Transcript Highlights:

• <00:54:39.839> is first as we've the legislation is first as we've the legislation is relatively
• <00:54:54.160> Clarity MSA is looking for legislative Clarity MSA is looking for legislative
• less protection in our data Practices less protection in our data Practices Act<01:18:23.840>
• for an amendment to the data Practice for an amendment to the data Practice Act<01:23:56.280>
• each provision in the data practices each provision in the data practices section<01:44:10.239><

Keywords: 1187, senate, all

Transcript Highlights:

• As legislators who cut the check, we're on J-LAC, right?
• Joint legislative audit committees are so important.
• The original legislation and its purpose I fully support.
• This legislation speaks only to opticians who delegate.
• , the practice of opticianry includes the fitting of glasses.

Summary: The Health Policy Committee heard and advanced several health-related bills. SB 1546 on background screening for athletic coaches was explained as another extension of the deadline for coaches to be added to the background screening clearinghouse; it passed favorably with support from athletic and youth sports organizations. SB 958 on type 1 diabetes early detection was amended to match the House version, requiring the Department of Health to provide school districts, school boards, and charter schools with informational materials for parents; it was reported favorably as a committee substitute. CS/SB 1070 on electrocardiograms for student athletes drew extensive discussion about sudden cardiac arrest prevention, implementation timelines, costs, funding through private and public sources, and whether insurance, KidCare, or Medicaid should cover screenings; after supportive testimony from school and athletic groups, it was reported favorably as a committee substitute. The committee also heard SB 1060, which would create a joint legislative oversight committee for Medicaid managed care to review encounter data, financials, audits, and rebate calculations with assistance from an actuary and the Auditor General. The sponsor and several senators framed it as a transparency and verification measure in response to large mid-year Medicaid funding increases and concerns about network adequacy and vertical integration; it passed favorably. CS/SB 944, which shortens the insurer overpayment recovery look-back period for claims involving psychologists from 30 months to 12 months, also passed favorably with support from the Florida Psychological Association. SB 1370, moving ambulatory surgical centers into their own statute rather than under hospital licensure provisions, was supported by surgery center representatives and reported favorably. The committee approved SB 768, as amended, to narrow the foreign-country-of-concern licensure attestation for health care entities to direct controlling interests and clarify the “reasonable efforts” standard; it passed after questions about how the standard would work in practice. SB 1544 on opticianry prompted significant debate over whether the bill would limit nonlicensed staff in ophthalmology and optometry settings; after a proposed amendment was withdrawn and multiple witnesses spoke both for and against, the bill was temporarily postponed. Finally, the committee adopted a strike-all amendment to SB 1808 requiring health care practitioners and facilities to refund patient overpayments within 30 days, with enforcement through AHCA fines or professional discipline, and then reported the bill favorably.

Transcript Highlights:

• I think that what they're doing is great, but I agree we shouldn't be legislating the practice of medicine
• I think that what they're doing is great, but I agree we shouldn't be legislating the practice of medicine
• I think that what they're doing is great, but I agree we shouldn't be legislating the practice of medicine
• I think that what they're doing is great, but I agree we shouldn't be legislating the practice of medicine
• I think that what they're doing is great, but I agree we shouldn't be legislating the practice of medicine

