Transcript Highlights:

• Um, during that time, as a result of reductions in force and then people leaving the CDC, staffing had
• has been restored, but we're still working to understand the status of a lot of the programs at the CDC
• <00:03:13.920> Um,<00:03:14.720> uh, lot of the programs at the CDC.
• Um, uh, lot of the programs at the CDC.
• So we are requesting a through the CDC.

Keywords: 912, senate, all

Summary: The Department of Health presented its supplemental budget requests and described several sources of uncertainty affecting federal funding, including policy changes, shutdown-related disruptions, and shifting appropriations proposals in Congress. Officials said some federal grants had been terminated and then restored, but the department still faces added administrative burden to access funds. They also said trust in public health institutions has declined, and outlined efforts to respond through community engagement, website cleanup, social media, and transparency dashboards. The department highlighted staffing and operations issues, noting a 29.7% vacancy rate and the success of its hiring pilot under Act 291, which has hired 38 candidates with an average 95-day hiring timeline. On the budget side, officials said the supplemental request includes increases in general, special, and revolving funds, and they walked through the first major general fund item for emergency medical services. After discussion, they said the EMS request was reduced from $8 million to $4.5 million to cover collective bargaining increases and keep contracts whole through August 2027. Behavioral health items included the payment crisis center in Ewa, which has connected more than 2,000 people to services, though roughly one-third remain unconnected or return frequently. Members questioned the quality of follow-up data and whether the program is reducing repeat use. The department also discussed state hospital decompression efforts, including use of the behavioral health crisis center, transfers to community hospitals, neighbor-island placements, and direct discharge to long-term care facilities; officials said the hospital is licensed for 292 beds and has seen census pressures rise again. A substantial portion of the hearing focused on Kalaupapa/Kalawao jurisdiction and preservation after patient care ends. Members pressed the department on the lack of a clear statewide plan, the roles of DOH, DNR, and DHHL, and what happens to land, buildings, and the cemetery after the last patient leaves. DOH said the current law is unclear on an end date, that the proposed bill would change the law, and that the landowners’ agreements with the National Park Service and each other will shape the transition. Officials said they would provide more information at a later hearing.

Transcript Highlights:

• c> including embedded major policy changes, including embedded major policy changes, including CDCS
• unbundling,<01:24:57.280> and<01:24:57.760> restrictions<01:24:58.400> on CDCS
• unbundling, and restrictions on CDCS unbundling, and restrictions on self-direction<01:24:59.440>
• Um, according to the CDC, when one person dies, it costs our society $11 million.
• , Um according to the CDC, Um according to the CDC, when<02:00:42.720> when<02:00:42.920><

Keywords: 1187, senate, all

Transcript Highlights:

• heard last week uh from state budget director Anna Mingi uh about the most recent efforts uh by the CDC
• Now, according to the CDC, FIG is a, quote, groundbreaking investment supporting critical public health
• Yet the CDC priority statement specifically calls out modernizing public health infrastructure while
• , FIG is quote Now, according to the CDC, FIG is quote groundbreaking<00:34:19.119> investment
• Yet, the CDC priority agency priorities.

Keywords: 1187, senate, all

Transcript Highlights:

• The numbers that come forward in Kentucky are extrapolated by national reports through CDC and then SART
• c><00:37:22.520> which<00:37:22.680> is<00:37:22.800> a<00:37:23.320> a CDC
• and then SART, which is a a CDC and then SART, which is a a reporting<00:37:24.160> for<00:37
• c> the<00:37:47.160> same<00:37:47.520> language<00:37:48.000> just at the CDC
• level, the same language just at the CDC level, the same language just about,<00:37:48.800> but

