Transcript Highlights:

• I'm a board-certified internal medicine pulmonary and critical care medicine physician.
• As someone who has been a doula since 2009, I also train doulas and community health workers.
• One of the focuses that I do is train people from the communities most in need.
• But if we can train people who live in those communities...
• I just needed to hear it from another physician to be sure.

Bills: HB514, HB1652, HB2117, HB2298, HB3269, HB46, HB46

Keywords: maternal health, maternal care, pregnancy, labor and delivery, postpartum, doula, birth worker, midwife, obstetric care, women's health, rural health, health workforce, workforce development, trauma-informed care, public outreach campaign, health equity, minority health, underserved communities, Texas Department of State Health Services, HHSC

Transcript Highlights:

• , registered nurse practitioner, or a licensed physician assistant; specifies that the two licensed physician
• Our guides are highly trained professionals.
• I've hired and trained many dental assistants.
• That kind of hands-on training matters.
• Colleen Huber, a physician of 19 years.

Bills: HB2072, HB2251, HB2279, HB2308, HB2323, HB2342, HB2400, HB2408, HB2456, HB2660, HB2697, HB2868, HB2873, HB2877, HB2910, HB2946, HB2955, HB2991, HB4001, HB4010

Keywords: Cesar Chavez, public holiday, state law, holiday repeal, Arizona Revised Statutes, midwifery, medication administration, healthcare, patient safety, advisory committee, licensed midwives, river trips, liability, outfitter, Grand Canyon, negligence, risk management, contractual waiver, dental practice, business registration

Summary: The committee first heard House Bill 2308, which would prohibit dental insurers and their holding companies from owning dental practices or other businesses regulated by the Arizona Board of Dental Examiners. The sponsor and Arizona Dental Association argued the bill is meant to prevent vertical integration and payer control over provider care, while Delta Dental of Arizona opposed it, saying the measure would block nonprofit insurers from investing in clinics for indigent care and create regulatory burdens. After discussion about private equity ownership in dentistry and whether nonprofit insurers should be exempted, the committee voted 7-0 to give HB 2308 a do pass recommendation. The committee then took up House Bill 4001, as amended, which creates a licensing and enforcement framework for alternative nicotine products beginning in 2028, restricts youth-targeted marketing, and increases penalties for selling to minors or manufacturing/distributing without a license. Supporters, including the sponsor, Border Security Alliance, and industry representatives, said the bill would improve supply-chain transparency, curb illegal products, and strengthen youth access enforcement. Opponents, including the American Cancer Society Cancer Action Network, argued the bill should instead create a full tobacco retail licensing system and include broader nicotine definitions, while also warning that enforcement resources would be insufficient. The committee adopted the amendment and then approved the bill 6-1. House Bill 2873, as amended, was also approved unanimously. The bill allows a person or organization that files a city or town referendum petition to withdraw it before it qualifies for the ballot, with retroactive application to withdrawals filed beginning January 1, 2026. The committee then heard House Bill 2408, which revises Arizona Board of Nursing complaint procedures, confidentiality rules, investigation timelines, expungement authority, and board oversight of nursing education programs. The sponsor said the bill responds to long-standing audit findings and aims to improve fairness and timeliness, while nursing board officials opposed provisions affecting education oversight and warned about patient safety, costs, and liability. Nurses and other supporters described delayed investigations and the need for expungement relief. The committee adopted the amendment and passed HB 2408 on a 5-2 vote. Additional bills heard included House Bill 2342, which limits HOA restrictions on backyard shade structures and related installations; it passed 7-0 after supporters described a family hardship case and committee members criticized HOA overreach. House Bill 2323, which extends Arizona’s motor vehicle lemon law protections to lessees, also passed unanimously after testimony from the sponsor, attorneys, and a consumer describing repeated repair failures on a leased vehicle. The committee also began hearing House Bill 4010, which would establish a Board of Genetic Counselors under the Arizona Board of Osteopathic Examiners and set licensure and disciplinary rules, but the transcript ends before any final action on that bill.

Transcript Highlights:

• Frederick High School and plans to be a family physician.
• High school and plans to be a family physician.
• This would require all mandatory reporters to complete an annual training provided by DCFS, and the training
• So, for example, a physician would be a mandatory reporter.
• Our folks are well trained. Mr.