Keywords: 928, house, all

Summary: The committee opened a public hearing on House Bill 493, a proposal to require physicians, nurse practitioners, and physician assistants to complete child abuse and neglect training as part of licensure and continuing education. The bill’s sponsor and supporters said the measure addresses a gap in provider training, especially because abuse can be difficult to recognize and voluntary training has had low participation. They described a free Dartmouth online course and argued that mandatory, repeated education would help providers identify signs of abuse, know when to involve specialists or DCYF, and improve child safety. Supporters also noted the bill was amended to clarify coverage for nurse practitioners, physician assistants, and nursing hours, and to address language concerns raised by the Office of Professional Licensure and Certification. Committee members and OPLC counsel raised implementation questions, including whether the bill would apply to all physicians regardless of specialty, whether it created a new licensure condition rather than only a continuing education requirement, how often the training would need to be repeated, and whether the accreditation language fit nursing rules. OPLC also noted that psychiatrists would be covered as physicians, while psychologists would not. A child abuse pediatrician testified that in his experience, children were sometimes seen by providers who missed early signs of abuse, leading to worse outcomes, and that mandatory education was needed because voluntary programs had poor uptake. The New Hampshire Hospital Association opposed the bill, saying health care professionals already have reporting duties and that the legislature should not single out one training mandate when similar requirements are generally left to licensing boards. The Office of the Child Advocate supported the bill, citing cases from 2023 involving non-ambulatory infants with fractures, conflicting medical testimony in court, and a low completion rate for the existing free online course. The Child Advocate said the bill should be mandatory and recurring so providers stay current on evolving science and law. No vote was taken in the portion of the hearing provided.

Transcript Highlights:

• soon as he gets the legislation written, bring it to us.
• We're really grateful for that legislation.
• I practice in San Antonio.
• consider transparency legislation before you move forward with any legislation that would significantly
• legislative branch the information they need.

Keywords: 1184, house, all

Transcript Highlights:

• government data practices act. government data practices act. Um<00:53:28.000> Mr.
• modifications to the data practices act. modifications to the data practices act.
• <02:09:05.040> Forensic practice in this area. Forensic practice in this area.
• > this<02:31:45.520> practice<02:31:45.920> from legislation to stop this practice
• from legislation to stop this practice from harming<02:31:46.640> Minnesota<02:31:47.120>

Keywords: 1187, senate, all

Transcript Highlights:

• Uh, scope of practice and the committee.
• and the committee. uh scope of practice and the committee. uh scope of practice with<00:09:11.839
• 06.080> years<00:10:06.560> and practiced optometry for 38 years and practiced optometry
• Our current scope of practice labs.
• So I believe not in clinical practice.

Keywords: 1183, house

Transcript Highlights:

• This legislation is one of a number of meaningful, practical proposals we are asking the committee to
• This legislation is one of a number of meaningful, practical proposals we are asking the committee to
• This legislation is one of a number of meaningful, practical proposals we are asking the committee to
• This legislation is one of a number of meaningful, practical proposals we are asking the committee to
• This legislation is one of a number of meaningful, practical proposals we are asking the committee to

Keywords: 1183, house

Summary: House File 2614 was heard with a delete-everything amendment adopted at the outset. The bill, as explained by the authors, would prevent local governments from requiring amenities or common property that effectively force the creation of a homeowners association, while still allowing developers to create HOAs voluntarily when needed. The authors said the language was negotiated with stakeholders, including the League of Minnesota Cities, and was intended to be moved on to the Housing Committee for further discussion. Supportive testimony came from Housing First Minnesota and the Minnesota Homeownership Center. They argued that unnecessary HOA mandates can raise housing costs, reduce homebuyer choice, and shift public infrastructure costs onto homeowners through dues in addition to property taxes. Testifiers cited examples involving single-family developments, a Burnsville case involving a large roof assessment and disputed ACH withdrawal, and the Heritage Park development in Minneapolis, where an HOA was required but later became difficult to dissolve. They said the bill would preserve HOAs where they are genuinely needed, such as townhomes or shared-amenity developments. Members raised questions about the removal of county-specific language in the amendment, the meaning of the bill’s references to services and common property, and whether the bill would still allow neighborhood signs or other developer-requested features. A major point of concern was stormwater ponds and drainage infrastructure: one member argued that prohibiting cities from requiring HOA maintenance of such facilities could shift costs to taxpayers, while the authors responded that the bill was meant to stop cities from mandating discretionary amenities and that maintenance issues had been partly addressed in the amendment. The committee did not take a final vote in the portion provided, but the amendment was adopted and the bill was discussed for referral onward.

