Video & Transcript Research : 'tablets'

Page 4 of 20
WA

Washington 2025-2026 Regular Session

House Finance Oct 14th, 2025

Transcript Highlights:
  • good or service is received or used, we'll use the scenario of an electronics store that buys 50 tablets
  • user for the five that their employees will use, and so the store would pay sales tax on those five tablets
  • avoid paying sales tax on those, and then would charge the customer's sales tax when they buy those tablets
Summary: The committee first received a presentation from Dr. Reich on the Economic and Revenue Forecast Council (ERFC), including how the council’s joint executive-legislative forecasting process works, the main state revenue sources, and recent economic conditions. He said Washington’s economy is slowing, with weak employment growth, softer taxable sales, and uncertainty from tariffs, federal spending, and the federal shutdown. He also noted that the September forecast was reduced, mainly because of lower sales tax and real estate excise tax collections, and that the state still expects modest growth rather than a recession. Members asked about whether Washington tends to lag national downturns and how forecast information should affect budgeting; Dr. Reich said the forecast is a revenue tool, not a budgeting decision, and that spending choices remain with elected officials. The Department of Revenue then presented on Washington’s sales and use tax structure and the implementation of Senate Bill 5814, which expands retail sales tax to several services effective October 1, 2025. Steve Ewing explained how sales and use tax are sourced, how reseller permits and the multiple points of use exemption work, and how the new law applies to live presentations, temporary staffing, investigations and security services, IT services, custom website development, advertising services, and custom software. He said DOR held listening sessions, issued interim guidance, and set up a centralized landing page and outreach efforts to help taxpayers understand the changes. He also described a six-month grace period for certain pre-existing contracts through March 31, 2026, but said penalties and interest still apply under the statute. Committee members raised concerns about how businesses and individuals will know when a service is taxable, who is responsible for collecting and remitting tax, and how sourcing will work for services delivered across multiple locations or online. DOR staff walked through examples involving accounting services, live lectures, virtual events, advertising campaigns, and search engine marketing, including the use of reasonable allocation and pool codes when exact sourcing data is unavailable. Members also questioned the administrative burden on small businesses and professionals newly subject to tax, and whether additional legislative fixes or relief from penalties and interest may be needed. No votes or formal actions were taken in the work session.
ND

North Dakota 2025-2026 Regular Session

Health Care Committee Jul 15th, 2026

Transcript Highlights:
  • assumptions when they're looking at a non-opioid and thinking, well, this is going to replace every single tablet
  • assumptions when they're looking at a non-opioid and thinking, well, this is going to replace every single tablet
  • can, and I'll be upfront in what's published out there, the WAC, the wholesale acquisition cost per tablet
  • So the loading dose is two tablets, so two 50 milligram tablets.
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.
NM

New Mexico 2026 Regular Session

House - Judiciary Feb 13th, 2026 at 05:37 pm

House Judiciary

Transcript Highlights:
  • In those cases, there could be one tablet or there could be over 10,000.
  • fentanyl, but created and even possibly made in Fentanyl but created and even possibly made into tablet
  • forms sold on the streets, maybe a thousand, two thousand, ten thousand tablets.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Ways and Means Jun 21st, 2026 at 11:00 am

