Transcript Highlights:

• There's an entire section regarding the financial approval requirements.
• Since that was the biggest section, I wanted to highlight that for you.
• Go through the sections; we're happy to do it. Mr.
• So, Madam Chair, I would also mention that it duplicates most of the tax code as well.
• And there's actual tax code, so...

Transcript Highlights:

• I can see... ...climate innovation to the Government Operations Agency.
• Do you know of any other unit in state government where a majority of the employees are...
• They're the one-time things, whether we're buying sections or leasing sections or building sections.
• They're the one-time things, whether we're buying sections or leasing sections or building sections.
• So in terms of, you can go back to that code section, you can kind of see the section A right before

Keywords: 987, senate, all

Transcript Highlights:

• label a reduced label that had a QR code label a reduced label that had a QR code and<01:01:54.640
• Uh and then section B is for QR option.
• Um, and then the QR code or web address for ingredients.
• Are these Uh, health code inspections.
• You must build a code. There's no shortcuts here at all.

Keywords: 1191, senate, all

Transcript Highlights:

• of the Massachusetts food code that some restaurants are using to serve foie gras.
• of the mass merged food code that some restaurants are using to serve foie gras.
• And that is on the list as soon as the government opens up again.
• I'm the Director of Legislative and Government Affairs at Mass Audubon.
• Most states also have no regulations governing how animals on fur farms are kept.

Keywords: 995, all

Summary: The committee hearing covered a wide range of animal, wildlife, hunting, and environmental bills. Early testimony focused on deer management, with Rep. Markey urging creation of a deer commission to address crop damage, vehicle collisions, and Lyme disease, and Sen. Durant supporting bills to allow Sunday bow hunting, expand crossbow use, and reduce the 500-foot dwelling restriction for archery hunting. Supporters framed these measures as practical wildlife-management tools, while questions centered on how they would differ from existing Fish and Wildlife authority and whether they would allow hunting closer to residences. Later, Rep. Sena also spoke in support of a bill to increase protected wildlife management areas and another to require non-lead ammunition, arguing both would benefit biodiversity and reduce environmental harm. A substantial portion of the hearing addressed animal welfare and commerce. Multiple witnesses supported bills to ban or phase out the retail sale of dogs, cats, rabbits, and guinea pigs in pet shops, arguing that pet stores rely on puppy mills and obscure the source of animals, while opponents said the bills would hurt responsible breeders, small businesses, and consumer choice. The committee also heard strong testimony for bills to ban the sale of cats and dogs in pet shops, with supporters citing sick animals, consumer deception, and the need to cut off the puppy mill supply chain. In a separate animal-testing segment, witnesses backed bills requiring non-animal testing methods for cosmetics and household products, saying alternatives are more accurate and humane; biomedical research representatives opposed those bills and a related research-animal measure, warning of unintended restrictions on research institutions and arguing animal models remain necessary for many studies. The committee also heard testimony on horseshoe crab conservation, with supporters of H. 898 urging an end to taking horseshoe crabs for bait because of population declines, shorebird impacts, and the species’ importance to biomedical science. On wildlife trafficking, witnesses backed bills to ban intrastate sales of ivory and rhino horn, saying Massachusetts should close loopholes that aid poaching and align with federal law and other states; one antique dealer testified in support, saying he avoids such items and still sees them in the marketplace. Additional testimony supported bans on fur products from factory farms and on force-feeding birds for foie gras, with advocates emphasizing cruelty, public health, and environmental concerns. The hearing was lengthy and heavily attended, with the chairs repeatedly limiting testimony to three minutes and inviting written submissions; no committee votes or final actions were taken during the transcript excerpt.

Transcript Highlights:

• And Section 2 of Article 1 makes two changes to the statutes governing payment withholds.
• included uh in Section 13. included uh in Section 13.
• Um, Um, Um, sections sections sections 16,<00:41:42.640> 17,<00:41:43.400> 18,<00:
• That's denoted by the OP-46 code. The two substantive proposals, one begins with section three.
• And the other group of new proposals, which are part of federal conformity, OP-46 OP-46 code. code. code

Keywords: 1187, senate, all

Transcript Highlights:

