Transcript Highlights:

• When asked whether OD training physicians, he said yes: OD trains physicians, and in many cases a medical
• science liaison or a technician trained to train physicians does the training.
• > So you train physicians, >> So you train physicians, >> correct?
• to train physicians technician trained to train physicians will<03:08:16.399> do<03:08:16.560
• ACGME minimums are for physician training programs.

Keywords: 1191, senate, all

Transcript Highlights:

• And is ACA or the ALF implementing and creating the training?
• But ACA does not have a role to play in actually effectuating that training.
• I go to all the conferences, I go to all these trainings.
• It revises training requirements, specifically training for the various skills specific to the medically
• It requires all emergency departments to designate a physician, nurse, paramedic, or physician assistant

Summary: The committee met and first reported favorably CS for SB 1782, which creates a new offense for dangerous excessive speeding, with support noted from the Orange County Sheriff’s Office and the Florida PBA. It also reported favorably CS for SB 306, which addresses Medicaid managed care provider network access by requiring after-hours and holiday appointment availability and a minimum level of primary care participation. CS for SB 716, imposing mandatory minimum sentences for certain sexual offenses committed by registered sex offenders or predators, and CS for SB 1084, expanding protections against non-consensual dissemination of intimate images and digitally forged intimate images, were also approved. The committee then approved CS for CS for SB 1604, a corrections package that would require prepayment of court costs for certain inmate lawsuits, shorten the limitations period for confinement-condition claims, allow consecutive sentencing in some cases, and revise mental health treatment procedures in correctional settings. Members discussed constitutional concerns and access-to-courts issues, but the bill was reported favorably. CS for CS for SB 1804, which creates a capital offense for trafficking a child 12 or younger or a mentally incapacitated person for sexual exploitation, drew extensive debate and opposition from the Florida Conference of Catholic Bishops, the Florida Association of Criminal Defense Lawyers, and Floridaans for Alternatives to the Death Penalty; despite objections about constitutionality and ethics, it was reported favorably. The committee also approved CS for SB 1838, expanding protections for court officials against tampering, harassment, and retaliation, and CS for CS for SB 890, the Emily Adkins Family Protection Act, which creates a statewide VTE registry and requires blood clot screening and training in hospitals and care facilities. Members and public witnesses spoke in strong support of the blood clot bill, including family members and survivors. Finally, the committee reported favorably CS for SB 1252, directing FDLE to study a statewide pawn data database, CS for SB 468, increasing penalties for fleeing or eluding law enforcement and allowing vehicle impoundment, CS for SB 490, expanding off-duty concealed carry eligibility for correctional officers and correctional probation officers, and CS for SB 572, the Pam Rock Act on dangerous dogs, which was amended to refine enclosure, confiscation, euthanasia, and insurance requirements.

Transcript Highlights:

• Medical Association and the Physicians Medical Association and the Physicians Assistants<00:41:20.360
• And it's a simple thing that allows PAs to perform driver's license vision testing. physicians. physicians
• from supervising physicians. from supervising physicians.
• PAs are required to work with a physician collaborator.
• well-trained and well-equipped. well-trained and well-equipped.

Keywords: 958, all

Transcript Highlights:

• At the top of the imaging team are radiologists, who are the physicians.
• No other physician—we work strictly under radiologists.
• At the top of the imaging team are radiologists who are the physicians.
• No other physician, we work strictly under radiologists.
• Not to another physician or a provider, no, sir.

