Transcript Highlights:

• I'm an attorney and the executive director of the Native American Disability Law Center.
• We focus, um, at the Law Center on representing Native American kids in, um, custody to ensure that their
• frustration, um, and the, and the inability to access appropriate services for these children, both Native
• American children and children across the state.
• American children.

Transcript Highlights:

• “As a proud native Floridian, I’ve seen firsthand how vital our state university system is to expanding
• I'm a native of Palm Beach County.
• And so whether you're a native to Palm Beach County or you've moved here five months ago, one thing that
• Department of Justice and at the forefront of the American technology industry, and I now serve, as I
• I am currently the CEO of American Compliance Technologies.

Summary: The Appropriations Committee on Higher Education convened with a quorum and first took up CS for SB 1694 on technology education. The bill would require technology-integrated postsecondary general education core courses to include digital literacy and competency instruction, including use of artificial intelligence tools, and would encourage high school computer science courses that include AI to teach how AI systems use data, their benefits and limitations, and responsible use in academic and personal settings. The bill sponsor and several supporters emphasized preparing students for an AI-driven workforce while teaching critical evaluation and ethical use; one speaker raised concerns about overreliance on AI and the need to preserve real-world skills. Senator Davis supported the measure and suggested introducing similar instruction earlier, possibly in middle school. The committee voted the bill favorably, with Senator Leak later recorded in the affirmative. The committee then heard a large block of confirmations for higher education boards, including appointees to Tallahassee State College, the University of South Florida, the University of North Florida, Palm Beach State College, the College of the Florida Keys, Hillsborough College, Miami-Dade College, Florida A&M University, Florida Gulf Coast University, Florida International University, New College of Florida, Florida Polytechnic University, and the University of Florida. The appointees generally highlighted backgrounds in education, health care, law, business, technology, and public service, and described priorities such as student success, workforce alignment, affordability, fiscal responsibility, and institutional growth. One nominee to Tallahassee State College was asked about low NCLEX pass rates and said the college had a plan approved by the Florida Board of Nursing. Another nominee discussed Florida Poly’s STEM mission, and several members praised the nominees’ community ties and professional experience. After hearing the appointees, the committee voted to report the block of confirmations favorably to the Ethics and Elections Committee. The committee then received a high-level overview of the higher education budget, totaling $11.9 billion, with major emphasis on workforce training and development. Highlights included increases for school district workforce education, the Florida College System, workforce development capitalization, a rural educator recruitment program, funding for the USF Center for Nursing, preeminent research universities, UCF’s community school grant program, UF’s literacy and math initiatives, UF’s autism and neurodevelopment center, and a postsecondary guardian program for campus security. Members asked a brief question about a workforce fund transfer, and the chair explained it was a transfer of an existing program with new funds added. No public comment was offered, and the meeting adjourned.

Transcript Highlights:

• As pointed out, Latinos, Asian Americans, and maybe to a lesser extent, African American Blacks have
• I'm a native Texan.
• and 2,500 Native Hawaiian and other Pacific Islanders resided Americans and 2,500 Native Hawaiian and
• It's extremely disappointing to myself as an American.
• It is regressive, racist, and it is un-American.

Summary: The Senate Special Committee on Congressional Redistricting met virtually for its West Texas regional hearing, established a quorum, and explained that the hearing was part of a series of statewide information-gathering sessions before any map was filed. The chair outlined the Zoom procedures, the two-minute testimony limit, and the availability of written comments through the committee’s public portal. Senators also discussed the logistics and transparency of the process, including the expectation that any proposed map or amendment would be made public once filed and that additional hearings would follow. Senator Blanco, whose district includes West Texas and the border region, said the area’s communities of interest should be kept together and warned against repeating the loss of representation that followed the last redistricting cycle. Senators Alvarado, Hinojosa, Miles, and others debated the value of virtual hearings versus in-person hearings, the number of people who had testified, and whether the committee could subpoena witnesses after the regional hearings ended. The chair said he was awaiting legal guidance and would consider a subpoena motion at a formal meeting the next day. A lengthy exchange also occurred over the tone of public testimony and the chair’s view that some comments directed at Republicans and the president had been offensive or historically inaccurate. Invited witnesses and public commenters largely opposed mid-decade redistricting and argued that any new map should reflect population growth, especially among Latino and other minority communities, and comply with the Voting Rights Act. Nina Perales of MALDEF said the hearings were not meaningful without a draft map and testified that Texas has a long history of discriminatory redistricting; senators questioned her about litigation, DOJ’s July 7 letter, and the 2021 congressional map. Tania Chavez Camacho, Luis Figueroa, and several El Paso residents emphasized that maps should preserve communities of interest, avoid cracking and packing, and be transparent and participatory. A smaller number of witnesses supported redistricting, including one El Paso resident who said the current districting leaves the area underrepresented and another who argued that some communities want to return to a map closer to the earlier District 16 configuration. Several witnesses also criticized the DOJ letter as inconsistent with the state’s position that the 2021 maps were drawn race-blind, while others said the current process was too rushed and lacked sufficient public input.

