Transcript Highlights:

• It extends from 15 days to 30 days because there's really not any daily newspapers anymore.
• Within 90 days. And then I go and I also see the same language.
• Um, in 90 days. That's like line 11. Oh, so I see it.
• going from five days to 90 days with an extra additional 60 days.
• So the 90 days and 60 days are in regard to removing the camp. Follow-up. Thank you.

Bills: SB1265 , SB1198 , SB2046

Committee: Senate Local and County Government

Keywords: municipal ordinances, local government, ordinance publication, posting requirement, public notice, municipal law, city ordinances, town ordinances, county government, newspaper publication, effective date, Oklahoma statutes, 11 O.S. 14-106, ordinance notice, government oversight, healthcare authority, property lien, county treasury, Oklahoma, municipalities

Summary: The Senate Local and County Government Committee met and first announced that Senate Bill 1619 would be laid over to a later date. The committee then heard Senate Bill 1265, which would extend the deadline for municipalities to publish ordinances from 15 days to 30 days, with supporters citing the decline of daily newspapers and the need to help cities meet publication requirements. The bill received a due pass recommendation and advanced on an 8-0 vote. The committee next considered Senate Bill 1198, which would require the Oklahoma Health Care Authority to release liens on property owned by a city or county when requested by the local treasurer. Senator Mann explained that the measure is intended to help local governments reuse tax-delinquent or code-violation properties for affordable housing, since liens can exceed the value of the property. The bill advanced on a 7-1 vote. After a brief recess, the committee took up Senate Bill 2046, as amended by committee substitute, which would allow the Department of Environmental Quality to determine the legality of campsites and evaluate whether sanitary and environmental standards are met. Members questioned the bill’s definitions, reporting thresholds, timelines, fiscal impact, and the role of DEQ and the Department of Public Safety in notifying counties and ordering removal of camps. Following debate, the bill advanced on a 6-2 vote.

Transcript Highlights:

• And four days after that, my job was cut.
• It’s a busy day, so thank you for having me.
• end of the day.
• end of the day.
• I know it's been a long day. My name is Alicia.

Committee: Joint Joint Committee on Education

Keywords: 995, all

Summary: The committee opened a public hearing on 41 bills related to school climate and safety, with chairs Jason Lewis and Ken Gordon outlining procedures and noting more than 125 witnesses. The first major topic was the “Study Act” on cell phones in schools and related social media restrictions (House 666/Senate 335). Secretary of Education Pat Tutwiler and Attorney General Andrea Campbell testified in strong support, arguing that bell-to-bell phone-free policies would improve student focus, reduce anxiety and distraction, and support mental health. Several legislators also supported the approach, though Representative Jeff Turco and Senator John Keenan emphasized narrower bills focused only on school-day phone restrictions rather than broader social media regulation. Senator John Velis likewise backed a comprehensive school-hours restriction, citing student distraction and mental health concerns. Representative Tarsky described successful implementation of a Yondr pouch system in a school where he served as principal, saying it improved engagement and reduced bullying and discipline issues. The committee then heard testimony on a bill to prohibit Native American mascots in public schools (Senate 312/House 575). Senator Joe Comerford, Brittany Wally, and Rhonda Anderson all urged passage, saying Native mascots are dehumanizing, harmful to Native youth, and inconsistent with civil rights and educational values. They described support from tribal nations and noted that many Massachusetts schools have already changed mascots, but some still resist. The hearing also included testimony on school start times (House 647/Senate 360), where middle school students Caroline Duffy and Emery Jarvis described exhaustion and survey data showing widespread sleep deprivation. Former educator Telia Jacobs, former principal Rep. Tarsky, and others argued that later start times would improve health, learning, and student well-being, while acknowledging transportation and scheduling challenges. Zoriana Petrosian, who helped write one of the bills as a student, said the state already has enough research to act now. Additional bills drew testimony on related school issues. Dr. Raul Fernandez supported a bill promoting racially integrated schools (Senate 324), citing a recent advisory council report showing large disparities in segregated schools and urging DESE to develop a statewide integration strategy. On safe firearm storage education (House 548/Senate 397), multiple witnesses from Grassroots for Gun Violence Prevention and school communities supported annual school-based education about secure storage, saying it would help prevent child access to unsecured firearms and build on local resolutions already adopted in some districts. The committee also heard testimony on bills to expand career and academic plans (House 533/Senate 438), with speakers saying more structured planning would help students make informed college and career choices. Later, testimony on child sexual abuse prevention and survivor support bills described the prevalence of abuse, the need for training in schools and youth-serving organizations, and the importance of extending compensation and prevention measures. Throughout the hearing, chairs repeatedly closed bills with no witnesses and moved the agenda forward, but no votes were taken in the portion of the transcript provided.

