Transcript Highlights:

• We are not receiving requests including this information at this time.
• Personal information includes medical or disability information.
• How do you identify striping on here? Who's your striping contractor, Mr. Chair?
• And how does that get identified in here where it says contractor description?
• Projects that are identified for the bonding bill—is that in here? Mr.

Keywords: 996, all

Transcript Highlights:

• ><00:19:20.400> develop identifying these risks, they develop identifying these risks, they develop
• <00:35:31.119> the out with a process of informing the out with a process of informing the
• mentioned identifying like safe zones. mentioned identifying like safe zones.
• broken or you identify them as broken? broken or you identify them as broken?
• out there and give them information out there and give them information themselves.<01:46:39.840

Keywords: 910, house, all

Summary: The House Committee on Public Safety held an informational briefing on hazard mitigation planning and recent tsunami and wildfire threats. Chair Dela Buladi opened by framing the meeting around the need for iterative disaster planning and lessons learned from events such as the Lahaina wildfires, the Puna Coast earthquake/tsunami, and recent wildfire activity. The committee heard first from Hawaii County Civil Defense Administrator Tomage Magno, who explained the federal and local hazard mitigation planning process, including the requirement for an active five-year mitigation plan to qualify for federal disaster funds. He described the plan as a living document built from prior plans, public and agency outreach, risk and capability assessments, and ongoing updates, with county departments, state agencies, and subject matter experts participating in the process. Magno outlined several FEMA-related mitigation funding programs, including flood mitigation assistance, post-fire assistance, pre-disaster mitigation, revolving loan funds, and dam safety grants. He emphasized that the Hawaii County plan was recently approved by FEMA, that the county council approves the plan, and that the county reviews it annually with a formal revision process beginning in the fourth year. Members asked about how the plan tracks project status, how priorities and funding changes are handled, and whether federal funding programs might be affected by HR1; Magno said the county is proceeding on the assumption that funding will remain available and noted some sources have been reestablished. He also said the county encourages council participation in meetings and planning. Department of Transportation Director Ed Sniffen then addressed the committee on DOT’s response to a recent tsunami threat, saying the agency had about four hours to prepare before the first wave arrival and was focused on its own operational response rather than the broader statewide planning process. In response to questions, he stated that FHWA funds cannot be used for evacuation routes, which is why prior legislative funding was important. Members also discussed specific mitigation projects such as fire breaks, bridge retrofits, and the Singing Bridge, with DOT noting that work is underway and that a replacement bridge upstream is being planned to carry traffic during repairs. No votes or formal committee actions were taken during the informational briefing.

Transcript Highlights:

• identifying information um she wanted identifying information um she wanted that<01:09:11.080>
• Identifiable information.
• identifiable identifiable information<01:18:34.560> like<01:18:34.679> I<01:18:34.760>
• your identifiable information and then your identifiable information and then your question<01:25
• <01:46:35.520> information<01:46:36.480> to or personal identifying information to

Keywords: 928, house, all

Summary: The House Committee on Health, Human Services and Elderly Affairs heard testimony on House Bill 606, as amended, a bill aimed at preventing physicians from denying medically necessary sterilizing or fertility-affecting treatment based on a patient’s age, number of children, marital status, or a doctor’s speculation about future reproductive intentions. Representative Ellen Reed, the sponsor, described the bill as a response to her own long experience with PCOS, heavy bleeding, and repeated refusals by doctors to perform a hysterectomy despite her clear wishes. She said the amendment narrows the bill to medically necessary care, adds definitions for “medical condition” and “appropriate reproductive care,” and removes earlier provisions about voluntary sterilization referrals. She also said the bill does not target religious objections, and that doctors could still refuse for medical, payment, or existing religious reasons not addressed by the bill. Committee members asked about religious freedom, informed consent versus waivers, and the scope of the new definitions. Reed responded that religion was not added to the list of prohibited reasons for denial, and that the amendment is intended to protect doctors when patients sign informed consent or waivers. She explained that “appropriate reproductive care” includes procedures such as hysterectomy, oophorectomy, orchiectomy, salpingectomy, and endometrial ablation, and that the bill now focuses on medically necessary treatment rather than elective sterilization. She said the change was intended to make the proposal narrower and more tailored after earlier concerns. Several witnesses supported the bill with personal accounts of being denied hysterectomies or other procedures despite serious symptoms. Representative Lauren Selig described a decade-long effort to obtain a hysterectomy after years of cycle problems and migraines, saying doctors dismissed her concerns and treated her symptoms as normal. Jade Flad also testified in support, saying she had long been told to simply endure her cycle problems and noted that her husband was offered a vasectomy without similar barriers. The sponsor said online support was strong and that there was little or no written opposition testimony. No vote or final committee action was taken during the portion of the hearing provided.

