Transcript Highlights:

• use of surgical smoke evacuation systems during surgical procedures.
• The average daily exposure to surgical smoke for the entire surgical team is equivalent to inhaling the
• But there's nothing that protects us or our nurses, the surgeons, the surgical techs, the first assist
• and the entire surgical team from the components of surgical smoke.
• surgical smoke.

Summary: The subcommittee first heard HB 103, which would require hospitals and surgical centers to adopt policies using surgical smoke evacuation systems during procedures. Representative Woodson and several nurses and health care advocates testified that surgical smoke contains harmful chemicals and pathogens, poses respiratory risks to operating room staff and patients, and that the bill is needed to protect nurses and address workforce shortages. Members from both parties voiced support, and the bill was reported favorably by a 17-0 vote. The committee then took up HB 223, as amended, which would allow residents of nursing home or assisted living rooms to use fixed cameras, with guardrails on consent, non-rotatable placement, and prohibitions on posting footage online. The sponsor said the measure is intended to help families monitor loved ones and deter abuse or neglect, while supporters from AARP and some caregivers described cameras as tools for accountability and peace of mind. Facility and industry representatives raised concerns about privacy, dignity, roommate consent, and the potential impact on personal care conversations and resident autonomy. After questions and debate, members discussed how consent would work, who could access recordings, and how the bill would handle roommate changes and misuse of footage. The sponsor said the bill would continue to be refined in later committees. HB 223 was reported favorably as amended by a 16-2 vote, with Representatives Campbell and Franklin voting no. The meeting then adjourned.

Transcript Highlights:

• At this time, I would invite on Teams Alicio Dos Santos, who is a surgical first assistant.
• I've been a surgical technology, surgical first assist for about 24 years, and I work in multiple hospitals
• I'm here to support our bill to regulate our profession as a surgical first assist.
• I want to now invite Francine Moser, who's of the Association of Surgical Assistance.
• years as a certified surgical first assistant.

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on a wide range of bills focused on environmental health, disease prevention, and access to care. Major topics included restricting polystyrene use, creating a pancreatic cancer awareness and early-detection initiative, improving indoor air quality through a task force and new regulations, expanding access to epinephrine in public places, improving access to health care for people with long COVID, creating an OBGYN loan repayment program for underserved areas, expanding access to hygiene products, modernizing licensure for dietitians and nutritionists, updating school postural screening requirements, and restricting harmful diet pills and muscle-building supplements. Several legislators also testified in support of their own bills, including measures on menstrual product access and ingredient disclosure, and surgical smoke protections. Testimony on the polystyrene bill emphasized local municipal bans and the need to reduce plastic pollution. Pancreatic cancer advocates and patients described the disease’s low survival rate, the difficulty of early diagnosis, and the need for an awareness campaign and implementation of commission recommendations. Indoor air quality supporters from environmental justice groups, public health organizations, and residents described asthma, mold, pollution, and the need for a task force with technical expertise; some witnesses urged adding remediation professionals to the task force. On epinephrine access, family members of a man who died after a bee sting and an allergy organization stressed that anaphylaxis can be sudden and fatal and that stock epinephrine in public venues could save lives. Long COVID advocates said the condition affects hundreds of thousands of residents and called for better surveillance and access to care, with a request to include MECFS in the bills’ scope. Other testimony focused on workforce and equity issues. Supporters of the OBGYN loan repayment bill said it would help address maternal health disparities and provider shortages, especially in rural and underserved communities. Hope and Comfort described widespread hygiene insecurity and a long waiting list for basic products, urging a task force to study statewide solutions. Dietitians and nutritionists supported modernization of licensure to clarify standards for medical nutrition therapy while allowing broader wellness counseling. School nurses backed reducing mandatory postural screenings, arguing the current law is not evidence-based, is not reimbursed by MassHealth, and takes time from other student health needs. On the supplement bill, the industry trade group opposed restrictions as overbroad and burdensome, while a public health expert cited research linking weight-loss and muscle-building supplements to serious harms and urged passage. The committee also heard support for menstrual product access and surgical smoke protections, with legislators and advocates describing those bills as longstanding priorities.

