Transcript Highlights:

• and all these pillars are current commitments that are now codified as part of the Public Utilities Code
• So the public utilities code is codified in CompSoft. It comes from assembly bills, Senate bills.
• As the CPUC, we have the responsibility to implement what is statutory code on public utilities code.
• still, universal service remains the best means of delivering equitable, affordable access to 21st-century
• recover their investment But as I articulated in my my testimony that fiber line, which is the 21st century

Keywords: 988, house, all

Transcript Highlights:

• Kindergarten includes TK as defined in Education Code Section 48000.
• Is that in the Education Code?
• But that's all in the Education Code? That's right. Okay.
• assessment and the local control accountability plan reporting requirements set forth in Education Code
• Redesigning schools for the 21st century, which we're well into now, is an agenda that I think would

Summary: The committee heard presentations on the Governor’s education budget proposals for the Local Control Funding Formula (LCFF), Learning Recovery Block Grant, and Expanded Learning Opportunities Program (ELOP), followed by testimony from State Board of Education President Linda Darling-Hammond. On LCFF, Finance outlined the proposed 2.43% COLA, repayment of prior deferrals, and a trailer bill penalty for LEAs that fail to adopt Local Control Accountability Plans on time. The LAO said its COLA estimate was slightly lower and raised concerns that the Governor’s proposed TK staffing ratio increase may be more costly than estimated. Members also discussed whether the current COLA formula should better reflect California-specific or district staffing costs, and whether TK should be more clearly separated from the K-3 grade span adjustment to avoid larger K-3 class sizes. The chair asked staff to work with the LAO on both the TK/K-3 issue and alternative COLA calculations. For the Learning Recovery Block Grant, Finance proposed restoring the first of three delayed payments, $378.6 million one-time Proposition 98 General Fund, while the LAO recommended adopting the proposal but extending the expenditure deadline by at least a year. The LAO reported that districts had spent $1.6 billion of the $6.8 billion received through 2023-24 and said most districts were only now shifting from federal COVID relief to block grant spending. Members questioned whether the large state and federal investments were improving outcomes, citing declining reading and math trends, while Finance and the State Board president pointed to some signs of improvement, especially in math, attendance, and gains for some student groups. Darling-Hammond emphasized that student needs have grown, that recovery spending has gone to devices, ventilation, staffing, tutoring, summer school, and community schools, and that targeted interventions appear to be helping some districts recover faster than others. On ELOP, Finance proposed adding $435 million to expand universal access by lowering the Tier 1 threshold from 75% to 55% unduplicated pupils, bringing ongoing funding to $4.4 billion. The LAO said the estimate was reasonable but recommended delaying implementation for a year, aligning ELOP with ASES to reduce overlap, moving toward funding based on participation rather than enrollment, and considering a fixed Tier 2 rate. Members and witnesses discussed staffing challenges, the use of funds for students with disabilities, and uncertainty in Tier 2 funding caused by unspent dollars and opt-outs. Darling-Hammond supported ELOP as part of California’s broader after-school and summer learning strategy, said most districts are now offering full-day TK and expanded learning, and urged the state to reduce fragmentation across categorical programs and build more unified systems for funding, reporting, and support.

Transcript Highlights:

• they got rid of it in the 20th century they got rid of it in the 20th century but<00:26:22.240><
• code would need to be updated.
• electric code. electric code. >> Got<01:40:12.000> it. >> Got it.
• or kind of equivalent codes.
• equivalent codes.

Bills: HB1697, HB1678, HB1679, HB2282, HB1940, HB1671, HB1481, HB2015, HB2207, HB2486

Keywords: natural hair braiding, registration, Barbering and Cosmetology Licensing Act, public health, sanitation, cumulative voting, associations, unit owners, board of directors, elections, Hawaii Revised Statutes, condominium, association meetings, electronic voting, proxy voting, mail voting, insurance, premium increase, policy cancellation, licensing