Transcript Highlights:

• Thank you for the information you provided to us this afternoon.
• The information you provided to us this afternoon.
• placement and no identifying funder.
• placement and no identifying funder. of disposition planning, there's no identified placement and no
• identifying funder.

Keywords: 995, all

Summary: The hearing was an informational and oversight session of the Joint Committee on Children, Families, and Persons with Disabilities, with chairs and members hearing agency updates from several commissioners. The Department of Public Health’s Bureau of Family Health and Nutrition described its maternal and child health work, including home visiting, early intervention, WIC, newborn hearing screening, and cross-agency efforts on prenatal substance exposure, respite care, children’s vision, and maternal health initiatives. DPH emphasized that federal grant cuts, layoffs, and the loss of data systems such as PRAMS would weaken services and planning, and members asked about Title V funding and the impact of federal uncertainty. The Massachusetts Commission on the Deaf and Hard of Hearing highlighted communication access services, interpreter and CART referrals, emergency after-hours support, family navigation, and independent living services. Commissioners and members discussed the shortage of ASL interpreters and the need to expand training pipelines, including partnerships with colleges and possible ASL programming for younger students. The Department of Developmental Services reported serving nearly 50,000 people and focused on youth and adult services, transition-age supports, autism services, self-direction, respite, and new high-acuity residential models. Members asked about respite availability, self-direction outcomes, and workforce shortages; DDS said it was expanding clinical capacity and provider rates while monitoring possible federal Medicaid, SNAP, and immigration-related impacts. The Commission for the Blind described services for about 28,000 legally blind residents, most of whom are older adults, including social rehabilitation, orientation and mobility training, children’s services, assistive technology, vocational rehabilitation, and Turning 22 supports. The commissioner discussed a UMass-based effort to build the workforce pipeline for blindness services and said the agency was watching federal restructuring but had not yet seen direct cuts. MassAbility’s leadership then warned about major federal changes affecting Social Security disability determinations, including staff restructuring, office closures, and a new overpayment repayment policy, and said the agency was preparing for possible increases in claims and uncertainty around reallotment dollars that help fund services. The Disabled Persons Protection Commission closed the hearing with an update on its abuse investigations and protective services for adults with disabilities. DPPC reported rising hotline calls and investigations, a growing caseload, its sexual assault response team, the abuser registry, and a new interagency protective services integration system funded by ARPA dollars through 2027. The agency also flagged new federal rules that could affect funding eligibility and said it may need statutory changes to comply. Members asked about funding, reporting pathways, and how complaints reach DPPC, and the commissioner said the agency uses both mandated reporting and proactive outreach to identify and respond to abuse.

Transcript Highlights:

• Courts want that information. Our victims want that information.
• Thank you for your information day.
• , and release information.
• information, and it's also related to...
• Information for and report it.