Keywords: 958, all

Summary: The committee opened its sixth and final interim meeting with roll call, quorum confirmation, approval of the prior minutes, and a brief change in agenda order to preserve quorum and accommodate presenters’ schedules. Members then moved through several proposed health-related items with limited discussion, and the chair noted the committee would reconvene in January for further conversation. The first substantive item was a proposal relating to utilization controls for non-opioid analgesics in Medicaid. Senator Gerald Neal and Tara Hyde of People Advocating Recovery argued that pain parity is needed so patients can access non-opioid options without prior authorization or step therapy barriers, especially in acute pain situations and for people in recovery. Senator Berg supported the concept and suggested expanding the approach to other prescriptions by allowing physicians to explain why step therapy is inappropriate at the time of prescribing; another member cautioned against unintended cost increases if non-opioid drugs are used as add-ons to opioids. The committee then heard a proposal on physician assistants from Senator Scott and Andrew Rutherford of the Kentucky Academy of Physician Assistants. They described a shift from a supervisory to a collaborative practice model, with practice scope set at the practice level, limited Schedule II prescribing authority under guardrails, and permission for PAs to perform driver’s license vision testing. Supporters said the changes would improve rural access, reduce administrative burden, and align Kentucky with neighboring states; a question from Representative Bratcher focused on experience requirements and how the proposal compares with nurse practitioner rules. No vote was taken. Finally, Representative Nancy Tate, Adia Wuchner, and Representative Jason Nemes introduced a 2026 proposal aimed at “protecting vulnerable people.” They described a broad package focused on abortion pill trafficking, marketing to minors, commercial surrogacy, assisted suicide, and organ procurement safeguards, arguing that current law leaves gaps and that additional criminal and civil penalties are needed. The presentation was informational only, with no action taken before the meeting ended.

Transcript Highlights:

• The CDC puts out two lists, one much shorter list.
• The CDC puts out two lists: one much shorter list of conditions that they think definitely put you at

Keywords: 995, all

Summary: The Permanent Commission on the Status of Persons with Disabilities’ Long-Term Services and Supports and Health Equity Subcommittee met to hear a presentation from Colin Killick of the Autistic Self-Advocacy Network on disability discrimination in crisis standards of care during COVID-19. He described how Massachusetts and other states initially used standards that prioritized longer life expectancy and, in some cases, quality-adjusted life years (QALYs), which he argued devalued the lives of disabled people and older adults. He also discussed related issues such as denial of transplants, pressure on disabled patients to sign do-not-resuscitate orders, and inequities affecting communities of color. He said disability advocates, legal groups, and public officials pushed back through litigation, media, and organizing, leading to revisions of Massachusetts’ standards and the eventual inclusion of disability advocates in the drafting process. Killick also discussed vaccine rollout, saying disabled people were initially under-prioritized but later gained broader access and more accessible vaccination options such as ASL interpretation and in-home vaccination. He closed by urging support for S. 869, an act relative to preventing discrimination against persons with disabilities in the provision of health care, which he said would ban disability-based discrimination in crisis standards, prohibit QALYs in health care decision-making, and add protections against coerced DNRs. He noted the bill had been favorably reported out of the Health Care Financing Committee but still needed support. In questions, members asked why the bill had not advanced further; Killick said earlier opposition from QALY supporters had been resolved, and the main barrier now was lack of legislative prioritization. Members thanked him for the presentation and for the work on revising crisis standards. The subcommittee then completed roll call, approved the prior minutes, and adjourned, noting the next meeting would be August 31.

Transcript Highlights:

• Ironically, the CDC guidance changed the very same day.
• In the documentary The Quiet Epidemic, they discovered through FOIA CDC emails that the CDC removed two
• markers from... ...the CDC removed two markers from the Lyme test at the start.
• The CDC has been defrauding Lyme patients for 40 years.

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:

• According to CDC estimates, the 40 drownings in 2023 totaled $437 million.
• nearly 11 million in costs.<00:47:11.119> According<00:47:11.599> to<00:47:11.760> CDC
• According to CDC estimates, the costs.
• According to CDC estimates, the 40<00:47:13.599> drownings<00:47:14.079> in<00:47:14.319
• think in Miss Schaefer's testimony, I think she said that the cost of one drowning was estimated by the CDC