Joint Committee on Ways and Means

Transcript Highlights:
  • we're... ...ways and some of the initiatives he's working to lower the temperature, whether with tablets
  • And we've also put this information on all the incarcerated individuals' tablets, outlining really the
  • And so, therefore, if you had tablets, phones, video visiting on a laptop or tablets, all of those things
  • [Witness/Staff] ...to conform to and so therefore if you had tablets, phones, video visiting on a laptop
  • or tablets, all of those things, if they were in place at the time, we had to supply it because of the
Keywords: 995, all
Summary: The hearing was held in Clinton Town Hall as part of the Joint Committee on Ways and Means’ budget review, with local officials welcoming legislators and noting the long agenda of many panels. The main presentation was from Secretary Terrence Reedy of the Executive Office of Public Safety and Security, who outlined the Healey-Driscoll administration’s FY26 proposal for the secretariat, including a $1.7 billion budget and a 7% increase over FY25. He described investments in emergency preparedness, hate-crime prevention, reentry programming, technology modernization, internships, and public safety training, while also noting some reductions driven by resource constraints, including cuts to certain grant programs and administrative costs. Committee members also raised concerns about federal uncertainty and how it could affect state budgets and public safety planning. A major portion of the questioning focused on the Department of Correction. Secretary Reedy and Commissioner Sean Jenkins said the biggest challenges are staffing, officer wellness, facility safety, and contraband—especially K2. They described steps taken at MCI Souza and other facilities, including reducing population at the maximum-security unit, changing management, removing metal products and free weights, improving screening and roll calls, adding a rapid response team, and increasing investigative and technological efforts to combat K2. They also discussed the closure of MCI Concord, saying it was driven by high maintenance costs and staffing needs, and explained that savings are being used to improve staffing patterns and address deferred maintenance over time rather than producing immediate large budget reductions. Members also questioned the budget’s impact on police training and community policing. The administration defended the increase in police academy tuition from $3,200 to $6,000 as reflecting true training costs and said it would still be subsidized by the state, while acknowledging the burden on small municipalities. They said the MPTC is expanding regional training and considering proposals such as Greenfield Community College’s. On community policing, officials emphasized uniform statewide training, de-escalation, and communication skills. The State Police also announced an outside review of the academy by the International Association of Chiefs of Police and said the next class will be split into two smaller groups to improve oversight and allow quicker implementation of recommendations. Other topics included ICE and federal immigration enforcement, with Reedy saying state law prohibits Massachusetts law enforcement from acting in a civil immigration capacity and that no state dollars were used in the Tufts-related ICE operation mentioned by a member. Senators and representatives also raised the upcoming FIFA World Cup, warning that it will require significant public safety resources and likely federal funding. Additional discussion covered restorative justice and juvenile diversion, health care costs in DOC, electronic health records, and the need for more diverse and culturally competent public safety staffing. No votes were taken during the hearing.
KY
Transcript Highlights:
  • It's kind of like a tablet. We have one over here to my left.
  • We<01:11:00.560> have<01:11:00.640> one<01:11:00.880> over kind of like a tablet
  • We have one over kind of like a tablet.
  • Uh our our particular tablet,<01:11:04.000> our<01:11:04.239> particular<01:11:04.560><
  • c> poll<01:11:04.880> book<01:11:05.040> is tablet, our particular poll book is tablet
Summary: The committee met to approve the October 21 minutes and then took up BR 25 for the 2026 regular session, a proposal relating to prohibited uses of tax dollars and public resources. The sponsors said the bill is intended to strengthen existing law by adding civil and criminal penalties for taxpayer-funded advocacy on ballot questions, especially in light of controversies during the 2024 election over school officials and districts using public resources to oppose a constitutional amendment. They also described related concerns about school districts hiring third-party lobbyists and public relations firms, particularly in Fayette County, and said the proposal was meant to keep tax dollars focused on public services rather than political persuasion. Committee members raised several concerns about scope and drafting. Some asked whether the bill should specifically mention schools, school boards, and school employees, and the sponsors said they would add that language. Others questioned whether the measure would also affect local government lobbying through groups like KLC and KCO, and the sponsors said they intended to focus narrowly on schools while exempting certain advocacy organizations and internal government lobbyists. Members also asked whether public employees could still speak as private individuals, and the sponsors said yes. Several members suggested splitting the lobbying and ballot-advocacy issues into separate bills, and the sponsors said they would consider that. Members also pressed for clarification on how the bill would apply in practice, including whether it would cover legal challenges to petition drives or only advocacy after a question is on the ballot. Counsel for the sponsors said the bill would not cover some petition-related litigation as drafted, though they believed it should. The sponsors and supporters argued the proposal was needed to give the existing prohibition real enforcement, while some members warned that the language could unintentionally limit legitimate public representation or be too broad if not carefully drafted. No final vote was taken during the discussion.
MN

