Transcript Highlights:

• Indeed, the Centers for Medicare and Medicaid Services, at CMS, entered into a data-sharing agreement
• Earlier this year, the USDA issued an unprecedented demand for PII, including names, dates of birth,
• 00:22:05.840><c> and</c><00:22:06.080><c> Medicaid</c> Centers for uh Medicare and Medicaid Centers for
• Um the um Center for Medicare benefits.
• certificates even though they birth certificates even though they passed<01:57:52.239><c> away.

Keywords: 912, senate, all

Summary: The Judiciary Committee held an informational briefing on the State of Hawaii’s affirmative litigation against the federal administration, with no public testimony. Attorney General Lopez and deputies said the office’s goal is to enforce the rule of law, not make partisan points, and noted that Hawaii is involved in 27 ongoing cases. They grouped the cases into four broad areas: immigration, funding freezes and grant terminations, federal agency dismantling/reductions in force, and protecting elections, health, and safety. Several immigration-related cases were discussed in detail. These included a challenge to the federal sharing of Medicaid data with DHS for immigration enforcement, a similar challenge to USDA’s demand for SNAP applicant and recipient data, and litigation over immigration-enforcement conditions attached to federal grants. The office also described the birthright citizenship executive order, saying it conflicts with the 14th Amendment and Supreme Court precedent; lower courts granted preliminary relief, and the U.S. Supreme Court later addressed only the scope of nationwide injunctions, not the merits. In the Department of Transportation case, the court granted a preliminary injunction against the “Duffy directive,” finding the immigration conditions lacked statutory authority, were arbitrary and capricious, and violated the Spending Clause and APA. The briefing also covered multiple funding disputes. In the education funding freeze case, the Department of Education and OMB withheld about $6 billion in formula funds, including roughly $33 million for Hawaii; after suit was filed, the funds were released. Other cases included the termination of over $11 billion in public health grants, which affected Hawaii Department of Health grants, the NIH indirect cost cap case, and NIH grant terminations tied to DEI, transgender issues, and vaccine hesitancy. The speakers said some cases have already resulted in preliminary or permanent injunctions, while others remain on appeal or are still being litigated.

Transcript Highlights:

• remain at the center of our response efforts.
• BFAN is also home to one of the seven centers for excellence in birth defects research and prevention
• The center has studied birth defects for over 25 years, feeding data into the Birth Defects Study to
• Updated birth center regulations to improve accessibility and ensure quality and safety.
• The Board of Midwifery has convened, birth center regulations are approved, and guidance for donor milk

Keywords: 995, all

Summary: The hearing was an informational and oversight session of the Joint Committee on Children, Families, and Persons with Disabilities, with chairs and members hearing agency updates from several commissioners. The Department of Public Health’s Bureau of Family Health and Nutrition described its maternal and child health work, including home visiting, early intervention, WIC, newborn hearing screening, and cross-agency efforts on prenatal substance exposure, respite care, children’s vision, and maternal health initiatives. DPH emphasized that federal grant cuts, layoffs, and the loss of data systems such as PRAMS would weaken services and planning, and members asked about Title V funding and the impact of federal uncertainty. The Massachusetts Commission on the Deaf and Hard of Hearing highlighted communication access services, interpreter and CART referrals, emergency after-hours support, family navigation, and independent living services. Commissioners and members discussed the shortage of ASL interpreters and the need to expand training pipelines, including partnerships with colleges and possible ASL programming for younger students. The Department of Developmental Services reported serving nearly 50,000 people and focused on youth and adult services, transition-age supports, autism services, self-direction, respite, and new high-acuity residential models. Members asked about respite availability, self-direction outcomes, and workforce shortages; DDS said it was expanding clinical capacity and provider rates while monitoring possible federal Medicaid, SNAP, and immigration-related impacts. The Commission for the Blind described services for about 28,000 legally blind residents, most of whom are older adults, including social rehabilitation, orientation and mobility training, children’s services, assistive technology, vocational rehabilitation, and Turning 22 supports. The commissioner discussed a UMass-based effort to build the workforce pipeline for blindness services and said the agency was watching federal restructuring but had not yet seen direct cuts. MassAbility’s leadership then warned about major federal changes affecting Social Security disability determinations, including staff restructuring, office closures, and a new overpayment repayment policy, and said the agency was preparing for possible increases in claims and uncertainty around reallotment dollars that help fund services. The Disabled Persons Protection Commission closed the hearing with an update on its abuse investigations and protective services for adults with disabilities. DPPC reported rising hotline calls and investigations, a growing caseload, its sexual assault response team, the abuser registry, and a new interagency protective services integration system funded by ARPA dollars through 2027. The agency also flagged new federal rules that could affect funding eligibility and said it may need statutory changes to comply. Members asked about funding, reporting pathways, and how complaints reach DPPC, and the commissioner said the agency uses both mandated reporting and proactive outreach to identify and respond to abuse.

