Transcript Highlights:

• The asset test limit—I mean, I just don't even know— The asset test limit—I mean, I just don't even know
• I wanted to move now to the asset test limit.
• I'll align my comments on the asset test.
• The asset test at seniors and people with disabilities—I think about the asset test.
• We urge rejection of the asset test.

Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.

Transcript Highlights:

• test so they can provide it to all law enforcement entities in Wyoming.
• , along with standardized questions.
• .<00:10:34.160> also<00:10:34.800> standardized<00:10:35.680> questions.
• <00:10:36.959> Um, test. also standardized questions.
• Um, test. also standardized questions.

Bills: HB0032

Keywords: English proficiency, commercial drivers, vehicle operation, traffic safety, penalties, 916, all

Transcript Highlights:

• Because I don't want to teach to the test, but are we going to actually...
• It doesn't matter what our test scores are.
• It doesn't matter what our test scores is.
• They take the tests. The kids that aren't college-bound don't take them.
• in those countries taking those tests.

Keywords: 908, all

Summary: The committee first heard Senate Bill 2271, which would formally place adult residential facilities in code and rebase their Medicaid reimbursement rates. Sponsor Chairman Ruby and HHS staff explained that these facilities, often serving people with dementia or acquired brain injury, are reimbursed at a much lower rate than skilled nursing care and help reduce bottlenecks in higher-level facilities. Members questioned how the program differs from basic care and nursing facility memory care, and the bill was referred to the HR section for deeper review before possible action on Monday. The committee then took up Senate Bill 2396, as amended, which would authorize an independent third-party performance audit of the Department of Commerce and the North Dakota Development Fund, with findings shared with the state auditor. Sponsors said the proposal was prompted by concerns raised in testimony and that a private audit could begin faster than a state audit. The committee adopted an amendment adding an emergency clause and directing the report to the Legislative Audit and Fiscal Review Committee, then passed the bill 20-0 with 3 absent. Next, Representative Clemine presented Senate Bills 2226, 2036, and 2037. SB 2226 would presume an incarcerated person indigent at initial appearance so counsel can be provided at that critical stage; the commission said the appropriation would fund contract attorney hours, and the bill was sent to HR for further review. SB 2036 would create procedures for determining juvenile fitness to proceed in delinquency cases, with a $500,000 appropriation for mental health evaluations, and SB 2037 would begin a juvenile criminal code framework and include a $300,000 appropriation for fitness-to-proceed evaluations; both were also referred to HR, with some concern raised about staffing and overlapping functions. After a short break, the committee heard education-related appropriations bills. SB 2234 would replace expired ESSER funding for Choice Ready grants, but members noted the program was not included in the K-12 budget and sent it to E&E for comparison with existing appropriations. SB 2286, a University of North Dakota request for a new nursing school facility, drew extensive discussion about the age and condition of the current building and the size and scope of the project; the committee ultimately adopted a do-not-pass motion 22-0. SB 2213, the “science of mathematics” bill modeled on the science of reading initiative, would fund math professional development and implementation; it was also referred to E&E for further review. The committee then briefly passed the Racing Commission budget, SB 2023, and began discussion of the Trust Lands budget, SB 2013, including a proposed retention increase for investment-related positions.

Transcript Highlights:

• Go hand in hand with actual monitoring at the performance test.
• , especially since pilot testing is required.
• Tests cannot be performed without a discharge permit.
• We've had a decade now of looking at that and testing our theories.
• All you have to do is figure out what the standards are.

Summary: During the meeting, legislative members discussed the practice of municipalities diverting water and sewer revenues to their general funds, which impacts infrastructure maintenance and project delays. Vice Chair Sparks proposed limiting public testimony to two minutes, which was adopted without objection. The committee heard from various witnesses, including Perry Fowler from the Texas Water Infrastructure Network, who emphasized that utility revenues should primarily support water services and that transfers should be transparent and justified. He noted that many utilities face financial pressures that could hinder infrastructure projects. Larry French from the Texas Public Policy Foundation highlighted the significant financial impact of water loss and general fund transfers, estimating the annual loss at $1.5 billion. He argued that these transfers can create disincentives for municipalities to address water loss issues. Brian Butcher, Assistant City Manager of Sugar Land, defended the city's cost allocation model for general fund transfers, asserting that they are necessary for equitable service provision and operational efficiency. The committee also discussed the implications of rising construction costs and the need for better procurement processes to ensure effective use of taxpayer dollars. The second part of the meeting focused on the New World Screwworm and the state's preparedness to manage potential infestations. Dudley Hoskins from the USDA outlined the federal response efforts and the importance of collaboration with state agencies. He emphasized the need for ongoing surveillance and the production of sterile flies to combat the pest. Dr. Philip Kaufman from Texas A&M discussed the historical context of the screwworm and the challenges posed by its potential reintroduction, urging proactive management strategies among livestock producers. The committee acknowledged the need for increased resources and research to effectively address the threat of the screwworm.