Transcript Highlights:

• The councilmember has been a champion and a friend, of course, to the Armenian American cause here in
• The council member has been a champion and a friend, of course, to the Armenian American cause here in
• adjourn in the memory of a dedicated public servant, a truly legendary Californian, and a Glendale native
• Legendary Californian and a Glendale native, Paul R. Ignatius.
• Johnson, a post that made him, even to this day, the highest-ranking Armenian-American official in United

Summary: The Assembly convened, established a quorum after a roll call, and opened with a prayer and the Pledge of Allegiance. Routine procedural motions followed, including unanimous-consent actions to suspend rules for adjournment-in-memory remarks, guest introductions, and expedited floor processing of certain bills and committee reports. The chamber also recognized several guests, including Sacramento Police Detective Jason Collins, student musician Ethan Shue, and Glendale Councilmember Artie Kasakian. On the floor file, AB 1184 by Assembly Member Patterson, the Homeowner Association Accountability and Transparency Act of 2026, was presented as a measure to add basic transparency requirements for HOAs; it passed 56-0. AB 871 by Assembly Member Stephanie, addressing financial elder abuse and scam reporting/training for financial institutions, also passed 56-0. On the Senate side, SB 25 by Senator Umberg, which would give the California Attorney General earlier access to federal merger-notification filings to streamline merger review, passed 43-14 after the Majority Leader presented it. The Assembly then held several adjournment-in-memory tributes, including Paul R. Ignatius, former U.S. Secretary of the Navy and Glendale native; Oxnard Police Commander Scott Aaron; Private First Class Tanner F. Rubio of the U.S. Marine Corps; and former Yolo County Supervisor Betsy Marchand. Members and family guests offered remarks honoring their service and legacies, followed by a moment of silence for PFC Rubio. The session concluded with announcements about upcoming floor and committee deadlines and adjourned until Monday, January 26 at 1 p.m.

Transcript Highlights:

• The bill also lacks protections for native species.
• The bill also lacked protections for native species.
• Kim Delphino, representing California Native Plant Society, in opposition. Hi.
• Good evening, Kim Delfino, in support on behalf of Defenders of Wildlife and California Native Plant
• On behalf of the American Lung Association, in support.

Keywords: 988, house, all

Transcript Highlights:

• Congress enacted the Indian Child Welfare Act, or ICWA, in response to the alarming rate at which Native
• American children were being separated from their families, far more frequently than children of other
• Americans, we don't have a lot of discussion around these issues.
• Native American tribe, and the other was not.
• General Paxton said knowing the difficulties that await them if they attempt to adopt a native child.

Bills: HB18, HB37, HB116, HB388, HB879, HB913, HB1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744, HB18, HB37, HB116

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Transcript Highlights:

• serve as a central place of sharing history and culture between California Native American tribes and
• This is the same location where Governor Newsom apologized to the California Native American tribes.
• This entity is going to be directed by Native Americans and Native American tribes to ensure the buildout
• American tribes of California.
• Brian Meramontes with the American Federation of State, County, and Municipal Employees.

