Transcript Highlights:

• That ordinance does not allow... ...our code 2308-357.
• You know, I'm an investor-owned utility.
• There's multiple tools that can be utilized.
• There's multiple tools that can be utilized.
• People will utilize the bags and walk out.

Summary: The committee held a work session on state environmental policy act (SEPA) implementation and carryout bags. Ecology staff Diane Buterak described the Clean Energy Programmatic Environmental Impact Statements (PEISs) completed for utility-scale solar, onshore wind, and green hydrogen, plus a new PEIS underway for sustainable aviation fuel. She explained that PEISs provide broad planning-level analysis to help developers and agencies avoid or mitigate impacts, but do not replace project-level review. Members asked about permitting timelines, greenhouse gas emissions from different hydrogen production methods, water use, agricultural land conversion, battery fire risk, and tribal consultation. Buterak said the PEISs identify potentially significant impacts and mitigation measures, including fire response planning, early tribal outreach, and agrovoltaics as an option for solar projects. EFSEC’s Amy Hofkimer then presented the transmission-facility programmatic EIS required by SB 5165 for 230 kV and higher transmission projects. She said the statewide review covers new lines and certain upgrades/modifications, analyzes impacts to water, cultural and tribal resources, habitat, and other areas, and uses general measures, design considerations, avoidance criteria, and sensitivity maps to guide siting and corridor planning. She said the final document would be issued in early October. Questions focused on reconductoring, tribal lands, scenic areas, and whether the review could affect existing lines crossing tribal lands. A Grant County planning director, Jim Anderson Cook, said Ecology’s PEIS would help with cumulative impacts for clustered solar projects, but noted tight local review timelines and the need for strong pre-application coordination, especially on cultural resource studies and decommissioning plans. Yakama Nation attorney Shona Leverett argued SEPA is only an assessment tool and said tribes face barriers from short comment periods, limited confidential tribal input, weak cumulative impact analysis, and challenges in the FSEC process; she urged better upfront developer diligence and more effective tribal coordination. Puget Sound Energy’s Sarah Leverett said the utility needs efficient and predictable permitting to meet clean energy mandates while maintaining reliable service and aging infrastructure. She described the scale of needed clean energy and transmission buildout, including a 10-year process for the Energize Eastside transmission rebuild, and said more consistent SEPA and PEIS processes could help. Members asked about future generation sources, reliability, and hydropower as a firming resource; she said PSE is pursuing an “all of the above” approach and would welcome more firm, dispatchable clean energy options. The committee then shifted to carryout bags. Staff Jacob Lipson and Tracy Taylor reviewed Washington’s bag law, its preemption of local ordinances, the current 8-cent charge, the scheduled increase to 12 cents, and the 2025 change delaying the 4-mil thickness requirement until 2028 while adding a temporary 4-cent penalty for thicker bags. Ecology’s Peter Lyon said the agency emphasizes education and complaint-based enforcement, has received 872 reports, and has not yet imposed any fines. Commerce’s Kirk Esmond summarized a WSU study finding fewer plastic bags distributed but more plastic by weight, and said Commerce and Ecology support keeping the 2.25-mil standard and not allowing thinner single-use bags again. Retail industry testimony from Brandon Housekeeper said grocers comply with the law but oppose the added 4-cent penalty and thicker-bag requirement, citing higher costs and confusion in the policy changes.

Transcript Highlights:

• We have two big topics today to talk about: carbon capture utilization and sequestration, and then we'll
• Now, utilization, people tend to think that as, you know, only so far it can scale, where, you know,
• Washington knows less about its geologic formations and aquifers than states like Texas and Louisiana
• And that way we can treat carbon capture, utilization, and storage... ...new compliance categories.
• Utilized.

