Transcript Highlights:

• This is the law for PCCA services, where it says it must be ordered by a physician and consistent with
• So those regulation changes included establishing the clinical eligibility for the service, employee
• And we ultimately published the regulations for this service in July of 2023.
• And we ultimately published the regulations for this service in July. comparable services.
• And we ultimately published the regulations for this service in July of 2023.

Bills: HB2402 , HB2555 , HB2599 , HB2685

Committee: House Health Care & Wellness

Keywords: phthalates, medical equipment, healthcare regulation, intravenous therapy, toxic substances, Medicaid, healthcare, traditional practices, health insurance, coverage expansion, therapy, psychotherapy, mental health, regulation, professional standards, tribal data, data protection, privacy, sharing of information, Indigenous rights

Transcript Highlights:

• To amend and reenact sections 43-17-27.1 of the North Dakota Century Code relating to physician continuing
• This bill adds a requirement to the continuing education credits for physicians.
• Specifically, Section 1, subsection 2, requires that the board mandate physicians to complete a minimum
• Physicians are on a two-year cycle for CEUs, which means this credit will be for one hour every two years
• , and physician assistants.

Bills: HB1621 , HB1624 , HB1623 , HB1622 , HB1625 , HB1626 , HB1627 , HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The North Dakota House convened in special session with prayer, roll call, and a quorum present, then took up several rural health-related bills. Senate Bill 2401, as amended, required physicians to complete one hour of continuing education in nutrition and metabolic health each renewal cycle and also added language allowing criminal history background checks for the Board of Occupational Therapy Practice. Supporters emphasized the role of nutrition in reducing chronic disease, and the bill passed 92-0. The House then considered Senate Bill 2402, which expanded pharmacists’ limited prescriptive and therapeutic substitution authority for certain low-acuity conditions and clarified related lab-test and communication requirements. Members discussed examples such as motion sickness, cold sores, lice, hypoglycemia, COVID and flu testing, emergency access to medications and supplies, and limits excluding certain drug classes; the bill passed 91-1. Senate Bill 2403 created a temporary medical facility emergency operating loan option through the Bank of North Dakota for qualifying rural hospitals facing severe financial distress, with extensive debate over the targeted nature of the aid, anti-gifting concerns, repayment terms, and the hospital’s turnaround plan; it passed 80-12. Senate Bill 2404 appropriated funds for NDIT to address federal digital accessibility requirements and for the Public Service Commission’s litigation efforts related to transmission costs, with a backup loan authorization available if needed; it passed 92-0. At the close of the session, leaders thanked members and staff for their work on the rural health transformation package, a committee notified the Governor and the Senate that the House had completed its business, absent members were excused, and the House adjourned sine die.

Transcript Highlights:

• for an act to create an inact chapter 43-17.5 of the North Dakota Century Code, relating to the Physician
• assistant privilege to practice under the Physician Assistant Licensure Compact and provide an effective
• House Bill 1622 moves North Dakota into the Physician Assistant Licensure Compact.
• enrolled in several compacts for many other health care professions, including but not limited to physicians
• This creates opportunity for qualified physician assistants to practice in North Dakota when moving here

Bills: HB1621 , HB1624 , HB1623 , HB1622 , HB1625 , HB1626 , HB1627 , HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The House convened in special session, opened with prayer and the Pledge, confirmed a quorum, and recognized visiting students from Shiloh High School. Members also observed a moment of silence for former Representative Cindy Shriver Beck, and the House adopted the Employment Committee report approving special-session staff appointments. The chamber then considered House Bill 1621, which would require the presidential physical fitness test in K-12 physical education courses with exemptions for students with disabilities and an effective date of August 1, 2027. Supporters framed it as a return to a historic fitness standard and a response to federal direction; the bill passed 90-0. The House next took up House Bill 1624, a universal school meals bill that would place the program in statute rather than the Constitution, start it a year earlier than the initiated measure, and appropriate $65 million for the first year. Debate centered on whether universal meals were needed, whether the bill would preserve legislative flexibility and property-tax relief, and whether it would help families or subsidize those who could pay. The bill passed 55-38. Finally, the House began debate on House Bill 1623, the rural health transformation package tied to federal grant funds and a Bank of North Dakota loan program to support rural health projects, EMS, behavioral health, and related infrastructure. The sponsor and supporters emphasized North Dakota’s strong grant award, the need to move quickly, and the bill’s role in filling rural health gaps statewide. Some members raised concerns about federal spending, inflation, and telehealth, while others stressed the need to address EMS and workforce shortages. The transcript ends during debate on HB 1623, before any final vote is shown.