Summary: The hearing opened with budget framing from the chair and the LAO, who said the May Revision addresses roughly a $14 billion budget problem and that the environment and transportation subcommittee’s proposals account for about $1.9 billion of the solution. The LAO urged members to focus on solutions that do not worsen out-year deficits, to preserve reserves, and to defer major policy changes that are not necessary to pass the budget, including the newly introduced water-related trailer bills. Members also raised concern about a late-dropped Olympic-related trailer bill, which the LAO likewise suggested should be deferred for fuller review. The first major item was the Delta Conveyance Project and related water quality control plan trailer bills. The administration argued the proposals would streamline permitting, water rights proceedings, judicial review, and land acquisition, and would clarify DWR’s bond authority for the project. DWR said the project is needed to protect water supply reliability against drought, earthquakes, sea level rise, and other climate-related disruptions, and that the tunnel would help move water when conditions are wet and safer for the environment. Committee members from both parties questioned the timing, the use of budget trailer bills for major policy changes, the scope of the CEQA and water-rights changes, the lack of a bond cap, cost growth, and eminent domain protections. The LAO recommended deferring both water trailer bills without prejudice. Public comment was sharply divided, with labor, water agencies, and some business groups supporting the project as climate adaptation and reliability infrastructure, while environmental, tribal, fishing, county, and community groups opposed it as an attempt to bypass public process and weaken protections. The committee then briefly heard the DMV’s Digital Experience Platform fee trailer bill, which would reinstate a $1 system improvement fee to help fund the vehicle-registration phase of the project. DMV said the fee would raise about $7 million annually and offset roughly $59 million to $60 million of project costs, while the LAO noted it would help but would not solve the Motor Vehicle Account’s broader structural gap. The hearing then moved to California High-Speed Rail, where the new CEO presented an updated plan and said the project remains a major climate and infrastructure investment. He reported a revised Merced-to-Bakersfield cost range of $34.9 billion to $38.5 billion, said the agency is trying to reduce risk through direct procurement of materials, and argued that stable annual funding is needed to avoid higher costs from delays.

Transcript Highlights:

• Desert, a charismatic reptile native to our desert.
• This region boasts incredible biodiversity, including the desert tortoise, bighorn sheep, native plants
• They also hosted the West Coast Regionals for the American Homebrew Association competition from 1994
• He has since won five gold medals at the Great American Beer Festival in Denver, Colorado.

Transcript Highlights:

• Americans' anger over seeing their country handed over to billionaires of big tech is visible.
• Americans' anger over seeing their country handed over to billionaires of big tech is visible.
• <01:40:59.199> restoration We are a thriving native restoration We are a thriving native restoration
• <01:41:09.360> prairie acres of short stature native prairie acres of short stature native
• birds, game birds, monarchs, and native birds, game birds, monarchs, and native insects.<01:41:33.840

Bills: HF2928, HF2912, HF2297

Keywords: water appropriation, data centers, environmental review, energy conservation, permit application, carbon-free energy, geothermal energy, renewable energy, Macalester College, appropriation, sustainability, solar energy, pollinator programs, license plates, agrivoltaics, environmental sustainability, 1183, house

Transcript Highlights:

• dream job for over 30 years American dream job for over 30 years American government<00:09:21.000
• But the largest groups of BIPOC children are Mexican at 82,000, African American at 69,000, Somali at
• Asian multi-racial and African-American Asian multi-racial and Latino<00:23:01.080> uh<00:23:
• Asian at 6 6.5% black African-American Asian at 6 6.5% black African-American<00:23:44.720> 9.2
• c><00:23:45.720> Latino<00:23:46.279> 9.5<00:23:47.000> and African-American 9.2

Keywords: 1187, senate, all

Summary: The Senate Education Finance Committee met on January 21 with a quorum present for the first meeting of the 2025 biennium. The co-chairs described the temporary power-sharing arrangement in the tied Senate, introduced committee staff and pages, and had members briefly introduce themselves and share what subject they would teach. After the introductions, the committee moved to a presentation from State Demographer Susan Brower. Brower reviewed Minnesota’s school-age population trends and projections, noting that the state had just under 1 million children ages 5 to 17 in 2023 and that, for the first time, the older adult population exceeded the school-age population. She said the school-age population is concentrated in the Twin Cities metro and other regional centers, and projected an overall decline of about 5% over the next 15 to 20 years, driven mainly by declining birth rates and long-running net outmigration of young adults. She also explained that growth is expected in some areas, especially along the I-94 corridor north of the metro, while northern regions are projected to see the largest declines. She clarified for members that her figures measure resident children, not school enrollment, and that boundary changes are not reflected in the district-level data. The presentation also covered demographic change among students. Brower said about 35% of Minnesota children ages 5 to 17 are children of color, with growing multiracial populations and increasing linguistic diversity. She reported that about 20% of school-age children have at least one foreign-born parent, and about 18% of enrolled students speak a language other than English at home, with Spanish, Somali, and Hmong the largest home languages. She also discussed child poverty, saying Minnesota’s rate is just under 10%, below the national rate of about 15%, and that poverty is concentrated in Minneapolis-St. Paul, some first-ring suburbs, and parts of northern Minnesota, including districts with larger Native populations. Members asked questions about whether the projections accounted for migration and whether open enrollment affected the figures; Brower said the data reflect where children live, not where they attend school, and that the projections are based on recent migration and birth patterns, with future changes more likely to come from international immigration than from domestic migration.