Minnesota 2025-2026 Regular Session

House Capital Investment Committee 2/24/26

Capital Investment

Transcript Highlights:
  • Uh, I'm someone who, yeah, we have high-tech and I sit next to Representative Liz Ryer who has her tablet
  • Uh, I'm someone who, yeah, we have high-tech and I sit next to Representative Liz Ryer who has her tablet
  • Uh, I'm someone who, yeah, we have high-tech and I sit next to Representative Liz Ryer who has her tablet
  • 56.239> her Representative Liz Ryer who has her her Representative Liz Ryer who has her her tablet
  • all the time but you know I tablet all the time but you know I always<01:09:58.880> love<01:09
Keywords: 1183, house
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on State Administration and Regulatory Oversight Jun 21st, 2026 at 01:00 pm

Joint Committee on State Administration and Regulatory Oversight

Transcript Highlights:
  • To make it simple, we propose that each remote participant will utilize a smartphone or tablet with internet
  • So when the first town meeting session occurs, you use your smartphone or your tablet, which is probably
  • So you use your smartphone or tablet. You have a web browser there; they all do.
  • You use your smartphone or tablet.
Keywords: 995, all
Summary: The committee heard testimony on several bills related to open meeting law, municipal meetings, town meetings, and remote participation. Senator Rausch supported S. 2205 and S. 2206, and House companion H. 3382, saying they would make remote participation in public bodies permanent and streamline open meeting law and public records complaint processes to reduce burdens on local officials. Committee members and the senator discussed concerns about complaints being weaponized, the role of the Attorney General, and whether public testimony should be presumed allowed unless a chair limits it with justification. The senator said the bills do not change public records fees and are meant to improve process and transparency. A large portion of the hearing focused on H. 3342 and S. 2197, which would modernize municipal meetings, town meetings, and local elections by allowing permanent remote or hybrid participation. Supporters included Wayland officials, the Massachusetts Municipal Association, Newton Mayor Ruthanne Fuller, MAPC, MACC, and others, who argued that hybrid and remote options increase participation, help parents, caregivers, people with disabilities, and residents with travel or work constraints, and have worked well during the pandemic-era extensions. Municipal officials emphasized that a mandate would be costly and difficult for smaller communities because of staffing, technology, room design, cybersecurity, and uneven internet access, especially in western Massachusetts. Committee members asked about equal access, funding, and whether local discretion should remain; the chair said the committee wants a permanent solution beyond emergency rules but must balance access with local capacity. The committee also heard testimony on H. 3328, which would allow remote participation to count toward quorum for statewide appointed bodies such as commissions on women and LGBTQ issues. Supporters argued this would improve regional equity and make it easier for people outside Greater Boston to serve, while committee members noted it is a separate issue from municipal meetings and may be easier to address than broader local-government changes. Another bill, H. 4351, was supported by Rep. Brandy Fluker Reed, who described it as creating an Office of Freedmen Affairs to address longstanding racial wealth disparities affecting descendants of enslaved Americans. The hearing also included testimony on H. 3299 from Common Cause and MASSPIRG in favor of guaranteed hybrid access for public meetings with public participation components, with advocates saying it would improve transparency, accessibility, and civic engagement.
KY

Kentucky 2026 Regular Session

House Standing Committee on Agriculture. (3-11-26)

Agriculture

Transcript Highlights:
  • Clorox, any household cleaner that claims to kill germs, flea and tick collars, swimming pool chlorine tablets
  • :43.040> swimming<00:26:43.360> pool<00:26:43.560> chlorine<00:26:44.000> tablets
  • , collars, swimming pool chlorine tablets, collars, swimming pool chlorine tablets, wasp<00:26:44.880
TX
Transcript Highlights:
  • Ivermectin tablets can be administered easily and have proper labeling with regards to. Dosage.
  • And not only that, the human form is usually in tablets.
  • To be a tablet that is five milligrams and ten milligrams?
MA

