Transcript Highlights:

• TDI thoroughly reviews rate filings for compliance with statute, ensures that the company's math adds
• I'm looking at the screen there.
• Um, the current issues, I think you've heard from, from Commissioner Brown, it's, you know, it's math

Transcript Highlights:

• I<00:54:17.680> just<00:54:17.760> do<00:54:17.960> the<00:54:18.079> math
• do the math roughly that they'd<00:54:20.119> be<00:54:20.400> looking<00:54:20.640>
• Madam Chair, members, I was going to ask if the presentation can be placed on the screen, please.
• Yes, could we have the presentation be on the screen? There we go, thank you.
• please yes could we um on the screen please yes could we have<01:04:32.039> the<01:04:32.240>

Keywords: 1187, senate, all

Summary: The committee on Housing and Homelessness Prevention heard presentations focused on public housing and related funding needs, with testimony from Minnesota NAHRO and several local housing authorities. Melissa Taphorn described the role of housing authorities statewide, including public housing, vouchers, CDBG/HOME funds, Bridges, and HEAT, and emphasized that public housing serves over 36,000 low-income Minnesotans, many of whom are seniors, people with disabilities, or children. She said federal operating and capital funds are insufficient, creating deferred maintenance backlogs, and noted that Minnesota’s public housing capital needs over a five-year period were about $500 million, with nearly $200 million unmet. She also discussed federal uncertainty, including a recent HUD funding freeze notice, possible changes to fair housing requirements, RAD repositioning options, and Build America, Buy America costs. Committee members asked about tenant rent calculations and the populations served. Testimony clarified that public housing residents generally pay 30% of monthly income, with utility allowances factored in, and that the average tenant rent in Minnesota is about $399. Members also heard that about 65% of public housing households are seniors or people with disabilities, while about 35% are families. The committee then heard examples of how state POP grants have been used to preserve public housing stock. Kurt Kina of the Red Wing HRA described multiple POP-funded projects that replaced windows, upgraded heating and cooling, and modernized electrical systems in a 100-resident high-rise, saying the work was essential to keep the building viable. Louise Siba of the St. Paul PHA testified that St. Paul’s authority serves nearly 22,000 people through more than 4,200 public housing units and over 5,200 vouchers, with most townhomes and high-rises serving elderly or disabled residents. She said St. Paul PHA has received nearly $16 million in POP funding since 2012, including about $8.5 million last year, and that those funds enabled major life-safety and modernization projects such as the Denan Terrace renovation and boiler, plumbing, and interior upgrades in high-rises. Jill Keers of the Duluth HRA described a broader set of housing programs, including vouchers, rehab loans, emergency repair funds, construction training, and development. She said Duluth HRA is adding 128 housing units between 2023 and 2025, including mixed-income rentals, senior housing, and family townhomes, and stressed that state investment through POP and other programs is necessary to keep housing affordable and safe.

Transcript Highlights:

• Some of the math in the fiscal note represents the total cost; it doesn’t represent the post-rebate costs
• Some of the math in the fiscal note represents the total cost; it doesn’t represent the post-rebate costs
• The bill also specifies that a failure to meet initial screening, safety assessment, and investigation
• protocols does not affect the... ...specifies that a failure to meet initial screening, safety assessment

Bills: SB1052, SB1115, SB1118, SB1120, SB1121, SB1124, SB1171, SB1172, SB1174, SB1175, SB1214, SB1233, SB1235, SB1316, SB1345, SB1372, SB1399, SB1458, SB1494, SB1496, SB1564, SB1602, SB1621, SB1628, SB1630, SB1631, SB1668, SB1672, SB1814, SB1821

Keywords: assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent, AHCCCS, remote work, state agency, employment, public health, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes, townhomes, historic preservation, radiation protection