Transcript Highlights:

• I'm a native Texan and a teacher, so I'm particularly proud of the two students who just spoke.
• A 501(c)(4) dedicated to empowering and advocating for Muslim Americans across Texas.
• An African American would need two people in order to equal one vote, right? Two million.
• My name is Clarissa Ortiz, and I was born in Corpus Christi, Texas, a native Texan.
• to get an education to chase the American dream.

Keywords: 1185, senate, all

Transcript Highlights:

• This event, now in its 79th year, was founded by a man named Carl Stotz, a Williamsport native.
• I'm honored to be a Pennsylvanian, but most importantly, I'm honored and thankful to be an American and
• This amendment encourages the use of native plants in HOAs, and it does prohibit the HOA from imposing
• significant restrictions on homeowners who wish to use native plants.
• the co-chair of the PA Public Garden Caucus, I see it incumbent upon us to help promote the use of native

Keywords: Scheduler, 973, house, all

Summary: The House convened, opened with prayer and the Pledge, and first handled routine business including postponing approval of the prior journal and confirming a quorum. Several committee reports were adopted, including measures from Veterans Affairs and Emergency Preparedness, Tourism and Recreation and Economic Development, Appropriations, Rules, Commerce, and Environmental and Natural Resource Protection. The chamber also adopted House Resolution 531, designating June 2026 as Scoliosis Awareness Month, after testimony from Rep. DeLosier and discussion of a constituent’s experience with severe scoliosis; the resolution passed 201-1. The House then adopted a series of additional resolutions and bills, including Diaper Need Awareness Week, a study on PANS/PANDAS, 717 Day, Little League World Series Week, and a resolution commemorating America 250 in Pennsylvania. It also passed bills on Sunshine Act agenda notice changes, veteran death notifications, Korean War Veterans Armistice Day, township audit deadlines, first responder memorials, road transfers, parole board succession, and restrictions on HOA limits for rooftop solar. The solar bill drew multiple failed amendments on HOA voting rules, native plants, energy-source discrimination, and net metering; one amendment on indemnification for elected officials at special events was adopted. In final passage votes, the House approved legislation to prohibit NDAs related to data centers, with debate centered on transparency and local control; it passed 171-31. The chamber also passed bills allowing Pittsburgh school administrators to collectively bargain, requiring hunting and trapping education options in schools, expanding SWIF’s equity investment authority, and scheduling metatomidine as a Schedule 3 controlled substance. The Counseling Compact bill and a parole-record privilege bill both passed unanimously or near-unanimously, and the House signed those measures for presentation to the Governor. The session ended with referrals of new bills to committees, a motion to adjourn, and adjournment until July 1, 2026.

Transcript Highlights:

• Carl Stotz, This event, now in its 79th year, was founded by a man named Carl Stotz, a Williamsport native
• I'm honored to be a Pennsylvanian, but most importantly, I'm honored and thankful to be an American and
• This amendment encourages the use of native plants in HOAs, and it does prohibit the HOA from imposing
• significant restrictions on homeowners who wish to use native plants.
• the co-chair of the PA Public Garden Caucus, I see it incumbent upon us to help promote the use of native