Keywords: 910, house, all

Summary: The committee heard testimony on several agriculture-related bills. HB 1602 HD1 drew support from the Department of Agriculture and Biosecurity, the Ulupono Initiative, and others, with testimony emphasizing the value of a dedicated grant writer who had secured nearly $9 million in federal funds and was pursuing additional grants. Members discussed how much time grant applications take and how the position helps position projects for implementation. The committee then moved on without objection. HB 1832, relating to aquaculture, received support from state agencies and industry groups, with one individual opposed. HB 1707 HD1, relating to agriculture, also drew broad support. A committee question focused on the bill’s definition of “necessary supplies,” and the Hawaii Farm Bureau said the language was broad enough to cover the inputs farmers need, including transportation-related costs, and would help reduce production costs and food prices. HB 2155 HD1, relating to agricultural statistics, prompted testimony in support of better data collection to help Hawaii compete for federal agriculture funding. The Department of Agriculture and Biosecurity explained that its role would focus on production, import, and export data, distinct from the scientific data collected by another unit, and said it wanted an electronic system tied to existing manifest and GIS tools to avoid duplicative clipboard-based collection. HB 1831 HD1, relating to agricultural lands, was heard with support and no questions. HB 1650 HD1, relating to environmental assessments, drew opposition from several individuals who argued it would weaken environmental protections and resident input; no action was taken. The committee then heard HB 1652 HD1, relating to storm water management systems. The engineering industry supported clarifying that low-risk green stormwater infrastructure such as rain gardens, bioswales, and permeable pavement should not be treated like detention or retention ponds subject to fencing and other safety requirements. Opponents, including family members affected by a drowning and other residents, argued the bill would weaken Act 281’s safety protections and increase liability. The Hawaii Farm Bureau questioned whether agricultural water infrastructure should be exempted from the fencing requirements and said the costs would vary by system, but the committee did not take final action during the hearing.

Transcript Highlights:

• My son Samuel is 14 and he has had a CDC budget through the DD waiver since 2020.
• c> he<00:47:05.599> has<00:47:05.680> had<00:47:05.920> a<00:47:06.079> CDC
• son Samuel is 14 and he has had a CDC son Samuel is 14 and he has had a CDC budget<00:47:07.280>
• <00:47:15.760> needs<00:47:16.400> through<00:47:16.560> his<00:47:16.800> CDCs
• services he needs through his CDCs services he needs through his CDCs budget.<00:47:18.400> The

Bills: HF3174, HF3800

Keywords: background study, disqualification, set-aside, permanent disqualification, Office of Administrative Hearings, chief judge, human services licensing, substance use disorder treatment, SUD treatment, chemical dependency, recovery, rehabilitation, abstinence, foster care, child foster care, vulnerable adults, caregiver background check, license holder, direct contact, risk of harm

Transcript Highlights:

• Pregnancy Risk Assessment Monitoring System, tobacco data from FDA Center for Tobacco Products, and the CDC
• products<00:59:44.880> and<00:59:45.359> uh<00:59:45.440> the<00:59:45.599> CDC
• <00:59:46.319> social products and uh the CDC social products and uh the CDC social vulnerability
• c><01:00:14.319> samples,<01:00:15.119> and<01:00:15.359> the<01:00:15.520> CDC
• <01:00:16.079> had<01:00:16.319> not<01:00:16.559> at um, STI samples, and the CDC

Keywords: 912, senate, all

Summary: The Judiciary Committee held an informational briefing on the State of Hawaii’s affirmative litigation against the federal administration, with no public testimony. Attorney General Lopez and deputies said the office’s goal is to enforce the rule of law, not make partisan points, and noted that Hawaii is involved in 27 ongoing cases. They grouped the cases into four broad areas: immigration, funding freezes and grant terminations, federal agency dismantling/reductions in force, and protecting elections, health, and safety. Several immigration-related cases were discussed in detail. These included a challenge to the federal sharing of Medicaid data with DHS for immigration enforcement, a similar challenge to USDA’s demand for SNAP applicant and recipient data, and litigation over immigration-enforcement conditions attached to federal grants. The office also described the birthright citizenship executive order, saying it conflicts with the 14th Amendment and Supreme Court precedent; lower courts granted preliminary relief, and the U.S. Supreme Court later addressed only the scope of nationwide injunctions, not the merits. In the Department of Transportation case, the court granted a preliminary injunction against the “Duffy directive,” finding the immigration conditions lacked statutory authority, were arbitrary and capricious, and violated the Spending Clause and APA. The briefing also covered multiple funding disputes. In the education funding freeze case, the Department of Education and OMB withheld about $6 billion in formula funds, including roughly $33 million for Hawaii; after suit was filed, the funds were released. Other cases included the termination of over $11 billion in public health grants, which affected Hawaii Department of Health grants, the NIH indirect cost cap case, and NIH grant terminations tied to DEI, transgender issues, and vaccine hesitancy. The speakers said some cases have already resulted in preliminary or permanent injunctions, while others remain on appeal or are still being litigated.