Summary: The committee first heard Senate Bill 1121, which would prohibit hospitals from requiring lead aprons for cardiac catheterization staff when a radiation protection system is in place, while still allowing hospitals to require aprons outside the designated safety zone or when exposure levels warrant additional protection. An amendment added flexibility for radiation safety officers to require lead or other PPE if exposures approach occupational limits and removed expedited rulemaking language. Supporters, including the sponsor and interventional cardiologists, argued the devices reduce radiation and orthopedic injuries and improve recruitment and retention; hospital groups shifted to neutral after the amendment. The committee adopted the amendment and passed SB 1121 on a 9-2 vote. The committee then considered Senate Bill 1120, which would require hospitals performing cardiac catheterization procedures to equip at least 50% of those rooms with radiation protection systems by 2027. Supporters said the systems protect clinicians from radiation and long-term injury, while opponents, including hospital and radiology groups, argued the bill was overly prescriptive, could create a captive market, and might not fit all rooms or procedures. After adopting a children’s hospital exemption amendment, the committee passed SB 1120 on a 6-6 vote, with the chair breaking the tie in favor of the bill. Senate Bill 1118, an appropriation measure tied to the radiation protection system proposal, was also advanced after brief discussion, passing 6-5. The committee then took up Senate Bill 1214, which would create guardrails for non-FDA-approved stem cell and regenerative therapies, including provider standards, informed consent, advertising limits, reporting requirements, and a private right of action for violations. Supporters described it as a patient-protection and access bill, while testimony emphasized concerns about unregulated “bad actors” and patients traveling out of state for treatment. The committee adopted an amendment removing a reference to the National Law and passed SB 1214 on a 9-3 vote. The transcript then began discussion of SB 1630, which would create a Medicaid-funded home and community-based service benefit for adults with serious mental illness, with AHCCCS taking a neutral position and estimating a significant fiscal impact.

Bills: HB62, HB124, HB182, HB193, HB198, HB203, HB223, HB237, HB469, HB486, HB574, HB779, HB796, HB919, SCR2, SB4, SB36, SB38, SB109, SB152, SB168, SB195, SB216, SB221, SB236, SB404

Keywords: Louisiana Women's Policy, gender equality, policy research, commission membership, women's representation, Domestic Violence, judicial experience, legislation, criminal law, family law, HB182, sexual assault, rape kit, forensic examination, forensic medical exam, sexual assault survivor, sexual assault nurse examiner, SANE, emergency department, hospital staffing

Transcript Highlights:

• So that's I don't know, it's after launch, my I can't do math, but that's a lot of eggs.

Bills: SB1465, SB2110, SB1771, SB206, SB1584, SB1386, SB1696, SB1806, SB1428, SB1390, SB1381, SB201, SB1778, SB1332, SB1836, SB1369, SB1794, SB1290, SB175, SB1379

Keywords: professional engineers, surveyors, licensure board, sunset extension, state board, occupational licensing, engineering license, surveying license, professional regulation, regulatory board, sunset review, emergency clause, Oklahoma O.S. 59, board appointments, lay member, Oklahoma Workforce Commission, workforce development, data collection, economic development, outside counsel

Bills: SB1936, SB1612, SB1543, SB1260, SB1988, SB1859, SB2041, SB1257, HB4272, HB3277, HB3148, HB3651, HB3323, HB4287, HB4105, HB3304, HB3345

Keywords: forfeiture, criminal offenses, law enforcement, Class D1 offenses, property seizure, SB1612, mandatory reporting, violent injury reporting, gunshot wound, stab wound, poisoning, burn injury, explosive injury, medical reporting, healthcare providers, law enforcement notification, evidence preservation, patient video records, confidentiality waiver, misdemeanor penalty

Bills: S0212, S0218, S0442, S0460, S0532, S0554, S0644, S0686, S0692, S1054, S1106, S1128, S1134, S1138, S1338, S1434, S1506, S1620, S1748

Keywords: sexual offender, sexual predator, sex offender registry, child protection, residency restriction, loitering, proximity restriction, public swimming pool, school safety, child care facility, day care center, park, playground, conditional release, probation, community control, warrantless arrest, background check, registry screening, minor victims