Summary: The House convened, opened with prayer and the Pledge of Allegiance, and recognized several guests, including a student advocate and family members connected to a resolution on scoliosis awareness. The chamber first took up committee reports from Veterans Affairs and Emergency Preparedness, Tourism and Recreation and Economic Development, and later Appropriations, Rules, Commerce, and Environmental and Natural Resource Protection, agreeing to the reported bills and resolutions. House Resolution 531, designating June 2026 as Scoliosis Awareness Month, was adopted 201-1 after remarks describing the condition and the advocacy of a young constituent. The House also adopted resolutions designating Diaper Need Awareness Week, directing a study on PANS/PANDAS, recognizing 717 Day, Little League World Series Week, and commemorating America 250 in Pennsylvania, with broad bipartisan support. The House then considered several bills on final passage. House Bill 2146, updating the Sunshine Act’s 24-hour agenda notice rule after a court ruling, and Senate Bills 130, 511, 971, 972, 1181, and 1235 were agreed to. House Bill 1239, limiting HOA restrictions on rooftop solar, drew multiple amendments; some were withdrawn, and others failed on tied votes, after debate over HOA governance, native plants, and net metering. House Bill 2219, on license plates and transportation provisions, had an amendment agreed to removing indemnification language for elected officials at special events, and then passed as amended. House Bill 2558, banning non-compete agreements for broadcast workers, saw an amendment to preserve limited non-competes fail, and the bill passed. House Bill 2359, prohibiting government NDAs related to data centers, passed 171-31 after extensive debate over transparency and local control. The chamber also passed House Bill 2455, granting Pittsburgh school administrators collective bargaining rights, despite objections that existing appeal protections already exist; it passed 106-96. House Bill 2460, creating hunting and trapping education provisions, passed 180-22 after debate over whether it duplicated existing law and imposed a mandate. House Bill 2499, expanding the State Workers’ Insurance Fund’s equity investment authority, passed 173-29. House Bill 2529, scheduling metatomidine as a Schedule III controlled substance, passed 198-4 amid testimony about overdose risks and concerns about criminalization. Senate Bill 604, joining the Counseling Compact, passed 188-14, and Senate Bill 1259, clarifying parole record privilege and expanding notice to denied parole applicants, passed unanimously 202-0. The House then made referrals and committee assignments, signed the two Senate bills for presentation to the Governor, and adjourned until July 1, 2026.

Transcript Highlights:

• <00:36:22.720> have you may have as many Americans have you may have as many Americans have
• Thank you. testimony from Grant Seismore, American testimony from Grant Seismore, American Bird<01:40
• invasive species programs at American invasive species programs at American Bird<01:40:13.679>
• uh communities and and native wildlife. uh communities and and native wildlife. some<01:40:52.880
• disproportionately impacts Native disproportionately impacts Native Hawaiian<01:59:48.239> families

Keywords: 910, house, all

Summary: The committee heard testimony on House Bill 1552, which would make the attorney general the interim chief election officer if that office becomes vacant until the Elections Commission appoints a replacement. The Department of the Attorney General opposed the bill, saying it could create a conflict of interest if the attorney general were both the state’s lawyer and the chief elections officer in any related litigation. The League of Women Voters supported having some interim backup for the office, but said it was not necessarily advocating that the attorney general fill the role. Several other testifiers, including the Hawaiian Islands Republican Women, opposed the bill, arguing the current law already provides for a prompt commission appointment and warning about partisan bias and concentration of power. Supporters, including Indivisible Hawaii, said an interim mechanism is needed to ensure election certification in a crisis. The chair also asked whether any statutory acting capacity already exists, and the attorney general said none was known. The committee then took up House Bill 2125, which would bar corporations operating under state law from engaging in election activity. The attorney general opposed the bill, citing Citizens United and arguing that corporations have First Amendment-protected political speech rights and that the bill would likely be unconstitutional. Indivisible Hawaii supported the measure, saying it would keep elections focused on the will of the people rather than corporate influence. Libertarian Party testimony was mixed: one witness supported the goal of reducing corruption but warned the bill could suppress organized dissent and sweep too broadly by treating many associations as corporations. The bill’s introducer asked whether the legislature could still enact it as a policy matter, but the attorney general maintained federal constitutional law would control. No vote was taken on either bill during the portion of the hearing provided. The committee also heard House Bill 2493 on wrongful imprisonment, which would set procedures and compensation for people whose convictions are reversed or vacated on grounds consistent with innocence and whose charges are dismissed. The Department of Corrections and Rehabilitation supported the bill’s intent but objected to language assigning it responsibility for helping released individuals secure housing, identification, health coverage, and other reentry needs, saying it no longer has jurisdiction after release and suggesting the courts or a community-based contractor handle that role. The Office of the Public Defender strongly supported the bill, emphasizing the harm of wrongful conviction and the need for compensation, case management, and medical coverage after release. No action or vote was reported on this measure in the excerpt.

