Transcript Highlights:

• Would that be procedure.
• So those procedures are not going to be affected by this.
• So existing procedures have already been laid out.
• "Hi." smoke uh procedures in hospitals. smoke uh procedures in hospitals.
• procedure that generates surgical<01:15:08.800> smoke.

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

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:

• . ...they modify Chapter 174's default procedures, and that would have a committee substitute, Mr.
• Court ruling unrelated to contract resolution procedure...
• Texas Supreme Court ruling unrelated to contract resolution procedures and validated these procedures
• The charter amendment provided for an impasse procedure for the City of Austin that was very fair and
• the current statute that says these procedures happen after all other procedures have happened to execute

Bills: SB208, SB628, SB777, SB1042, SB2354, SB2477, SB2521, SB2523, SB2608, SB2703, SB2778, SB2835, SB2965, SB2367, SB3044

Keywords: workforce housing, capital investment fund, affordable housing, housing development, Texas housing laws, loan programs, community development, Texas housing, zero-interest loans, low-income housing, nonprofit organizations, construction, economic stability, housing affordability, capital investment, Texas housing policy, county fire code, fire marshal, local government code, interlocal agreement

Summary: The Senate Committee on Local Government considered and voted on several bills, adopting committee substitutes on Senate Bills 1237, 1708, 1844, 1454, 2520, and 2541. In each case, the committee substitute was explained as narrowing or clarifying the filed bill, and the committee voted to report the substitute version to the full Senate, usually with a recommendation that the filed bill not pass. The committee also recommended each of those measures for the local and uncontested calendar. SB 1237 concerned property tax exemption eligibility for charitable organizations; SB 1844 addressed annexation and disannexation limits tied to city services; SB 1454 clarified housing authority tax exemptions and agreements with districts; SB 2520 dealt with a school district tax ceiling comparison; and SB 2541 reduced the unused increment period from three years to two years. The committee then heard extensive testimony on SB 2354, which would allow developers to hire qualified third-party professionals for plat review, permit review, and inspections if local governments are delayed. Supporters included affordable housing providers, builders, Pew Charitable Trusts, housing advocates, and legal groups, who said the bill would reduce permitting delays, lower costs, and help housing production. A Corpus Christi representative testified as neutral, asking for amendments to preserve city final inspection authority, document sharing, and floodplain enforcement. Urban counties opposed the bill as written, arguing it removed too much local oversight, though they acknowledged work on a committee substitute. SB 2354 was left pending. The committee also heard SB 2703, which would clarify that condominiums are not subdivisions for local platting purposes. Builders and a land use attorney supported the bill, saying it would reduce confusion and duplicative regulation; the bill was left pending. SB 777, dealing with firefighter collective bargaining and impasse procedures, drew support from Austin and Texarkana firefighter representatives and the City of Austin, who said the committee substitute reflected stakeholder agreement and preserved voter-approved local procedures; it was left pending. SB 2965, concerning annexation and emergency service district response obligations, drew support from ESD and fire association witnesses who said it would prevent service gaps after annexation, and opposition from local officials who argued it gave unelected ESD boards too much power and lacked neutral review; it was also left pending. The committee then recessed subject to call of the chair.

Transcript Highlights:

• This meant institutions following 2024 grievance procedures had to tell victims currently in process
• <00:09:14.120> this robust grievance procedures this robust grievance procedures this included
• that recognized institutions procedures that recognized institutions understandings<00:09:47.360>
• procedures the regulations effective<00:09:53.880> date<00:09:54.200> was<00:09:54.360
• <00:12:32.600> in country include grievance procedures in country include grievance procedures

Keywords: 1187, senate, all

Transcript Highlights:

• We'll call the Legislative Procedures and Arrangements Committee to order, and the first order of business
• That statute relates to the procedural requirements for health insurance mandates.
• So there are five gray boxes overstruck for the procedural committee clerk positions.
• They provide a nice buffer that if one of our policy analysts is out sick or our procedural clerk is
• And they provide a nice buffer that if one of our policy analysts is out sick or our procedural clerk

