Transcript Highlights:

• We are also anticipating increased programmatic costs for individuals switching to different eligibility
• did fall off right before an individual did fall off just<00:58:08.640> make<00:58:08.960>
• <01:14:21.120> We that's county ran, state supervised.
• We that's county ran, state supervised.
• <01:37:12.080> county that are uh state supervised county that are uh state supervised county

Bills: HR1

Keywords: January 6 insurrection, pardon, law enforcement, violent crimes, public safety, justice system, political accountability, 1183, house

Transcript Highlights:

• Um, one is to address the individual market and ways to address the fact that we don't have funding in
• I don't think there's any situation where this would be the supervising doctorate-level supervision from
• where this would be the the supervising where this would be the the supervising um<00:28:51.679>
• 00:28:53.520> from um a doctorate level supervision from um a doctorate level supervision from
• and not, like reinsurance, just target everybody in the individual market.

Keywords: 1187, senate, all

Transcript Highlights:

• Supervision for LACs to become LPCs is a little bit more difficult than supervision for LMSWs to become
• I'm sure that there are other individuals in those... ...centers to provide those services.
• There's no way to fix those individuals... So then right now, there's no answer.
• All of those individuals that are receiving... ...those services in jail that have been through that
• So we'll be able to provide that service and pay for that service for individuals.

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to behavioral health as the main topic. Representatives Woodridge and Vaught described the work of the behavioral health working group, saying Arkansas needs a more proactive system that improves access, reduces red tape, and focuses on a few achievable policy changes for the 2027 session rather than many bills. Members discussed barriers such as low reimbursement, workforce shortages, licensing and credentialing hurdles, rural access problems, and the need to better use community providers, compacts, and step-down services. Director Paula Stone of DHS’s Office of Substance Abuse and Mental Health gave a detailed overview of the behavioral health system. She said Medicaid pays for more than 75% of behavioral health services in Arkansas and explained that when people are jailed or admitted to the state hospital, Medicaid generally stops, leaving state general revenue to cover care. She described current efforts including family-centered treatment for children, community reintegration group homes, a new adolescent substance use disorder residential unit, expanded community mental health center contracts, a secured restoration unit to reduce state hospital backlogs, and an IMD waiver to allow Medicaid payment for certain residential services. She also said DHS is working on crisis services, forensic evaluations, and provider rebidding in areas previously served by ERISA. Members asked about reimbursement for jail services, the lack of a statewide behavioral health dashboard, civil commitment options, crisis stabilization units, and whether Arkansas should expand step-down or long-term facilities for people who cannot safely return to the community. Stone said the state hospital backlog remains significant, average stays are still about 14 months, and crisis stabilization units have had mixed success, with Fort Smith and Jonesboro performing better than Fayetteville and Little Rock. The meeting ended with a commitment to continue the work, with more substantive discussion planned for August.

Transcript Highlights:

• in a child abuse and neglect case is returning the child to his or her own home with department supervision
• Okay, and you all would still have to really supervise that part of it, make sure there is compliance
• This is the bill that removes the requirement that an individual who is 18 to 21 years old must have
• I understand that concern, but those individuals would have received this safety training course.
• or individuals in lines 34 through 38.

