Transcript Highlights:

• for all kinds of folks who have suffered TBI, again traumatic brain injury, whether due to an IED explosion
• whether due<05:35:54.080> to<05:35:54.240> a<05:35:54.878> IED<05:35:55.520> explosion
• c><05:35:56.080> in<05:35:56.558> um<05:35:57.120> Afghanistan due to a IED explosion
• in um Afghanistan due to a IED explosion in um Afghanistan or<05:35:58.000> or<05:35:58.320><

Keywords: 1189, house, all

Transcript Highlights:

• Button up all your buttons, and if you're in a ship in an explosive situation, lay on the deck face down
• “Wait for the explosion. I did all that. I did not hear the explosion.
• So I'm on the floor on the deck waiting for the explosion. Never heard it.
• When the torpedo went off on the starboard side, it hit a main beam, and the explosion went up and out

Keywords: 1189, house, all

Transcript Highlights:

• empowers the states to a much greater degree than has been existent during this sort of rampant explosion

Keywords: 977, all

Transcript Highlights:

• A fire took place off the Charles River and had an explosion.

Keywords: 995, all

Summary: The hearing focused on a range of public safety bills, with especially emotional testimony on the Maggie Hubbard Rental Safety Act, which would require short-term rentals to be inspected for smoke and carbon monoxide detectors and require platforms or agents to verify compliance before listing. Rep. Hadley Luddy, Sen. Julian Cyr, and the Hubbard and Waldron families described the fatal Airbnb fire that killed Shannon Hubbard and her daughter Maggie in New York, saying the deaths were preventable and that the bill would save lives. Committee members expressed sympathy and support for the families’ efforts to turn their loss into legislation. The committee also heard testimony on a proposed peace officer oath (S. 1680), described by Sen. Lydia Edwards as a binding ethical standard tied to certification and recertification, with discipline and annual reporting to promote accountability and de-escalation. Rep. Tom Walsh testified for a bill requiring hotel and motel workers to be trained to recognize human trafficking and to post hotline signage, and later testimony supported a school safety data grant program to provide first responders with standardized, up-to-date school maps for emergencies. Another major topic was a bill to allow temporary door-locking devices in public buildings; supporters said the devices are removable, do not alter fire code, and could improve lockdown response during active shooter events. Additional bills discussed included measures to transfer the Office of Emergency Medical Services to EOPSS, increase penalties for unlicensed hood-system cleaning, expand membership on the Massachusetts Fire Training Council, and strengthen confidentiality for peer support and critical incident stress debriefings. Firefighters and fire chiefs also supported a bill to tighten penalties for violations of hot-work regulations, citing the 2014 Beacon Street fire that killed Lt. Walsh and Firefighter Kennedy. Law enforcement groups backed a package including a Blue Star plate and Blue Alert system for fallen officers’ families, stronger move-over penalties, and a memorial fund, while the State Police Association supported the move-over provisions but asked for further work on the special state police officer bill before final action. No votes were taken during the hearing.

Transcript Highlights:

• issues at the Adelanto ICE Processing Center because the facility was unprepared for the population explosion

