Transcript Highlights:

• I turn to the legal system seeking help redressing and meaningful protection for others that only our
• This is not a hardship that is individual; it is a systemic issue.
• And yet, they're having access to the legal system. I mean, as Mr.
• They have a right to use the system. ...And it's why we have concerns about how aggressive this process
• It is precisely because there's nothing to affect, or they are on social security, and so the system

Bills: HB2242, HB2446, HB2799, HB4502, HB2920, HB2790, HB5620, HB5060, HB5076, HB5080, HB5081, HB5128, HB5130, HB3847, HB5116, HB2969, HB4546, HB4202, HB5624, HB3964, HB4803, HB872, HB4775, HB4777, HB4961, HB5570, HB2988, HB4260, HB1375, HB5009, HB5411, HB5134, HB4388, HB3095, HB1387

Keywords: constables, civil rights, local government, law enforcement, policy-making authority, affidavit, medical bills, civil actions, reasonable charges, healthcare services, judicial statistics, court performance, family law, civil cases, efficiency reporting, court security, emergency management, harassment penalties, judicial safety, court committee

Bills: HB1974, HB1853, HB1973, HB1574, HB2619, HB1966, HB1643, HB1671, HB2558, HB1854, HB2173, HB1575, HB2229, HB1535, HB1978, HB2508, HB1549, HB2187, HB1550, HB1977, HB2314, HB1871, HB2319, HB1591, HB1858, HB1898, HB2372, HB1765, HB2012, HB1706, HB1962, HB1963, HB1975, HB2009, HB2083, HB2224, HB1877, HB1959, HB1626, HB1665, HB2488, HB2456, HB2548, HB2207, HB1832, HB2079, HB1985, HB1618, HB2486, HB2242, HB2045, HB1703, HB2236, HB2480, HB1976, HB2287, HB2288, HB1777, HB276, HB1660, HB1676, HB1605, HB1751, HB1967, HB2383, HB2340, HB1946, HB2268, HB1950, HB2156, HB2118, HB1859, HB1863, HB1996, HB2114, HB2423, HB2429, HB2475, HB2534, HB2545, HB1813, HB1941, HB2474, HB2583, HB1576, HB1886, HB1939, HB2540, HB2590, HB2000, HB2163, HB2386, HB1691, HB1680, HB2516, HB1993, HB2442, HB1510, HB1958, HB1692

Keywords: HB1974, hearing loss, audiology, audiologist, hearing screening, hearing aids, cochlear implants, tele-audiology, communication access, assistive technology, speech-language pathology, deafness, hard of hearing, public health, kupuna, keiki, dementia, cognitive decline, fall prevention, State Health Planning and Development Agency

Transcript Highlights:

• We have retailers, and because we didn't have a re-registration system or a licensing system, we were
• ,<00:18:55.600> we<00:18:55.840> were system or a licensing system, we were system
• Because just starting with the basics, your endocannabinoid system is your largest signaling system.
• <02:05:52.000> So The endocannabinoid system is your largest signaling system.
• made on the system for the for act 269? made on the system for the for act 269?

Bills: HB1974, HB1853, HB1973, HB1574, HB2619, HB1966, HB1643, HB1671, HB2558, HB1854, HB2173, HB1575, HB2229, HB1535, HB1978, HB2508, HB1549, HB2187, HB1550, HB1977, HB2314, HB1871, HB2319, HB1591, HB1858, HB1898, HB2372, HB1765, HB2012, HB1706, HB1962, HB1963, HB1975, HB2009, HB2083, HB2224, HB1877, HB1959, HB1626, HB1665, HB2488, HB2456, HB2548, HB2207, HB1832, HB2079, HB1985, HB1618, HB2486, HB2242, HB2045, HB1703, HB2236, HB2480, HB1976, HB2287, HB2288, HB1777, HB276, HB1660, HB1676, HB1605, HB1751, HB1967, HB2383, HB2340, HB1946, HB2268, HB1950, HB2156, HB2118, HB1859, HB1863, HB1996, HB2114, HB2423, HB2429, HB2475, HB2534, HB2545, HB1813, HB1941, HB2474, HB2583, HB1576, HB1886, HB1939, HB2540, HB2590, HB2000, HB2163, HB2386, HB1691, HB1680, HB2516, HB1993, HB2442, HB1510, HB1958, HB1692

