Transcript Highlights:

• our first-line defense under the Child Abuse and Neglect Reporting Act and are protected by legal immunity

Keywords: 987, senate, all

Summary: The Senate opened with roll call, prayer, the Pledge of Allegiance, and a floor introduction honoring the YMCA’s 175th anniversary. Members then handled routine business, including reading second-reading items and confirming three gubernatorial appointments: Frank Darnell Jr. to the Alcoholic Beverage Control Appeals Board, Michelle Edgar to the State Board of Barbering and Cosmetology, and David Galavis to the State Park and Recreation Commission. All three appointments were later confirmed by roll call votes. The chamber then debated and passed several resolutions. SJR 12, opposing the federal offshore oil and gas leasing proposal off California’s coast, drew extended debate over energy security, gas prices, climate policy, and offshore drilling; it ultimately passed 26-0. SCR 118, urging release of unclassified Jeffrey Epstein investigation files and stronger transparency for survivors, passed 27-0. SR 99, recognizing California Agriculture Day and highlighting the state’s agricultural economy, farmworkers, water needs, and food production, passed 36-0. SCR 100, designating April 16, 2026 as Breaking the Silence Day of Awareness on child sexual abuse, passed 36-0 after emotional testimony about abuse prevention, mandated reporters, and survivor support. The Senate also adopted the second-day consent calendar without objection, covering multiple bills and resolutions. Committee announcements followed for several budget subcommittees meeting later that day. The session concluded with adjournment in memory of Rob Trice, remembered for his service and leadership in food systems and philanthropy, and Alwyn Ben Holman, honored as a pioneering Black firefighter and San Diego’s first Black deputy fire chief. The Senate announced it would reconvene on Monday, April 27, 2026, and noted that Monday would be Denim Day.

Transcript Highlights:

• our first-line defense under the Child Abuse and Neglect Reporting Act and are protected by legal immunity

Summary: The Senate convened with a roll call, prayer, and Pledge of Allegiance, then recognized the YMCA’s 175th anniversary through floor remarks highlighting its long history of community service, youth programs, child care, and civic engagement. The body then moved through routine messages and appointments, confirming three gubernatorial appointments: former Judge Frank Darnell Jr. to the Alcoholic Beverage Control Appeals Board, Michelle Edgar to the State Board of Barbering and Cosmetology, and David Galavis to the State Park and Recreation Commission. On third reading, senators debated and adopted Senate Joint Resolution 12, which opposes the federal offshore oil and gas leasing proposal off California and calls for California to be removed from the plan and for stronger environmental review and public participation. Supporters emphasized coastal protection and climate goals, while opponents argued the state faces energy supply and affordability problems and needs more domestic production. The resolution passed by roll call. The Senate also adopted Senate Concurrent Resolution 118, urging full release of unclassified Jeffrey Epstein investigation files to promote transparency and accountability for survivors, and Senate Resolution 99, declaring April 21, 2026, California Agriculture Day and recognizing the state’s agricultural production, farmworkers, and climate-smart practices. The final major item was Senate Resolution 100, designating April 16, 2026, as Breaking the Silence Day of Awareness to raise awareness of child sexual abuse, support survivors, and expand prevention and mandated reporter training. The author and supporters spoke about the prevalence of abuse, the importance of reporting, and survivor support; the resolution was adopted unanimously. The Senate then lifted the calls and confirmed the earlier appointments, adopted the consent calendar, announced upcoming budget subcommittee meetings, and adjourned in memory of Rob Trice and Alwyn Ben Holman. The session ended with notice that the next floor session would be Monday, April 27, 2026, with Denim Day observed that day.