• Donald Trump's government is hellbent on driving up costs from foreign adventures on tariffs and war
• Donald Trump's government is hellbent on driving up costs from foreign adventures on tariffs and war
• c><00:10:37.040> driving<00:10:37.360> up government is hellbent on driving up government
• ,<00:24:12.080> but >> codes, but >> codes, but you<00:24:13.919> were<00:24
• <00:24:29.919> of what you see is you see a section of what you see is you see a section of

Keywords: 919, house, all

Summary: The meeting focused on proposed Minnesota legislation to ban surveillance pricing and restrict AI-powered electronic shelf labels in grocery stores. Speakers from UFCW 1189 and UFCW Local 663, along with Rep. Samantha Sencer-Mura and Senate Majority Leader Erin Murphy, argued that these technologies could enable real-time price increases based on consumer data, undermine budgeting and privacy, and worsen affordability for families. They also said the technology could reduce hours or eliminate jobs for grocery workers who currently handle pricing and store knowledge, with UFCW Local 663 estimating about 500 affected jobs among its members alone. Testimony emphasized examples such as baby formula, diapers, bananas, and milk to illustrate how fluctuating prices could hurt families, seniors on fixed incomes, and people in food deserts. Speakers also argued that grocery workers provide essential customer service and that automation should be introduced responsibly, not at the expense of workers or consumers. Murphy and Sencer-Mura framed the bill as a response to corporate greed and big tech surveillance, saying Minnesota should act proactively before the practices become widespread. During questions, lawmakers and advocates discussed whether the issue was proactive or reactive, whether disclosure requirements like those used in New York would be sufficient, and how surveillance pricing differs from loyalty programs or coupons. Speakers said disclosure alone would not prevent tracking or price manipulation and that the goal was to stop the practice altogether. The transcript ended with the advocates saying they would continue meeting with lawmakers on both sides of the aisle; no vote or final committee action was recorded in the excerpt, though one question referenced a related bill stalling in committee earlier that morning.

Transcript Highlights:

• But government is very, very complex, and there's a lot of rules.
• That's under, I believe, Section 4 of the GAO's auditing report.
• Section 4 of the GAO's auditing report.
• Government Code 14017 required that Caltrans transfer a portion of those federal formula funds from the
• So the high road training partnerships are defined in the California Unemployment Insurance Code Section

Keywords: 988, house, all

Transcript Highlights:

• And rather than go section by section through all four articles, what I'm going to do, Mr.
• <00:29:54.240> all<00:29:54.799> four section by section through all four section by
• It's section 4.
• governments such as a county, city, or township under our enabling statutes in section 473.35.
• So, it's really local government.

Keywords: 1187, senate, all

Transcript Highlights:

• The bill, as it came to us from the House, also adds two new sections.
• The first section directs the Department of Human Services to pay licensed child care program subsidy
• The bill provides that federal law governs to the extent of an inconsistency with state law, but that
• Both of these sections make exceptions to the conditions with reference to Chapter 21, Article 6, Section
• This strike-and-insert amendment adds a section of code that deals with microgrids and data centers,

Keywords: 994, senate, all

Summary: The Senate Finance Committee met with a quorum present, approved the prior meeting minutes, and then considered a series of House bills and committee substitutes. House Bill 5438, dealing with changes to Step 7 of the school aid formula and allowable uses of certain education allocations, was amended to adopt the Education Committee’s changes and then reported to the full Senate. House Bill 4087 creating the West Virginia-Ireland Education Alliance was also reported, as was House Bill 4191, which expands child care tax credit eligibility for employer-sponsored facilities and changes subsidy payments from attendance-based to enrollment-based reimbursement; senators emphasized its workforce and economic development benefits. House Bill 5074, which reallocates medical cannabis fund balances and future revenues, was amended to increase the Child Protective Commission pilot funding from $3 million to $5 million and remove proposed ibogaine research funding for Marshall and WVU before being reported. House Bill 5353, regulating virtual currency kiosks and money transmission licensure, and House Bill 5527, creating licensure and oversight for wellness reimbursement program administrators, both received strike-and-insert amendments and were reported. House Bill 5687, which phases down the metallurgical coal severance tax and adds a temporary oil and gas tax reduction with county/municipal revenue adjustments, was amended and reported. House Bill 4418, creating an electronic system for municipal business and occupation tax filing and collection with a 1% administrative fee and a participation threshold, was also reported. The committee then took up House Bill 4245, the Revenue Rules Bundle, which bundles 26 legislative rules from the Department of Revenue and related agencies. The bundle included alcohol, banking, insurance, racing, and tax rules, with several sunset extensions and repeals of outdated rules; the committee adopted a strike-and-insert amendment affecting a lottery consumer protection rule and a pre-need cemetery company rule, then reported the bill. House Bill 5168, providing a $12 million lottery-funded stream for emergency medical services, was amended to clarify the uses of the funds, rename one fund, require a 30% county match for mental health treatment spending, and create two additional county-based EMS funds; senators described it as a needed permanent funding source for EMS, and it was reported. Throughout the meeting, members generally supported the measures, with some discussion on technical details, funding allocations, and the impact of the bills on local services and workforce needs. At the end of the meeting, the chair announced that Senate House Bills 4004, 4006, and 4009 would not be taken up that day, and the committee adjourned.