Summary: The Senate Committee on Health and Welfare met on May 6, 2026, with five members present and adopted the April 28 minutes. The committee first heard a presentation on the new Leadership Louisiana Health Fellows Program, a leadership and networking initiative focused on Louisiana health care challenges such as workforce shortages, rural access, chronic disease, and the economic impact of health care. Speakers described it as a cross-sector program intended to build informed leaders and support collaboration with health systems, insurers, providers, LDH, and the Louisiana Hospital Association. The committee then moved through a series of bills, generally adopting amendments and reporting measures favorably. SB 57, a nutrition/labeling bill, was amended to delay the effective date for the labeling provision until December 31, 2028, and was reported as amended. HB 62 increased membership of the Louisiana Women’s Policy and Research Commission and was reported as amended, and HB 193 adjusted membership rules for the Sickle Cell Commission foundations and was also reported as amended. HB 815 would allow financial institutions to receive death certificates to help close accounts and avoid problems with automatic payments and federal benefit clawbacks; it was reported favorably. SB 405, which had been heard earlier, was reworked to codify LDH’s new Ascend nursing home quality initiative, including short- and long-term quality oversight goals, stakeholder involvement, internal expertise, and reporting requirements; after reconsidering prior amendments, the committee adopted the new amendment and reported the bill as amended. The committee also advanced several health and human services bills. HB 222 would allow Medicaid dental coverage when needed to clear a patient for another covered medical procedure, and it was reported as amended after LDH said the cost could be absorbed. HB 420 expanded DCFS background-check requirements to cover staff with access to sensitive records, and HB 475 required verbal consent before AI is used to record or transcribe a medical visit; both were reported favorably. HB 246 updated membership of the Children’s Cabinet Advisory Board and the council for grandparents raising grandchildren, including replacing an inactive coalition seat with the state police, and was reported as amended. HB 486 joined Louisiana to the psychology interjurisdictional compact to expand access to psychologists through telepsychology and temporary practice across state lines, and HB 574 updated outdated board names in the Mental Health Advisory Services Board statute; both were reported favorably. Later, the committee heard HB 949, which would create a licensure framework for radiologist assistants to help address radiologist shortages and improve imaging access, especially in rural areas. Testimony emphasized that RAs work under radiologist supervision and would extend capacity without replacing physicians; the bill was reported favorably. HB 584 required foster children to be provided luggage or similar items instead of trash bags when moving placements, and also corrected language in the Foster Youth Bill of Rights from “privileges” back to “rights” while extending the bill’s applicability to children from birth to age 18; it was reported as amended. The committee also reported HB 1214, which restructures certain LDH state facilities into a more unified system, and HB 1092, a technical renaming/terminology cleanup bill, both favorably. Finally, HB 203 added members from Christus Health System and Xavier University’s College of Medicine to the uterine fibroids commission and was reported favorably before the committee adjourned.

Transcript Highlights:

• <02:21:42.160> in<02:21:42.319> state<02:21:42.560> of safe certified train
• in state of safe certified train in state of California.
• They need to not be responsible for doing search and rescue trainings.
• They need to not doing trainings, right?
• They need to be more rescue trainings.

Bills: HB676

Keywords: HB676, Hawaii correctional facilities, youth correctional facilities, adult correctional facilities, Department of Corrections and Rehabilitation, Office of Youth Services, inmate phone calls, prison phone calls, jail phone calls, free prison calls, free communication services, incarcerated persons, prison reform, reentry, family visitation, recidivism, video visitation, electronic messaging, commissions, ancillary fees

Summary: The committee heard three public safety bills. HB 2235 would appropriate $1.3 million for the Military Affairs and Community Relations Office to strengthen coordination on military and defense issues. Supporters, including the Hawaii National Guard and DBEDT’s military relations office, said the office helps Hawaiʻi understand federal contracting, USA Jobs, and military-related economic impacts. One member questioned why the state should fund a DoD-related office while Hawaiʻi remains under-reimbursed on impact aid; supporters responded that the office serves Hawaiʻi communities and helps prepare residents for federal jobs. The chair said she intended to recommend the bill pass with a HD1, a blank appropriation to be filled in the committee report, technical amendments, a defective effective date, and updated office title language. HB 2263 would expand Hawaiʻi family leave law to cover qualifying military exigencies. The Department of Labor and Industrial Relations, DBEDT’s military relations office, and the Hawaii National Guard supported the measure, saying military families often face short-notice deployments, relocations, briefings, and urgent family arrangements that require time away from work, and that aligning state law with federal standards would provide clarity and consistency. The chair said she would recommend passage with a HD1, a defective effective date, and technical amendments. HB 2291 would clarify that certain National Guard Youth and Educational Programs employees are excluded from collective bargaining, rename the program, and codify its Hawaiian name. The Hawaii National Guard said it was a housekeeping bill with no appropriation, but requested an amendment to align the bill with updated authorities and program references; the chair asked for proposed language before the later decision-making. She said she would recommend passage with a defective date and the requested amendment if provided, and then recessed the hearing until 11:30 a.m. for decision-making on all three bills.