Transcript Highlights:

• And that is just one reason why this legislation is dearly needed.
• This bill does not legislate family relationships.
• These technologies are standard in optometric practice.
• I would ask you to please keep your comments to the legislation and not direct them at any legislator
• My primary care doctor was part of the women's health practice.

Keywords: 995, all

Summary: The committee opened by explaining hearing procedures and time limits, then heard testimony on House 2499, a bill to create a public awareness campaign on menopause and related midlife health issues. Supporters, including a nurse, the Massachusetts Commission on the Status of Women, and other advocates, said menopause is widely misunderstood by patients and providers, leading to delayed care, unnecessary suffering, workplace impacts, and inequities in women’s health. Several speakers shared personal experiences with symptoms being dismissed or misdiagnosed and urged the committee to advance the bill. The committee then took testimony on a package of endometriosis bills, including House 2527 and Senate 1564, calling for a task force and broader awareness efforts. Patients, a physician, and advocates described long diagnostic delays, severe pain, infertility, medical gaslighting, and limited access to specialists and effective treatment. They argued for more research, provider education, and a coordinated state strategy, and several asked for favorable reports. The chair also noted the hearing was running behind and extended time to allow more testimony. Later, the committee heard Senate 1579, which would eliminate parental consent and judicial bypass requirements for abortion access for minors under 16. Planned Parenthood representatives, physicians, legal advocates, and students argued the current law creates unnecessary delays and harms vulnerable youth, especially those in unsafe homes or foster care, while supporters said minors can already consent to other reproductive health care. A pro-life witness opposed the bill and emphasized parental involvement and support services. The committee also heard House 2403 and Senate 1560, which would create a Human Service Transportation Consumer Advisory Board; disability advocates and riders described past safety problems and current service gaps, and supported the board as a low-cost way to improve accountability, rider input, and reliability. No votes or final actions were taken in the excerpt.

Transcript Highlights:

• On 64 legislative proposals.
• As I said today, we've got 64 legislative proposals.
• practice.
• Unfortunately, recent legislative actions...
• Currently, I work as a police practices consultant specializing in investigations and interrogation practices

Keywords: 995, all

Summary: The committee hearing began with opening remarks from the House and Senate chairs outlining procedures for a large public hearing with more than 100 witnesses on 64 legislative proposals. They explained time limits, rules for in-person and virtual testimony, written testimony procedures, and the committee’s reporting deadline. Testimony then moved through a series of juvenile justice, child protection, and civil liberties bills, with witnesses generally urging favorable reports or, in one case, opposing expanded juvenile court transparency and child advocate access to records. Several witnesses supported bills aimed at juvenile justice reform. Representative Hendricks backed H. 1744 to prevent child labor exploitation and trafficking, citing federal findings of child labor in seafood processing and calling for stronger penalties and a ban on minors working in such facilities. Senator Gomez supported S. 1131 and S. 1121 to reduce juvenile fees, fines, restitution burdens, and bail-related costs, arguing they worsen racial and economic disparities. Senator Crean and other advocates supported S. 1051/H. 1695 to expand juvenile diversion eligibility, while multiple witnesses from juvenile justice and immigrant advocacy groups supported H. 1657/S. 1058 to expand juvenile expungement and to limit sharing juvenile fingerprints with federal authorities, describing recent ICE detentions of Chelsea students and the resulting fear in immigrant communities. Witnesses also supported H. 1918/S. 1240 to narrow the youthful offender statute, raising the minimum age and reducing mandatory adult-style penalties for youth. The committee also heard testimony on child safety and bodily autonomy bills. Middlesex District Attorney Marion Ryan supported H. 1752 to protect children left in extreme temperatures, explaining it would create civil penalties, allow emergency responders to remove children from cars without liability, and add criminal penalties when serious injury results. Representative Thurber and Senator O’Connor testified for H. 2011/S. 1227, a bill prohibiting coercion or mandates for health-related interventions, including vaccinations, and allowing legal remedies for violations. Senator Jalen supported S. 1136/H. 1847 to prevent false confessions by requiring recording of interrogations and banning deceptive tactics, and several innocence-project and legal-services witnesses described wrongful convictions tied to false confessions and coercive interrogations. Another major topic was H. 1626, which would require age verification for pornographic content and launch an education campaign about online sexual exploitation; Representative Cruz and survivor Udoz Wallace testified in support, describing nonconsensual image sharing and deepfake harms. Not all testimony was supportive. The Committee for Public Counsel Services opposed S. 1035, which would increase transparency in juvenile court proceedings, and H. 1689, which would expand the child advocate’s access to confidential juvenile records, arguing both would undermine privacy and trauma-informed protections for children and families. No votes or formal committee actions were taken during the portion of the hearing provided; the session consisted of opening remarks and public testimony on the listed bills.

