Transcript Highlights:

• It has a negative effect on learning when class begins.
• They have fundamentally changed how we live, communicate, and learn.
• Learning when not to pick up your phone is just as important as learning when to use it.
• Discipline is the foundation of learning.
• Students worried about losing access that had become so central to their lives.

Keywords: 995, all

Summary: The House first recognized several student athletes and teams, including East Bridgewater cheerleaders, Medway athletes and teams, and the Housatonic Valley basketball team, and adopted a resolution congratulating the William Diamond Jr. Fife and Drum Corps on its 25th anniversary. Members also suspended Joint Rule 12 to advance a petition concerning an extension of a lease authorization for conservation land. The chamber then took up Senate 2581, as amended, a major education and youth technology bill. The bill was rewritten to promote safe technology use and distraction-free education, including restrictions on personal electronic devices in public schools and limits on social media access for children. Members debated whether the policy should be bell-to-bell or allow more local flexibility, and several amendments were offered. An amendment from Attleboro to preserve district-specific policies was rejected, while a consolidated amendment tightening social media restrictions and related protections was adopted. The House also considered and passed several other bills, including measures amending the Sandwich charter, authorizing Springfield to help certain residents with local tax obligations, authorizing charity alcohol auctions, and directing the Boston Police Department to waive the maximum age requirement for a specific police applicant. In addition, the House rejected concurrence on a Senate version of a higher education infrastructure bill and instead appointed a committee of conference. Later, the House accepted a conference report on modernizing cannabis laws after debate focused on regulatory streamlining, equity, ownership caps, and hemp regulation. The report was adopted by roll call, and the House then passed the amended education bill to be engrossed before adjourning to the next day.

Transcript Highlights:

• Again, they learn EMT as well. Absolutely. Again, they learn EMT as well.
• We are the warriors who learn to love the pain.
• The other is we need more access, and I'm really happy that Cal State L.A. has been able to access CIW
• You can't access certain things.
• You can't access certain things.

Summary: The hearing opened the Select Committee on Effective Postsecondary Career, Technical Education, and Workforce Development Programs at Santa Ana College, with Assemblymember Mike Fong emphasizing the need for affordable, accelerated pathways into high-demand careers and noting his bill AB 1098 creating the California Interagency Education Council. Chancellor Marvin Martinez welcomed the committee and urged changes to AB 927 to remove the “duplication” barrier for community college bachelor’s degrees, arguing that applied baccalaureate programs can lead to high-wage jobs and expand access for low- and middle-income students. The first panel focused on statewide workforce trends and policy. California Community Colleges Vice Chancellor Anthony Cordova highlighted credit for prior learning, Strong Workforce funding, dual enrollment, and apprenticeship growth, asking the Legislature to restore and increase Strong Workforce funding and expand applied baccalaureate degrees. LAEDC’s Josep Bilayo described regional labor market data showing growth in health care, education, construction, bioscience, and clean energy, while stressing the need for employer-led, data-driven programs, wraparound supports, and flexible funding. Andrew Gonzalez of the Building and Construction Trades Council argued that registered apprenticeship must be paid, combine classroom and on-the-job training, and end in a portable credential; he also promoted apprenticeship readiness programs, community workforce agreements, and stronger exposure to trades starting in K-12. Eric Morrison Smith of the Alliance for Boys and Men of Color discussed the California Opportunity Youth Apprenticeship Grant Program and related youth apprenticeship recommendations, including bridge programs, intermediary infrastructure, reduced employer barriers, and better coordination of state funding. A later panel highlighted Santa Ana College’s fire technology and firefighting academy programs. President Annabelle Neri and Vice President Jeffrey Lamb said the college is one of the state’s largest fire training providers, with strong partnerships with local fire agencies, law enforcement, and the U.S. Forest Service, and with high job placement and six-figure starting salaries for some graduates. They also described related certificates, advanced officer training, wellness services, and workforce preparation such as mock interviews and sponsorships. Throughout the hearing, members and panelists repeatedly stressed the importance of aligning education with labor market demand, expanding apprenticeships and work-based learning, and using regional collaboration to connect students to living-wage careers.

Transcript Highlights:

• and learning experiences.
• But within that bill, it also references other types of learning experiences: work-integrated learning
• and work-site learning.
• and work site learning.
• , laboratory, applied learning equipment.