Transcript Highlights:

• you would remind them that in a world that is so full of turmoil as ours is, a state that is not immune

Summary: The meeting was the opening of the Arkansas General Assembly’s 2026 fiscal session, beginning with quorum calls, prayer, the Pledge of Allegiance, and recognition of guests, including law enforcement officers, a doctor of the day, nurse of the day, constitutional officers, Supreme Court justices, and family and friends of legislators. The House adopted House Resolution 1001 to convene a joint session for Governor Sarah Huckabee Sanders’s address, appointed committees to notify the Senate and the Governor, and later received the Senate into the chamber before recessing for the joint session. In the joint session, members observed a moment of silence for former Representative Stan Berry, then heard Governor Sanders’s fiscal session address. Her remarks focused heavily on the proposed budget and her administration’s priorities: fully funding education and the LEARNS Act, supporting teachers and literacy efforts, funding public safety and corrections, expanding the 1033 initiative to move people from crisis to career, and holding down government growth while pursuing further income tax cuts. She also highlighted economic development, low cost of living, and support for veterans, while emphasizing conservative policy themes and thanking several Arkansans whose stories illustrated the administration’s agenda. No substantive legislation was debated or voted on beyond the adoption of House Resolution 1001 and the procedural motions to adjourn the joint session and then adjourn the House until the next day. The House announced that Joint Budget would meet later that afternoon and again the following morning.

Transcript Highlights:

• it's wildfires in West Texas, hurricanes in South Texas, or tornadoes in East Texas, Texas is not immune

Bills: HB446, HB1609, HB4443, HB4464, HB4735, HB5476

Keywords: heat illness prevention, workplace safety, Texas Workforce Commission, advisory board, employee rights, administrative penalties, training requirements, employee training, occupational health, employer penalties, worker rights, heat illness, volunteer firefighter, volunteer emergency responder, emergency medical services volunteer, EMS volunteer, firefighter, fire department, emergency services, declared disaster

Transcript Highlights:

• supposed to even be stopping you because you..." supposed to even be stopping you because you all have immunity

Keywords: 923, senate, all

Transcript Highlights:

• special needs, children with health care needs, substance abuse services, mental health services, immunization

Bills: SB825

Keywords: illegal immigration, economic impact, environmental impact, financial impact, annual study, Texas, government report

Summary: The Senate Committee on Border Security heard testimony on Senate Bill 825 by Senator Middleton, as substituted, which would require an annual or biennial study of the economic, environmental, and financial impacts of illegal immigration in Texas. Middleton said the bill is intended to provide lawmakers with comprehensive data on costs to law enforcement, health care, education, infrastructure, and taxpayers, and to support possible federal reimbursement claims. Several senators, including Hinojosa and Eckhardt, agreed that a study is needed but raised concerns about bias, the scope of the study, and whether the Comptroller’s Office rather than the governor’s office should conduct it. Middleton argued the governor’s office was the best coordinating entity because it could direct multiple agencies to provide data, while Hinojosa and others emphasized the Comptroller’s expertise and prior 2006 study. Public testimony was generally supportive of the idea of a study but critical of the bill’s framing. Sarah Cruz of the ACLU of Texas said the study should be a full cost-benefit analysis and warned that focusing only on costs could create an anti-immigrant narrative. Danny Woodward of the Texas Civil Rights Project also supported the concept but recommended moving the study to the Comptroller or, alternatively, creating a neutral commission. Jaime Pointe of Every Texan likewise supported updating the 2006 analysis and said state agencies should be able to cooperate with a governor-led study. Resource witnesses from the governor’s office, HHSC, TEA, OCA, TDCJ, and DPS explained that data collection would be uneven across agencies. HHSC and TEA said they often do not collect immigration status and, in TEA’s case, federal law limits schools from requesting such information; OCA and TDCJ said they could provide only partial or indirect data unless new reporting requirements were added. DPS said it already has Operation Lone Star data but would need to collect additional information if tasked with the broader study. The chair asked the governor’s office to provide a follow-up answer on separation-of-powers and related authority questions by the following Tuesday, and the committee recessed subject to the call of the chair without taking a vote on the bill.