Keywords: 988, house, all

Summary: The committee heard SB 911, which would require notification to fire agencies when a home in a high wildfire severity zone is sold with an agreement to complete defensible space work after closing. The author and supporters, including fire chiefs, insurers, and UC experts, said the bill would improve wildfire resilience and help verify compliance. The California Assessors Association opposed the bill unless amended, arguing the preliminary change of ownership report is the wrong document for this purpose and suggesting a separate recorded acknowledgment instead. Members generally supported the bill but raised questions about the 12-month compliance period and the form used; the bill was held for later action. Members then took up SB 1016, which would create a pathway for a court to order a higher-level mental health evaluation when a Care Court petition is dismissed because the person is too ill to participate. Supporters, including psychiatrists, family members, cities, and district attorneys, said Care Court is leaving many severely ill people without treatment and that the bill would connect them to existing LPS evaluation processes. Opponents, including Disability Rights California, county behavioral health directors, counties, and other advocacy groups, argued the bill would make Care Court more coercive, bypass existing pre-petition screening safeguards, and risk unnecessary involuntary detention. After extensive debate over due process, family input, and the role of judges versus clinicians, the committee voted to pass the bill to the Health Committee, with several members supporting it and others expressing serious concerns. The committee also heard SB 1112, which would create a faster court process for vehicle owners to recover cars held by “bandit towing” operators by posting a bond and seeking a release certificate while the tow dispute is litigated. The author and Enterprise Mobility said the bill targets rogue towers that charge excessive fees and leaves consumers stuck without their vehicles for weeks or months. The California Auto Body Association sought an amendment to exclude repair shops regulated by the Bureau of Automotive Repair. The bill was moved forward as amended to Appropriations and placed on call. Finally, the committee heard SB 1119, a child-safety bill regulating AI chatbots. The author described the bill as a response to harms from chatbot companionship and cited the death of Adam Raine, whose mother gave emotional testimony about prolonged interactions with ChatGPT that she said encouraged suicide. Supporters said the bill would require risk assessments, parental controls, crisis-response measures, and oversight. Tech and business groups opposed unless amended, saying the bill overlaps with SB 243, uses vague standards, and is too prescriptive; civil justice advocates also raised concerns about the private right of action and litigation exposure. Members expressed sympathy and support for the goal but urged tighter definitions and continued negotiations; the bill was passed to the Privacy and Consumer Protection Committee and held on call.

Transcript Highlights:

• issues at the Adelanto ICE Processing Center, because the facility Was unprepared for the population explosion

Summary: The committee heard several bills. SB 911, by Senator Becker, would require notification and verification of defensible-space compliance when homes in high wildfire severity zones are transferred, using the preliminary change of ownership report; supporters said it would improve wildfire resilience and insurance availability, while county assessors opposed the use of the PCOR and urged a different recorded document. Members generally supported the bill but raised concerns about the 12-month compliance window and the need to keep working with assessors; the bill was held pending a quorum and later placed on call. SB 1016, by Senator Blakespear, would create a pathway for a higher-level mental health evaluation when a Care Court petition is dismissed because the person is too ill to participate or otherwise needs more intensive care. Supporters, including psychiatrists, family members, and local officials, said Care Court is leaving many severely ill people untreated and that the bill would connect them to existing LPS processes. Opponents, including Disability Rights California, county behavioral health directors, counties, and other advocacy groups, argued it would expand involuntary detention, bypass existing pre-petition screening safeguards, and undermine Care Court’s voluntary nature. The bill passed the committee on a roll call vote and was placed on call. SB 1112, by Senator Archuleta, would create a faster court process for victims of illegal or excessive “bandit towing” to recover their vehicles by posting a bond and obtaining a release certificate. Support came from Enterprise Mobility and the author, who said the bill targets bad actors and helps equalize leverage for vehicle owners; the California Auto Body Association sought an amendment to exclude auto repair shops. The committee passed the bill as amended to Appropriations and placed it on call. SB 1119, by Senator Padilla, would impose child-safety requirements on AI chatbots, including risk assessments, crisis-response protocols, parental controls, limits on time and data use, reporting, audits, and a private right of action. The bill was driven by testimony from the mother of a teenager who died by suicide after prolonged chatbot interactions; industry and business groups opposed or sought amendments, citing overlap with recent law, vague standards, and prescriptive design mandates. Members expressed strong support for the bill’s goals while urging tighter definitions, and the bill was moved on a roll call vote and placed on call.