Keywords: 994, senate, all

Summary: The committee considered and advanced several bills. House Bill 4995, concerning video cameras in special education classrooms, was explained as requiring parents to be notified of recording interruptions, providing written notice of the law to parents and school employees, shortening the required random review of recordings from every 90 days to every 30 days, and clarifying that school boards must still conduct independent investigations even if DHS or prosecutors do not act. The committee adopted the motion to report the bill to the full Senate. House Bill 5214, dealing with drug testing in child abuse and neglect cases, would allow courts to order testing of parents in certain cases, require laboratory confirmation of positives, and require DHS to notify the court and other parties; the committee adopted the strike-and-insert amendment, then reported the bill as amended and adopted a title amendment. The committee also advanced House Bill 4025 and House Bill 5441, both restructuring state personnel systems. HB 4025 would exempt employees of the Department of Health, health facilities, and human services from classified civil service and grievance procedures beginning July 1, 2026, while preserving status for some current employees and allowing exemptions to comply with federal requirements; the committee adopted a piecemeal amendment and reported it as amended. HB 5441 would eliminate separate civil service systems for Transportation, Revenue, and the Bureau for Social Services and move classifications and compensation structures to the Division of Personnel, with testimony from the governor’s counsel emphasizing faster hiring and more flexibility; the committee adopted the strike-and-insert amendment and reported the bill as amended. House Bill 4602, a child welfare pilot program creating a private community-based system for post-removal services, drew testimony from DHS about concerns over costs, continuity, oversight, and child well-being outcomes, while supporters argued it could reduce caseloads and improve flexibility. The chair amended the bill to remove one of the two pilot regions, leaving only the Berkeley/Jefferson County pilot, and the committee then reported the bill as amended despite opposition from the senator from Marion. House Bill 4106, removing the provisional concealed handgun license requirement for ages 18 to 21, heard testimony from a pediatrician opposing the change and from a gun rights advocate supporting it; an amendment requiring firearms training for under-21 carriers failed by a 1-14 roll call, and the committee then reported the bill as amended. Finally, House Bill 4198, after a subcommittee rewrite, was advanced with a strike-and-insert amendment that refined E-Verify requirements for public and private employers, added exemptions for certain small or new employers and sole proprietors, clarified recordkeeping and notice requirements, and adjusted penalties and enforcement procedures. After a motion for the previous question, the committee adopted the amendment and reported HB 4198 as amended. House Bill 5319 was removed from the agenda, and the committee adjourned.

Transcript Highlights:

• The center will conduct research responsive to joint or individual inquiries from the President of the
• Senate, the Speaker of the House, to joint or individual inquiries from the President of the Senate,
• The bill provides that the OFR is responsible for supervising virtual currency kiosk businesses.
• We had, I had an individual this summer who actually is a lobbyist.
• He might provide a name of Tom or John, but that's not who this individual is.

Summary: The committee met with a quorum and heard five bills. HB 1097 would rename the Florida Catastrophic Storm Center at FSU as the Florida Center for Excellence in Insurance and Risk Management, transfer the public hurricane loss projection model from FIU to FSU, and provide recurring and nonrecurring appropriations to support independent insurance research and collaboration with OIR and other universities. Members discussed university roles, model oversight, independence from industry funding, and student/workforce benefits. The bill passed favorably on a roll call vote. HB 319 would create a regulatory framework for virtual currency kiosk businesses, requiring registration with the Office of Financial Regulation, consumer disclosures, and penalties for violations. Much of the discussion focused on fraud prevention, especially for seniors, and whether the bill should include transaction caps or stronger recovery tools; AARP supported the bill but urged additional protections. The bill passed favorably. CS/HB 385 made technical changes to the Florida Trust Code and Community Property Trust Act, including decanting, trustee claims, redemption by satisfaction, and homestead transfer treatment; an amendment conforming to the Senate version was adopted, and the bill passed favorably. CS/HB 97 would allow service of process for exploitation injunctions against unascertainable scammers through the same communication method used to contact the victim, such as text or social media, and would let courts freeze funds temporarily while the matter is heard. Testimony from elder law practitioners and AARP supported the bill as a tool against scams, while some members raised due process and overreach concerns; the bill passed favorably. HB 839 would shorten the overpayment recovery window for claims submitted to psychologists and HMOs to match other health providers, with the goal of improving parity and access to mental health care; an amendment was adopted, and the bill passed favorably. The meeting concluded with adjournment after the final roll call votes.

Transcript Highlights:

• Unlike a DOC or FDLE, the public defender and state attorney budgets are 20 individual budgets managed
• by 20 individual elected officials.
• The statewide by 20 individual elected officials.
• There are actually guidelines in the statute and in individual offices that dictate the analysis for
• Detention screening operations: so it's under probation and community supervision.