Summary: The House Education Committee received status updates on career and technical education (CTE), including OSPI’s work under 2024 legislation on allied health pathways and a statewide CTE task force, an update from Core Plus Maritime, and findings from an Education Northwest longitudinal study of Washington CTE access and outcomes. OSPI described development of allied health guidance such as a home care aide to nursing assistant bridge, model curricula, updated course equivalency frameworks, and coordination with health agencies and employers. It also reviewed Core Plus framework work, task force expansion under later legislation, and the timeline for recommendations due in November 2026. Committee members asked about health profession outreach, equitable access for rural districts, data updates, and employer support for local programs; OSPI said it continues to work with agency and industry partners and that local labor-market alignment varies by region. Core Plus Maritime presenters described expanding maritime career exploration into middle school through low-cost ROV curriculum, student visits to ferries and vessels, Sea Scouts partnerships, and ship-based safety and welding experiences. Industry representatives from the Northwest Marine Trade Association, American Seafoods, and Vigor Marine Group emphasized the maritime sector’s economic importance, aging workforce, and need for hands-on training to build the pipeline for family-wage jobs. A teacher from South Kitsap High School said the program gives students a clear pathway and has helped connect them to careers in shipyards, fishing, and related trades. Vigor also noted support for a student welding competition and equipment donations for a Rainier Beach shop. Dr. Sam Riggs of Education Northwest presented a longitudinal study using state data from 2013-14 through 2023-24. The study found CTE access has been relatively steady statewide, but offerings vary by school size, locale, and income, with rural and lower-income schools generally offering fewer pathways. Participation is high: nearly all students earn at least some CTE credit, and more students are accumulating multiple credits over time, though fewer go deep within a single pathway. Students who earned more CTE credits, especially within pathways such as agriculture, manufacturing, transportation, and construction, were more likely to graduate on time and later had stronger postsecondary certificate attainment and earnings. Riggs recommended addressing local barriers to participation, considering whether the CTE graduation requirement should better encourage depth while preserving flexibility, and aligning offerings more closely with labor-market needs. Committee members asked about COVID-era trends, student motivation, early workforce entry, delivery settings such as skill centers, and how to interpret the comparison groups used in the analysis.

Transcript Highlights:

• We have all been very accessible.
• But again, it's a very different place to learn skills, to help people learn skills, and I would say
• Kids are learning with different technology at a different pace than we learned.
• without access to broadband.
• Access to the internet.

Transcript Highlights:

• <00:10:27.839> about families interested in learning about families interested in learning
• supporting student health and learning supporting student health and learning over<01:04:41.079>
• Learning and needed for maximal Learning and socializing socializing socializing power<01:09:09.560>
• <01:09:33.040> to<01:09:33.359> healthy access to healthy access to healthy food<01:09:
• Well, we always appreciate, uh, you know, those learning moments, and looks like you learned a little

Keywords: 1187, senate, all

Transcript Highlights:

• Access to a school counselor who respected my privacy and access to a library.
• to be engaged in their learning.
• How do you learn?
• It's how children learn. It's how the brain is wired. to learn.
• Denying access to any topic discourages learning.

Bills: SB12, SB1565, SB13, SJR12, SB686, SB371, SB204, SB609, SB112, SB400, SB813, SB 12, SB 13

Keywords: parental rights, education, social transitioning, diversity, equity, inclusion, school policy, student clubs, school district, grievance procedure, public education, diversity and inclusion, funding penalties, school libraries, library advisory councils, library materials, educational content, challenging materials, constitutional amendment, school choice

Transcript Highlights:

• Why is it important to have access to learning your language and culture throughout your school day?
• Why is it important to have access to learning your language and culture throughout your school day?
• It's important to learn Tewa and have this access because...
• It's important to learn Tewa and have this access because.
• And it's important to learn Tewa and have this access, because when you learn the language and you take