Transcript Highlights:

• All states collect and report fetal death data to the Centers for Disease Control, or the CDC, as you
• Those are the ones that we're reporting to the CDC under RSA 5 C5.
• <00:14:55.800> Control<00:14:56.199> or<00:14:56.320> the<00:14:56.440> CDC
• <00:14:57.040> as<00:14:57.160> you for Disease Control or the CDC as you for Disease
• ><00:15:13.360> under<00:15:13.639> RSA<00:15:14.199> 5 we're reporting to the CDC

Keywords: 1191, senate, all

Transcript Highlights:

• Yeah, we had a grant from CDC that started maybe Maybe in 2020, maybe in 2021.
• VAERS and so FDA and CDC share responsibility for that. that database and those investigations. our data
• And is Texas the first state to really do that instead of just sending it to the CDC?
• Most states do use the CDC system, MARIA, and so this would be our own system to. do that and to do the
• Instead of CDC trying to direct maybe oh we think it's this but yeah it was getting there were a lot

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Investigations, detailed how the PSI reports detailed how data was suppressed by federal agencies, i.e., CDC
• and FDA,” by federal agencies, i.e., CDC and FDA, vaccine manufacturers, and news media.

Keywords: 928, house, all

Summary: The Special Committee on COVID Response Efficacy met to review its mission, approve prior minutes at a future meeting, and discuss materials related to COVID-19 vaccination guidance. Members examined a pediatric vaccination handout from a private pediatric practice and compared it with New Hampshire DHHS and AAP/AAFP immunization guidance, focusing on how COVID-19 vaccine recommendations are presented for children and adults. Committee members also discussed the scope and accuracy of the committee’s endnotes and supporting documents. The main business was a draft letter urging the governor to direct state agencies to stop recommending COVID-19 mRNA vaccines. Members revised the letter paragraph by paragraph, including changing wording about age ranges for children, clarifying references to the American Academy of Pediatrics, and adding discussion of vaccine safety concerns, alleged suppression of safety data, and federal investigations. They also debated whether to reference specific reporting systems such as VAERS and V-safe, and whether to include examples from other states, including Tennessee, Arizona, Minnesota, and Florida, as evidence of broader concern about mRNA vaccines. After the edits were completed, Representative Villio moved to accept the letter as amended, Representative Leroy seconded, and the committee approved it by voice vote 4-0. The chair said the revised letter would be finalized and distributed later in the week. The meeting then adjourned at approximately 11:57 a.m.

Transcript Highlights:

• Research from the CDC and numerous longitudinal studies confirm a powerful mind-body synergy.
• Research from the CDC and numerous longitudinal studies confirm a powerful mind-body synergy.

Bills: HB2008, HB2075, HB2203, HB2395, HB2409

Keywords: school libraries, public school libraries, library funding, professional associations, library associations, librarians, information services, dues, membership fees, public monies, school governing body, county free library district, municipal library, library contracts, library services, books and programs, Arizona education, Title 15, Library Freedom Act, school district transparency