Transcript Highlights:

• 42 days.
• In the cases where they get denied, I would say, on a day-to-day basis.” “Okay.
• In the cases where they get denied, I would say, on a day-to-day basis. Okay.
• There's no delays of five days or another 30 days for approval of a tacit denial by the... ...five days
• the day.

Committee: House Labor & Industrial Relations

Keywords: 965, house, all

Summary: The committee first disposed of several measures without debate, including deferrals of House Bill 460, House Bill 561, Senate Bill 322, and another deferred Senate measure, before taking up House Bill 819 by Chairman Cruz. HB 819 would replace Louisiana’s current workers’ compensation medical treatment schedule with ODG by MCG, a private evidence-based guideline system used in other states. Cruz and Troy Prevo argued ODG is more comprehensive, updated more frequently, and could reduce claim duration, medical costs, and premium rates; Dr. Jason Picard said Louisiana already uses ODG as a secondary reference for gaps in the state schedule and that the bill would not change appeals or variance procedures. Opponents, including injured-worker advocates Joseph Jola St. and Robin Crumholt, argued Louisiana’s current guidelines are working, that ODG is more cost-cutting and insurer-driven, and that the bill could increase denials and delay care. Members discussed amendments to add a two-year sunset, allow tacit approval when treatment follows the schedule, require payment within 30 days, and raise the carrier’s burden to challenge care; the committee adopted the amendments and then reported HB 819 favorably by a 7-6 vote. The committee then began Senate Bill 409 by Senator Myers, the Louisiana Living Donor Leave Protection Act. The bill would provide paid leave protections for living organ donors, set eligibility and verification procedures, and prohibit forfeiture of leave in certain circumstances for private employers. Myers said the measure is intended to remove job and paycheck barriers for people willing to donate organs and to support better transplant outcomes. Technical amendments were adopted at the start of the presentation, and the bill was introduced for further discussion.

Transcript Highlights:

• That ballot is cast on election day, but the voter will have until two days after the election, which
• We're going to be here all day. To vote.
• They want to vote on the day of.
• They want to vote on the day of.
• The bill increases the maximum number of days for compensation to fulfill their duties from six days

Summary: The committee first heard Senate Bill 319, which would tighten and standardize voter identification rules at polling places. Senator Presley and Secretary of State Nancy Landry said the bill replaces the current “generally recognized” photo ID standard with a specific list of acceptable IDs, removes the affidavit-only option, and allows voters without a photo ID to cast a conditional paper ballot at the registrar of voters office or during early voting if they later provide approved documentation within two days after the election. Supporters argued the bill improves consistency, election integrity, and poll-worker guidance while still preserving access through alternative documents and free state IDs; opponents warned it could create confusion and burden seniors, students, homeless voters, and others without easy access to the required documents. After debate, the committee reported SB 319 favorably by a 7-2 vote. The committee then approved Senate Bill 202, which adds one day of compensated meeting time for parish boards of election supervisors in certain elections, and Senate Bill 25, which revises the compensation schedule for registrars of voters and related staff. SB 25 was amended to remove outdated step references and make conforming technical changes, and supporters said the pay structure has not been updated since 2007 despite increased duties and workload. The committee also adopted and reported favorably Senate Concurrent Resolution 29, creating a legislative study committee on water quality in the Chafalalaya Basin, and House Concurrent Resolution 85, creating a task force on illegal dumping, both with technical amendments. In addition, the committee advanced Senate Concurrent Resolution 63, which asks the legislative auditor to review how fiscal notes are prepared during session, and Senate Concurrent Resolution 33, which creates a work-based learning coordination task force to improve alignment among education, workforce, and employer partners. SCR 33 was amended to change the appointing authority for two members. The committee also approved Senate Concurrent Resolution 5, establishing the Louisiana-Ireland Trade Commission, and House Resolution 196, which creates a study committee on the impact of fallen trees on residential property and insurance issues. Several of these measures were supported by agency representatives or outside groups, and the committee adopted technical amendments where needed before reporting the bills and resolutions favorably.