Summary: The committee began with a presentation on the 520 Native American Language and Culture certificate, created to let proficient tribal language and culture speakers teach in K-12 schools without a bachelor’s degree. LESC staff, PED, and HED described the certificate’s statutory basis, the role of tribes and pueblos in setting proficiency standards, and ongoing challenges such as uneven MOAs, limited professional development, rural access barriers, data gaps, and retention concerns. PED said oversight of 520 is moving from the licensure bureau to the Indian Education Division, and HED reported that the tribal education technical assistance centers authorized in 2023 are still in procurement but are expected to be awarded in early 2026. A student, Alonzo Hughes, testified about how learning Tewa from 520-certified teachers helped him understand his culture and speak with elders, and members praised the program’s role in language revitalization and asked about funding, teacher pathways, and whether similar models exist in other states. Committee members then discussed several PED rule updates. Staff reviewed an adopted rule implementing HB 54 on AEDs and cardiac emergency response plans, including staff training requirements and staggered compliance dates, and a proposed rule for school nurse licensure under HB 195 that would create a three-tier system and align nurse pay with teacher pay. They also reviewed proposed changes to the Community Schools Act rule, including a full-time community school coordinator requirement, updated grant language, and broader coalition membership criteria; PED said the broader language would not conflict with the Martinez-Yazzie work. A proposed bilingual teacher rule would standardize coursework requirements, add trans-languaging and culturally relevant curriculum competencies, and allow Native American language certification applicants to demonstrate proficiency using tribal standards. In questions, members raised concerns about AEDs being present at athletic events, the need for the amended school nurse bill to move experienced nurses directly into higher levels, and whether the community schools rule’s broader coalition language could affect current education litigation. Members also asked about funding for 520 programs, teacher residency or cohort models, and how to support advanced language instruction and sustainability. PED said the Indian Education Fund and school budgets can support some of the work, but additional strategic funding and cross-training are needed. The committee also heard that New Mexico’s 520 system is unusually robust compared with other states, and members encouraged staff to present the model at national conferences. The meeting ended with the director’s report, which noted a flat budget request of $2,024,300, staff turnover including Natasha Davalos’s departure, and appreciation for the committee’s work before adjournment for the holidays.

Transcript Highlights:

• We've all learned a lot and I am happy to accept the committee amendments.
• You know, recognize that we learn well from hands-on experience.
• as a parent, I certainly if I wanted to have access. information I would like to have the access so
• Then the other side of this is the access and ensuring.
• Jennifer Robles with Health Access California in support.

Keywords: 988, house, all

Transcript Highlights:

• access in the Commonwealth of Kentucky. access in the Commonwealth of Kentucky.
• We're talking about learning colors, learning numbers, learning how to make sounds and rhyme, and learn
• :19:16.480> learning talking about learning colors, learning talking about learning colors, learning
• preschool access in their district. preschool access in their district.
• This uh budget preschool access.

Keywords: 958, all

Summary: The subcommittee met without a quorum and first heard from Kentucky Department of Education officials on career and technical education funding. KDE explained that House Bill 499 created a CTE funding formula using 60% weighted full-time equivalent enrollment and 40% incentives, but House Bill 6’s budget language excluded area technology centers (ATCs) from that supplemental funding. KDE requested approval of an additional budget request of $14,789,352 in each fiscal year 2027 and 2028 to include ATCs in the formula and hold local districts harmless. Officials said ATCs serve students from 117 of Kentucky’s 171 districts and argued the change would reduce funding disparities and better reflect the return on investment from CTE programs, citing growth in dual credit and work-based learning participation. Members asked whether the issue would need to be revisited each budget cycle. KDE responded that the problem could be fixed by removing the notwithstanding language from the budget bill, which they said would allow ATCs to be included under the existing statute. Representative Klein supported the request, saying the current clause could lead to stagnation and that the committee should help the program continue to grow. No vote was taken on the CTE item during the portion of the meeting provided. The committee then heard a presentation from PreK for All on expanding preschool access in Kentucky. Advocates said the state’s preschool program has been funded since 1990 and currently serves about 14,200 children at roughly $84 million per year, but that many working families still fall into a coverage gap. They proposed expanding eligibility to 250% of the federal poverty line, which they said would add about 9,600 children at a cost of $40 million in year two, after a planning year. The proposal also included regulatory flexibility for classrooms and partnerships with private child care providers and nonprofits, with speakers emphasizing child care deserts in some counties and citing research that early learning improves kindergarten readiness and later outcomes. No action or vote was taken on the preschool proposal in the transcript provided.

Transcript Highlights:

• So I'm here for House 1461, an act to support access to vocational schools.
• of a job: health insurance, access to pension.
• It would ensure wage parity, better access to health care and benefits.
• And, you know, we need to have access to health insurance that's affordable.
• I don't have access to health care despite working these jobs.

