Transcript Highlights:

• I am not going to read all of this.
• I am not going to read all of this.
• that address root causes interventions that address root causes of<00:38:06.720> health<00:38
• It's kind of interesting that that's where you guys are at, being that I read through the budget that
• That's the thing that, like Part C and early intervention services, it's not just a standalone.

Keywords: 1187, senate, all

Summary: The Senate Health and Human Services Committee convened for its first meeting of the 2025 session, with Chair Melissa Wiklund outlining the new co-chair arrangement, rotating gavel, committee size of 12, and the seven-vote threshold needed to move bills and motions. Members and staff introduced themselves, including several new senators, committee administrators, counsel, fiscal staff, researchers, and new pages. The committee then began its agenda with an overview of the Minnesota Department of Health from Deputy Commissioner Wendy Underwood. Underwood described MDH’s mission and structure, emphasizing public health’s focus on prevention, population health, and the social and economic factors that drive health outcomes. She highlighted the state’s health disparities, the department’s five bureaus, and major work areas including infectious disease response, newborn screening, environmental health, chronic disease prevention, health regulation, health equity, and operations. She also discussed the Center for Health Care Affordability, saying the department has been meeting with stakeholders and has hired a director to begin work on advisory bodies and community engagement around rising health care costs. Members asked questions about physician shortages, burnout, administrative burden, and health care bureaucracy. Senator Grunhagen argued that excessive paperwork and micromanagement are worsening access and workforce shortages, while Senator Abeler asked for data on whether past disparity programs have been effective and whether some efforts should be consolidated. Underwood said MDH has rural health programs, workforce supports such as loan forgiveness, and research on administrative costs and low-value services, and she noted the department has published legislative reports with more data to come. The chair then moved the committee to a broader discussion of public health system development in Minnesota, introducing City of Bloomington officials to present on a recent report.

Transcript Highlights:

• to read through.
• that I did take the that I was reading that I did take the time<00:52:33.520> to<00:52:33.599
• > have<00:52:35.200> the<00:52:35.359> time time to read through uh or have the
• time time to read through uh or have the time to<00:52:35.680> read<00:52:35.839> through.
• <00:52:36.960> Thank to read through. So, thank you. Thank to read through.

Keywords: 00:00 - Call to Order/Roll Call 01:05 - Discussion of 26RS HB 418 21:23 - Roll Call Vote on 26RS HB 418 22:40 - Discussion of 26RS HB 611 26:00 - Roll Call Vote on 26RS HB 611 26:52 - Discussion of 26RS HB 598 51:25 - Roll Call Vote on 26RS HB 598, 958, all

Summary: The House Standing Committee on Families and Children met to consider three bills. House Bill 418, relating to domestic violence and child custody, was presented by Rep. Neimus with testimony from ZeroV and Greenhouse 17. The bill, as amended by a committee substitute, would require courts to prioritize family violence in custody decisions, create a rebuttable presumption against unsupervised visitation and custody after two or more acts of domestic violence, require certain offenders to complete parenting or intervention programs before unsupervised contact, require training for paid supervised visitation providers and parenting coordinators, and ensure victim advocates are available in protective order hearings. Members discussed the two-incident threshold, the definition of domestic violence under Kentucky law, fiscal impact, and whether the bill adequately addresses severity and context; the bill passed 14-0 with favorable expression. The committee then heard House Bill 611, also on domestic relations, presented by Rep. Dietz with support from ZeroV. The committee substitute would create a 10-year interpersonal protective order upon conviction for certain felony assaults, sexual offenses, and stalking involving family members, unmarried couples, or dating partners, and would expand reporting requirements related to domestic violence data, legal representation in protective order hearings, and child dependency/neglect/family violence data. Testimony emphasized improved tracking of cases and survivor safety. The bill passed the committee 14-0 with favorable expression. Finally, House Bill 598, relating to guardian ad litem and other appointed counsel, was presented by Rep. Dietz with testimony from Kentucky Youth Advocates. The bill, titled the Family Representation and Advocacy Act, would reorganize how legal representation is provided in child welfare cases by creating a Family Representation and Advocacy Commission under the Supreme Court, allowing the department to hire staff attorneys or contract with private attorneys, nonprofits, law school clinics, and social workers, and aiming to improve quality, accountability, compensation, and support. Testimony cited high caseloads, low compensation, attorney turnover, and delays in foster care cases. The committee substitute was adopted, and the bill passed 14-0 with favorable expression.

