Transcript Highlights:

• sexual trauma has impacted women veterans in such a way that PTSD now disproportionately impacts female
• PTSD now such a way that PTSD now disproportionately<01:32:12.239> impacts<01:32:12.679> female
• disproportionately impacts female disproportionately impacts female veterans<01:32:13.520> compared

Keywords: 1187, senate, all

Transcript Highlights:

• Among 11th grade female students, the numbers are even worse: 45% report struggling with mental health
• 09.840> grade mental health problems among 11th grade mental health problems among 11th grade female
• 11.240> the<00:08:11.360> numbers<00:08:11.720> are<00:08:12.000> even female
• students the numbers are even female students the numbers are even worse worse worse 45%<00:08:15.080

Keywords: 1187, senate, all

Transcript Highlights:

• The veterans home at Holyoke is proud of its diverse workforce, with 71% female employees, 37% minority
• Sorry, I got it... that is female? And 10 point—so 10.8 of the 8,181 is female? Yes. Okay.

Keywords: 995, all

Summary: The hearing was a FY27 budget session on Health and Human Services held in Mattapan, hosted by the Joint Committee on Ways and Means. Opening remarks from Senator Lydia Edwards, Representative Brandy Fluker-Reed, Representative Russell Holmes, and Boston Public Library President David Leonard emphasized the significance of holding the first Ways and Means hearing in Mattapan, the importance of community access, and the role of libraries as human services institutions. Committee members and attendees introduced themselves before agency testimony began. MassAbility testified first, describing its mission to support people with disabilities through employment, independent living, and disability determination services. The agency highlighted federal funding uncertainty, a modest FY27 budget reduction, and a proposed reworking of its home care program, which it said is outdated and should better target those most in need. Members questioned the home care cut, staffing reductions, and federal coordination. MassAbility also shared a participant story about recovery and community support to illustrate the impact of its services. The Massachusetts Commission for the Deaf and Hard of Hearing then presented its FY27 request, focusing on interpreter and captioning access, workforce development, emergency communication, aging-related hearing loss, and transition services for deaf and hard-of-hearing youth. Members asked about interpreter shortages, after-hours emergency coverage, ASL education, and community training; the commission said it is expanding mentorship and referral systems but still faces staffing and vendor challenges. The Massachusetts Commission for the Blind followed with a $30.8 million request, describing services for nearly 9,000 consumers, peer support groups, vocational rehabilitation, and Turning 22 services, while noting federal funding uncertainty and a 7% budget cut. Members raised concerns about maintaining services with fewer resources, and the commissioner said the agency had trimmed overhead and could manage the proposal. The Office for Refugees and Immigrants closed the segment, outlining expanded legal, housing, workforce, citizenship, and financial literacy supports for immigrants and refugees, including Know Your Rights trainings, legal defense initiatives, and the Massachusetts Access to Counsel Initiative. Members discussed the effects of federal policy changes, the loss of refugee resettlement funding, and the need for state support to fill gaps. No votes were taken in the portion provided; the hearing consisted of agency presentations and committee questioning.

Transcript Highlights:

• percentage, but then looking just below that at our gender mix, oftentimes colleges are a bit more female
• percentage, but then looking just below that at our gender mix, oftentimes colleges are a bit more female
• this fall, we opened 55 brand new beds on campus in Health Sciences Hall, the new home to an all-female