Summary: The committee first considered SB 1434 on infill redevelopment. A late-filed strike-all amendment narrowed eligibility criteria, including environmental and adjacency requirements, density and intensity limits, and exclusions for certain lands and military areas. The amendment was adopted without opposition, and the bill then passed favorably on an 8-0 vote, with testimony both for and against from advocacy groups. Members then heard several bills related to criminal justice, land use, and local government operations. SB 212 on sexual offenders and sexual predators was amended to add public swimming pools and related restricted-location provisions; the committee heard extensive opposition testimony arguing the bill lacked empirical support and could worsen homelessness and burden families, while supporters said it would reduce temptation and improve safety. The amended bill passed 8-1. SB 686 on agricultural enclaves also received a strike-all amendment clarifying development allowances near interstates and protected-area non-preemption; after opposition from a county Republican committee and support from housing and business groups, it passed 10-0. SB 554 updating nonprofit corporation law, SB 1338 on charitable giving and endowment restrictions, SB 532 on court fee retention by clerks, and SB 218 on land use regulations after hurricanes all passed favorably, each with little or no opposition. The committee also approved SB 692 on cybersecurity standards and liability after debate over whether the bill created enough compliance incentives and whether its liability presumption should apply retroactively; supporters said it would encourage adoption of cybersecurity frameworks, while opponents warned it could weaken local standards and create litigation issues. The bill passed 9-2. SB 1138 on qualified contractors was amended to preserve local government authority while allowing licensed professionals to conduct limited pre-application reviews, and it passed 11-0. Finally, SJR 1104 on religious expression in public schools passed 8-3 after extensive public testimony and debate, with supporters saying it would enshrine existing protections in the Constitution and opponents warning it would favor majority religions and increase bullying and litigation. The committee then took up SB 1106 on requiring state agencies and instructional materials to use “Judea and Samaria” instead of “West Bank,” with the sponsor arguing it reflected historical truth and opponents saying it erased Palestinian identity and inserted the state into an international naming dispute; the transcript ends during public testimony on that bill before any vote is shown.

Transcript Highlights:

• Right, he had been using his screen reader for about six years, and then it was just this year.
• Our kids need to be reading and writing, doing math, and learning history. We oppose this bill.

Bills: SB204, SB570, SB735, SB784, SB1207, SB1396, SB1447, SB2392, SB2540, SB747, SB875

Keywords: parental rights, education, school trustees, training, handbook, truancy, attendance policy, chronic absenteeism, school attendance, student absence notifications, parent notification, home visit, attendance officer, truancy court, school district, open-enrollment charter school, student support services, school counselor, principal, administrator

Transcript Highlights:

• But one thing I like to put up on the screen is the needs out there.
• Yeah, I'm going to try to share my screen here and go through.
• I'm going to try a different way here with my screen. Oh, goodness.
• Can you see my screen? Yep, there we go.
• Quick math in my head, 25%. Okay, 25%, so roughly, okay?

Summary: The Water Topics Overview Committee met with a quorum and received updates from the Department of Water Resources and the State Water Commission, followed by presentations from Deloitte on two legislative studies required by House Bill 1020. Director Reese Haas reviewed major project and budget updates, including the Northwest Area Water Supply and Southwest Pipeline projects, Resources Trust Fund balances, carryover spending, project prioritization, bid conditions, regional water system coverage, and department process improvements. Members also discussed how the commission prioritizes projects, maintenance expectations, and the impact of limited municipal water supply funding. No formal committee action was taken during the DWR update; the commission’s municipal funding decisions were described as pending its April 8 meeting. Deloitte then presented the cost-share policy study, which found that under current policy and forecasted revenues, North Dakota faces an estimated $1.3 billion shortfall over 14 years, with a near-term gap of about $1.8 billion through 2031. The firm outlined seven recommended options, including tighter definitions and a 25% cost share for eligible replacement projects, caps and financing strategies for the Mouse River and Red River Valley projects, aligning cost share with commission priority guidance, delaying lower-priority projects, using available lines of credit, and adjusting reimbursement timing for revolving loan funds. Committee members questioned inflation assumptions, affordability, user fees, and the use of legacy fund earnings for bonding, but no decisions were made. In the governance and finance study, Deloitte said final recommendations are still being refined, with a final report due May 29. The study examined the Southwest Pipeline, NAWS, and Red River Valley systems using governance and finance criteria such as decision authority, transparency, affordability, risk, and access to funding. For Southwest, Deloitte outlined options ranging from improved state-authority coordination to transferring ownership to the Southwest Water Authority; for NAWS, options focused on strengthening the authority’s role and potentially transitioning operations and maintenance; and for Red River, options ranged from enhanced facilitation to formal state oversight or state ownership. Members asked follow-up questions about ownership transfer, capital repayment streams, and why NAWS was not considered for transfer, and Deloitte said NAWS’s limited organizational maturity made that option less viable in the near term.