Summary: The committee held an interim work session focused first on carbon capture, utilization, and sequestration (CCUS), then on hazardous waste and extended producer responsibility (EPR). On the CCUS topic, industry and nonprofit presenters described point-source capture, direct air capture, mineralization, and geologic sequestration, emphasizing Washington’s basalt formations and state trust lands as strong candidates for storage. They argued that CCUS can help hard-to-abate industrial sectors, support jobs and investment, and provide a pathway for compliance, while also noting the need for clearer permitting, subsurface rights, pipeline authority, and storage infrastructure. Ecology and Commerce staff explained current state policy touchpoints, including Cap-and-Invest offsets and exemptions for permanently stored CO2, the public comment process underway to define “thousand-year” permanence, and how CCUS might fit within the Clean Energy Transformation Act without counting emitting generation as non-emitting. Some presenters supported more state action and primacy over federal permitting, while others warned about costs, energy use, uncertain capture performance, and the need to ensure real net greenhouse gas reductions and long-term liability protections. Members asked about public meetings, whether mineralized carbon would qualify as exempt under the Climate Commitment Act, the timeline for Ecology guidance, aquifer and water-quality concerns, energy intensity of capture systems, and liability if storage later proves problematic. Responses said Ecology’s guidance process is already underway, public meetings will be virtual, mineralized carbon would likely qualify if it meets the permanence standard, and EPA rules require storage in deep saline formations below drinking water aquifers. Industry speakers said capture energy use varies by source and concentration, and one presenter noted that some states use trust funds funded by injectors to address long-term liability. The second half of the session shifted to hazardous waste and EPR. Ecology staff reviewed existing product stewardship programs for electronics, paint, batteries, and mercury lights, and described moderate risk waste and household hazardous waste management in Washington. They highlighted that E-Cycle and PaintCare are producer-funded, that the battery stewardship program will begin in 2027, and that the mercury lamp program is in transition after its prior stewardship organization exited, prompting enforcement notices and a pending replacement plan. Ecology recommended best practices for future EPR programs, including clear producer and product definitions, full producer funding, convenience standards, annual reporting, and strong agency enforcement and plan approval authority. Local government speakers from King County and Douglas County described rising collection costs, equity and access barriers, rural travel distances, and the need for stable funding and flexible local implementation. King County said it collected over 3 million pounds of hazardous products in 2025 and supports EPR as a way to shift costs from ratepayers to producers, while Douglas County emphasized that rural residents will participate when services are accessible and that future systems should account for geography and local infrastructure.

Transcript Highlights:

• There's a story from Texas where a trans youth named Mt.
• He became the undefeated wrestling champion of the state of Texas for two years in a row, against his
• There's a story from Texas where a trans youth named Mt.
• Texas, where a trans youth named Mt.
• State of Texas for two years in a row, against his will.

Keywords: 928, house, all

Summary: The House Judiciary Committee met in executive session and first took up HB 148, a bill allowing classification by biological sex in limited settings such as multiple-use bathrooms, certain sports, and involuntary commitment facilities. Supporters said it was needed to protect privacy and safety, especially for minors, and argued it was consistent with recent federal and state developments. Opponents said the bill was poorly defined, unnecessary, and could create discrimination or confusion, especially because it did not define “biological sex” in the text. The committee voted 10-8 ought to pass, and the chair said a minority report would be written. The committee then considered HB 254, a bill concerning medical aid in dying. The chair moved ought to pass and described the bill as a matter of liberty for terminally ill patients within six months of death, arguing it should not be treated as suicide. Opponents raised religious, ethical, and policy concerns, including worries about a slippery slope, misuse by vulnerable people, and the effect on death records and public health data. The committee voted 11-7 ought to pass, and the chair said a majority report would be written with a minority report by Representative Perez. Finally, the committee turned to HB 611 with Amendment 2025-0638, a replace-all amendment dealing with recoupment of costs for appointed counsel. The chair explained the amendment would restore the law to its pre-2020 form, allowing the Office of Cost Containment to seek repayment from some recipients of appointed counsel services, including those found not guilty, if they had the ability to pay. Supporters said the prior change had sharply reduced collections and that the state should not treat indigent defendants differently from people who hire private counsel. Opponents argued the policy unfairly bills innocent people and children who were entitled to counsel. The transcript cuts off during debate on the amendment, before a vote is shown.