Transcript Highlights:

• The substitute simply adds assistant medical examiners alongside deputy medical examiners to ensure consistency
• board-certified qualifications for individuals serving as medical examiners and deputy medical examiners. and assistant
• It also requires that deputy and assistant medical examiners either hold, or be eligible to hold, the
• No hospital would ever give surgical privileges to a psychiatrist to practice surgery.
• first responders for all 9-1-1 calls within their jurisdiction, responding to calls for medical assistance

Bills: HB2814, HB4477, HB5084, HB5108, HB5127, HB5383, HB5611, HB5663, HB5664, SB1563, HB2668, HB3841, HB4114

Keywords: juvenile justice, release documents, children, identification, Texas Juvenile Justice Department, civil service, staffing requirements, local government, positions exemption, Texas legislation, fireworks, Lunar New Year, retail permits, public safety, Texas law, holiday sales, HB 5108, deaths in custody, custodial death, jail death

Transcript Highlights:

• If you're having trouble, please see our assistant clerk Benjamin Barnes, and he'll assist you with the
• The chair may ask the Sergeant-at-Arms to assist in preserving order and decorum if necessary.
• I also serve as the assistant budget officer for the county, so So obviously, our taxpayer dollars are

Bills: HB2814, HB4477, HB5084, HB5108, HB5127, HB5383, HB5611, HB5663, HB5664, SB1563, HB2668, HB3841, HB4114

Keywords: juvenile justice, release documents, children, identification, Texas Juvenile Justice Department, civil service, staffing requirements, local government, positions exemption, Texas legislation, fireworks, Lunar New Year, retail permits, public safety, Texas law, holiday sales, HB 5108, deaths in custody, custodial death, jail death

Transcript Highlights:

• What SB 152 does is, protection from surgical smoke, requires hospitals and ambulatory surgical care
• Surgical masks are not effective at blocking the small particles in surgical smoke that are less than
• The doctor could not tell me what caused it, but did not rule out surgical smoke.
• The use of technical assistance offered by DCF to child care providers.
• I can't buy my, you know, gauze supplies, surgical supplies, for less.

Summary: The Health and Human Services Appropriations Committee met to review and advance the Senate’s fiscal year 2025-26 budget proposal for the committee’s portfolio. The presentation highlighted a $1.8 billion increase over the current base budget, including full funding for Medicaid and KidCare, investments in IT modernization, Medicaid provider rate increases, mental health and substance use services, opioid treatment, foster care and guardian assistance, elder care, veterans’ services, cancer research, school nurse staffing, and other public health initiatives. The committee adopted a motion allowing technical adjustments and then approved the budget proposal to be reported to the full Senate Appropriations Committee. The committee then heard and voted on several bills. SB 152 on surgical smoke protection required hospitals and ambulatory surgical centers to adopt smoke evacuation policies; nurses testified in support, citing workplace and patient safety risks, and the bill was reported favorably. CS/SB 958 on early detection of type 1 diabetes required the Department of Health to provide educational materials to schools and, by amendment, early learning coalitions; it was also reported favorably. CS/CS/SB 170 on nursing home oversight added consumer satisfaction surveys, reporting requirements, quality incentive changes, and financial reporting penalties, with an amendment exempting state-operated homes and directing a study of best practices; it passed after questions about dementia, language access, and retaliation protections. CS/SB 738 modernized child care regulation by streamlining DCF processes and reducing obsolete requirements, and was reported favorably without opposition. The committee also approved CS/SB 1356 creating the Florida Institute for Pediatric Rare Diseases at FSU and a Sunshine Genetics pilot to expand rare-disease screening and research, with support from members emphasizing early detection and data collection. SB 1370 separated ambulatory surgical centers into their own statute, with testimony that the change would better reflect the industry and help avoid burdensome regulation; it passed favorably. Finally, CS/CS/SB 1626 made a range of child welfare changes, including codifying DCF coordination with military installations, adjusting shelter certification, refining criminal-background exemptions, extending licensing compliance time, addressing room-and-board rate methodology, and clarifying missing-child procedures; after adopting three amendments and hearing both support and concerns, the bill was reported favorably. The committee also recorded a member’s affirmative vote on SB 958 before adjournment.