Keywords: HB1974, hearing loss, audiology, audiologist, hearing screening, hearing aids, cochlear implants, tele-audiology, communication access, assistive technology, speech-language pathology, deafness, hard of hearing, public health, kupuna, keiki, dementia, cognitive decline, fall prevention, State Health Planning and Development Agency

Transcript Highlights:

• sanitary sewer system for the community. sanitary sewer system for the community. of<00:31:55.840
• to one of the county ditch systems.
• It's just a backup system.
• It's just a backup wastewater system.
• <01:02:45.599> on within the criminal justice system on within the criminal justice system

Bills: HF3700, HF3982, HF3927, HF3933, HF3949, HF4238, HF4275, HF4476, HF4504

Keywords: Duluth, Lake Superior Zoo, capital improvements, funding, bonds, appropriations, capital investment, port development, grant caps, state assistance, navigation facilities, Dakota County, state bonds, park improvements, infrastructure, transportation, safety, congestion, water infrastructure, bond issuance

Transcript Highlights:

• So the credits can be traded between systems as necessary to ensure that surface-water-dependent systems
• The systems that have access to those wells can continue to operate the wells?
• At its core, this bill is about modernizing the 811 call-before-you-dig system.
• This system is a critical public safety tool, but it has not been meaningfully updated since 2005, so
• In system-wide systems like an RID system, for example, the next farmer down the ditch would want to

Bills: SB1137, SB1176, SB1287, SB1335, SB1336, SB1445, SB1677

Keywords: underground utilities, utility locating, dig safe, call before you dig, 811, excavation safety, damage prevention, one-call center, locate request, white lining, large project coordination, buried infrastructure, subsurface utilities, utility marking, locator wire, locator strip, interactive positive response system, landlord duties, apartment community, mobile home park

Summary: The committee first received a presentation from the Arizona Water Banking Authority by Dr. Rebecca Burnett. She explained the authority’s role in storing Colorado River water as long-term storage credits, its funding sources, and its obligations to provide backup supplies for CAP municipal and industrial subcontractors, the Hualapai River Indian community, and Nevada. Members asked about future firming for CAP users, recovery of credits, water quality issues, and whether municipalities banking water themselves affects the authority’s supply. Burnett said the authority has no current firming policy for CAP M&I subcontractors, is waiting on Colorado River guidelines, and does not have excess water to bank because no surplus is available. No action was taken on the presentation. The committee then heard and voted on several bills. SB 1445, as amended, allows small municipalities to test bacteriological samples on site with EPA-approved equipment; the sponsor and a rural mayor argued it would save money and improve responsiveness, while some members questioned whether the change was already possible under existing law. The bill passed 6-4. SB 1137, with a Taylor amendment, modernizes Arizona’s 811 call-before-you-dig system by adding large-project coordination meetings, an interactive positive response system, and related procedures; it passed unanimously 10-0. SB 1287, which expands an existing groundwater use allowance for irrigation grandfathered rights from initial AMAs to all AMAs, passed 9-1. The committee also considered SB 1335, as amended, which in its final form addressed a temporary continuation of irrigation tied to the Ag-to-Urban program and groundwater savings credits; DWR said the amendment was still a placeholder and needed cleanup, while supporters said it would help manage timing issues for farmers and developers. It passed 5-4. SB 1336 reauthorized the State Land Department through 2030 and added oversight, reporting, and planning requirements; the department was neutral but raised concerns about the proposed oversight committee and implementation details. After debate over the need for another board and the length of reauthorization, it passed 5-4. Finally, SB 1677 appropriates $3 million to the Department of Forestry and Fire Management for salt cedar mitigation along the lower Gila River corridor. Supporters from Audubon Southwest, the City of Buckeye, and local landowners said the invasive trees increase flood and wildfire risk, consume large amounts of water, and crowd out native habitat; some members raised concerns about herbicide use and wanted more detail on the mitigation plan. The bill passed 9-0. The chair then thanked staff and members, and the meeting adjourned.