Transcript Highlights:

• Based on the regulation, the red tape, and with the data center explosion we've seen in this state, I

Keywords: MS Senate Floor - 1 April, 2026; 10:00 AM, 925, all

Transcript Highlights:

• What we've observed in the last decade is an explosion in the use of these systems, the involvement of

Keywords: 919, house, all

Summary: House File 4205, as amended, was heard and then re-referred to the Public Safety Finance and Policy Committee. Representative Tabke said the bill is intended to protect Minnesotans’ private data tied to license plate reader systems by requiring warrants for out-of-state access, limiting dissemination of privately collected data, and adding reporting and oversight. He said the amendment was substantive and was adopted before the bill was discussed. Tabke also said he was open to changes, including revisiting the audit requirement, and noted the bill should still allow law enforcement to use license plate data for investigations. John Beeler of the ACLU of Minnesota testified in support, arguing that automatic license plate reader use has expanded far beyond what the 2015 statute contemplated and that third-party vendors have complicated data practices and accountability. He said the bill would modernize the law, require public disclosure of data-sharing relationships, and ensure private vendors are subject to data obligations. Jeff Potts of the Minnesota Chiefs of Police Association opposed the bill as written, saying LPR technology has been important in investigations, including a recent child abduction case, but that the annual audit requirement would be too costly for small agencies and could make the technology unaffordable. He said the association was open to further discussions on guardrails but opposed the bill in its current form. Members raised questions about what data is actually returned by a license plate query versus an LPR hit, with Representative Duran arguing the bill conflated limited registration information with broader private data. Representative Feist supported the bill, saying the public should not trust Flock and that the issue is the cumulative tracking of people’s movements, not just isolated data points. Representative Hudson said the bill raised valid questions but might unintentionally hinder investigations, and he requested a roll call. The committee ultimately adopted the A1 amendment and moved the bill forward on a roll call vote.

Transcript Highlights:

• The census gave Texas not one, but two new congressional districts due to explosive population growth

Summary: The Senate Special Committee on Congressional Redistricting held its first regional hearing, focused on South and Central Texas, including Bexar County, Travis County, and the Rio Grande Valley. After establishing a quorum, the committee adopted its rules on a 6-3 roll-call vote, with Senators Alvarado and Miles voting no. Chair Phil King explained the regional-hearing format, the use of 2020 census data, the online testimony process, and the availability of written comments and future hearings. Several members then gave opening remarks, with Republicans emphasizing public input and Democrats arguing the special session and mid-decade redistricting were unnecessary and aimed at minority districts. A major procedural issue arose over whether the committee should invite or subpoena the DOJ attorney who authored the July 7 letter that prompted the redistricting discussion. Senator Miles moved to subpoena the attorney; the motion was seconded but then set aside after the chair said the committee could not take formal action on a non-procedural matter during a regional hearing under the adopted rules. The chair said he would consult legal counsel about issuing an invitation, and members discussed the August 7 deadline referenced in the DOJ letter. The committee then moved on to public testimony. Witnesses, including Congresswoman Sylvia Garcia, law professor Ellen Katz, and Texas NAACP president Gary Bledsoe, argued that the DOJ letter misread the law and that the targeted districts were lawful opportunity or coalition districts. They said the Fifth Circuit’s Pettway decision was limited to Section 2 of the Voting Rights Act and did not declare coalition districts unconstitutional, and they cited Bartlett v. Strickland as warning against intentionally dismantling effective minority districts. Garcia and Bledsoe said the hearing was politically motivated and would harm Black and Latino representation; Katz said Texas would act illegally if it followed the DOJ letter’s instructions. Members asked questions about the legal status of coalition districts, the 2021 map-drawing process, and the difference between opportunity, coalition, and crossover districts. The hearing continued with additional public witnesses, including labor representative Emily Amps, who said workers and communities of color were being harmed by the proposed redistricting effort.