Transcript Highlights:

• Those are surgical procedures, surgeries. And I apologize.
• It is considered an in-office surgical procedure. It is considered an in-office surgical procedure.
• that deal with surgical issues.
• McLaughlin addressed our surgical training.
• McLaughlin addressed our surgical training.

Summary: The committee first took up House Bill 3111, which concerns bail bonds oversight. Representative Phelps offered a committee substitute that moved bail bondsmen into the existing Board of Private Investigators, Private Fire Investigators, and Professional Surety Bail Bonds to avoid a fiscal note. An amendment was adopted to remove fee caps in the substitute, and the committee then adopted the revised substitute and voted it do pass 21-0. The committee then heard Senate Substitute No. 2 for Senate Bill 1233, the CPA licensure bill, along with related provisions for social work supervisors and speech pathologists. Senator Trent and supporters from the Missouri Society of CPAs, the speech-language association, the social work community, and the State Auditor’s Office said the bill would address CPA shortages by creating a new licensure path based more on experience, while preserving exam standards and adding reciprocity. No opposition was offered, and the hearing concluded without a vote. House Bill 2999 on optometry scope of practice drew extensive testimony and debate. The sponsor and ophthalmology witnesses described the bill as a negotiated compromise that would codify specific procedures optometrists may perform, while opponents from optometry argued it would freeze scope in statute, limit modernization, and require repeated legislative action as standards change. Witnesses disagreed sharply over whether the bill improved patient safety and access, whether the procedures were already within current practice, and whether surgical procedures such as lasers should be included. The bill was heard but no committee action was taken in the transcript. Finally, the committee heard House Bill 2957 on respiratory therapist licensure. Representative Castile and respiratory care witnesses said the bill would phase out the CRT as the entry credential for new applicants in favor of the higher RRT standard, while grandfathering current CRTs and adding renewal audits to confirm active credentials. Supporters said the change reflects current training standards and would raise patient-care quality without reducing workforce numbers. No opposition testimony was presented, and the hearing adjourned without a vote.

Transcript Highlights:

• VICE CHAIR DAVIS YOUR RECOGNIZE TO EXPLAIN SENATE BILL 152 PROTECTION OF SURGICAL SMOKE. >> THANK YOU
• WHAT SB 152 DOES IS A PROTECTION FROM SURGICAL SMOKE REQUIRES HOSPITALS AND AMBULATORY SURGICAL CARE
• CENTERS TO ADOPT AND IMPLEMENT POLICIES REQUIRING THE USE OF SMOKE EVACUATION SYSTEMS DURING SURGICAL
• SURGICAL SMOKE IS PRODUCED IN 90 PERCENT OF SURGERIES WHEN HUMAN TISSUE COMES INTO CONTACT WITH SURGICAL
• CHAIRMAN COULD YOU TURN TO TAB SEVEN SB 1370 BY SENATOR TRUMBULL AMBULATORY SURGICAL CENTERS.

Keywords: 999, senate, all

Transcript Highlights:

• SB 152, protection from surgical smoke, is requiring hospitals and ambulatory surgical care centers by
• care surgical centers.
• The average daily exposure to surgical smoke for the entire surgical team is equivalent to inhaling the
• The average daily exposure to surgical smoke for the entire surgical team is equivalent to inhaling the
• With the advanced technology available, surgical smoke can be surgical smoke.