Transcript Highlights:

• </c> just to have somebody dayto-day contact. just to have somebody dayto-day contact.
• It's not a day for loss, but a day that we gain something as the M community. offer some relief uh to
• </c><00:26:52.880><c> that</c> It's not a day for loss, but a day that It's not a day for loss, but a
• It is the day we became Americans. Today is the day we became Americans.
• Today is your day. Today is your day.

Keywords: 1187, senate, all

Transcript Highlights:

• Is 25 the cumulative number, like one day you can hand in 10 signed and another day you can hand in 15
• I can have 25 or 10 one day, 15 another day. Senator Grohl: Thank you, Mr. President.
• Is 25 the cumulative number, like one day you can hand in 10 signed and another day you can hand in 15
• I can have 25 or 10 one day, 15 another day. Senator Grohl. Thank you, Mr. President.
• Fair day.

Summary: The Senate convened with prayer, the Pledge of Allegiance, and several introductions, then moved into a series of special-order bills and House messages. Early floor action included passage of a claim bill for Mandy Penny Lemon (HB 6503) and bills on sewer collection systems (HB 1123) and farm products (HB 211), all passing unanimously. The chamber also took up an ad valorem tax exemption resolution for agricultural tangible personal property (CS/HJR 1215), which passed 37-0. Several other measures were temporarily postponed before the Senate recessed and later returned to House messages and additional special orders. The Senate then addressed multiple House amendments and conference-style motions. It concurred in amended versions of SB 994 on driver safety, SB 180 on emergency preparedness and response, and HB 1609 on waste incineration/auxiliary containers after extended debate over hurricane recovery rules, local government restrictions, and plastic container preemption. The chamber also concurred in CS/HB 1205 on citizen initiative petitions, increasing the number of petitions a volunteer may carry from 2 to 25, and in CS/HB 733 on Brownfields. Other House amendments were rejected or sent back, including SB 234 on offenses against law enforcement, SB 116 on veterans policy, SB 168 on mental health, and HB 1101 on out-of-network provider referrals. Later, the Senate approved CS/HB 1255 on education and CS/HB 875 on educator preparation, with discussion focused on school readiness, teacher training, and changes to certification and testing requirements. It also concurred in CS/HB 1427, a broad health care bill, after the House added a major nursing education amendment that tightened Board of Nursing oversight, required standardized evaluation and remediation, and imposed accountability measures tied to NCLEX pass rates and program performance. Several members raised concerns or praised negotiated compromises throughout the day, but the recorded actions were mainly concurrence motions, refusals to concur, and final passage votes on the bills considered.

Transcript Highlights:

• Are there any objections to proceeding with the orders of the day? The House will be in order.
• Are there any objections to proceeding with the orders of the day?
• She's nonverbal, shakes and falls a lot, and generally needs a lot of help on a day-to-day basis.
• For example, this worker made sure his wife was taken out for walks each day.
• the next day they'll be required to wake up and do it all over again.

Keywords: 995, all

Summary: The House opened with routine ceremonial business, including the Pledge of Allegiance and adoption of several resolutions, such as congratulations to the Williamsburg Grange on its 125th anniversary and to Fire Captain Melissa Blodgett on her retirement. The chamber also concurred in a Senate petition to establish a sick leave bank for a Bristol County Sheriff’s Department employee and suspended Joint Rule 12 to advance local petitions, including one involving the Dalton Fire District and another renaming a Chelmsford bridge. The main floor action centered on several Ways and Means bills. The House advanced a bill amending laws relative to individuals with disabilities, replacing outdated and offensive terminology in the General Laws with person-first language; members spoke at length in support, emphasizing dignity, inclusion, and the bill’s non-substantive nature. The bill was engrossed by a roll call vote, 152-0. The House also took up and engrossed a bill to improve Massachusetts home care, which would create a licensing and oversight framework for private-pay home care agencies, establish standards for contracts, background checks, training, insurance, and consumer protections, and create advisory committees to guide implementation. An amendment establishing a Family Caregiver Commission was adopted 154-0, and the bill itself was then engrossed 153-1. In addition, the House passed or engrossed several other measures, including a bill authorizing the Massachusetts Water Resources Authority to provide sewer services to land in Sharon, a sick leave bank bill for a Trial Court employee, a Marblehead parking fines bill, a Hingham municipal property bill for a center for active living, and a Taunton bill allowing continued employment of Police Chief Edward J. Walsh. The chamber also handled numerous calendar items, holding or passing over many while advancing a few. The session ended with a special adjournment in memory of former Representative George L. Sacco Jr., and the House adjourned to meet the next day at 11 a.m. in informal session.