Transcript Highlights:

• In your presentation, and I'm looking on the first page, when we did the standardized testing versus
• When you did standardized testing, those numbers kind of held the same.
• Some of them even went down in standardized testing.
• And why haven't we stuck with one standardized test to evaluate the kids from 2015 to 2024?
• Order to change the test.

Transcript Highlights:

• It turns what should be human decency into a legal standard.
• It turns what should be human decency into a legal standard.
• HB 2611 raises the standard of care for youth in group homes.
• All of the tests that we process are...
• We need to make the standard easy and not shame parents.

Bills: HB2035, HB2086, HB2434, HB2611, HB2732, HB2733, HB2830, HB2923, HB2932, HB4004

Keywords: kinship care, child welfare, foster care, relative placement, child protection, vaccination mandates, mask requirements, public health, government entities, COVID-19, controlled substances, prescription monitoring, opioid crisis, healthcare regulations, patient safety, group homes, children's rights, safety protocols, employee training, mental health

Summary: The committee heard a presentation from the University of Arizona College of Medicine Phoenix on its new tuition-free, three-year regional medical school branch in Yuma, which is intended to address Arizona’s primary care shortage by training students in a rural setting and linking them to rural residency opportunities. Members asked about who could apply, whether out-of-state applicants were eligible, and whether graduates would be required to remain in rural Arizona; the presenter said there is no post-graduation practice commitment, but the program is designed to encourage retention through rural training and residency placement. The committee then considered several child welfare and behavioral health bills. HB 2923 would expand judicial review procedures for court-ordered mental health treatment, adding timelines, notice, counsel protections, and a clear-and-convincing standard for continued treatment; the sponsor and a retired judge said it fills gaps in a 1974 statute. HB 2035 would expand kinship foster care to extended family members, require more notice and written findings when kin placement is denied, and strengthen presumptions favoring placement with relatives or other significant adults; DCS said the bill largely reflects current policy but raised a timing concern about a required report before preliminary protective hearings. HB 2611 would create a Youth Safety Rights and Mental Health Protection Act for foster youth and group homes, adding rights related to immediate and unbiased health care, anti-bullying protections, retaliation safeguards, drug screening, and safety rules; foster youth and former foster youth testified strongly in support, while DCS was neutral and noted possible implementation and fiscal impacts. The committee also heard HB 4004, which would require DCS to investigate credible abuse or neglect reports even when one parent is considered protective, and to take protective action when warranted. Several parents testified that DCS had previously closed or minimized cases because a protective parent existed, leaving children exposed to abuse; DCS did not testify against the bill, and members later said the agency should not use the presence of a safe parent as a reason not to investigate. The committee also considered pharmacy and AHCCCS-related bills: HB 2434 would revise the controlled substances prescription monitoring program and reporting requirements; HB 2732 would continue the State Board of Pharmacy; HB 2733 would make several pharmacy regulation changes including delivery, continuing education, and change-of-ownership rules; and HB 2932 would require AHCCCS contractors to reimburse noncontracting labs referred by contracting providers, which health plans opposed as undermining managed care tools while a lab provider argued it would improve fair payment and competition. On the floor, the committee also took up HB 2086, which would prohibit government and business mask and vaccination mandates, HB 2830, which would require instruction on fetal and prenatal development and bar abortion-related curriculum materials, and HB 2035, HB 2434, HB 2611, HB 2732, HB 2733, HB 2923, HB 2932, and HB 4004. Amendments were adopted on several bills, including HB 2086, HB 2611, HB 2830, and HB 2932. Final committee votes gave HB 2035, HB 2086, HB 2434, HB 2611, HB 2732, HB 2733, HB 2830, HB 2923, HB 2932, and HB 4004 do-pass recommendations, with HB 2086, HB 2611, HB 2830, and HB 2932 reported as amended.