Transcript Highlights:

• This program is aimed at increasing access to health care by providing sovereign immunity to those providers

Summary: The Health Professions and Program Subcommittee met for an introductory and oversight briefing from the Florida Department of Health on implementation of several 2024 laws. The committee heard first from Jennifer Winhold on practitioner-regulation measures, including SB 1716 and SB 1600, which expanded workforce pathways through foreign-trained physician licensure, area-of-critical-need temporary certificates for APRNs and physician assistants, graduate assistant physician licenses, interstate compacts, and a new universal licensure-by-endorsement process. She also reviewed HB 197 on massage therapy enforcement, HB 975 on broader background screening, HB 1561 on office-surgery and liposuction safeguards, HB 159 on pharmacist HIV post-exposure prophylaxis certification, and HB 1063 on chiropractic dry needling and foreign degree licensure. Members asked about compact scope, foreign graduate requirements, massage enforcement overlap with DBPR, and registration thresholds for liposuction procedures. Dr. Emma Spencer then outlined implementation of SB 76 and related programs, including changes to the FRAME and dental loan repayment programs, the volunteer health care provider program, the Casey DeSantis Cancer Research Program, the Health Care Innovation Council and revolving loan program, and the Andrew John Anderson Pediatric Rare Disease Grant Program. She said the department had updated portals, posted forms, launched or was developing public search tools, and submitted required reports and contracts. Members questioned whether loan repayment funds were reaching rural and underserved areas, how nonprofit applicants were being informed about the Alphonse screening grant program, the short application window for that grant, and how the department would evaluate whether the programs were improving recruitment and retention. A third presentation, delivered by Mike Mason standing in for Shea Holloway, covered maternal and child health and other public health initiatives. He reported on the telehealth maternity care program’s expansion from a pilot in Duval and Orange counties to 23 counties, the pregnancy-and-parenting resources website required by HB 415, CMV newborn screening requirements under SB 168, sickle cell registry and research grants under HB 7085, and the swim lessons voucher program under SB 544, which received nearly 10,000 requests for 3,500 vouchers and enrolled 86 facilities. Members asked about utilization, marketing, website launch timing, and how the department was promoting these services. No bills were voted on; the meeting concluded with the chair noting that more committee presentations and bills would follow and that briefing materials would be distributed to members.

Bills: SB2901, SB2902, SB2903, SB2904, SB2905, SB2906, SB2907, SB2908, SB2909, SB2910, SB2911, SB2912, SB2913, SB2914, SB2915, SB2916, SB2917, SB2918, SB2919, SB2920, SB2921, SB2922, SB2923, SB2924, SB2925, SB2926, SB2927, SB2928, SB2929, SB2930, SB2931, SB2932, SB2933, SB2934, SB2935, SB2936, SB2937, SB2938, SB2939, SB2940, SB2941, SB2942, SB2943, SB2944, SB2945, SB2946, SB2947, SB2948, SB2949, SB2950, SB2951, SB2952, SB2953, SB2954, SB2955, SB2956, SB2957, SB2958, SB2959, SB2960, SB2961, SB2962, SB2963, SB2964, SB2965, SB2966, SB2967, SB2968, SB2969, SB2970, SB2971, SB2972, SB2973, SB2974, SB2975, SB2976, SB2977, SB2978, SB2979, SB2980, SB2981, SB2982, SB2983, SB2984, SB2985, SB2986, SB2987, SB2988, SB2989, SB2990, SB2991, SB2992, SB2993, SB2994, SB2995, SB2996, SB2997, SB2998, SB2999, SB3000

Keywords: geological subsurface characterization, groundwater, geothermal resources, environmental review, Hawaii groundwater and geothermal resources center, scientific research, non-extractive, public trust doctrine, clean energy, greenhouse gas, carbon sequestration, climate change, energy policy, Hawaii state energy office, emissions reduction, sustainable development, fare-free transportation, greenhouse gas emissions, public transit, tax on petroleum