Massachusetts 2025-2026 Regular Session

Formal House Session 33 Jun 21st, 2026 at 11:00 am

Massachusetts House Floor Meeting

Transcript Highlights:
  • will restrict access to personal electronic devices, such as cell phones, smart watches, personal tablets
  • The bill will also... ...smart watches, personal tablets, and the like, in public schools.
Keywords: 995, all
Summary: The House first recognized several student athletes and teams, including East Bridgewater cheerleaders, Medway athletes and teams, and the Housatonic Valley basketball team, and adopted a resolution congratulating the William Diamond Jr. Fife and Drum Corps on its 25th anniversary. Members also suspended Joint Rule 12 to advance a petition concerning an extension of a lease authorization for conservation land. The chamber then took up Senate 2581, as amended, a major education and youth technology bill. The bill was rewritten to promote safe technology use and distraction-free education, including restrictions on personal electronic devices in public schools and limits on social media access for children. Members debated whether the policy should be bell-to-bell or allow more local flexibility, and several amendments were offered. An amendment from Attleboro to preserve district-specific policies was rejected, while a consolidated amendment tightening social media restrictions and related protections was adopted. The House also considered and passed several other bills, including measures amending the Sandwich charter, authorizing Springfield to help certain residents with local tax obligations, authorizing charity alcohol auctions, and directing the Boston Police Department to waive the maximum age requirement for a specific police applicant. In addition, the House rejected concurrence on a Senate version of a higher education infrastructure bill and instead appointed a committee of conference. Later, the House accepted a conference report on modernizing cannabis laws after debate focused on regulatory streamlining, equity, ownership caps, and hemp regulation. The report was adopted by roll call, and the House then passed the amended education bill to be engrossed before adjourning to the next day.
CA
Transcript Highlights:
  • The homeowner is handed a tablet and told to quickly sign because the deal will go off the table.
  • is selling the loan does, right, they actually tap through on the homeowner's, you know, phone or tablet
Summary: The Assembly Banking and Finance Committee met to hear several bills focused on consumer and small business financial protections. SB 97, by Senator Grayson, would update and clarify California’s digital financial assets law; supporters from the blockchain industry and consumer groups said it would improve compliance clarity while preserving room to align with possible federal action. The committee passed SB 97 on a due-pass motion to the Privacy and Consumer Protection Committee, with the roll left open for absent members. The committee also heard SB 362, which would strengthen disclosure rules for small business financing by requiring clearer pricing information throughout the marketing process. Supporters said the bill would help small businesses compare offers and avoid harmful financing, while some industry groups objected to the bill’s treatment of communications and APR disclosures during negotiations. After discussion, the committee passed SB 362 to the Judiciary Committee, with several members voting aye and the roll left open. SB 784, a bill addressing predatory home-improvement and solar financing practices, drew extensive testimony. The author and supporters described scams targeting seniors, low-income homeowners, and non-English speakers, and said the bill would add safeguards such as confirmation calls, document access, fee transparency, and longer cancellation periods. Solar industry groups moved to neutral after amendments, while banks and other lenders raised concerns about overbreadth and impacts on legitimate lending. The committee passed SB 784 to Judiciary, with some members not voting or changing votes during the roll call. Finally, SB 825 sought to give the Department of Financial Protection and Innovation clearer authority to enforce existing consumer financial protection laws against its licensees, especially in light of reduced federal CFPB enforcement. Supporters argued California needs independent state enforcement tools, while banking and mortgage groups opposed the bill as duplicative and unnecessary, urging coordination with federal regulators and proposing narrower amendments. The committee passed SB 825 to Appropriations on a due-pass vote, and then adjourned after completing the agenda.
NH

