Transcript Highlights:

• and adults who want to seek comfort, guidance, and even advice when they are having anxiety and depression
• The postpartum medical coverage?
• It's for pregnant and postpartum women.
• It's for pregnant and postpartum women.
• It's for pregnant and postpartum women.

Keywords: 959, house, all

Transcript Highlights:

• depression, low testosterone, any medical need, that’s when the department would pay for it.
• depression, low testosterone, any medical need, that’s when the department would pay for it.
• depression, low testosterone, any medical need, that’s when the department would pay for it.
• When they say someone needs hormone treatment for postmenopause or menopause, postpartum depression,
• depression, whether it’s menopause, whether it’s low testosterone, or whether it’s gender dysphoria,

Keywords: 0:01– Meeting start/roll call 0:34 – Approval of minutes 0:48 – Welcome of new committee members 1:34 – Council on Postsecondary Education 25:17 – Teachers’ Retirement System 27:00 – Kentucky Public Pension Authority 29:04 – Board of Veterinary Examiners 31:40 – Board of Nursing 34:01 – Board of Emergency Medical Services 36:15 – Fish & Wildlife Resources 40:34 – Department of Corrections 56:00 – Department of State Police 58:05 – Department of Criminal Justice Training 59:22 – Transportation Cabinet 1:00:18 – Department of Education 1:01:23 – Department of Employment Services 1:04:17 – Department of Workplace Standards 1:05:25 – Department of Housing, Buildings & Construction 1:06:59 – Cabinet for Health & Family Services, Dept. for Public Health (Sanitation) 1:13:50 – Cabinet for Health & Family Services, Dept. for Public Health (Trauma System) 1:17:46 – Cabinet for Health & Family Services, Dept. for Public Health (Radon) 1:18:30 – Cabinet for Health & Family Services, Dept. for Medicaid Services 1:19:15 – Cabinet for Health & Family Services, Dept. of Aging Services 1:20:36 – Other Business/Adjournment, 958, all

Summary: The subcommittee met with a quorum, approved the minutes, and welcomed new members before taking up Council on Postsecondary Education regulations 13 KAR 2:120 and 13 KAR 2:130. The regulations, as amended by staff and agency amendments, update public university and KCTCS performance funding models to conform to 2024 Senate Bill 191 and the performance funding work group’s recommendations. Changes discussed included replacing the underrepresented minority metric with an underrepresented students metric defined as first-generation students, adding an adult learner metric, increasing the low-income degree premium, adjusting small-school and nonresident credit-hour weights, revising data aging and progression metrics, and adding STEM+H criteria in 13 KAR 2:120. Travis Pal of the Council on Postsecondary Education explained that the changes reflect the work group’s three-year review process and that the work group ultimately voted to define underrepresented students as first-generation students and to apply half-weighting between research and comprehensive universities for the new metric. Michael Frasier of the Kentucky Student Rights Coalition and Eastern Kentucky University student government opposed 13 KAR 2:120, arguing that the regulation improperly applies weights where the statute does not clearly authorize them and that the funding changes disadvantage comprehensive universities and vulnerable students. He asked the committee to find the regulation deficient or, alternatively, recommend legislative clarification and a revised fiscal analysis. Pal responded that weighting has been part of the model since 2017, that CPE was following the statute and work group recommendations, and that the model could be changed by future legislation. Members asked about the timing of the broader performance funding review, and Pal said the full model is reviewed every three years, with the next work group cycle beginning in 2026. No motion to find the regulation deficient was made, and the committee allowed the regulations to proceed to the committee of jurisdiction. The committee then approved a staff amendment to Teachers’ Retirement System regulations 102 KAR 1:195 and 102 KAR 1:340, which require annual reporting of accumulated sick leave, leave policies, and salary schedules to TRS and make technical changes to the final average salary calculation and related definitions.

