Transcript Highlights:

• And then finally, on the last agency, on 789, that's the Department of Education.
• Parents often have undiagnosed mental health issues, and children have developmental and educational
• ><c> mental</c> Parents often have undiagnosed mental Parents often have undiagnosed mental health<01
• </c> developmental and educational developmental and educational disruption. disruption. disruption.
• This gives parents the for each member.

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• They meet our education requirements.
• We do require an English proficiency exam if the education, if the school that you received the education
• They are highly educated, master's, doctoral, or postgraduate certificate-level education.
• I hear many of my nurse educator colleagues continue to voice concern about their BRN nurse education
• I think we need to look at quality of education.

Summary: The joint Assembly and Senate Business and Professions sunset oversight hearing focused first on the Board of Registered Nursing (BRN), with opening remarks emphasizing legislative oversight, consumer protection, workforce access, and the need to evaluate whether licensing boards are efficient and effective. BRN leaders reported progress since the last review, including faster licensing timelines, streamlined enforcement, improved consumer satisfaction, expanded nursing program enrollment, and new statewide data collection on faculty. Committee members then questioned the board about nurse practitioner scope and supervision, international licensure, English proficiency, online nursing education and clinical placements, military and veteran pathways, workforce shortages, diversity in nursing, the LVN-to-RN 30-unit option, and the role of the board’s RN executive officer. The board explained California’s tiered APRN system, the NCLEX and national certification requirements, the 500-hour direct patient care clinical requirement, and its use of nursing education consultants and board-approved programs to oversee schools and placements. Members also discussed retention problems, especially for new graduates, and the board said shortages are often driven by burnout, lack of support, and employers’ reduced use of new-grad training programs. Public comment largely centered on proposed BRN sunset issues affecting advanced practice nursing, education oversight, and workforce development. Nurse practitioner, nurse midwife, and nurse anesthesiology groups generally supported the BRN sunset report but asked for clearer implementation of AB 890, support for APRN-to-RN delegation authority, streamlined renewals for nurse midwives, and protection of the current population-focus model. The California Medical Association raised concerns about out-of-state nurse practitioners practicing independently without California transition-to-practice requirements, specialty delegation, ratios, and data collection. Higher education representatives from UC, CSU, private nonprofit colleges, and nursing associations urged the board to reduce duplicative documentation, modernize clinical placement rules, improve parity between in-state and out-of-state programs, and address bottlenecks in securing clinical sites. An online nursing school argued that California should create a pathway for distance-learning programs so students can complete clinicals in-state rather than traveling out of state. Several speakers also highlighted the need to expand access for rural and underserved communities, support diverse and nontraditional students, and preserve affordable pathways into nursing.

Transcript Highlights:

• Welcome to the Senate Higher Education and Workforce Development Committee.
• Higher education is the engine of the state, I will say.
• This is a chronic problem of underfunding higher education.
• We still have a huge need in higher education.
• We have still a huge need in higher education.

Summary: The committee began with a work session on the Workforce Education Investment Act (WEA) Oversight Board, hearing from board co-chair Jane Broome and Joel Anderson of WASAC. They described the account’s origins as a public-private partnership intended to supplement, not replace, existing higher education funding, and emphasized the board’s role in oversight and outcomes. Members discussed the need for better data, especially outcome-based data, and concerns that recent budget actions have used WEA funds to supplant general fund support for higher education, particularly at the University of Washington. The presenters said WASAC staffing has improved transparency, but they urged the committee to preserve the original “do not supplant” intent and to keep WEA focused on high-demand programs, financial aid, and student success. The committee then held public hearings on three bills. SB 6251 would require public medical schools to use letter grades or a tiered grading system; the sponsor said the bill was meant to standardize grading, while both Washington State University and UW Medicine testified in opposition, arguing that pass-fail and competency-based systems better support collaboration, student mental health, and residency competitiveness. SB 6259 would make students ineligible for state aid and require repayment of aid if they are found by a court to have caused major damage to a public institution; the sponsor framed it as accountability for serious vandalism, while the lone testifier from WSU student government supported free speech but opposed the bill’s penalties as inequitable for lower-income students. SB 6235 would address the higher education “fund split” by requiring state funding of compensation and central services to return to 2023-25 levels over time and directing a study on essential student services; nearly all testimony from university, faculty, and community college leaders supported the bill, saying the current approach shifts costs to tuition, creates instability, and forces cuts to classes, staffing, and student services. In executive session, the committee advanced several bills. It adopted proposed substitutes and gave do-pass recommendations to SB 5978, SB 6209, SB 6217, and SB 6227, sending them to the Ways and Means Committee. The committee did not take action on SB 6235 in executive session. The meeting then adjourned.