Transcript Highlights:

• What is this system exactly that they're referring to when they say an AI system generating?
• Exactly what they're referring to when they say an AI system generating?
• system If this is a proven system that's working, being used in the legal system itself right now, that's
• So I just wanted to see where the system is, because I haven't heard of it yet.
• That creates an opportunity for abusers to use the legal system itself.

Bills: HB2041, HB2144, HB2239, HB2321, HB2371, HB2594, HB2661, HB2662, HB2793, HB2968, HB2995

Keywords: child neglect, financial resources, behavioral health, Christian Science treatment, parental rights, child support, preborn children, retroactive support, medical expenses, child welfare, child care, grant program, low-income, early learning, infrastructure, economic growth, security freeze, credit reporting, dependent children, parental notification

Summary: The committee first heard HB 2793, which would let cities and towns expedite annexations when 100% of the property owners request it, waive the 30-day waiting period and public hearing in those cases, and allow electronic newspaper notice and a single on-site posting for small single-parcel annexations. Buckeye testified in support, saying the bill would streamline uncontested annexations and reduce delay and cost, while a Tucson-area senator raised concerns that faster annexation can limit public awareness and input. The bill passed 4-3 for a due pass recommendation. HB 2041, which would prohibit a parent, guardian, or custodian from being treated as abusing or neglecting a child solely because poverty prevents them from providing supervision, clothing, food, shelter, or medical care, drew strong support from child welfare and anti-poverty advocates. Opponents argued the bill still leaves room for investigations based on poverty and should more fully remove poverty from the neglect definition. The committee also heard HB 2239, creating a child care grant program and infrastructure fund at DES; witnesses from northern Arizona and child care providers described shortages, workforce challenges, and the need for facilities and support. An amendment adding tax-credit language and opening eligibility to entities seeking to open child care facilities was adopted, and the amended bill passed 6-0 with one not voting. The committee then approved HB 2321, requiring DCS to place a credit freeze on a child’s credit report when the child enters care, by a 7-0 vote. HB 2371, allowing consenting divorcing parties without minor children to use AI-assisted arbitration and adding a separate amendment on therapeutic interventions in parenting cases, prompted questions about whether AI arbitration is currently used and whether the amendment was germane; it passed 4-3. HB 2594, concerning the Address Confidentiality Program in family court and making attempts to obtain protected address information a felony, passed unanimously after testimony from a survivor and advocates. HB 2661, which requires DCS to inform parents under investigation that they may delegate temporary guardianship and seek court relief, passed 4-3 after amendment removed attestation and documentation requirements. Finally, HB 2995, a major domestic-violence custody bill, was heard with extensive testimony from survivors, attorneys, and legal aid advocates. The bill removes the “significant” domestic violence threshold, adds coercive control to the analysis, requires domestic violence to be treated as contrary to the child’s best interests, and mandates detailed court findings; supporters said it addresses cases where abuse was minimized in custody decisions, while members raised concerns about evidentiary standards, implementation, and the risk of false allegations. The committee adopted a 13-page amendment and then gave the amended bill a due pass recommendation by a 4-3 vote.