Transcript Highlights:

• that they trust us, and making sure that we are hearing the voices of our constituents and we are centering
• And with the advent of the data centers in my hometown, half the population, well, most of the population
• But with the data centers coming in now, it's a 50-50 split.

Bills: HB2720, HB2073, SB5467, SB5820, SCR8406, HB2487, SB5816, SB5919, SB5995, SB6278, SB5831, SB5915, SB5963, SB6025, SB6046, SB6084, SB6134, SB6136, SB6137, SB6188, SB6291, HB2689, SB5922, SB5944, SB5957, SB5988, SB5994, SB6011, SB6065, SB6103, SB6151, SB6244

Keywords: behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, SB 5467, water-sewer district, water sewer district, surplus property, public property sale, local government, RCW 57, real property disposal, personal property, notice of intent to sell, public auction

Bills: HB2720, HB2073, SB5467, SB5820, SCR8406, HB2487, SB5816, SB5919, SB5995, SB6278, SB5831, SB5915, SB5963, SB6025, SB6046, SB6084, SB6134, SB6136, SB6137, SB6188, SB6291, HB2689, SB5922, SB5944, SB5957, SB5988, SB5994, SB6011, SB6065, SB6103, SB6151, SB6244

Keywords: behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, SB 5467, water-sewer district, water sewer district, surplus property, public property sale, local government, RCW 57, real property disposal, personal property, notice of intent to sell, public auction

Bills: HB2720, HB2073, SB5467, SB5820, SCR8406, HB2487, SB5816, SB5919, SB5995, SB6278, SB5831, SB5915, SB5963, SB6025, SB6046, SB6084, SB6134, SB6136, SB6137, SB6188, SB6291, HB2689, SB5922, SB5944, SB5957, SB5988, SB5994, SB6011, SB6065, SB6103, SB6151, SB6244

Keywords: behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, SB 5467, water-sewer district, water sewer district, surplus property, public property sale, local government, RCW 57, real property disposal, personal property, notice of intent to sell, public auction

Transcript Highlights:

• that they trust us, and making sure that we are hearing the voices of our constituents and we are centering
• And with the advent of the data centers in my hometown, half the population, well, most of the population
• But with the data centers coming in now, it's a 50-50 split.

Bills: HB2720, HB2073, SB5467, SB5820, SCR8406, HB2487, SB5816, SB5919, SB5995, SB6278, SB5831, SB5915, SB5963, SB6025, SB6046, SB6084, SB6134, SB6136, SB6137, SB6188, SB6291, HB2689, SB5922, SB5944, SB5957, SB5988, SB5994, SB6011, SB6065, SB6103, SB6151, SB6244

Keywords: behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, SB 5467, water-sewer district, water sewer district, surplus property, public property sale, local government, RCW 57, real property disposal, personal property, notice of intent to sell, public auction