Bills: SB83, SB135, SB143, SB155, SB157, SB202, SB237, SB261, SB276, SB295, SB450, SB465, SB506, HB1070

Keywords: human trafficking, trafficking prevention, school safety, public schools, elementary and secondary education, charter schools, mandatory reporting, victim identification, victim services, child trafficking, sex trafficking, labor trafficking, commercial sexual activity, DCFS, Department of Children and Family Services, Louisiana State Police, governor's office of human trafficking prevention, counselor training, mental health professional, administrator training

Transcript Highlights:

• Um, and then we also have, um, an agreement that between physicians and PAs, and we can't forget the
• Um, and then we also have, um, an agreement that between physicians and PAs, and we can't forget the
• Um, and then we also have, um, an agreement that between physicians and PAs, and we can't forget the
• <00:10:30.079> in testing, and extensive training in testing, and extensive training in athamoscopy
• <00:10:37.680> oral, also train in administering oral, also train in administering oral, topical

Keywords: 1183, house

Transcript Highlights:

• Equipping physicians with nutrition education can help prevent disease, reduce healthcare costs, and
• And, um, fitness assessment training. Thank you for your time and thoughtful consideration.
• I would also like to encourage stronger physician representation on it.
• It's really been a push from the physician side to get that.
• And so we agreed that physicians need ongoing education in nutrition.

Bills: SB 25, SB 314

Keywords: nutrition, health standards, food labeling, education, dietary guidelines, medical education, food safety, school meals, child nutrition, food additives, public health

Transcript Highlights:

• Each physician anesthesiologist completes four years of medical school, Physician anesthesiologists evaluate
• years of specialized anesthesiology residency training.
• That level of training matters when a patient's life depends on decisions made in seconds.
• of Anesthesiologists has over 800 full-time physician members and 49 resident physicians actively training
• Let's keep this train on the tracks.

Keywords: 1182, all

Summary: The House opened with prayer, the Pledge of Allegiance, and a moment of silence honoring two Arizona Department of Public Safety personnel killed in a helicopter crash while responding to an active shooter incident in Flagstaff. Members also introduced numerous guests and Capitol Day visitors, including the Arizona Society of Anesthesiologists, the Arizona Dental Hygienists Association, and organizations serving deaf, hard of hearing, and deaf-blind Arizonans. A proclamation was read designating September 4 as Taekwondo Day in Arizona. The chamber then processed a large number of bills through first reading, second reading, and Committee of the Whole. Measures receiving due-pass recommendations included HB 2075, HB 2120, HB 2155, HB 2328, HR 2004, HB 2051, HB 2072, HB 2178, HB 2203, HB 2395, HB 2010, HB 2043, HB 2108, HB 2135, and HB 2310. Several bills drew substantive debate, including HB 2051 and HB 2072 on lactation services and consultant certification for Medicaid reimbursement, HB 2203 on eliminating duplicative reporting requirements, HB 2395 on a voluntary mental health-related measure, and HB 2043, which sparked a sharp partisan exchange over whether it was a cleanup to felony-murder statutes or an anti-abortion/personhood measure. On third reading, HB 2008, dealing with school libraries and public funding for library associations, passed 33-25 after debate over whether it would help keep ideology out of schools or further weaken library support. House Resolution 2004, a nonbinding resolution expressing disapproval of Attorney General Chris Mays’ public statements, also passed 33-25 after extensive floor debate over her comments, her record on law enforcement and consumer protection, and whether the resolution was appropriate. The House then adopted the Committee of the Whole reports, referred the passed measures for engrossing, and adjourned until Monday, February 9, 2026.