Summary: The Appropriations Committee on Criminal and Civil Justice met to hear budget presentations from the Florida Department of Law Enforcement (FDLE), an FDLE update on the Uniform Arrest Affidavit and Florida Incident-Based Reporting System (FIBERS), the Department of Juvenile Justice on Florida Scholars Academy, and the Clerks of Court Operations Corporation. FDLE requested funding for a wide range of items, including a new Fort Myers regional operations center lease, technology upgrades for missing persons alerts and criminal justice data systems, replacement breath-test instruments, recurring support for critical public safety contracts, cybersecurity, a career offender registry unit, expanded wellness and peer support for law enforcement, cryptocurrency seizure efforts, vehicle replacement, forensic lab and digital forensics upgrades, a repaired Jacksonville firearm range, and additional resources for criminal alien detection, fentanyl enforcement, and other operational needs. Senators questioned FDLE about the reported 79% increase in officer misconduct cases, body cameras, masking by officers, public records request burdens, and the status of criminal alien detection funding. FDLE’s second presentation explained that FIBERS is Florida’s incident-based crime reporting system and that 61% of agencies, covering 74% of the population, have transitioned to it. The agency also described the Uniform Arrest Affidavit initiative, which standardizes arrest data for statewide sharing. Senators asked about NCIC/FCIC access, hate crime reporting requirements, and why more agencies have not adopted the UAA and FIBERS systems; FDLE said it is working with law enforcement associations and vendors to address technology and implementation barriers. The committee also heard from DJJ Secretary Matt Walsh, who praised FDLE’s wellness program and then reported on Florida Scholars Academy’s first year, including unified education across 39 residential facilities, security fixes after early website access issues, strong enrollment and graduation numbers, and extensive support for students with disabilities. Walsh said the program still faces staffing shortages and a wait list for residential beds, and estimated about 260 additional beds are needed. The final presentation came from Clerk of Court and Comptroller Stacey Butterfield, who said clerks are operating with outdated funding levels and requested $22 million to stabilize operations. She highlighted reimbursement shortfalls for injunctions for protection and other high-risk cases, rising postage and summons costs, and the need to fund clerk staffing for 37 new judges under the “fund the entire courtroom” concept. Senators asked about SB 532, a CPI-based court-fee bill, and about collections of court fines and fees. Butterfield said clerks work with defendants on payment plans and collections, but the system still faces a structural deficit. After the presentations and questions, the committee adjourned without taking any substantive votes or other action.

Transcript Highlights:

• TRYING TO IDENTIFY EARLIER. ONE THING I CAN TELL YOU ABOUT FLORIDA IS TO TRY TO IDENTIFY.
• YOU HAVE TO HAVE A CERTAIN AMOUNT OF INFORMATION BEFORE IT BECOMES VERIFIED.
• YOU HAVE TO HAVE A CERTAIN AMOUNT OF INFORMATION BEFORE IT BECOMES VERIFIED.
• VERY INFORMATIVE. ANY FURTHER QUESTIONS? FURTHER QUESTIONS? THANK YOU.
• ALL AREAS IDENTIFIED AS CRUCIAL FOR PROFESSIONAL GROWTH.

Keywords: 999, senate, all

Transcript Highlights:

• And so we have the information in the... ...information in there, things like, you know, the Legacy Fund
• And the purpose of this is to identify the need to... ...to identify the need to get more housing for
• With more than 40 fees to collect their information.
• The code provides more information in Section 102.4.
• We identified where the fire stops were. We identified where the crawl space was.

Summary: The committee began with roll call, introductions of a new fiscal analyst and a new member, and approval of the March 19 minutes. The first major presentation was from the Office of Management and Budget on the state’s general fund and special fund status through May. OMB reported general fund revenues were running below the legislative forecast by about $76 million, driven largely by weaker individual income tax and sales tax collections, though the projected ending balance remained positive and above the budgeted level. The budget stabilization fund was above its cap and would transfer excess earnings to the general fund, and the legacy fund balance continued to grow. Members also asked about federal funding uncertainty and mineral leasing revenue variability. The committee then reviewed compliance reports and trust fund analyses, followed by discussion of a bill draft for the fixed-route city transportation network study. The draft would create a $15 million general fund grant program with a formula-based distribution to eligible fixed-route transit cities, intended to support operating and capital needs and help match federal transit funds. Transit officials from Minot and Fargo testified in support, explaining local fare and match structures and the difficulty of replacing aging buses and securing federal matching dollars. Several members questioned whether the program should be limited to the current four cities or broadened to future eligible urban areas, and whether local funding sources should be explored further. The committee did not finalize the bill draft at that point and planned to continue discussion at a later meeting. The committee also approved a bill draft repealing obsolete language related to approval of a bi-state authority with South Dakota, after staff explained that no agreements had ever been implemented and the provision appeared outdated. A roll call vote was taken and the motion carried. Later, the Department of Commerce and the Northern Plains UAS Test Site presented updates on uncrewed aircraft systems initiatives, including the Vantis radar data enclave, the drone replacement program, and efforts to build a revenue model for Vantis. Test site officials said FAA approval had been secured for the radar data program, replacement of noncompliant drones was underway, and future revenue could come from state and external users once pricing and intellectual property arrangements are finalized. Members asked about Chinese-made drones, supply chain issues, automation, and how the system would manage beyond-visual-line-of-sight operations. The Department of Corrections and Rehabilitation then presented on the design of a new minimum-security prison and a reentry housing study. Officials said the proposed facility would relocate the minimum-security prison to the penitentiary campus, reduce costs from an earlier estimate, and provide more beds and programming space, with construction potentially beginning in 2027 and opening around 2031. They also described staffing needs, the planned move of women to the New England facility, and possible expansion of men’s housing there. The parole and probation chief described a reentry housing task force studying housing needs for people leaving incarceration, with a goal of developing data-driven recommendations for subsidies and support services; a representative from Protection and Advocacy closed by expressing general support for fixed-route and paratransit funding.