Summary: The House received several messages from the Senate announcing passage of engrossed or substitute versions of House Bill 2294, House Bill 2472, Senate Bill 606, Senate Bill 6335, engrossed substitute Senate Bill 6266, and engrossed substitute House Bill 3. The chamber then moved through second and third reading on a series of measures, often suspending the rules to advance bills to final passage. A major floor debate centered on Senate Concurrent Resolution 8406, which would reestablish the Joint Select Committee on Civic Health and expand its membership. Amendment 2131, offered to keep the committee at its current size rather than expanding it, was rejected after debate over fiscal restraint, committee scope, and whether the body functioned like a “proxy legislature.” The resolution then passed 83-10. The House also passed engrossed substitute Senate Bill 6200 on portable cooling devices for renters and mobile home occupants, Senate Bill 6084 on clarifying the prohibition on voting in more than one election, second engrossed substitute Senate Bill 5105 on sexually explicit depictions involving minors, and Senate Bill 6046 authorizing the Civil Air Patrol to be used by the governor in emergencies; each drew debate over policy scope, enforcement, and state-federal authority, but all ultimately passed. The House next passed substitute Senate Bill 6054, limiting HOA and common-interest community restrictions that conflict with wildfire-hardening measures; substitute Senate Bill 6091, requiring greater transparency in real estate broker practices; Senate Bill 6291, giving more time to train and certify on-site wastewater inspectors; substitute Senate Bill 6081, creating a Public Records Act exemption for sex designation information to protect transgender people from doxxing and harassment; Senate Bill 5963, automatically enrolling certain vulnerable students in the Washington College Grant; and substitute Senate Bill 6226, addressing audiology scope-of-practice and telemedicine concerns. Most of these bills passed with broad bipartisan support, though some drew dissent over added regulation, privacy, or scope-of-practice issues. The final portion of the transcript focused on Senate Bill 6106, which the Speaker ruled had an out-of-scope amendment related to agricultural seasonal workers; the bill itself passed 75-18 after debate over layoff notices and tribal sovereignty. Substitute Senate Bill 6014, dealing with pregnancy accommodations and related public records issues, saw a failed amendment to replace gender-neutral language with “pregnant woman” and then passed 68-25. The House also debated Senate Bill 5820, with multiple amendments concerning freight rail, greenhouse gas calculations, county planning, property rights, and rail safety; the excerpt ends amid that amendment debate before final action on the bill is shown.

Bills: HB2720, HB2073, SB5467, SB5820, SCR8406, HB2487, SB5816, SB5919, SB5995, SB6278, SB5831, SB5915, SB5963, SB6025, SB6046, SB6084, SB6134, SB6136, SB6137, SB6188, SB6291, HB2689, SB5922, SB5944, SB5957, SB5988, SB5994, SB6011, SB6065, SB6103, SB6151, SB6244

Keywords: behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, SB 5467, water-sewer district, water sewer district, surplus property, public property sale, local government, RCW 57, real property disposal, personal property, notice of intent to sell, public auction

Transcript Highlights:

• His body — sorry, they took X-rays of his body a few hours after birth without our knowledge.
• asked CPT to review my medical history, having very low vitamin D and iron while pregnant, and his birth
• Medical experts have also dated these fractures back to birth.
• It only applies at those trauma centers under life-threatening emergency events and at the direction
• This adds pediatric trauma centers to the facilities in which a physician can delegate administration

Summary: The Health and Human Services Committee considered eight bills and reported all of them favorably, several as amended. HB 1347 on clinical laboratory personnel was presented as a response to staffing shortages in Florida labs; the sponsor and Quest Diagnostics supported aligning state licensure with CLIA standards to improve hiring and turnaround times. The bill passed 24-0. CS/HB 47, dealing with specific medical diagnoses in child protective investigations, drew extensive emotional testimony from parents and advocates who said children had been wrongly removed after misdiagnoses; the bill was amended to tighten timelines and record-sharing requirements, then passed 26-0. CS/HB 287 created a public records exemption for applicants, owners, operators, and references of family foster homes and passed unanimously. The committee also approved CS/HB 439, allowing chiropractors to inject vitamins and nutrients under training and safety limits, after an amendment clarified they may not prescribe prescription drugs; it passed 26-0. CS/HB 1021 would allow pharmacists to administer medications in trauma centers under physician direction, and an amendment added pediatric trauma centers; it passed 26-0. HB 867 would let occupational therapists perform dry needling after specified training and supervision, and it passed 25-0. HB 1309, which shortens deadlines for patients to access their medical records and aligns nursing home access rules with federal law, drew opposition from health information management groups over privacy and portal/data-security concerns, but supporters argued it simply speeds access to records; it passed 21-5. CS/HB 915 codifies and expands Medicaid eligibility protections for working people with disabilities so they can keep coverage while employed, with strong support from disability advocates and emotional testimony from the sponsor about her son’s benefits concerns; it passed 26-0. After these votes, the committee adjourned.