Transcript Highlights:

• police department to have been an unlawful arrest, and their entire department is given remedial training
• Every scientific organization in this country—dental, medical, pediatric—supports fluoride, internationally

Summary: The committee took up a long agenda of criminal justice, law enforcement, corrections, and local government bills. Early measures included HB 743 on social media use by minors, which would require platforms to provide access to parents and law enforcement with a warrant; PCS for HB 1049 on protection of court officials; PCS for HB 491 restricting warrantless government use of AI cameras to detect concealed firearms; and HB 1053, an FDLE agency bill that removed obsolete provisions, renamed a program, combined reports, expanded security-related definitions, and added support for retired police dogs. All of those bills were reported favorably, with HB 1053 adopted as amended after some questions about eliminating the Victim and Witness Protection Review Committee and related reporting changes. The committee also approved HB 4075, a Leon County local bill capping reimbursement for inmate medical transport and care at Medicare-based rates, and HB 1095, a Hillsborough County pilot program for probationers with substance-abuse conditions that uses frequent testing and short jail sanctions for violations; both were reported favorably as amended. Several bills focused on law enforcement and public safety. HB 1129 clarified that victims’ identifying information, including names, is protected from public release under Marsy’s Law, and its amendment added a 72-hour confidentiality period for law enforcement officers involved in critical incidents, with possible extension if safety concerns remain; the bill passed favorably as amended. PCS for HB 1371 addressed a range of protections and tools for law enforcement and first responders, including limits on vehicle kill switches, funding for critical infrastructure mapping, a 25-year minimum for attempted first-degree murder of specified justice personnel, and procedures after exposure to bodily fluids; it was reported favorably. HB 857 increased penalties for assault or battery on utility workers and was also approved. HB 317 required written, sworn complaints against law enforcement and correctional officers, imposed penalties for false complaints, and limited the use of unsubstantiated investigations in personnel files; it passed despite opposition from some law enforcement groups and support from others. The committee spent substantial time on HB 903, a corrections bill that would tighten inmate complaint procedures, authorize tracking of inmate movement, adjust execution-related provisions, streamline mental health and competency processes, and change contracting authority for prison services. Members raised concerns about costs, civil rights, and the statute of limitations, but the bill was reported favorably as amended by a 14-3 vote. HB 181 on objective parole guidelines, which would require the Commission on Offender Review to incorporate vocational, educational, and self-betterment programming and provide its statistical analysis to legislative leaders, drew strong support from criminal justice reform advocates and was reported favorably. Finally, the committee approved HB 1455 on repeat sexual offenders, which creates mandatory minimum sentences for subsequent specified sexual offenses and bars gain time or discretionary early release; an amendment increased one mandatory minimum from 10 to 20 years for selling or buying minors for sexually explicit conduct. Throughout the meeting, several bills drew testimony from law enforcement, industry, advocacy groups, and members of the public, with votes generally favoring the measures.

Transcript Highlights:

• And that's what they're training out of Covenant.
• And the thing we see is that if we could pay the physician...
• Navy instructor trained me in aeromedical rescue.
• This summer, I am leading that same training.
• They participate in the training that is critical to building the next generation of our Texas physicians

Bills: SB500, SB719, SB912, SB1232, SB1467, SB1777, SB1864, SB2023, SB2119, SB2458

Keywords: SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction

Summary: The committee first took up several pending bills and reported them favorably: SB 968, SB 636 as substituted, SB 1137, and SB 1138 as substituted. Each was advanced by roll call vote, and the committee also recommended the approved bills for the local and uncontested calendar. The chair then moved to the posted agenda and heard SB 719, a mental health bed-capacity study bill by Senator Eckhart, with a committee substitute that refined the data collection to distinguish state and non-state beds, child and adult beds, include two point-in-time counts, and capture jail diversion data. Testimony on SB 719 was largely supportive from Integral Care, NAMI Texas, and the Children’s Hospital Association of Texas, all of whom said Texas needs better data on inpatient psychiatric capacity, workforce needs, and future demand. Several witnesses described long waits for beds, especially for forensic restoration, and argued the study would help target future investments. Senator Perry and others noted the state has already made major investments in new beds and urged the bill to account for beds already coming online; the committee ultimately withdrew the substitute and left SB 719 pending after public testimony closed. The committee then heard SB 1864, which would allow small egg producers to sell ungraded eggs more broadly, including to restaurants and retailers, with the substitute increasing the weekly sales threshold and addressing sanitation and labeling. Supporters said grading is about size, not safety, and that the bill would help small farms reach new markets; opponents from the Texas Poultry Federation argued grading and candling help identify cracks and defects that can affect safety and quality. The committee adopted the substitute and left the bill pending. It also heard SB 1467, requiring DSHS to share death record information with hospitals for record accuracy and quality review, and SB 912, which would modernize continuing education tracking for health licensing agencies; both bills drew supportive testimony and were left pending. Finally, the committee heard SB 2023, which would create an HHSC grant program to help counties pay for indigent burial costs, with county representatives testifying in support.