Transcript Highlights:

• It also identified a potential limit to DHS's current authority to withhold or reduce payments on the
• Identified in this review.
• The ongoing issue that we're identifying is the suspension of payments during an investigation.
• initially is not enough information for us to look into the issue fully.
• However, I want the information no matter what.

Transcript Highlights:

• gaps between outlined goals and the needs that were identified through the survey data.
• Great information. Actually, kind of horrifying information. Thank you for that, Connor.
• But in terms of other approaches, I don't have that information at this point. Mr.
• That represents a 75 percent reduction in identified schools...
• Thank you; I really appreciate the update. of information. Thank you, Mr. Chair.

Keywords: 996, all

Transcript Highlights:

• Identifies early risk of preeclampsia.
• It's really just a way to supplement information.
• It's really just an additive information source.
• It's real-world information, real-world information. Programmed based on populations.
• Others can probably work on and identify.

Summary: The joint informational hearing of the Assembly Health and Privacy Committees focused on generative AI in health care, with opening remarks emphasizing both its potential to improve care and its risks around privacy, bias, liability, workforce impacts, and unequal access. Chair Bauer-Kahan and Chair Bonta framed the discussion around how California can encourage beneficial innovation while protecting patients, especially given the sensitivity of health data and the possibility that AI could worsen existing disparities if not carefully governed. The first panel featured representatives from Cedars-Sinai, Kaiser Permanente, Penguin AI, and Google, who described current uses of AI such as ambient clinical scribes, nursing documentation tools, imaging triage, maternal-fetal risk prediction, and administrative automation. Speakers said these tools can reduce clinician burden, improve patient experience, speed treatment, and in some cases improve outcomes, including a reported mortality benefit from a Kaiser predictive model and faster thrombectomy times at Cedars-Sinai. Members raised concerns about accuracy with accents and multilingual visits, whether predictive tools could reinforce bias or lead to more interventions such as C-sections, and how to ensure a human remains in the loop for important decisions. The second panel, including representatives from the California Health Care Foundation, UC Berkeley, and Stanford, focused on policy and governance challenges. Testimony highlighted examples of AI supporting homelessness outreach and community health work, but also warned that biased algorithms can encode inequities, especially when trained on data that reflect under-treatment of Black, rural, or low-income patients. Witnesses urged clearer standards for trustworthy AI, stronger monitoring and governance structures, better data access for accountability, and attention to the safety net’s limited resources. Several speakers argued that states should require health systems to have AI governance processes, clarify liability between developers and deployers, and regulate downstream uses of AI while preserving access to data for lifesaving research and oversight.

Transcript Highlights:

• We convened a workgroup to inform those specific conditions.
• That is, providing information on the decision-making and appeals process.
• we'll try to provide the information as soon as we can.
• Issue 1, support standard training as identified by SEIU.
• In 2019, there were 203 cases identified.