Transcript Highlights:

• government trying to create these laws. government trying to create these laws.
• for compelling government interests. for compelling government interests.
• >> Uh, be the government, right? >> Government. >> Government.
• >> Uh be the government, right? >> Uh be the government, right?
• >> Government. >> Government. >> Government.

Keywords: 1189, house, all

Transcript Highlights:

• It's actually a large unknown what section 24 of this bill does.
• If our tax code needs reform, then let's do it in its own bill.
• This is a small section of the bill. It's just a teeny little section of the bill.
• And so I'm thinking, doesn't government tax things we don't want more of?
• Can I trust this government? Everything else is secondary to that.

Keywords: 905, all

Summary: The House met with a quorum, approved the journal, and received messages from the governor and Senate, including notice that the governor vetoed CSHB 16 and allowed HB 14 to become law without signature. The chamber then took up the conference committee report on HB 381, a major Alaska LNG-related bill that revises the project’s tax and regulatory structure. The conference report was explained as a compromise package that, among other things, changes required local contribution language, expands disclosure and notice requirements, adjusts foreign ownership reporting, extends the Phase 1 construction deadline, adds a $10 million workforce development/community impact fund, modifies project labor agreement provisions, and exempts the Alaska LNG project from the new pass-through entity tax while still requiring an informational tax return in 2027. The Speaker also announced the governor had issued a proclamation calling the legislature back into session on July 27, 2026, and said sine die would be moved after debate. Debate on HB 381 was sharply divided. Supporters argued the bill is necessary enabling legislation to improve the project’s financial viability, protect Alaska’s interests, and move the North Slope gas line toward final investment decision, while also adding transparency, foreign ownership safeguards, and labor and workforce provisions. Several members said the conference committee process was collaborative and that the bill reflects hard-fought compromise with the developer, AGDC, labor, and the administration. Opponents focused on the addition of the pass-through entity/S-corp income tax and related reporting requirements, arguing it is a separate tax policy issue that should have been considered in its own bill, creates uncertainty and litigation risk, could harm existing oil and gas and Cook Inlet production, and may discourage investment. Multiple members also criticized the process as rushed and insufficiently transparent, especially the limited opportunity for the minority and the absence of Department of Revenue testimony during conference. No final vote on the conference committee report is shown in the transcript excerpt. The debate continued with members alternating between support for the gas line project itself and opposition to the tax provisions and process used to advance HB 381.

Transcript Highlights:

• Very important, but government is extremely complex.
• That's under, I believe, Section 4 of the GAO's auditing report.
• Section 4 of the GAO's auditing report.
• Government Code 14017 required that Caltrans transfer a portion of those federal formula funds from the
• So the high road training partnerships are defined in the California Unemployment Insurance Code Section