Transcript Highlights:

• internationally internationally recognized<01:29:05.679> educator,<01:29:06.880> former
• You guys put a moratorium in place on new teacher training programs.
• You're relying on the DOE, right, to do the training, to study for the practice.
• So Senate Bill 2549. training programs. You're relying on the training programs.
• <01:37:54.080> to doing some type of pathway training to doing some type of pathway training

Bills: SB2613, SB2147

Keywords: public school land transfer, Department of Education, DOE, land conveyance, fee simple title, tax map key, TMK, Act 307, Session Laws of Hawaii 2022, Act 139, Board of Land and Natural Resources, BLNR, Department of Land and Natural Resources, DLNR, Kauai, Maui, Honolulu, Kaimuki Middle School, Wilcox Elementary School, school property

Summary: The committee heard SB 2613, a cleanup bill relating to public school land transfers under Act 307 (2022), which revises tax map key references and the conveyance process for properties transferred to the Department of Education. The Hawaii State Public Library System supported the measure, saying it would complete the long-unfinished separation of the library system from DOE property control and make future building projects more efficient and cost-effective. DOE also supported the bill and requested an amendment to remove TMK 43-62 parcel 10, the Wilcox Elementary School parcel, so that it could instead be transferred to the county for use with the adjacent park and tennis courts. Members focused heavily on why land transfers and construction approvals have been slow, especially the need for right-of-entry documents and an MOA for a library construction project. Library and DOE witnesses said the delays stemmed from site-control issues and confusion over property status, and that the bill would clarify which parcels are transferred by operation of law and remove the need for additional transactional documents in many cases. Several members questioned whether the bill actually changes authority or simply clarifies existing practice, and DOE said it wanted legislative clarity so the transfers are unmistakably effective on a date certain. The committee also discussed a separate section of the bill dealing with public use of school facilities after hours, including parking fees on property under DOE jurisdiction. DOE explained that any parking charges would apply only to property it controls, not county roads, and that fees are set through existing facility-use procedures. Members raised concerns about the pace of land transfers generally and urged DOE to move more expeditiously on pending parcels. The hearing then moved on to SB 2147, which would designate the first Friday in February as Love My Library Day; the library system testified in support as the committee began that measure.

Transcript Highlights:

• Relating to physician continuing education requirements, to provide a statement of legislative intent
• So you can see how that growth chart is kind of a runaway train.
• But we do have physicians who have nothing to do with it.
• But we do have physicians who have nothing to do with rural areas.
• And I think the idea is to promote physicians across the board in all areas, using... ...promote physicians

Keywords: 908, all

Summary: The Joint Policy Committee met to hear an overview of North Dakota’s Rural Health Transformation Program before taking up the related policy bills. Department of Health and Human Services staff explained that the state received a $198.9 million CMS award, with funding focused on four pillars: strengthening rural workforce, bringing care closer to home, connecting technology and data, and improving population health through prevention. They emphasized that the program is intended to benefit rural and frontier residents statewide, including areas near urban centers when the project serves rural patients, and that CMS approval, provider readiness, and sustainability will drive what can be funded. Committee members asked about how the program would treat border communities, frontier counties, urban providers serving rural patients, multilingual outreach, tribal consultation, and whether there would be information sessions for applicants. HHS said the website will include sign-up and translation features, more listening sessions and training will be offered, and a rural health tribal liaison will work alongside the existing Medicaid tribal liaison. Members also raised concerns about reimbursement timing, cash flow for providers, and whether projects in urban areas could qualify; HHS responded that urban projects may be eligible if they clearly benefit rural residents. The department then outlined the four policy bills tied to the grant scoring: nutrition continuing medical education for physicians, the presidential fitness test, the physician assistant compact, and pharmacist scope of practice. HHS said these policy actions were incentivized in the federal funding opportunity and that failure to pass them could reduce future funding. The committee did not take final action on the bills in this portion of the transcript and recessed for lunch before moving on.