Summary: The committee took up several education bills. HB 2395 would create a voluntary Arizona School Fitness Program in ADE to recognize schools that participate in nationally recognized fitness testing or events and allow the designation on school report cards. Supporters, including the sponsor and outside witnesses, argued it would encourage student activity and support the whole child; the bill passed with a 6-0 do pass recommendation. HB 2409, the Getting Arizona Ready for AI Act, would create a voluntary summer AI course program through ADE with curriculum on digital hygiene, civic integrity, and AI for small business/entrepreneurship, with optional facility use and academic credit. The sponsor said it was meant to prepare students for AI-driven job disruption without requiring new appropriations; it passed 4-2. HB 2203 would direct ADE to review public school and agency reporting requirements for duplicative, expired, or obsolete reports and recommend consolidation or repeal, and an amendment making a technical correction was adopted before the bill passed 6-0. HB 2008 would bar school libraries from using public money to pay dues to certain professional library associations; opponents from Secular AZ and the ACLU argued it was viewpoint discrimination and a threat to professional association rights, but the bill still received a do pass recommendation on a 6-0 vote, with one member explaining a no vote because the problem did not exist. The committee also heard HB 2075, which would require school districts to submit superintendent and CFO employment contracts to ADE, post them online, keep them available for five years after termination, and create a searchable database with compensation details. The Goldwater Institute supported the bill, citing difficulty obtaining contracts through public records requests and examples of very high superintendent compensation and opaque contract terms; the Arizona School Administrators opposed the bill as singling out districts while not applying to charters or other public-dollar schools, though they said they could support it if expanded to all schools receiving public funds. Members debated whether charters are political subdivisions and whether the bill should extend to charters and ESAs, and some discussion also focused on transparency and public records access. The bill ultimately received a 4-2 do pass recommendation.

Transcript Highlights:

• And we also have received our grant from the CDC for almost about a million.
• Core activities on the previous slide are in alignment with best practices for tobacco control per CDC

Transcript Highlights:

• HHS Secretary Kennedy just fired everyone responsible for handling FOIA requests at the CDC and Food
• newly minted Secretary Robert Kennedy just fired personnel charged with handling FOIA requests at the CDC

Transcript Highlights:

• Even the CDC has recognized it as one of the top 10 great public health achievements of the 20th century
• According to the CDC and ADA, fluoride's benefits are primarily topical, not systemic.
• There are already shown signs of dental fluorosis, about 40.6%, and that's CDC data as well.

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hearing focused on children’s health, disease prevention, screening, treatment, and pharmacy-related bills. The chair explained that the session was for public testimony only, with no votes or decisions taken that day, and outlined the three-minute limit for individual testimony. The committee then heard testimony on a range of bills, including H. 2413 on adding electromagnetic sensitivity to the state’s MAVEN registry, S. 1508 and H. 2433 on creating an amputation prevention task force, H. 2535 and S. 1551 on establishing a naloxone purchase trust fund, S. 1635 on authorizing pharmacists to provide opioid use disorder treatment, H. 2385 on creating a special commission on avian influenza, and S. 1497 on patient safety and non-FDA-approved compounded drugs. Testimony on H. 2413 came largely from advocates and individuals who described electromagnetic sensitivity as a real health condition and argued that adding it to the registry would improve data collection, provider education, and public awareness. Testimony on the amputation prevention task force bills came from the American Diabetes Association and podiatry groups, who said diabetes-related amputations are often preventable, disproportionately affect people of color, and could be reduced through earlier screening, better care coordination, and improved insurance coverage for preventive foot care. On the naloxone trust fund bills, a representative, emergency physician, and nurse testified that hospitals often cannot reliably send overdose patients home with naloxone because of billing and reimbursement barriers, and that a bulk-purchase fund would expand access at no added cost to payers or providers. The committee also heard strong support for S. 1635 from pharmacists and public health researchers, who said community pharmacists could safely initiate and maintain buprenorphine treatment and help close gaps in opioid use disorder care. On H. 2385, a local board of health chair supported a special commission on avian influenza, citing gaps in emergency preparedness and the need for clearer coordination across agencies. On S. 1497, a pharmacy representative opposed restrictions on compounded drugs from outsourcing facilities, warning that changes could reduce access to life-saving medications and harm patient safety. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• measles outbreak and our response to that, New Mexico was set up as an example across the country by the CDC
• example for the rest of the country on our robust response and our management of our outbreak at the CDC
• response and our management of our out. on our robust response and our management of our outbreak at the CDC

Bills: SB37, SB29

Keywords: high-quality literacy instruction, science of reading, structured literacy, reading instruction, literacy assessment, dyslexia screening, phonics, phonemic awareness, fluency, vocabulary, comprehension, biliteracy, English language learner, ELL, bilingual education, dual language program, reading intervention, reading difficulty, reading improvement plan, literacy coach

Transcript Highlights:

• The CDC proclaimed community water fluoridation as one of the 10 great public health achievements of
• The CDC notes that tooth decay is the most common chronic childhood disease.
• The CDC acknowledges that sodium...