Transcript Highlights:

• Early intervention can improve the lives and care of these children. Thank you, Mr.
• I truly feel like the epitome of early intervention in this young man, it can be life-changing.
• Tallahassee what we were treating and how to best treat it and how to best provide those early intervention

Summary: The Health Care Budget Subcommittee met and took up four bills. First, CS/HB 633 by Rep. Koster on managing entity reporting and transparency for behavioral health services was amended to clarify reporting requirements and timing, and to address the bill’s fiscal implementation through conferencing. Members and one public speaker supported the measure, emphasizing accountability and better use of state funds. The bill was reported favorably. Next, CS/HB 531 by Rep. Hunschofsky on background screenings was amended with a strike-all that would require ACCA to create a public webpage with screening education, level-two screening standards, and a searchable catalog of positions requiring screening. Because the amendment changed the bill’s relating-to clause, the chair noted it would be temporarily postponed under House Rule 7.11D and returned to the committee later. The committee then heard HB 1089 by Rep. Booth, which adds Duchenne muscular dystrophy to the recommended newborn screening panel, subject to appropriation. A parent testified in strong support, describing the benefits of earlier diagnosis and treatment, and several members spoke in favor. The bill was reported favorably. Finally, CS/HB 907 by Rep. Anderson created the Sunshine Genetics Program, an opt-in newborn whole-genome sequencing program, and established the Florida Institute for Pediatric Rare Diseases at FSU and a Sunshine Genetics Consortium. An amendment made funding contingent on appropriations and added Nicholas Children’s Hospital and Florida International University to the consortium board. After supportive testimony and debate, the bill was also reported favorably. The meeting then adjourned.

Transcript Highlights:

• And what I'm reading today is a very serious walking back of that.
• I'm reading today is a very serious walking back of that.
• Woodard for the record, to best answer your question, because of the way the law currently reads and
• community-based alternatives and abstaining interventions.
• And I was trying to read it, and it's not accessible to my screen reader.

Bills: AB275, SB371, SB457

Keywords: criminal procedure, wiretap, law enforcement, child protection, sexual offenses, SB371, Nevada, trespass, criminal trespass, NRS 207.200, property rights, misdemeanor, warning period, 24 months, 36 months, no trespassing, posted signs, fencing, private property, public property

Transcript Highlights:

• elementary school teachers, and screening kindergarten through second grade students for risk of reading
• And it's crucial funding as the COVID intervention dollars got wound down.
• This proposal, I will say now, not having even had a chance to read it in full, is confusing at best.
• Not having even had a chance to read it in full, it is confusing at best.
• There are no resources for frontline law enforcement to support interventions in the community, and there