Transcript Highlights:

• Pregnancy and the postpartum period provoke intense biochemical changes, physiologic changes, and social
• I was able to take advantage of this access line when I had a patient that was struggling with depression
• When she could disclose to me she had bipolar depression, I drew on my medical knowledge to understand
• Number one was that the state should extend postpartum coverage for AHCCCS members for up to one year

Bills: HB2063, HB2271, HB2416, HB2478, HB2593, HB2692, HB2813, HB2992, HB2993, HB4044

Keywords: corrections oversight, appropriation, independent office, public safety, funding, firefighters, insurance rates, workers' compensation, firefighter cancer reimbursement, rate deviations, cost analysis, premiums, border security, drug trafficking, human smuggling, law enforcement funding, Arizona, immigration, education reform, K-12

Bills: HB245, HB138, HB151, HB152, HB245, HB138, HB151, HB152

Keywords: inhalants, controlled substances, butyl nitrite, nitrous oxide, amyl nitrite, health, public safety, pregnancy, pregnant defendant, incarceration, jail intake, pregnancy test, bail, pre-incarceration probation, supervised probation, electronic monitoring, electronic supervision, perinatal care, prenatal care, maternal health

Transcript Highlights:

• depression.
• It is a logical postpartum year.
• </c> services through the full postpartum services through the full postpartum year<00:52:27.119><c>
• 2025 from postpartum<00:52:35.520><c> overdose.
• So because there postpartum overdose.

Keywords: 1189, house, all

Summary: The meeting opened without a quorum, so approval of the prior draft minutes was deferred until later. The committee then heard a DHS update from Commissioner Lori Weaver and COO David Weers, who described the recent flood at the Brown building and the relocation of nearly 400 DHS staff while operations are restored. They also outlined New Hampshire Care Connections, a privacy- and consent-focused closed-loop referral platform intended to improve referrals among providers, reduce duplication, and support continuity of care, with an Upper Valley implementation partnered with Dartmouth Health and an Epic integration already underway. Members asked whether the system would merge medical records or simply track referrals. DHS said it is not intended to store or transmit full medical records, but to integrate with providers’ electronic health record systems so referrals can be sent, received, and tracked, with consent controls limiting what information can be shared. Officials said the project will be tested over the coming months, with metrics, governance, and advisory committee oversight, and that it is tied to broader rural health transformation efforts and statewide implementation after the regional pilot. The committee also received the annual report from the Child Care Advisory Council. Maryanne Barter and Jessica Carver said the council worked with licensing to streamline the child care licensing rules, reducing the handbook by about 30%, and is now helping develop an informal dispute resolution process, revising the Granite Steps for Quality system, and creating a clearer handbook for providers handling state scholarship audits. They reported ongoing concern about child care closures and workforce shortages, said there is currently no wait list for child care assistance, and discussed questions about federal CCDF immunization requirements, which DHS said it would follow up on with federal technical assistance partners. After quorum was established, the committee moved to approve the minutes from the prior meeting.

Transcript Highlights:

• Postpartum depression and psychosis are also significant contributors to maternal mortality.
• In California, one in three mothers experiences pregnancy-related depression or anxiety.
• Every day, challenges like transportation, childcare, and limited postpartum follow-up further restrict

Summary: The Senate convened with a quorum, offered prayer and the Pledge of Allegiance, and then moved through a series of gubernatorial appointments and floor items. The chamber confirmed Dina Eltawasi as Director of Caltrans, Allison Salt Install to the Court Reporters Board, and Olivia May Assumption to the California Commission on Disability Access, and later confirmed William Adams to the California Exposition and State Fair Board. Each appointment was presented by Senator Grove and approved on roll call, with final confirmation votes recorded after calls were lifted. Several measures were taken up on third reading. SCR 143, by Senator Umberg, honored Hmong and Laotian special guerrilla unit veterans who served with U.S. forces during the secret war in Laos; Senator Archuleta also spoke in support, and the resolution passed unanimously. SR 96, by Senator Cortese, proclaimed April as National County Government Month and highlighted the role of counties and CSAC; it also passed unanimously. SB 1347 clarified that stock albuterol authorization applies to all public schools, including preschools; SB 977 required chain restaurants offering children’s meals to provide at least one healthier option meeting nutrition standards; SB 1234 required fentanyl testing when juvenile dependency drug testing is already ordered; SCR 161 designated May 2026 as Maternal Mental Health Awareness Month; SR 101 updated the Senate Rules Committee membership by replacing Senator Jones with Senator Ochoa Bogh; and SB 1111 addressed liability for unauthorized AI-generated digital replicas. All of these measures were approved, most by unanimous or near-unanimous votes. The Senate also adopted SCR 128, by Senator Perez, declaring April 13–24, 2026, as High School Voter Education Weeks to encourage civic education and youth participation in elections. The consent calendar was then approved after Senator Cervantes removed SB 1381; the remaining consent items passed 35-0. Throughout the session, members introduced visiting groups, including Hmong and Laotian veterans, CSAC representatives, and students in the gallery. The day concluded with Senator Wiener’s adjournment in memory of disability rights activist Alice Wong, after which the Senate announced its next floor session and recessed.