Transcript Highlights:

• There's a handout in front of you on the legislative history.
• Do this legislation.
• This legislation is based, of course, on the U.S.
• People here today may claim that this legislation blurs the line between church and state, but this legislation
• In practice, this bill violates my faith.

Bills: SB6, SB11, SB33

Keywords: electric power, interconnection, utilities, ERCOT, large load customers, water supply, sewer service, demand management, school prayer, Bible reading, religious text, public schools, Texas Education Code, student prayer, silent prayer, meditation, religious liberty, First Amendment, Establishment Clause, church and state

Transcript Highlights:

• of mental health counseling and can adapt to evolving best practices.
• This legislation tries to rectify this situation.
• This legislation tries to rectify this situation.
• I practice in Cambridge.
• In my roles, I see firsthand... ...practices.

Keywords: 995, all

Summary: The hearing opened with remarks from House Chair Mindy Domb and Senate Vice Chair Robyn Kennedy, who outlined procedures for the hybrid public hearing, noted the committee would hear testimony on 15 bills related to treatment settings, and recognized members present. The first major bill discussed was H. 4200, authorizing a pilot program for psychedelic-assisted treatment in licensed facilities. Representative Jim O’Day and witnesses from Control Z supported the bill, describing it as a tightly controlled, medically supervised pilot with DPH oversight, limited sites, and screening requirements. Committee members asked about the number of sites and whether Column Health still existed; witnesses said the bill contemplated three separate pilot programs and that Column Health no longer existed after being purchased by another company. The committee also heard testimony on S. 1405 to make the drug stewardship program permanent by removing its 2026 sunset date. Senator John Keenan and others said the program helps collect and safely dispose of unused medications, reduces diversion, and should remain in place because manufacturers should bear disposal costs. A member from Boston added support based on local concerns about people searching through bags for drugs, and Keenan explained the original sunset reflected pilot status and industry pushback. A large portion of the hearing focused on S. 1394 and H. 2193, which would strengthen implementation of the 2023 Roadmap for Behavioral Health Reform. The Children’s Mental Health Campaign, Parent/Professional Advocacy League, Massachusetts Association for Mental Health, and Elliott Community Human Services testified that the roadmap’s helpline, community behavioral health centers, and crisis services are important but unevenly implemented. They urged a single point of accountability within EOHHS, regular strategic planning, a public data dashboard, and financial analysis of the behavioral health system and the access and crisis intervention trust fund. Witnesses said commercial insurance often does not fully reimburse community behavioral health center services, making sustainability difficult, and asked for better coordination across agencies and crisis response systems. Committee members asked whether the roadmap includes substance use disorder; witnesses said it is intended to cover behavioral health broadly, including mental health and substance use. The committee also heard testimony on bills to ban aversives and on suicide prevention signage. Lisa Jean Graff testified in support of S. 1394 by urging a statewide ban on aversive practices, including electric shock, withholding food or bathroom access, and other painful interventions, arguing disabled people deserve the same protections from harm as others. Fonda Bryant and Carol McLean supported a bill requiring suicide prevention signs on tall parking garages, describing personal experiences and saying the signs could create a brief pause and connect people to 988 or other help. McLean said her son died by suicide from a parking garage and that signage might have made a difference. The committee also heard strong testimony in support of creating intensive stabilization and treatment units within DMH facilities (S. 1398/H. 2204), with the Massachusetts Nurses Association and a DMH nurse arguing that highly assaultive patients need specialized, more secure units to protect staff and other patients and to improve care. Additional testimony supported creating a dedicated board for licensed mental health counselors (H. 4696/S. 1382), with Rep. John Badger, the Mass Mental Health Counselors Association, and others saying LMHCs are a large and growing workforce that needs its own licensing board, clearer standards, and faster implementation of existing licensure reforms. The committee also heard extensive testimony on H. 2223 regarding benzodiazepines and non-benzodiazepine hypnotics. Survivors and advocates described severe withdrawal, lack of informed consent, cognitive harms, and long-term disability, while a physician supported the bill as a way to improve disclosure of risks. Finally, the committee heard multiple witnesses in favor of H. 2231/S. 1383 to establish peer-run respite centers statewide. Advocates and people with lived experience said peer respites provide non-coercive, home-like alternatives to hospitalization, can reduce trauma and repeated admissions, and may be especially important for marginalized communities; they also cited cost savings and existing positive outcomes from current respite programs. No votes or final committee actions were taken during the hearing portion reflected in the transcript.