Transcript Highlights:

• My bill for education of an antagonist bill by Rep.
• My bill for education of an antagonist bill by Rep.
• My bill for education a number of ways.
• </c> visit parents to be educated on visit parents to be educated on recognizing<00:04:18.720><c> and
• with us being now the adoptive parents to<00:42:44.480><c> that</c><00:42:44.720><c> baby.

Keywords: 1183, house

Transcript Highlights:

• It prioritizes the non-offending parent and ensures that repeatedly violent parents address their abusive
• </c><00:41:58.319><c> Representative</c> boards of education. Representative boards of education.
• Speaker, I'm not an educator. I'm a parent, though, and most people know that I'm a farmer.
• ,</c><01:01:11.440><c> and</c> charitable work, cultural education, and charitable work, cultural education
• House Bill 882, relating to education.

Keywords: 958, all

Transcript Highlights:

• For the record, Jared Mason Gear representing the Washington Education Association.
• We represent active and retired educators in both the SEB and PEP systems.
• This would reduce the undue burden that's placed on grieving parents who face different requirements
• They provide patient education and patient and family support.
• They provide patient education and patient and family support for our medically complex patients.

Summary: The Senate Health and Long-Term Care Committee held a hearing on several bills. SB 5904 would prohibit non-human entities from using nursing titles; the sponsor and nursing groups said it is meant to increase transparency around AI and ensure patients know when they are interacting with a real nurse. SB 5915 would change Health Technology Assessment Program review criteria and timelines, with supporters arguing it would better account for Medicare coverage and national guidelines, especially for rare and life-threatening conditions. SB 6025 would update the definition of fetal death to allow gestational age to be determined by the best clinically accurate method rather than last menstrual period, and medical professionals and the sponsor said this would reduce emotional, financial, and legal burdens on grieving families. SB 5933 would require near real-time sharing of overdose data into ODMAP; public health, local government, and recovery advocates said it would improve overdose response, while one witness asked that poison center data be included and clarified separately. SB 5990 would allow APRNs and physician assistants to serve as local health officers in counties under 100,000 population; rural county officials supported the added flexibility, while public health groups and naturopathic physicians raised concerns about qualifications and asked that naturopathic doctors be included as well. SB 5981 would restrict drug manufacturers from limiting 340B drug access through contract pharmacies or requiring data as a condition of discounts; safety-net hospitals, community health centers, pharmacies, and patients said it protects access and reinvestment in care, while manufacturers, employer groups, and industry representatives argued it increases costs, lacks transparency, and may not ensure savings reach patients. No votes or final committee actions were taken in the transcript; each bill was heard and testimony was closed. Sign-in counts were reported for several bills, including strong pro support for SB 5904, SB 5915, SB 5933, and SB 5981, and mixed or substantial opposition on SB 6025 and SB 5990.