Bills: SB2901, SB2902, SB2903, SB2904, SB2905, SB2906, SB2907, SB2908, SB2909, SB2910, SB2911, SB2912, SB2913, SB2914, SB2915, SB2916, SB2917, SB2918, SB2919, SB2920, SB2921, SB2922, SB2923, SB2924, SB2925, SB2926, SB2927, SB2928, SB2929, SB2930, SB2931, SB2932, SB2933, SB2934, SB2935, SB2936, SB2937, SB2938, SB2939, SB2940, SB2941, SB2942, SB2943, SB2944, SB2945, SB2946, SB2947, SB2948, SB2949, SB2950, SB2951, SB2952, SB2953, SB2954, SB2955, SB2956, SB2957, SB2958, SB2959, SB2960, SB2961, SB2962, SB2963, SB2964, SB2965, SB2966, SB2967, SB2968, SB2969, SB2970, SB2971, SB2972, SB2973, SB2974, SB2975, SB2976, SB2977, SB2978, SB2979, SB2980, SB2981, SB2982, SB2983, SB2984, SB2985, SB2986, SB2987, SB2988, SB2989, SB2990, SB2991, SB2992, SB2993, SB2994, SB2995, SB2996, SB2997, SB2998, SB2999, SB3000

Keywords: geological subsurface characterization, groundwater, geothermal resources, environmental review, Hawaii groundwater and geothermal resources center, scientific research, non-extractive, public trust doctrine, clean energy, greenhouse gas, carbon sequestration, climate change, energy policy, Hawaii state energy office, emissions reduction, sustainable development, fare-free transportation, greenhouse gas emissions, public transit, tax on petroleum

Keywords: 928, house, all

Summary: The Department of Administrative Services presented an overview of its budget and operations, emphasizing that it is the lowest-spending agency in state government and that its general fund allocation has declined since 2019. Commissioner Arling House explained that DAS also handles back-office functions for several administratively attached boards, which has affected staffing and spending comparisons. He said the department’s current general fund spending is roughly split between retiree health and other operations, and that the presentation was based on adjusted authorized spending rather than the original budget figures. A major portion of the meeting focused on retiree health benefits and the long-term effort to control costs. Deputy Commissioner Cassie Keane described how the state moved from a projected deficit in retiree health to savings through a series of changes, including higher premium contributions, co-pay adjustments, and shifting Medicare retirees into Medicare Advantage arrangements to capture federal reimbursement. She said the state has about 12,500 retirees and spouses on the plan, with roughly 10,906 Medicare retirees and 1,580 non-Medicare retirees, and that the savings have depended heavily on federal funding and procurement decisions. She also noted that Medicare retirees pay Part B premiums and that the state has grandfathered older retirees from some premium contributions. Members asked about what the expenditures cover, why the state offers retiree health instead of simply giving retirees a payment to buy coverage themselves, and whether out-of-pocket costs changed under Medicare Advantage. Keane said the plan covers actual health claims or insurance premiums, that co-pays and maximum out-of-pocket limits remain in place, and that the state has no authority to change benefit details without legislative action. She explained that retiree health is a long-standing employee benefit that wraps around Medicare and is not collectively bargained in the usual sense, though its eligibility rules and cost-sharing have been tightened over time to better target the benefit to long-term state service. The discussion also covered vendor performance problems. Keane said Anthem recently won the contract back from Aetna, but its pharmacy subsidiary, Caroline, caused serious service disruptions. DAS responded by withholding payments, assessing more than $2 million in performance guarantees, and hiring a third-party auditor to review the pharmacy processes. The current contract runs through the end of calendar year 2026, and officials said they are watching federal Medicare Advantage reimbursement changes closely because future savings are uncertain.