Transcript Highlights:

• Since 1997, he has also helped thousands of students as a math interventionist in Henrico County Public
• This one relates to establishing the firefighter cancer screening grant program, which is item 406 in

Keywords: June 29, 2026 - Special Session 1, 976, house, all

Transcript Highlights:

• Um, because we know if you can get genetic screening, then you can take measures that would prevent you
• If you are on one of these plans and you go to a breast cancer screening and something comes up on that
• If you are on one of these plans and you go to a breast cancer screening and something comes up on that
• If you had a premium that was, just doing easy math, $1,000 a month, and you had a 36% increase, that
• , premium that was, just doing easy math, premium that was, just doing easy math, $1,000<01:08:17.759

Bills: HF3388, HF400

Keywords: HF3388, Minnesota premium security plan, reinsurance, health insurance, group health carriers, MCHA, MNsure, individual market, premium stabilization, carrier assessment, health insurance assessment, premium security plan account, state innovation waiver, high-risk pool, reinsurance payments, healthcare premiums, insurance carriers, deferral of assessment, financially impaired condition, HF400

Summary: The committee approved the minutes from the prior day and then heard House File 400, a bill described as a defrayal measure for health insurance mandates. Representative Perryman said the bill would not block future mandates, but would require the state to pay the added costs of any new mandated benefits so those costs would not be shifted to premium payers. She and supporters framed the bill as a way to protect affordability for Minnesota employers, workers, and families, especially in the fully insured market. Testimony in support came from the Minnesota Chamber of Commerce and the Minnesota Council of Health Plans. They argued that Minnesota has a high number of mandated benefits, that each new mandate adds cost to premiums, and that businesses—especially small and midsize employers—are already struggling with rising health insurance costs. The health plans representative said the bill would use the existing Commerce defrayal process to reimburse plans for eligible mandate-related claims, allowing those costs to be removed from premium rates. Several members echoed support, saying the bill would improve transparency by showing the fiscal impact of proposed mandates and help prevent people from being priced out of coverage. Members also explored how mandates apply in the market and how premiums are set. Deputy Commissioner Julia Dryer explained that, unless otherwise specified, mandates generally apply to the individual, small group, and fully insured large group markets, while self-insured ERISA plans and other markets are generally outside that scope. Representative Elkins noted that the affected market is relatively small and said small businesses are increasingly moving to self-insured plans because of cost. He and others raised concerns about affordability, while Representative Smith argued that mandates often ensure needed care and that the bill shifts costs to taxpayers rather than insurers. Representative Bacham added a personal example from tribal self-insurance, saying preventive physicals had saved lives and asking whether other factors besides mandates are driving insurer costs. No amendments were offered, and the bill was laid over for possible future consideration.

Transcript Highlights:

• I can read it off my screen." "Welcome to this committee. Thank you. Yes, do it.
• I can read it off my screen. screen. screen.
• You know, and again, you know that all of that math helps. >> And so I certainly appreciate this information
• that<01:21:24.159> all<01:21:24.400> of<01:21:24.560> that<01:21:25.600> math
• you know that all of that math helps. you know that all of that math helps. Okay. Okay. Okay.