Summary: The committee met for an interim appropriations presentation hearing focused on justice administration agencies. Members heard budget requests from the State Attorney’s Office, Public Defenders, the Justice Administrative Commission, Regional Conflict Counsel, Capital Collateral Regional Counsel, and the Guardian ad Litem Office, followed by a presentation from the Department of Juvenile Justice and a brief public comment from a nonprofit advocate. The chair noted that presentations from the Department of Law Enforcement and the Commission on Offender Review would be moved to a later meeting. The state attorney requested funding to true up underfunded circuits under the existing formula, staff 14 new criminal judgeships, replace declining VOCA victim-services funding with general revenue, and cover a projected due process shortfall. The public defender asked for a higher starting salary for assistant public defenders, funding to restore balance in circuits where public defenders lag behind state attorneys, and staffing for new criminal judgeships. Regional conflict counsel and capital collateral regional counsel also sought salary adjustments, additional attorneys and case costs, and competitive area differential funding to address recruitment and retention issues. The Justice Administrative Commission requested funding for Florida PALM readiness and implementation and for IT hardware and software replacement; it also relayed a clerks’ request for reimbursement related to injunctions for protection, Baker Act, Marchman Act, and sexually violent predator cases. The Guardian ad Litem Office said it now has a guardian ad litem for every child in Florida and requested salary increases for senior and managing attorneys to reduce turnover. The Department of Juvenile Justice presented a much larger budget request to expand residential and detention capacity, increase per diem rates, renovate and replace aging facilities, fund the Broward detention center rebuild, improve cybersecurity and the juvenile information system, and cover rising lease costs. Members asked questions about staffing, compensation, detention and residential treatment needs, mental health and substance-use services, and the Broward project timeline. A nonprofit advocate then asked for better data collection on protection orders and related court actions to support funding for domestic violence and recovery services. The committee adjourned without taking any formal votes on the budget requests.

Transcript Highlights:

• cost-burdened individuals.
• still a great deal of challenge for individuals, from what I understand.
• Their individual experiences are really challenging, from, from, from...
• Smaller ratios enable individual attention and developmental support.
• The most recent ...transition, and individual employment support outliers.

Summary: The committee first approved the February 11, 2026 minutes and then received an update from the North Dakota Housing Finance Agency on the interagency council on homelessness and continuum of care funding. Testimony described rising homelessness tied to tight housing markets, low incomes, aging homelessness, barriers to rental assistance and public benefits, and limited shelter and case-management capacity. Members discussed the need for more affordable housing, continued one-time funding for the North Dakota Homeless Grant and Housing Incentive Fund, better coordination with Health and Human Services on economic assistance and human service zones, landlord engagement, recovery housing, and reentry housing. The committee also heard that federal continuum of care funding remains uncertain, with possible shifts away from permanent supportive housing and housing-first models; members asked for a future update on the impact if federal rules reduce the share available for permanent housing. The committee then took testimony on accessibility of government services for people who are blind or visually impaired. Paul Olson of North Dakota Vision Services School for the Blind described current screening and service delivery, including infant referrals, regional staff, short-term programs, and collaboration with vocational rehabilitation. He said the targeted screening system is working, recommended maintaining the current model, and noted ongoing challenges with staffing, public awareness, and accessible state websites and documents. Public testimony from a visually impaired resident and a deaf resident emphasized barriers such as CAPTCHAs, inaccessible PDFs, employment forms that screen out applicants based on driver’s license status, shortages of interpreters, and the need for video remote interpreting and video relay services, along with training for users and agencies. Finally, the committee heard a final report on the study of child care provider licensing from HHS Early Childhood Director Kay Larson. The report summarized provider input and committee discussion on simplifying North Dakota’s child care licensing structure, reducing administrative burden, and balancing that with health and safety standards. Key topics included licensing categories, child care assistance eligibility, food program sponsorship, staff qualifications, training requirements, ratios and group size, age bands, and preschool exemptions. The committee’s recommendations included streamlining to three provider types plus a preschool designation, revising ratio and age-band rules, and carrying forward certain preschool outdoor-space exemptions. Larson noted that any changes would require statutory changes, rulemaking, and a transition period before new licensing rules could take effect.