Transcript Highlights:

• c><00:07:56.879> order to a lawsuit after a court order to a lawsuit after a court order immunation
• 58.400> done<00:07:58.800> until<00:07:59.120> the<00:07:59.360> board immunation
• can't be done until the board immunation can't be done until the board approves.<00:08:00.479> So

Keywords: Meeting Start 00:00:00 Kentucky Office of the Attorney General 00:01:18 LTS Kentucky Managed Technical Services LLC 00:13:41 Kentucky Wired Operations Company 00:34:20, 958, all

Summary: The committee first approved the minutes from its May 21 and June 10 meetings, then heard testimony from the Kentucky Office of the Attorney General on the effect of HB 314 on the Kentucky Communications Network Authority (KCNA) board. The Attorney General’s representative said HB 314 changed KCNA’s structure and staffing, but did not alter the statutory duties of the board, which still include developing and implementing strategic plans, providing policy direction, monitoring results, and approving fiscal planning. He argued the board is not merely advisory, has operational and budget authority, and that actions taken outside board approval could be ultra vires and without effect. He also noted the board historically approved settlements and contracts, including matters involving Open Fiber, and said the removal of the executive director position reduced direct personnel control but did not eliminate the board’s broader oversight. The committee then heard from representatives of Kentucky Managed Technical Services/LTS, who described a dispute over the Kentucky Wired network refresh and service-provider transition. They said the project agreement required a market test and acceptance of a proposal for both the network refresh and service-provider role, but that their proposals were rejected and the refresh work was later treated by the parties as a change order issue. They said some equipment worth about $3 million had been delivered, transferred, and paid for, while roughly $7 million in additional equipment was canceled by LTS but reportedly shipped to a KCNA warehouse and not paid for. They also said no refresh installation work has been performed, that they continue providing network maintenance to avoid service disruption, but believe the contract has expired and that there is no current agreement for ongoing service-provider work. Committee members asked whether actions taken without board approval would be invalid, whether the board could alter or terminate contractor arrangements, whether the bond disclosures suggesting a successful contract extension were accurate, and what equipment had been purchased or remained in storage. LTS representatives said they would follow up with the committee on the financial delta between the contracted rate and the month-to-month billing they say has been in effect since the contract expired, and on an inventory of in-service equipment and end-of-life dates. They said they want a commercial resolution, but if no resolution is reached soon they may pursue the formal contractual dispute process, and identified September 1 as their stated target date for resolving the matter and completing the refresh.

Transcript Highlights:

• I mean, we do screenings, immunizations, and other clinical services.
• I mean, we do screenings, immunizations, and other...
• We do screenings, immunizations, and other clinical services.

Bills: HB1

Keywords: feed bill, legislative appropriations, legislative branch, New Mexico Legislature, general fund, legislative council service, legislative finance committee, legislative education study committee, house chief clerk, senate chief clerk, per diem, mileage, session expenses, interim committees, district staff, capitol complex, capital outlay data system, legislative processing system, redistricting, census redistricting

Transcript Highlights:

• <04:31:23.640> that there's the there's the exemption that there's the there's the exemption
• New Hampshire is not immune to those risks, and I'll make a few comments about the bill itself and the
• New Hampshire is not immune to those risks, and I'll make a few comments about the bill itself and the
• New Hampshire is not immune to those risks, and I'll make a few comments about the bill itself and the
• New Hampshire is not immune to those risks, and I'll make a few comments about the bill itself and the

Keywords: 1189, house, all

Transcript Highlights:

• I'm assuming that the 49.3% large group is the ERISA exempt, and so those mandates wouldn't apply there
• I'm assuming that the 49.3% large group is the ERISA exempt, and so those mandates wouldn't apply there
• I'm assuming that the 49.3% large group is the ERISA exempt, and so those mandates wouldn't apply there
• I'm assuming that the 49.3% large group is the ERISA exempt, and so those mandates wouldn't apply there
• <01:10:06.239> is<01:10:06.400> the<01:10:06.560> Orisa<01:10:07.120> exempt

Keywords: 1183, house

Transcript Highlights:

• Early education is not immune. Despite all that, fair share funding has helped our field.
• We're not immune to budget cuts, but we know that. But we take it as it is.
• that we are building and the improvements that we're so proud of, while understanding we are not immune
• You're saying 30s, out there's. so proud of, while understanding we are not immune to those cuts that