Transcript Highlights:

• Districts that adopted a policy identified all students whose high school standardized test scores met
• or school standardized test scores met or school standardized test scores met or exceeded<01:09:11.159
• So I'm saying there is a standard that everyone can meet, so a test that everyone can take during school
• have different standards coursework they have different standards that<01:27:44.000> they<01:
• everyone has access to that standard everyone has access to that standard this<01:28:43.119>

Keywords: 1187, senate, all

Transcript Highlights:

• The ACT is a single-day, high-pressure standardized test.
• It is influenced by test prep, access, testing locations, accommodations, and resources.
• And standards are not lowered when unequal barriers are removed.
• What is the instruction test? Well, they have a GPA, a great point average.
• If they think they can, based on their tests that they took, based on...

Bills: HB3674, HB4326, HB4331, HB3029, HB2963, HB3551, HB2973, HB3019, HB3461, HB2961, HB3261, HB3759, HB3429, HB3069, HB3372, HB3705

Keywords: school resource officer, sexual assault training, law enforcement training, CLEET, school safety, mental health, continuing education, HB4326, Oklahoma Higher Learning Access Program, Oklahoma's Promise, scholarship, tuition assistance, higher education, State Regents for Higher Education, eligibility expansion, adopted students, foster care, DHS custody, child-placing agency, tribal custody

Transcript Highlights:

• <00:22:14.799> online safe boater uh certificate test online safe boater uh certificate test
• approved to meet reciprocity standards. approved to meet reciprocity standards.
• <01:58:28.080> around accurate EV charging standards around accurate EV charging standards
• > every or witness test or test ourselves every or witness test or test ourselves every single<02
• tested a device in a compliant state. tested a device in a compliant state.

Keywords: 928, house, all

Summary: The hearing began with SB 12, which would let certain veterans who already qualify for a disabled veteran license plate use that VA disability determination to obtain a walking disability placard without having to undergo a second physical or submit additional proof. Senator Waters, the prime sponsor, said the bill was prompted by a constituent and would reduce redundant paperwork. Melinda Sims of United Spinal and Leo Pacquin of the State Veterans Advisory Committee both supported the bill, saying veterans already go through an extensive VA certification process and should not have to repeat it for the state. A DMV representative said the department had no known objection and explained that the change would let the placard travel with the veteran in another vehicle. The hearing on SB 12 was then closed. The committee then took up SB 40, which would allow safe boater education certificates to be completed and tested online, rather than requiring an in-person final exam. Representative Coker and Senator Tim Lang described the bill as a cleanup measure to make a COVID-era online process permanent and said it would improve convenience and keep more revenue in New Hampshire. Tom Praol, representing the vendor, said the state lost significant revenue when the online option ended and argued that online proctoring can verify identity and prevent cheating. The New Hampshire Marine Trades Association supported the bill, saying it would help boaters learn New Hampshire-specific laws and keep dollars in-state. The Department of Safety Marine Patrol was neutral: Captain Tim Dunlvy said the current system includes classroom and online coursework followed by an in-person proctored final exam, and he raised concerns about safety, exam integrity, and lower scores in computer-only testing, while noting New Hampshire’s strong boating safety record. Committee members asked about reciprocity, proctoring methods, costs, and crash data, but no vote was taken in the portion of the transcript provided.

Transcript Highlights:

• There is a standard evidentiary standard in place that also makes me question the necessity of this bill
• <00:08:39.360> also evidentiary standard in place that also evidentiary standard in place
• limiting the data Collections and tests limiting the data Collections and tests that<00:09:06.000
• new evidentiary standard new evidentiary standard basically<00:21:45.559> um<00:21:45.840
• So does the EPA not abide by that standard, a legal standard, as opposed to a standard that's incorporated

Keywords: Meeting Start 00:00 Attendance Roll Call 00:44 Introduction of Guests 01:21 HB 137 Discussion 02:11 HB 137 Roll Call Vote 25:35 HB 346 Discussion 26:15 HB 346 Roll Call Vote 27:24, 958, all