Summary: The committee heard testimony on HB 1697, which would exempt natural hair braiders from licensing requirements under certain conditions. The DCCA Board of Barbering and Cosmetology said it recognizes braiding as within the scope of cosmetology practice but warned that a broad exemption could create consumer protection gaps, especially around sanitation training, tool use, and enforcement. Supporters from the Institute for Justice and the Grassroots Institute of Hawaii argued the current licensing regime is overly burdensome and unrelated to braiding, citing the 1,250-hour training requirement, high tuition costs, barriers for low-income entrepreneurs, and the fact that many other states already exempt braiders. Committee members asked whether a standalone sanitation course or similar training could address the board’s concerns, and the board said it would bring that idea back for discussion. The committee also noted 16 written testimonies in support and 2 in opposition. The committee then took up HB 1678, relating to condominium and planned community association elections using cumulative voting. Supporters, including the Hawaii State Association of Parliamentarians, said the bill would clarify that cumulative voting applies to all candidates, including write-ins, and would help resolve confusion in association elections. One testifier urged the committee to remove proxy voting, calling it an abuse of power in some associations, while another asked whether cumulative voting and proxies could be manipulated to stack votes. In response, the parliamentarian explained that cumulative voting and proxy voting are different, that proxies simply allow someone to vote on another’s behalf, and that existing deadlines and counting procedures reduce opportunities for abuse. Testimony also emphasized that electronic or mail voting can be secure and efficient, and that the bill would make the process clearer and more democratic. Finally, the committee heard testimony on HB 1679, which would clarify an association board’s authority over electronic meetings, electronic voting, voting without a meeting, and mail voting without a meeting. Supporters said the measure would clean up statutory language, make electronic voting optional, and fix problems created by a 2024 change that made written-consent timing rules difficult to use for association actions. They also said the bill would clarify that proxies are only used at meetings, not for actions taken without a meeting. One opponent argued the bill needs further amendment because electronic voting is not well defined and could be abused, and questioned the neutrality of parliamentarians testifying on condominium bills. No votes were taken on any of the measures during the portion of the meeting provided.

Transcript Highlights:

• This year, the YMCA celebrates its 175th anniversary, almost two centuries of leadership in this country
• This year, the YMCA celebrates its 175th anniversary, almost two centuries of leadership in this country
• And when I look at our education code and the four inches thick that it is now, many of those rules,
• And when I look at our education code and the four inches thick that it is now, many of those rules,

Summary: The Senate opened with a prayer, pledge, and recognitions of guests, including YMCA youth and government participants and the Doctor of the Day, Dr. Thomas Clem. Senators also made introductory remarks honoring the YMCA’s 175th anniversary and its community service, and the chamber noted the president’s birthday. The body then took up several bills on the special order calendar. Senate Bill 100 adopted the 2026 Florida Statutes and the 2025 regular session laws; Senate Bill 102 and Senate Bill 104 were reviser bills updating and cleaning up the Florida Statutes. Senate Bill 320, on administrative efficiency in public schools, would reduce district reporting and procedural requirements, expand teacher apprenticeship and certification options, adjust assessment and accountability rules, increase district flexibility in funding and facility planning, and shift some VPK oversight to school districts. Senate Bill 7010 would allow Roth post-tax contributions in state and local deferred compensation plans. Sponsors described each bill as improving efficiency, flexibility, or statutory clarity. All four bills passed unanimously, 36-0, after brief debate or no debate. The Senate also withdrew Senate Bill 1720 from further consideration. At the end of the session, the chamber adopted a motion to immediately certify all bills passed that day to the House and then adjourned until the next scheduled meeting.

Transcript Highlights:

• The Sun City, as El Paso is also known, has been the world's mecca for boot making for over a century
• Our geographic location along cattle trails in the late 19th century provided access to leather suppliers
• grounds in accordance with the state Preservation Board's requirements under Chapter 443 government code
• Administrative code 89.1 requires that each district provide services for gifted students at all grade

Transcript Highlights:

• And it shouldn’t be based on zip code.
• <00:42:23.760> It shouldn't be based on zip code. It shouldn't be based on zip code.
• Century also is currently employing four full-time staff members.
• Century has has um incident of this.
• Century has has kind<01:04:08.079> of<01:04:08.160> come<01:04:08.319> to<01:04:

Keywords: 919, house, all

Summary: The committee first took up a series of “same and similar” provisions between the House and Senate higher education bills and adopted them one by one, with brief explanations from members and staff. The items included a cybersecurity addition for a doctoral degree program, Northstar Promise definitions and eligibility limits, self-loan provisions on institution eligibility and data disclosure, and dual training language requiring certificates, diplomas, or degrees to come from accredited postsecondary institutions. The committee also adopted an amendment to the private career school provisions that clarified exempt institutions remain within the act, and removed certain limited-license and renewal fees for institutions participating in dual training grants or the eligible training provider list. Each of these motions prevailed by voice vote. The committee then moved into policy differences between the House and Senate bills, beginning with emergency grants and hunger-free campus grants. Members discussed shifting funding from OHE-administered competitive grants to direct appropriations for the University of Minnesota and Minnesota State, while the Senate retained competitive grant access for private and tribal colleges and added reporting requirements. OHE Commissioner Dennis Olson said the added reporting would be an extra administrative task but raised no significant concerns. Testifiers from the University of Minnesota, Minnesota State, and the private college sector supported faster, more direct funding and described the grants as important for emergency housing, transportation, food insecurity, and other student basic needs. A LeadMN representative also supported the changes, saying campus staff and students wanted funds delivered more quickly. The committee also discussed direct admissions on R31. The Senate proposal would require public and charter high schools to participate in the direct admissions program by the 2029-2030 school year. Assistant Commissioner Wendy Robinson said OHE supports statewide expansion and that the program has improved FAFSA completion, college enrollment, and student retention in Minnesota. Members noted the bill had bipartisan support and heard from advocates such as Ed Allies and Students United. No votes were taken on the policy-difference items during this portion of the meeting, and the chair said further discussion of state grant and sexual misconduct policy differences would be held at a later hearing with additional OHE staff present.