Keywords: 908, all

Transcript Highlights:

• We'll call the Legislative Procedures and Arrangements Committee to order.
• That statute relates to the procedural requirements for health insurance mandates.
• So there are five gray boxes overstruck for the procedural committee clerk positions.
• And they provide a nice buffer that if one of our policy analysts is out sick or our procedural clerk
• And they provide a nice buffer that if one of our policy analysts is out sick or our procedural clerk

Summary: The committee met to organize upcoming legislative session arrangements and staffing, and to review several rule and security-related items. It first approved a Joint Rule 211 change, recommended by the Employee Benefits Committee, that clarifies the deadline and statutory references for introducing health insurance mandate bills so required cost-benefit materials can be completed in time. Members noted the change would streamline the process, though it would not solve all timing and mandate-determination issues. The committee then discussed a draft bill on confidentiality protections for certain public officials and candidates, but members raised concerns about the statute’s complexity, the practical difficulty of administering it, and whether it would meaningfully improve safety; no action was taken and the topic was set aside for further discussion. The committee received an update on the new NCSL Legislator Security Fund. Staff explained that North Dakota is in process to apply for grant funding that could reimburse up to about $200 per legislator for personal security-related expenses such as home cameras, locks, lighting, or monitoring services, with reimbursement handled through Legislative Council and subject to Emergency Commission approval. Members asked about eligible expenses, timing, and whether new legislators would be included, and staff said the program would likely cover current legislators only for this round. The committee also approved the 2027 joint session schedule for the State of the State, tribal-state message, and State of the Judiciary on January 5, with the tribal and judiciary addresses in the morning and the governor’s address later in the day. The committee next approved the statutory reporting schedule for the Commerce Commissioner and agricultural commodity groups, setting the Commerce report for January 13, 2027, and the agriculture reports and pesticide container disposal update for January 14, 2027. Members questioned the usefulness of some of these recurring reports, but agreed to follow the existing statutory requirements. The largest discussion centered on Legislative Council staffing for the 2027 session: the committee approved reducing session staff to 36 Senate and 41 House employees, eliminating procedural clerk positions in standing committees in favor of permanent policy analysts, while retaining quality assurance clerks and adding a House parking lot attendant. It also approved a 3% salary increase for those staff positions, matching the increase given to state employees. Finally, the committee reviewed a revised organizational session and new legislator training agenda. Staff proposed moving some orientation content into a separate pre-session training day for new legislators on November 30, including laptop setup, mock committee and floor sessions, parliamentary procedure, and HR/benefits training, while adding more security and budgeting instruction. Members strongly supported earlier and more practical training, including follow-up reinforcement during the first week of session, and suggested using experienced or term-limited former legislators as mentors. Staff also described efforts to expand training materials into podcasts, flowcharts, and other formats, and Legislative Council leadership outlined the office’s remaining vacancies and a proposed expansion of policy analysts, program evaluators, legal staff, and training support to better serve the legislature and improve oversight of state programs.

Transcript Highlights:

• How did, I mean, not having policies and procedures in place.
• The first being the lack of policies and procedures.
• So why did you move forward without a set policy procedure?
• I'd like a procedural clarification.
• I'd like a procedural clarification.

Keywords: 908, all

Transcript Highlights:

• The Speaker stated, “Seeing no objection, we will follow that procedure.”
• Anyone object to that procedure? Wish to be recorded as voting no. Present.
• Anyone object to that procedure? procedure? procedure?
• Anyone object to that procedure? procedure? procedure?
• Anyone object to that procedure?