Transcript Highlights:

• ratepayers with... respect to their utility bills.
• Delivery, on your utility bills, that's the cost of the utility bringing it to your house and worth debating
• They want this stuff off of their utility bills and they want the cost of their utility bill lowered.
• And I have heard fingers pointed at utilities.
• affordability programs and enrolled by the utility corporation within 60 days of receipt by the utility

Keywords: 993, senate, all

Summary: The Senate convened, approved the prior journal, and then took up a series of utility and public service bills and resolutions. A resolution sponsored by Senator Scarcella-Spanton designating April 9, 2026, as Yellow Ribbon Day was adopted after remarks honoring veterans, active-duty service members, and their families. The chamber then moved through several Public Service Law measures focused on utility affordability, consumer protections, and PSC procedures, with some bills laid aside and others advanced. Among the bills passed were measures by Senators Mayer, Cleare, Hinchey, Comrie, and Parker. Debate on the Mayer bill centered on limiting utility expenses and fees recoverable in rate cases; supporters said it was part of a broader package to reform PSC practices, while opponents argued it would not lower current bills and had been softened from earlier versions. The Webb bill creating a residential utility usage monitoring program drew extended debate over whether it would meaningfully reduce costs, who would pay for the program, and whether it could lead to government monitoring of household usage; supporters said it would give consumers more control and transparency, while critics said it would not lower rates. The Gonzalez bill, which would add consumer protections during PSC investigations and delay shutoffs in certain circumstances, also passed after questions about whether it applied to rate cases, with the sponsor saying rate cases were explicitly excluded. Several members explained their votes, with supporters emphasizing affordability, transparency, and consumer protection, and opponents arguing the package would not address immediate rate relief and could burden ratepayers or encourage nonpayment. Senator Tedisco and others criticized PSC appointments and state energy policy, while Democratic sponsors argued the bills were part of a longer-term effort to reform utility regulation and address climate and affordability concerns. The chamber restored multiple bills to the non-controversial calendar before final votes, and the recorded results showed passage of the major utility bills by substantial margins, along with one amendment appeal being ruled nongermane and rejected.

Transcript Highlights:

• to support the utilities.
• In the case of utilities, you're talking about either relocating the utilities or building completely
• new utilities altogether.
• There are some highways not being utilized that should be utilized in the movement of wheat to market
• Hillsboro, Oregon, has a sidewalk utility fee.

Summary: The committee first heard an update on the Joint Transportation Committee study of transportation impacts if the Lower Snake River dams were removed. WSDOT and Jacobs described the study’s phases, including current work on geology, infrastructure risk, and a total logistics cost model. They explained that the study is examining how freight now moved by barge—especially wheat, fertilizer, and wood—could shift to rail and roads, and they outlined several scenarios ranging from no-dam future conditions to new unit-train terminals, short-line rail options, and a combined “many solutions” scenario. Members asked about irrigation, impacts in Idaho and Oregon, port capacity, emissions, competition, EV trucks, and whether the model could estimate transportation effects if grain volumes decline. The presenters said the study assumes current production levels continue, does not model irrigation changes or broader farm-economics impacts, but does account for transloading costs and can estimate transportation impacts under different volume assumptions. WSU’s independent review team said the model has improved substantially but still needed refinement, especially in routing, road data, and spatial detail, and that stakeholder engagement had been strong though delayed by model development. No votes were taken. The committee then received a presentation on the alternative sidewalk funding study. Staff and consultants said the study is exploring ways local governments could sustainably fund sidewalk maintenance, repair, and new construction, using a statewide survey, interviews, national research, and case studies in eight jurisdictions. They noted sidewalks are important for pedestrian safety and connectivity, but there is no dedicated funding source in Washington, and existing grants and local revenue tools are highly competitive or limited. The consultants highlighted sidewalk fees or utility-style charges as the most promising option to study, while a parcel tax was largely set aside because of state property-tax uniformity concerns. Members asked whether the study would duplicate existing funding or add to current taxes, and how a sidewalk fee would be collected; the consultants said the goal is to expand local options, not mandate adoption, and that fees would likely be billed through utilities rather than property taxes. A preliminary draft report is due December 15, with a final report due in mid-June. Next, staff gave a brief update on the ocean-going vessels study, which is examining shore power and emissions rules for vessels at berth. The presenter explained that federal Clean Air Act rules and California waiver authority create legal limits on how far Washington can go if it wants to adopt similar standards, and that deviations from California’s approach can increase litigation risk. The report will summarize stakeholder outreach and will be presented in draft form at the next JTC meeting. Finally, county engineers from Chelan and Douglas counties began a presentation on county transportation challenges, with the association’s director emphasizing collaboration with state agencies and local partners on issues such as fish passage barriers and infrastructure needs. The county presentation was only beginning when the transcript ended, and no committee action or votes were recorded.