Transcript Highlights:

• Currently the cap for physicians to supervise physician assistants is 10.
• something that that physician can't manage, say 20, say 30, what recourse does the physician have?
• And you know this, is the provision where the physician, like say an ER physician, and they're the ones
• emergency room physicians, who cannot manage more than 10 emergency room physicians at a time.
• We are not training enough EMTs, paramedics, nurses, PAs, and physicians to meet the needs of our communities

Summary: The House opened with prayer, a moment of silence for former member Chester Clem, the Pledge of Allegiance, and quorum confirmation. Members then adopted the special order report for the day and approved a Rules and Ethics Committee report amending House Rule 15.3 to allow fundraising under certain circumstances during extended or special sessions. The chamber then took up several bills. HB 1405 on a statewide project for missing persons with special needs passed unanimously. CS/CS/CS/SB 290, the Department of Agriculture and Consumer Services bill, passed 94-10 after debate focused on conservation land surplus procedures and agricultural use of state lands. CS/CS/CS/HB 905, the “Fire Act” on foreign influence, foreign gifts, critical infrastructure, sister city agreements, and related restrictions, passed 80-20 after the House adopted an amendment adding a prohibition on certain surrogacy contracts involving citizens or residents of foreign countries of concern. CS/CS/HB 1197, dealing with information technology procurement and contracting, passed 109-0. HB 1103 on local administration of vessel restrictions passed unanimously. The House also debated CS/CS/CS/HB 399 on land use and development regulations. Supporters said it would limit development fees, standardize compatibility rules, allow manufactured homes in RV parks, and lower voting thresholds for comprehensive plan changes to address housing affordability; opponents argued it would preempt local control, weaken voter-approved urban boundary protections, and risk conservation lands. An amendment to preserve Orange County’s boundary rules failed, while a technical amendment on manufactured homes passed. The bill then passed 71-38. The House also passed several local bills, including measures for the Pace Fire Rescue District, Avalon Beach/Mulat Fire Protection District, East Point Water and Sewer District, Fellsmere Water Control District, and Headwaters Water Control District, with votes ranging from 83-27 to unanimous approval. The transcript also included farewell remarks from Representative Angie Nixon before the House returned to remaining business.

Transcript Highlights:

• Shockingly, that material originated from Hamas, the internationally recognized terrorist organization
• And schools often have no training, no tools, and no accountability to respond.
• Bay Area is that we get a lot of people coming up here to Sacramento with the ability to hop on a train

Keywords: 988, house, all

Transcript Highlights:

• I go to all these trainings.
• It revises training requirements, specifically training for the various skills specific to the medically
• It requires all emergency departments to designate a physician, nurse paramedic or physician, assistant
• How will physicians know that time?
• So you are not saying are you, senator, that a physician has to know whether or not the physician to

Keywords: 999, senate, all

Transcript Highlights:

• credential primary care physicians credential primary care physicians within<03:29:20.720> 30
• , this dentist, or a physician.
• Okay, or a physician, yeah.
• physician this dentist EV or a physician physician this dentist EV or a physician okay<03:46:06.279
• additional training, but that's part of his ability to become a physician in whatever specialty. required

Keywords: 1189, house, all

Summary: The subcommittee first took up several bills and repeatedly chose to retain or table them rather than advance them. House 167, dealing with past wax, was voted ought to pass; House 312 was retained because members said NCAA-related advertising and uniform policy issues were still unresolved; House 434, requiring insurers to provide rental cars for at least seven days, was voted inexpedient to legislate; and House 454, on biodegradable packaging claims, was also voted inexpedient to legislate after members said the proposal lacked a workable enforcement mechanism and would likely be only a symbolic state-by-state measure. House 721, making gold legal tender, was retained, with members saying the bill needed more work and that the issue was less compelling in New Hampshire because the state has no sales tax. The committee then discussed House 310, which was amended to create a study commission on blockchain and related regulatory issues. The amendment expanded the commission’s charge to include legal, regulatory, financial, technological, and environmental considerations, added review of federal developments, included blockchain-based trust and stable token issues, broadened membership, and extended the repeal and report dates by a year. Members said the commission would help New Hampshire develop expertise and a report for future legislation, while also noting that federal action could affect the state’s role. The amendment was adopted 8-1, and the bill itself was then retained. Finally, the subcommittee heard a revised amendment to House 406 on business filings and registered agents. The Secretary of State’s office explained that the amendment, drafted with input from the Business and Industry Association, narrows the bill to address fraudulent or unauthorized entity filings after a written complaint and sworn statement, sets minimum requirements for registered agents, bars use of commercial mail-drop addresses as registered offices, and allows removal or cancellation of fraudulent filings with penalties for false filings. Members asked about which entities must maintain registered offices and how the rules would affect home-based businesses; the sponsor said most New Hampshire business entities must have a registered office, with some exceptions such as domestic nonprofits and trade names. The discussion emphasized concerns about synthetic entities, identity misuse, and the need for a physical in-state registered agent address.