Bills: HB1621 , HB1624 , HB1623 , HB1622 , HB1625 , HB1626 , HB1627 , HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The North Dakota House convened in special session with prayer, the Pledge of Allegiance, and the reading of communications from the Secretary of State and Governor Kelly Armstrong certifying the special session call. The governor’s executive order said the session was called to act on funding for the Rural Health Transformation Program so the state could accept and appropriate federal funds and avoid interruptions to government services. Three new members, Representatives McNally, Scraw, and Timmons, were sworn in, and the roll showed 91 members present, establishing a quorum. The main business was a Rules Committee report outlining temporary special-session rules. The changes were designed to speed up floor action, including allowing second reading the same day a bill is reported from committee, final passage one day after first reading, and immediate transmission to the other chamber unless reconsideration is noticed. The report also replaced the regular standing committee structure with two joint committees: Joint Appropriations and Joint Policy, allowed remote testimony and remote member participation with approval, and limited bill introduction to Legislative Management-approved bills or bills approved by a two-thirds vote. Several deadline changes for resolutions and bill filing were also described, with some provisions delayed until the special session ends. The House adopted the Rules Committee report after a motion by Representative Bosch and no opposition. During announcements, the clerk listed the membership of the Joint Appropriations and Joint Policy committees, and the Highway Patrol announced safety sessions for legislators in the Rough Rider Room at 11 a.m. that day and the next day. The House then recessed until the joint session scheduled for 10 a.m. the following day.

Transcript Highlights:

• Physician assistants or advanced practice nurses are hired by a practice.
• already in place for physicians since 2009.
• This bill is critical to helping physicians.
• I'm a physician in Houston, Texas. I've been practicing for 30 years.
• They are regulated in how long they can drive, which doesn't exist in the rideshare universe.

Bills: HB778 , HB 1266 , HB1576 , HB2213 , HB2517 , HB2518 , HB2841 , HB3306 , HB3320 , HB3388 , HB3508 , HB3520 , HB3689

Committee: House Insurance

Keywords: credentialing, healthcare, physician assistants, advanced practice nurses, managed care, hurricane, windstorm, loss mitigation, grants, insurance discounts, property retrofitting, insurance, Texas Windstorm Insurance Association, board composition, coastal counties, property insurance, taxation, Texas FAIR Plan Association, premium taxes, maintenance taxes

Transcript Highlights:

• windstorm insurance, mismanagement of the Windstorm Insurance Association, and needed changes and regulations

Bills: HB778 , HB 1266 , HB1576 , HB2213 , HB2517 , HB2518 , HB2841 , HB3306 , HB3320 , HB3388 , HB3508 , HB3520 , HB3689

Committee: House Insurance

Keywords: credentialing, healthcare, physician assistants, advanced practice nurses, managed care, hurricane, windstorm, loss mitigation, grants, insurance discounts, property retrofitting, insurance, Texas Windstorm Insurance Association, board composition, coastal counties, property insurance, taxation, Texas FAIR Plan Association, premium taxes, maintenance taxes

Transcript Highlights:

• And all the regulations that have been put in place now, nuclear energy is the most heavily regulated
• Regulators to clean it up for us.
• It's highly regulated. And we have known risks. We have known costs.
• And they take that proposal to the Public Regulation Commission.
• SB 235 puts customer-owned microgrids under utility-style regulation.

Bills: SB78 , SB235 , SB22 , SB310

Committee: Senate Senate Conservation

Keywords: nuclear energy, renewable energy, sustainability, carbon emissions, energy regulation, microgrid, zero carbon resources, Public Regulation Commission, energy generation, electric utilities, motor vehicle manufacturers, licensing, dealers, franchise agreements, consumer protection, water supply, sewage improvements, environment, funding, Mora County