Keywords: 995, all

Summary: The hearing was a Joint Committee on Ways and Means budget session held in Lawrence focused on the governor’s proposed FY27 education and local aid budget, with remarks from legislative co-chairs, local officials, and education agency leaders. Acting Mayor Giovanni Rodriguez and Superintendent Ralph Carrero emphasized Lawrence’s high-need student population, the importance of Chapter 70 and Student Opportunity Act funding, and the impact of state aid on schools serving many English learners and low-income families. Carrero highlighted Lawrence High School programs such as early college, dual degrees, career pathways, and early childhood classrooms embedded in the high school, while lawmakers introduced themselves and noted the importance of the hearing to their districts. Acting Secretary of Education Amy Kershaw, Commissioner of Higher Education Noi Ortega, Commissioner of Elementary and Secondary Education Pedro Martinez, and Commissioner of Early Education and Care Amy Kershaw outlined the administration’s FY27 priorities. They described investments in literacy initiatives, universal school meals, student mental health, early college and career pathways, higher education affordability, community college and university student-success supports, preschool expansion, child care subsidies, and workforce supports for early educators. The commissioners also discussed federal funding threats, equity gaps, and the administration’s efforts to improve outcomes for Black and brown students, multilingual learners, students with disabilities, and low-income students. Members questioned the panel about the local contribution formula study, the final year of Student Opportunity Act implementation, and the need to revisit Chapter 70 funding to better address rising costs such as special education, transportation, and health care. Officials said the local contribution study report is expected by the end of June, with a draft to be shared after data analysis and public comment. Commissioner Martinez said the Student Opportunity Act narrowed funding gaps but more work is needed, and he pointed to a proposed Accelerating Achievement Initiative to support the highest-need schools. Senator Oliveira also raised concerns about Chapter 70 disparities and asked about partnerships with libraries to support literacy, prompting discussion of broader early literacy collaboration.

Transcript Highlights:

• So at what level can these suppress immune systems, make animals more susceptible to disease, reduce
• So um at what level can these<01:01:46.240> suppress<01:01:46.640> immune<01:01:47.119>
• systems<01:01:48.079> um<01:01:48.160> that these suppress immune systems um that
• these suppress immune systems um that make<01:01:48.559> animals<01:01:49.040> more<01

Keywords: 1191, senate, all

Transcript Highlights:

• When asked, “In your opinion, do you think federal officers and agents should be granted immunity for
• Federal agents should not be granted immunity and should be held accountable.
• When asked, “In your opinion, do you think federal officers and agents should be granted immunity for
• Federal agents should not be granted immunity and should be held accountable.

Bills: HF3477, HF3480, HF3781, HF3357, HF3737, HF3664, HF3621

Keywords: civil rights, law enforcement, federal collaboration, accountability, state law, immigration enforcement, economic impact, Operation Metro Surge, study, appropriation, local government, Legislative Commission on Legislative Security, legislator security, elected official security, staff security, statehouse security, capitol security, legislative district safety, political violence prevention, threat assessment

Summary: The committee first attempted to approve minutes from February 24 and March 3, but members identified multiple spelling errors in names, so approval was held and the motion withdrawn. The committee then took up House File 3477, a bill by Representative Long proposing a civil remedy for constitutional violations by government actors, including federal actors. An author’s amendment (A4) was adopted to remove a subdivision and clarify retroactivity. In discussion, members raised concerns about Supremacy Clause and immigration-related issues; the author responded that the bill applies evenly to state and federal actors and is meant to enforce constitutional rights, not immigration law. After debate, the motion to re-refer the bill to the general register failed on a 6-7 vote, with one member excused. The committee next heard House File 3480, authored by Representative Howard, which would commission an independent economic impact study of Operation Metro Surge. An A2 amendment was adopted to add a dollar amount for the study and clarify timing. Representative Howard said the study would help the legislature understand statewide impacts and noted reported harm to businesses, child care, schools, and local governments. Testimony in support came from Laura Santiago, reading a statement from Christopher Gomez of Willmar, who described ICE agents entering his family’s restaurant, the detention and deportation of family members, and resulting business losses. Rachel Ser, Minneapolis emergency management director, cited a preliminary city assessment estimating major impacts including food insecurity, lost wages, business revenue losses, hotel cancellations, and rental assistance needs. Some members questioned the cost and usefulness of the study, while others said suburban and greater Minnesota communities also wanted the data. The transcript ends during continued discussion of the bill.