Transcript Highlights:

• I was wondering who had the Doctor of the Day. Thank you.
• He believes true care and empathy for patients involves not only day-to-day patient encounters, for patients
• involves not only day-to-day patient encounters, but also involves advocacy for patients regarding state
• Herrera. for patients involves not only day-to-day patient encounters, but also involves advocacy for
• long, All day long, 24-7?

Summary: The Senate convened with prayer, the Pledge of Allegiance, roll call, and approval of the journal. The body then extended the session under Rule 27 and agreed to request House consent to adjourn until April 27, 2026. It moved into Committee of the Whole to consider several House bills, including HB 2170 (procurement code-related), HB 2415 (kratom regulation), HB 2700 (housing technology study committee), and HB 2950 (special districts/tourism improvement areas). Amendments were adopted on HB 2170, HB 2415, and HB 2950, and the committee reported HB 2170, HB 2415, and HB 2700 do pass; HB 2950 was later defeated on third read. The Senate also heard a brief welcome for visiting students and a personal privilege statement on Earth Day and environmental issues. The Senate then entered an additional Committee of the Whole for HB 2035 (child welfare and placement), HB 2249 (parental bill of rights), and HB 2573 (DUI/local referendum-related language). HB 2035 received a Warner amendment expanding the definition of extended family to include adoptive family members; HB 2249 received a Mesnard amendment adding liability and technical changes; and HB 2573 received a Rogers technical amendment. All three were reported out do pass as amended. On third read, HB 2573 passed 20-9, with several senators explaining opposition based on referendum and emergency-clause concerns tied to a Marana data center dispute; HB 2170 passed 17-12; HB 2415 passed 22-7; HB 2035 passed 26-3; and HB 2249 passed 17-12. HB 2950 failed 10-19. The Senate also considered House Concurrent Resolution 2043, substituting it for the Senate version and sending it to third read. The resolution, which calls for a convention to propose a federal constitutional amendment limiting congressional terms, passed 16-13 after several senators warned about the risks of a constitutional convention and the lack of limits on its scope. The House’s message on adjournment was read, committee meetings for April 27 were announced, and members made personal privilege remarks, including birthday wishes and an announcement about the annual legislative charity softball game. The Senate then adjourned until Monday, April 27, 2026, at 1:15 p.m.

Transcript Highlights:

• thought it could be like three days.
• So, it may take more than one day.
• What do you could be like three days.
• I've been a part of those session day.
• Again, it is important from my one day.

Keywords: 1187, senate, all

Transcript Highlights:

• And then the third is adult day health. That's a day program... So that group is getting underway.
• That's a day program for older adults, a place to go for four to six to eight hours a day.
• That's another problem for the day.
• I know it is late in the day.
• Good day.

Committee: Joint Joint Committee on Ways and Means

Keywords: 1212, all

Transcript Highlights:

• </c> couldn't that day but the next day couldn't that day but the next day employer<00:36:57.280><c>
• /c><00:48:15.440><c> mothers</c> children all day every day I see mothers children all day every day
• If you don't have days, you don't get days off.
• </c> don't have days Saed you don't get days don't have days Saed you don't get days off<01:08:27.359
• </c><01:19:12.880><c> of</c><01:19:13.000><c> vacation</c> days of sick leave 21 days of vacation days

Committee: House Labor

Keywords: 910, house, all

Transcript Highlights:

• We get done in one day on everybody hearing, you know, people sign up, we get done in one day.
• be one day for that first hearing.
• We may have to have a few days.
• Or if people sign up to testify for that day, it may not just be one day for that first hearing.
• that day.