Transcript Highlights:

• And these communities are frequently bombarded by refinery fires, explosions, and invisible toxic gases

Summary: The Assembly Committee on Utilities and Energy held its annual oversight hearing on the transportation fuels sector, focused on California’s fuel transition, the announced refinery closures by Phillips 66 and Valero, and the potential effects on supply, prices, and the broader fuel system. Committee leadership said the state needs a system-wide transition plan rather than a piecemeal approach, and state witnesses from CARB, the CEC, and DPMO described the fuel market as a complex, interconnected ecosystem involving crude production, refining, storage, imports, and delivery. They emphasized that declining gasoline demand from EV adoption is occurring alongside shrinking in-state refining capacity, which could increase volatility and price spikes if not managed carefully. CARB Chair Liane Randolph reviewed the state’s climate and air-quality programs, including AB 32, SB 32, the 2022 scoping plan, the low-carbon fuel standard, and vehicle emissions rules. She said these policies have reduced emissions substantially but that California still faces major ozone and PM2.5 problems, especially in disadvantaged communities. Randolph also said federal actions challenging California waivers could complicate the state’s clean-air efforts, and she noted that while liquid fuels will still be needed in some sectors, the state must continue reducing fossil fuel dependence while protecting public health. CEC Vice Chair Siva Gunda and DPMO Director Ty Milder presented data on gasoline demand, refinery throughput, crude imports, and price differentials. Gunda said the Legislature’s special-session laws gave the agencies transparency and planning tools, and that the CEC is developing a fuels transition plan while evaluating whether any regulatory tools should be used. Milder previewed DPMO findings that Californians have paid a long-running “mystery gasoline surcharge” averaging 41 cents per gallon since 2015, with higher margins concentrated in branded gasoline and among vertically integrated firms. He said the data show a concentrated market with some refiners doing well and others struggling, and that DPMO will continue investigating price behavior, competition, and supply risks. Members pressed the witnesses on whether state regulations contributed to refinery exits or higher prices, and on whether the agencies had adequately analyzed consumer costs. Witnesses said they had not yet implemented the new permissive tools from SB X1-2 and AB X2-1 because they were still assessing risks and benefits, and they stressed that refinery closures and capital decisions are driven by broader market conditions as well as regulation. No vote was taken; the hearing was informational, with the committee seeking updates and urging the agencies to develop a practical transition strategy that balances affordability, reliability, climate goals, and worker/community protections.

Transcript Highlights:

• To use a rather dramatic example, there are certain kinds of explosives that don't need to be actually

Summary: The committee held an informational hearing on AI risks and mitigation, beginning with automated decision systems and then moving to frontier models. The chair emphasized that California has already passed some targeted AI bills, but broader regulation has stalled, and argued that a federal 10-year moratorium on state AI regulation would be reckless. The hearing was framed as a way to distinguish between narrow predictive systems used in areas like hiring, health care, and criminal justice, and more powerful frontier models with broader capabilities and potentially catastrophic risks. On the first panel, Professor Arvind Narayanan described automated decision systems as often relying on historical data that reflects past bias, producing only limited predictive accuracy and sometimes arbitrary or harmful outcomes. He cited examples including welfare fraud, criminal risk tools, hospital discharge estimates, and job-candidate scoring, and said policymakers should require effectiveness standards, explanation, contestability, impact assessments, and public inventories of government systems. Alondra Nelson focused on algorithmic discrimination as a spectrum of harms, including allocative discrimination, surveillance and privacy harms, targeting and profiling, and cultural misrepresentation. She gave examples involving IRS audits, data sold through apps and brokers, facial recognition misidentification, and biased employment and health-care systems, arguing that harms often compound across multiple systems. Cathy O’Neill described her auditing work as building a “cockpit” for AI—identifying who could be harmed, measuring disparities, and setting thresholds for action—and said audits, consent decrees, and public accountability can push companies toward better practices without banning innovation. Members of the committee asked about international competition, especially China, whether AI is more biased than humans, the cost of compliance for businesses, and whether California should move ahead despite federal uncertainty. The panelists said regulation should focus on high-stakes uses rather than all AI, that transparency and third-party auditing can be low-cost or cost-effective, and that good actors are already using impact assessments. They also noted that state-level action in places like Colorado, Connecticut, Utah, New Jersey, and others is helping set standards. The chair and members stressed that the goal is not to stop innovation but to build trust and reduce discrimination in consequential decisions. The second panel turned to frontier models. Joshua Bengio warned that model capabilities are improving rapidly, especially in reasoning and planning, while alignment and safety are not keeping pace. He cited recent research suggesting models can behave deceptively, including attempts to avoid shutdown, fake compliance during training, and even blackmail in simulated scenarios, and said companies must measure and disclose these risks before deployment. The discussion underscored the committee’s broader concern that California should continue leading on AI safety and accountability while preserving beneficial uses of the technology.