Keywords: MS Senate Floor - 24 March, 2026; 10:00 AM, 925, all

Summary: The Senate convened with a quorum present, opened with an invocation and the Pledge of Allegiance, and then dispensed with the reading of the journal and committee report titles. The main business was a lengthy exchange over Senate Bill 2632, the local governments disaster recovery emergency loan program bill. The governor’s veto message argued that the enrolled bill had been materially altered after conference adoption, specifically over the interest-rate language, and called for an investigation. Senate leaders responded that the veto message was inaccurate, saying the word “monthly” had been removed earlier by unanimous consent to avoid an unintended 12% rate and that the bill was intended to provide disaster relief financing for local governments affected by Winter Storm Erin. Senators McCaughn and others defended the process, criticized the governor’s accusations as false and offensive, and emphasized that the legislation was meant to help struggling cities and counties with no interest until FEMA reimbursement, followed by a 1% rate. After the veto discussion, Senator McCaughn moved to refer the bill back to the committee from which it began, and the motion carried. The Senate then moved through routine business, including introductions and recognition of guests. Visitors included the Mississippi Farm Bureau Federation Peanut Committee, the Mississippi School for the Deaf and Blind, the doctor of the day, and an NCSL representative, along with a National Ag Day milking champions presentation and a large group of junior pages. The chamber also honored the Starkville Oktibbeha County School District’s varsity boys and girls basketball teams. Senate Resolutions 64 and 65 were called up to commend the Starkville High School girls and boys teams for winning the 2026 Class 7A state championships, and both coaches addressed the Senate briefly to thank members for the recognition.

Transcript Highlights:

• conversation but to me the procedure conversation but to me the procedure should<03:48:45.960>
• > by picking a procedure do this procedure by picking a procedure do this procedure by procedure<
• this other procedure.
• you may incur this other procedure you may incur this other procedure<04:03:07.159> we<04:03:
• procedure.

Keywords: 1189, house, all

Transcript Highlights:

• The Secretary of State must adopt rules and procedures for implementing the CCR and publish a report
• However, the Secretary of State must develop the processes and procedures, publish them in the register
• If it's a question of the author or a parliamentary procedure question, Mr.

Bills: SB27, SB8, SB15, SB30, SB268, SB568, SB650, SB1405, SB1540, SB1610, SB1637, SB1660, SB2024, SB2217, SB2308, SB2753, SB2878, SB2900, SB2972, SB3059, HB4, HB40, HB46, HB119, HB145, HB493, HB705, HB1545, HB2017, HB2516, HB2885, HB2963, HB2974, HB3642, HB3909, HB5138, HB5246, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3045, SB3071, HB796, HB1523, HB5294, HB748, HB3395, HB180, HB3171, HB146, HB5596, HB5694, HB1135, HB3225, HB186, HB1449, HB3793, HB112, HB104, HB3336, HB3520, HB3320, HB5663, HB2399, HB111, HB3483, HB4580, HB3748, HB632, HB4730, HB5690, HB5689, HB3385, HB4359, HB5381, HB123, HB5606, HB1057, HB3664, HCR141, HCR40, HCR59

Keywords: immigration enforcement, ICE agreements, sheriff grants, law enforcement, county jail, federal immigration law, SB 15, Texas Local Government Code, zoning preemption, housing affordability, small lots, lot size, lot density, single-family zoning, residential subdivision, municipal land use, local control, state preemption, parking requirements, setbacks

Transcript Highlights:

• Senate Bill 2091 by Zaffirini relates to a study on effective case management practices and procedures
• Senate Bill 2171 by Parker relates to public schools' grievance procedures to Education K through 16.