Summary: The committee first heard a DMV budget presentation on the state-to-state verification system required for Real ID compliance and the Digital Experience Platform (DXP) modernization project. DMV officials said the state-to-state system is a pointer-based exchange used when a person applies for a license in another state, with only limited identifying data shared initially and the full driver history sent only after a qualified request. Members raised concerns about privacy, possible misuse by other states or federal actors, notification to Californians, hacking, and whether California could detect or stop abusive access. DMV said it can monitor requests, see patterns of access, work with AAMVA and legal counsel, and seek to block or challenge misuse; LAO said California is in a difficult position and should consider guardrails rather than opt out. On DXP, DMV said the project is on its revised schedule and budget, occupational licensing is complete, vehicle registration is expected by the end of calendar year 2026, and the full system should be finished by fiscal year 2028-29, with phased rollout and reappropriated funding to keep costs controlled. The committee then heard from the California High-Speed Rail Office of Inspector General on a trailer bill and AB 1608. The Inspector General said current law does not clearly authorize public reports or establish a framework for retaining and disclosing work papers, and the proposed trailer bill would create that framework while also adding authority to hire needed classifications and purchase goods and services. He also said the office needs a clearer statutory definition of “proposed agreements” and notice when the High-Speed Rail Authority is reviewing them, so the office can review contracts and related agreements effectively. LAO raised no concerns with the trailer bill language, and Finance said any amendments would come in the May revision. Members debated the scope of confidentiality in the Inspector General proposal, especially whether reports could be held confidential when they identify weaknesses in fraud controls, security, or other vulnerabilities. The Inspector General said confidentiality would be temporary, tied to articulating the risk, reassessing it every 120 days, and releasing the report once the risk is no longer substantial; he also said the office had already published reports at its discretion and had found at least one procurement violation involving an amendment that added services not in the original contract. Several members pressed for stronger transparency and suggested time limits or broader disclosure, while others argued the bill would improve oversight and make the Inspector General’s authority clearer. No votes were taken during the discussion, and the item was left for further work on the trailer bill and AB 1608 language.

Transcript Highlights:

• with changes to criminal code. with changes to criminal code.
• sections 16 and 17. sections 16 and 17.
• Uh<01:21:00.040> section<01:21:00.480> three Uh section three Uh section three is<01:21
• existing in other sections of law. existing in other sections of law.
• found in section four. found in section four.

Keywords: 1187, senate, all

Transcript Highlights:

• We do have we have one agency essentially and we had to governing boards.
• As I previously mentioned, there are 5 sections within the bureau.
• or ZIP code that all students are supported.
• One of our sections within the euro is around dispute resolution and monitoring.
• The services and structure of card is in section 1, 0, 0, 4, 0.5, 5 regional autism centers.

Keywords: 999, senate, all

Transcript Highlights:

• Do you know of any other unit in state government where a majority of the employees are...
• But right now, the Government Operations Agency is the best place for these entities. Okay.
• They're the one-time things, whether we're buying sections or leasing sections or building sections.
• They're the one-time things, whether we're buying sections or leasing sections or building sections.
• So in terms of, you can go back to that code section, you can kind of see the section A right before

Summary: The subcommittee heard presentations on several GovOps-related budget proposals, beginning with ongoing funding for the California Education Learning Lab. The Learning Lab described its intersegmental grants to UC, CSU, and community college faculty, including AI-related work and a math alignment project, and said the Governor’s proposal would move the program’s home agency to GovOps and restore $4 million annually. The Department of Finance supported the proposal as a way to improve coordination, while the LAO recommended rejecting it, arguing the projects are hard to scale, similar professional development already exists in the segments, and the state should consider saving General Fund dollars. Senators split on the value of the program, with some emphasizing innovation and intersegmental collaboration and others questioning its measurable long-term impact; the item was held open. The committee then reviewed the Office of Civil Rights proposal to implement AB 715 and SB 48 with $3.5 million in 2026-27 and $2.8 million ongoing. GovOps said the office had been set up administratively, positions were being recruited, and it would provide training, technical assistance, and complaint review related to anti-Semitism and other discrimination in TK-12 schools. The LAO had no concerns, but senators raised substantial questions about the office’s placement in GovOps, the lack of guidance while the laws are being implemented, the use of gubernatorial appointees, and whether the staffing structure matches the likely workload across different discrimination categories. GovOps said it would develop guidance, coordinate with CDE, and shift resources as needed once staff are hired, but several members said they were not prepared to support the item as presented; it was also held open. After public comment supporting the California Education Interagency Council, the subcommittee approved vote-only items 11 through 17 and 6 through 10. It then heard from the Office of Data and Innovation on a request for five positions and $1.25 million in reimbursement authority to expand digital service delivery work. ODI described projects such as reducing unauthorized EBT theft and forecasting community water system outages, and said it uses guardrails and contracts to protect sensitive data when working with vendor AI services. The LAO had no concerns, and members generally praised ODI’s small, high-impact role; the item was held open. Finally, the Department of Technology presented on the Middle-Mile Broadband Initiative, reporting that 423 miles are complete, more than 70% of the network has been permitted, and about 5,300 miles are expected to be completed by December 2026, with some work potentially slipping into 2027. CDT said Skyline Technology Solutions had been selected to operate the network and that the third-party administrator, Golden State Net, would continue to support development and later help oversee operations and sales. The LAO noted the project’s progress but raised concerns about the novel three-party structure, accountability, and long-term financial sustainability. Senators questioned the legal basis for the operator arrangement, the revenue outlook, reporting to the Legislature, and whether the network will be self-sustaining; CDT said it expects revenues to cover operations over time and will continue annual and quarterly reporting. The item was left open.