Transcript Highlights:

• controls the health decisions, whose lives we value, and whether access to care depends on your zip code
• that folks who were racist wanted to hide in the shadows, in the corners, and pretend and speak in code
• Let us build a California where every child, regardless of their zip code or their heritage, can stand
• tall and say... ...every child, regardless of their zip code or their heritage, can stand tall and say
• But let's be clear, it wasn't an unnamed staffer who called Texas to gerrymander Black districts.

Summary: The Assembly convened after a quorum call, completed the roll, and opened with prayer, the Pledge of Allegiance, and several guest introductions recognizing visitors, students, and a long-serving committee secretary, Tabitha Volga-Sang, who was honored for 32 years of service. Members also took up a procedural motion by Assembly Member DeMaio to immediately consider ACA 14, the Taxpayer Protection Act, without reference to file; that motion failed on a 14-44 vote. The main policy debate centered on SB 106 by Senator Laird, a budget appropriation to provide $90 million in one-time funding for Planned Parenthood and related women’s health and family planning services after federal cuts. Assembly Member Tangipa offered amendments arguing the money should be directed more broadly to women’s health and hospitals, but the Assembly voted 41-13 to lay the amendments on the table. Supporters, including Gabriel, Sharp-Collins, Gibson, Krell, Bonta, and others, said the bill was needed to preserve access to cancer screenings, contraception, STI testing, and reproductive care, especially in rural and underserved communities, and to offset the effects of federal defunding. Opponents, including Johnson, DeMaio, Patterson, and Tangipa, criticized the bill as lacking transparency, favoring a politically connected organization, and diverting attention from hospital funding and other health needs. After extended floor debate, SB 106 passed the Assembly 55-10 and was transmitted immediately to the Senate. The chamber then took up H.R. 84, a resolution condemning racism after President Trump circulated racist imagery depicting former President Obama and Michelle Obama. Members from the Black, LGBTQ, Latino, AAPI, Jewish, Native American, and other caucuses spoke in support, saying the post normalized dehumanization and had real-world consequences; Assembly Member Tangipa also stated the post was wrong and apologized on the record. The transcript ends during continued debate on H.R. 84, before a final vote is shown.

Transcript Highlights:

• Is there a DX code for it? Who is the provider number for that prescription, that dispensing?
• and cons of the medication, is there any requirement for documentation, billing, provider number, DX code
• And, oh, by the way, there happens to be a CPT code exactly for this specific consultation.
• information at no charge, as there has been no charge in the past, and as I said, there's even a CPT code
• In Texas, the nation experienced the largest measles outbreak in decades, resulting in three deaths.