Transcript Highlights:

• active legislation to update standards.
• Okay, was the department in support of that legislation?
• We have the Legislative Analyst Office available.
• There were multiple foci in the initial legislation.
• The Legislative Analyst's Office. Edgar Cabral with the Legislative Analyst's Office.

Keywords: 988, house, all

Transcript Highlights:

• The next five recommendations involve legislative assistance.
• So this particular Auditor General report had two very clear legislative recommendations.
• However, inconsistent with recommended practices from the U.S.
• Is that custom in practice?
• Not every complaint will require all of the statutes within the Medical Practice Act.

Keywords: 1182, all

Summary: The committee conducted sunset reviews for the Arizona State Board of Pharmacy, the State Board of Nursing, the Arizona Board of Occupational Therapy Examiners, and the Arizona Regulatory Board of Physician Assistants. The Auditor General’s reports praised each board for timely licensing in some areas but identified recurring problems with complaint investigations, public safety oversight, fee analysis, records/documentation, and internal controls. For Pharmacy, the main concerns were weak enforcement of controlled substances prescription monitoring program (CSPMP) requirements and slow complaint resolution; the board said it had implemented some recommendations, was pursuing a new database vendor, and supported legislation to strengthen CSPMP enforcement. For Nursing, the audit found a large and growing backlog of complaints and repeated delays in resolving cases; the executive director said the board was under-resourced and requested 28 additional investigative positions, while nursing stakeholders supported process reforms and cited a bill to improve timelines and fairness. For Occupational Therapy, the audit focused on missing or poorly documented fingerprint clearance card checks, delayed action on a serious criminal-charge disclosure, and other compliance issues; the board said it had accepted and was implementing all recommendations, including new procedures and rulemaking. For Physician Assistants, the audit found weak oversight by the executive director, extensive delays in complaint handling, and an incentive-pay system that did not align with key performance goals; the board said it had already made structural changes, was improving tracking and IT systems, and planned to continue implementing recommendations. After discussion and testimony from board officials, public members, and nursing stakeholders, the committee voted to continue the Arizona State Board of Pharmacy for six years until July 1, 2032, the State Board of Nursing for four years until July 1, 2031, the Arizona Board of Occupational Therapy Examiners for four years until July 1, 2030, and the Arizona Regulatory Board of Physician Assistants for a continued term with statutory changes (the transcript includes the board review and related discussion, but the final motion text for the physician assistants board is not fully captured in the excerpt). The votes on the first three continuations were approved by roll call, with members generally supporting continuation while expressing concern about complaint backlogs and the need for reforms.