Summary: The committee first took up Senate Bill 78, which would classify nuclear energy as renewable energy. Senator Thornton and supporters argued that New Mexico needs dispatchable, baseload power and that nuclear should be added to the state’s renewable portfolio standard because wind and solar are intermittent and require extensive land, mining, and battery storage. Supporters also emphasized nuclear’s zero-carbon profile, the safety record of U.S. Navy reactors, the possibility of small modular reactors, and the fact that New Mexico already uses nuclear-generated electricity from out of state. Opponents, including Senator O’Malley and Senator Charlie, argued nuclear is not renewable because it relies on finite uranium and creates long-lived radioactive waste, and they raised concerns about uranium mining impacts, waste storage, and the bill’s lack of a limiting principle. The committee voted 5-4 to do not pass the bill, with Senators Cervantes, Hamblen, O’Malley, Lopez, and Charlie voting yes on the do-not-pass motion and Senators Ezell, Scott, and Thornton voting no; the chair then explained that the vote reflected disagreement over whether nuclear should be labeled renewable, not opposition to nuclear power itself. The committee then heard Senate Bill 235, the Microgrid Oversight Act, with a committee substitute. Sponsor Senator Steinborn said the substitute would restore existing renewable benchmarks for microgrids, require large microgrids to meet zero-carbon targets by 2045, add reporting and PRC oversight, and close a loophole that could let utilities buy microgrid power and shift costs to ratepayers. Supporters, including environmental groups and community advocates, said the bill was needed to regulate large data-center microgrids such as Project Jupiter in Doña Ana County, which they said could drive major emissions, ozone, and nitrogen oxide pollution, strain water supplies, and undermine state climate goals. They also argued the bill would protect ratepayers and ensure transparency and community benefits. Opponents, including Americans for Prosperity, the Chamber of Commerce, oil and gas associations, Xcel Energy, PNM, Consumer Energy Alliance, and economic development groups, argued the bill would impose unnecessary regulation on private microgrids, slow investment, raise costs, and reduce flexibility for reliability projects and industrial development. They said microgrids are already regulated for safety and interconnection, and that the bill could discourage projects in New Mexico. In response, Steinborn said the bill was necessary because current law leaves a loophole for large polluting microgrids and because several major projects are already planned or underway. The committee heard extensive public testimony on both sides, but the transcript ends before a final vote on SB 235 is taken.

Transcript Highlights:

• Harris Schmidt drafted the law on the protection of the physician.
• I mean, the regulations stay in place.
• I think in the physician as well. All on the manufacturing side, correct?
• There is a duty for a physician to follow a certain protocol in this bill.
• name and address of the physician, by implication, are being reported.

Bills: SB41 , SB33 , SB32 , SB30

Committee: Senate Senate Health & Public Affairs

Keywords: sexual crimes, statute of limitations, criminal justice, victim rights, child abuse, individualized treatment, investigational treatment, health care, life-threatening illness, patient rights, physician recommendation, informed consent, human trafficking, sexual exploitation, child protection, prosecution, crime amendments, SB30, induced abortion, abortion reporting

Bills: HB2416 , HB2537 , HB2575 , HB2322

Committee: House Environment & Energy

Keywords: waste management, energy, climate action, environmental regulations, fair treatment, renewable energy, sustainability, emissions, climate commitment act, environmental regulation, trade regulation, facility compliance, reporting obligations, energy laws, compliance, business impact, alternative fuel, carbon reduction, aviation, energy production

Bills: SB154 , SB362 , SB544 , SB714

Committee: Senate Energy and Natural Resources Committee

Keywords: conservation, water management, Colorado River, environment, sustainability, mining, federal minerals, Bull Mountains, Montana, coal, land management, environmental impact, mining regulation, hardrock mining, land use, environmental protection, Abandoned Hardrock Mine Fund, critical minerals, energy regulation, material designation

Transcript Highlights:

• Kratum is not federally regulated. Mitragynine, or commonly known as 7-OH.
• This is authorizing cannabis consumption in regulated environments.
• This is authorizing cannabis consumption in regulated environments.
• It's important that consumer protections are provided in the regulated substances space.
• It's important that consumer protections are provided in the regulated substances space.

Bills: HB2291 , HB2629 , HB2439 , HB1078 , HB1701 , HB2207 , HB2501 , HB2361 , HB1932

Committee: House Consumer Protection & Business

Keywords: kratom, consumer protection, regulation, health safety, substance control, infrastructure, protection, safety, security, state regulations, public health, tobacco regulation, smoking cessation, vapor products, health policy, youth prevention, pet insurance, insurance regulation, animal welfare, claims processes

Transcript Highlights:

• And all the regulations that have been put in place now, nuclear energy is the most heavily regulated
• And all the regulations that have been put in place now, nuclear energy is the most heavily regulated
• . regulations that have been put in place now, nuclear energy is the most heavily regulated industry
• And they take that proposal to the Public Regulation Commission.
• And clearly, we need regulation to deal with that.