Transcript Highlights:

• A native of throughout Delaware.
• to increase American energy production. to increase American energy production.
• billion payout halffunded by American billion payout halffunded by American tax<02:17:39.439>
• <02:25:55.439> future American lives and prevent future American lives and prevent future
• want the American citizens to know this. want the American citizens to know this.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, November 19, 2025, 1012, house, all

Transcript Highlights:

• The bill also lacks protections for native species.
• Kim Delphino, representing California Native Plant Society, in opposition.
• Kim Delphino, representing California Native Plant Society, in opposition.
• Kim Delfino, in support on behalf of Defenders of Wildlife and California Native Plant Society.
• On behalf of the American Lung Association, in support.

Summary: The committee heard a series of Senate bills on environmental, climate, recycling, wildfire, outdoor access, and clean transportation policy. SB 958 would clarify CEQA treatment of impacts tied solely to increased building height, and SB 1230 would increase penalties and create CalRecycle support tools for repeat commercial illegal dumping. SB 1341 would revise how processing fees are calculated for bag-in-a-box wine under California’s recycling program. All three measures received due-pass recommendations to Appropriations, with roll calls showing majority support and the bills left open for absent members. Members then took up SB 1300, which would create a more permanent legislative role in California’s international climate cooperation and establish a climate secretariat at UC; SB 1370, which would codify and streamline wildfire fuel-reduction permitting with added safeguards, geographic and size limits, and pesticide-related amendments; and SB 1260/1268, which would codify the Outdoors for All initiative and the Deputy Secretary for Access position at the Natural Resources Agency. Each drew support from environmental, utility, business, and local-government witnesses, while SB 1370 also drew opposition from environmental and advocacy groups concerned about reduced CEQA review and herbicide use. The committee discussed amendments at length, especially on SB 1370, and all three measures advanced with due-pass recommendations. The committee also heard SB 1213, the Clean Truck Transparency Act, requiring baseline pricing disclosure for medium- and heavy-duty zero-emission trucks tied to state incentives and directing agencies to explore alternative financing. Support came from clean-air, business, and environmental groups, and the trucking/manufacturing opposition moved to neutral after amendments; the bill advanced on a due-pass vote. Finally, SB 1075, the Clean Air Promise, sought to strengthen AB 617 implementation and clarify community emission reduction planning, but it generated substantial opposition from air districts, business groups, and others over enforceability, funding, and the distinction between formal SERPs and community L-SERPs. The author described additional pending amendments to narrow L-SERP provisions, and the bill also received a due-pass recommendation to Appropriations.

Transcript Highlights:

• educators every year teaching about wildlife conservation and the critical role humans play in protecting native
• Um, today I'm protecting native species. Um, today I'm speaking in opposition to this bill.
• the state banning wildlife rehabilitators in the state banning the rehabilitation of the state's native
• expertise in resolving human and wildlife conflict and human and wildlife conflict and protecting American
• This can be detrimental to the American pork industry and the bar world.

Bills: HB448, HB448

Keywords: wildlife rehabilitation, conservation, good samaritan, injured animals, orphaned animals, debilitated wildlife, wild birds, wild animals, Department of Conservation and Natural Resources, DCNR, permit exemption, animal rescue, animal welfare, veterinary medicine, veterinary licensing, animal cruelty, wildlife care, rehabilitation act, non-federally protected species, endangered species

Transcript Highlights:

• Joni Suina, for Native American Early Education and Care; our Chief Financial Officer; Deputy ASD Director
• I think being the first state in the nation to have an Assistant Secretary for Native American Early
• It is in the State Tribal Collaboration Act by Every program, how many Native American children are served
• We hosted here in New Mexico at Milwaukee the National... ...Caucus of Native American State Legislatures
• I was very happy to be a part of that event, and as Senator Shishindo... ...referred to, the Native American

Keywords: 996, all

Transcript Highlights:

• Looking at the subpopulation of American Indian and Alaska Native, these oftentimes are left out of the
• Looking at the subpopulation of American Indian and Alaska Native, these oftentimes are left out of the
• This is lower than the American Indian, Alaska Native patient population, but still very, very, very
• The American College of Nurse-Midwives and the American College of Obstetricians and Gynecologists, two
• American residents in North Dakota?

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:

• As pointed out, Latinos, Asian Americans, and to a lesser extent, African Americans have really fueled
• I'm a native Texan, and I think that's what makes me an expert.
• I am a native Texan. Don't be. Believe me. Thank you.
• It's extremely disappointing to me as an American, taking away the voices of... ...many proud Americans
• It is regressive, racist, and it is un-American.

Keywords: 1185, senate, all