Transcript Highlights:

• centers, or obstetrics and gynecology physician practices.
• learning center.
• And if I want to put my distribution center in the shopping center that butts up to that, I could be
• It's the fastest birth-to-death pediatric disease that exists.
• It's the fastest birth-to-death pediatric disease that exists.

Bills: S0688, S1414, S0186, S0902, S0196, S1574, S0878, S1092, S1032, S1684, S1686, S1760

Keywords: cytomegalovirus, education, maternal health, newborn care, infectious diseases, student health, epilepsy, seizure disorders, school safety, training requirements, medical marijuana, low-THC cannabis, neurofibromatosis, healthcare, state regulations, child care facilities, public safety, grant program, uterine fibroids, health database

Summary: The committee took up several health-related bills and confirmations. It first heard SB 1414 on congenital cytomegalovirus education, which would require the Department of Health to develop and distribute educational materials to expectant and new parents through maternity, prenatal, newborn, and OB-GYN settings; an amendment removed a section on required instruction for medical professionals, and the bill was reported favorably as a committee substitute. The committee then approved a block of appointees on tabs 2 through 7 and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after her testimony on Medicaid accountability, transparency, managed care oversight, rural health, behavioral health, and the state’s technology modernization efforts. Senators asked Harris about Hope Florida, Medicaid redeterminations, the CORE project, an anti-marijuana ad campaign at DCF, and compliance with a federal Medicaid-related court order; she said she would follow up on some issues. The confirmation was recommended favorably, with Senator Berman voting no. The committee next passed SB 186 on student health and safety, which expands epilepsy and seizure-disorder training requirements to more school personnel, including bus drivers and charter school staff, and requires seizure-first-aid posters and updated Department of Health education efforts. It also approved SB 902 on Department of Health issues after amendments narrowed the bill’s scope and added provisions on medical marijuana regulation, early childhood intervention, practitioner accountability, and autism workforce development; one speaker raised concerns about marijuana dispensary location restrictions and low-THC ratios. SB 196 creating a uterine fibroid research database was also reported favorably after an amendment protecting patient privacy; the bill drew emotional testimony from a patient describing severe symptoms and the need for more research. SB 688 on naturopathic medicine was approved after committee discussion about scope of practice, referral obligations, and whether naturopathic care should be adjunctive to conventional medicine; supporters described complementary care and access issues, while opponents worried about delayed treatment for serious disease. Later, the committee passed SB 1574, “Maddie’s Law,” to add biliary atresia screening to newborn screening using the same blood specimen already collected at birth and to launch an education campaign; parents of a child affected by the disease testified that earlier screening could have prevented severe harm. SB 878 on clinical laboratory personnel was reported favorably to address staffing shortages by allowing Florida to rely more directly on federal CLIA standards for qualified lab workers. SB 1092 on podiatric medicine was approved after an amendment narrowed it to cellular/tissue-based products and podiatrists’ use of certain therapies; the bill also addresses continuing education, informed consent, and advertising disclosures. SB 1032 on medical marijuana was amended and passed, aligning physician certification and card renewal timelines, setting 70-day and 35-day supply limits, and reducing the fee for honorably discharged veterans while preserving funding for FAMU; Senator Harrell opposed it, saying the longer timeframes were too much of an expansion. The committee also heard SB 1760 on Medicaid coverage transparency from Senator Brodeur, who said the bill focuses on accountability and fiscal responsibility, but the transcript cuts off before further discussion or action on that measure.

Transcript Highlights:

• All was avoidable with a simple adaptation of a test at birth that is already given to every child in
• At birth, it is already given to every child in Florida and in America.
• And I've worked very closely with the Center for Nursing and also with Halifax Hospital.
• The Center for Nursing must establish the standards, and we've worked very closely with them as far as
• The Center for Nursing must establish the standards, and we've worked very closely with them as far as

Bills: S0162, S0254, S0688, S0794, S1110, S1574

Keywords: surgical smoke, health standards, hospital safety, patient protection, medical regulations, nursing education, licensure, remedial courses, temporary license, graduate nursing preceptorship, Agency for Persons with Disabilities, background screening, support coordination services, developmental disabilities, Tatton-Brown-Rahman syndrome, public hearings, orthotics, prosthetics, healthcare, Medicaid