Transcript Highlights:

• IT REQUIRES ALL EMERGENCY DEPARTMENTS TO DESIGNATE A PHYSICIAN, NURSE, PARAMEDIC OR PHYSICIAN ASSISTANT
• ALTHOUGH THEY ALREADY GIVE SPECIFIC MEDICATIONS UNDER THE DIRECTION OF A PHYSICIAN OR NURSE PRACTITIONER
• AND I FULLY SUPPORT MORE EDUCATION AND MORE TRAINING AND MORE DILIGENCE FOR MEDICAL PROVIDERS.
• TO PHYSICIAN AND PROS AND CONS OF TREATMENT OPTIONS HAVE TO BE WEIGHED.
• OR A 22 YEAR OLD WHO HAD IN SERVICE TRAINING.

Keywords: 999, senate, all

Transcript Highlights:

• I'm a physician. I practice in San Antonio.
• I think at the heart of the issue is the amount of training.
• And neither are you trained in... pharmacology?
• a little hesitant if that particular training is not involved.
• Physician assistants can prescribe these drugs.

Bills: SB2024, SB227, SB268, SB1467, SB1580, HB5537, SB1313, SB1677, SB918, SB331, SB2207, SB2721

Keywords: e-cigarettes, marketing prohibition, youth protection, criminal penalties, public health, school funding, education reform, state budget, property taxes, equity in education, health care, licensing, complaint procedure, disciplinary action, law enforcement, death records, vital statistics, healthcare, trauma facility, Medicaid

Transcript Highlights:

• The EMF Medical Conference is here now to train doctors.
• And unfortunately, so many in our medical community, our primary physicians, do not as well.
• And unfortunately, so many in our medical community, our primary physicians, do not as well.
• I've also been a primary care physician.
• It found that community pharmacists working collaboratively with remote physicians could be trained to

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hearing focused on children’s health, disease prevention, screening, treatment, and pharmacy-related bills. The chair explained that the session was for public testimony only, with no votes or decisions taken that day, and outlined the three-minute limit for individual testimony. The committee then heard testimony on a range of bills, including H. 2413 on adding electromagnetic sensitivity to the state’s MAVEN registry, S. 1508 and H. 2433 on creating an amputation prevention task force, H. 2535 and S. 1551 on establishing a naloxone purchase trust fund, S. 1635 on authorizing pharmacists to provide opioid use disorder treatment, H. 2385 on creating a special commission on avian influenza, and S. 1497 on patient safety and non-FDA-approved compounded drugs. Testimony on H. 2413 came largely from advocates and individuals who described electromagnetic sensitivity as a real health condition and argued that adding it to the registry would improve data collection, provider education, and public awareness. Testimony on the amputation prevention task force bills came from the American Diabetes Association and podiatry groups, who said diabetes-related amputations are often preventable, disproportionately affect people of color, and could be reduced through earlier screening, better care coordination, and improved insurance coverage for preventive foot care. On the naloxone trust fund bills, a representative, emergency physician, and nurse testified that hospitals often cannot reliably send overdose patients home with naloxone because of billing and reimbursement barriers, and that a bulk-purchase fund would expand access at no added cost to payers or providers. The committee also heard strong support for S. 1635 from pharmacists and public health researchers, who said community pharmacists could safely initiate and maintain buprenorphine treatment and help close gaps in opioid use disorder care. On H. 2385, a local board of health chair supported a special commission on avian influenza, citing gaps in emergency preparedness and the need for clearer coordination across agencies. On S. 1497, a pharmacy representative opposed restrictions on compounded drugs from outsourcing facilities, warning that changes could reduce access to life-saving medications and harm patient safety. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• I think, you know, that might come down to where a physician is being—we get a complaint about a physician
• I think, you know, that might come down to where a physician is being, we get a complaint about a physician
• Physicians are protocol-driven, AI-driven.
• They said, ‘You family physicians aren’t even needed anymore.
• over years as an Army physician, as a physician serving poor people in rural Montana, as a physician