Transcript Highlights:

• Jim, you are an education expert, correct?
• But we love the education here.
• But education, absolutely. I have a business here.
• Let's talk about local education.
• Its education spending fell so much that the state ruled it unconstitutional to stop the educational

Bills: H5006 , H5007

Committee: Joint Special Joint Committee on Initiative Petitions

Keywords: tax revenue, state surplus, taxpayer refunds, budget growth, Massachusetts General Laws, income tax, tax reduction, state law, personal income tax, tax rates, 1212, all

Transcript Highlights:

• </c><00:26:55.120><c> and</c><00:26:55.279><c> postsecondary</c> literacy education and postsecondary
• literacy education and postsecondary options<00:26:56.919><c> and</c><00:26:57.120><c> lastly</c><00
• which required paying on our education which required paying on our own<01:14:49.719><c> and</c><01:
• </c> employment job training and education employment job training and education opportunities<01:46:
• Initially, I didn’t really want to be a part of the program, but my parents decided that I should do

Committee: Senate Jobs and Economic Development

Keywords: 1187, senate, all

Transcript Highlights:

• Act, the Black Education Act, and the Bilingual Multicultural Education Act.
• health efforts, our training of our educators.
• The School Budget Bureau does a lot of education.
• I'm also on the Education Committee.
• like these help to bridge the gap between education, bridge the gaps of education for these minority

Committee: House House Appropriations & Finance

Keywords: 996, all

Transcript Highlights:

• higher education.
• Again, we want to make sure that parent or family members are able to find them.
• I think it's a combination of a bit of everything regarding education, awareness...
• That's education. And to talk about it even more and more, that's all part of probation.
• The youth, maybe that's in education or the social service. It is a domino effect.

Keywords: 988, house, all

Transcript Highlights:

• Access to quality care, economic stability, education, and safe living conditions remain fundamental
• of abuse of our parents, grandparents, and loved ones, elevating the information to those who can take
• There's lots of things I'm sure that they do with prevention and giving brochures and education, things
• I just don't...” “...by law to do certain types of education and prevention programs, I just don't know
• Elementary and Secondary Education, and to the Supreme Court. So those two cores have been reduced.

Committee: House Budget

Keywords: 959, house, all

Transcript Highlights:

• So my parents are in their 70s.
• So my parents are in their 70s.
• Did it go through the education process?
• “I don’t know if it went through education or not.
• Again, that's not the role of the educator.

Committee: House Appropriations

Summary: The House Appropriations Committee met on April 27 and first took up House Bill 175 and its companion House Bill 165, both dealing with lottery proceeds for veterans. HB 175 was amended to create a Veterans Service Grant Board within the Department of Veterans Affairs and direct $500,000 annually from Louisiana Lottery net proceeds into a Veterans Service Grant Fund, with unused money returned to the lottery proceeds fund that supports the MFP. Supporters, including the bill sponsor, The Boot Louisiana, LDVA Secretary Charlton McGinley, and Bastion Veterans Organization, argued the grants would help veteran services, workforce placement, mental health, housing, entrepreneurship, and retention of veterans in Louisiana. Members raised concerns about drawing from lottery proceeds that traditionally support education, but the committee adopted amendments and reported HB 175 favorably as amended. HB 165, the constitutional amendment companion, was also amended for technical and ballot-language changes and then reported favorably as amended for voter consideration. The committee then considered House Bill 457, which would authorize the Louisiana Department of Health and the State Fire Marshal to set minimum housing standards for homeless shelters, group homes, and halfway homes. The sponsor said the bill responded to a state auditor recommendation and to unsafe conditions in some facilities; he also explained an amendment changing the Fire Marshal’s duties from mandatory to permissive to reduce fiscal impact and allow agencies flexibility. Some members questioned whether local standards already existed and how enforcement and funding would work, while others supported the need for statewide minimum standards for human housing. The committee adopted the amendment and reported HB 457 favorably as amended. House Bill 488, by Representative Brough, sought to create a Belle Chasse Bridge Merit-Based Special Fund using recurring severance tax revenues from Plaquemines Parish to help buy out the Belle Chasse toll bridge and end what the sponsor described as excessive tolls and fees. He and several local witnesses, including business owners, a YMCA representative, and a parish council member, testified that the tolling arrangement had harmed access, businesses, and quality of life. The committee adopted a technical amendment clarifying the revenue source and then reported HB 488 favorably as amended. House Bill 566, which would prohibit state funds from supporting net-zero greenhouse gas initiatives tied to the 2022 Louisiana Climate Action Plan, drew significant debate over whether it would interfere with agency funding and economic development efforts; the sponsor argued the plan lacked legislative approval and should be repudiated, while members urged caution and suggested hearing from affected agencies. The sponsor agreed to consider deferring the bill, and the committee did not advance it at that time. House Bill 603, a constitutional amendment authorizing investment of state funds in digital assets and precious metals, was discussed as a way to hedge inflation and preserve value; members asked about limits and safeguards, and the bill was reported favorably. The committee then began hearing House Bill 763, a transparency measure creating a public database for settlement agreements involving state agencies.