Transcript Highlights:

• It suppresses the immune system and has possibly devastating and irreversible long-term side effects.
• It<01:39:16.880> suppresses<01:39:17.360> the<01:39:17.520> immune<01:39:17.840>
• system<01:39:18.320> and<01:39:18.560> has It suppresses the immune system and
• has It suppresses the immune system and has possibly<01:39:19.360> devastating<01:39:20.000>

Keywords: 1187, senate, all

Transcript Highlights:

• really huge for our council because, you know, individuals with rare disease not only may they be immune
• only<01:19:44.520> may<01:19:44.800> they<01:19:45.000> be<01:19:45.320> immune
• disease not only may they be immune disease not only may they be immune compromised<01:19:46.600

Keywords: 928, house, all

Summary: The committee met on March 28 for a Health and Human Services Oversight Committee meeting, approved the draft minutes from February 21, and then received updates from DHHS on the sudden termination of about $80 million in federal COVID-era funding. Commissioner Lori Weaver and Trisha Tilly said the funding had been expected to continue through September 2026, but an email ending it immediately created a 15-month budget gap. They explained that most of the money supported public health work, especially epidemiology, laboratory capacity, data systems, community health workers, outbreak response, and some behavioral health supports. DHHS said it had notified contractors, was reassessing which activities could continue, and had managed to avoid layoffs for its 20 affected staff by shifting funding sources, though some contract lab staff had to leave and some work would stop or be put on hold. Senators and representatives asked about impacts on labs, staffing, and the state budget lapse, and DHHS said the water lab and testing supplies would be affected and that the department was trying to backfill where possible with other federal funds. The committee then heard a maternal mortality report from the Maternal Mortality Review Committee. Alison Power and Caroline Naami explained that the MMRC reviews maternal deaths to identify contributing factors and make recommendations, and that it had completed one CDC grant and received another five years of funding. For 2023, the state recorded five pregnancy-associated deaths, including three from overdose, two from cardiovascular causes, and one homicide; the share of deaths related to substance use fell from 62.5% in 2022 to 40% in 2023. Over the 2019–2023 period, half of pregnancy-related deaths were due to overdose, most occurred postpartum, and many involved Medicaid recipients, transportation or financial barriers, and deaths at home. The committee said mental health and substance use remained the main drivers of maternal mortality, but that 79% of pregnancy-related deaths in the five-year aggregate were considered preventable. Presenters highlighted recommendations and ongoing interventions, including expanding Medicaid coverage through one year postpartum, strengthening behavioral health access, partnering with the Department of Corrections on care for pregnant and postpartum women, and continuing clinical education through the Northern New England Perinatal Quality Improvement Network. Members asked why the maternal mortality rate had declined in recent years; staff said the 2021 spike was tied to the pandemic and that recent declines likely reflected both that spike and the impact of interventions, though the small number of cases makes trends hard to interpret. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• have a significant impact because our performance standards require us to provide health care and immunizations
• 01:03:55.160> health<01:03:55.480> care<01:03:55.720> and<01:03:55.840> immunizations
• provide health care and immunizations provide health care and immunizations and<01:03:56.880>

Bills: HF1660, HF1824, HF1926, HF1002, HF994, HF1915, HF1336

Keywords: children, youth programming, needs assessment, community engagement, state funding, education, funding, school districts, state budget, rural schools, food support, Greater Minneapolis Council of Churches, food shelves, grant funding, Minnesota FoodShare, early childhood, Head Start, education funding, developmental programs, literacy