Summary: The Senate Committee on Health Policy met with a quorum and heard five bills. SB 126, on prescription hearing aids, would remove Florida’s prohibition on mailing hearing aids when required tele-audiology testing and procedures are completed before sale. The sponsor said the bill would improve access, especially for people with travel or geographic barriers. The Florida Academy of Audiologists expressed support in concept but said it was still working with the sponsor on an amendment for consumer safety. The committee voted the bill favorably. SB 152 would require hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during certain surgical procedures. Supporters, including the Florida Nurses Association and several nurses, described surgical smoke as a workplace and patient safety hazard containing harmful chemicals, viruses, bacteria, and other contaminants, and said evacuation technology is available and already required in some settings. The committee voted the bill favorably. SB 264 would expand step-therapy exemptions for severe mental illness, including certain postpartum and pregnancy-related mental health conditions, so physicians would not have to require patients to fail preferred drugs in specified circumstances. Support came from Otsuka Pharmaceuticals, NAMI Florida, and several medical and pharmacy groups, who argued that delays in effective treatment can worsen crises and increase hospital and crisis-care costs. The committee voted the bill favorably. SB 342 would create a public-records exemption for current and former AHCA employees and certain family information, citing threats and harassment directed at inspectors and regulators. President Gaetz said he generally opposes such exemptions but supported this one because the employees are not elected officials and face real safety risks. The committee voted the bill favorably. SB 294 would limit the Board of Pharmacy’s ability to add heart failure, coronary heart disease, and cardiac rhythm disorders to the list of chronic conditions eligible for collaborative pharmacy practice, keeping those conditions under direct physician management. The Florida Society of Thoracic and Cardiovascular Surgeons, Florida Medical Association, and the Florida chapter of the American College of Cardiology supported the bill, while the Florida Society of Health System Pharmacists opposed it. The committee voted the bill favorably. Senator Trumbull asked to be recorded in support of SB 126 and SB 152, and the meeting adjourned without further business.

Transcript Highlights:

• foster care, and maintenance adoption subsidy assistance program.
• requiring the use of smoke evacuation systems during surgical procedures.
• Surgical masks are not effective at blocking the small particles in surgical smoke that are less than
• The doctor could not tell me what caused it, but did not rule out surgical smoke.
• I can't buy my, you know, gauze supplies, surgical supplies, for less.

Summary: The Appropriations Committee on Health and Human Services first heard and adopted the proposed fiscal year 2025-26 budget for the committee, which was presented as a $1.8 billion increase over the current base budget. The budget emphasized Medicaid and KidCare funding, IT modernization, workforce reductions tied to unfilled or augmented positions, provider rate increases, mental health and substance use funding, opioid treatment, elder care, veterans’ services, cancer research, and school nurse staffing. The committee approved technical adjustments and then adopted the budget proposal for submission to the full Senate Appropriations Committee. The committee then considered several bills, most of which were reported favorably. SB 152 on surgical smoke required hospitals and ambulatory surgical centers to adopt smoke evacuation policies; it drew strong support from nurses and other health care workers describing workplace and patient safety risks. CS/SB 958 on early detection of type 1 diabetes required the Department of Health to develop informational materials for schools and, by amendment, early learning coalitions. CS/CS/SB 170 on nursing homes required consumer satisfaction surveys, patient safety culture surveys, reporting to the health information exchange, financial reporting penalties, and Medicaid quality incentive reporting; an amendment exempted state-operated homes, including veterans’ facilities, and directed a study of quality incentive systems. CS/SB 738 updated and streamlined child care regulation, and CS/SB 1356 created the Florida Institute for Pediatric Rare Diseases at Florida State University and a related pediatric rare disease screening pilot. The committee also passed SB 1370, which reorganized ambulatory surgical centers into their own statutory framework, with testimony emphasizing their lower costs compared with hospitals. Finally, the committee considered CS/CS/SB 1626 on child welfare and related issues. After adopting multiple amendments that removed references to unaccompanied alien children and special immigrant visas, changed language on child abuse definitions, and required DCF to set room-and-board rates by methodology rather than fee schedule, the bill was explained as strengthening child welfare protections, codifying military-family coordination, improving domestic violence shelter certification, adjusting children’s services council appointments, clarifying missing-child procedures, and updating licensing and compliance provisions. The bill drew both support and opposition, particularly over missing-child jurisdiction and immigration-related concerns, and was ultimately reported favorably. A final motion to record a vote on SB 958 was also adopted.

Transcript Highlights:

• SURGICAL SMOKE IS THE RESULT OF THAT CONTACT WITH LASERS AND ELECTRICAL SURGICAL SMOKE IS THE RESULT
• IN HOSPITALS AND SURGICAL CENTERS.
• SURGICAL MASKS ARE NOT EFFECTIVE AT BLOCKING SMALL PARTICLES OF SURGICAL SMOKE THAT ARE LESS THAN BUT
• SMOKE WHICH BECAUSE THIS CALLS FOR HOSPITALS AND AMBULATORY SURGICAL CENTERS TO ADOPT SURGICAL SMOKE
• SURGICAL SMOKE.