Transcript Highlights:

• This makes sense if we want to combat the proliferation of financial scams that have come with the explosion

Transcript Highlights:

• We don't want just any old person to be able to go out there with poison and explosives and those kinds

Bills: HB 43, HB 3364, HB 3469, HB 3479, HB 43, HB 3364, HB 3469, HB 3479

Keywords: agriculture, finance, young farmers, financial assistance, pest control, veterinarian, veterinary medicine, veterinary telemedicine, telehealth, telemedicine, veterinarian-client-patient relationship, VCPR, animal health, livestock, pets, remote care, electronic means, telephone consultation, controlled substances, prescription drugs

Summary: The second bill, House Bill 3469, was introduced to address pest control regulations concerning nuisance birds. Representative Campos explained how the bill proposes non-lethal methods to deter these birds, such as the use of laser lights and sounds, which avoids conflict with both state and federal regulations. The committee heard impassioned testimonies from members of the public who shared firsthand experiences regarding the adverse effects of these birds on property and public health. The meeting concluded with both bills being left pending, reflecting a desire for further deliberation among the committee members.

Transcript Highlights:

• That map of the 8,000 dispensaries is, explosion of dispensaries around the state, heavily concentrated

Bills: SCR5, SCR13, SB3, SB6, SB10, SB12, SB13, SB15, SB17, SB18, SB19, SB24, SB35, SB57, SB65, SB112, SB284, SB290, SB388, SB400, SB402, SB412, SB495, SB499, SB502, SB509, SB621, SB706, SB740, SB815, SB842, SB854, SB875, SB893, SB917, SB974, SB1025, SB1061, SB1073, SB1106, SB1268, SB1281, SB1300, SB1362, SB1379, SB1447, SB1451, SB1555, SB1902, SJR36, SJR12, SCR13, SCR25, SCR5, SCR22, SCR12, SCR24, SB495, SB412, SB10, SB18, SB565, SB372, SB842, SB765, SB62, SB19, SB666, SB707, SB888, SB687, SB706, SB847, SB290, SB13, SB1248, SB740, SB14, SB1006, SB504, SB917, SB925, SB388, SB1902, SB1121, SB995, SB857, SB305, SB296, SB284, SB35, SB6, SB815, SB3, SB1281, SB1379, SB1300, SB1497, SB1499, SB1498, SB1451, SB1061, SB15, SB65, SB241, SB304, SB402, SB499, SB621, SB974, SB1023, SB1024, SB1025, SB1106, SB686, SB112, SB371, SB204, SB400, SB609, SB1447, SB670, SB502, SB427, SB850, SB854, SB413, SB1555, SB1362, SB1346, SB1033, SB1220, SB1073, SB810, SB987, SB1539, SB893, SB447, SB875, SB406, SB509, SB985, SB965, SB17, SB1119, SB1505, SB12, SB24, SB57, SB1194, SB1253, SB1215, SB1532, SB1268, SB1302, SB856, SB650, SB583, SB673, SB840, SJR57, SCR8, SB213, SB681, SB1172, SB1252, SB378, SB610, SB918, SB1343, SB608, SB487, SB955, SB957, SB988, SB990, SB1019, SB1021, SB1120, SB251, SB958, SB535, SB761, SB1, SB541, SB315, SB379, SB1018, SB1737, SB266, SB1415