Bills: SB169, SB1991, SB1992, SB1204, SB1339, SB182, SB1847, SB1360, SB1346

Keywords: longevity pay, state employees, Oklahoma government, salary increase, emergency declaration, capital planning, funding allocation, state budget, infrastructure, emergency measures, income tax credit, qualified project, economic development, infrastructure funding, small population areas, school employees, teachers, support personnel, support employees, public schools

Transcript Highlights:

• And the Hawaii Correctional Systems Oversight Commission in support. >> Oh, did I? I'm sorry.
• am Pharaoh Marie Gomes, Associate Vice President for Student Affairs with the University of Hawaii system
• 44.320> Hawaii affairs with the University of Hawaii affairs with the University of Hawaii system
• 46.320> we<00:15:46.639> did<00:15:46.880> submit<00:15:47.279> written system
• Um we did submit written system.

Bills: HB1805, HB2110, HB2180, HB2184, HB2219, HB2469

Keywords: child welfare, advocacy, oversight, independent office, foster care, child advocate, child safety, nepotism, ethics, government transparency, accountability, legislative standards, electronic voting, legislative transparency, Hawaii House, voting system, appropriation, lawmaker safety, political violence, confidentiality

Summary: The House Committee on Legislative Management heard testimony on several measures. HB 1805, relating to child welfare, drew support from the University of Hawaii and concerns from the Attorney General about the bill’s definition of state agency and possible separation-of-powers and supremacy clause issues. During decision-making, the committee opted to move the child advocate function to the Attorney General’s office, accepted the Attorney General’s suggested scope and jurisdiction amendments, set the salary at 90% of the Department of Health deputy director’s salary, and passed the bill with amendments. HB 2110, relating to nepotism, received support from the Hawaii State Ethics Commission, which said the bill would apply the rule consistently and noted the existing good-cause exception process. The committee later deferred the bill, saying existing House rules on nepotism were already strict and that the proposal would be duplicative in statute. HB 2180, relating to voting boards, had no oral testimony in the room during the hearing, but the committee later amended it into a blank appropriations vehicle for the House of Representatives and passed it with amendments. HB 2184, relating to lawmaker safety, drew concerns from the Campaign Spending Commission that the bill would require redaction of address information and could create implementation issues, and the Attorney General noted missing language regarding appointed officials and an internal cross-reference issue. The committee adopted amendments to address those concerns and passed the bill with amendments. HB 2219, relating to disclosure of privileged communications to the Ombudsman, was clarified by the Ombudsman’s office as not requiring disclosure of privileged material, only preserving privilege if such material is voluntarily provided; the bill passed with amendments. HB 2469, relating to a regular session review working group, received testimony from the State Procurement Office, the Legislative Reference Bureau, and others in support and opposition, and the committee passed it with amendments after changing references and funding language.

Transcript Highlights:

• that advocates for waste prevention and reusable<00:18:02.240> packaging<00:18:02.799> systems
• ,<00:18:03.440> and<00:18:04.080> we reusable packaging systems, and we reusable packaging
• for bottle bills because they're great for catalyzing<00:18:08.960> reuse<00:18:09.360> systems
• <00:18:10.240> They<00:18:10.559> boost catalyzing reuse systems.
• They boost catalyzing reuse systems.

Bills: HB1924, HB2121, HB1928, HB1979, HB1650, HB1543, HB1981, HB1982

Keywords: mattress recycling, waste management, producer responsibility, environmental health, steafardship program, electronic cigarettes, disposable devices, environmental protection, plastic pollution, lithium batteries, pollution control, public health, deposit beverage container, bottle bill, container deposit law, container redemption, recycling refund, extended producer responsibility, EPR, deposit return system