Keywords: 995, all

Summary: The Joint Committee on Higher Education held its fourth public hearing, opening with remarks about the importance of protecting and expanding access to higher education amid federal disinvestment. The chairs also announced future informational hearings on the impact of federal cuts and on ASAP models. The hearing then focused on several bills, beginning with S. 951/H. 1462, An Act to Support College Students in Recovery, which would require recovery-focused housing on public campuses and expand naloxone access and overdose training. Senator Rausch, medical professionals, students, and advocates testified in support, emphasizing the prevalence of overdose risk among college students, the value of recovery housing, and the need for campus naloxone; committee members asked about implementation details and the existing state pilot program. Deb Schmill and Rep. Tarski gave especially personal testimony in favor of the bill, and the committee discussed broadening the naloxone language to opioid reversal agents. The committee also heard testimony on H. 1461, which would expand MassReconnect scholarships to practical nursing students at vocational and technical schools to help address the long-term care workforce shortage. Rep. Stanley argued that vocational schools graduate more practical nursing students than community colleges and serve many low-income students in areas without nearby community college programs. The committee then took up H. 1433, which would require public higher education institutions to accept IEPs and 504 plans as sufficient documentation for disability accommodations. Advocates from the National Center for Learning Disabilities described the high cost and burden of repeat testing, the lifelong nature of disabilities, and the need for more uniform access across campuses; committee members raised questions about documentation freshness, campus autonomy, and how to preserve the integrity of accommodations. Later, the committee heard S. 919/H. 1454 on modernizing the Community College Endowment Match Program so community colleges could receive state matching funds for current-use donations as well as endowments and capital gifts. Community college foundation leaders said the change would help fund immediate student needs such as food pantries, child care, emergency aid, and equipment. The hearing then moved to faculty-related bills: S. 933 on UMass faculty rights and tenure transparency, S. 930/H. 3948 on contingent faculty rights and career advancement, and S. 940/H. 1429 on an Adjunct Bill of Rights. Testimony from faculty and union representatives focused on low pay, lack of benefits, job insecurity, and the need for clearer pathways to full-time positions and fairer treatment for adjuncts who teach large shares of courses. No votes were taken during the hearing; the committee primarily received testimony and asked clarifying questions.

Transcript Highlights:

• > in grow and learn.
• Children cannot learn in grow and learn.
• the enemy of learning. the enemy of learning.
• jobs there are learning and teaching. jobs there are learning and teaching.
• ultimately our learning environments. ultimately our learning environments.

Keywords: 1187, senate, all

Transcript Highlights:

• They build positive learning environments.
• What we'll look at today is access to teacher certification in the state of Missouri, and having access
• So what we've learned from this partnership What we've learned from this partnership is that apprenticeships
• What you're learning on the job in that employment and what you're learning in coursework.
• So not only are individuals learning the content and pieces that they would learn in a traditional setting

Keywords: 959, house, all

Transcript Highlights:

• And you have access to these slides.
• and machine learning.
• Machine does not learn like that.
• activities and learning and doing... ...students have access to off-screen activities and learning and
• I've even learned how to make myself young. So I'm trying to learn.

Summary: The Committee on Education Pre-K through 12 held a panel discussion on artificial intelligence in K-12 education. Dr. Maya Israel of the University of Florida gave an overview of AI literacy, emphasizing that AI can support personalized learning, school operations, and teacher efficiency, but also raises concerns about data privacy, overreliance, mental health, and the need for human oversight. She described the Florida K-12 AI Task Force, which has produced guidance on policy, ethics, privacy, cybersecurity, classroom integration, and professional development, and is now working on district surveys, webinars, case studies, and teacher/family resources. Superintendents Van Ayers of Hillsborough County and Kevin Hendrick of Pinellas County described district-level implementation. Hillsborough outlined a governance council, a district AI policy, and an implementation guide; it prohibits generative AI for students below eighth grade, allows limited use for older students with teacher permission and district-vetted tools, and uses models for classroom AI expectations. The district also reported growing student enrollment in AI courses, teacher training through summer academies and quick learns, and pilots with tools such as Magic School and Microsoft Copilot. Pinellas emphasized academic integrity, student data privacy, digital responsibility, and the importance of human interaction in learning; it said state assessments already limit technology use and that districts need clear governance and parent transparency. Committee members asked about whether AI improves academic performance, the risk of student dependence, the possibility of returning to more paper-based testing, and who should set guardrails. Witnesses said reliable achievement data is still limited because the technology is new, though districts reported anecdotal gains in tutoring and early literacy. They also said there is no established statewide baseline for teacher AI training yet, so districts are using professional development, stipends, and partnerships with universities to build capacity. The committee also heard from Drew Andrew of FSU’s Inspire program, who argued that industry is moving faster than schools and that education should focus on teaching how AI works, building teacher confidence, and aligning training with workforce needs. No bills were considered and the meeting ended with a motion to adjourn, which was adopted.

