Transcript Highlights:

• But, you know, they practically came in with flaming torches because anybody, you know, in fact, one
• But, you know, they practically came in with flaming torches because anybody, you know, in fact, one
• Scope of practice wise. Who's authorized? Chairman Cloud and Senator Roers, yes.
• And it's wonderful, but they take time away from your practice as well.
• Well, now we have all kinds of family practice people around the state, and there has been success.

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:

• And best practice aligns with guidelines 85% of the time, I would say, because some best practice is
• And best practice aligns with guidelines 85% of the time, I would say, because some best practice is
• They're just practicing.
• I mean, they've got busy practices.
• I mean, they've got busy practices.

Summary: The House Labor and Industrial Relations Committee met on May 7, 2026, and first deferred several measures, including House Bill 460, Senate Bill 322, Senate Bill 32, Senate Bill 22, and House Bill 561. The committee then took up House Bill 819 by Chairman Cruz, which would replace Louisiana’s current workers’ compensation medical treatment schedule with the Official Disability Guidelines (ODG) by MCG as the primary guideline, while keeping the existing variance and appeal process. Cruz and MCG representative Troy Prevo argued that ODG is more comprehensive, updated more frequently, and used in many states, and said it could reduce delays, disability duration, and costs. Dr. Jason Picard, the state medical director, testified that Louisiana already uses ODG as a secondary reference in many cases because the state schedule lacks coverage for some body parts and treatments, and said the bill would not otherwise change the appeals process or care delivery. Committee members focused heavily on whether the bill would delay care or improve it. Several members questioned the private-company nature of ODG, the $400 annual subscription cost, and whether Louisiana doctors would be forced to rely on an out-of-state guideline. Rep. Glorioso and others raised concerns about preauthorization delays and proposed amendments to create tacit approval when treatment follows the schedule, require payment within 30 days, and make the carrier prove by clear and convincing evidence that care was not medically necessary to challenge it. Chairman Cruz said he was willing to work with those ideas, and the committee also discussed adding an on-ramp or legacy language so current patients would not be disrupted. Opposition testimony came from injured-worker advocates and representatives of medical and labor groups, including Joseph Jola St. and Robin Krumholt. They argued that Louisiana’s current guidelines are already working, that rates have fallen over time, and that the real problem is delay in approval rather than the content of the schedule. They said ODG is overly rigid, cost-driven, and can lead to denials that shift costs to workers, Medicaid, or private health insurance. They urged the committee to keep Louisiana’s existing system and instead adopt tacit approval under current law. The bill was still under discussion at the close of the transcript, with amendments being read and no final vote shown.

Transcript Highlights:

• They've eliminated the practical exam.
• That was to cover the practical exam contractors and their...
• of the practical exam.
• Um, so Mississippi joins 12 states that have eliminated the practical exam.
• Um, so Mississippi joins 12 states that have eliminated the practical exam.

Keywords: Appropriations - Room 216, 5 February, 2026; 8:30 AM, 925, all

Summary: The committee first heard from the Board of Registration for Foresters, which said it is self-funded through applications and renewals and receives no general fund support. The board requested a budget increase from $62,755 to $77,035, mainly for technology upgrades to its database and website, a social media presence, and about $3,000 more for board travel. Members asked about contractual expenses, staffing, renewals, reserves, and office location; the witness said most renewals are now online, the board has a reserve but he did not know the exact amount, and the board is leased space in the Robert E. Lee Building. No vote was taken, and the chair moved on to the next agency. The Mississippi Board of Examiners for Social Workers and Marriage and Family Therapists then presented its budget and operational needs. The board described its 10-member structure, three employees, and oversight of about 4,450 social workers and 210 marriage and family therapists. It explained that a prior $50,000 deficit appropriation was approved too late to spend, and asked to include that amount in the current budget for technology upgrades and equipment. The board also requested salary increases, additional travel funds, money for out-of-state compact participation, more contractual funds for database enhancements and digitizing records, and one additional computer. Members questioned the board about its large cash balance, staffing, office location, and the social work compact; the board said it has about $1 million in cash, is in leased space at Old River Place, and needs database changes to support the compact. No action or vote was taken. Finally, the Cosmetology and Barbering Board discussed major licensing and regulatory changes and its budget request. The board said it had already adopted a passing score for the licensure exam, ended the practical exam, extended testing approval periods, removed barriers to temporary work permits, and opened a path for apprenticeships, mobile establishments, and online licensing software. It also described recommendations in SB 2566, including a low-income first-license fee waiver, sanitation warnings, reduced education and instructor-hour requirements, and removal of some display requirements. The board said these changes had already led to new applications and test signups. On the budget side, it said it was withdrawing a prior request for $6,340 for practical-exam contractors because that exam was eliminated, but still sought $120,000 for certified mail, $49,000 for recruitment and retention salaries, and continued flexibility for possible live-streaming requirements under pending legislation. Senators asked whether the practical exam had been eliminated and whether the board could still ensure competency and inspections; the board said skills are still assessed through program completion and theory testing, and it asked to retain inspector positions because it oversees roughly 6,000 to 6,500 licensed shops and salons with only two inspectors.