Bills: SB78 , SB235 , SB22 , SB310

Committee: Senate Senate Conservation

Keywords: nuclear energy, renewable energy, sustainability, carbon emissions, energy regulation, microgrid, zero carbon resources, Public Regulation Commission, energy generation, electric utilities, motor vehicle manufacturers, licensing, dealers, franchise agreements, consumer protection, water supply, sewage improvements, environment, funding, Mora County

Transcript Highlights:

• While a patchwork of local regulations would affect the entire industry, it would disproportionately
• While a patchwork of local regulations would affect the entire industry, it would disproportionately
• While a patchwork of local regulations would affect the entire industry, it would disproportionately
• <00:26:13.520><c> deter</c> fragmentation in regulation could deter fragmentation in regulation could
• </c><01:06:20.400><c> relating</c> with how we handle regulations relating with how we handle regulations

Bills: HF3351

Committee: House Elections Finance and Government Operations

Keywords: firearms, guns, gun control, gun safety, local control, home rule, preemption, municipal regulation, county regulation, city ordinances, zoning, firearm dealers, gun dealers, ammunition, carry permits, permit to carry, pistols, Saturday night special, metal-penetrating bullets, public safety

Transcript Highlights:

• The Washington Travel Insurance Act would include provisions for regulating the offer and dissemination

Bills: HB2428 , HB2399 , HB2087 , HB2629 , HB2483 , HB2477

Committee: House Consumer Protection & Business

Keywords: life insurance, policy lapse, policy cancellation, nonpayment of premium, premium grace period, lapse notice, termination notice, third-party notice, third-party designee, beneficiary protection, consumer protection, insurance regulation, insurer notice requirements, policyholder, beneficiary, Washington RCW, insurance code, unintentional lapse, coverage continuation, premium delinquency

Bills: HB2496 , HB2575 , HB2605

Committee: House Environment & Energy

Keywords: tribal consultation, energy facilities, site evaluation, environmental impact, policy regulation, environmental regulation, reporting obligations, energy laws, compliance, business impact, HB 2605, Washington asbestos law, naturally occurring fibrous silicate, asbestos-containing building materials, fibrous silicate materials, asbestos labeling, construction materials, renovation, repair and maintenance, EPA method

Transcript Highlights:

• What we're going to be doing is examining what the actual cultivation is or the capacity and regulate
• I mean, the plat that got filed for that land goes to the Commissioners Court; it gets regulated by the

Bills: HB334 , HB583 , HB605 , HB1327 , HB1646 , HB2115 , HB2379

Committee: House S/C on County & Regional Government

Keywords: family leave, leave pool, county employee, sick leave, vacation leave, family care, pandemic, guardianship, fencing, reservoirs, local government, regulation, land use, conservation capacity, property regulation, fence regulation, reservoir safety, county authority, fencing regulations, counties

Transcript Highlights:

• You know, we don't want to over-regulate groundwater since it is privately owned.
• trust the GCDs to understand the aquifer conditions to set the desired future conditions and then to regulate
• targeted somewhat at utilities, is remember that water utilities are serving a significant purpose as regulated

Bills: HB4530 , HB4931 , HB5559 , HB5560

Committee: House Natural Resources

Keywords: water rights, Texas Water Trust, water bank, environmental conservation, water quality, instream flows, aquifer, water injection, Edwards Aquifer, environmental regulation, groundwater, Texas Commission on Environmental Quality, water conservation, drought, utility regulation, water use restrictions, Public Utility Commission, civil penalties, drought contingency, environmental protection

Summary: The Committee on Natural Resources met with a quorum present and first took up several pending bills for reconsideration and committee substitute adoption. House Bill 2692, relating to codification and clarification of local laws concerning the San Antonio River Authority, was reported favorably to the full House and sent to the Committee on Local and Consent Calendars by an 11-0 vote. House Bills 1407, 1520, 1535, 2970, 4153, 291, 3663, and 3915 were also reconsidered or laid out as pending business, with committee substitutes adopted where needed and each bill reported favorably, generally by unanimous vote, to the full House and then to Calendars or Calendars/Calendars-related referral as applicable. The committee then heard House Bill 4530, which would expand the Texas Water Trust framework to include groundwater rights, require Texas Water Development Board review and approval of groundwater dedications, and notify local groundwater districts when groundwater rights are placed in the trust. The bill’s author and witnesses from the Environmental Defense Fund, The Nature Conservancy, and Chispa Texas supported the measure as a conservation tool and a way to create a clear process for voluntary donations; a Texas Water Development Board witness testified neutrally. The bill was left pending. House Bill 4931, relating to an aquifer storage and recovery project in Medina County, drew support from the author, the Medina County judge, and a regional water alliance witness, who described severe stress on the Edwards Aquifer, low levels at Medina Lake, and the need for a local water-supply tool. The bill was left pending. House Bill 5559, which would clarify enforcement of drought contingency plans for investor-owned water utilities and involve the PUC in model plan development, received support from groundwater district representatives but also concerns from water company and utility witnesses about enforcement authority, approval procedures, and potential conflicts with existing obligations to provide continuous service; the committee substitute was withdrawn and the bill was left pending. House Bill 5560, which would raise the maximum civil penalty for certain groundwater conservation district enforcement actions from $10,000 to $25,000 per violation, prompted debate over whether current law is already sufficient; supporters said the higher cap would better deter overpumping, while opponents argued existing penalties are already severe. That bill was also left pending, and the committee adjourned subject to call of the chair.