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics was heard first. The bill would require coverage for medically necessary orthotics and prosthetics without lifetime or continuous-use caps, direct AHCA to seek federal approval and update contracts, and require annual reporting. Testimony from a child using prosthetic “gymnastics blades,” his mother, and another young person with a prosthetic leg emphasized the high cost of activity-specific devices and the impact on children’s mobility, sports participation, and quality of life. Senators voiced strong support, and the bill was reported favorably. The committee then approved SB 1574, “Maddie’s Law,” which adds newborn screening for biliary atresia using the existing blood specimen collected at birth. The sponsor and the child’s father described the condition as time-sensitive and potentially fatal without early detection, and argued the screening could prevent transplants and save money. The bill was reported favorably. The committee also considered CS/SB 794 on background screening for employees of residential facilities and day training programs for people with developmental disabilities, plus a review of waiver support coordination quality, training, and access issues. Parents and a support coordinator testified that strong support coordination is essential for families and that the bill would help standardize expectations and improve services. An amendment aligning the bill with the House companion was adopted, and the bill was reported favorably. Members next heard SB 162, which requires hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. Supporters, including nurses and the Florida Nurses Association, described surgical smoke as a workplace hazard with toxic chemicals and potential cancer risks; hospital representatives said they support the intent but argued existing federal and state standards already regulate the issue and the bill is too prescriptive. A late-filed amendment clarifying the smoke must be “effectively captured and filtered” was adopted, and the bill passed favorably. The committee also approved CS/SB 254, a major nursing education bill that tightens oversight of low-performing nursing programs, creates a temporary provisional license and preceptorship pathway for graduates awaiting NCLEX results, requires remediation for delayed testing, and increases transparency by posting passage rates. Nursing groups supported stronger standards, while private nursing schools warned the bill could reduce capacity and discourage program directors; the amended bill was reported favorably. Finally, the committee heard SB 688, which would reestablish licensure and regulation of naturopathic doctors in Florida, create a board of naturopathic medicine, set licensure and renewal requirements, and define the scope of practice while excluding most prescription authority. Supporters said it would expand health care choices and allow naturopathic doctors to practice openly, while opponents from the medical community warned the bill could authorize diagnosis and treatment without sufficient training and rely on unproven therapies. The bill was reported favorably. The committee then adjourned after members thanked staff for their work.

Transcript Highlights:

• I own a freestanding birth center in Richland, Washington, District 8, represented by Matt Boehnke on
• Association of Birth Centers.
• This cap is necessary to preserve the existing birth center serving rural families and maternity care
• Washington Association of Birth Centers.
• This cap is necessary to preserve the existing birth center serving rural families and maternity care

Summary: The committee held a public hearing on the Senate operating budget proposal, beginning with a staff briefing from James Kettle. He described the budget as built on relatively flat revenue after multiple forecast updates, with substantial mandatory cost growth, especially in Health Care Authority, DSHS, and DCYF. He highlighted major policy-level additions and savings, including large tort liability costs, continued support for long-term services, reductions tied to child care and K-12 items, several assumed revenue bills, and major transfers from reserves and other accounts. Kettle also noted the four-year outlook remained positive overall, with about $1 billion ending fund balance in the final year and roughly $3 billion in total reserves. A committee member asked about a diagram showing the loss of federal funds, and staff said they would follow up. Public testimony then focused first on K-12 education, where school leaders, teachers, OSPI, PTA, and rural district representatives largely opposed the proposed cuts to local effort assistance, transition to kindergarten, bus depreciation, and related school funding items. Many argued the reductions would disproportionately harm rural and property-poor districts and weaken early learning access, while several students and educators spoke in favor of career and technical education and IT Academy funding. The committee also heard support for wildfire prevention funding from the Commissioner of Public Lands, who thanked the Senate for restoring those dollars but raised concerns about recreation program reductions. Higher education testimony was mixed but generally supportive of the Senate proposal compared with the governor’s budget. Community and technical college leaders warned that the budget still shifts compensation costs to tuition and reduces Running Start funding, while university representatives from Western, Eastern, Central, WSU, and UW thanked the committee for avoiding deeper cuts. Private vocational college students and administrators urged extension of Washington College Grant eligibility for students already enrolled, and others asked to preserve IT Academy and related certification funding. In early learning, child care and advocacy groups praised the decision not to cap Working Connections Child Care but warned that child care and transition to kindergarten still bear a disproportionate share of cuts; they also requested continued support for Dolly Parton Imagination Library and Pierce County early childhood programs, including Family Connects. The hearing continued with testimony on employee compensation, mental health, and human services. State employee and retiree groups supported the budget’s COLA and wildfire funding but objected to cuts in retiree health benefits. Behavioral health and public safety advocates supported mentoring, Trueblood-related funding, crisis stabilization, and the Recovery Navigator Program, while others opposed reductions to those programs and to community-based recovery services. In human services, witnesses thanked the committee for funding victim services, child welfare supports, health homes, adult day care, community health centers, energy assistance, and disability services, while urging the committee to avoid further reductions to skilled nursing, case management, and recovery navigation. No votes were taken during the hearing.