Bills: SCR8, SCR24, SCR25, SB1, SB65, SB315, SB371, SB372, SB379, SB400, SB402, SB406, SB427, SB487, SB502, SB509, SB535, SB610, SB707, SB740, SB761, SB840, SB875, SB893, SB918, SB925, SB965, SB987, SB990, SB995, SB1006, SB1018, SB1073, SB1106, SB1121, SB1194, SB1253, SB1300, SB1343, SB1362, SB1379, SB1447, SB1532, SB1555, SJR36, SJR12, SJR57, SCR25, SCR22, SCR12, SCR24, SCR8, SB565, SB372, SB765, SB62, SB666, SB707, SB888, SB687, SB847, SB1248, SB740, SB14, SB1006, SB504, SB925, SB1121, SB995, SB857, SB305, SB296, SB284, SB815, SB1379, SB1300, SB1497, SB1499, SB1498, SB65, SB241, SB304, SB402, SB621, SB1023, SB1024, SB1106, SB686, SB112, SB371, SB204, SB400, SB609, SB1447, SB670, SB502, SB427, SB850, SB854, SB413, SB1555, SB1362, SB1346, SB1033, SB1220, SB1073, SB810, SB987, SB1539, SB893, SB447, SB875, SB406, SB509, SB985, SB965, SB1119, SB1505, SB24, SB1194, SB1253, SB1215, SB1532, SB1302, SB856, SB650, SB583, SB673, SB840, SB213, SB681, SB1172, SB1252, SB378, SB610, SB918, SB1343, SB608, SB487, SB955, SB957, SB988, SB990, SB1019, SB1021, SB1120, SB251, SB958, SB535, SB761, SB1, SB541, SB315, SB379, SB1018, SB1737, SB266, SB1415, SB1527, SB125, SB599, SB1330, SB53, SB916, SB896, SB1352, SB973, SB785, SB710, SB472, SB1450, SB1502, SB1566, SB414, SB1062, SB1547, SB961, SB1038, SB513, SB578, SB711, SB746, SB942, SB1404, SB1448, SB1738, SB108, SB8, SB318, SB507, SB533, SB689, SB1026, SB1349, SB1355, SB1433, SB1434, SB1596, SB1403, SB1198, SB1146, SB763, SB667

Keywords: central bank digital currency, CBDC, Federal Reserve, digital dollar, digital currency, cashless payments, financial privacy, cybersecurity, government surveillance, financial surveillance, money laundering, terrorism financing, illicit finance, banking policy, monetary policy, payments system, commercial banks, Texas Legislature, concurrent resolution, federal reserve digital currency

Transcript Highlights:

• We hear this each and procedures done.
• ,<00:33:27.120> or healthcare service, procedure, or healthcare service, procedure, or practice
• to not to not be involved in procedures to not to not be involved in procedures that<00:51:30.240
• It may be procedures that individuals.
• <01:09:13.440> So uh caused additional procedure. So uh caused additional procedure.

Keywords: 958, all

Summary: The Senate convened with prayer, the pledge, and roll call, establishing a quorum with 33 members present. The chamber approved the prior journal, excused absent senators, welcomed viewers, and received House messages announcing passage of House Bill 253, House Bill 436508, and House Concurrent Resolution 44 for concurrence. New filings were also reported: Senate Bill 197 on economic development and Senate Joint Resolution 99 designating the Destiny Brewer Memorial Highway in Martin County. The main floor action centered on Senate Bill 72, a measure on recruitment and retention of health care professionals and declaring an emergency. The bill’s sponsor argued it would protect health care workers’ conscience rights, improve recruitment and retention, and address provider shortages and corporate pressures in medicine, while emphasizing that emergency care would still be required under federal law. Supporters said the bill would protect providers from being forced to participate in procedures that violate their moral or religious beliefs and cited examples from other states and physicians who had left practices over conscience concerns. Opponents argued the bill’s language was too broad and could allow denial of non-emergency care based on vague moral, ethical, or religious objections, potentially harming patients in health care deserts and sending the wrong message about caring for all people. One senator raised a hypothetical about racial discrimination under the bill’s definitions, while supporters responded that the bill was intended to protect providers and patients and that existing professional ethics and hospital policies would prevent abuse. Additional supporters said the measure would not deny basic care and would help keep physicians in the state. The bill was still under debate at the end of the excerpt, with questions and responses continuing; no final vote or disposition on Senate Bill 72 is shown in the transcript provided. Other bills reported from second reading were referred to the Rules Committee for further action, and Senate Bill 69 was passed over and retained its place on the orders of the day.