Summary: The Assembly Budget Subcommittee on Human Services held an informational hearing on child welfare, foster care, child support, and related prevention efforts. The chair opened by emphasizing mandated reporting reform, foster care system improvements, and community-based prevention, and noted that no votes would be taken. Public testimony focused first on mandated reporting, where a lived-experience advocate and several organizations argued that the current system overreports families, especially Black, Native, and Latino families, causes trauma, and should be reformed through standardized training, clearer thresholds, and stronger community supports rather than more hotline referrals. Casey Family Programs cited data showing nearly 90% of reports are unsubstantiated, while CDSS said it is already forming a Mandated Reporting Advisory Committee, updating training, and exploring community pathways and possible changes to the list of mandated reporters. CWDA and SEIU supported training and alternative response concepts but stressed child safety, county capacity, funding, and the need for careful implementation and accountability. The committee then discussed a proposal to create a foster care multi-agency office within the California Health and Human Services Agency, led by a chief foster youth advocate with authority to coordinate across departments. Advocates said foster youth often need services from education, health, housing, and behavioral health systems that do not coordinate well, and argued that a central office with real authority could improve placement stability and access to services. CDSS responded that existing structures already provide coordination, including AB 2083 interagency teams, the Child Welfare Council, complex care steering committees, and the foster care ombudsperson, but said it was open to technical assistance. Members raised concerns about whether the new office would have enough authority and funding to avoid becoming another layer of bureaucracy, and the chair emphasized the need for real “teeth” and better interagency action. The final major topic was the continuation and expansion of Promise Neighborhoods. A community leader described strong early results from the state-funded neighborhoods, including improved kindergarten readiness, reduced chronic absenteeism, higher graduation rates, food access, housing supports, and mental health services, but warned that current funding sunsets in June 2025 and that a fiscal cliff could jeopardize staff and services. CDSS said the four funded neighborhoods have reported positive outcomes and valuable flexibility, but also noted challenges with one-time funding, student mental health, and long-term planning. Assemblymember Mia Bonta urged continued investment, saying the place-based model is difficult to rebuild once lost, and the chair asked LAO to help identify the minimum funding needed to preserve the existing infrastructure while evaluation results are still pending.

Transcript Highlights:

• They identify risk and needs in that plan.
• The projects have already been sort of identified.
• The projects have already been sort of identified.
• Can you identify? I'd like to give you a minute or two.
• And so in that way, we're highly coordinated, as well as identifying what are those additional information

Summary: The Assembly Budget Subcommittee on water and coastal resilience heard an overview of the governor’s Proposition 4 spending plan, with presentations from the Department of Finance, the State Water Resources Control Board, the Department of Water Resources, the Legislative Analyst’s Office, and later coastal agencies. Members discussed the water chapter’s major allocations for drinking water and wastewater, recycled water, tribal water infrastructure, groundwater recharge and SGMA implementation, dam safety, flood protection, integrated regional water management, Salton Sea projects, and water data/stream gauges. The LAO noted that many programs are established and have clear funding processes, but some newer or less-defined programs may warrant more detailed future budget requests and reporting. No votes were taken on the agenda items. Members raised concerns about groundwater subsidence, water deliveries from the Delta, the pace of water storage investments, instream flows, and whether bond dollars were being used to backfill General Fund reductions. Administration witnesses said groundwater recharge spending is being paced because prior years already funded substantial SGMA work, that Delta operations are governed by water quality, salinity, and species requirements, and that Proposition 1 storage projects have moved slowly because they are locally led and require permitting and financing. The Water Board and DWR said they use public needs assessments, annual plans, and existing grant processes to prioritize projects, and Finance said some General Fund programs were shifted to Proposition 4 to help balance the budget. Members also asked for clearer public tracking of bond spending and more concise future reporting. In the coastal resilience portion, the Ocean Protection Council and Coastal Conservancy described Proposition 4 funding for sea level rise adaptation, coastal flood management, habitat restoration, public access, and San Francisco Bay projects, with a multi-year rollout based on project readiness and recent large state investments. The Conservancy said it would use its existing rolling grant process, while OPC said its sea level rise grants would build on existing programs and new technical assistance. The Department of Fish and Wildlife explained its proposed use of bond funds for climate-ready fisheries, hatchery modernization, salmon monitoring, whale- and turtle-safe fishing gear, and a specific hatchery operations request tied to the Friant settlement. The LAO said the coastal chapter’s proposed first-year spending is relatively modest but generally reasonable given staffing and project readiness, while members emphasized oversight, transparency, and coordination across agencies and jurisdictions.