Bills: SB623, SB1266, SB1310, SB1373, SB1580, SB1952, SB2032, SB2269, SB2544, SB2653, SB2796

Keywords: pharmacist, vaccine administration, COVID-19, exclusive authority, healthcare, Medicaid, provider enrollment, credentialing, administrative burden, Texas Health and Human Services, senior retirement communities, emergency response, residential safety, contract provisions, health and safety regulations, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges

Transcript Highlights:

• CDC followed up on this, and eventually it was traced back to an antioxidant, actually vitamin E, that
• “And it was traced because CDC basically put the effort into tracking every single case, which basically
• If you look at CDC and COVID, you know, how fast we were able to track COVID safety was because there

Summary: The Health Professions and Program Subcommittee met to receive oversight briefings on Florida’s medical marijuana program from the Department of Health’s Office of Medical Marijuana Use (OMMU) and from the University of Florida’s Consortium for Medical Marijuana Clinical Outcomes Research. OMMU Director Christopher Kimball outlined the program’s structure, including more than 900,000 active patients, nearly 7,000 caregivers, 27 MMTC licensees, 706 dispensing locations, and nine certified testing labs. He described the state’s pre-approval process for products and advertising, plain packaging requirements, seed-to-sale tracking, registry operations, and compliance efforts such as background checks, inspections, complaint investigations, and lab desk audits. He also said the Bureau of Public Health Laboratories in Jacksonville had been accredited to begin supporting testing. Members asked about telehealth, patient growth, product safety, advertising to children, inspections, and the status of MMTC licensure; Kimball said recertifications by telehealth now make up more than half of recertifications, that patient growth has slowed, and that ongoing litigation is delaying issuance of 22 new MMTC licenses. Kimball also discussed implementation of recent legislation and licensure changes, including licenses issued under HB 387 and SB 1582 to applicants from the original Pigford-related pool, with additional cure opportunities still ongoing. He said the department is monitoring diversion, inversion, and unapproved products, and that it coordinates with law enforcement when needed but does not itself have sworn authority. In response to questions, he said the department does not regulate physicians directly, but may refer concerns to the Division of Medical Quality Assurance, and that caregiver and physician participation requirements are set by statute. Members raised concerns about edibles, child access, and continued use of child-attractive branding; Kimball said the department tries to catch issues through pre-approval and enforcement, and that complaints involving children are treated as serious and investigated using available records and camera footage. Dr. Almond Winterstein then presented the consortium’s research overview. He explained that the consortium was created by statute in 2019, includes 10 universities, and is funded by annual state appropriations. He said its work includes grants, a research repository, a clinical core, outreach, and evidence synthesis, including a recent FDA-supported review of cannabis evidence. He emphasized that the current evidence base is limited and often low quality, with the strongest signals for symptom relief in PTSD-related symptoms, nausea, and some pain outcomes, but with many studies inconclusive or mixed. He also described the consortium’s use of registry data linked to Medicaid, Medicare, death, fetal death, and birth records to study safety and outcomes, including children, pregnancy, driving safety, opioid-sparing effects, and adverse events. Winterstein said adverse event reporting is sparse and likely underreported, with most reports mild but some serious events noted, and he expressed concern about use among young adults because of uncertain benefit-risk and possible effects on the developing brain. The committee discussed the need for better surveillance, more robust adverse event reporting, and the possibility of using linked data to identify harms more quickly. At the end of the meeting, the committee rose without objection.

Transcript Highlights:

• She noted that some receive CDC prevention education funding, which is federally funded, and that some
• She noted that some receive CDC prevention education funding, which is federally funded, and that some
• The witness noted that some receive CDC prevention education funding, which is federally funded, and
• She said that the CDC provides prevention education funding, which is federally funded, and that some
• Miss Matthews said that the CDC provides prevention education funding, which is federally funded, and

Keywords: 1187, senate, all