Keywords: 928, house, all

Summary: The committee first approved the draft minutes of its May 16, 2025 meeting, with one correction removing Representative Dry from the attendance list because she was present as a guest rather than an appointed member. The committee then received a Department of Health and Human Services update from Commissioner Lori Weaver, who focused on the rural health transformation grant process. She said the department has been gathering stakeholder input since July, issued a request for information on September 22, and is working toward an end-of-October draft and a November 3 deadline, with a grant writer request expected to go before Governor and Council at no cost to the state. The bulk of the meeting centered on federal changes affecting SNAP and Medicaid. Karen Heert explained that the federal law changes commonly referred to as the “Big Beautiful Bill” or HR1 will affect SNAP eligibility and state costs, including a shift in administrative cost sharing from 50/50 to 75/25 beginning in October 2026 and a possible state share of benefits if New Hampshire’s error rate is too high. She said the program affects about 43,000 households, that New Hampshire’s federal fiscal year 2024 error rate was 7.57% versus a national rate of 10.93%, and that the state must get below 6% to avoid liability. She also said DHS is preparing remediation steps, auditing cases, and seeking technology and staffing support, including a grant for automation and training. Henry Litman then described Medicaid changes under HB2 and the new federal law. He said New Hampshire returned to pre-pandemic eligibility verification rules on July 1, including a 10% income compatibility standard and reduced ex parte renewals, which has increased manual work and contributed to a drop in enrollment from about 185,000 in late June to about 178,000 in early September. He also reviewed new child premiums, pharmacy copays, Granite Advantage premiums, and possible Medicaid work requirements, noting that DHS is working with CMS on implementation details and may use a state plan option rather than an 1115 waiver because it would be less expensive and faster. Members asked several questions about the SNAP error-rate rules, the distinction between administrative and client errors, the effect of unpaid copays, and the timing and legal risk of the Medicaid work requirement; no votes were taken on those policy issues.

Transcript Highlights:

• Those include school readiness aid, ECF, and home visiting aid, and health and developmental screening
• <00:05:29.199> The<00:05:29.440> base developmental screening aid.
• The base developmental screening aid.
• Um, so I just did kind of some napkin math here.
• Um, and it some napkin math here.

Keywords: 1187, senate, all

Transcript Highlights:

• looks<01:02:03.920> like<01:02:04.079> every<01:02:04.279> quarter quick math
• it looks like every quarter quick math it looks like every quarter percent<01:02:05.000> is<01
• Apologies, I had multiple screens on the department.
• uh<01:47:26.880> the<01:47:27.000> department<01:47:27.639> um multiple screens
• on uh the department um multiple screens on uh the department um stands<01:47:28.080> on<01:47

Keywords: 910, house, all

Summary: The committee on Energy and Environmental Protection heard several measures focused on water quality, waste management, aquifer protection, wastewater, and climate-related funding. SB 984 on water pollution drew opposition from DLNR and the Hawaii Cattlemen’s Council, with the latter arguing the bill could unfairly blame landowners for runoff caused by terrain and storm events; the chair noted there were also supporters and commenters submitted in writing. SB 639 on underground storage tanks received support from the Department of Health, the Board of Water Supply, and the Sierra Club, with testimony emphasizing environmental restoration standards after jet fuel releases; no opposition was noted in the live testimony. SB 946 on wastewater management was presented as clarifying that the ban on discharging wastewater or raw sewage into state waters applies to treatment plants, and it drew support from the County of Maui, DOH, and Hawaii Reef and Ocean Coalition, with no questions or opposition raised in the hearing. The committee also heard SB 438 on waste disposal facilities near significant aquifers. DOH and the Water Commission offered comments, while the City and County of Honolulu’s Department of Environmental Services opposed the bill because of a provision affecting ash recycling; the Board of Water Supply and Sierra Club supported the measure, and the Makakilo-Kapolei-Honokai Hale Neighborhood Board and Energy Justice Network raised concerns about fly ash and bottom ash recycling, landfill capacity, and potential contamination of aquifers. Testimony reflected a split between environmental protection concerns and arguments that the bill could block beneficial reuse of ash. The committee then took up HB 1395 on state funds, which would direct interest from the Emergency and Budget Reserve Fund to the general fund when the reserve exceeds the state’s target. The Governor’s office, emergency management, the State Energy Office, the Hawaiʻi Green Infrastructure Authority, the Nature Conservancy, and several other groups supported the bill’s climate-resilience intent, while the Tax Foundation and committee discussion raised concerns that the measure functioned mainly as a revenue transfer without a dedicated spending mechanism. Members discussed whether a special fund or legislative appropriation process would better ensure the money was used for climate mitigation and related projects.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, June 9, 2026, 1012, house, all

Transcript Highlights:

• I just want to ask our witnesses here to check my math here just so that the public understands what
• I just want to ask our witnesses here to check my math here just so that the public understands what
• I just want to ask our witnesses here to check my math here just so that the public understands what
• Many pounds. >> More than you want to do math right now. [laughter] >> I don't know.
• screen here in just a second. screen here in just a second. >> Uh Mr.