Summary: The Natural Resources Committee met with prayer and the Pledge, approved the prior minutes, and recognized visiting guests, including representatives from Nucor Steel and students from Eastern Kentucky University. The main business was House Bill 137, which would require air-pollution enforcement actions by the Energy and Environment Cabinet and Louisville Metro Air Pollution Control District to rely on EPA-approved monitoring methods or scientifically defensible, quality-assured data. The sponsor and industry supporters argued the bill would ensure reliable evidence and protect manufacturers from enforcement based on questionable data. Opponents, including the Kentucky Resources Council, the West Jefferson County Community Task Force, and a former cabinet employee, argued the bill would conflict with the Clean Air Act’s allowance for “any credible evidence,” could exclude community air-monitoring data and citizen complaints, and might weaken enforcement by limiting the use of lower-cost sensors, photos, video, and other nontraditional evidence. Committee members questioned how credible evidence and the Daubert standard would apply, and supporters and opponents debated whether the bill would simply set evidentiary rules or improperly narrow enforcement authority. One member also raised concerns that the bill’s title and scope could be read as affecting the broader air program. House Bill 137 was ultimately approved favorably by roll call vote, with Senator Webb’s aye vote later clarified for the record. The committee then took up House Bill 346, as amended by a subcommittee. The bill was described as helping about 708 companies and carving out emergency generators used for safety purposes in distilleries, with support from the Kentucky Chamber. The subcommittee amendment was adopted, and the bill passed the committee favorably by roll call vote. The meeting ended with an attempted adjournment and a brief record correction on the vote for House Bill 137.

Transcript Highlights:

• >> Now we're getting into our standards and I believe we need to be looking at the standards.
• >> Now we're getting into our standards and I believe we need to be looking at the standards.
• >> Now we're getting into our standards and I believe we need to be looking at the standards.
• The minimum standards ELA standards.
• require us to have academic standards. require us to have academic standards.

Keywords: 1189, house, all

Transcript Highlights:

• I will be taking a COVID test.
• Off-site fabrication is now a standard part of our trade.
• These practices drive down standards for everyone in the industry.
• Testing and inspection, there's a gray area.
• Health care workers are called to maintain moral and ethical standards in patient care, and those standards

Keywords: 995, all

Summary: The hearing focused on several labor-related bills, especially proposals to give legislative employees the right to organize and collectively bargain, close a prevailing wage loophole for off-site prefabrication work, and strengthen enforcement against wage theft. Committee chairs opened the hearing by explaining the hybrid format and asking witnesses to keep testimony brief. Multiple legislators testified in support of the legislative staff union bill, saying staff deserve the same bargaining rights as other public employees and that unionization would improve pay, benefits, retention, and workplace dignity. Witnesses also discussed how the bill would likely be structured, with separate House and Senate bargaining arrangements or locals, and emphasized that it would only create the option to unionize, not require it. A second major topic was the prevailing wage bill addressing off-site fabrication and prefabrication in construction. Union leaders, contractors, and workers described how more work is being shifted from job sites into shops, especially in sheet metal, HVAC, electrical, and pipefitting work, and argued that the law should treat that work the same as on-site construction when it is part of a public project. They said the current loophole lets some contractors underbid by paying lower wages off-site, while responsible contractors already pay prevailing wages in their shops. Supporters argued the bill would protect workers, preserve apprenticeship and training standards, improve safety and quality, and make enforcement easier through certified payroll and clearer definitions. The committee also heard testimony on wage theft legislation. Representative Dan Donahue, the Attorney General’s Fair Labor Division, AFL-CIO representatives, and carpenters’ union witnesses described wage theft, misclassification, labor brokers, and tax fraud as widespread problems that hurt workers, honest contractors, and public revenues. They supported giving the Attorney General stronger enforcement tools, adding contractor accountability up the subcontracting chain, and protecting workers from retaliation and from delays that can cause claims to expire. A separate witness supported a bill to extend the statute of limitations for Wage Act cases while AG investigations are pending, and another supported changes to help hospital workers enforce timely payment rights. No votes were taken during the hearing; witnesses repeatedly asked for favorable reports on the bills.

Transcript Highlights:

• It could also pay for testing because I understand DES said that there was no money for testing.
• I'm not going to test that.
• We are simply exterminating the young. to test that. Um they will often send to test that.
• Six of these individuals tested positive for more than one compound, and two tested positive for all
• > for<01:54:19.280> more individuals tested positive for more individuals tested positive

Keywords: 1189, house, all

Transcript Highlights:

• It would also have one standardized test.
• You don't need to have different testing standards for all these different lanes in a track while one
• You don't need to have different testing standards for all these different lanes in a track while one
• of testing...
• The private schools had to have a report in on what they tested. Many of them didn't test.