Summary: The Assembly Budget Committee held an informational hearing on the final three-party budget agreement and related trailer bills, with the Department of Finance outlining the major budget bill and omnibus measures. Finance described a package built around balancing the state budget amid economic uncertainty, preserving core health and safety-net programs, and making significant ongoing reductions in some state programs. The budget bill included major items such as shifting $1 billion from the General Fund to the Greenhouse Gas Reduction Fund for Cal Fire, funding universal transitional kindergarten, deferring some UC and CSU funding, supporting foster care and homelessness programs, providing Proposition 36 implementation funding, and achieving Medi-Cal savings through changes to benefits and eligibility. The committee also heard that votes on the budget bills were expected later in the week and the following Monday. Finance then walked through the trailer bills, including health, human services, early learning, education, resources, energy, transportation, labor, housing, tax, public safety, courts, general government, cannabis, and energy-related measures. Notable provisions included a Medi-Cal enrollment freeze for certain adults, new premiums and benefit changes for some immigrants, child care COLA changes, education funding for literacy, teacher support, universal meals, and community college student support, as well as resource and climate measures affecting Cal Fire staffing and energy permitting. The housing trailer bill drew the most discussion, with provisions on CEQA streamlining, a vehicle miles traveled mitigation banking program, a renters’ credit trigger, and a six-year moratorium on new residential building standards. Members also discussed a film tax credit expansion, cannabis enforcement funding, a tribal police pilot program, and changes to tax policy, including military retirement income exclusions and wildfire settlement payment exclusions. Committee members largely praised the staff and the budget process, but several raised concerns and asked detailed questions, especially about the housing trailer bill’s new wage standards, tribal consultation provisions, and possible effects on prevailing wage protections. Finance explained that the housing language was intended to set wage floors for market-rate projects receiving CEQA streamlining, with different county-based tiers and a notwithstanding clause preserving existing prevailing wage laws. Members also questioned the size and timing of funding for the Children and Youth Behavioral Health Initiative, Clean Cars for All, Proposition 36, and the film tax credit expansion. Other members highlighted support for public safety, veterans’ tax relief, child care providers, housing production, and higher education, while some expressed concern that the budget’s policy changes were being negotiated too quickly or without enough stakeholder input.

Transcript Highlights:

• This is not online, and I think it's good reading. I think we should have staff put this online.
• Reading, okay.
• We're interested in asthma, heat, heart attacks, and we read about adult strokes recently.
• I was reading through one of the handouts, and this is you.
• But Madam Chair, these focus groups give us, I think, an insight, and just for what I've read here, I

Transcript Highlights:

• Others with very high degrees of obesity may require a surgical intervention.
• . intervention. intervention.
• There are a range of surgical interventions for the disease.
• <00:47:34.480> They<00:47:34.800> have interventions for the disease.
• They have interventions for the disease.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone. The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months. Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value. After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.

Transcript Highlights:

• So if you read two years on an odd year.
• So, if you're looking for some reading, you can some captivating reading, I'm sure. Yes.
• Thank you. can some captivating reading, I'm sure. can some captivating reading, I'm sure.
• perinatal interventions. perinatal interventions.
• <04:23:49.840> I intervention all of those things. I intervention all of those things.

Keywords: 928, house, all

Summary: The committee heard Senate Bill 254, which Senator David Roford described as a technical correction to controlled substance inventory law for pharmacies. He said the bill would remove outdated language requiring inventories to be done in an odd-numbered year, while keeping the existing requirement that pharmacies conduct a full controlled substance inventory every two years in line with federal law. Members asked several clarifying questions about whether the requirement is pharmacy-by-pharmacy, whether new pharmacies would be affected, and whether the change would alter scope or compliance; the sponsor and a representative of the New Hampshire Pharmacist Association said it would not, and that it mainly provides clarity for pharmacies and inspectors. The public hearing on SB 254 was then closed, and the committee also heard support from a representative of the pharmacist community, who said the association supports the bill. The committee then discussed a non-germane amendment to SB 254 dealing with FBI background checks for educational surrogate parents under the Department of Education. Representative Leyon explained that the amendment was requested by the Department of Education after the FBI rejected prior statutory language, and that the goal was to allow people serving as educational surrogate parents to complete FBI fingerprint-based background checks so they can perform their duties. Department of Education and Department of Safety staff testified that the amendment mirrors language that has worked in other education-related background check statutes, including provisions with specific disqualifying offenses tied to child safety, and that the FBI requires precise statutory language and direct transmission of records through the Department of Safety. Members questioned why the FBI’s approval was needed, whether individuals could simply provide their own records, and whether changing federal leadership could require future changes; witnesses said the state needs both state and national records, that records must come directly from the FBI through the Department of Safety, and that the language is intended to satisfy current federal requirements. During the discussion, some members expressed skepticism about the need for the amendment and about placing it on a bill about controlled substance inventories, but no vote was taken during the portion of the transcript provided. The committee also briefly discussed a separate bill on physician assistants/physician associates, with members noting that the proposed name change would not alter scope of practice and that some outside groups had raised concerns about transparency, but that discussion was interrupted and not concluded in the excerpt.