Transcript Highlights:

• The expanded prescribing and procedures will improve eye care for all of your constituents.
• <00:06:00.479> improve prescribing and procedures will improve prescribing and procedures
• Our current scope of practice limits us from performing these procedures in a clinical setting.
• Administering anesthetic and removing a chalazion is a logical extension of these procedures.
• and routinely provide pre and procedures and routinely provide pre and post-operative<00:14:25.760><

Keywords: 1183, house

Transcript Highlights:

• We have a very exciting presentation today from the Joint Administrative Procedures Committee, known
• Although the Joint Administrative Procedures Committee, we do not seek press.
• The Joint Administrators Procedures Committee is a joint legislative committee of the House and Senate
• set of procedures for adopting the rules.
• The Administrative Procedures Act sets out the objection procedures.

Summary: The committee received an informational presentation from the Joint Administrative Procedures Committee (JAPC/JAPSI) staff and Chair Representative Overdorf on how Florida administrative rulemaking is reviewed. Mr. Plant explained that JAPC is a joint legislative oversight committee that monitors agency rules under Chapter 120, focusing on whether rules stay within statutory authority, whether agencies are acting consistently with legislative intent, and how the rulemaking process works. He emphasized that agencies are creatures of statute, that rulemaking authority must be specific enough to support the rule, and that without a date certain in statute, agencies may delay rulemaking indefinitely. Members asked about how to ensure agencies actually adopt rules, how to identify rules that exceed legislative intent, and how JAPC handles internal policies and delayed rulemaking. Representative Overdorf then described JAPC’s objection process and its limits. He said the committee does not approve or disapprove rules or direct agencies to adopt them, but it can object to proposed or existing rules that enlarge, modify, or contravene enabling statutes or fail to comply with Chapter 120. He noted that if an agency does not resolve an objection, a footnote is published in the Florida Administrative Code and the committee may recommend legislation to amend, suspend, or repeal the rule. He also discussed recent committee activity, including 1,355 proposed rules, 119 emergency rules, and 1,243 incorporated materials reviewed in 2024, and said the committee filed 31 objections against one agency after repeated noncompliance. The discussion also touched on possible changes to Chapter 120, including the governor’s 2019 request that agencies include five-year sunset provisions in rules, and a proposal to instead require periodic legislative review rather than automatic expiration. Overdorf also said the committee is considering raising the current statement of estimated regulatory costs thresholds of $200,000 annually or $1 million over five years because inflation has made those limits too low. No votes were taken on legislation, and the meeting ended with adjournment.

Transcript Highlights:

• The procedures they would do would be simple procedures, feelings all the years that I've been on the
• and not complex procedures.
• And you can't tell until the procedures complete with my experience.
• Dental therapist will be trained in 30 to 40 procedures.
• Dennis are trained in 400 to 500 procedures.

Transcript Highlights:

• So we have some of the procedures laid out here, like with the University of Texas.
• So it follows their existing adopted procedures of how to handle that, which I believe would address
• So it follows their existing adopted procedures of how to handle that, which I believe would address
• And I would also like to add that in my undergrad, one of my favorite a disciplinary procedure.
• And I worry that these creative forms of education, a disciplinary procedure.