Keywords: 1204, all

Transcript Highlights:

• Moving on to the next page, section two, this is just a list of standard budgeting changes.
• These are just a list of standard budgeting changes.
• mobile testing center.
• It not only allows us to add more testing... but also saves us $360,000 a year.
• Medication and drug testing program.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Only with a heartworm test, sir. And I refer people to a heartworm test, sir. Tell me what that is.
• It is a blood test. It is a snap test, which we can do in-house. And it is available...
• It is available as an appointment or a walk-in test.
• And they can come back to me and say, here's my heartworm test.
• , the Limas test under the Nolan-Dolan case.

Bills: SB1176, SB1186, SB1235, SB1286, SB1446, SB1458, SB1515, SB1616, SB1641, SB1668, SB1670, SB1678, SB1747, SB1787

Keywords: stormwater, water storage, replenishment credits, groundwater, aquifer, Arizona Revised Statutes, disclosure, state contracts, procurement records, donations, transparency, EMS, reciprocity, interstate compact, paramedics, emergency medical technicians, licensure, public safety, military personnel, veterinary telemedicine

Summary: The committee approved the minutes and then heard Senate Bill 1668, which would extend the deadline for funeral establishments or responsible persons to submit required documentation from seven calendar days to 14 business days and make related changes involving disposition of unborn or stillborn children, minors, and abortion clinic forms. Funeral industry testimony said the current timelines are difficult to meet and create stress for grieving families, while a mother described problems caused by requiring an ex-spouse’s signature after her child’s death. The bill passed on a 4-3 vote, with some members supporting the timing and family-law fixes and others objecting to the abortion-clinic provisions. The committee then took up Senate Bill 1286, on veterinary telemedicine prescriptions. An amendment shortened the telemedicine prescription period for non-antimicrobial drugs from 60 days to 30 days, allowed antimicrobial prescriptions for up to 14 days based on an electronic exam, and barred further antimicrobial prescriptions without an in-person exam. Veterinarians and the Arizona Veterinary Medical Association moved to neutral on the amended bill but warned about safety, overprescribing, and the limits of telemedicine; supporters argued it would improve access for rural, elderly, and low-income pet owners. The committee adopted the amendment and then passed the bill as amended on a 4-3 vote. Senate Bill 1235, creating the emergency services personnel licensure interstate compact, passed unanimously after sponsor testimony that it would improve reciprocity for EMTs and paramedics and help military personnel. Senate Bill 1446, which would change dialysis-center social worker documentation from monthly to quarterly, also passed unanimously, with DeVita Dialysis Services saying the change would reduce paperwork and align Arizona with federal and most-state practice. Senate Bill 1515, a cleanup bill for the Industrial Commission of Arizona that renames positions, removes outdated duties, and changes publication of fee schedules, passed after an amendment and supportive agency testimony. The committee also heard Senate Bill 1678, which would require direct-care staff in certain facilities to complete patient information forms and reestablish the Vulnerable Adult Systems Study Committee. An amendment removed the form requirement and instead required DHS to investigate complaints from EMS personnel about missing DNR orders; first responders and provider groups supported the revised approach, though some members wanted minority-party appointments added to the study committee. The bill passed as amended on a 6-0-1 vote. Finally, the committee began hearing Senate Bill 1747 on social media protections for minors, with the sponsor framing it as a child-safety measure and opponents from NetChoice, TechNet, and Meta warning about privacy risks, age-verification problems, constitutional concerns, and the possibility that teens would evade restrictions; supporters argued parents need stronger controls and pointed to app-store-based alternatives, but no vote was taken in the portion provided.

Transcript Highlights:

• But they are not tested for therapeutic equivalence.
• Standards.
• But they are not tested for therapeutic equivalence.
• FDA has already taken steps to standards.
• So the follow-up tests might. “Sorry, nurse.