Transcript Highlights:

• trust the GCDs to understand the aquifer conditions, to set desired future conditions, and then to regulate
• targeted somewhat at utilities, is remember that water utilities are serving a significant purpose as regulated

Bills: HB 4530 , HB 4931 , HB 5559 , HB 5560

Committee: House Natural Resources

Keywords: water rights, Texas Water Trust, water bank, environmental conservation, water quality, instream flows, aquifer, water injection, Edwards Aquifer, environmental regulation, groundwater, Texas Commission on Environmental Quality, water conservation, drought, utility regulation, water use restrictions, Public Utility Commission, civil penalties, drought contingency, environmental protection

Transcript Highlights:

• It may be, you know, because medical cannabis is regulated by another DO program, and so I think they
• </c><00:48:09.119><c> by</c> medical cannabis is uh regulated by medical cannabis is uh regulated by
• authorize APRNs to conduct health care transactions that were traditionally solely the realm of physicians
• What's important, I think, to highlight here is that whether it be an APRN or a physician, they have
• So it requires a clinician in this case, a physician, and if enacted, an advanced practice registered

Bills: SB2211 , SB2025 , SB2038 , SB2050 , SB2051 , SB2090

Committee: House Health

Keywords: emergency funding, food assistance, healthcare, federal shutdown, Hawaii, DHS, jury duty, advanced practice registered nurses, physician assistants, exemption, patient care, financial hardship, medication abortion, anonymous prescription, pregnancy rights, healthcare privacy, pharmacy regulations, chiropractic education, clinical training, student supervision

Summary: The House Committee on Health held its first hearing of the session and opened with housekeeping notes, introductions of members, and an explanation that the agenda would be taken out of order to accommodate a sign language interpreter. The committee first heard HB 469, relating to parking for disabled persons. Testimony from the Disability and Communications Access Board and the State Council on Developmental Disabilities supported the bill, explaining that a travel placard would help people with disabilities who must travel interisland or to the mainland for medical care. Members asked about emergency travel, misuse prevention, and how to distinguish the travel placard from existing disabled parking placards; witnesses said the bill would need to be tied to administrative rules, and agreed the placard should clearly show an expiration date and likely be a different color. No vote was taken. The committee then heard HB 218, relating to hospital surgical smoke. The Department of Health supported the measure, and the Healthcare Association of Hawaii supported it with amendments, saying hospitals already follow existing standards but that any new policy should account for different procedures and provider safety. A committee member questioned the proposed amendment language and whether it was too flexible; the witness explained the intent was to allow case-by-case application because some procedures generate only brief exposure. Members also asked what surgical smoke is, and the witness explained it is produced when electrical or cauterizing tools are used on tissue and creates vapor or fumes. The bill remained under discussion with no final action reported. The committee next took up HB 814, which would fund a public information campaign and related services on cannabis use among youth. The Department of the Attorney General said the bill should be amended to clarify whether the funding would be used for contracts or grants and to include proper grant standards if grants are intended. The Department of Health supported the bill and said the funds would expand prevention, treatment, recovery, and public education efforts, including social media outreach, PSAs, and school-based youth services. Multiple organizations and individuals testified in support, emphasizing the harms of youth cannabis use and the need for prevention and treatment resources. Members asked what the department currently does, whether it is fulfilling existing law on science-based cannabis information, and what kinds of treatment would be provided; the department said services would mainly be intensive outpatient, outpatient, counseling, and related youth-focused supports. No vote was taken during the hearing.

Transcript Highlights:

• labeled and follow the necessary regulations. marketed to adults.
• The first was that it's structured to regulate conduct, not content.
• Some cities, like Fort Worth, have banned them, while others regulate them.
• the city from its regulations.
• I mean, to those physicians in the disclosures.

Bills: SB30 , SB517 , SB1313 , SB1314 , SB1316 , SB1541 , SB1698 , SB1845 , SB1860 , SB2420 , SB2429 , SB 30

Committee: Senate State Affairs

Keywords: gambling, criminal offenses, penalties, defense, electronic devices, tobacco advertising, youth protection, public health, criminal offense, retailer regulation, e-cigarettes, nicotine products, health, public safety, regulation, advertising restrictions, health and safety, elections, election audit, county elections