Transcript Highlights:

• be the most cost-burdened individuals.
• Their individual experiences are really challenging from what I hear secondhand.
• Their individual experiences are really challenging from, from, from, Their individual experiences are
• Smaller ratios enable individual attention and developmental support.
• The most recent transition, and individual employment support outliers.

Keywords: 908, all

Transcript Highlights:

• And that's a little concerning that maybe there needs to be more supervision of some type during that
• , there's no treatment going supervision, there's no treatment going on,<00:30:39.560> really<
• <00:30:50.080> of<00:30:50.200> some<00:30:50.560> type um more supervision
• <00:30:51.920> more<00:30:52.160> supervision ensuring that there's more supervision
• <00:31:03.160> any streets and there's not supervision any streets and there's not supervision

Keywords: 958, all

Summary: The Senate Education Committee opened with roll call, recognized homeschool families and Military Kids Day guests, and then took up two bills sponsored by Senator Matt Nunn. Senate Bill 124 would let local school districts create an optional sick-leave cash-out program for teachers, with payouts at current salary rates, a 15-day minimum remaining balance, and a cap discussed in the testimony. Supporters, including Scott County Superintendent Billy Parker, said the measure is intended to reduce substitute shortages, give teachers more flexibility, and avoid adding state pension liability; committee members also noted a related provision allowing use of sick days for religious holidays not on the school calendar. The committee adopted a sub on Senate Bill 124 and then passed the bill unanimously after a motion, second, and roll call vote. During discussion, members emphasized the compounding value of the cash-out option for teachers and the potential benefit to families, while Senator Higdon and others praised the bill as a win-win for districts and staff. The committee then moved to Senate Bill 101, also by Senator Nunn, and adopted a committee substitute by voice vote. Nunn said the sub removed a provision that would have allowed county attorneys to charge some 14- and 15-year-olds as adults. As amended, the bill requires local boards to adopt a policy imposing at least a 12-month expulsion for students in grades 6-12 who assault, batter, or abuse school personnel without provocation, with an exception for disability-related conduct under an IEP, and requires immediate reporting of intentional assaults or attempted assaults on school employees to law enforcement, with penalties for noncompliance. Nunn and a teacher who submitted a written statement described the bill as a response to repeated assaults on educators and the fear and injuries that can drive teachers from the profession. Members began questioning the bill, with Senator Carroll asking about alternative school options for expelled students; discussion was still underway when the transcript ended, and no final vote on Senate Bill 101 was shown in the provided text.

Transcript Highlights:

• And so you want to have that protective order and if they're following the advice of individuals like
• Program or FYI centers in collaboration with the Texas Workforce Commission, and our Next Step supervised
• Buckner, Lufkin, and Beaumont, Lufkin, and Lubbock, providing young people with resources and individualized
• They lose access to extended foster care, which can include a foster family home or supervised independent
• Most of them are charged with neglectful supervision, not actual physical or sexual abuse of the child

Bills: HCR 10

Keywords: balanced budget amendment, federal budget, deficit reduction, deficit spending, fiscal restraint, constitutional amendment, U.S. Constitution, Congress, PAYGO, Gramm-Rudman-Hollings, national debt, budget deficit, taxpayer dollars, balanced budget resolution, memorial resolution, Texas Legislature, federal spending, budget reform, fiscal conservatism

Transcript Highlights:

• More than 32,000 individuals across 18,000 households receive TCA.
• More than 32,000 individuals across 18,000 households receive TCA.
• For individuals receiving SNAP, if you're age 16 to 59...
• it relates to the individuals that had income in their household.
• So any income. or individual that's not in school that's around the age of 16, so any income for individuals