Transcript Highlights:

• should be able to readily identify the number of defendants who've been penalized under the current code
• should be able to readily identify the number of defendants who've been penalized under the current code
• and as part of that measure um code and as part of that measure um there<00:36:38.960> is<00:
• <01:34:40.800> So, code address more serious things.
• So, code address more serious things. So, that's<01:34:41.120> our<01:34:41.360> concern.

Keywords: 912, senate, all

Summary: The Judiciary Committee heard testimony on Senate Bill 2246, which would expand public financial disclosure requirements. The State Ethics Commission strongly supported the bill, saying broader disclosure could help restore public trust and potentially deter corruption, and it offered a clarifying amendment to make clear the requirement applies to board and commission members rather than all employees of listed agencies. Several organizations and individuals also testified in support. A committee member asked about the amendment, and the commission explained it was intended as a clarification rather than a substantive change. The committee then took up Senate Bill 2250, which would add homeless facilities to the locations covered by the drug-free-zone offense for promoting controlled substances. The Public Defender opposed the measure, arguing that many homeless facilities are unmarked and not easily identifiable, creating notice, fairness, and due process concerns and risking arbitrary enforcement. The Honolulu Prosecutor’s Office and Honolulu Police Department supported the bill, saying it targets distributors rather than users, that notice can be proven through evidence, and that the law is aimed at protecting vulnerable people in shelters and similar facilities. In questioning, senators asked how homeless facilities would be identified and whether the bill would cover all shelter models; the prosecutor said the definition is cross-referenced in statute and must be proven beyond a reasonable doubt. The Drug Policy Forum of Hawaii and other groups testified in opposition, while several service and advocacy groups testified in support. Finally, the committee heard Senate Bill 2325, which would allow courts to review and potentially reduce sentences for certain juvenile offenders after 15 years if the person is not a danger to the community. Judiciary staff said the court supports the bill’s intent but noted Hawaii’s indeterminate sentencing structure leaves no alternative sentence for a court to reduce to, suggesting the measure may need structural sentencing changes or could instead be directed to the Hawaii Paroling Authority. Public defender representatives and youth-justice advocates supported the bill, emphasizing rehabilitation, adolescent brain development, trauma, and the need for a meaningful opportunity for release. No votes or final committee actions were taken during the portion of the hearing provided.

Transcript Highlights:

• Code.
• And then also, currently in law in this chapter of code, there is a requirement for the advertisement
• So the bill draft amends North Dakota Century Code Chapter 48-09.
• The suggestion related to legal notices was to modernize legal notices, and that is found in Century
• Code Chapter 46-05.

Keywords: 908, all

Transcript Highlights:

• Well, for Institutions Code 5014, clearly... I would disagree with that.
• Well, for Institutions Code 5014 clearly says that 1991 realignment funds, 2011 realignment funds, and
• Sealing original birth certificates for adoptees dates back nearly a century, to 1935, literally during
• Health and Safety Code Section 102705 requires that if a petition for access is brought by an adoptee
• Employers have been doing that for centuries.