Transcript Highlights:

• A point person should be identified and held responsible.
• , and make informed decisions—not gut reactions, not emotional decisions.
• prepared to thoroughly investigate that, gather accurate information and make informed decisions.
• They provided any information.
• He's talking about employing universal identifiers. The employee universal identifiers.

Keywords: 1183, house

Transcript Highlights:

• > contributing was tasked with identifying contributing was tasked with identifying contributing
• :46.960> causes The review undertaken identified causes The review undertaken identified causes
• He's talking about employing universal identifiers. Yeah. Employee universal identifiers.
• universal identifiers. universal identifiers.
• Employee universal identifiers. >> Yeah. Employee universal identifiers.

Keywords: 1183, house

Summary: Judge Tim O’Malley, Minnesota’s director of program integrity, presented a roadmap to program integrity and fraud prevention built around nine areas for improvement, including leadership and culture, stronger program controls, better coordination among agencies and prosecutors, training, technology modernization, independent oversight, stakeholder engagement, and expanded resources. He said long-standing vulnerabilities in state programs have been exploited by organized criminals, and argued the state must shift from reactive enforcement to front-end prevention, faster detection, and recovery of improper payments. He emphasized that modern data sharing and analytics are especially urgent, and said oversight and accountability are essential for lasting change. Fay Bernstein, a long-time DHS employee, testified that she experienced retaliation after raising contract compliance concerns years ago. She said she was removed from the building, barred from DHS property, investigated for months, and accused of racism and threatening leadership, which she denied. Bernstein argued DHS leadership lacks a fraud-prevention mindset and said the department’s culture punishes employees who speak up, while serious program failures have harmed vulnerable Minnesotans. She called for major leadership changes and firings at DHS. Members questioned O’Malley about whether fraud was driven more by sophisticated criminals or by weaknesses in state systems. He said the vulnerabilities have existed for a long time and organized criminal groups are taking advantage of them, especially where data sharing is weak. Members also pressed him on whistleblower protections and retaliation; O’Malley said he should have included the legislature among places employees can report concerns, and said complaints should be thoroughly investigated with accurate information and appropriate consequences for supervisors who fail to act, ranging from coaching to termination depending on the case. No votes or formal actions were taken in this portion of the meeting.

Transcript Highlights:

• They helped us inform these pillars as well.
• And I think some of this really speaks to some of the issues you all have identified.
• Or is that just one of those things because of where you're pulling the information from?
• So I'm glad that you found this informative and please something missing we want to know.
• I'm sure most of you have my contact information.

Keywords: 995, all

Summary: The Massachusetts Commission on the Status of Persons with Disabilities subcommittee on workforce supports met with Chair Andrew Lerault presiding. Members completed roll call, approved the August 2025 minutes, and then heard a presentation from Amy Doyle, director of the Behavioral Health Workforce Center at the Massachusetts Health Policy Commission. Doyle described the center’s launch in September 2024 and its legislative mandate to study behavioral health payment rates, workforce needs, and licensure/certification barriers, with an emphasis on recruitment, retention, capacity building, diversity/equity, and sustainability. She also shared data on unmet behavioral health needs, ED boarding, workforce shortages, aging and turnover in nursing and direct care, and the need to improve data collection on non-licensed workers and populations such as people with developmental disabilities and autism. Committee members asked questions about what provider types were included in the workforce data and whether DDS-related residential and direct support roles were captured. Doyle said the center is still working to define and measure the full behavioral health workforce, including non-licensed roles, and welcomed follow-up on missing data sources. Members suggested additional sources such as CHIA and the Association of Developmental Disability Providers’ workforce survey. Doyle noted that the center is working with CHIA and that new licensure renewal surveys for behavioral health and allied mental health professionals will begin in 2025, which should improve future workforce data. The discussion also touched on the Health Policy Commission’s broader workforce findings, including nurse attrition, burnout, low wages, and the importance of career ladders and advanced training. Doyle said the center’s first policy recommendations will come from its rate study, expected in the next one to two months, and will likely focus on capacity building and sustainability. After the presentation, members thanked Doyle and discussed subcommittee leadership. Chair Lerault announced he was stepping down, and Chris White volunteered to serve as co-chair; the committee agreed to move forward with that arrangement and to revisit FY26 goals once new leadership is in place. The meeting then adjourned by motion and second.