Transcript Highlights:

• We are written in North Dakota Century Code.
• So I'll briefly go over each section.
• take away from the governance analysis.
• of Federal Regulations, Century Code, Administrative Code, billing and policy manuals, the Medicaid
• , and the human service zone sections.

Keywords: 908, all

Summary: The Human Services Committee met in interim session and first approved the previous meeting minutes before receiving a series of presentations on homelessness and housing stability. Jennifer Henderson of the North Dakota Housing Finance Agency updated members on the new Interagency Council on Homelessness, describing its executive-order mandate to review resources, gather input from stakeholders, identify gaps, and develop recommendations. She said the council’s first work is building a statewide program matrix of existing homeless services and funding sources, with attention to youth, tribal communities, and other vulnerable populations. Members raised concerns about youth homelessness, homeless veterans, and how the council will stay focused on a practical framework rather than getting lost in details. The committee also discussed possible connections to the rural health transformation grant and agreed to continue the topic later in the spring. Beth Olson of Presentation Partners in Housing described the organization’s housing-first model in Cass County and Clay County, including homeless prevention/diversion, housing navigation, and Cooper House, a 42-unit permanent supportive housing building in Fargo. She said the organization focuses on people with long-term and chronic homelessness, many with mental health, addiction, health, domestic violence, and Indigenous identity-related barriers, and reported strong outcomes: 85 of 86 people housed in 2025, 91% still housed after one year, and major reductions in emergency room use, ambulance rides, jail stays, detox days, and shelter use. She also explained that state funding has grown from a small share of the budget to about $1.1 million in state-connected funding for fiscal 2026, largely through contracts tied to supportive services. Members asked about vouchers, rent contributions at Cooper House, length of stay, and whether similar projects could be expanded elsewhere. Andrea Olson of the Community Action Partnership of North Dakota outlined statewide homeless and housing-related services delivered through six community action agencies in all 53 counties. She explained the Community Services Block Grant structure, said housing was identified as the top need in the most recent statewide needs assessment, and described programs including Supportive Services for Veteran Families, North Dakota Homeless Grant services, and Home ARP supportive services. She emphasized that the end of North Dakota Rent Help has increased pressure on the system, that the current $2 million annual homeless grant is far smaller than prior rent-help assistance, and that community action is using case management and financial assistance to move households toward self-sufficiency. Members asked about funding formulas, rural service delivery, and coordination with Presentation Partners to avoid duplication. YouthWorks then began a presentation on youth homelessness, describing services for ages 12 to 24, the special needs of youth and former foster youth, and the organization’s use of federal and state funds to support transitional housing, emergency shelter, maternity housing, and diversion services.

Transcript Highlights:

• “So this is a proper role of government issue.
• Your section on line 34, limitations on common law public nuisance claims.
• Is that what that section states? Thank you. Claims. Is that what that section states?
• Okay, so what is the purpose of that subsection under this particular section, Section 100C.02?
• Under Chapter 54 of the Government Code, 25 different counties have their own qualification standards