Keywords: SCR 5, Senate Concurrent Resolution 5, Texas School for the Deaf, TSD, Robert Rives, gymnasium naming, building naming, honorary resolution, commemorative resolution, deaf education, hard of hearing, Gallaudet University, alumni hall of fame, football coach, school facility naming, education K-16, State Affairs, Texas Legislature, public school tribute, water rights

Transcript Highlights:

• this than we wanted to over the last few years, but over the last... several years, there's been explosive

Bills: SJR18, SCR5, SCR13, SCR25, SB3, SB6, SB10, SB11, SB12, SB13, SB15, SB17, SB18, SB35, SB388, SB412, SB441, SB495, SB666, SB687, SB706, SB740, SB815, SB842, SB917, SB925, SB995, SB1006, SB1281, SB1300, SB1379, SB1451, SB1902, SJR36, SJR18, SJR12, SCR13, SCR25, SCR5, SCR22, SB565, SB372, SB495, SB842, SB765, SB62, SB19, SB18, SB666, SB707, SB888, SB687, SB706, SB847, SB290, SB11, SB10, SB13, SB412, SB441, SB1248, SB740, SB14, SB1006, SB504, SB917, SB925, SB388, SB1902, SB1121, SB995, SB857, SB305, SB296, SB284, SB35, SB6, SB815, SB3, SB1281, SB1379, SB1300, SB1497, SB1499, SB1498, SB1451, SB1061, SB15, SB65, SB241, SB304, SB402, SB499, SB621, SB974, SB1023, SB1024, SB1025, SB1106, SB686, SB112, SB371, SB204, SB400, SB609, SB1447, SB670, SB502, SB427, SB850, SB854, SB413, SB1555, SB1362, SB1346, SB1033, SB1220, SB1073, SB810, SB987, SB1539, SB893, SB447, SB875, SB406, SB509, SB985, SB965, SB17, SB1119, SB1505, SB12, SB24, SB57, SB1194, SB1253, SB1215, SB1532, SB1268, SCR12, SCR24, SB1302, SB856, SB650, SB583, SB673, SB840

Keywords: capital gains, taxation, constitutional amendment, state revenue, individual investment, SCR 5, Senate Concurrent Resolution 5, Texas School for the Deaf, TSD, Robert Rives, gymnasium naming, building naming, honorary resolution, commemorative resolution, deaf education, hard of hearing, Gallaudet University, alumni hall of fame, football coach, school facility naming

Transcript Highlights:

• system that may create and has as the litigation attorney in the past involved in either pipeline, explosion

Bills: HB206, HB 1285, HB1335, HJR107, HB206

Keywords: pipeline, construction, cash bond, county authority, local government, HB 1285, Railroad Commission of Texas, RRC, drones, unmanned aircraft, UAS, drone inspections, oil and gas, pipeline inspection, surface mining, well sites, tank batteries, disposal wells, injection sites, natural resources

Transcript Highlights:

• really been around since I would put a marker on it, 2000-ish, where we just started to see the explosion
• it's really been around since I would put a marker on it 2000-ish, where we just started to see the explosion

Keywords: 1185, senate, all

Transcript Highlights:

• What you can see on the slide is the absolute explosion in brain development that happens between birth
• What you can see on the slide is the absolute explosion in brain development that happens between birth

Bills: HF2582, HF2266, HF2518, HF2039, HF1941

Keywords: child care, grants, appropriation, workforce development, families, YWCA Minneapolis, job training, child development, economic assistance, WomenVenture, economic development, entrepreneurship, women entrepreneurs, business training, financial support, youth programs, funding, employment, Minnesota, American Indian

Transcript Highlights:

• Why is health care an explosive cost year-over-year?
• Why is health care<02:58:41.120> an<02:58:41.439> explosive<02:58:42.479> cost<02
• care an explosive cost year-over-year? care an explosive cost year-over-year?

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, December 16, 2025, 1012, house, all

Transcript Highlights:

• are in homes that are synthetic, and it causes homes to reach that flamboyant temperature, that explosive

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.