Keywords: 995, all

Summary: The House and Senate chairs opened the first organizational meeting of the special initiative commission created by Chapter 238 of the Acts of 2024 to study the future of payments and sales transactions by credit card and the impacts on small businesses. They explained that no testimony would be taken at this meeting; instead, the commission would begin its work, introduce members, and prepare for future hearings and a final report with recommendations on credit cards and other payment methods. The chairs outlined the commission’s charge: to examine payment trends, cashless transactions, credit card fees, mobile payments, buy now, pay later financing, and the effects of section 28A of chapter 140D on small businesses. They said the commission would likely organize hearings around business and consumer impacts, the legal and regulatory landscape, and policy options such as transparency measures, reporting requirements, and possible limits. Members discussed the importance of hearing from retailers, restaurants, banks, small businesses, and possibly experts, and suggested considering cryptocurrency and whether hearings should be held outside the State House or include regional access. Several commissioners and stakeholders introduced themselves, including representatives from the Attorney General’s office, the House, the Executive Office of Economic Development, the Commissioner of Banks, retail and restaurant associations, a banking representative, and two small business owners. The chairs said interested parties could sign up to testify or receive notices, written testimony would be accepted, and the first hearing was tentatively set for April 8 in Gardner Auditorium. The meeting ended with a motion to close, which passed unanimously.

Transcript Highlights:

• We get done in one day on everybody hearing, you know, people sign up, we get done in one day.
• , it may not just be one day for that first hearing.
• We may have to have a few days.
• Or sign up to testify for that day, it may not just be one day for that first hearing.
• that day.

Summary: The meeting was the first organizational session of the special commission created by Chapter 238 of the Acts of 2024 to study the future of payments and sales transactions by credit card and the impacts on small businesses. Chair James Murphy and Senator Paul Feeney explained that there would be no testimony at this meeting; instead, commissioners introduced themselves and discussed how the commission would structure its work and future hearings. The commission’s charge includes examining payment trends, cashless transactions, credit card fees, mobile payments, buy now, pay later financing, and the impact of Section 28A of Chapter 140D on small businesses, with a final report and recommendations expected. Members and stakeholders generally supported the proposed approach, including hearings focused on business and consumer experiences, the legal and regulatory landscape, and policy options such as transparency measures, fee disclosures, reporting requirements, and possible limits. Several participants emphasized that swipe fees are a major and growing cost for retailers and restaurants, and that the issue is timely given changes in payment habits and developments in other states. One member suggested the commission also consider cryptocurrency in transactions, and another raised the possibility of holding hearings in locations outside the State House to improve access for small businesses across the Commonwealth. The chairs said staff is still organizing hearing topics and may group testimony by subject matter. They announced a tentative first hearing date of April 8 in Gardner Auditorium, with testimony allowed in person, online, or in writing, and noted that the number of hearings will depend on public interest. The commission also agreed to invite members to suggest experts or additional topics, and the meeting concluded with a motion to adjourn that passed unanimously.

Transcript Highlights:

• Members, please welcome the Doctor of the Day, Dr. Mahler Reggievi.
• SB 1706, full-day kindergarten students ADM. ATT in education.
• , dated this 5th day of February 2026, signed Senator J.D.
• And so people did not have access to voting on that day.
• Day of the 5th day of February, 2026, signed by President of the Arizona State Senate, Warren Peterson

Summary: The Senate opened with prayer, the Pledge of Allegiance, attendance, and several guest introductions recognizing Arizona Dental Hygienists Association visitors, deaf and hard of hearing advocacy groups, Arizona Society of Anesthesiologists members, the Doctor of the Day, tribal voting advocates, and other guests. Members also observed a moment of silence for two DPS officers killed earlier that morning. The chamber then received a long list of bills and resolutions for first reading and committee referral, covering elections, education, public safety, health, tribal affairs, housing, agriculture, and other topics. The main floor action was in Committee of the Whole on SB 1425, an elections bill dealing with the July primary and related election procedures. The bill was amended in committee, then further amended on the floor, and the Committee of the Whole recommended it do pass as amended. During third reading, members spoke in support of the measure as a bipartisan election fix that would move the primary up two weeks, improve ballot timing, and require observers in every county. Senator Hatathlie highlighted persistent tribal voting barriers such as mail ballot issues, dual-addressing problems, ID access, funding shortages, misinformation, and polling-place disruptions, while Senator Gonzalez voted no because of the emergency clause. The bill passed 27-1 with two not voting and was transmitted to the House. The Senate also adopted two proclamations: one naming September 4, 2026, as Taekwondo Day in Arizona and another declaring February 2026 as American Heart Month, encouraging CPR and AED awareness. After a recess, the Senate returned briefly to introduce additional bills, refer SB 1315 to Public Safety and SB 1090 to Finance, announce upcoming committee meetings, and then adjourn until Monday, February 9, 2026.