Bills: HB0068, HB0062, HB0127, HB0109

Keywords: veterans, property tax exemption, disabled, service-connected disability, Wyoming, governmental claims, liability limits, inflation adjustment, public safety, local government insurance, HB0127, recreation mill levy, recreational facilities, public recreation, mill levy, property tax, local tax, county commissioners, school district levy, voter approval

Transcript Highlights:

• And then we use assessment fees, which is what's on your screen.
• really great things we don't tell you about: disaster preparedness, public health reporting, newborn screening
• So because of EMTALA, which really requires all patients are screened, and if you have the ability to
• It's they do math, it sounds like.

Keywords: 1204, all

Transcript Highlights:

• I'll get the math and send it to you. I'll send it to the committee. Thank you, Madam Chair.
• Some are around medication-assisted treatment, doing screenings, and early intervention to identify people
• You just go to the screen. You have to provide a little bit of information.
• So we know the screenings are happening. We just don't know what's happening after that.

Transcript Highlights:

• hours of an arrest for a felony offense or a misdemeanor offense listed in level two background screening
• notification requirements to include additional disqualifying offenses listed in level two background screening
• Third, expanding self-reporting requirements to include offenses listed in level 2 background screening
• So we're still trying to gauge how many total defibrillators we're going to need, and so that math is

Summary: The Senate Committee on Education Pre-K through 12 considered a series of education-related bills, many of them after adopting amendments. SB 1122 on Florida Virtual School was amended to remove virtual preschool provisions and then passed favorably, with the sponsor describing it as a clarifying bill about FLVS operations, revenue sources, reporting, and student access. SB 1374, on school district reporting requirements for educator arrests and misconduct, was also approved; it requires faster district action and reporting when instructional personnel are arrested for certain offenses and clarifies that self-reports are not admissions of guilt. SB 1402, on student enrollment and dropout retrieval programs, was amended and passed to broaden eligibility for dropout retrieval services and allow certain virtual providers to receive a school improvement rating instead of a school grade. SB 364, moving the Council on the Social Status of Black Men and Boys from the Department of Education to Florida Memorial University, was amended and reported favorably. The committee also approved SB 772 on diabetes management in schools, which would allow districts to obtain and store glucagon for emergency use by trained school staff or nurses, with liability protections included. SB 1102 on school readiness programs for children with disabilities passed after testimony that it would expand identification of disabilities, require more training for providers, and direct special-needs funding toward better-supported classrooms. SB 1382, also on school readiness, was approved and would change the definition of economically disadvantaged families, adjust priority tiers, and update the waitlist and forecasting process for child care assistance. The most debated measure was SB 140, which was substantially rewritten by delete-all amendment to create “job engine charter schools,” allow municipalities to seek charter schools aimed at attracting industry, authorize parent votes for conversion of existing public schools, and set requirements for district five-year property plans and surplus property use, including affordable housing and charter school purposes. Supporters argued it could aid economic development and repurpose underused property, while opponents raised concerns about privatization, reduced stakeholder input, unclear voting procedures, and loss of district control over property. Despite extensive debate and multiple public speakers against it, the bill passed favorably. The committee also approved SB 430, a merged AED and cardiac emergency response bill requiring public schools to have a cardiac emergency plan, trained staff, and an operational AED in a publicized location, with reimbursement provisions and liability protections; it passed after supporters emphasized life-saving benefits and manageable training costs. The committee adjourned after recording additional members’ votes on selected bills.

Transcript Highlights:

• swallow screening was 86.7%, indicating that most patients received it.
• Standardization of stroke screening and severity tools.
• Standardization of stroke screening and severity tools.
• Standardization of stroke screening and severity tools.
• So I'll stop sharing my screen here and perhaps just transition.

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.