Transcript Highlights:

• Recently, we've seen court rulings that have overturned the long-standing practices that have allowed
• It was an appalling practice that people were trying to get this predatory practice legalized.
• This practice has been outlawed.
• The same bill has passed in over 30 states right now to stop these predatory practices.
• But this bill just stops that predatory practice from continuing.

Bills: HB2226, HB2269, HB2343, HB2760, HB3621, HB4079, HB4204, HB4518, HB4531, HB4555, HB4850, HB4876, HB4903, HB4996, HB5122

Keywords: construction trust funds, Property Code, Chapter 162, construction payments, mechanics lien, contractors, subcontractors, laborers, material suppliers, materialmen, real property improvement, assignment of payment rights, unpaid trust funds, trust fund beneficiaries, construction industry, payment protection, Texas construction law, property owners association, landscaping, grass maintenance

Transcript Highlights:

• threat landscape, we have found that overall, all governments have room for improvement in their IT practices
• The first one is comparing IT practices to the Center for Internet Security Critical Security Controls
• We followed the two lines of work: number one, comparing IT practices to the Center for Internet Security
• and this is evidenced by increased alignment with those assessment when we're looking at leading practices
• State Auditor's Office assessed agency practices against these controls.

Summary: The Joint Legislative Audit and Review Committee held a public hearing on the State Auditor’s Office cybersecurity performance audits for fiscal year 2025, covering both state agencies and local governments. SAO staff explained that the audits are conducted independently under Initiative 900 and are kept confidential at the entity level, with detailed findings shared directly with the audited organizations. They reported that state agency audits found nearly one-third of assessed safeguards fully implemented on all systems and 227 vulnerabilities across seven agencies, including three critical and 21 high-severity issues. For seven local government cybersecurity audits, nearly a quarter of safeguards were fully implemented on all systems, and auditors identified nearly 300 vulnerabilities, including nine critical and 47 high-severity issues. SAO also summarized its ransomware resiliency audits and critical infrastructure audits for local governments. In six ransomware audits, a little over 35% of assessed safeguards were not in place, while about 60% were at least partially in place. In 39 critical infrastructure audits, focused largely on water and sewer providers, auditors found over 260 vulnerabilities and said more than 10% were critical or high. Staff highlighted that these audits have led to improvements, including one vendor making security changes after SAO testing that were later echoed in a federal advisory. They also described related services such as cybersecurity checkups, policy guidance, and other cyber-related work by the office. Washington Technology Solutions’ state chief information security officer, Ralph Johnson, praised the audits and said they help protect essential public services. He cited a sharp national rise in ransomware incidents against governments and said Washington has used more than $11 million in federal and state cybersecurity grant funds for over 200 projects. In response to questions from Representative Scott, SAO and WOTEC discussed options for addressing urgent vulnerabilities, including compensating controls, grant funding, and low-cost mitigation steps. The committee also discussed how Washington’s program compares nationally, with Johnson saying Initiative 900 is unusually comprehensive and that local governments often seek audits voluntarily. No votes were taken, and the hearing adjourned after public testimony was offered but none was given.

Transcript Highlights:

• That is both general practice within the data practices act and it's practice within this statute that
• <00:10:27.680> act, compliance with our data practices act, compliance with our data practices
• <00:10:38.399> practice<00:10:38.560> within practice act and it's practice within practice
• So that is the practices committee.
• practices with a two-fold approach. practices with a two-fold approach.