Summary: The committee heard testimony on several measures related to waste, recycling, and environmental review. On HB 1924, which would establish a mattress stewardship program, the Department of Health said it stood on written testimony and offered comments, while Hawaii Reef and Ocean Coalition and one individual supported the bill and the International Sleep Products Association opposed it. No questions were raised and the committee moved on. A large portion of the hearing focused on HB 2121, which would prohibit the sale of disposable vapes in Hawaii. The Department of Health supported the measure but suggested the bill may be better placed in a different part of state law because the cited waste-management section regulates products after consumption, while still praising the effort to remove disposable vapes from the market and environment. Testimony in strong support came from the Coalition for Tobacco Free Hawaii Youth Council, Hawaii Public Health Institute, Hawaii COPD Coalition, Hawaii Health and Harm Reduction Center, the City and County of Honolulu, and many individuals; supporters emphasized youth vaping, toxic waste, lithium battery fire risks, and environmental harm. There was at least one opposing individual and the International Sleep Products Association was listed in opposition. The committee noted there were many written testimonies and no immediate vote was taken. The committee also heard HB 1928 on the deposit beverage container recycling program. The Department of Health stood on written testimony. The Solid Waste Task Force of Hawaii Environmental Change Agents and Upstream supported the bill but urged amendments to better integrate reuse and reusables, strengthen enforcement, clarify definitions, and protect existing redemption centers. The Hawaii Food Industry Association supported the concept of a backdrop program but preferred strengthening the existing program and raised concerns about undefined fees, existing infrastructure, and future audit costs. The Chamber of Commerce Hawaii supported the bill, and the chair said the measure needs work and that decision-making would occur in a few days. Finally, the committee took up HB 979 on environmental review and HB 1650 on environmental assessments. For HB 979, OPSD offered amendments, HCDA supported the bill but suggested clarifying the affordable-housing definition, Kauai Island Utility Cooperative supported it, and Earthjustice was asked about the court process for environmental challenges; the chair asked about shortening the challenge period and the relationship between environmental court, the intermediate court of appeals, and the Supreme Court. For HB 1650, OPSD and the State Historic Preservation Division stood on written testimony, OHA asked to retain historic sites, and several groups and individuals testified in support or opposition. Opponents argued that removing Wiki special district and historic sites from Chapter 343 trigger language would weaken environmental review and risk impacts to iwi kūpuna and historic resources.

Transcript Highlights:

• So there is a system, Mr. Chair, there is a system in place. And it is good to hear that.

Bills: SB29, SB64

Keywords: SB29, math requirements for teaching license, teacher licensure, teacher endorsement, mathematics methods, elementary education, secondary education, special education, early childhood education, reciprocity, Public Education Department, Mathematics and Science Education Act, mathematics instructional leadership framework, professional learning plan, K-3 screening, mathematics screening assessment, mathematics difficulty, support plan, multilevel support, intervention

Transcript Highlights:

• It also includes requirements for continuous improvement systems, required interventions and support
• We have to change the system, and SB 29 does just that.
• Therefore, I went through the public education system also believing I was bad at math.
• And so it matches with the system and respects both of those. So thank you.
• And what is in this bill, it talks about the multi-layered systems of support.

Bills: SB29, SB64

Keywords: SB29, math requirements for teaching license, teacher licensure, teacher endorsement, mathematics methods, elementary education, secondary education, special education, early childhood education, reciprocity, Public Education Department, Mathematics and Science Education Act, mathematics instructional leadership framework, professional learning plan, K-3 screening, mathematics screening assessment, mathematics difficulty, support plan, multilevel support, intervention

Transcript Highlights:

• Chair and members, Senate Bill 1042 allows the state treasurer, the Arizona Retirement System, and the
• I'm trying to get to that system right now. Mr.
• It's not— for those that don't know, the tax credit system is not public money.
• That's everyone I have in the system. Was there anyone else wishing to speak on this? Okay.
• Again, another one that made it through the system.