Summary: The committee first considered the confirmation of Dr. John Lattell to the Board of Medicine. In questioning, senators focused heavily on his views about abortion, vaccines, ivermectin, and the role of CDC/FDA guidance in board discipline cases. Dr. Lattell said the board applies Florida statutes and works through probable cause panels and legal counsel, but he also expressed strong pro-life views, skepticism of federal health guidance, and criticism of vaccines and some medical practices. Supporters praised his long medical career, military service, and family medicine background, while opponents argued his views could prevent him from being objective in disciplinary matters. The committee voted to recommend him for confirmation to the full Senate, with Senators Polsky and Ruson voting no. The committee then took up the confirmation of Taylor Hatch as Secretary of the Department of Children and Families. Hatch described her background in state human services and outlined priorities centered on accountability, data, lived experience, and improving service delivery. Senators asked about SNAP error rates, Hope Florida, legislative analyses, staffing, and the department’s handling of child welfare and medically complex cases. Hatch said the department was reducing SNAP error rates, that Hope Florida uses navigators to connect people with community resources and self-sufficiency supports, and that DCF is working with the Department of Health and other partners to improve investigations and accountability in child welfare. She also said the agency is reviewing medically complex cases and strengthening oversight of community-based care providers through contracts, audits, and proposed funding-model changes. A substantial portion of the Hatch discussion centered on whether the department had been responsive to legislative requests and whether it had provided timely bill analyses. Senators also pressed her on Hope Florida staffing, the number of participants served, and the Hope Florida Foundation’s compliance and legal oversight. Hatch said the foundation is undergoing a financial audit and that the department is relying on required reports and ongoing investigations. The transcript ends amid continued questioning about a community-based care contractor’s finances, related-party transactions, and whether further forensic audits or repayments are needed.

Transcript Highlights:

• To a Transportation Safety Trust Fund used for training and technology to enforce these provisions.
• Licensed physicians and nurses must complete a one-time... ...health care professionals.
• Chair, there are a list of other trainings that already happen to enhance these trainings, and thanks
• But about 65, we have a physician. So it varies.
• But about 65, we have a physician here in the House, about 65 years of age, I believe, is the average

Summary: The Fiscal Policy Committee met and first adopted a late-filed amendment to SB 774, which expands enhanced workers’ compensation coverage to 911 public safety telecommunicators for mental or nervous injuries. The bill drew supportive testimony from a Palm Beach County Sheriff’s Office dispatcher and others, and was reported favorably. The committee also reported favorably SB 770 on forensic services for certain defendants, which would allow the Agency for Persons with Disabilities to consolidate secure forensic services for individuals with intellectual disabilities or autism whose charges were dismissed after incompetency findings. Members then considered several public safety, family, and workforce bills. CS/SB 86, which declares unauthorized aliens operating commercial vehicles an imminent safety hazard and imposes vehicle impoundment and a $50,000 penalty on motor carriers, was reported favorably after questions about impound procedures and cargo handling; one speaker opposed it. SB 1594, protecting veterans’ benefits for foster youth so the funds are reserved for postsecondary education, training, and after-care services, was reported favorably with supportive testimony from a former DCF attorney. CS/SB 760, creating a new offense for willful violations of no-contact pretrial release conditions in violent crime cases, was reported favorably despite criminal defense attorneys’ concerns about a provision allowing warrantless arrests without officer observation. The committee also approved a complete rewrite of the nonprofit corporations chapter in SB 554, a sickle cell continuing education bill (SB 844) after extensive emotional testimony from patients, advocates, and family members, and SB 1022 adding two children’s initiative programs in Bay County and Broward County. CS/SB 1246 broadened the Linking Industry to Nursing Education Fund to include health science education programs and related workforce needs and was reported favorably. Finally, the committee approved CS/CS/SB 1230 restricting use and sale of certain firefighting foam containing intentionally added PFAS, and CS/CS/SB 128 directing DEP to mark Red Harris Spoil Island; both passed with favorable votes. Several senators later asked to be recorded as voting in the affirmative on specific tabs, and the meeting adjourned without further business.