Transcript Highlights:

• Doctor of the Day: Dr. Heidi Teval, Legislative District 20.
• Speaker Pro Tem, I rise to introduce the Doctor of the Day. Please proceed.
• Members, today is the annual Food Bank Day at the Capitol.
• Proclaimed January 25 as International Holocaust Remembrance Day in Arizona and as a day of reflection
• On the very day when I was liberated, I kicked hate out of my vocabulary.

Keywords: 1182, all

Transcript Highlights:

• Vice Chair, members, Senate Bill 431 by Senator Foil requires tow-truck companies to be open seven days
• And then in some cases, you can't get your car until one day.
• Day, for example, so your example even gets worse. It wouldn't be Monday.
• The public to be able to get their belongings at some point prior to the first day of opening.
• It's Ty Abber's first day with DOTD. He was with the Acadiana delegation before he left.

Summary: The House Transportation Committee met on May 18, 2026, with a quorum present and first took up Senate Bill 431 by Senator Foil. As amended, the bill requires tow companies handling non-consensual private-property tows to have someone available to release vehicles within 90 minutes on weekends if they want to charge storage fees for Saturday and Sunday. Senator Foil and Louisiana State Police explained the bill was narrowed to address weekend access to towed vehicles while not mandating businesses stay open; if a company does not provide weekend access, it cannot charge weekend storage fees. Committee members asked about how the process would work, and a representative from Riverside Towing opposed the bill, citing safety concerns, the burden on office staff, and the bill’s limited application to private-property tows rather than police-initiated tows. Despite the opposition, the committee adopted a motion to report SB 431 favorably without objection. The committee then considered House Concurrent Resolution 96 by Representative Adams, which urges the Office of Motor Vehicles to provide educational materials on proper roundabout use. Representative Adams said the resolution was intended to help drivers in smaller parishes and growing areas where roundabouts are common but confusing to many motorists. Representative Spell supported the measure, noting similar issues in his district, and Representative Phelps asked whether roundabout instruction is included in driver education. The committee reported HCR 96 favorably without objection. At the end of the meeting, members made brief personal remarks recognizing a new DOTD staff member and a visitor from the Florida Women’s Republican group. The committee then adjourned without objection.

Transcript Highlights:

• King Day weekend.
• It is a day on and not a day off. >> Are there any further announcements?
• and Martin Luther King Luther King Day and Martin Luther King Day<00:10:09.279><c> weekend.
• Um and hopefully you can Day weekend.
• </c> day on and not a day off. day on and not a day off.

Keywords: 927, senate, all

Transcript Highlights:

• The clerk will read the journal of the preceding day.
• The House 94 session 2025, 28th Legislative Day, St. Paul, Minnesota, Wednesday, April 30th, 2025.
• Today, May 1st, is, uh, we are celebrating and honoring the National Day of Prayer.
• And so, today we have a House resolution recognizing the National Day of Prayer.
• Whereas in 1988, legislation setting aside the first Thursday in May in each year as National Day of

Keywords: 1183, house

Transcript Highlights:

• This is a day to celebrate for returning members, elect, welcome back for new members elect, welcome
• All of you, both new and returning, should be proud on this day. You worked hard to get here.
• Thank you for being present here today in this room on this special day for all these representatives
• I know some days are hard for our state. I ask that you comfort them in those hard days.
• I know some days are hard for our state. I ask that you comfort them in those hard days.

Keywords: 1183, house

Transcript Highlights:

• ...then it goes up a little bit more at day five, and by day 30, you have about a 40% chance of being
• Whether it's seven days, 14 days, but it's pretty easy to get. What would you do as a patient?
• But you're not, this is not a 30-day, 60-day, 90-day script. Like, that becomes chronic.
• limit, and that 14-day can only be within once within a 90-day period, right?
• basis. ...that have operating rooms that aren't as robust on a day-to-day basis.

Committee: Joint Health Care Committee

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.