Bills: SB1042, SB1043, SB1044, SB1135, SB1136, SB1142, SB1180, SB1221, SB1252, SB1254, SCR1003

Keywords: public funds, virtual currency, bitcoin, investment, Arizona Strategic Digital Asset Reserve Act, state treasurer, retirement system, state payments, cryptocurrency, Arizona law, payment methods, government transactions, property tax, tax exemption, Arizona Revised Statutes, digital currency, workers' compensation, death benefits, burial costs, spousal compensation

Summary: The committee began with staff and page introductions, then took up a series of previously heard bills, mostly related to cryptocurrency and tax administration. SB 1042, SB 1043, SB 1044, and SCR 1003 dealt with allowing public entities to invest in virtual currency, accept cryptocurrency payments, and exempt virtual currency from property tax. Supporters framed the measures as modernization, while opponents argued crypto is risky, fraudulent, and a poor use of public funds. All four measures were recommended do pass on narrow 4-3 votes, with Democrats generally opposed. The committee also heard SB 1221, which would require the Department of Revenue to notify legislative tax chairs before adopting a new interpretation or application of tax law that could adversely affect taxpayers. The sponsor said the bill was meant to front-load disputes and avoid surprise tax changes; it passed 4-3. SB 1142, which would have Arizona opt into a new federal scholarship tax credit program and require ADOR to administer it, drew extensive testimony. Supporters said it would expand scholarship opportunities for students in public, charter, private, and home education settings and keep donations in Arizona. Opponents argued it would divert money from public schools, lack accountability, and primarily benefit wealthier families. The bill passed 4-3 after lengthy debate. The committee then questioned Department of Revenue officials about a press release on Arizona tax forms and federal conformity after H.R. 1. Members focused on why the department told taxpayers not to wait to file, how the state conforms to federal changes, and whether amended returns would be needed if the Legislature changes the forms later. DOR said the forms were issued assuming conformity, that most taxpayers would not be affected by pending changes, and that amended returns could be required for some retroactive provisions; members criticized the guidance as confusing and potentially costly. Finally, the committee heard SB 1254, which would require both grantor and grantee signatures on conveyance documents before recording, to reduce deed fraud and clarify acceptance of property transfers. County assessors supported the bill, saying it would close a loophole and improve records; it passed 6-0 with one member not voting. The committee then began SB 1252, the Uniform Assignment for Benefit of Creditors Act, with testimony from the Arizona Uniform Laws Commission explaining that it would create a more uniform framework for asset assignments and creditor claims, but the transcript cuts off before any vote on that measure.

Transcript Highlights:

• Is there a particular system that y'all use for this that you already own the system?
• We have different systems for different programs, but we already have those systems.
• Are you, does that include an audit on the age, the system support of the system?
• , the nature of a system.
• So we're creating a system, simple system, to go and integrate all of this.

Bills: HB512, HB2248, HB2679, HB2832, HB3112, HB3368, HB3490, HB3512, HB3623, HB3666, HB3700, HB3711, HB3770, HB3963

Keywords: grievance procedures, state agency, employee rights, workplace regulations, employment law, employees, employment actions, appeal, state employees, workplace rights, disciplinary actions, employment conditions, employment disputes, job protections, public information, transparency, government accountability, information access, notification requirements, federal funding

Bills: HB3419, HB4153, HB3430, HB3791, HB3277, HB4119, HB4408, HB3905, HB3968, HB3835, HB3386, HB2650, HB3742, HB3588, HB3748, HB4303, HB4311, HB3028, HB4428, HB4429, HB4132, HB1889, HB3265, HB1739, HB4434, HB3313, HB3852, HB4263, HB3413, HB3414, HB3415, HB3416, HB3417, HB3418, HB3420, HB2116, HB2206, HB3625, HB2939, HB3721, HB1823, HB2425, HB4440, HJR1087, HB4003, HJR1077, HB1770, HB1675, HB3627, HB3891, HJR1067, HB3462, HJR1053, HJR1054, HJR1044, HB3472, HB1225, HJR1019, HB4145, HJR1081, HB1746, HJR1069, HJR1050, HB1638, HB3327, HJR1055, HB3127, HB4488, HB2955, HB3781, HB3783, HB3802, HB2471, HB2937, SCR16, HB2960, HB3466, HB3262, HB3269, HB3152, HB4140, HB4142, HB3148, HB3378