Transcript Highlights:

• would not have to use any legal training would not have to use any legal training at<00:06:39.680
• 12.760> the<01:13:12.880> state physicians from across the state physicians from across
• Physicians<01:23:00.760> across<01:23:01.120> Minnesota<01:23:01.600> are Physicians
• > safe<01:35:03.560> and For physicians to deliver safe and For physicians to deliver safe
• <01:36:15.560> to essential to allowing physicians to essential to allowing physicians to

Keywords: 1187, senate, all

Transcript Highlights:

• /c><00:50:30.240> physician registered nurses or physician registered nurses or physician assistants
• or physicians or physician assistants or physicians or physician assistants or advanced<00:51
• purview of physician practice right now. purview of physician practice right now.
• professionally in the field are trained professionally in the field are trained to<01:39:35.280>
• <01:43:08.320> is and town level to get this training is and town level to get this training

Keywords: 1189, house, all

Transcript Highlights:

• So, we're train more psychiatrists.
• a physician retiring uh as of June 15th. a physician retiring uh as of June 15th.
• physicians and we ask why physicians physicians and we ask why physicians don't<00:40:24.320>
• professionals, specifically physicians. professionals, specifically physicians.
• <01:42:20.480> Now, for the physicians. Now, for the physicians.

Keywords: 958, all

Summary: The committee first approved the May 12 minutes, then deferred item 285 on the routine personal service contract green list for Western Kentucky University to the July 2026 meeting. It also noted that several deferred university contracts had been withdrawn by the institutions, and then approved the remaining agenda items without objection, including personal service contracts, amendments, memoranda of agreement, Kentucky Entertainment incentive agreements, deferred items, and corrections, except for items pulled for further review. The main pulled item was a Kentucky Administrative Office of the Courts contract supporting Fayette District Court’s juvenile treatment court through Fayette County Public Schools. Court officials explained that the program, created under Supreme Court rules in 2022, serves court-connected juveniles with mental health and related needs, operates at the courthouse, and uses a school-employed program manager funded through a pass-through arrangement with Fayette County Public Schools and the Urban County Government. They said the program has had over 100 referrals, accepted about half, and had at least 25 successful graduates, with 11 high school graduates among participants. Members asked about who pays for drug screens, family involvement, and what counts as successful completion; the officials said the Urban County Government’s Division of Youth Services pays for drug screens and services, and that parents must participate in classes and support services. The committee then approved the contract review, with some members explaining their votes in support and one member emphasizing the committee’s role in reviewing contracts in the public interest. The committee also reviewed two Auditor of Public Accounts contracts. The auditor’s representative said contract 11, with Vantage Point Solutions, will examine the Kentucky Communications Network Authority/Kentucky Wired network for $700,000, well below the $1.5 million appropriated, and that a report is expected before the 2027 regular session. Contract 12 funds a special examination of investment managers used by Kentucky’s retirement systems, prompted by a Legislative Oversight and Investigations request to assess whether investments tied to ESG factors are consistent with fiduciary duties; the representative said the retirement systems have been cooperative and that findings are expected on a similar timeline, with some flexibility built into the deadline. After questions about the Texas litigation referenced in the explanation, the committee approved both auditor contracts without objection.

Transcript Highlights:

• Uh, I'm an educator by training.
• Next, the board is requesting for staff attendance and staff training.
• Texas physicians. Is that accurate?
• At least $2 million every fiscal year for physician consultants.
• I would, we have 59,000 physicians.

Transcript Highlights:

• It narrows continuing education requirements, so only podiatric physicians registered with the DEA must
• And also, this is not an expansion of scope of practice for podiatric physicians.
• ER doctors and a child's physician don't get a say.
• They cannot override the DCF caseworker, social worker, or attorney, and later the physician.
• They took their children to licensed physicians.