Summary: The committee heard several health-related bills. SB 1082 would let providers or insurers in state-regulated commercial plans opt into the federal independent dispute resolution process for emergency out-of-network claims, with a late-filed amendment clarifying access to the state program in certain circumstances. The bill sponsor and emergency physicians said the measure would reduce litigation and improve payment resolution; the committee adopted the amendment and reported the bill favorably as a committee substitute. SB 1168 would centralize background screening work for the care provider clearinghouse at the Agency for Health Care Administration and update related screening rules, including sealed and expunged records for qualified entities. The sponsor said the change would speed turnaround and reduce duplication; an amendment was adopted, and the bill was reported favorably as a committee substitute. SB 1156 would move ambulatory surgical center regulation out of Chapter 395 into a standalone section of law, and it was reported favorably without amendment. SB 1480, as amended by a strike-all, would grandfather certain temporary certificate holders practicing in areas of critical need if federal designations change, allowing them to continue seeing current patients and potentially new patients in their existing area subject to board oversight. The committee heard support from health system representatives and reported the bill favorably. The final and most debated measure, SB 1756 on medical freedom, would require vaccine education materials and alternative schedules, expand school immunization exemptions to conscience-based objections, clarify limits on emergency vaccination orders, and allow pharmacists to dispense ivermectin behind the counter with written information. The sponsor and supporters framed it as parental choice and access, while physicians, public health advocates, cancer advocates, and parents of immunocompromised children warned it would lower vaccination rates and increase disease risk. The committee adopted a liability-related amendment, rejected a substitute amendment that would have required consultation for exemptions, and continued hearing public testimony opposing the bill; the transcript ends before final action on SB 1756.

Transcript Highlights:

• We are written in North Dakota Century Code.
• We can help them with moving costs, utility deposits.
• And if federal dollars no longer exist, we can utilize those.
• The surveys will be based strictly on administrative code.
• of Federal Regulations, Century Code, Administrative Code, billing and policy manuals, the Medicaid

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:

• Not megawatt-hours, and those will be utilized as many hours as...
• I'm Alice Reynolds, President of the California Public Utilities Commission.
• Manual, the public contracts code, that those would still apply.
• With 406 of them having some level of regulation over utility overlap.
• utilities and telecommunications utilities.

Keywords: 988, house, all

Transcript Highlights:

• Uh, but if you look a Florida and Texas.
• So we utilized while the water was out.
• Thank you, Representative Whitaker. utilized for disaster but it's I think utilized for disaster but
• And I use some really elementary examples probably, but um, like a utility company loses a public utility
• public utilities are being reinstalled. public utilities are being reinstalled.

Keywords: 958, all

Summary: The first meeting of the Disaster Prevention and Resiliency Task Force focused on the task force’s mission and on recent Kentucky flooding disasters. The co-chairs described the need to better prepare for increasingly frequent and costly natural disasters, including flooding, tornadoes, wildfires, and ice storms, and emphasized coordination among local, state, federal, and interstate partners. The discussion also stressed the importance of budgeting for mitigation, infrastructure resilience, housing, insurance, and recovery planning, with several members sharing personal experiences with disaster impacts in their districts. Kentucky Emergency Management Director Eric Gibson gave the main presentation, responding to questions about the February and April flooding events. He said the February event affected the entire state, with 11,825 individuals registering for assistance and 1,194 public-assistance projects written so far; he also reported 134 households still sheltered, 190 households moved to permanent housing, and three disaster recovery centers still open after a regional consolidation. For the April event, he said 37 counties had individual assistance, 83 counties were still pending public assistance, and no hazard mitigation had yet been declared; 5,893 people had registered for individual assistance, and 144 households were sheltered, with 83 families already moved to permanent solutions. He noted that counties without public assistance would have to cover expenses locally unless state or federal aid is approved. Gibson also outlined Kentucky Emergency Management’s tools and resources, including a 24/7 state operations center and warning point, embedded National Weather Service meteorologists, five regional warehouses stocked with water, MREs, blankets, and kits, a statewide web-based damage reporting system, laundry trailers, generators, a disaster needs hotline that has received 6,972 calls, and a mutual aid system used to deploy resources such as water tankers. He highlighted ongoing work on urban search and rescue, qualification systems for emergency operations personnel, and aerial documentation of storm damage. No votes or formal actions were taken at this meeting.

Transcript Highlights:

• National Fire Code.
• , and the property is within a half a mile of the municipal utility main line, and the utility has sufficient
• service revenues back in utility.
• If a county, in some sense, Revenues back in utility.
• I appreciate being a part of Municipal Utility Day in Community Affairs.