Keywords: 908, all

Summary: The committee first reviewed the 2024-25 tuition waiver report for the North Dakota University System. Staff explained that waivers were reported for degree-seeking students and broken out by residency, institution, and waiver type. Members asked about partial versus full waivers, institutional discretion, athletic waivers, and whether campuses have published guardrails or transparency requirements. Staff said most waivers are set by institutions, with some statutory and board-required categories, and that athletic waivers are a small share of total waiver dollars. The report showed total gross tuition of $354.5 million, tuition waived of $38.9 million, and 11,193 of 42,040 students receiving some waiver. Members also discussed how waivers affect net tuition revenue, housing and food collections, and whether campuses are using waivers strategically compared with scholarships and other funding sources. The committee then heard a presentation on tuition rates by campus and State Board policy. Staff explained the board’s tuition factors for resident, Minnesota reciprocity, contiguous-state/U.S. nonresident, and international students, and noted that campuses often seek exceptions based on program-specific competition and enrollment goals. Members asked whether rates are based on cost or competition, and staff said campuses typically bring forward estimates and market comparisons when requesting special rates. The presentation also reviewed general fund appropriations versus net tuition revenue by campus, and members discussed how local tuition decisions and waivers do not directly affect the state funding formula, though they do affect institutional revenue and reserves. Questions were also raised about the Higher Learning Commission’s financial composite indicator and how it differs from the more intuitive reserve and revenue figures. The committee next received a broad overview of non-higher-education entities affiliated with the State Board of Higher Education, beginning with NDSU agriculture-related units. Dr. Greg Lardy described the State Board of Agricultural Research and Education, the NDSU Extension Service, the Agricultural Experiment Station, and the branch research centers, emphasizing their statewide role in crop and livestock research, extension education, and county-based outreach. He outlined funding mixes for extension, the experiment station, and branch stations, noting that grants and contracts support both research and education, while the agronomy seed farm is self-funded through seed sales. Members asked about the new and vacant FTE pool, R1 research status, matching requirements for grants, and whether state appropriations count toward research expenditures. Dr. Lardy also highlighted major research impacts, including crop varieties, virtual fencing, AI-assisted weed control, and NDAWN weather data. The Northern Crops Institute and the Upper Great Plains Transportation Institute also presented. NCI described its role in market development, technical services, and education for regional agriculture, its governance through the Northern Crops Council, and its funding from state appropriations, other states, and earned revenue. Members asked about the source of out-of-state funding, intellectual property, and the institute’s international reach. UGPTI then outlined its transportation research, federal and state funding structure, and work on road and bridge condition assessments, travel demand modeling, and workforce training. No votes were taken during the portion of the meeting reflected in the transcript.

Transcript Highlights:

• When I asked to use the bathroom, the female transporter followed me into the stall.

Summary: The Assembly Communications and Conveyance Committee met with several bills on the agenda, beginning with SB 739 (Arreguín) on the Clean Miles Standard and Incentive Program for transportation network companies. The author and supporters from Lyft, Uber, and TechNet said the bill would update EV miles traveled and greenhouse gas targets to reflect current market conditions, add flexibility for CARB and the CPUC, and protect drivers from losing platform access while also creating a path for future electrification. Opponents including the American Lung Association, Sierra Club California, and NRDC argued the bill would weaken a program meant to accelerate EV adoption and should retain stronger targets. Members discussed affordability, charging infrastructure, and the need to balance climate goals with feasibility. The committee approved SB 739 as amended and re-referred it to Appropriations, later recording a 9-0 vote when the roll was completed. The committee then heard SB 1190 (Grove), the “Safe Passage for Youth Act,” which would regulate private youth transport services used for out-of-state residential placements. The author and sponsor testimony described abusive practices such as nighttime pickups, blindfolds, restraints, and emotional trauma, and said the bill would require CPUC permitting, TrustLine background checks, training, parental consent, and bans on certain practices. Support came from youth and disability advocates, with no opposition testimony. The bill was moved on a due pass as amended recommendation and later passed 9-0. SB 1191 (Ochoa Bogh) would extend the sunset for California High Cost Fund A and B universal service programs that help provide affordable telephone service in rural and high-cost areas. Supporters from rural telecom companies and industry groups said the funds are essential for maintaining service, 911 access, and emergency communications in remote communities. There was no opposition, and the committee advanced the bill on a due pass recommendation; it later passed 9-0. The consent item, SB 985 (Strickland) on the 911 emergency system, was also approved. Finally, the committee heard SB 1246 (Cortese) on autonomous vehicles and emergency response. The author and supporters from SEIU California and the California Professional Firefighters said the bill would require AV companies to provide incident response, notify local jurisdictions during system failures, ensure U.S.-based remote drivers, and prevent public safety workers from having to manage AV breakdowns. Industry opponents argued the bill intrudes on federal vehicle standards, gives local governments enforcement authority they should not have, and could create overly broad notification and response requirements. Members raised questions about local control, response times, and whether the bill was premature given existing DMV regulations. Despite those concerns, the committee passed SB 1246 on a due pass as amended recommendation, later recording a 7-1 vote. The committee then recessed and returned to complete roll calls before adjourning.