Bills: HF3479, HF4205, HF3782, HF4081, HF4138

Keywords: foreclosure, mortgage, redemption period, homestead, Minnesota Statutes, automated license plate reader, ALPR, license plate recognition, vehicle surveillance, Bureau of Criminal Apprehension, BCA, data privacy, government data practices, law enforcement data, surveillance technology, location data, vehicle tracking, warrant requirement, probable cause, exigent circumstances

Transcript Highlights:

• I practice at Frontier Primary Care here in St. Paul.
• <00:16:06.240> of see as overregulation on the practice of see as overregulation on the practice
• most lucrative uh healthcare practice most lucrative uh healthcare practice but<00:21:05.840>
• <00:27:18.720> in largest direct primary care practice in largest direct primary care practice
• ,<01:25:41.600> loan bill, including tipping practices, loan bill, including tipping practices

Bills: HF2400, HF1724, HF3437, HF4333, HF2874, HF4052

Keywords: real estate, appraisers, disciplinary actions, sanction matrix, Minnesota Statutes, direct primary care, healthcare agreements, medical services, patient care, health insurance, mortgage fees, residential loans, commercial loans, finance regulations, investment properties, insurance, supplemental health insurance, short-term care, home health care, nursing care

Transcript Highlights:

• I serve as Associate Dean for Practice, Associate Professor of Community Health Science, and Director
• The common thread throughout my personal and professional practice is my focus on racial justice and
• That policy, pattern, and practice.
• It is patterns and practice.
• Too many providers are trained in brain injury, let alone culturally competent practices.

Keywords: 995, all

Summary: The Massachusetts Permanent Commission on the Status of Persons with Disabilities held a public hearing focused on health equity for people with disabilities. The chair opened by explaining that the session was not about specific legislation, but about sharing data, lived experience, and strategies to inform more inclusive health systems. Presenters included representatives from the Health Equity Compact, the Department of Public Health, MassHealth, UnitedHealthcare Community Plan, the Brain Injury Association of Massachusetts, UMass Chan Medical School, Spaulding Rehabilitation, and the Arc of Massachusetts/Operation House Call. Speakers described how structural racism and ableism contribute to poor health outcomes, unemployment, poverty, and barriers to care for disabled people, especially disabled people of color. Testimony highlighted access problems such as inaccessible medical equipment, transportation, inadequate provider training, lack of culturally competent care, and insurance barriers. Several speakers emphasized the importance of collecting and disaggregating disability data, training providers in disability-competent care, and screening for accommodation needs. MassHealth described its Quality and Equity Incentive Program under the 1115 waiver, including disability-related metrics on data completeness, staff training, and accommodation screening, and reported early increases in hospitals collecting self-reported disability data. Brain injury advocates focused on inequities in rehabilitation access, including the impact of CMS’s “three-hour rule,” which they argued denies needed inpatient rehab to people with severe traumatic brain injury. They called for policy changes, a TBI task force, and possibly bipartisan legislation if CMS cannot revise the rule. Other testimony described DPH efforts such as one-to-one navigation, health promotion workshops, mini-grants for accessible recreation, and the Massachusetts Health and Disability Partnership. The hearing also highlighted medical education efforts like Operation House Call, which uses home visits and disability-led teaching to reduce bias and improve provider competence. No votes were taken and no formal actions were announced.

Transcript Highlights:

• As many on this committee know, I'm a practicing attorney.
• I've practiced workers' compensation law for the past 20 years.
• They immediately assume that position and begin to practice, but they are also subject to confirmation
• but they are also begin to practice but they are also subject<00:16:12.600> to<00:16:12.959><
• “Attorneys claim that you all are practicing, and still practicing.