Transcript Highlights:

• Postpartum depression and psychosis are also significant contributors to maternal mortality.
• In California, one in three mothers experiences pregnancy-related depression or anxiety.
• Every day, challenges like transportation, childcare, and limited postpartum follow-up further restrict

Keywords: 987, senate, all

Transcript Highlights:

• There's postpartum cardiomyopathy that occurs that are really hard to diagnose and can be lethal.
• The biggest component of this is going to be mental health conditions, postpartum depressions, postpartum
• It was three, four months postpartum. Took care of her for three pregnancies.
• Depressive disorders, mental health issues, the rest play a smaller role.
• So, 51% substance abuse disorder, depression.

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:

• Breastfeeding reduces the risk of postpartum complications and chronic diseases that I've often worked
• All opioids have potential risk to cause respiratory depression, also known as Opioid-Induced Respiratory
• Depression (OIRD), that can result in death.
• Respiratory depression that can lead to death.
• No warning label about possible respiratory depression is affixed.

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001, HB136

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Transcript Highlights:

• </c><03:00:09.120><c> parent</c> Continuous Care by a postpartum parent Continuous Care by a postpartum
• Postpartum overdose is the leading cause of maternal mortality in New Hampshire.
• while the infant needs to stay till postpartum day five for monitoring?
• </c><03:08:19.120><c> care</c> appropriately when the postpartum care appropriately when the postpartum
• And then there are the postpartum parent things, so we took it globally.

Keywords: 1191, senate, all

Transcript Highlights:

• suicide rates have tripled among young teens, self-harm among girls has gone up nearly 200%, and depression
• suicide rates have tripled among young teens, self-harm among girls has gone up nearly 200% and depression
• about the real challenges for pregnant women in getting prenatal care, in birth kinds of issues, postpartum
• care, particularly with postpartum depression kinds of issues.
• care, particularly with postpartum depression kinds of issues.

Keywords: 908, all

Summary: The Senate convened with prayer, pledge, roll call, and a quorum present, then approved a motion to lay over House Bill 1525 for one legislative day. It also voted not to concur with House amendments on Senate Bills 2294, 2297, 2070, 4017, and 2262, appointing conference committees for each. The chamber then took up a series of House bill amendments and final-passage votes. On amendments, the Senate adopted changes to House Bill 1229 on fleeing law enforcement and driving-record transparency after debate over insurance impacts and public safety; House Bill 1510 on teacher retention, on-site child care, and licensure study language; House Bill 1160 to restrict student personal electronic devices during instructional time; House Bill 1429 to address drone harassment and stalking of animals; House Bill 1203 to harmonize medical marijuana provisions; House Bill 1600 to create a UND immigration clinic with reporting requirements; House Bill 1130 to broaden K-12 funding formula changes and reduce state fiscal impact; House Bill 1279 to modify the coal conversion tax exemption; House Bill 1442 to adjust membership and scope of a state task force; and House Bill 1464 to convert a maternal care services proposal into a study and remove the appropriation. The Senate rejected an amendment to House Bill 1022 concerning the Retirement and Investment Office bonus program, then passed the bill. It also passed House Bill 1234 on a $90 million transfer to reduce PERS liability, while rejecting a floor amendment to it. On final passage, the Senate passed House Bills 1008 (Public Service Commission budget), 1218 (temporary moratorium and study on economic analysis for drain projects), 1234 (PERS funding transfer), 1146 (PERS defined contribution cleanup and emergency clause), 1355 (expanded notice for administrative rulemaking), 1470 (Game and Fish fee changes and guide/outfitter updates), 1029 (Capital Grounds Planning Commission duties), 1017 (Game and Fish budget), 1374 (township supervisor open-meeting exemption for on-site inspections), and 1064 (NC-SARA membership and distance education regulation). It defeated House Bill 1583 on false political advertisements with civil-action language and House Bill 1393 on earned wage access provider regulation. The transcript ends as the Senate begins consideration of House Bill 1326 on self-defense and unlawful firearm possession by felons.