Summary: The committee heard and advanced a wide range of bills, with several focused on water safety, utilities, and local government transparency. CS/SB 848 on stormwater treatment was explained as clarifying water quality credits and water quality enhancement areas, and it was reported favorably after one support appearance. SB 28, a claim bill for Reginald Jackson against the City of Lakeland arising from injuries caused by a police shooting, was also reported favorably. CS/CS/SB 658 on water safety requirements for rental properties drew extensive testimony in support from child advocacy and drowning prevention advocates, who cited Florida’s high child drowning rates and the disproportionate impact on children with autism; the bill was amended to require front-end certification and remove local add-on authority, then passed favorably. CS/SB 18, a claim bill involving the estate of a deceased minor and the Broward County Sheriff’s Office, was reported favorably after questions about the verdict, settlement posture, and who would receive the funds. SB 934 on areas of critical state concern was amended to remove a provision viewed as conflicting with the Live Local Act and then passed favorably. SB 1622, which creates a one-time waiver for certain late-filed financial disclosure fines, also passed favorably with support from an appearance form. SB 1264 on private schools and zoning was reported favorably after members noted ongoing concerns and planned further discussion. CS/CS/SB 260 on electric vehicle storage in towing yards was amended to narrow the bill to storage issues and cap the fee period until inspection; it drew both support and opposition from insurers, fire officials, and vehicle industry representatives, and was reported favorably. CS/CS/SB 1014, dealing with municipal utility service to properties outside city limits, was amended to limit it to residential development and clarify capacity standards, then passed favorably. CS/SB 1102 expanded the local infrastructure surtax to include body camera programs and was reported favorably after an amendment requiring voter approval. Finally, CS/SB 1724 and SB 1566, both on local government utility and budget transparency, were amended and reported favorably despite concerns from cities and counties about implementation costs and burdens.

Transcript Highlights:

• D the the entity receiving the Grant would utilize infrastructure of a town.
• Building Code Commission.
• Is this the most recent building code as far as the 2006 edition that the Oklahoma Uniform Building Code
• I'm not sure what year the Oklahoma Uniform Building Code Commission is on currently.
• Different municipalities have to adhere to different building codes.

Bills: SB1519, SB1775, SB1900, SB1948, SB2080

Keywords: municipal zoning, home-based businesses, no-impact businesses, local government, regulation, short-term rentals, municipal ordinance, municipal court, court of record, court not of record, city penalties, fine limits, penalty cap, ordinance enforcement, state statute, traffic offenses, speeding, parking, DUI, DWI

Transcript Highlights:

• Established in the California Unemployment Insurance Code, the California Workforce Development Board
• The department is also proposing to amend the Labor Code via the trailer bill process.
• the position similar to the chiefs of Cal/OSHA and the Labor Commissioner's Office in the Labor Code
• It assumes CalHR's projected utilization rate of 15%.
• The actual service cost could actually be lower if utilization is below 15%.

Keywords: 988, house, all

Transcript Highlights:

• We'll be able not just to utilize whatever we work on in statute.
• Code 4, 0, 0, 6, 9, 2, Thank you, Mr.
• We do have a late filed amendment to the Amendment bar code 1, 8, 1, 4, 3, 6, by Senator Smith.
• What's the process for a parent to be involved in the development approval of the of the student Code
• So with this legislation, it would allow for charter school governing boards to adopt its own Code of

Keywords: 999, senate, all

Transcript Highlights:

• The International Fire Code in particular The International Fire Code in particular is adopted under
• That's a good thing, part of utilization management as well.
• Prior authorization is part of utilization management.
• Now, I'll tell you, with coding, there's a lot of issues with missing data, with codes that overlap.
• In fact, real-world utilization, I'll tell you.

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:

• They do allow them to be coded correctly.
• They do allow them to be coded correctly.
• ,<00:25:14.320> but<00:25:14.960> we better utilization of dollars, but we better utilization
• <00:41:44.800> for department includes billing codes for department includes billing codes
• We're also utilize Medicaid services.