Transcript Highlights:

• of Education, Governor, the State Board of Education, the Commissioner of Education. >> Representative
• .problem and give educators more tools and resources to succeed.
• As I spoke yesterday with several members from the education Several members from the education committee
• more than local parents, education leaders, and democratically elected school boards.
• And I've watched you carry unimaginable loss yourself, losing both your parents Losing both your parents

Keywords: 981, all

Transcript Highlights:

• opening its readiness centers for community youth activities and uses these facilities to enhance education
• Her education: she has a Bachelor of Science degree and a Master of Science degree in nursing from the
• He talks about his time as a trooper, knocking on the door of parents to tell them the bad news.
• In many developed countries, government pays fully for child care so that parents can go to work and
• And in my district, a parent needs to make $70,000 just to send two young children to child care.

Bills: SB5223 , SB5067 , SJM8002 , SB5855 , SB5865 , SB5272 , SCR8406 , SB5000 , SB5500 , SJM8006 , SB5325 , SB5286 , SB5937

Keywords: criminal offense, fingerprinting, law enforcement, state regulations, public safety, impaired driving, driving safety, alcohol regulation, public health, transportation, Medicare, healthcare, insurance, elderly, budget impact, face coverings, civil liberties, garnishment, debt, form standardization

Summary: The Senate opened with ceremonial honors for the Washington National Guard, including the presentation of colors, a prayer, and recognition of Major General Welsh and other Guard members in the chamber. Senators then adopted Senate Resolution 8668, which praised the Guard’s service in emergencies, disaster response, elections support, counterdrug training, and youth programs. Several members spoke in support, citing recent flood response efforts and the Guard’s work during COVID, and the resolution was adopted unanimously with all members’ names added as co-sponsors. The chamber then confirmed three gubernatorial appointments to college boards of trustees: Ann M. McQuaid to Bellingham Technical College, Elisa Munoz Estes to Grays Harbor College, and Felicia Hancock-Lewis to Wenatchee Valley College. Each confirmation passed by wide margins or unanimously after brief supporting remarks about the appointees’ education, military service, and community involvement. The Senate also considered and passed several bills. Engrossed Substitute Senate Bill 5865, concerning garnishment forms, was amended to delay implementation and then passed 46-3 after supporters called it a technical fix and opponents focused on timing. Substitute Senate Bill 5855, dealing with face coverings by law enforcement officers, drew extensive debate and multiple failed amendments; supporters framed it as a transparency and accountability measure aimed at masked federal immigration enforcement, while opponents argued it was overbroad, ineffective against federal officers, and harmful to state and local law enforcement. The bill passed 38-19. The Senate also passed Second Engrossed Substitute Senate Bill 5105 on explicit depictions of minors, after an amendment clarifying liability and defenses, and Second Engrossed Substitute Senate Bill 5268 on community custody for unlawful firearm possession, after a date update amendment. Finally, Engrossed Senate Bill 5081 on unattended motor vehicles and Senate Joint Memorial 8002 urging action on Medicare Advantage overpayments and fraud were both adopted unanimously or by large margins. Later, the Senate took up Substitute Senate Bill 5067, lowering the DUI blood alcohol threshold from 0.08 to 0.05; the bill drew strong support from the sponsor and law enforcement-focused supporters, but also criticism that the lower threshold would not address the most dangerous impaired drivers and might have limited practical effect.