Transcript Highlights:

• of births, about 200,000.
• North Dakota currently has two comprehensive stroke centers, four primary stroke centers, and 30 acute
• Our North Dakota Stroke Center map shows the distribution of stroke centers across the state.
• It displays our 30 acute stroke-ready hospital centers in green, four primary stroke centers in yellow
• Stroke centers across the state.

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:

• Ratio is the number of maternal deaths that occur per 100,000 births.
• North Dakota currently has two comprehensive stroke centers, four primary stroke centers, and 30 acute
• Our North Dakota Stroke Centers map shows the distribution of stroke centers across the state.
• It displays our 30 acute stroke-ready hospital centers in green, four primary stroke centers in yellow
• It displays our 30 acute stroke-ready hospital centers in green, four primary stroke centers in yellow

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've given birth twice. I have six great-granddaughters.
• Some members of birth. So. Thank you, Mr. Chair.
• It worked based on the sex that you were assigned at birth.
• And at most, heaven forbid, you might have to produce a birth certificate.
• And that could be proven, again, through a simple birth certificate.

Summary: The committee met on April 1, 2025, first adopting its rules and then taking up AB 89, a bill to require CIF to align girls’ high school sports with federal policy and restrict participation to biological females. The author and supporters argued the bill was needed to protect fairness, safety, privacy, and competitive opportunities for girls, citing individual student-athlete stories and examples of transgender participation. Opponents, including parents, athletes, advocates, and technical witnesses, argued the bill would stigmatize transgender youth, invite invasive scrutiny and harassment, and solve a problem they said was extremely rare or unsupported by data. After lengthy public testimony and debate, the committee rejected AB 89 on a 2-7 vote and sent it to the Committee on Education as a failed motion. The committee then heard AB 844, a related measure framed by the author as restoring competitive integrity, protecting student privacy, and bringing California into compliance with Title IX and federal directives. Supporters, including Matt Walsh and a student athlete who said she lost a varsity spot to a transgender student, argued that sex-based sports rules are necessary because biological males retain athletic advantages and that California risks federal funding if it does not change course. Opponents, including educators, parents, LGBTQ advocates, and trans youth, said the bill would increase bullying, harassment, and exclusion, and that existing policies have worked without evidence of harm from transgender athletes. Public comment was again heavily divided, with many speakers on both sides. The transcript ends during public testimony on AB 844, before any final committee vote or action is shown.

Transcript Highlights:

• ,</c> Senator Lamb, certificates of birth, Senator Lamb, certificates of birth, license<00:24:08.240>
• </c> unspecified, or other, the new birth unspecified, or other, the new birth certificate<00:24:52.640
• </c> of a parent listed on a birth of a parent listed on a birth certificate<00:25:09.440><c> and</c>
• Birth through 3 years of age.
• Analysis Center. Um there are two Analysis Center.

Keywords: Senate streaming session for Friday, March 20, 2026, 960, senate, all

Transcript Highlights:

• Giving birth is no walk in the park.
• It is a lot of debate about Cesarean sections versus different types of birth.
• All the women of our conference who have given birth, haven't, thinking and giving birth, we salute you
• All the women of our conference who have given birth, haven't, thinking and giving birth, we salute you
• I have the privilege of representing an amazing constituent, Alexis, who had a traumatic birth herself