Bills: S0042, S0196, S0878, S0902, S0914, S1092, S1168, S1340, S1404, S1414, S1684, S1686

Keywords: child protection, medical records, investigation, abuse, neglect, healthcare, Child Protection Team, diagnosis, uterine fibroids, health database, medical research, personal data protection, women's health, clinical laboratory, licensure, healthcare personnel, technologist, technician, medical marijuana, low-THC cannabis

Summary: The Appropriations Committee on Health and Human Services met to hear and vote on a series of health, human services, and education-related bills, along with a presentation of the committee’s proposed HHS budget. The budget was described as increasing by more than $2.1 billion over the current base, with major funding highlighted for Medicaid and KidCare, rural health, provider rate increases, child welfare, mental health and substance use, opioid treatment, Alzheimer’s initiatives, cancer research, ADAP, veterans’ services, and IT modernization. Public testimony on the budget focused heavily on AIDS Drug Assistance Program funding and concerns about Department of Health changes affecting access, premium assistance, notice, and continuity of care for people living with HIV/AIDS. Among the bills reported favorably were measures on podiatric medicine and tissue-based products (SB 1092), background screening and clearinghouse procedures (SB 1168), child protective investigations involving specific medical diagnoses and second opinions (SB 42), clinical laboratory personnel licensure standards (SB 878), uterine fibroid data tracking and research (SB 196), medical marijuana treatment center oversight and related health provisions (SB 902), dyslexia and dyscalculia screening and intervention in schools (SB 1340), memory care licensure for assisted living facilities (SB 1404), congenital CMV education materials (SB 1414), Parkinson’s disease registry and related public records exemption bills (SB 1684 and SB 1686), and occupational therapy dry needling licensure standards (SB 914). Several bills were amended before passage, including SB 1092, SB 42, SB 902, SB 1684, and SB 1404. Testimony generally came from professional associations, advocacy groups, and affected stakeholders, with support voiced for most measures. The committee adopted amendments on the floor, heard no opposition during debate on the bills described, and then voted to report each measure favorably. At the end of the meeting, senators requested to be recorded in the affirmative on selected bills, and the committee adjourned.

Transcript Highlights:

• Establish duties that may be delegated to a physician assistant and eliminate physician licensure and
• When regulations make it harder to deliver patient-centered care... physicians and future physicians
• like physicians and future physicians like myself<00:27:14.799> are<00:27:15.200> much<
• > very<01:03:43.039> much don't think physicians are very much don't think physicians are
• their situation unique, their physician their situation unique, their physician or<01:33:54.239>

Keywords: 958, all

Summary: The subcommittee met on October 14, approved the minutes, and then took up a large group of staff-suggested amendments to multiple regulations. Those staff amendments were approved without objection and were described as technical changes needed to comply with KRS Chapter 13A and other governing law. The committee then moved out of order to consider Kentucky Board of Medical Licensure regulation 2011 KAR 9:270, which governs buprenorphine prescribing and related standards. Board representatives said the regulation has been updated over time since 2015 and that the current amendments are intended to streamline the rule, remove outdated federal references such as the X-waiver, narrow education requirements to addiction-related topics, and create exceptions for settings like emergency rooms and certain pain treatment situations. The agency amendment would also allow buprenorphine monoproduct for up to 30 days when a patient is transitioning from a full opioid agonist, and would add physicians certified in addiction medicine as eligible specialty consultants. Board officials said the regulation was developed through a two-year process with a work group, informal outreach to medical organizations, and multiple comment periods, and they argued the rule is working because overdose deaths have declined and provider numbers have increased. Several witnesses and committee members raised concerns that the regulation remains too restrictive. Senator Rocky Adams noted that major medical organizations had said the proposed language could restrict access and worsen overdose risk, and he questioned whether the committee was being asked to choose between conflicting expert views. Opponents, including a medical student, a recovery advocate, and Dr. Colleen Ryan of the Kentucky Society of Addiction Medicine, argued the rule is outdated, creates unnecessary barriers to buprenorphine treatment, and should be repealed or substantially revised to align with federal guidance and evidence-based care. They said rigid requirements can discourage treatment and that addiction should be treated like other chronic illnesses. No final vote on the medical licensure regulation is reflected in the transcript excerpt, and the discussion ended with the chair preparing to hear from additional opponents.