Transcript Highlights:

• In one instance, a female attorney had a visitor at her home.

Keywords: 995, all

Summary: The Joint Committee on Public Service heard testimony on a wide range of retirement classification and benefit bills affecting municipal and state employees. Much of the hearing focused on proposals to move various workers from Group 1 to Group 2 or Group 4, including municipal building officials (H. 2776), MassDOT highway workers (H. 2908/Sousa’s Law), DCF attorneys (H. 2771), probation officers, licensed electricians, drinking water operators (H. 3000/S. 1834), MWRA non-clerical workers (S. 1803), transitional parole officers (H. 2878), Plymouth BCI criminal investigator officers (H. 2975/S. 1863), Beverly fire alarm operators/public safety telecommunicators (S. 1876), Massport pipefitters and refrigeration technicians (H. 2788/S. 1829), and other public safety or hazardous-duty classifications. Witnesses generally argued that their work is physically dangerous, understaffed, or comparable to already higher-classified employees, and several said the changes would help recruitment and retention with little fiscal impact because the affected groups are small. The committee also heard testimony on H. 4508, a home rule petition to grant a disability pension to Boston principal Patricia Lampron. Supporters, including Representative Dan Hunt, Boston city councilors, and Lampron herself, described a severe 2021 assault at the Henderson Inclusion School that left her with lasting physical and psychological injuries and forced her into early retirement. They urged the committee to advance the bill quickly. One witness, Pamela McLaughlin, testified in opposition, arguing the bill would set the wrong precedent and describing alleged prior misconduct by Lampron, and asked that the bill be sent to study. Several witnesses and committee members asked brief questions, mainly about the scope of the bills, whether certain workers were already in higher groups, and the fiscal or precedent concerns. No votes were taken during the hearing. At the end, the chairs announced that testimony was complete, asked whether anyone else wished to speak, and then the committee voted to adjourn.

Transcript Highlights:

• We had about 30 percent male and about 70 percent female, and the age range with the largest participation

Summary: The subcommittee received a brief DHS update on the Living Choices Assisted Living Waiver reimbursement rate process, with Secretary Janet Mann reporting that the new cost reporting period began in January and that DHS has begun provider and contractor conference calls as the process moves forward. The bulk of the meeting focused on DHS’s overview of TANF and, especially, SNAP changes under the federal One Big Beautiful Bill. Mary Franklin explained new SNAP work requirements for adults ages 18 to 64 who are not otherwise exempt, including the three-month time limit in a 36-month period unless they meet an 80-hour monthly work, volunteer, education, or training requirement. She also reviewed exemptions, noted that some prior exemptions were removed while new tribal-related exemptions were added, and described SNAP Employment and Training providers, budgets, service areas, participant characteristics, and outcomes. Members asked about how mandatory referrals will work, whether funding and vendors are sufficient, how cross-program participation is tracked, how verification and recertification will be handled, and how error rates and sanctions will be managed. DHS said mandatory participants will be referred directly to providers, verification will occur at application and recertification, interviews can be by phone, and the department will return with more information on error-rate mitigation and other requested data. DHS then outlined upcoming Medicaid community engagement requirements for the ARHOME population under the same federal law, which must be implemented by January 1, 2027. The department said it is preparing policy, system changes, data matching, communications, and an outbound customer-service verification process, with a soft launch planned for July to help identify who would meet the requirement or need to provide more information. Members raised concerns about notice, local versus centralized decision-making, and how clients will document work, school, caregiving, or medical exemptions. The meeting concluded with broader discussion of the Alliance for Opportunity audit and a shared emphasis on using SNAP, Medicaid, TANF, and workforce programs together to improve outcomes, expand training options, and better connect Arkansans to education and employment opportunities. The committee also discussed extending the audit contract at a future meeting and adjourned without taking any formal vote in the transcript provided.