Transcript Highlights:

• and adults who want to seek comfort, guidance, and even advice when they are having anxiety and depression
• and adults who want to seek comfort, guidance, and even advice when they are having anxiety and depression
• fingertips 24/7, mental health providers are rightly concerned that minors and adults experiencing depression
• The postpartum medical coverage?
• It's for pregnant and postpartum women.

Summary: The committee first met in executive session and adopted a House committee substitute combining House Bills 1850 and 1975, which was then voted do pass by a 16-0 roll call. The substitute was described as incorporating federal PBM-related transparency and audit provisions, including requirements intended to ensure fair audits, greater transparency for employers and patients, and protections for pharmacies so they are not reimbursed below drug cost and receive a fair fee. Members said the package was a compromise and a needed step because pharmacies are closing. The committee then heard House Bills 2318 and 2368, related to artificial intelligence and mental health. The sponsors said the bills are aimed at truth in advertising, barring AI platforms from marketing themselves as mental health professionals or therapy providers, while not banning AI use in health care generally. Testimony from supporters emphasized concerns about minors and adults relying on chatbots for mental health guidance and the need to protect consumers from misleading claims. The committee adopted an amendment adding social workers to the bill string, rolled it into a substitute, and voted the combined House committee substitute do pass 14-0. Next, House Bill 3313, described as an AOT bill from the prior week, was voted do pass 14-0 without discussion. House Bill 2745 was then amended and passed 14-0; the sponsor explained the changes would require a prompt physical exam for children entering foster care, allow a physician or nurse practitioner to perform it, try to continue existing developmental, behavioral, or emotional care when possible, and require biological parental consent before updating vaccines at the initial visit. House Bill 2463 also received a substitute to close a loophole involving referral payments when a prospective resident or legal representative cancels a contract, and the committee voted the substitute do pass 14-0. The committee also heard House Concurrent Resolution 28, which would designate the last full week of April as Infertility Awareness Week in Missouri. The sponsor linked the resolution to broader efforts to expand fertility access, and supporters, including a patient sharing her infertility experience, spoke about the emotional and physical toll of infertility and the value of awareness. Finally, House Bill 2979, the Rural Missouri Rural Doctors Act, drew extensive testimony. The sponsor and supporters argued it would limit physician non-compete agreements to one year and five miles for nonprofit employers to improve rural access and physician mobility, while opponents from hospitals and health systems said the bill would weaken recruitment, hurt financially stressed rural hospitals, and create uneven treatment between nonprofit and for-profit employers. No vote was taken on HB 2979 in the portion provided.

Transcript Highlights:

• know technology is a major culprit in what we're going through now, not just in abuse but also depression
• know technology is a major corporate in what we're going through now not just in abuse but also depression
• Children when they react to domestic violence often act out, withdraw, show signs of anxiety or depression
• ACEs scores are linked to heart disease, substance abuse, depression, school failure, incarceration,
• They're being born and you can just kind of see that they have a flat affect and they're depressed.

Summary: The committee met to discuss domestic violence with a focus on teen dating violence, healthy relationships, and the impact of technology on abuse. Chair Blanca Rubio opened by describing the urgency of the issue, including a recent teen murder in her district tied to domestic violence, and emphasized that restraining orders alone do not prevent abuse. The first panel featured Janica Morin Pasquale and Taylor Stone Mill, who described warning signs in teens such as constant monitoring through phones and social media, isolation from friends, jealousy normalized by online content, and control through gifts, food delivery, and access to passwords or tracking apps. They stressed that many teens do not tell parents, that parents often miss the signs, and that prevention should begin early and be reinforced in schools, homes, and youth activities. They also cited resources such as Love Is Respect, One Love, and Take It Down, and urged consistent funding and implementation of the California Healthy Youth Act rather than one-time lessons. The second panel shifted to the effects of domestic violence on children and the systems that respond to them. Joyce Blue of the Sacramento Regional Family Justice Center described the center’s wraparound services, including forensic interviews, legal help, housing support, child therapy, and high-risk response, and highlighted the prevalence and danger of strangulation, including cases with no visible injury. She explained that domestic violence is about power and control, that children often normalize abuse, and that safety planning must accompany restraining orders. Susie Flores of Inner Circle Children’s Advocacy Center explained the multidisciplinary forensic interview model used for child abuse cases, gave examples of severe abuse involving children exposed to domestic violence, and noted that many centers are overwhelmed by caseloads. She stressed the need for immediate trauma-informed services and more front-end intervention rather than waiting until long-term harm develops. Dr. Pamela Tate of Black Women Revolt Against Domestic Violence and other members discussed the need to support not only victims but also the systems and educators who are expected to respond. Several members shared personal experiences with domestic violence, sexual assault, and family trauma, and raised concerns about school implementation, immigrant families’ fear of reporting, and the need to address abusers’ behavior and trauma as well. The discussion also touched on statute of limitations issues, with panelists saying memory and trauma can delay disclosure for years and that rigid deadlines can prevent justice. No votes were taken; the meeting was informational and ended with members expressing support for continued collaboration, prevention funding, and stronger implementation of existing law.