Transcript Highlights:

• The adoption of the athletic trainer compact would allow trainers to practice across state lines more
• It's currently not in effect, but once there are seven states that pass the legislation.
• Currently, Missouri, Ohio, and Nebraska are hearing this legislation.
• Kentucky, Alabama, and Tennessee are currently constructing the legislation and have it filed.
• states and practice.

Keywords: 959, house, all

Transcript Highlights:

• estate uh practice estate uh practice act.<00:43:08.960> They<00:43:09.359> could<
• scope of practice.
• It's a practical exam.
• This is not in your scope of practice. This is not in your scope of practice.
• <02:53:17.279> The practical exam. Right. Correct. The practical exam. Right. Correct.

Keywords: 928, house, all

Summary: The committee opened a hearing on Senate Bill 185, which would add timelines to Office of Professional Licensure and Certification (OPLC) investigations. Senator Howard Pearl said the bill was prompted by concerns from the New Hampshire Association of Realtors about delays at the Real Estate Commission, and he explained that the proposal would require OPLC staff to make an initial determination within 30 days and, if misconduct is found, complete an investigation within 60 days. He said the goal is to improve transparency and give consumers and licensees more timely information, while preserving the board’s adjudicatory role. He also noted that the bill had been amended to delay implementation to give OPLC time to work through its backlog. Committee members questioned how the bill would work when an investigation is incomplete and whether the board could send a case back to OPLC without a firm deadline. Pearl said the board would have discretion to continue the investigation or make a final determination, and that the bill was intended to streamline OPLC’s process rather than impose a hard cap on complex cases. OPLC Executive Director Deanna Durus and General Counsel Nicholas Fry then testified that the agency has already changed its procedures under prior legislation, including a facial review of complaints and monthly board review of dismissal memos. They said the bill would substantially alter the current structure, could conflict with existing limitation periods and board duties, and would be difficult to implement without additional staff and funding. Durus said the agency’s backlog is large, that new complaints are being triaged and prioritized, and that some urgent matters are moved ahead based on risk and statutory deadlines. She said OPLC had completed a review of about 500 backlog cases that would now be dismissed under current screening standards, and that those cases are being turned into memos for board review. Board of Medicine public member Nina Gardner testified in favor of the bill but said the backlog is significant and that the agency needs more resources to make the process work effectively. She said the board is seeing progress, but not fast enough, and suggested the bill may not go far enough without additional staffing and funding. No vote was taken during the hearing.

Transcript Highlights:

• Legislation passed the House.
• a practice agreement.
• to practice without a practice agreement.
• Legislation passed originally.
• Report legislation.

Keywords: March 10, 2026 - Regular Session, 976, house, all

Transcript Highlights:

• Senator Mark Finchum, Legislative District 1, for the record.
• This targets practices where payments vary depending on whether the patient or the patient's practice
• Like I asked you what the practical effect of the bill was.
• I asked you what the practical effect of the bill was.
• I can't see practically why this is necessary. And Mr.

Bills: SB1165, SB1206, SB1212, SB1291, SB1347, SB1516, SB1554, SB1649, SB1689, SB1812

Keywords: breast cancer, screening services, health insurance, cost sharing, preventive care, storm damage, catastrophic storm, hail damage, wind damage, roof repair, roof replacement, post-storm repairs, insurance claim, property and casualty insurance, adjuster, public adjuster, contractor licensing, homeowner protections, deductible waiver, insurance fraud prevention