Transcript Highlights:

• ON FEMA AND I'M JUST WONDERING IS THERE ANYTHING DOWN THE ROAD WE CAN LOOK TO TO PERHAPS SPEED UP FEMALE

Transcript Highlights:

• the program, but when we would go out into the field and after concluding an assault, we would have female

Keywords: defense industrial base, small business, workforce development, acquisition processes, national security, cybersecurity, critical minerals

Summary: The meeting of the committee revolved around critical discussions on enhancing the defense industrial base, focusing on small business engagement and the importance of streamlined processes in defense contracting. There was a significant emphasis on the need for more investment in the defense manufacturing sector, particularly in the face of competition from countries like China. Some members expressed frustration over the treatment of small businesses, citing barriers that prevent these innovative companies from effectively participating in defense contracts. The need for a workforce capable of meeting the common challenges posed by evolving technologies and geopolitical threats was also highlighted throughout the meeting.

Transcript Highlights:

• Grizzly bear numbers for ratios between males and females have met numbers.

Keywords: presidential nominations, EPA, environmental policy, Fish and Wildlife, committee meeting

Summary: The committee meeting focused on the presidential nominations of Brigadier General Brian Nesvick as Director of Fish and Wildlife and Jess Kramer and Sean Donahue as assistant administrators at the EPA. Each nominee presented their qualifications and experiences in their respective fields, with an emphasis on their commitment to uphold the laws passed by Congress. The discussion highlighted the nominees' dedication to addressing environmental issues and their proactive stances on regulatory matters. After deliberation, votes were held to report the nominations favorably, despite some members voicing concerns regarding their qualifications and potential conflicts with environmental interests.

Transcript Highlights:

• University has just started a new program for aviation specifically on the pilot side, but there are female-focused

Summary: The Senate Finance Committee heard several tax and economic development bills. SB 935 would exempt counties from the motor fuels tax on fuel used exclusively in county vehicles; Sen. Hall and Cass County Judge Travis Ransom argued it would save counties money without changing fund allocations, and the bill was left pending while the committee waited for the House version. SB 2206 would extend and revise Texas’s research and development incentives by tying the franchise tax credit more closely to federal law and changing the program’s effective date; supporters from business, manufacturing, and tax policy groups said it would protect innovation jobs and help startups, while the Comptroller’s office explained the fiscal note and said the committee substitute was no longer needed. The committee later withdrew the substitute and left the bill pending before ultimately voting it out favorably. The committee also heard SB 2020, which would repeal the “rehab tax” on nonresidential remodeling. Sen. Campbell said a large fiscal note led him to delay a full presentation, but builders, architects, and contractors testified that the tax raises remodeling costs, complicates audits, and discourages reuse and reinvestment in existing buildings. The bill was left pending. SB 2018 would create a two-year “strong families” tax credit for businesses donating to nonprofits that provide family support services; supporters from Family First, Buckner International, and Texas Baptist said it would strengthen families, father engagement, and upstream prevention, while the author said the Comptroller and HHSC were still working on administration details. That bill was also left pending. After a quorum was established, the committee heard and later reported several bills favorably. SB 1030 would exempt certain aircraft maintenance, repair, and overhaul parts from sales tax for general aviation; industry, airport, and local economic development witnesses said it would keep high-wage aviation work in Texas and improve competitiveness with neighboring states, and the bill was reported favorably. SB 214 would create a temporary sales tax holiday for qualifying residential HVAC systems; it was laid out and left pending. SB 1901 would make administrative and ethics changes to the Opioid Abatement Fund Council, including staggered terms, conflict rules, and fund reallocation procedures; it was reported favorably. SB 266 would repeal the Texas Research Incentive Program and use the appropriation to address the existing backlog of unmatched donations; the chair and Sen. Paxton said the state should honor past commitments, and the committee substitute was adopted and the bill was reported favorably. The committee then recessed subject to the call of the chair.

Transcript Highlights:

• committee report reflect potential concerns on Title 9 issues relating to participation rates by male and female