Transcript Highlights:

• The Credit for Prior Learning Investment, Vision 2030, prioritizes implementing credit for prior learning
• Currently, credit for prior learning... learning is applied at the margins of our operations.
• Learning is learning, and the learning ecosystem will be expanded with this investment to recognize applicable
• Christian, regarding the credit for prior learning.
• We access for our classes and student access, and our ability to support the students to be educated

Keywords: 988, house, all

Transcript Highlights:

• We're asking students to access district email.
• So I would... ...to be able to access the things that they need to access that are positive and appropriate
• They also have access to that online course.
• Our parents have more access to it if it's online, if it's virtual.
• But you do think it's beneficial for their learning, absolutely.

Summary: The Student Academic Success Subcommittee met to review Florida’s cell phone and social media literacy law, with Representative Brad Yeager describing the 2023 policy as aimed at removing classroom distractions and teaching students how to use social media responsibly. He said the law was intended to keep phones out of classrooms unless used for instruction, require social media literacy education, and limit access to certain sites on school Wi-Fi and government devices. Yeager said feedback since passage has been mixed: many teachers support it and some have adopted inexpensive shoe-organizer or pouch systems, but implementation varies by school and administrator enforcement. He said he is not currently pursuing a broader statewide mandate. Superintendent Dr. Maria Vazquez and Timber Creek High School Principal Mr. Wasco described Orange County’s approach as bell-to-bell phone restrictions, while Pasco County’s Dr. Zetchy described a similar policy with some flexibility during lunch or passing periods at the high school level. Both districts said the policy was implemented with parent communication, town halls, surveys, and transition periods, and that concerns about emergencies were addressed by allowing phones to be returned at the end of the day and by establishing procedures for parent contact. They reported few theft problems and said discipline issues related to phones have generally been manageable, though some teachers still struggle with enforcement or with students trying to evade the rules. A major portion of the discussion focused on social media literacy instruction. Orange County said it uses counselor-led programs, Canvas courses, resiliency days, and curriculum materials to teach students about cyberbullying, human trafficking, privacy, and the permanence of online posts, with progress tracked through the learning platform. Pasco said it has some resiliency modules but lacks a fully built-out, pre-made social media curriculum and would welcome more guidance from DOE, especially for high school classrooms where instructional time is limited. Members also asked about student anxiety, 504/IEP accommodations, caregiver students, and parent education; the districts said exceptions are handled through school committees and that parent academies and district resources are being used to help families set boundaries and understand the risks and benefits of phones and social media. No votes were taken.

Transcript Highlights:

• they're learning financial skills, where they're learning skills important for employment, for example
• They are also getting service learning credit and learning a great deal about themselves and who they
• , learning how to make precision cuts on various meats and seafoods, as well as learning how to make
• These students learn how to speak up when something isn't right, and they learn how to persevere when
• How will they learn the skills to be at home and in community?

Summary: The committee heard presentations on three Arkansas programs serving students and adults with autism and other developmental disabilities. University of Arkansas representatives described the Empower Program, a non-degree, four-year inclusive postsecondary program for young adults with mild intellectual disabilities, and the Autism Support Program, which provides intensive academic, peer, and career coaching for degree-seeking students with autism. They explained the programs’ person-centered planning, residential and employment supports, fee structure of $5,000 per semester for each program, and scholarship/fundraising efforts to offset costs. Members asked about dorm arrangements, mentoring, individualized plans, and how students move in and out of support services, and the presenters emphasized independence, integrated campus life, and transition planning. Pulaski Technical College staff then presented the 3D program, a three-year transition program in culinary, baking, and hospitality for students with intellectual and developmental disabilities. They outlined integrated classes, internships, job placement outcomes, and data showing strong completion and employment retention rates. Questions focused on how success is measured, tuition and financial aid, and the challenge of securing community partners for practicum and employment sites. The presenters said the program uses rubrics that include technical and professional skills, charges $5,700 per semester, and is pursuing accreditation through the Inclusive Higher Education Accreditation Council. The final presentation was from SLS Community, a Fayetteville nonprofit serving neurodivergent adults through residential supports, supported employment, and community initiatives. Leaders described their vision for a future mixed-use “live-work-play” development at Cato Springs, current residential and vocational services, and community events such as a 5K and a neurodiversity health care conference. Family members testified about the need for adult services, trained direct support professionals, and better reimbursement and behavioral health supports after age 21. No formal votes were taken beyond approving the prior meeting minutes, and members also announced upcoming autism-related events and requested future discussion on task force appointments and ABA-related issues.