Summary: The Senate Finance Committee approved committee amendments and then heard a series of bills covering consumer lending, health insurance, chiropractic practice, breast cancer screening, insurance claim practices, digital assets, vaccination-based reimbursement, agricultural property inspections, and aviation tax exemptions. Testimony generally split between sponsors and industry or advocacy supporters emphasizing modernization, consumer access, or fairness, and opponents raising concerns about higher costs, tax breaks for wealthy interests, or unclear policy changes. Several bills drew detailed debate over whether they would help consumers or shift costs, and multiple witnesses described personal or industry experiences in support of the health-related measures. SB 1689, which would raise consumer loan thresholds and change interest-rate tiers, was amended but failed on a tied vote after Senator Epstein opposed it as shifting costs to smaller borrowers. SB 1347, requiring coverage for fertility preservation for cancer patients, was amended and passed 4-2 after testimony from the sponsor, a nonprofit representative, and two cancer survivors. SB 1165, eliminating cost-sharing for diagnostic and supplemental breast exams, was amended and passed 5-1. SB 1206, updating rules for public adjusters and contractors after loss events, was amended and passed 5-1. SB 1649, creating a digital assets strategic reserve fund, passed 4-2 despite criticism that it was unnecessary and pro-crypto. SB 1212, barring different reimbursement rates based on vaccination status, passed 4-2. SB 1291, limiting county assessors’ ability to reclassify or inspect agricultural property for four years after a successful appeal, was amended to allow inspections if taxable improvements are made and passed 5-1 over assessor opposition. SB 1516, expanding aviation-related tax exemptions to more aircraft maintenance and repair property, passed 4-1 after supporters framed it as economic development and opponents called it a tax break for private jets. SB 1554, updating chiropractic language from “x-ray” to “diagnostic imaging,” initially failed, was reconsidered after additional questioning, and then passed 3-2 after members said the change mainly codified current practice and reduced liability concerns.

Transcript Highlights:

• This born-alive legislation is absolutely vital to pass.
• It is very difficult at times to pass legislation, major legislation, such as the Born Alive Abortion
• Once again in opposition to this legislation.
• In addition to a at quote-unquote born-alive legislation.
• It's not in this legislation."

Summary: The Committee on Children and Families heard testimony on Senate Bill 999, sponsored by Sen. Brad Hudson. Hudson said the bill was a revised substitute combining the Born Alive Abortion Survivors Protection Act with language from other bills dealing with domestic violence/no-contact orders, the Pregnancy Associated Mortality Review Board, and cyber-harassment. He argued the born-alive provisions were needed to ensure infants born alive during or after an abortion receive the same care as any other child, and he cited a Canadian study and Missouri infanticide law as support. Committee members questioned him about the study, the scope of the bill, the medical duty of care, and the bill’s non-severability clause and multiple-subject concerns. Supporters included Missouri Right to Life, which said the bill was needed to protect babies born alive after abortion attempts and prevent confusion in medical settings. Opponents, including Abortion Action Missouri, argued the bill was a “trap law” designed to restrict abortion access, said no such situation was being documented in practice, and cited opposition from numerous medical organizations. An informational witness from Campaign Life Missouri said he supported the born-alive language but warned the added provisions and non-severability clause could make the bill vulnerable to a constitutional challenge and could jeopardize other enacted provisions if struck down. During executive session, members debated the bill’s purpose and political implications. Several members said they would vote no because they trusted Missouri medical providers and opposed adding more law to an already regulated area, while others said they supported the bill as a protection for children born alive. The committee then voted 12-4 to send Senate Substitute No. 2 for Senate Bill 999 do pass.

Transcript Highlights:

• And, uh, I respectfully ask for your support in passing legislation, and I believe we have some witnesses
• from a practical perspective.
• Aesthetics, you know, practices. OK.
• That's what our entire scope of practice is.
• a facelift or that type of surgical procedure in my practice.

Transcript Highlights:

• Even if a state has strong abortion legislation, there is, there are, abortion legislation.
• So if we can help you in any way with that, we can't legislate that kind of stuff.
• The first one is that the current legislation in place needs to be updated.
• Scope of practice wise. Who's authorized? Chairman Cloud and Senator Roers, yes.
• And it's wonderful, but they take time away from your practice as well.

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.