Transcript Highlights:

• And whereas up to 54% of physicians, 68% of nurses, 60% of medical students and residents, and 61% to
• And whereas Arizona is experiencing severe workforce shortages of physicians, nurses, advanced practice
• involved in medical education and physician advocacy, previously serving as physician of the day at
• He has been honored by Tucson Mayor Regina Romero for his role in the development and training of the
• He's currently a health care consultant focusing on physician burnout, turnover, and retention.

Keywords: 1182, all

Transcript Highlights:

• <00:42:14.040> I reasonable suspicion training that I reasonable suspicion training that I
• What training do firefighters again.
• Yes, firefighters are trained as general conditions cognitions, and advanced training is available for
• are trained Yes, firefighters are trained as<01:05:38.600> general<01:05:38.920> conditions
• <01:05:42.320> is cognitions and advanced training is cognitions and advanced training is

Keywords: Senate streaming session for Friday, March 6, 2026, 960, senate, all

Summary: The Senate opened with an invocation by Pastor Jermaine Turner, followed by welcoming remarks for visiting students and a quorum call confirming the chamber was in session. The body then moved through introductions and began considering bills and messages, including a supplemental budget message from the Governor that was journalized and referred to Budget and Taxation for incorporation into the FY27 budget. The chamber also handled several committee reports and amendments, with multiple measures ordered printed for third reading after no objections. Among the notable committee actions, the Senate adopted amendments and advanced Senate Bill 538 on Baltimore City raffles for organizations affiliated with professional baseball and football teams, Senate Bill 108 on water resources and wetlands enforcement, Senate Bill 328 on property tax credits for disabled or fallen public safety and judicial officers, Senate Bill 587 funding the Maryland Patient Safety Center Fund, Senate Bill 765 on property tax sales heir protection and tax credits, and Senate Bill 767 on property tax credits for commercial buildings rented to small businesses. The chamber also adopted favorable reports for Senate Bill 503 on the Growing Family Child Care Opportunities Program and Senate Bill 519 on delaying and studying the Earned Income Tax Credit Assistance Program. The Senate then took up third-reading votes on a series of bills, passing measures including Senate Bills 540, 544, 578, 581, 634, 638, 852, 897, 69, 177, 241, 323, 776, and 439. The final bill, Senate Bill 439 on employment discrimination related to fire and rescue public safety employees’ use of medical cannabis, prompted extended discussion about off-duty cannabis use, impairment, and the difference between prescribed opioids and medical cannabis recommendations. The bill sponsor and other senators debated whether cannabis can be prescribed, the role of physicians, and the lack of a measurable standard for impairment, but the transcript ends before a final vote on that bill is shown.

Transcript Highlights:

• EMERGENT CARE ACCESS PLANS BRIAN DEPUTY SECRETARY RON MYERS WILL COME UP AND TALK ABOUT TEACHER TRAINING
• FOR MEDICAID PATIENTS LACKING THE PRIMARY CARE PHYSICIAN THE HOSPITAL WILL ALSO INDICATE AND CONTACT
• SERVICES, EXTENDED PHYSICIAN SERVICES, OR JUST OF THOSE OTHER AREAS AS WELL.
• SENATE BILL 7016 AND 2024 ESTABLISHED THE TRAINING EDUCATION AND CLINICALS AND HEALTH FUNDING PROGRAM
• IS THERE NO OUTREACH TO GET PHYSICIANS HEALTHY START IN THE ABOUT WHAT WE'RE DOING?

Keywords: 999, senate, all

Transcript Highlights:

• We have an abstractor, who is Steph Christensen, a physician in Fargo.
• The other part of it is also, I talked a little bit about physicians, right, and the willingness of physicians
• to do that. ...appropriate training to apply the sealants.
• So what goes into on-the-job training?
• staff to conduct the training.

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.

Transcript Highlights:

• We have thousands of trained lifeguards.
• Nurse practitioners and physician assistants have much more extensive comprehensive training.
• Dental therapist will be trained in 30 to 40 procedures.
• Dennis are trained in 400 to 500 procedures.
• But how physicians, how and when physicians or Koster pounds or whomever the MP's, how they make decisions