Summary: The Human Services Subcommittee met to receive implementation briefings on House Bill 1267, which was enacted to address benefit cliffs and help public assistance recipients move toward economic self-sufficiency. The Department of Children and Families reviewed SNAP, Temporary Cash Assistance (TCA), and Medicaid-related eligibility and work requirements, including who must participate in work activities, the role of Florida Commerce and CareerSource Florida, and the new standardized intake and exit surveys required by the law. Members also discussed the TCA program’s household-based structure, the 48-month adult limit, and how work requirements differ for SNAP and TCA participants. Florida Commerce and CareerSource Florida then reported on implementation of HB 1267, including the CLIFF financial forecasting tool, case management changes, and survey data collected from welfare transition participants. They said intake surveys showed common barriers such as child care, transportation, and flexible work schedules, while exit surveys showed many participants were employed or had gained credentials, though response rates were low because the surveys are voluntary. A local workforce board, CareerSource Tampa Bay, described using CLIFF in case management and shared a success story about a participant who completed training, earned certifications, and moved into employment. The committee also heard a separate DCF briefing on the federal One Big Beautiful Bill Act and its impact on SNAP. DCF said the law expands able-bodied adult without dependents requirements, changes non-citizen eligibility, ends future SNAP-Ed funding, increases state administrative cost sharing, and may require states to share in benefit costs if payment error rates remain above federal thresholds. Members focused heavily on Florida’s SNAP payment error rate, which DCF said was 15.13% for federal fiscal year 2024 and 12.60% for 2023, with the state currently on a corrective action plan. DCF described steps to reduce errors, including more verification of rent and utility expenses, improved income matching, staff training, and system modernization. No votes were taken, and the meeting adjourned after questions concluded.

Transcript Highlights:

• hospitals, physicians, other providers, and state... physicians, other providers, state agencies, individual
• As a reminder, this is a 50-state As a reminder, this is a 50-state project with 50 different individualized
• type is eligible for these first three funding opportunities. >> So, that each clinic will be individually
• She is supervised by a senior manager...
• She is supervised by a senior manager, David Long, who presented this morning the presentation.

Keywords: Public Health and Welfare - Room 216, 4 June, 2026; 2:30 PM, 925, all

Transcript Highlights:

• supplemental breast cancer screenings in Florida for the following types of insurance coverage: individual
• supplemental breast cancer screenings in Florida for the following types of insurance coverage, an individual
• modify required coverage for mammograms and supplemental breast cancer screenings in Florida for individual
• let stablecoin issuers choose state-level regulation in Florida instead of federal licensing and supervision
• that the bill, as amended, meets the federal minimum requirements on reserves, disclosures, and supervision

Bills: S0158, S0314, S0618, S0684, S0838, S0990, S1000, S1082, S1452, S1494, S1500, S1568, S1706

Keywords: pet insurance, consumer protection, insurance regulation, policy disclosure, agent training, payment stablecoin, financial regulation, anti-money laundering, state oversight, digital currency, financial services, workers compensation, Florida statute, commercial insurance, insurance board, electronic signatures, vehicle titles, insurance regulations, auditing, total loss vehicles