Transcript Highlights:

• </c> advised by the state board of education advised by the state board of education and<02:07:11.920
• What we have educational professionals.
• </c> of educator and and all in this. of educator and and all in this.
• </c> education, which is defined by statute. education, which is defined by statute.
• </c> for the purposes of the of our education for the purposes of the of our education funding.

Keywords: 1189, house, all

Summary: The meeting covered two committee of conference items. On HB 1260, the House and Senate debated a Senate amendment dealing with sealing certain divorce-related financial records. House members argued the amendment conflicted with the Keane Sentinel decision and would improperly flip the burden of proof on public access to court records, raising constitutional concerns under the state constitution’s open government and privacy provisions. Senate members responded that the privacy amendment and modern conditions support more protection for sensitive financial information, especially in limited uncontested divorces, but several members agreed the issue should be studied in a separate bill with a full hearing next year rather than resolved in conference. The committee ultimately voted unanimously to have the Senate recede and pass HB 1260 in the form originally passed by the House, preserving the underlying bill without the Senate amendment. The committee then took up HB 1574, which extends free and reduced-price breakfast and lunch programs and provides funding for SNAP administrative costs. The main dispute was the Senate’s addition of $4.4 million for SNAP administration. Senator Gray and DHHS officials said federal changes will shift more administrative costs to the state and that underfunding administration could raise the SNAP error rate, which could trigger future federal penalties and larger state costs; DHHS reported a current error rate of 7.57%, below the national average, and said a higher error rate could cost the state roughly $12 million in a partial fiscal year and nearly $16 million in a full year. Representative Papovich said he understood the department’s needs but was reluctant to support the bill as amended, noting the Senate language resembled a prior bill that had already failed in the House. The discussion ended with the committee still considering the Senate amendment, with members weighing the immediate appropriation against possible future costs.

Transcript Highlights:

• There's corporal punishment for parents to children, right?
• ><00:53:30.440><c> to</c> corporal punishment for parents to corporal punishment for parents to children
• Public television provides educational Public television provides educational programming,<01:53:04.400
• Reducing<02:08:30.760><c> duplicative</c><02:08:31.560><c> education</c> Reducing duplicative education
• </c> It also changes a 10th grade education It also changes a 10th grade education requirement<02:08:

Committee: Senate State and Local Government

Keywords: 1187, senate, all

Transcript Highlights:

• They're not home with their parents where they can easily access them.
• My parents fled Cuba and Nicaragua, where they're not afforded free and fair elections.
• My parents fled Cuba and Nicaragua where they're not afforded free and fair elections.
• They were educators. They were patriots.
• They have to call their parents and say, can you send me my passport if they have one?

Summary: The committee first took up CS for SB 1342, a transit-oriented development bill intended to expand housing near fixed transit corridors. The sponsor said the measure builds on the Live Local Act by reducing regulatory barriers and encouraging private investment around transit investments. An amendment was adopted that narrowed definitions, limited the bill to land use and development regulations, removed a private cause of action, and exempted certain sensitive areas including military installations and environmentally sensitive lands. Supporters argued the bill would increase housing supply and maximize the return on state transit spending, while local government groups and other opponents warned it would preempt local zoning, impose uniform density rules, and create infrastructure, evacuation, and public input concerns. The bill was then reported favorably. The committee then considered CS for SB 1334, an elections bill that would require documentary proof of citizenship in certain voter registration and verification processes, update candidate qualification rules, require U.S. citizen markers on driver licenses and ID cards, and clarify that paper ballots are the primary voting method. Two technical amendments were adopted. The sponsor said the bill would streamline verification by allowing agencies to rely on Real ID and DHSMV records, reduce duplicate documentation, and improve communication between state systems. Senators questioned the fiscal impact, data-sharing procedures, storage of sensitive documents, effects on students, disabled voters, and people without driver licenses or Real IDs. A large number of public speakers opposed the bill, arguing it would burden eligible voters, especially students, seniors, disabled people, low-income residents, naturalized citizens, and people with name changes, while a smaller number supported it as an election integrity measure. The bill was ultimately not finished in the portion of the transcript provided, but the committee continued taking testimony and questions. Later, the committee took up CS for SB 1362 on advanced air mobility. A strike-all amendment was adopted to align the bill with the House version and authorize FDOT to fund vertiports and charging systems as part of public-private partnerships, including up to 80% of the non-federal share when federal funds are available and up to 100% if FDOT elects to do so. The sponsor framed the bill as helping Florida lead in advanced air mobility, and the measure was reported favorably with support from industry and local government representatives. Finally, the committee heard SB 174, which would designate a portion of State Road 985 in Miami-Dade County as Charlie Kirk Memorial Avenue and direct FDOT to install markers at an estimated cost of $2,400. The sponsor said the designation was tied to Turning Point USA activity at FIU and civic engagement. Several senators objected in debate, arguing Kirk was divisive and that the state should reserve road memorials for figures more broadly deserving of honor; others defended the designation as symbolic and non-regulatory. The transcript ends during the sponsor’s closing remarks, before a final vote is shown.