Keywords: 912, senate, all

Summary: The committee took up a long decision-making agenda and repeatedly recommended passage of measures, most either unamended or with technical or date-deferral amendments. Early items included HB 496, which was passed with amendments deferring the effective date to 2050, and HB 700, which was passed with amendments incorporating Alzheimer’s Association language on dementia data collection, standardized cognitive assessments, Medicare Part C, and related definitions. Other bills addressed insurance, health care preceptors, workers’ compensation, labeling, rural emergency hospitals, and numerous budget or policy measures later in the agenda. Several bills received substantive amendment packages. HB 250 was amended to add an objective on treatments for common chronic or long-term conditions and to clarify that automating determinations is intended to reduce delays in patient care. HB 303 adopted Hawaii Pharmacist Association language clarifying the definition of a nationally accredited pharmacy residency program. HB 1179 was amended to adopt Department of Human Services language relating to Med-QUEST. Later, HB 1293 added a $250,000 cap, a $20 million general-fund appropriation for Department of Education food services, and procurement-reporting language; HB 1153 authorized transfers of various non-general-fund accounts to the general fund and added a blank appropriation for the governor’s office; and HB 1168 added a proviso to a revenue bond appropriation to help in-state residents with demonstrated financial need offset room-and-board increases. The most notable debate was on HB 1308, a sports wagering bill. Members discussed regulatory structure, youth sports restrictions, tax and fee provisions, and gambling-prevention funding. Several members opposed the bill, citing family impacts, gambling addiction concerns, and the possibility that regulatory and social costs would outweigh revenues; others supported it with reservations. The motion to pass with amendments was adopted, with recorded no votes and reservations. Across the agenda, most remaining bills were adopted with little or no discussion, including many measures passed unamended and several with deferred effective dates or committee-report notes reflecting testimony or appropriation requests.

Transcript Highlights:

• For many Americans, that message is that we are created male and female.

Bills: SB211, HB96, SB215, SB257, SB13, SB13

Keywords: school safety, local law enforcement, superintendent, complaints, school bus regulations, National Signing Day, athletic scholarships, military enlistment, postsecondary education, apprenticeship programs, high school students, educational commitments, education intervention, State Superintendent, local boards, provisional release, subpoena authority, compliance, educational operation control, fundraising

Transcript Highlights:

• The 61-year-old, thyroid disorder, 21-year-old. one-year-old female, vitamin B12 deficiency.

Bills: SB437, SB528, SB626, SB636, SB884, SB968, SB1044, SB1608, SB2336

Keywords: healthcare, training, abuse, neglect, penalties, chemical dependency, safety, regulation, inpatient competency restoration, competency restoration, forensic mental health, mental health law, criminal competency, incompetent to stand trial, Chapter 46B, HHSC, Health and Human Services Commission, state hospital, behavioral health, local mental health authority

Transcript Highlights:

• Breast cancer is the second most common cancer in women affecting one 3 new female patients in a year

Keywords: 999, senate, all

Transcript Highlights:

• English is her third language, and she is the first Iranian-American female to serve on the Beverly Hills

Keywords: 988, house, all

Bills: HB1675, HB3242, HB1739, HB3320, HB3047, HB4434, HJR1089, HB4432, HB3718, HB3705, SR43, HB1933, HB4248, SB1847, SB1778, HJR1086, HB3001, HB3002, HB3003, HB3004, HB3005, HB3007, HB3008, HB1590, HB1242, HB3818, HB4305, HB1979, HB1225, HB3931, HB4454, HB3849, HB1746, HB3720, HB4275, HB4300, HB3586, HB2268, HB3755, HB4117, HB4294, HB3650, HB4298, HB3270, HB3145, HB3056

Keywords: emergency management, severe weather, youth camp, summer camp, overnight camp, day camp, outdoor education, adventure camp, wilderness program, campground safety, tornado preparedness, flooding, flash flood, high winds, hail, lightning, extreme heat, extreme cold, wildfire smoke, evacuation plan

Transcript Highlights:

• It could be a female judge, you know, so could be a female judge, you know, so could be a female judge
• So the female we do not know, but her So the female we do not know, but her So the female we do not know