Transcript Highlights:

• And with this new technology, we will be able to scan the documents coming in any language and read the
• And number three, pilot the use of crisis intervention teams at three institutions to address concerns
• Moving on to the proposal, mental health crisis intervention teams.
• Early intervention is the most cost-effective way to solve this crisis. Thank you.
• Early intervention is the most cost-effective way to solve this crisis. Thank you.

Keywords: 987, senate, all

Summary: The committee held an informational hearing on the Governor’s May Revision proposals for labor, public safety/judiciary, and transportation, and no votes were taken. In Part A on labor, the Employment Development Department reviewed proposals for EDD Next document management system funding, updated UI loan interest costs, disability insurance and paid family leave benefit and administration adjustments, WIOA funding changes, UI administrative and benefit changes, school employee benefit adjustments, an EMT training reappropriation, and a technical correction tied to EDD Next. PERB discussed funding tied to AB 28 and AB 1, including litigation-related workload and new jurisdiction over legislative employees. DIR presented proposals for legal unit reclassifications, two major IT modernization projects, a new Cal/OSHA emerging technologies unit, a COIA reappropriation, and trailer bill language on electronic assessment payments and the DWC director salary cap. CalHR proposed additional funding for a consolidated employee assistance program contract, and CalPERS and CalSTRS presented budget adjustments tied to investment costs and state contribution changes. Members focused heavily on UI debt and interest payments, asking the administration for a plan to reduce the outstanding loan and relieve employers. Finance said no specific repayment plan was included in the May Revision, while LAO said the state’s UI tax structure is structurally insufficient and that any debt payoff should be paired with tax-system reform. Senators also questioned EDD Next costs and timelines, PERB’s caseload and staffing needs, and DIR’s emerging technologies unit, with LAO noting that the unit would appear focused on physical workplace safety rather than broader AI labor issues. CalHR said the new EAP contract would consolidate services, improve access to clinicians, and lower costs relative to the current model. CalPERS defended higher external management fees as part of a strategy to pursue higher net returns, while some members pressed for more transparency about private investments; CalSTRS said it was not prepared to address investment-strategy questions at this hearing. Public comment in Part A was dominated by advocates urging support for an immigration enforcement emergency relief fund, along with comments supporting the Jails to Jobs proposal, the Apprenticeship Innovation Fund, and additional PERB funding. The chair noted that many of the immigration-related requests might fall under other committees and said staff would follow up. In Part B, Finance and LAO outlined judicial branch and DOJ May Revision items, including funding for court interpreter services, appellate court security, lactation room implementation delays, courthouse construction reappropriations, and DOJ budget increases. LAO recommended approving the language-access proposal with a report on reducing interpreter cost growth and reducing the General Fund backfill for state court facilities by $10 million on an ongoing basis.

Transcript Highlights:

• So I am not as talented as Cody and Brian, so I have prepared notes, um, that I'm gonna read, so bear
• Despite having access to the full spectrum of conventional therapeutic interventions, including pharmacological

Transcript Highlights:

• Madam Reading Clerk, please read in committee reports.
• Madam Reading Clerk, please read in by title only House Bill 402.
• Madam reading clerk. Madam Reading Clerk, please read in by title only House Bill 293.
• Madam Reading Clerk, please read in by title only House Bill 265.
• Madam Reading Clerk, please read in. Committee reports.