Transcript Highlights:

• We tried to identify the situation.
• We tried to adv identify the situation. We tried to adv identify the situation.
• There might be information system.
• So the information is a direct feed into that so that those students are then identified and then you're
• And we'll analyze that information. information. information.

Keywords: 928, house, all

Summary: The commission met to approve the November 21, 2025 minutes, making several clerical corrections before adopting them as amended. The edits included adding the date, correcting a misspelled name, clarifying references to a scholarship fund representative’s title, removing an incorrect “DOE” reference, and fixing a few wording errors. The minutes were approved with one abstention from members who were absent. The bulk of the meeting focused on organizing the commission’s work under SB 57 and identifying which special education cost issues should be prioritized for research and reporting. Members discussed a long list of topics, including student referral rates, why students are classified as other health impaired, increases in referrals since school closures, interventions before referral, costs of non-medically necessary services in IEPs and 504 plans, differences between federal and state requirements, reporting of special education costs, out-of-district and residential placements, dispute resolution, Medicaid and insurance use, graduation rates, and adult learning participation. Several members emphasized the need to combine or narrow topics and to gather better data before the report due July 1, 2026. Representative Ames highlighted HB 742, which would eliminate prorated special education aid payments when state appropriations fall short, and explained that the Education Funding Committee recommended interim study. He argued that local districts are bearing too much of the cost and that the state and federal governments should provide more support. Other members raised concerns about rising special education identification rates, possible overidentification, school climate and mental health factors, bullying, staffing, speech therapy access, and residential placements. One member cautioned that DOE website numbers may be inflated or at least difficult to interpret because of how students are counted. Department of Education staff then explained how special education data and costs are monitored. They said student counts are tied to IEPs and SASIDs in the state system, districts are checked through both desk audits and on-site monitoring, and billed services are compared against IEP requirements. They also described IDEA funding, noting that most DOE special education staffing is federally funded, with a large share of federal money flowing through to local education agencies and the remainder supporting administration, monitoring, and training initiatives. Members discussed whether more staff and more robust oversight would improve accuracy and accountability.

Transcript Highlights:

• All the information is de-identified.
• All that potential identifying information is gone, and it remains de-identified even when it is reviewed
• We still get information out.
• We can still look at trends and still use the information, but it's de-identified more greatly.
• The information that we send into CDC is actually North Dakota's information.

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:

• be the main approach uh if we identify be the main approach uh if we identify that<00:19:33.120>
• It can include information on outcomes, activities, lessons learned, and financial information.
• <01:05:21.160> on<01:05:21.480> outcomes information on outcomes information on outcomes
• assessment again is if we had identified assessment again is if we had identified them<01:09:08.480
• c> into information or putting information into information or putting information into Workforce

Keywords: 1183, house

Transcript Highlights:

• our SSIS or social services information our SSIS or social services information system<00:04:48.720
• The report identified the processes.
• <00:51:20.720> um allow us um to identify um allow us um to identify um where<00:51:22.720
• the front line of gathering information the front line of gathering information to<01:15:23.440>
• That takes time to gather that information. And then someone's got to review that information.

Keywords: 1187, senate, all

Transcript Highlights:

• c> those<00:17:44.400> 14 Um, so we've identified those 14 Um, so we've identified those 14
• Um folks maybe information was there.
• um is issuing a request for information um is issuing a request for information to<01:01:44.880>
• information um the information that information um the information that we've<01:14:58.800> received
• managers are not getting information managers are not getting information getting<01:15:49.840><

Keywords: 1183, house