Keywords: Meeting Start 00:00 Roll Call 00:17 SB 129 Discussion 00:46 SB 129 Vote 04:27 SB 178 Discussion 05:48 SB 178 Vote 07:57 SB 151 Discussion 09:01 SB 151 Vote 11:24 SB 201 Discussion 15:17 SB 201 Vote 21:48, 958, all

Summary: The Senate Standing Committee on Economic Development, Tourism, and Labor met and first took up SB 129, with a committee substitute adopted before testimony. The bill would allow certain qualified third-party entities in Louisville Metro, including public bodies and long-standing nonprofits, to purchase certificates of delinquency on vacant and abandoned residential properties after 90 days, with the goal of returning blighted property to productive use and back on the tax rolls. Several members supported the measure as a tool for housing and economic development, while Senator Boswell and Chair Willer noted concerns about protecting vulnerable property owners, such as widows, the elderly, and people with disabilities. SB 129 was approved by the committee with favorable expression. The committee then heard SB 178, which updates statutes related to the Education and Labor Cabinet by moving the Office of Vocational Rehabilitation’s Division of Program Policy into statute, renaming Business and Apprenticeship to Industry and Apprenticeship, and making related organizational changes. Testimony from cabinet staff said the changes reflect work already being done and that a floor amendment would be needed for one additional correction. The bill was advanced unanimously with favorable expression. Next, the committee considered SB 151, which would bar state tax dollars from being used to pay persons not legally present in the United States. The sponsor argued the bill was needed to prevent Kentucky funds from going to undocumented workers on state job sites, while Senator Wheeler questioned what the bill would change beyond existing law and how such payments would occur through contracts or appropriations. Senator Yates said he was not opposed to the premise but wanted more time to review the bill’s mechanics, and Senator Thomas voted no for the same reason. Despite those concerns, SB 151 passed with favorable expression. Finally, the committee heard SB 2011, a workers’ compensation bill that would delay newly appointed administrative law judges from taking office until Senate confirmation, extend current ALJ terms through June 1 of next year, and allow retention votes for board members to improve stability and attract more applicants. The sponsor said the bill addresses a loophole that can discourage qualified candidates from applying because they may have to leave private practice before confirmation. After a question about whether the bill would affect salaries, the sponsor explained compensation is set by statute and caseload need is separately reviewed. The bill received favorable expression and the meeting concluded with no further business.

Transcript Highlights:

• Yet the practice of assisted pregnancy... ...birthright citizenship.
• Just what current practice is under Texas law, as you understand it.
• My practice... Of your clients, how many are international? My practice, yes, sure.
• You only practice in Texas? Yes, I'm only licensed in Texas.
• So do you practice this kind of law? Yes, I do.

Keywords: 1185, senate, all

Transcript Highlights:

• <01:45:29.679> for redistricting, not a usual practice for redistricting, not a usual practice
• <01:53:23.760> of from engaging in the private practice of from engaging in the private practice
• And today, six of the New practice.
• Koos already prohibit private practice Koos already prohibit private practice entirely<01:54:35.840
• <03:22:19.760> New which I think is a practical New which I think is a practical New Hampshire

Keywords: 1189, house, all

Transcript Highlights:

• Our co-presenters before us identified best practice.
• Our co-presenters before us identified best practice.
• <01:26:02.840> in little resource to do best practice in little resource to do best practice
• This is a shift in practice and was not a part of our practice prior to the READ Act. focus on disciplinary
• and was not a part of our practice and was not a part of our practice<01:31:18.840> prior<01:

Keywords: 1187, senate, all

Transcript Highlights:

• AB 1629 makes practical, targeted improvements to change that.
• So I think we can clarify. by practice of CDPH's reporting.
• There are also some practical questions the bill does not answer.
• Transparency drives safer industry practices.
• The practice of bypassing the closest facility from multiple regions.

Keywords: 987, senate, all

Transcript Highlights:

• We are talking about sound business practice; business practice is not manipulation.
• As a best practice for consumer protection purposes.
• Under this bill, those practices remain prohibited. Each carve-out...
• Under this bill, those practices remain prohibited.
• This alone would be concerning, as such practices expose customers...

Keywords: 1146, all

Transcript Highlights:

• What are the practical consequences for the patient here?
• Ideally, in ideal and practical reality.
• But we know practically that's not that.
• and makes sure that advanced practice and makes sure that advanced practice registered<00:41:03.760
• registered nurses are practicing within registered nurses are practicing within their<00:41:05.760>

Bills: HB0117, HB0126

Keywords: informed consent, abortion, civil liability, coercion, healthcare rights, fetal heartbeat, termination of pregnancy, medical emergency, Wyoming legislation, rights of minors, healthcare regulations, parental consent, 916, all

Transcript Highlights:

• <00:09:13.680> of quote dangerous and unfair practices of quote dangerous and unfair practices
• This entails preseason training, early morning practices, and after-school practice.
• on my whole family two a day practices on my whole family two a day practices traveling<01:06:24.079
• care physician to some of the Practical care physician to some of the Practical matters<01:10:11.800
• <01:34:20.560> as carried out in practice as carried out in practice as representative<01:

Keywords: 1183, house

Transcript Highlights:

• Provided by a registered nurse or licensed practical nurse acting within the provider's scope of practice
• the provider's scope of practice. the provider's scope of practice.
• Beyond the legal issues, the bill presents a thorny practical problem.
• <00:35:54.320> for current policy and practice for current policy and practice for including
• for this plan to honor current practice for this plan to honor current practice of<00:36:26.640>

Keywords: 918, senate, all

Summary: The committee heard public testimony on a health insurance/home care nursing provision and on other consumer protection items. Nick Keis and Emily Walters, both parents of medically complex children, testified that commercial health plans had recently begun capping home care nursing as if it were intermittent home health visits, which they said was contrary to Minnesota law and legislative intent dating to 2010. They described severe impacts on their families, including hospitalizations, loss of nursing coverage, strain on waiver budgets, and the risk of children being forced out of the home and into institutions. Representative Bierman echoed that the bill was a straightforward clarification of existing law, not a new mandate or added cost, and a staff member later cited the statutory definition of home care nursing as ongoing, continuous nursing services that cannot be met through intermittent or visit-based care. The committee also discussed the practical difference between home health visits and private duty/home care nursing, with testimony emphasizing that the latter is medically necessary, assessed, and not unlimited in practice. Laura Sales of the Minnesota Attorney General’s Office testified on changes to the Consumer Protection Restitution Fund (CIPRA). She said the fund has begun distributing restitution, starting with consumers harmed by the closure of Woodbury Dental Arts, but that current statutory language limits the office’s flexibility to prorate payments. She asked for an amendment allowing the AGO to distribute available funds more equitably so more eligible consumers can receive some payment, rather than requiring full payment to the oldest claims first. Annette Meeks, representing Citizens Against Gambling Expansion, testified in support of banning sweepstakes gambling in the Commerce Committee omnibus report. She argued that online sweepstakes casinos are an illegal gray-market form of gambling, cited rapid growth and billions in revenue, and said other states have acted through enforcement and legislation to stop them. She urged the committee to include language from Senate File 4474 to clarify state law and prohibit sweepstakes gambling. No votes were taken in the portion of the meeting shown; members mainly asked questions and received testimony.

Transcript Highlights:

• color have been systematically cut out of that generational wealth, first by law, then by lending practices
• Findings are confidential, consistent with federal supervisory practice.
• They've been perpetuated, and when a lending practice consistently locks specific groups of people out
• California's fair lending protections exist on paper, but not in practice. Thank you.
• Our mission is to promote industry best practices and practical and effective legislation that ensures

Keywords: 987, senate, all

Transcript Highlights:

• The legislature has a long history of protecting taxpayer dollars from funding such evil practice.
• This initiative provides practical and logistical support, like childcare, travel expenses, food and
• Some choose the abortion pill ordered through the mail, another practice which must be addressed.
• In practice, this bill violates my faith.
• It is is a Judeo-Christian value to allow each person to practice the religion they choose.

Bills: SB 6, SB 11, SB 33

Keywords: electric power, interconnection, utilities, ERCOT, large load customers, water supply, sewer service, demand management, school prayer, Bible reading, religious text, public schools, Texas Education Code, student prayer, silent prayer, meditation, religious liberty, First Amendment, Establishment Clause, church and state

Transcript Highlights:

• The legislature has a long history of protecting taxpayer dollars from funding such evil practices.
• Abortion and practical support funds are ensuring that even with those increased costs, people can get
• Some choose the abortion pill ordered through the mail, a practice which must be addressed.
• In practice, this bill violates my faith.
• It is a Judeo-Christian... value to allow each person to practice the religion they choose.

Bills: SB6, SB11, SB33

Keywords: electric power, interconnection, utilities, ERCOT, large load customers, water supply, sewer service, demand management, school prayer, Bible reading, religious text, public schools, Texas Education Code, student prayer, silent prayer, meditation, religious liberty, First Amendment, Establishment Clause, church and state