Summary: The Senate reconvened, read committee reports, and assigned House Bill 89 with House Amendment 1 and House Bill 393 with House Amendment 1 to the Senate Finance Committee. It then adopted Consent Calendar 64, which included resolutions recognizing Take Our Children to Work Day, Juneteenth, National Farmers Day, Invisible Disabilities Week, Stonewall Uprising Remembrance Day, National Nonprofit Day, and two property-assessment working group resolutions. The calendar passed by a unanimous roll call, and the chamber heard remarks supporting Juneteenth, Delaware agriculture, invisible disabilities awareness, and the nonprofit sector. The Senate passed the fiscal year 2026 and 2027 revenue estimates in Senate Joint Resolution 16 and Senate Joint Resolution 17, and approved the fiscal year 2027 operating budget in Senate Bill 335 after extended debate on budget growth, recurring costs, health care, education, public safety, retiree obligations, and fiscal restraint. It also passed Senate Bill 336, the one-time supplemental appropriation bill, which includes one-time investments such as a $100 million transition toward a weighted education funding formula, election support, early childhood education, classroom projects, lead remediation, and campaign finance modernization. Several members praised the budget process and staff, while others cautioned against future spending growth. Among policy bills, the Senate passed House Bill 369 to codify the Office of Gun Violence Prevention and Community Safety, House Bill 268 to increase penalties for assaulting postal workers, House Bill 374 to require workforce reporting on large public works projects, Senate Bill 253 with House Amendment 1 to standardize school bullying parental-notification procedures, Senate Substitute 1 for Senate Bill 342 to modernize the Delaware Motion Picture and Television Development Commission, House Bill 402 to extend Clean Air Act Title V permit fees, and Senate Bill 346 with Senate Amendment 1 to streamline Environmental Appeals Board timelines. The Senate also began consideration of House Bill 293, which would add hate crimes to the Victims’ Compensation Assistance Program, but the transcript cuts off before its vote is shown.

Transcript Highlights:

• The chair lays out on second reading Senate Bill 945. The secretary will read the caption.
• The chair lays out on second reading Senate Bill 1117. The secretary will read the caption.
• The secretary will read the caption. Senate Bill 1117, the secretary will read the caption.
• Secretary, read the caption. Senate Bill 2681. Secretary, read the caption.
• I move passage to third reading. Senator Alvarado moves passage to third reading.

Summary: The Senate took up and passed Senate Bill 945, which concerns political shareholder proposals by insurers and insurance holding companies. Senator Hughes argued the bill would protect Texas-based insurers from activist shareholder pressure, especially proposals aimed at limiting insurance coverage for oil and gas companies for ESG or political reasons. The motion to suspend the regular order was adopted over objection, and SB 945 passed to engrossment on a 20-10 vote with one present not voting. The chamber also passed Senate Bill 1117, allowing any Texas-licensed dentist to administer botulinum toxin in oral or maxillofacial regions for aesthetic purposes, and House Joint Resolution 98, renewing Texas’s application for an Article 5 Convention of States to propose amendments on fiscal restraints, federal power limits, and term limits. Both measures advanced after debate and roll-call votes; SB 1117 passed unanimously after suspension of the three-day rule, and H.J.R. 98 was adopted on a 17-14 vote. Members then approved several other measures, including the committee substitute for House Bill 142 on HHSC’s Office of Inspector General and Medicaid overpayment recovery, Senate Bill 2373 on AI-enabled financial fraud and deepfake/phishing schemes, Senate Bill 2221 on fraudulent UCC financing statements, and Senate Bill 2681 on the basis for third-party voter-registration challenges. The Senate also adopted a resolution authorizing a Texas Life Monument replica at the Capitol complex, and passed S.J.R. 59 creating funds for Texas State Technical College capital needs. The body debated and passed Senate Bill 946, which would bar credit discrimination against organizations based on social, political, religious, or similar value-based considerations and require credit decisions to rest on creditworthiness. Senators raised concerns that the bill could create a special protected class for non-human entities or conflict with existing state policies, but the bill advanced to engrossment on a 20-11 vote. The Senate also passed Senate Bill 2477 to ease office-to-residential conversions in large cities after adopting an amendment negotiated with municipal stakeholders, and began consideration of Senate Bill 715 on ERCOT reliability requirements for generators, including existing generation, with extensive debate over impacts on renewables, power purchase agreements, and grid reliability.