Summary: The Banking and Insurance Committee heard and advanced a wide range of insurance, financial services, and probate bills. Early in the meeting, SB 1000 on trust fund interest for attorney trust accounts was explained as setting a floor and ceiling tied to the Wall Street Journal prime rate and was reported favorably. The committee then took up CS/SB 1082 on a statewide provider and health plan claim dispute resolution program for emergency out-of-network claims. After extensive discussion about the relationship between the state and federal No Surprises Act processes, an amendment was withdrawn due to concerns about clarity and scope, but the bill itself was supported by providers and insurers and was reported favorably. The committee also approved SB 684 on electronic signatures for total loss vehicles and vessels, CS/SB 158 on pet insurance consumer disclosures and agent education, SB 1494 expanding breast cancer screening coverage, CS/SB 314 on digital assets and stablecoin issuers, and CS/SB 1500 on uncontested probate procedures and small-estate administration. SB 618 on workers’ compensation insurance was amended to raise the consent-to-rate cap for workers’ compensation policies from 10% to 20% and then reported favorably, with supporters saying it would help keep higher-risk employers in the voluntary market. CS/SB 1568 creating a Florida Stablecoin Pilot Program was amended to remove authority for a Florida coin and limit the program to existing stablecoins, then passed. Later, the committee approved CS/SB 838 on electronic payment convenience fees for retail installment contracts, with the sponsor emphasizing that a fee-free payment option must still be offered. SB 1452, the Department of Financial Services agency bill, was amended and reported favorably; it covered My Safe Florida Home administration, insurance and licensing changes, unclaimed property updates, and other DFS-related provisions. The committee also passed SB 1706 on the My Safe Florida Condominium Pilot Program, targeting owner-occupied condominiums at or below 80% of area median income, and SB 990 on protected cell captive insurance companies, which supporters said would modernize Florida’s captive insurance laws and encourage more competition. The meeting ended with all listed bills reported favorably and the committee adjourned.

Transcript Highlights:

• Supervision for LACs to become LPCs is a little bit more difficult than supervision for LMSWs to become
• Because I wanted to go back a little bit to what you mentioned about when individuals go in or become
• And then the other individuals that are there in jail, we're looking for community resources because
• And then the other individuals that are there in jail, we're looking for community resources because
• So we'll be able to provide that service and pay for that service for individuals.

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to a broad discussion of behavioral health policy, taking up work previously handled by a behavioral health working group. Representatives Wooldridge and Vaught described major gaps in Arkansas behavioral health care, emphasizing access problems, workforce shortages, rural service barriers, low reimbursement, and the need to move from a reactive crisis system to more proactive community-based care. Members discussed possible 2027-session priorities such as reducing red tape, improving provider licensing and supervision pathways, expanding billing codes and reimbursement structures, and considering interstate compacts and other workforce fixes. A major focus was the state’s crisis and forensic system, including long waits for competency evaluations, the backlog at the Arkansas State Hospital, and the use of county jails for people awaiting treatment. DHS Director Paula Stone explained that Medicaid pays for most behavioral health services, but cannot pay for services in jails or state hospitals because those individuals are treated as inmates of public institutions, leaving state general revenue to cover much of that cost. She outlined DHS efforts including secured restoration beds, therapeutic communities, community mental health center contracts for jail-based services, and plans for an institution-for-mental-disease waiver that could allow Medicaid payment for certain hospital-based services. Members also discussed crisis stabilization units, with DHS noting that Fort Smith and Jonesboro have been more successful than Fayetteville and Little Rock, largely because of location, partnerships, and law enforcement coordination. Questions covered reimbursement for county jails, step-down facilities, civil commitment options, non-emergency behavioral health transportation, and whether DHS should create a bed-availability dashboard similar to hospital systems. DHS said it does not currently have such a dashboard but is exploring the idea. The meeting ended with a commitment to continue the work, with more detailed discussion planned for August, and the subcommittee adjourned.

Transcript Highlights:

• where being able to understand training and testing materials can make the difference for one's individual
• And when this doesn't happen, particularly in rural communities, you have situations where individuals
• Because we do know that for Healing Arts licenses, HCAI does collect data from individuals who currently
• Because we do know that for Healing Arts licenses, H-Kai does collect data from individuals who currently
• hold licenses, which is very important. but this data from individuals who currently hold licenses,