Transcript Highlights:

• IN ADDITION TO THE PRENATAL AND POSTPARTUM CARE, THAT AGENCY IS REQUIRED THE PLANS TO REPORT UNDER 1.0
• BEEN ADDED TO THE 3.0 CONTRACTS FOR THE FIRST IS PRENATAL SCREENING FOLLOW-UP IN THE SECOND IS POSTPARTUM
• DISCRETION DEPRESSION AND THE THIRD IS IMMUNIZATION STATUS.
• WHEN YOU WENT OVER THE PRENATAL CARE, POSTPARTUM CARE, AND A LOT OF THE PLANTS WERE BELOW AVERAGE.
• HE ONLY REFERENCED THE POSTPARTUM PREGNANCY. THERE ARE OTHER MEASURES THAT EXIST.

Transcript Highlights:

• In middle school, I struggled with depression, OCD, and what we thought was bipolar disorder.
• Anxiety, depression, intrusive thoughts took over the happy nine-year-old we knew.
• A member of my family had postpartum depression. Three months... And other people.
• A member of my family had postpartum depression three months after delivery.
• And what happened when the doctors said it's postpartum depression?

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with more than 70 people signed up to testify, focusing mainly on health insurance and health care access bills. Early testimony centered on H.1257/S.712, which would require insurance coverage for medically necessary treatment of genetic craniofacial conditions. Supporters included legislators, dentists, and medical experts who said these conditions are not cosmetic, can severely affect eating, speech, pain, and social functioning, and often create major financial hardship because insurers deny coverage. A related dental bill, H.1262/S.676, drew technical testimony from the Life Insurance Association of Massachusetts about implementation issues with the 2022 dental loss-ratio law, while the Massachusetts Dental Society supported H.1306/S.696 on transparency in dental network leasing and opposed H.1262. Representative Gentile also testified for H.4013, which would ban for-profit acute care hospitals and for-profit health insurers in Massachusetts, arguing that profit incentives undermine patient care. A major portion of the hearing was devoted to H.1261/S.799, a bill to protect patients from surprise ambulance bills. Municipal fire chiefs, Boston EMS, nonprofit ambulance providers, and the bill’s Senate sponsor said the measure would require insurers to pay ambulance providers directly and promptly, cap patient out-of-pocket costs, and reduce confusion caused by out-of-network billing. Witnesses described ambulance services as essential public health infrastructure and said current billing practices can discourage people from calling 911 or leave municipalities and nonprofits unable to recover costs. Committee members asked about unpaid debt, municipal billing burdens, and how the bill would affect rates and reimbursement. No votes were taken during the hearing. The committee also heard extensive testimony on H.1249/S.805, which would require screening for PANS/PANDAS in medical and clinical settings. Legislators, clinicians, parents, a teen with the condition, and educators described PANS/PANDAS as an infection-triggered inflammatory illness that can present as sudden psychiatric symptoms and is often misdiagnosed as a mental health disorder. Supporters said routine screening at well visits, emergency rooms, and other clinical settings would help identify children earlier, reduce unnecessary psychiatric treatment and hospitalizations, and improve outcomes. Testifiers repeatedly urged favorable action, emphasizing the personal and financial toll on families and the potential for early treatment to prevent long-term harm. The hearing concluded with continued testimony on these bills; no committee action or votes were announced.

Transcript Highlights:

• There's postpartum cardiomyopathy that occur that are really hard to diagnose and can be lethal.
• The biggest component of this is going to be mental health conditions, postpartum depression, postpartum
• It was three or four months postpartum. Took care of her for three pregnancies.
• Depressive disorders, mental health issues—the rest play a smaller role.
• So 51% substance abuse disorder, depression.