Transcript Highlights:

• But it has made it more complicated, sort of looking forward, knowing, as we all read the tea leaves
• <01:24:54.400> and<01:24:54.560> the working on the interventions and the working on
• <01:27:14.159> and how do we target intervention and how do we target intervention and prevention
• we need in those prevention intervention we need in those prevention intervention areas?
• Um, which is why I caution against reading in too aggressively.

Keywords: 928, house, all

Summary: The committee met with DHS Chief Financial Officer Nathan White to receive an update on the department’s budget lapse and vacancy rates. White explained the difference between the “back-of-the-budget” reduction and lapse assumptions, saying DHS is facing a current biennium reduction of about $23 million and estimating roughly a $60 million general fund lapse in state fiscal year 2025, compared with about $13.5 million the prior year. He said DHS’s lapse is driven largely by program utilization, labor market conditions, contract spending, and statutory carry-forwards in areas such as Medicaid and developmental disabilities, which tend to produce a smaller lapse in the first year of the biennium and a larger one in the second year. He also noted that the House and Senate budgets differ on some operating items, including Medicaid rates, with the Senate having struck a House proposal to reduce rates by 3%. Members questioned White about whether DHS ever spends down lapse money on last-minute purchases. He said the department does not engage in that practice, though it does retain some flexibility in its facilities budget for emergencies. He also described the process for transferring funds within and between class lines, including the need for fiscal committee approval above statutory thresholds, and gave examples such as moving funds to cover overtime in the SYSC budget and to ensure Medicaid payments for nursing facilities. White said such transfers are public and transparent and are reviewed by the governor and Executive Council. The committee then discussed DHS staffing. White said the department has a little over 3,200 authorized positions, with a vacancy rate around 14.5%, and that a hiring freeze had been imposed a few months earlier while exempting direct care positions. He said DHS is planning for about a $30 million general fund reduction to personnel, equivalent to just under 400 positions, and is managing postings centrally to stay within budget by July 1. In response to questions about the loss of about $80 million in federal funds, White and Associate Commissioner Patricia Tilly said DHS avoided layoffs by shifting staff into vacant positions, but that the cuts affected community contracts, public health workers, laboratory work, and some IT/data projects. Tilly said roughly 20 positions were affected, most were reassigned, a few staff left voluntarily, and the department has less flexibility going forward if more federal funding ends.

Transcript Highlights:

• Being forced to read can cause animosity toward reading and force students to disengage from reading
• McBride, who opened me up to reading. Ms. McBride opened me up to reading and many other students.
• Thanks to intensive reading intervention and a culture of high expectations and tremendous care, his
• Let's be clear: top-down, state intervention doesn't work.
• So too many of our kids can’t read, so they don’t.