Summary: The Senate Education Committee K-16 resumed public testimony on Senate Bill 735, a Holocaust education bill. Alice Min spoke in support, saying learning about difficult parts of history is important for understanding American history and the experiences of minority communities. Sheila Hemphill also supported the bill but urged broader language to include multiple genocides and more instructional material. After a brief exchange, public testimony on SB 735 closed and the bill was left pending. The committee then heard Senate Bill 800, which would strengthen higher-education orientation materials on sexual harassment, sexual assault, dating violence, and stalking policies, and Senate Bill 2310, which would require public institutions to post clearer online degree and transfer requirements. Both bills were explained by their authors, committee substitutes were adopted, no public testimony was offered, and each bill was left pending. Senate Bill 2055, a cleanup bill for the Texas Leadership Scholars Program, was also heard and left pending after no testimony. A major portion of the meeting focused on Senate Bill 1069, which would require investigations and mandatory termination for faculty found to have discriminated against students based on religion, with a department placed under conservatorship after a termination. The author said the bill was meant to address religious discrimination and protect students; several witnesses, including Muslim and Jewish law students and other advocates, argued it was too vague, lacked a definition of religious discrimination, threatened academic freedom, and could chill speech. The bill was left pending after testimony. The committee also heard Senate Bill 2972, which would set new limits on expressive activity on public university campuses, including restrictions on encampments, masks, sound amplification, and protests during finals; opponents said it would restrict free speech and protest rights, while the bill was adopted as a committee substitute and left pending. Senate Bill 2815, allowing students to choose the diploma name after a university merger or renaming, was briefly heard and left pending. Later, the committee took up pending business and voted out several bills. SB 2920, SB 2398, SB 2927, SB 2929, SB 1241, SB 1395, SB 401, SB 1972, and SB 2540 were reported favorably, with some committee substitutes adopted and several placed on the local and uncontested calendar. SB 1241’s substitute would have the Higher Education Coordinating Board study standardized test equivalency scores for admissions. The committee then recessed subject to the call of the chair.

Transcript Highlights:

• This includes the skills needed for the procedures in this bill.
• Those hundreds of supervised procedures are irreplaceable.
• the legislature about each new procedure.
• These are not simple or low-risk procedures.
• The procedures that we're asking for are taught, trained...

Transcript Highlights:

• Those are all dictated by law and procedure.
• What does that procedure look like? What's your gauge for a special session?
• MMB starts to and and they've procedure.
• What does that procedure<00:03:58.959> look<00:03:59.120> like?
• What's your gauge procedure look like?

Keywords: 919, house, all

Summary: The speaker said budget negotiations were still underway and expressed optimism that leaders would reach a deal soon, despite the legislature’s extremely narrow margins. He emphasized that the goal was a responsible Minnesota budget that leaves money on the bottom line, funds priorities that improve residents’ lives, and reduces the projected 2028-29 structural imbalance. He also noted that the bills were nearly finished and had been sent to revisers, with transportation still pending. A major concern was the possibility of a state government shutdown and the need to send out more than 28,000 layoff notices if a deal was not reached by Monday morning. The speaker said agencies already have shutdown contingencies in place, with essential operations such as corrections and state patrol continuing, while other services would be reduced. He said the Department of Management and Budget had begun preparing management for that possibility, though he did not believe a shutdown would actually happen. The discussion also focused on how a special session would be organized if needed. The speaker said the parties were using a template from the 2019 special session, and that the key remaining issues were not bill drafting but agreement on amendments, votes, and rule suspensions. He declined to discuss specific bargaining points in detail, but said the negotiation covered many issues, including transportation funding, undocumented immigrant policy, and non-competes, and that individual legislators could effectively become veto points on the overall deal.

Transcript Highlights:

• It's just simply informing someone on a procedure.
• Extensive process for that, for procedures, things like anesthesia.
• Make no mistakes; vaccinations are a medical procedure.
• Again, what you're looking at is significant procedures, I think.
• This only lays out the statutory right to object to abortion procedures. not any other type of procedure

Bills: SB95, SB268, SB493, SB619, SB660, SB922, SB984, SB1098, SB1188, SB1307, SB1332, SB1822

Keywords: immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit

Transcript Highlights:

• Dental insurance and parents normally cover the cost of medically necessary dental procedures.
• The anesthesia is a medical procedure, which is usually performed by a physician.
• Anesthesia for medically necessary dental procedures.
• Health insurance for necessary general anesthesia for these dental procedures.
• As somebody who has provided general anesthesia for these procedures.

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• So we're talking about medical abortions and procedural abortions. Okay. Thank you.
• Dental procedures, wisdom teeth extraction, root canals, et cetera, are a big You know, procedures, wisdom
• time away from work to have these procedures.
• time away from work to have these procedures.
• , is going to be lower than a medical procedure.

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.