Transcript Highlights:

• have a leg up with more access to The ability to learn those skills, while peers in other states will
• At least high school-age kids should be able to have access and learn practical use before entering the
• At least high school age kids should be able to have access and learn practical use before entering the
• , no access in the bookstore, no access on the computer, no access on the phone.
• No access on the phone. in the bookstore, no access on the computer, no access on the phone, no access

Bills: HB186, HB201, HB229, HB796, HB1506, HB2702, HB2885, HB3225, HB3909, HB4285, HB5138

Keywords: social media, children, account verification, data privacy, parental control, financial crime, card fraud, motor fuel theft, law enforcement, criminal activity, skimmers, prevention, training, biological sex, government information, definitions, sex-based distinctions, public health, federal directives, state authority

Summary: The committee took up House Bill 186, which would require social media platforms to verify users are 18 or older before allowing account creation. Invited witnesses in support, including Mary Elizabeth Castle and David Dunmoyer, argued the bill would protect children from harmful algorithms, addictive design, bullying, sexual exploitation, and mental health harms, and emphasized parental rights and the idea that minors should not enter binding contracts with platforms. Committee members questioned them about how algorithms work, whether parents could realistically monitor content, and whether the bill would still allow educational use; the witnesses said the bill was narrowly aimed at harmful social media use and not educational content. Public testimony on HB 186 was largely in opposition, though several student witnesses said they supported the bill’s goals but wanted the age lowered to 16 or the bill amended to allow parental consent or joint accounts. Opponents argued the bill would be ineffective because teens could bypass age checks, would cut off access to educational tools, school communications, recruiting and NIL opportunities, and would burden free speech and privacy. Some witnesses also said social media helps teens with mental health, community, and creative or professional opportunities, while others warned the bill could disproportionately harm disabled and marginalized users. After public testimony closed, HB 186 was left pending. The committee then heard House Bill 5138, which Chairman Hughes said would respond to a court ruling limiting the Attorney General’s authority to prosecute election crimes unless invited by local prosecutors by changing the statute to require AG prosecution. Public testimony on HB 5138 was brief and opposed by at least one witness who argued it would further erode local control and expand state preemption. The bill was left pending after testimony. Finally, the committee heard House Bill 3225, a library bill aimed at keeping sexually explicit books and materials out of children’s sections in municipal libraries and requiring age verification for checkout, including digital access, with parental consent and other revisions added in the House. Supporters said the bill would protect children from explicit material and keep such content in adult sections, while opponents argued it would amount to censorship, be costly and difficult to implement, and could be used to target LGBTQ+ or other marginalized content. Library workers, parents, students, and advocates testified that existing library sections already separate age-appropriate materials and that the bill could reduce access to books, burden libraries, and infringe on parental choice and free expression.

Transcript Highlights:

• And I think, you know, that's fair because that's supported by data, open access, open appropriate access
• they haven't had access to preventive services.
• procedures, and the dentists learn I don't know.
• procedures and the dentists learn I don't know.
• University of Minnesota students learn about 50 of the procedures, and the dentists learn several hundred

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:

• I wish that we were able to get more of the kids who are able to access it, to get them access, so I
• <00:39:26.440> more forward to that as well learning more forward to that as well learning
• <00:42:33.599> to recommendations to expand access to recommendations to expand access to
• <00:48:31.359> to happens when our youth have access to happens when our youth have access
• We first learned about early learning scholarships from the county worker assigned to our girls' case

Keywords: 1187, senate, all

Transcript Highlights:

• <00:04:56.560> to population and the limited access to population and the limited access to
• Mahalo. state-of-the-art preschool and learning state-of-the-art preschool and learning lab<00:10:06.240
• lab that will expand Child Care access lab that will expand Child Care access boost<00:10:08.680
• Thank you for your consideration. learning and to succeed as learning and to succeed as individuals<00
• We provide language access to services. Thank you. We provide language access to services.

Keywords: 910, house, all