Keywords: 995, all

Summary: The Joint Committee on Education heard testimony on several bills centered on school accountability, receivership, graduation requirements, charter school access, community schools, school libraries, and student voting rights. Much of the discussion focused on the Thrive Act, S. 374, which would end state receivership and change the state’s accountability approach. Supporters, including educators, parents, advocacy groups, and students, argued that receivership has not improved outcomes in districts such as Lawrence, Holyoke, Southbridge, Boston, and the Dever, and that local communities should have more control, with greater emphasis on community schools, wraparound services, and broader measures of school quality. They also supported related bills on community schools and school library standards, and several witnesses backed a bill to expand student representative voting rights on school committees. Opponents of S. 374, especially charter school leaders, parents, students, and some education advocates, focused on Section 4 of the bill, which would change the charter school net school spending cap in the lowest-performing districts. They argued that the provision would reduce access to charter seats in communities where families are seeking more options, and that schools such as Roxbury Prep, Excel Academy, Brook, Veritas Prep, and Libertas Academy have produced strong results for students, including students of color, low-income students, and students with special needs. Several witnesses said the section would force schools to shrink or close and would remove opportunities for families in districts with long waitlists. Committee members questioned witnesses on both the effectiveness of receivership and the charter school cap language. Chair Lewis and Chair Gordon emphasized the need for a better accountability system and noted concerns about whether current measures, including MCAS-based designations, accurately reflect school quality. Some witnesses said they had discussed the possibility of removing Section 4 from the Thrive Act and suggested it might be addressed in separate charter reform legislation. No votes were taken during the hearing; testimony was received and the committee later closed testimony on S. 374 and several related bills before moving on to the student voting rights bill, S. 367.

Transcript Highlights:

• control would not have a better opportunity to solve these problems without the heavy hand of state intervention
• They're allowing markets to function without governmental intervention.
• They're allowing markets to function without governmental intervention.
• certainly do fund a number of rural residencies in the state through the Medicaid program, and I'm just reading

Bills: SB211, SB131, SB183, SB222, SB246, SB254

Keywords: appropriation, local government, Las Vegas, Rodriguez Park, public facilities, zoning reform, building regulations, residential apartments, commercial use, multigenerational housing, local government authority, healthcare, urgent care, emergency services, feasibility study, medical facilities, physician training, medical residency, New Mexico, massage therapy

Transcript Highlights:

• And I was doing some reading. About 20, 30 minutes, it kicks in.
• on the full spectrum of challenges and facets of behavioral health, from prevention and early intervention
• we even approach this are that we strive to strengthen behavioral health prevention and early intervention
• They provide 24/7 free crisis intervention for those experiencing mental illness, and they have a direct

Keywords: 985, all

Transcript Highlights:

• SO I WOULD HIGHLIGHT INTERVENTIONS LIKE SHORT CYCLE CREDENTIALS, I WOULD REALLY UNDERLINE THE IMPORTANCE
• I WON'T GO THROUGH READING OUT ALL THE ACADEMIC PROGRAMS THAT WE HAVE BUT I DID WANT TO MENTION THE IMPORTANCE
• ONE FACULTY MEMBER IS USING AI ADVANCED PRECISION ONCOLOGY FOR DELIVERING PERSONALIZED CANCER INTERVENTIONS

Transcript Highlights:

• IS THERE ANY TYPE OF OUTPATIENT INTERVENTION THAT WOULD BE PERMITTED UNDER YOUR BILL WITHOUT PARENT INVOLVEMENT
• THIS AFFECT THE STATES CHILDREN BUT IT WILL ALSO NEGATIVELY AFFECT BETTERMENT FOR BETTER MEDICAL INTERVENTION
• I'M SORRY WE WILL HAVE ROBERT LEE AND THEN AARON AND THEN THE LIST I READ.

Transcript Highlights:

• I don't like reading about them in the newspaper. I don't like reading about them in the newspaper.
• Well, I'm reading along with your stuff, but that would be useful. Thank you. All right.
• I can read through them quick or send it to you in an email. Email is fine. Okay. I'll do that.
• I can read through them quick. Thank you for being so prepared with that.
• I'm sorry, I can't read your fingers. Is it still just one? I'm sorry, I can't read your fingers.

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:

• Read that line too, and it says the pharmacist will give proper directions.
• I am an interventional radiologist, a physician.
• Cha, I should qualify, as I mentioned, I'm an interventional radiologist.
• OK, for my reading of subsection A.
• Um, this, this stuff, it's, it's almost funny reading the side effects.

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