Summary: The committee heard testimony on several bills, beginning with SB 16, which would require county behavioral health directors to create clear pathways for clinicians to be authorized to initiate 5150 involuntary holds. The author and supporters argued the bill would reduce reliance on law enforcement and create more consistent crisis response standards statewide, while county behavioral health directors opposed it as an unfunded mandate that could increase law enforcement involvement and create implementation burdens. Members raised questions about county costs and funding, but the author emphasized the bill’s role in building a more clinical response system. SB 561 would require public guardians to acknowledge conservatorship referrals, make determinations within a reasonable time, and provide status updates on request. Supporters said the bill would reduce delays that leave vulnerable adults in limbo, while the opposition from public guardian representatives was removed after amendments. SB 381 drew extensive public testimony in support; it would allow California-born adoptees, and descendants of deceased adoptees, access to original birth certificates, with a nonbinding contact preference form for birth parents. Supporters framed the bill as a matter of dignity, identity, and health, and there was no formal opposition on the record. The committee also discussed SB 880, which would give tenants and prospective owner-occupants notice and a first opportunity to make an offer when institutional investors sell certain homes. Supporters said it would expand homeownership opportunities and preserve neighborhood stability, while opponents warned about conflicts with federal law, bundled-sale restrictions, and impacts on build-to-rent and affordable housing projects. Members and the author discussed possible amendments to address those concerns. SB 1238 would impose a duty of care and additional transparency requirements on HOA managers and boards; supporters said it would protect homeowners from mismanagement, while the main opposition argued the duty should remain contractual and could increase litigation. Finally, SB 423 would require disclosure of emergency-service records related to private detention facilities, and SB 28 would make changes to the CARE Court process, including a statewide ombudsperson and expanded oversight; both drew support and opposition, with concerns focused on transparency, privacy, implementation, and the balance between treatment and coercion. SB 574, discussed at the end, would require disclosure and human oversight for AI use in courts and legal practice and create a complaint process for ADR providers, with the State Bar noting requested amendments related to complaint handling and confidentiality.

Transcript Highlights:

• The purpose of this report is to comply with North Dakota Century Code 15.1-02-09.
• Data is submitted annually via our STAR system as required in North Dakota Century Code 15.1-02-3.
• North Dakota Century Code does define what the licensed positions are, North Dakota Century Code does
• And when I read through that section of Century Code, I do think if we ask for this data again, which
• There is a lot to cover if you go through this section of Century Code.

Keywords: 908, all

Transcript Highlights:

• , and we ask for all five zip codes of data.
• But one thing is recognized, and it's in North Dakota Century Code, is that land owned by a tribal entity
• North Dakota Century Code does create an exemption there.
• North Dakota Century Code 57-51.2-04 requires this committee to receive a report from the governor describing
• The report from the governor states that, pursuant to North Dakota Century Code, this report is submitted

Keywords: 908, all

Transcript Highlights:

• , and we ask for all five zip codes of data.
• One thing that is recognized, and it's in North Dakota Century Code, is that land owned by a tribal entity
• North Dakota Century Code does create an exemption there.
• North Dakota Century Code 57-51.2-04 requires this committee to receive a report from the governor describing
• But the report from the governor is that pursuant to that North Dakota Century Code, this report is submitted

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• Code.
• And then also, currently in law in this chapter of code, there is a requirement for the advertisement
• So the bill draft amends North Dakota Century Code Chapter 48-09.
• The suggestion related to legal notices was to modernize legal notices, and that is found in Century
• Code Chapter 46-05.

Summary: The task force approved the March 25, 2026 minutes as amended, striking language about contracting with a security vendor. Members then reviewed a draft bill on concessions procurement (LC 27.0161), which would raise the competitive solicitation threshold from $25,000 to $50,000, allow requests for proposals in addition to bids, update language for vending and merchandising machines, and clarify where concession proceeds are deposited. OMB explained the bill and said it was open to further changes, including language to address artificial fragmentation, clarify which government entities are covered, and possibly set contract-length limits. Members raised questions about whether the bill would apply to school districts, park districts, airports, and other political subdivisions, and about whether concession agreements could direct proceeds to nonprofits or other secondary recipients; OMB said the statute is intended to require proceeds to go to the government entity’s operating fund or general fund. OMB also reported on other survey suggestions. It said a proposed general authority for agencies to create pre-qualified architect/engineering vendor pools would not move forward, because the existing authority is best limited to high-volume agencies. On legal notices, OMB said it had made progress with the North Dakota Newspaper Association on modernizing online notices, improving ADA compliance, and discussing rate and definition changes. On click-through agreements, OMB and the Attorney General’s office concluded no statutory change was needed after revising internal guidance; the $20,000 threshold was described as a practical cutoff for adhesive, nonnegotiable software terms. OMB also said issues raised by the Center for Distance Education on alternate procurements and food/beverage expenditures had been resolved through policy clarification. The University System gave a brief update on its collaboration with OMB and said it was continuing to review concessions, surplus property, and capital project statutes with all institutions involved. The task force then discussed a draft bill on requirements for new or expanded spending, intended to require agencies to identify program purpose, needs, alternatives, success measures, and budget details, and to report on outcomes over time. Members and staff debated whether OMB or Legislative Council should collect and report the information, how much should be real-time versus periodic, and whether the bill should include full implementation costs for pilot programs. Legislative Council staff said the new program evaluation division is still being built out, that staffing remains limited, and that the office plans to continue working with OMB and the executive branch to refine the proposal before the next meeting. No final action was taken on the draft bills beyond directing further work and follow-up for the next meeting.