Summary: The Assembly Business and Professions Committee heard a long agenda of licensing, health care, and workforce bills. Measures discussed included AB 957, which would prohibit tobacco sales in licensed pharmacies; AB 447, which would allow patients to take home certain unopened medications started in emergency rooms; AB 427, joining the Social Work Licensure Compact; AB 667, allowing interpreters for certain licensing exams; AB 742, prioritizing descendants of slaves in licensing review; AB 873, changing infection-control training timing for dental assistants; AB 360, requiring a report on menopause education for physicians; and AB 1175, modernizing CPA licensure requirements and mobility. Testimony generally emphasized public health, access to care, workforce shortages, language access, and economic opportunity, while opposition or concerns focused on implementation, worker protections, compact authority, and constitutional issues in AB 742. Several bills drew broad support from sponsors, professional associations, and advocacy groups. AB 957 was backed by cancer and pharmacy advocates and pharmacists who said pharmacies should not sell tobacco; AB 447 was supported by emergency medicine and hospital representatives as a way to reduce waste and help patients leave with needed medication; AB 427 drew support from social work and mental health groups but concerns from AFSCME about standards and displacement; AB 667 was supported by immigrant-rights and community groups, with questions about whether translated exams would be preferable to interpreters; AB 360 received extensive support from women’s health advocates and medical groups, and opposition from CMA and ACOG was removed after amendments; and AB 1175 was supported by the Board of Accountancy and CPA groups as a way to expand the pipeline and improve mobility. The committee took votes after quorum was established. AB 360, AB 427, AB 447, AB 667, AB 873, AB 1175, and AB 742 were all approved and sent to their next committees, with AB 742 going to Judiciary and AB 1175 to Appropriations. AB 957 was initially held on call, then later passed after additional votes were recorded. The consent calendar bills AB 375, AB 1107, and AB 1496 were also approved. Most measures passed on largely party-line or near-unanimous votes, with some members not voting on certain items during the roll calls.

Transcript Highlights:

• WE HAVE 20-YEAR-OLD OFFICERS WITH TWO WEEKS SUPERVISING 150 INMATES WITH NO TRAINING THAT'S JUST SUPERVISORS
• WE HIRE FOR 5000 EVERY YEAR AND WE LOSE THE SAME AMOUNT THAT WE HIRE A 20-YEAR-OLD INDIVIDUAL AND PUT
• ARE BY YOURSELF AND THEN WE SAY AS BAD AS THAT IS AN UNSAFE AS THAT FEELS FOR YOU TWO WEEKS IN SUPERVISING

Transcript Highlights:

• Unlike guardianship, which often strips individuals of the majority of their individual rights, supported
• <00:02:11.440> of which often often strips individuals of which often often strips individuals
• <00:02:13.440> rights, the majority of their individual rights, the majority of their individual
• individual or the hospital. individual or the hospital.
• professionals, and empower individuals professionals, and empower individuals like<00:10:44.320>

Keywords: 1183, house

Transcript Highlights:

• 01:51:42.560> to<01:51:42.639> undertake<01:51:42.960> and<01:51:43.119> supervised
• Permit lessees to undertake and supervise facility development.
• and I fire fire prevention fire breaks and I think<03:32:42.399> these<03:32:42.800> individuals
• /c><03:32:43.760> of<03:32:44.000> ranchers<03:32:44.479> have think these individuals
• of ranchers have think these individuals of ranchers have played<03:32:44.880> an<03:32:45.040

Keywords: Conference Notices: AGR 2:30 PM:, 910, house, all

Transcript Highlights:

• They were supervised by the residents and by the attendings, okay? A nice system.
• So the regulation If there is going to be a cost incurred, it would be to the individual if they're a
• But complex dental cases often require sedation or anesthesia, and that's common for individuals with
• And then you think about the fact that you have to have a dentist supervising.
• And there's a dentist who's involved also because dentists have to supervise dental therapists.

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:

• other child safety experts and that was my that was my concern is just to make sure that these individuals
• There are many individuals throughout Texas, throughout our state who have this experience.
• So having access to very, very safe medicine that can help out individuals would be important.
• So this gives Texas patients an opportunity to safely take this drug under some supervision as opposed
• I, I'm not OK with my child purchasing any kind of medication without my supervision, if that's what

Bills: HB 265, HB25

Keywords: youth camp, safety regulations, advisory committee, child welfare, health standards, summer camp, camp safety, child abuse reporting, child neglect, mandatory reporting, background check, criminal history check, sex offender registry, CPR training, first aid, public health, child protection, camp operator, camp counselor, Health and Safety Code