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
• 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 minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• Another impact of this is the training of x-ray technicians.
• <00:30:40.200> of<00:30:40.320> X-ray training of X-ray training of X-ray technicians<00
• They have to go through a certain amount of in-house training in the practice.
• They have to go through a certain amount of in-house training in the practice.
• They have to go through a certain amount of in-house training in the practice.

Keywords: Call to Order 00:00 Roll Call 00:05 HB 566 Discussion 01:34 HB 566 Vote 16:42 HB 39 Discussion 19:15 HB 39 Vote 23:10 HB 70 Discussion 24:48 HB 70 Vote 27:36 HB 72 Discussion 28:58 HB 72 Vote 39:45 HB 79 Discussion 41:45 HB 79 Vote 42:58 HB 223 Discussion 45:34 HB 223 Vote 46:24 Adjournment 47:38, 958, all

Summary: The committee first took up House Bill 566, which would implement the Kentucky Horse Racing and Gaming Corporation created last year. Chairman Cook described major provisions affecting charitable gaming, horse racing, sports wagering, and quarter horse racing, including locking charitable gaming fees in statute at a slightly lower rate, expanding charitable gaming board representation, preserving existing gaming technology, allowing school districts to hold charitable gaming licenses, and setting up self-funding for the new corporation through administrative set-asides from gaming-related funds. The bill also addresses uncashed vouchers, cross-training of investigators, ethics and employment provisions, and a three-year quarter horse breeding incentive intended to grow the industry. A committee substitute made two technical changes: clarifying voucher money stays with the track facility and making the school district itself the license holder. The substitute and then the bill both passed favorably, with several members noting concerns from last year but supporting the revised structure. The committee then heard House Bill 70, an interstate compact for dietitians. Sponsor Representative Vanessa Grossl and witnesses said the measure would allow reciprocity with other compact states, improve workforce mobility, help military families, expand patient access and telehealth, and reduce administrative burden on the licensing board. The committee substitute created a third license category for educational interpreters, but that language actually belonged to the next bill; for HB 70, the committee voted the bill favorably without reported amendments. The bill passed unanimously or near-unanimously and was sent to the House floor. Next, House Bill 72 was presented by Representative DJ Johnson to amend the law governing limited x-ray machine operators. The sponsor explained that current law effectively prevents limited x-ray operators from working in the same facility as other imaging equipment, which he said creates compliance problems, disrupts training, and can force practices to move equipment or lose employees. The bill would allow limited x-ray technicians to operate in the same facility as other imaging equipment. During discussion, some members noted opposition from students and others in the field, and the sponsor invited industry witnesses to explain their concerns. The transcript cuts off before final action on HB 72 is completed.

Transcript Highlights:

• She is the founder of a physician-owned, she's a U.S. Navy veteran, Pretty well.
• She is the founder of a physician-owned, she's a U.S.
• the Arizona Medical Association's private practice physician section governing council.
• SB 1021, chiropractic board complaints training authority.
• SB 1150, family court judicial training. SB 1151, homeowners associations open meetings.

Keywords: 1182, all

Summary: The Senate convened with prayer and the Pledge of Allegiance, recorded attendance, approved the journal, and welcomed several guests, including the Doctor of the Day, Dr. Tammy Penhollow, as well as visitors from Republic Services, Copper Valley Energy, and a young guest shadowing Senator Bolick. The President also announced deadline extensions for opening Senate folders and bill introduction preparation, and the chamber received communications from the Governor without reading them aloud. The main floor business was the reading and reference of a large number of Senate bills and resolutions to committees, covering topics such as education, taxation, water and natural resources, health care, behavioral health, public safety, elections, family law, immigration, transportation, and appropriations. The Senate also completed second reading of another extensive set of bills on issues including concealed weapons, nicotine products, rental housing, mental health, behavioral health, radiation protection, school safety, family courts, elections, and various appropriations and regulatory measures. No bills were debated or voted on during this transcript. Standing committee reports were waived from reading, and committee announcements were made for upcoming meetings of Government, Health and Human Services, Regulatory Affairs and Government Efficiency, Education, Judiciary and Elections, and Public Safety. The Senate then adjourned until Wednesday, January 21, 2026, at 1:15 p.m.