Transcript Highlights:

• REMOVING OUR NAVAJO CODE TALK YOURS WHO HELPED US DEFEAT JAPAN.
• Congratulations on a century of excellence. I yield back.
• CONAN obviously has a rich history dating back over two centuries.
• in the tax code and ensure disaster victims are able to receive more timely relief.
• Through that journey, year after year, decade after decade, century into century, Raúl Grijalva held

Keywords: U.S. House of Representatives Floor Proceedings on Monday, March 31, 2025, 1012, house, all

Transcript Highlights:

• This is a Century Code that's on the screen. It must be printable.
• North Dakota Century Code 40-24-16 outlines that.
• North Dakota Century Code 40-24-16 outlines that special assessments must be included on the first installment
• We just went through it in Century Code. And as you can see, it's pretty full.
• We read the statute or the Century Code change, and we had to incorporate it into our system through

Summary: The subcommittee of the Tax Reform and Relief Advisory Committee met to begin its study of whether the content of the real estate tax statement should be revised to improve transparency. Legislative Council staff reviewed the study directive from HB 1176 and the statutory requirements for tax statements, including required line items such as true and full value, mill levy, legislative tax relief, primary residence credit, legacy fund share, discounts for early payment, and special assessments. The Tax Department then explained how the current uniform statewide statement is prescribed and approved, and noted that changes are typically driven by statute and implemented collaboratively with counties and vendors. County officials from NDACO, including auditors from McKenzie and Richland counties, described the full annual property tax timeline from budgeting through mailing final statements. They explained how counties gather budgets, calculate levies, verify taxable values, handle centrally assessed property, and prepare required notices and statements. They also said public attendance at budget hearings is generally very low, though the notices and statements generate some calls, mostly about whether attendance is required or why taxes are changing. Several members questioned the usefulness of the legislative tax relief line and the complexity of the 5% discount calculation, and county officials said the current process can be confusing and depends on manual data entry and coordination among counties, vendors, and taxing districts. The committee also discussed assessment frequency, valuation equalization, the 3% cap, and whether more frequent reassessment would reduce large jumps in taxable value. County officials said they try to use rotating reassessments and sales-ratio reviews to keep values within statutory tolerance, but staffing, training, and local market changes make the work difficult. NDACO staff estimated, based on a small county survey, that tax statement preparation and mailing costs average about 74 cents per statement, with outsourcing generally cheaper than in-house printing, and said HB 1176 added some mailing and administrative costs even if the tax statement itself did not change dramatically. Software vendors from CPT and Tyler then began presentations showing how their systems handle budgeting, valuation notices, tax statement generation, primary residence credit processing, and levy worksheets, emphasizing that many of the required calculations and reports are still manually entered or verified by county staff.

Transcript Highlights:

• Chapter 32 of Texas Penal Code corruption has Chapter 36.
• It's time to create a 21st century border.
• I'm really just trying to create a 21st century border for us.
• PC penal code 6.03C.
• OK, Texas Penal Code 2205, it, it talks about the deadly conduct charge.

Transcript Highlights:

• The International Fire Code in particular The International Fire Code in particular is adopted under
• Code, Chapter 23-43.
• Code, Chapter 23-43.
• Participation in the statewide stroke registry as required by the Century Code remains a critical component
• Now, I'll tell you, with coding, there's a lot of issues with missing data, with codes that overlap.

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:

• old tradition and is there's a centuries old tradition and I<00:29:22.000> just<00:29:22.159>
• is just a more comprehensive bill, but, um, I know there's an issue about reference to one federal code
• The amendment simply— it replaces... code is about digital replicas uh which code is about digital replicas
• If a defendant is an illegal alien charged with an offense enumerated under Section 15-13-3, Code of
• I wanted to put drug trafficking in with it, and that was in that code, but we found out that that was

Keywords: 1136, house, all

Transcript Highlights:

• It adds three new codes: the Elections Code, the Penal Code, and the Health Senator Creighton: and Safety
• Code.
• checks and balances that the framers of our Constitution and the philosophers upon whom they drew for centuries
• can look at every abortion statute in Texas history, going back to the 1800s, to the 1900s, to this century

Transcript Highlights:

• of entertainment and a century of significance.
• <00:31:13.200> of for your service and may your century of for your service and may your century
• And it's time that we move it to the 21st century.
• I I I I just I cannot centuries.
• I've both titans of the 20th century.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, April 8, 2025, 1012, house, all