Summary: The Senate convened with a quorum, heard an invocation, recognized a Karnes County Day delegation and the Texas Association of Museums, received a governor’s message on Texas Diabetes Council appointments, and introduced the Doctor of the Day. The chamber then took up several resolutions, including SR 388 honoring the Texas Association of Museums, and adopted SRs 380, 382, and 387 by voice vote. Senator King was excused due to a family death, and the journal reading was dispensed with. The Senate then moved through a series of bills, most of them on expedited suspension of the regular order and three-day rule. Measures passed included SB 868 on Rural Volunteer Fire Department Assistance Program funding for high-wildfire-risk areas; SB 264 exempting certain family motor-vehicle transfers from tax; SB 2112 on oyster mariculture penalties; SB 1484 on catfish labeling and marketing; SB 660 on bollards near hospital emergency rooms; SB 1809 creating offenses for gift card fraud; SB 32 and SJR 81 providing business personal property tax relief and a related constitutional amendment; SB 1267 modernizing boat titling and adding disclosure for hidden hull damage; SB 1470 allowing DPS data sharing for voter list maintenance; SB 2406 and SB 2407 implementing Sunset recommendations for the Sabine River Authority and Lower Neches Valley River Authority; SB 609 on school district compliance with legally required policies; SB 921 on ex parte Medicaid eligibility renewals; SB 2320 increasing DWI penalties; SB 1822 requiring disclosure and oversight of AI-based utilization review algorithms; SB 693 on notaries public and deed theft prevention; and SB 664 setting statewide qualifications and oversight for magistrates and related judicial officers. One of the most contested items was SB 779 on common law public nuisance claims, which drew extended debate over whether the bill would limit lawsuits against lawful, regulated activities and whether it would preserve private nuisance and other existing remedies. Despite objections, the Senate suspended the rules and passed the bill to engrossment by a 17-12 vote, holding it there. Another debated measure was SB 1008 on state and local authority over the food service industry; after a perfecting amendment, it was passed to engrossment and then to final passage. Several bills were adopted or passed with near-unanimous support, while others, including SB 1267, SB 1470, SB 1822, and SB 2320, saw some opposition but still cleared the chamber.

Transcript Highlights:

• Okay, I'll call the HR section back to order. Grant has the amended version of Senate Bill 2025.
• And then lastly, we have a section to declare that the $200,000 in federal funds for Section 4 for the
• : the governing board has all ordinary powers required of a governing board, including the power to establish
• The administrator serves at the pleasure of the governing board.
• I'd have to look up what the Century Code is on why we get that.

Keywords: 908, all

Summary: The committee reconvened to work through the amended version of Senate Bill 2025, beginning with a clarification from the Department of Veterans Affairs on the source of funds used to cover the commissioner’s salary equity increase. Commissioner Lonnie Wong explained that the money came from federal highly rural transportation grant administrative/salary funds, within the allowable 10% administrative cap, and that the department had not exceeded that limit. The committee then reviewed the major House changes to the veterans budget, including funding for a veterans benefits specialist FTE, salary equity increases for veterans service officers, additional operating funds, one-time funding for homeless veteran services and the Veterans Post-War Trust Fund, carryover authority for Fisher House and veterans transportation projects, accrued leave, and a document scanning project. Members also discussed a section changing governance authority for veterans affairs and the veterans home, with questions about the ACOVA board and the governor’s appointment authority. The committee debated the appropriateness of using federal grant administrative funds for salary adjustments and the broader shift in authority over veterans affairs, with some members emphasizing legislative control over salaries and budget decisions and others supporting the reorganization as a way to improve administration. After discussion, Amendment 25.092.0203 was moved, seconded, and adopted on an 8-0 roll call. The committee then moved SB 2025 as amended, and that motion also passed 8-0. The meeting then shifted to Department of Corrections and Rehabilitation budget issues, where members reviewed FTE reductions, salary equity funding for correctional officers and parole/probation officers, and the status of federal ARPA dollars that had previously been used to backfill salaries and bonuses. DOCR officials described pay levels for correctional officers and compared them with county jail wages, arguing that the proposed equity funding was needed for retention and competitiveness. Members also discussed transitional facility costs, women’s treatment unit funding, and county jail overflow housing, including new or planned bed capacity in Grand Forks, Burleigh-Morton, Rugby, and other facilities. The committee agreed to continue refining the budget through a new long sheet and planned to request amendments for consideration in the following days before adjourning.

Transcript Highlights:

• The International Fire Code in particular The International Fire Code in particular is adopted under
• Now, I'll tell you, with coding, there's a lot of issues with missing data, with codes that overlap.
• There are about 35, of issues with missing data, with codes that overlap.
• And so coding becomes very, very difficult to incorporate in a PA.
• So currently, the way that the section of code is, it lists who is eligible to apply topical fluoride

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:

• > reveals brief glance at the current code reveals brief glance at the current code reveals that
• Zach Martin, Government Affairs, then began his testimony.
• This is what happens when billionaires buy our government. Shut this down.
• This is what happens when billionaires buy our government. Shut this down.
• This is what happens when billionaires buy our government. Shut this down.

Keywords: 1183, house