Keywords: 993, senate, all

Summary: The Senate opened with the Pledge of Allegiance and an invocation, then approved the prior day’s journal and proceeded to a lengthy third-reading calendar. Early business included several motions to discharge Assembly bills from committees and substitute identical Senate bills, along with a few bills laid aside for the day. The chamber also recalled two bills from the Assembly, restored one bill to the Third Reading Calendar after reconsideration, and received amendments on two other bills without changing their calendar status. The Senate then took up a large number of bills across topics including labor, energy, insurance, consumer protection, environmental conservation, health, banking, elections, public service, education, workers’ compensation, criminal justice, local government, and tax law. Most measures passed with broad support, though several drew recorded opposition. Notable debate included Senator Mayer’s explanation for a bill intended to prevent treatment-court participants, including veterans, from losing their driver’s licenses twice after completing diversion programs; Senator Ryan’s support for a bill expanding prosecutors’ ability to treat repeat sexual abuse as persistent abuse; and a sharp exchange on a bill repealing New York’s HIV/STI criminalization law, with Senators Borrello and Chan opposing it and Senator Salazar defending the repeal as necessary to reduce stigma and protect survivors. The chamber also adopted and recognized several resolutions and guest presentations. Members welcomed the Tri-Valley Secondary School girls cross country champions, Miss America Cassie Donagan and Miss New York Teen Nadia Anwar, and the Hudson High School varsity boys basketball team. Later, the Senate took up a resolution proclaiming May 2026 as Maternal Mental Health Month, with multiple senators speaking in support of greater awareness, reduced stigma, and improved care for pregnant and postpartum New Yorkers. At the end of the session, the sponsors opened the day’s resolutions for co-sponsorship, and the Senate adjourned until Monday, June 1 at 12 noon, with intervening days designated as legislative days.

Transcript Highlights:

• call center and if they have the date of birth, I'm going to get every case summary I need on somebody
• call center and if they have the date of birth, I'm going to get every case summary I need on somebody
• call center and if they have the date of birth, I'm going to get every case summary I need on somebody
• call center and if they have the date of birth, I'm going to get every case summary I need on somebody
• call center and if they have the date of birth, I'm going to get every case summary I need on somebody

Keywords: 928, house, all

Summary: The subcommittee on Family Court reviewed several previously distributed reports, including a comparison of family court structures in other states and a report on improving New Hampshire family court pre-trial and mediation practices. The main new topic was a report on the intersection of domestic violence and family courts in New Hampshire, with members discussing how domestic violence cases in superior or district court can overlap with custody matters in family court and how courts may not be aware of related proceedings in other venues. Members discussed RSA 490-D:2 and related statutes, noting that family courts have original jurisdiction over certain abuse, neglect, and domestic violence matters, with concurrent jurisdiction in some protective-order cases. The discussion focused on practical problems such as confidentiality in domestic violence cases, limited access to case information by nonparties, and the need for courts to better communicate about companion cases. Suggestions included a shared or unified database, expanded lethality assessments for law enforcement, and a requirement that criminal courts report domestic violence convictions or protective-order violations to family court so judges are aware of the full case context. The subcommittee also discussed ways to help self-represented litigants, including better education at first appearance, clearer guidance about raising protective orders or criminal charges at hearings, daily docket review by clerks, and a possible “lawyer for the day” program modeled on Massachusetts. One member raised the idea of a family safety docket, while another noted that New Hampshire already has a complex case docket for high-conflict matters and that cases generally stay with one judge when possible. No votes were taken, and the chair said the subcommittee would continue reviewing materials and could return to work next year, with possible bill amendments to follow.

Transcript Highlights:

• Senate Bill 626, Senator Lam, sex designation on certificate of birth, license, and ID cards, birth info
• </c> of Health to issue a new birth of Health to issue a new birth certificate<00:04:01.280><c> to</c
• </c> different from the original birth different from the original birth certificate<00:04:05.000><c>
• </c><00:04:16.799><c> information</c> Secretary to keep a birth information Secretary to keep a birth
• </c><00:13:23.839><c> President,</c> at counting centers. Mr. President, at counting centers. Mr.