New Hampshire 2026 Regular Session

House Session (03/05/2026)

New Hampshire House Floor Meeting

Transcript Highlights:
  • <02:16:40.719> When<02:16:41.040> schools tablets, you name it.
  • When schools tablets, you name it.
  • <02:16:54.880> if include personal laptops and tablets if include personal laptops and tablets
  • Representative Hall continued: Laptops and tablets in their policies.
  • Yet, the DOE said, 'Well, that doesn't obviously include tablets and laptops.'
Keywords: 1189, house, all
NH

New Hampshire 2025 Regular Session

Senate Election Law and Municipal Affairs (05/06/2025)

Election Law and Municipal Affairs

Transcript Highlights:
  • calling somebody up that's there with the data, by internet access, having the information on the tablet
  • So, is this something that is offline, on a tablet, so that folks who don't have internet at their polling
  • A tablet could be used to look up the databases. records. It says he will provide them. records.
  • <01:23:54.239> Y<01:23:54.880> uh<01:23:55.040> a<01:23:55.360> tablet
  • Y uh a tablet simplest way to do it.
Keywords: 1191, senate, all
FL

Florida 2026 4th Special Session

February 3, 2026 - 08:00 AM

Transcript Highlights:
  • with multiple layers of encryption and password protections on simple devices like cell phones and tablets
  • And that doesn't include the time it takes to crack a 6-digit password on a cell phone or tablet.
AZ