Transcript Highlights:

• Alison Barnett with Platinum Advisors on behalf of FAIR, Food Allergy Research and Education, support
• Jonathan Mello, parent of one of Addie's classmates, and I support this bill.
• That will reduce the paranoia of parents like myself every time my daughter actually dines out.
• And his parents will have to wait for this crucial medication to be shipped from a mail-service pharmacy
• Two of those, Optum, has a parent company of UnitedHealth Care, UnitedHealth Group, which is a part of

Summary: The committee heard several health-related measures. SB 27 by Senator Umberg would revise and expand California’s CARE Court by limiting the expansion to people with bipolar I disorder with psychotic features, clarifying the definition of “clinically stabilized,” and narrowing the role of nurse practitioners and physician assistants. Supporters, including behavioral health officials and family members, said the bill would reduce dismissals and better serve people with severe illness; opponents warned the expansion would strain county staffing and housing resources and could undermine voluntary engagement. The bill passed on a do pass motion to the Committee on Public Safety. SB 503 by Senator Weber Pierson would require AI tools used in health care facilities to be identified, monitored, and mitigated for bias when used in clinical decision-making or resource allocation. The author and supporters from Kaiser Permanente and the California Medical Association said the bill would help prevent discriminatory outcomes and improve trust and safety. The committee discussed the need to clarify developer and deployer responsibilities, and the bill passed as amended to Privacy and Consumer Protection. SB 68 by Senator Menjivar would require restaurants to provide written allergen information for the top nine food allergens, with tiered flexibility for smaller establishments. The bill was supported by patients, families, nurses, and allergy organizations, who described severe reactions and the difficulty of relying on verbal disclosures alone. The California Restaurant Association opposed unless amended, seeking broader use of the national model food code and additional liability language. The bill passed as amended to Appropriations. The committee also heard SB 403 by Senator Blakespear, which would remove the sunset from the End of Life Option Act; supporters described the law as a compassionate, well-functioning option for terminally ill patients, while faith-based groups opposed it. The bill passed to Judiciary. Later, SB 41 by Senator Wiener was introduced to rein in pharmacy benefit manager practices that steer patients to mail-order pharmacies and reimburse community pharmacies below cost; community pharmacists and several health organizations testified in support, describing pharmacy closures and patient access problems.

Transcript Highlights:

• You may have heard of that lawsuit; it's an education lawsuit.
• Elio was He lost his parents at a very young age of 4 years old and moved in with his grandpa, a Lawan
• I'm wondering if you have approached anyone from the Hispanic Education Act Advisory Council.
• As the SEA Educational Technical Assistance, this is something relatively new.
• . education and development.

Committee: House House Rural Development, Land Grants And Cultural Affairs

Transcript Highlights:

• Right now, there's nothing mandated as far as education or continuing education or education in any way
• A continuing education.
• I'm not denigrating these bright young parents.
• So I believe that the education aspect is there.
• So I believe that the education aspect is there.

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