Keywords: 987, senate, all

Summary: The Senate Committee on Health met without a quorum for much of the hearing and began as a subcommittee, hearing several bills and taking some votes once quorum was established. SB 1124 by Senator Archiletta would require CDPH to create and post lung cancer screening eligibility signage at tobacco point-of-sale locations; supporters said the bill addresses low awareness and late-stage diagnosis, while retailers raised implementation concerns about sign size, distribution, and notice. SB 1150 by Senator Jones would require clearer patient notice when cancer cases are reported to the California Cancer Registry; the author and chair emphasized patient privacy and awareness, while registry and university stakeholders said they appreciated the amendments and would continue working on the language. SB 1400 by Senator Argin would modernize Alameda Health System governance to give Alameda County more flexibility and direct oversight; county and labor witnesses supported the bill as a way to improve accountability and system stability. The committee then heard SB 1094 by Senator Weber Pierson, a sponsor-backed measure to expand biosimilar substitution and allow health plans and pharmacists to use lower-cost biologics unless a prescriber opts out. Supporters from health plans, hospitals, pharmacists, labor, business, and consumer groups argued it would lower premiums and out-of-pocket costs, while biotechnology and rheumatology groups opposed or sought amendments, warning about non-interchangeable biosimilars, switching concerns, and physician oversight. After discussion about notice requirements and substitution authority, the committee passed SB 1094 on a 6-0 vote and re-referred it to Appropriations. SB 1314 by Senator Menjivar would create a statewide definition for smoke shops, impose a 600-foot buffer from schools and daycares, restrict nitrous oxide sales, and allow local governments to adopt stricter rules. Support came from city officials, pediatric and public safety groups, and the bill’s author framed it as a youth-protection measure; members discussed alignment with alcohol and cannabis buffer rules, operating hours, and enforcement. The committee approved SB 1314 on a 6-0 vote and re-referred it to Appropriations. SB 1309 by Senator Rubio would eliminate cost-sharing for medically necessary follow-up care after lung cancer screening; supporters, including clinicians and cancer advocates, said it would prevent delayed diagnosis and treatment, while health plans opposed it over premium impacts. After questions about costs and follow-up coverage, the committee passed SB 1309 on a 7-0 vote and placed it on call. The hearing also began SB 1199, which would ban copay accumulators, but the transcript cuts off before testimony or action on that bill.

Transcript Highlights:

• districts to report testing disruptions. districts to report testing disruptions.
• families to opt out of state testing. families to opt out of state testing.
• While each generation of tests uses four levels, the tests themselves measure different standards and
• Um, often the schools are taking MAP tests. Um, our ELs kids are taking other tests.
• Next, uh, Senator Weber. taking MAP tests. Um our ELs kids are taking MAP tests.

Keywords: 1187, senate, all

Transcript Highlights:

• the current standard for propensity.
• the current standard for propensity.
• Are you able to test them for ASTM standards? And do they all meet that recommended standard?
• them for that ASTM standards?
• Standardization of stroke screening and severity tools.

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 never tested for fentanyl. They never tested for fentanyl.
• Had the hospital tested him for fentanyl, I would have known the truth.
• Had the hospital tested him for fentanyl, I died alone.
• Had the hospital tested him for fentanyl, I would have known the truth.
• and child development standards.

Summary: The Health and Human Services Committee heard and passed several bills. HB 293 would codify the Office of Faith and Community in the Executive Office of the Governor, create a liaison and advisory council, and was supported by faith-based and nonprofit groups; some members questioned possible duplication with existing services and the source of any future funding, but the bill passed 24-0. CS/HB 547 would create an exception to the 30-day notice requirement before hospitals and ambulatory surgical centers sell medical debt when the debt buyer agrees not to use interest, fees, or extraordinary collection actions and must return charity-care-eligible debt; it passed unanimously after brief support testimony. CS/HB 1553 would require reporting of uterine fibroid data to the Department of Health to create a de-identified public database and reauthorize funding for implementation; it also passed 24-0, with members noting the earlier database mandate had not been carried out. The committee then took up CS/HB 1195, “Gage’s Law,” which would require hospitals and hospital-based emergency departments to test for fentanyl in urine drug screens for suspected overdose or poisoning cases. The bill was presented as a response to overdose deaths and the need to better detect fentanyl, and emotional testimony from a parent described a son’s death after a hospital did not test for fentanyl. Members from both parties spoke in strong support, emphasizing stigma, the need for better treatment and data, and the potential to save lives; the bill passed 24-0. CS/HB 47 on child care and early learning providers would streamline inspections, speed background screening, offer free online training/testing, update definitions, protect certain family child care homes from insurance issues, and create a license-exempt category for employer-provided child care; after questions about parent notice, database listing, background checks, and insurance, an amendment was adopted and the bill passed 24-0 as amended. Finally, CS/HB 647 would allow advanced practice registered nurses to sign death certificates in hospice settings, addressing delays that can leave families waiting to complete burial arrangements. Support testimony came from advocacy and hospice groups, and members cited the bill’s importance for families and religious burial timelines. The bill passed 23-0. The committee then adjourned.