Keywords: corruption, nonpublic information, government accountability, criminal law, public office, driver license, reading proficiency, minors, education requirements, alternative testing, attendance, remedial reading, public school, oath of enrollment, court financial obligations, cost hearing, payment plan, community service, court compliance program, debt relief

Transcript Highlights:

• North Dakota continues to maintain a statewide stroke system of care designed to ensure that stroke patients
• Here is my 2026 North Dakota Stroke System of Care Report.
• In 2024 and 2025, the stroke system of care quality improvement efforts In 2024 and 2025, the stroke
• collaborative effort for both the stroke and EMS systems of care.
• I am incredibly proud of the North Dakota Stroke System of Care.

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:

• North Dakota continues to maintain a statewide stroke system of care designed to ensure that stroke patients
• Here is my 2026 North Dakota Stroke System of Care Report.
• collaborative effort for both the stroke and EMS systems of care.
• As part of this project, the stroke system of care partnered with the EMS system of care to provide education
• I am incredibly proud of the North Dakota Stroke System of Care.

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

Bills: HB542, HB566, SB270, HB618, HB617, HB542, HB566, SB270, HB618, HB617

Keywords: HB542, district attorney, prosecutor, supernumerary district attorney, Employees' Retirement System, ERS, Alabama retirement, public employee retirement, pension, retirement benefits, post-retirement employment, salary cap, dual participation, double dipping, District Attorneys' Plan, assistant district attorney, deputy district attorney, state pension, survivor benefits, Office of Prosecution Services

Transcript Highlights:

• So, I understand what you're saying about it's not a data collection system.
• It's not a failsafe system. I mean, the system is not 100% perfect. No system is.
• No, this system is not designed to handle 1099 subcontractors.
• The system is designed for W-2 employees. Thank you.
• Extinguishers in lieu of an automatic fire suppression system.

Bills: HB3725, HB3260, HB3660, HB3369, HB3370

Keywords: labor, e-verification, immigration, employers, employment eligibility, Department of Labor, penalties, funeral licensing, continuing education, Oklahoma Funeral Directors Association, professional development, licensing requirements, HB3660, natural organic reduction, human composting, soil reduction, green burial, funeral services, cremation, burial permit

Transcript Highlights:

• Help America Vote went on, and the team system came online, and that was kind of remarkable.
• We're going to establish an electronic system that is not going to be one of the signatures that it will
• We're just talking about a digital system to request the ballot. Exactly.
• In our election system, votes follow a three-step path. First, the voters mark the ballots.
• Texas law organizes our election systems by precinct. not polling locations.

Bills: HB3097, HB3691, SB108, SB827, SB1541, SB1862, SB2166, SB2216

Keywords: Texas elections, Election Code, uniform election date, November election, local elections, political subdivisions, general election date, election administration, municipal utility district, county elections, local government, ballot scheduling, candidate filing, voter turnout, election calendar, HB 3097, early voting, electronic application, mail-in ballot, voting accessibility

Transcript Highlights:

• However, practical experience has shown that this system can inadvertently lead to inefficiencies and
• As my testimony explained, there already have been counties that have transitioned to this system.
• Again, I think initially it was intended to be a check and balance system.
• Again, it creates a lot of inefficiencies in the system.
• People in March, we had 30 individuals going through our system.

Bills: HB1597, HB2364, HB2437, HB3205, HB3253, HB3310, HB3648, HB3906, HB4259, HB5645

Keywords: county jailer, jail training, veterans, Texas Veterans Commission, Texas Commission on Law Enforcement, TCOLE, criminal justice system, county jail, law enforcement training, mental health training, jail standards, correctional officers, veteran services, veteran interaction, occupations code, jailer licensing, parking, county courthouse, infrastructure, local government