and successful re-entry and noting the disproportionate impact of incarceration on Native Hawaiians. On HB 1183, which would classify certain law enforcement administrators and Department of Law Enforcement employees as Class A members for retirement purposes, the Department of Human Resources Development, the Employees’ Retirement System, and the Department of Law Enforcement all supported the bill. DHRD said it would help recruitment and retention, ERS said it had technical amendments to suggest, and DLE said the change would help with succession planning and allow the governor to appoint the most qualified leader. The committee also heard HB 1045, an emergency appropriation bill to cover payroll fringe benefits for Department of Law Enforcement personnel after salary funding had been shifted to other departments; Budget and Finance and DLE explained the need for the supplemental funding, and no opposition was noted. Finally, the committee took up HB 664, which would create an Office of Gun Violence Prevention, a grant program, a resource bank, and a special fund. The Attorney General recommended adding standards for grant awards and warned of overlap with the existing Gun Violence and Violent Crimes Commission, suggesting consolidation and repeal of the older commission to avoid duplication. Supporters included the Brady Campaign, Everytown for Gun Safety, Moms Demand Action Hawaii, a physician, and an Army veteran, who argued the office would centralize data, coordinate prevention efforts, and help secure outside funding. Testimony was mixed, with the chair noting 37 supporters, nine opponents, and three commenters, but no vote was taken during the hearing.

Transcript Highlights:

• The MMRCs look at circumstances related to death, contributing factors, and levels of contributing classes
• MMRCs look at circumstances related to death, contributing factors, and levels of contributing classes
• You break that down further and you look at what is a cause of these factor classes: knowledge on part
• And maybe it's even the class three or whatever that we say we're missing.
• And maybe it's even the class three or whatever that we say we're missing.

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:

• This is the class of drugs that includes fentanyl, heroin, and many prescription pills.
• This is the class of drugs that includes fentanyl, heroin, and many prescription pills like Percocet.
• What I teach my students, in fact, I'll have to change my curriculum, is that the two drug classes that
• What I teach my students, in fact, I'll have to change my curriculum, is that the two drug classes that
• these, you know, and I've worked with many of them teaching multiple, like, you know, a lot of these classes

Keywords: 959, house, all

Transcript Highlights:

• So when we started this discussion, the governor said he wanted to target working-class families and
• Said he wanted to target working-class families and those who could not afford to pay for property taxes
• And so I felt like this would really get to the heart of the matter with the working-class families that
• They'll definitely separate us in class.
• Magoya, who turned around the Jackson Public Health System to become one of the largest and now world-class

Summary: The Senate took up Committee Substitute for Senate Joint Resolution 2F, a proposed constitutional amendment to expand homestead property tax relief, lower the assessment cap on non-homestead property from 10% to 5%, and limit county and municipal ad valorem tax revenues to specified uses. Senator Avila presented the measure as a major property tax reform intended to provide relief to homeowners and restrain local government spending, while opponents argued it would shift costs to fees, services, and state appropriations and could harm local budgets, public safety, schools, and other services. Several senators also raised concerns about the ballot language and the lack of a completed fiscal analysis. The chamber considered and rejected multiple amendments. Senator Sharif’s income-based “circuit breaker” amendment failed, as did Senator Smith’s sunset clause amendment and Senator Berman’s amendment to rewrite the ballot statement for greater accuracy. During questioning, Avila said the revised language was meant to preserve flexibility for local governments and that future legislatures could set implementing procedures and, if necessary, prohibit certain local expenditures by general law. He also confirmed that the proposal would not affect refinancing or portability, and said the measure would not prevent local governments from continuing to fund many services such as libraries, parks, animal control, code enforcement, mosquito control, public housing, county health departments, and elections. Debate on final passage was extensive. Supporters described the proposal as overdue relief for homeowners and a way to force local governments to prioritize spending, while critics called it a risky tax shift that could reduce local revenue by billions and force cuts or higher fees. Some senators emphasized concerns about public safety funding, mental health and social services, and the accuracy of the ballot summary; others argued the measure would give voters a chance to decide on property tax reform. After debate, the resolution was rolled over for third reading and the Senate continued discussion, but the transcript provided does not include a final vote on the joint resolution.