Arizona 2026 Regular Session

03/23/2026 - House Public Safety & Law Enforcement

Public Safety & Law Enforcement

Transcript Highlights:
  • Since it's a digital system, we all have a tablet as chief officers, so anything I'm doing online...
  • We all have a tablet as chief officers, so anything I'm doing on my tablet in the command vehicle, that
Summary: The committee first heard SB 1161, which would prevent lapse of a $750,000 FY2026 appropriation to DPS for the Yuma County Family Advocacy Center (Amberly’s Place). Testimony described the center’s 24/7 crisis response, forensic interview and medical services, and satellite offices in nearby communities. The bill was moved and received a do pass recommendation on an 11-0 roll call, with three members absent. The committee then considered SB 1215, a clarifying bill on the list of cancers covered by the occupational disease presumption for firefighters and peace officers, with a retroactivity amendment to June 30, 2021. Firefighters’ representatives said the measure corrects a drafting issue involving adenocarcinoma and would prevent denials of claims; members asked about peace officer coverage, independent medical exams, and workers’ compensation impacts. The amendment was adopted and the bill received a do pass recommendation, with 11 ayes, one present, and two absent. SB 1270, dealing with supplemental employer contributions to defined contribution accounts for corrections employees, drew testimony focused on severe retention problems in corrections and county detention. Supporters said the bill would allow optional incentive payments at service intervals to help keep trained officers on the job; members discussed vesting, recruitment versus retention, and whether the program could be funded without a new appropriation. The committee adopted the amendment and gave the bill a do pass recommendation, with ten ayes, one nay, two present, and one absent. The committee also heard SB 1400, authorizing law enforcement wellness and crisis response programs and setting confidentiality rules. Police association testimony supported the concept but noted concerns about the breadth of the privilege carve-outs, especially if licensed therapists are involved; several members said they would support the bill after an amendment clarifying privilege protections. The bill was reported do pass with ten ayes, one nay, and two present. SB 1538, as a strike-everything amendment, would require workers’ compensation coverage for PTSD treatment for firefighters and peace officers and allow one MDMA treatment course if federal approval and rescheduling occur by January 1, 2029. Supporters described promising clinical trial results and argued it could help severe PTSD cases, while county representatives opposed the mandate and raised cost and approval concerns. The amendment was adopted and the bill received a do pass recommendation, with seven ayes, three nays, and one present. Finally, the committee considered SB 1537, renaming the peace officer training equipment fund as the public safety de-escalation and life safety fund and repealing its advisory commission. Testimony explained the change was meant to reduce confusion between similar funds and reflect the fund’s use for de-escalation and safety equipment; some members noted opposition from the Arizona Police Association and concerns about whether the money might be better used for raises. The bill passed on a 7-4 vote with three absent. The committee then began SB 1580, which would appropriate Peace Officer Training Equipment Fund money for fire incident management support and other public safety equipment, including pepperball equipment, simulators, records management software, and retention/recruitment efforts. Testimony supported the equipment and data-sharing investments, but members also questioned accountability, ongoing costs, and whether the listed uses were the best use of the fund.
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Sep 12th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • Since this assessment tool is gonna be put on tablets, and there are some families who do not believe
  • in access to tablets, there are two-year-olds who have never heard English, they've only heard their
  • On an operated tablet, and so I wanted to be able to see what work you are doing for an accessibility
TX
Transcript Highlights:
  • Ivermectin tablets can be administered easily and has proper labeling with regards to dosage.
  • And not only that, the human form is usually in tablets.
  • So you're saying that behind the counter, is there going to be a tablet that is 5 milligrams and 10 milligrams
Bills: HB25, HB48, HB149, HB254, HB26, HB192
KY
Transcript Highlights:
  • English 101 and English 102 were offered, and courses were delivered via secure tablets.
  • English 101 and English 102 were offered, and courses were delivered via secure tablets.
  • English 101 and English 102 were offered, and courses were delivered via secure tablets.
  • English 101 and English 102 were offered, and courses were delivered via secure tablets.
  • English 101 and English 102 were offered, and courses were delivered via secure tablets.
Summary: The interim Commission on Race and Access to Opportunity met at Kentucky State University and heard a presentation from President Kofi Aapo and Vice President Michael Dorsy on the university’s role as an HBCU and its current priorities. They emphasized Kentucky State’s impact on Black student outcomes nationally, its focus on workforce development, civic leadership, innovation, and economic mobility, and its efforts to grow enrollment, expand dual-credit partnerships, and launch a prison education program. They also described House Bill 250’s role in prompting program review and the creation or expansion of market-aligned offerings, including manufacturing engineering, agricultural engineering, biological and agricultural engineering, social work, criminal justice, and expanded online programs through “Thoroughbred Global.” A major topic was Kentucky State’s move toward STEM and applied programs. President Aapo said the university is diversifying beyond liberal arts to meet workforce demand and cited plans for a PhD in agroecology, which he said would help farmers adapt to climate conditions and would be federally funded. He also discussed the nursing program as the fastest-growing on campus, partnerships with health systems that pay tuition and guarantee jobs, and the need for a new nursing facility. He said the current nursing space is inadequate and that a new building could double or triple enrollment in the program. He also described a mobile health initiative intended to bring preventive care and health education to underserved areas of the state. Members asked questions about the nursing building, STEM strategy, teacher preparation, dual credit, prison education, and student readiness. Senator Bledsoe asked about the shift toward STEM, and Aapo said the strategy is based on student demand and data from House Bill 250. Senator Berg requested a list of dual-credit partners and encouraged long-term tracking of prison education participants to study outcomes such as recidivism; Aapo said the university has not yet begun that research but intends to. Senator Tidner asked about remedial needs, and Aapo said KSU found more than 100 students with zero GPAs when he arrived and is using co-requisite support and tutoring to address English and math deficiencies. Representative Brown and others highlighted the historical and ongoing value of HBCUs, and no votes or formal actions were taken during the meeting.
ND

North Dakota 2026 1st Special Session

Health Care Committee Jul 15th, 2026

Health Care Committee

Transcript Highlights:
  • assumptions, when they're looking at a non-opioid and thinking, well, this is going to replace every single tablet
  • can, and I'll be upfront in what's published out there: the WAC, or wholesale acquisition cost, per tablet
  • So the loading dose is two tablets, so two 50-milligram tablets.
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.