Transcript Highlights:

• Are you allowed to perform anything defined as surgical?
• Are you allowed to perform anything defined as surgical?
• It is considered an in-office surgical procedure.
• that deal with surgical issues.
• McLaughlin addressed our surgical training.

Keywords: 959, house, all

Transcript Highlights:

• So Billion Pill Pledge Program is all about better pain management around surgical, major surgical events
• So Billion Pell Pledge Program is all about better pain management around the surgical, major surgical
• So what I'm requesting is medication assistant three, which is kind of like a nursing assistant plus,
• With the dental assistants, it's a little bit different.
• The qualified dental assistant is unique to North Dakota.

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:

• For her superior surgical foresight and her gracious, caring spirit, we are proud to honor Dr.
• For her superior surgical foresight and her gracious, caring spirit, we are proud to honor Dr.
• For her superior surgical foresight and her gracious, caring spirit, we are proud to honor Dr.
• For her patients, Dr. neurology physician assistant at Polyomi neurology physician assistant at Polyomi
• Shawn is a true with minimal assistance.

Bills: HB2240, SB896, SB2060, SB2152, SB2315, SB2544, SB2577, SB2580, SB99, SB2110, SB2115, SB2259, SB2382, SB2442, SB2485, SB895, SB2112, SB3019

Keywords: appropriations, legislative expenses, auditor, legislative reference bureau, state ethics commission, ombudsman, government transparency, education, capital improvement, reporting, transparency, technical expertise, rental housing revolving fund, HHFDC, Hawaii Housing Finance and Development Corporation, mixed-income housing, mixed-income rental project, affordable housing, low-income housing, housing finance

Transcript Highlights:

• SB 152 PROTECTION OF SURGICAL SMOKE IS REQUIRING HOSPITALS AND AMBULATORY SURGICAL CARE CENTERS BY SPECIFIED
• CARE SURGICAL CENTERS.
• IT IS ESTIMATED 90% OF ALL SURGERIES GENERATE SURGICAL SMOKE.
• I SEE MY EYE DOCTOR TWICE A YEAR AND NOT RULE OUT SURGICAL SMOKE.
• WHAT WE ARE ASKING IS PROTECTION FROM SURGICAL SMOKE.

Keywords: 999, senate, all

Transcript Highlights:

• Little known fact, babies born by C-section breathe in their mother's surgical smoke at birth.
• the use of smoke evacuation systems during any surgical procedure that is likely to generate surgical
• Surgical smoke is a toxic workplace hazard produced in 90 percent of surgeries.
• As Senator Davis stated, surgical smoke contains chemicals and carcinogenic cells.
• A newborn's first breath born by C-section should not be that of surgical smoke.

Keywords: 999, senate, all

Transcript Highlights:

• </c> When states expand optometrist surgical When states expand optometrist surgical scope<00:58:08.400
• </c> It's also been stated that surgical It's also been stated that surgical competency<01:03:47.599>
• </c> full weight of medical and surgical full weight of medical and surgical residency<01:20:44.880><
• ><c> limited</c> Currently, Ready assistance is limited Currently, Ready assistance is limited to<02:
• </c> development initiatives that assist development initiatives that assist businesses<02:34:25.920>

Keywords: 926, house, all

Transcript Highlights:

• We're adding now surgical, you're asking to add surgical issues here that I think needs to be put under
• The thought that there's a surgical, they're going to fill surgical gap when 70% of them are not feeling
• It's something to give you temporary assistance until you can get on the— ...temporary assistance until
• Let's start with the temporary assistance.
• single temporary assistance participant.

Keywords: 959, house, all

Transcript Highlights:

• Evidence shows that surgical introvision provoked. time-dependent.
• Surgical smoke contains over 150 hazardous chemicals and carcinogenic and mutagenic...
• surgical smoke.
• Protection from surgical smoke. This bill is very personal for me.
• Thank you. ...by surgical smoke, he said it is possible, but there is no test to confirm.