Bills: HB 200, HB 541, HB 1803, HB 30, HB 175, HB 249, HB 721, HB 851, HB 897, HB 1128, HB 1904, HB 1916, HB 5560, HB 3071, HB 5627, HB 5435, HB 3913, HB 2921, HB 2695, HB 2688, HB 3045, HB 3483, HB 3673, HB 4213, HB 4226, HB 783, HB 4373, HB 4735, HB 5155, HB 5057, HB 4984, HB 4944, HB 4813, HB 5339, HB 5196, HB 5033, HB 4853, HB 3486, HB 4211, HB 74, HB 4670, HB 4730, HB 4743, HB 4603, HB 4463, HB 3892, HB 4139, HB 4752, HB 4520, HB 4517, HB 4486, HB 4437, HB 4426, HB 4396, HB 4263, HB 3487, HB 3418, HB 2284, HB 2266, HB 2229, HB 4912, HB 2189, HB 4506, HB 5269, HB 5224, HB 5195, HB 3317, HB 4166, HB 3947, HB 3358, HB 3370, HB 4438, HB 3745, HB 3602, HB 3697, HB 2001, HB 1968, HB 3371, HB 3909, HCR 7, SB 1744, SB 1364, SB 1316, HB 2026, HB 3302, HB 3368, HB 1639, HB 5652, HB 4655, HB 5654, HB 5658, HB 5656, HB 4894, HB 4996, HB 5088, HB 5650, HB 4464, HB 3751, HB 5665, HB 5661, HB 1237, HB 2802, HB 5437, HB 2703, HB 5666, HB 5667, HCR 113, HCR 86, SB 2196, SB 463, SB 856, SB 1245, SB 1169, SB 509, SB 985, SB 305, SB 552, HB 1535, HB 123, HB 1804, HB 426, HB 1773, HB 1871, HB 2035, HB 2492, HB 1411, HB 4753, HB 4666, HB 4529, HB 1499, HB 1610, HB 2028, HB 1506, HB 886, HB 3546, HB 796, HB 223, HB 3556, HB 2448, HB 4638, HB 111, HB 180, HB 1027, HB 1178, HB 610, HB 1277, HB 1615, HB 1620, HB 5342, HB 4885, HB 4751, HB 4530, HB 4488, HB 2149, HB 2071, HB 2282, HB 2248, HB 2243, HB 2522, HB 2310, HB 2513, HB 2300, HB 1902, HB 1813, HB 3719, HB 4284, HB 3743, HB 3778, HB 5153, HB 5147, HB 4877, HB 4850, HB 3261, HB 3005, HB 3033, HB 2849, HB 2967, HB 3531, HB 1768, HB 333, HB 2914, HB 2613, HB 3717, HB 3704, HB 2697, HB 3801, HB 3099, HB 3488, HB 3477, HB 3466, HB 3396, HB 3469, HB 2594, HB 2776, HB 2564, HB 2298, HB 5331, HB 5646, HB 5247, HB 5323, HB 4384, HB 3896, HB 4014, HB 3627, HB 3594, HB 2524, HB 510, HB 561, HB 5111, HB 5446, HB 1181, HB 3963, HB 2785, HB 1661, HB 2460, HB 200, HB 541, HB 1803, HB 30, HB 175, HB 249, HB 721, HB 851, HB 897, HB 1128, HB 1904, HB 1916, HB 5560, HB 3071, HB 5627, HB 5435, HB 3913, HB 2921, HB 2695, HB 2688, HB 3045, HB 3483, HB 3673, HB 4213, HB 4226, HB 783, HB 4373, HB 4735, HB 5155, HB 5057, HB 4984, HB 4944, HB 4813, HB 5339, HB 5196, HB 5033, HB 4853, HB 3486, HB 4211, HB 74, HB 4670, HB 4730, HB 4743, HB 4603, HB 4463, HB 3892, HB 4139, HB 4752, HB 4520, HB 4517, HB 4486, HB 4437, HB 4426, HB 4396, HB 4263, HB 3487, HB 3418, HB 2284, HB 2266, HB 2229, HB 4912, HB 2189, HB 4506, HB 5269, HB 5224, HB 5195, HB 3317, HB 4166, HB 3947, HB 3358, HB 3370, HB 4438, HB 3745, HB 3602, HB 3697, HB 2001, HB 1968, HB 3371, HB 3909, HCR 98, HCR 92, HCR 126, HCR 7

Keywords: juvenile offenders, parole eligibility, youth justice, criminal justice reform, inmate rehabilitation, direct patient care, healthcare, physicians, medical services, insurance regulation, dentist, dental hygienist, interstate practice, licensure, compact privilege, public health, military members, disaster relief, tax rates, local government

Transcript Highlights:

• We talk about evaluating females 16 through 45, and we're not talking about that many people, so the
• When I was in residency, we had three midwives, two females and a male, who did 1,100 deliveries at the

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:

• So, you know, any female with a functional uterus and ovaries may experience menopause, and we'll be
• So any female with a functional uterus and ovaries may stop having menses at some point, but not all

Keywords: 987, senate, all