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:

• And that's the pretense of this, of prenatal and postpartum services.
• When a woman has a child, they have postpartum depression.

Transcript Highlights:

• They can also positively impact postpartum mental health.
• depression, that can result in death.
• No warning label about possible respiratory depression is affixed.
• No warning label about possible respiratory depression is affixed.
• I have done... label about possible respiratory depression is affixed.

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Summary: The committee met with a quorum and announced it would vote on pending bills at 10:30, with public testimony limited to two minutes. It first took up Senate Bill 905, a TDLR cleanup bill on licensing regulation of speech-language pathologists and audiologists. Senator Zafferini said the committee substitute would streamline advisory board consultation, remove obsolete provisional licenses, and allow any licensed physician to authorize hearing instruments for minors; the substitute was adopted and the bill left pending. The committee then heard House Bill 451, which would require universal screening for commercial sexual exploitation risk for children in DFPS conservatorship and youth under TJJD jurisdiction. The author and witnesses from Children at Risk, the Fort Bend Anti-Trafficking Collective, and Texas CASA supported the bill as a prevention tool with existing infrastructure and training; the committee adopted the substitute and left the bill pending. The committee next considered Senate Bill 466, which would clarify that families may request a fetal death certificate at any gestational age, while keeping existing filing requirements for physicians. A constituent father testified about losing his 11-week-old daughter and being told he could not obtain a certificate, which he said prevented funeral arrangements; the substitute was adopted and the bill left pending. Senate Bill 2311 followed, requiring residential treatment centers to have a written agreement with the school that will educate resident children before becoming operational. The author cited a local dispute where an RTC and school district lacked communication, and witnesses from Texas CASA and Disability Rights Texas supported clearer educational planning while suggesting the Education Code may need conforming changes; the bill was left pending. The committee then heard Senate Bill 2826, known as Alyssa’s Law, which would create a statewide education program on medical child abuse for medical students, health care professionals, and CPS caseworkers. The author and Sheriff Bill Weyburn described Alyssa’s case as involving repeated unnecessary surgeries and argued the bill would improve awareness and early identification, while several witnesses and members raised concerns about false accusations, impacts on medically fragile children, and the need for scientific, peer-reviewed training and safeguards. After extensive discussion, the chair left the bill pending. The committee also heard House Bill 136, which would add certified lactation consultants as Medicaid providers to expand breastfeeding support; witnesses from lactation and nutrition fields said the bill would improve access, maternal and infant health, and long-term savings, and the bill was left pending. Finally, the committee took up Senate Bill 2805, a surprise-billing/arbitration measure that would clarify provider identifiers and shift arbitration costs to the losing party. The author said the substitute was a legislative counsel draft with no substantive difference, and witnesses from the Texas Medical Association, Texas Society of Anesthesiologists, and U.S. Anesthesia Partners supported the bill as a modest improvement that would reduce administrative confusion and make arbitration fairer without weakening patient protections. Members discussed how arbitration costs affect settlement behavior and how to define the “winner” in close cases. The bill was heard but not voted out during this segment.

Transcript Highlights:

• A lot of the reasons the kids are referred is because of anxiety, depression.
• Some of them are... are pregnant, some of them are postpartum, there's a variety of... health issues
• Previously it was two months of postpartum coverage and so this required federal approval.
• able to do last night. session to expand that from two months to 12 months postpartum.
• This was not an extension, for example, of Medicaid postpartum.

Keywords: budget, House Bill 1, public education, healthcare, border security, federal funding, spending limits

Summary: The meeting primarily focused on reviewing the proposed budget for the upcoming biennium, with substantial discussions around House Bill 1 and its implications for public education, healthcare, and border security. The Comptroller presented a revenue overview indicating a total of $194.6 billion available for general purpose spending, which reflects a slight decrease compared to previous years due to fluctuating economic conditions. Members raised questions regarding spending limits and the impact of federal funding on state programs, highlighting concerns about the sustainability of funding in light of potential changes at the federal level.

Transcript Highlights:

• Rates of depression, anxiety, and suicide are rising.
• And so this. identifies pregnant women and postpartum women in Smith County at risk of poor pregnancy
• Women who are pregnant and 12 months postpartum are covered in Medicaid.
• So if it's a postpartum woman, it might be about postpartum depression.
• If it's a child. it would be maybe a depression screening with the pediatrician.

Keywords: 1184, house, all