Keywords: 00:00:00 - Call to Order/Roll Call 00:02:20 - Discussion of 26RS HB 689 00:13:13 - Discussion of 26RS SB 201 00:27:45 - Discussion of 26RS HB 583 00:46:37 - Discussion of 26RS HB 488 00:48:13 - Discussion of 26RS HB 2 01:14:34 - Discussion of Kentucky State Plan Amendment (SPA) 26:0001: School-based Medicaid Services Program 01:18:24 - Public Comment, 958, all

Summary: The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal. The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary. Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.

Transcript Highlights:

• ><00:33:11.720> to that have more than 25 employees to that have more than 25 employees to utilize
• 13.360> system<00:33:14.159> so<00:33:14.440> right<00:33:14.559> now utilize
• the E verify system so right now utilize the E verify system so right now about<00:33:15.039> 23<
• I don’t see a fully automated McDonald’s like in Texas coming to New Hampshire.
• automated McDonald's like in Texas automated McDonald's like in Texas coming<01:31:32.320> to

Keywords: 1191, senate, all

Transcript Highlights:

• The lengthy evidence comes in from the utilities in particular.
• So the PUC makes decisions on expenditures of the utility.
• We can follow up with 15 maybe for all of the investor-owned utilities.
• And making sure the right utilization of public funds are taking place.
• water utilities, also including our telecommunications utilities.

Summary: The hearing was an informational budget session on energy agency proposals, with no votes taken. Early discussion focused on Proposition 4 climate bond implementation, including funding for demand-side grid support, offshore wind development, and transmission financing. The Department of Finance said the budget includes allocations for demand-side grid support and offshore wind, but not yet for the $325 million transmission financing piece pending a required study. The Legislative Analyst’s Office urged the Legislature to consider whether to wait on offshore wind funding, whether to keep shifting funds into demand-side grid support, and how to direct future transmission financing. Members also raised concerns about local technical assistance for offshore wind, Salton Sea priorities, and the need for more information before final decisions. The California Energy Commission and CPUC then reviewed the broader energy package. The CEC highlighted the demand-side grid support program’s growth, distributed energy backup assets, long-duration storage, hydrogen grants, and the SIRP clean energy reliability program. CPUC testimony emphasized affordability, wildfire mitigation costs, rooftop solar cost shifts, and efforts to reduce rates while maintaining reliability and clean energy goals. Members questioned CPUC staffing, delays in proceedings, coordination with the CEC and CAISO, and the impact of rate increases on customers. The agencies also discussed the AB 3264 transmission financing study, with CPUC saying work on the study had already begun and was on track for the July 1 deadline. Several trailer bill and implementation items were also discussed. The committee reviewed a proposal to extend the Deaf and Disabled Telecommunications Program surcharge, with members split over whether it should be handled in budget trailer bill language or policy legislation; the administration said the surcharge supports a critical program serving about three-quarters of a million Californians. The committee also heard a CPUC data-sharing proposal to allow nondisclosure agreements for transmission and reliability data, which members generally supported as a technical fix. DWR explained a proposal to clarify language for the Electricity Supply Strategic Reliability Reserve so it can potentially sell three gas-fired units it owns, and the CEC presented a federal transmission grant proposal tied to grid-enhancing technologies and ratepayer cost recovery. Finally, the committee discussed California Lifeline and possible broadband pilot reforms in light of uncertainty around federal Universal Service Fund support, with CPUC saying it is exploring a statewide standalone broadband option for eligible customers.

Transcript Highlights:

• Prior authorization is part of utilization management.
• Now, I'll tell you, with coding, there's a lot of issues with missing data, with codes that overlap.
• There are about 30,000 codes—30,000 codes that can actually be appropriate when you think about the label
• In fact, real-world utilization, I'll tell you.
• But real-world utilization...

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

Transcript Highlights:

• We consulted with CID to make sure they wouldn't have to renew any building codes or anything once we
• and the New Mexico commercial Building Code, and those codes utilize the lumber grades or that standard
• Any program that doesn't meet that standard will make all those provisions in the codes unusable.
• And we're not going to have to change any building codes.
• if we don't utilize it and we leave it out there?