Transcript Highlights:

• And you understand, similar to how a gynecologist, that special relationship you have with your physician
• as a woman, in HIV care, ...that special relationship you have with your physician as a woman, in HIV
• care, you build a very sacred relationship with your physician.
• And it requires the EDs to conduct training on policies and procedures for staff to understand how to
• And it requires emergency departments to designate a physician, nurse, or paramedic as the lead person

Bills: S0068, S0096, S0340, S0428, S0606, S1480, S7018

Keywords: pediatric care, emergency departments, hospital regulations, patient safety, health care standards, veterans, dental care, healthcare, grant program, income assistance, human trafficking, nurse licensure, registered nurse, RN, licensed practical nurse, LPN, Florida Board of Nursing, Department of Health, licensure by examination, nursing education

Summary: The Appropriations Committee on Health and Human Services heard public comment first on the AIDS Drug Assistance Program and the iBudget waiver. Testimony on the HIV program warned that proposed Department of Health changes could disrupt care for thousands of clients, create confusion, and force people off life-saving medications; a senator suggested affected clients explore medically needy and FQHC/340B options. Testimony on iBudget urged support for a roughly 7% rate adjustment for direct support professionals, citing rising costs and the need to sustain the developmental disabilities workforce. The committee then considered several bills. SB 428 expanded Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7 and was reported favorably. SB 68 required hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligning reporting dates with the House was adopted, and the bill was reported favorably. SB 1718 lengthened the time an adult may stay in an out-of-home placement before being treated as a visitor, reduced background screening burdens for foster families, made the Step Into Success program permanent, and created a best-practices program; it was also reported favorably. The committee next approved SB 606, which adds drowning-prevention and safe-bathing education to postpartum materials and requires related compliance records, and SB 96, which expands the Veterans Dental Care Grant Program to veterans up to 400% of the federal poverty level; an amendment removed the bill’s specific $500,000 appropriation so funding can be handled in the budget process. SB 340 required nursing education to include a two-hour human trafficking course before licensure, and SB 1480 created a grandfathering process for certain area-of-critical-need health care providers if federal designations change, both of which were reported favorably. The committee adjourned after all bills passed their roll calls.

Transcript Highlights:

• It simply puts in, like you see on page one, the board shall require physicians to complete a minimum
• get this training.
• I think they have to renew their training every two years. Our physicians get this training.
• I think they have to renew their training every two years, is what we heard in committee.
• You can't always walk into the clinic and see the physician, so this will be a good partnership that

Bills: SB2401, SB2402, SB2403, SB2404

Keywords: SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine

Summary: The Senate convened with prayer, the Pledge of Allegiance, and a quorum present. It adopted the procedural employment committee report naming Senate staff for the special session. The chamber then took up several health-care and appropriations measures, first adopting amendments to Senate Bills 2401, 2402, and 2403 before moving them to final passage. Senate Bill 2401 passed 44-2 and requires physicians to complete at least one hour of continuing education in nutrition and metabolic health, part of a broader rural health care package. Senate Bill 2402 passed 46-0 after major amendments negotiated between the medical and pharmacy boards; as amended, it expands pharmacists’ prescriptive authority and therapeutic substitution in limited areas while excluding categories such as antidepressants, antipsychotics, chemotherapy agents, Schedule II drugs, biological products, and narrow therapeutic index drugs. Supporters said it would improve rural access and help secure rural health transformation funding, while questions focused on how pharmacist competence would be measured and enforced. Senate Bill 2403, also passed 46-0, creates a short-term medical facility emergency operating loan program through the Bank of North Dakota, reduced by amendment from $10 million to $5 million, to help a financially distressed rural hospital. Senators discussed the hospital’s mismanagement, the need for a bridge loan, and safeguards including a limited application window and expiration in 2027. Senate Bill 2404 passed 46-0 and provides supplemental appropriations to the Information Technology Department for ADA-related website accessibility compliance and to the Public Service Commission for additional legal costs in federal energy-rate litigation. The Senate then made announcements about a Highway Patrol safety presentation and filing deadlines, excused an absent member, and adjourned until the next morning.