Keywords: Senate streaming session for Thursday, April 9, 2026, 960, senate, all

Summary: The Senate first outlined its plan to clear pending concurrence items, focusing on Senate bills with House amendments and not taking up unamended House bills. Members then approved several motions not to concur with House amendments, including Senate Bills 514, 626, and 866, with the clerk reading the formal Senate messages in each case. The chamber also addressed an excused-vote question, with the presiding officer explaining that excused votes do not count as missed votes. The Senate then concurred in House amendments and passed a series of Senate bills, including SB 11 on campaign finance reporting and the Fair Campaign Financing Fund, SB 164 on the Pamela J. Kelly Tree Maryland program, SB 266 on local regulation of invasive trees, SB 509 on workforce Pell Grant implementation, SB 553 reestablishing the lithium-ion battery safety commission, SB 581 on statewide technology master plan reporting, SB 670 on polling-place authority, SB 848 on municipal election reporting, and SB 940 on water quality testing. Most of these House amendments were described as technical, clarifying, or conforming changes, and each bill received the required constitutional majority on final passage. The chamber also took up House Bill 862, a rail safety bill requiring certain freight trains to have crews of at least two under specified interstate conditions. After questions from the minority leader about the bill’s trigger conditions and effect on an Eastern Shore rail line, a senator explained support for the measure and the bill passed with 33 affirmative votes. Additional special-order House bills passed as well, including HB 497 on protective order durations, HB 552 establishing a commission on the House of Reformation and Instruction for Colored Children, and HB 573 on fair housing and discriminatory effect standards. Later, the Senate continued with more concurrence items from Finance, including SB 22 on Department of Disabilities housing programs, SB 412 on forensic review boards and community forensic aftercare, SB 413 on morticians and funeral directors board operations, SB 496 on Medicaid coverage for obesity treatment, SB 555 on dementia services and brain health resources, and SB 579 on no-cost preventive cancer screening for retired volunteer firefighters. These bills were generally amended in the House with clarifying or conforming changes, and the Senate adopted the amendments and passed the bills by constitutional majority.

Transcript Highlights:

• </c> change is uh the the declining birth change is uh the the declining birth rates<00:15:34.360><c>
• </c> had a declining number of births had a declining number of births year-over-year<00:15:51.880><c
• </c> poverty concentrated in the the center poverty concentrated in the the center of<00:30:28.559><c
• </c> slide the Appropriations in the center slide the Appropriations in the center column<00:43:48.359
• </c><01:04:44.079><c> for</c> BM uh and then the perpet center for BM uh and then the perpet center for

Keywords: 1187, senate, all

Transcript Highlights:

• I am the CEO of the New England Wildlife Centers.
• Rat birth control, ladies and gentlemen.
• We’re using birth control now, as others have done and spoken to.
• We're using birth control now, as others have done and spoken to.
• There were around 60 in Lexington Center alone.

Keywords: 995, all

Summary: The Joint Committee on Environment and Natural Resources held a hybrid hearing on a large slate of bills focused on pesticides, pollinators, rodenticides, mosquito control, invasive species, and local authority over pesticide regulation. Chair Becca Rausch set strict two-minute testimony limits due to the very large number of speakers. Early testimony from Senator Moore and Representative Hawkins strongly supported a bill to restrict second-generation anticoagulant rodenticides, citing harms to wildlife, pets, and public health, and noting that California has already adopted a similar model. Testimony also supported a Lowell home rule petition to allow the city to prohibit or restrict these rodenticides, with local officials describing documented raptor poisonings and municipal efforts to phase out use on city property. A major portion of the hearing focused on pollinator protection and neonicotinoid-treated seeds. Witnesses from environmental groups, conservation organizations, academics, and beekeepers argued that neonics harm bees and other beneficial insects, contaminate soil and water, and provide little or no economic benefit in most corn and soybean fields. Several speakers pointed to New York, Vermont, and Quebec as models for restricting treated seeds, and one panel cited research showing only a small percentage of fields benefit economically from the treatments. Support was also voiced for a bill establishing an ecologically based mosquito management program, with advocates criticizing aerial and truck spraying and urging non-chemical, locally tailored approaches. Other testimony supported bills to reform the pesticide board and pesticide regulation process, to give vulnerable municipalities more local control over pesticide use, to protect schoolchildren from pesticides on school grounds, and to respond to invasive species through a centralized state office, coordinator, strategic plan, and trust fund. Many speakers, including representatives from Mass Audubon, MSPCA, the Xerces Society, the Sierra Club, watershed groups, and local wildlife rehabilitators, described impacts on hawks, owls, pets, fish, and broader ecosystems. No votes were taken during the hearing, and committee members generally asked few questions, with the hearing remaining in testimony mode throughout.