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110, covering Medicaid and insurance coverage for medically necessary orthotics and prosthetics, including activity-specific devices without lifetime or continuous-use caps, received emotional testimony from families and athletes describing high costs and the importance of access for children and adults with disabilities. Members voiced strong support, and the bill was reported favorably. The committee also heard SB 1574, which would add biliary atresia screening to the newborn screening program using the existing birth blood specimen. The sponsor and a parent testified that earlier detection could prevent severe liver damage, transplants, and deaths, and the bill was reported favorably. CS/SB 794, dealing with background screening for employees at residential facilities and day training programs for people with developmental disabilities and a review of waiver support coordination, was amended to align with the House companion and then reported favorably after testimony emphasizing the importance of strong support coordinators for APD waiver families. Members then considered SB 162, requiring hospitals and ambulatory surgical centers to adopt policies for smoke evacuation systems during procedures that generate surgical smoke. Nurses and other supporters described surgical smoke as a serious occupational hazard, while the Florida Hospital Association said hospitals are already regulated in this area and the bill was somewhat prescriptive; an amendment was adopted and the bill was reported favorably. CS/SB 254, which tightens oversight of nursing education programs, adds preceptorship and provisional licensure pathways for graduates awaiting NCLEX results, and increases transparency and accountability for low-performing programs, drew support from nursing advocates and opposition from private nursing schools concerned about workforce impacts; after amendment, it was reported favorably. Finally, SB 688 to reestablish licensure and regulation of naturopathic doctors in Florida was heard with testimony both supporting expanded health care choices and opposing the bill over safety and scope concerns, and it too was reported favorably. The committee then adjourned.

Transcript Highlights:

• This is SB 162, protection from surgical smoke.
• use of a smoke evacuation system during any surgical procedure that is likely to generate surgical smoke
• What is done to remove surgical smoke is the traditional suction that’s used.
• smoke is a thing and why it has to be evacuated from the surgical suite.
• , two chiropractic physicians, and two physician assistants.

Summary: The Senate Health Policy Committee met with a quorum and considered several health-related bills, most of them focused on drowning prevention and public safety. SB 428, by Senator Yarborough, would expand Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7. The sponsor and supporting testimony from a pediatric emergency physician and YMCA representatives emphasized Florida’s high drowning rates, especially among very young children, and argued that swim lessons can significantly reduce risk. Senator Harrell noted the need to revisit the funding allocation as eligibility expands. The bill was reported favorably. The committee also heard SB 606, by Senator Smith, which adds drowning prevention and safe bathing practices to postpartum education provided by hospitals, birthing centers, and, after amendment, no longer requires home birth providers to maintain proof of compliance. A parent who lost a child to drowning and Senator Berman spoke in strong support, stressing that the bill would educate new parents at a critical time. The committee adopted the amendment and reported the bill favorably as a committee substitute. SB 162, by Senator Davis, would require hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. The sponsor said the equipment is relatively low-cost and already used in many facilities, while several witnesses supported the bill as a worker-safety measure. Other senators raised concerns about the lack of data, possible rural hospital impacts, and whether the mandate could add costs without clear evidence of harm. Despite those concerns, the bill was reported favorably. The committee also passed SB 340, by Senator Harrell, requiring nursing students to complete a two-hour human trafficking course before licensure, after amending the bill to shift the requirement from nursing programs to the students themselves. Testimony from a trafficking survivor and nursing advocates supported the measure, and it was reported favorably as a committee substitute. Finally, SB 192, presented by Senator Trumbull on behalf of Senator Martin, removed the $1,500 cap on advances chiropractic physicians may collect for examinations or treatment; chiropractic industry representatives supported the change, and the bill was reported favorably.

Transcript Highlights:

• The Billion Pill Pledge Program is all about better pain management around surgical and major surgical
• And so what I'm requesting is medication assistant three, which is kind of like a nursing assistant plus
• With the dental assistants, it's a little bit different.
• The qualified dental assistant is unique to North Dakota.
• The qualified dental assistant is unique to North Dakota.

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.