Transcript Highlights:

• However, coupled with a behavioral health system, a sound behavioral health system really can provide
• We also know that leader turnover in our school systems can disrupt momentum at any moment.
• Summit simply scales that system with purpose, clarity, and a shared vision.
• Coaching is the tool that drives the systems we have to improve our student performance.
• We cannot rely on chance; we must rely on systems. We must rely on our people.

Keywords: 996, all

Transcript Highlights:

• Senator for the school system, for SARB, that's not the answer.
• We attend the public school systems. And also with our health organizations.
• , as a young boy, we talk about the school system.
• We mentioned the IEP system, the SAR.
• So I think it bears a little explanation on how the system is set up.

Keywords: 988, house, all

Transcript Highlights:

• and safety of children and families in Florida, particularly those impacted by the child welfare system
• Academic innovation programs aim to better prepare students for the realities of serving system-impacted
• We recently procured a new learning management system after the first one was not necessarily meeting
• It's going to be with post-adoptive parents and then young parents who have spent time in the system
• I want to take a moment to provide a brief overview of Florida's system of care and the role both the

Summary: The committee heard three presentations focused on child welfare workforce development and the needs of children in Florida’s dependency system. First, the Florida Institute for Child Welfare described its Grow Center and related initiatives, including academic curriculum enhancements, simulations, virtual reality training, coaching, on-demand learning, advanced certifications, and the planned Tallahassee learning lab opening in January 2026. Members asked about conflict resolution, domestic violence, addiction, and microcredentials; the presenter said the institute is expanding training in those areas and is working with DCF to align advanced certifications with the department’s career ladder. The Department of Children and Families then presented on the Continue the Mission initiative, which recruits veterans, military spouses, and former law enforcement officers into CPI, API, and case management roles. DCF said it has held more than 240 hiring events and hired 372 such workers since launch, while also improving recruitment and retention through higher starting pay, streamlined hiring, rebranding, wellness supports, and enhanced pre-service training. Senators asked about PTSD concerns, staffing levels, caseloads, hotline vacancies, and salaries; DCF said it had not seen direct PTSD issues from the hiring effort and provided figures including a $50,000 starting salary for CPIs, $37,000 for APIs, and average caseloads of 12 to 15 investigations for CPIs and about 10 for APIs. Finally, DCF discussed the increased acuity of children in the dependency system, explaining that fewer children are entering care overall but those who do often have more complex behavioral, mental health, developmental, or medical needs. The department highlighted a new Behavioral Qualified Residential Treatment Program (BQRTP) designed for youth who need more intensive support than traditional foster or group home settings but do not require inpatient psychiatric treatment; one facility is licensed with 12 of 14 beds filled, and DCF said it is seeking funding for placement for 230 youth total. Members pressed for details on licensure timelines, standards, funding, and the handling of crossover youth and lockouts, and DCF said it uses braided funding and works with DJJ, APD, and lead agencies through local and state review teams. A representative of the Florida Coalition for Children also testified, saying the issue is complex and multi-year, and that the coalition is working on possible legislative and programmatic solutions. The committee took no formal votes and adjourned after the presentations and discussion.

Transcript Highlights:

• were on our ERP systems before.
• those systems in the cloud.
• that project um and our last um system that project um and our last um system that<00:17:26.039>
• c> makes sure we keep those systems makes sure we keep those systems supported<00:17:46.559> um
• the overall effort to move our systems the overall effort to move our systems to<00:18:16.360>

Bills: HF10

Keywords: undocumented immigrants, state funding, MinnesotaCare, scholarship ineligibility, state assistance, 1183, house

Transcript Highlights:

• And then we also have a jail management system, which is a case management system.
• Also, we have had some issues with our fire alarm system as well as our burglar alarm system.
• I did... ...some issues with our fire alarm system as well as our burglar alarm system.
• old... ...some issues with our fire alarm system as well as our burglar alarm system.
• They make sure that our automated biometric information system, where our fingerprint system works.

Summary: The committee met to review the Attorney General’s budget and related agency operations, beginning with Legislative Council staff walking members through compliance reports and a blue-sheet base budget document. Staff highlighted current-biennium items such as FTE changes, one-time appropriations, litigation funding, opioid settlement receipts, continuing appropriations, and major special and federal funds. Members asked for clarification on items including the Missing Indigenous People Grant Fund, the Internet Crimes Investigation Fund, and the Medicaid Fraud Control Unit grant funding. Assistant Attorney General Clare Ness then gave an overview of the office’s structure, staffing, and budget pressures. She emphasized the office’s broad statutory duties, the value of its legal services to state and local government, and concerns about attorney pay lagging behind other agencies. Members discussed whether attorney compensation should be benchmarked more consistently across state government and whether some legal work could be consolidated within the AG’s office. Ness also addressed questions about AG opinion turnaround times, boards-and-commissions training, the new-and-vacant FTE pool, operating expense cuts, office leases, and the state’s criminal justice information systems. The crime lab presentation drew significant attention. Director Jennifer Penner described severe space, safety, and infrastructure problems at the current lab, including cramped work areas, glycol leaks, outdated fire and burglar alarms, air-handling limits, and equipment failures that have delayed toxicology work. She said the 2024 study projected a much larger facility would be needed and that the preferred location would be near the current health department site, but in a new building. Members asked about possible evidence risks, backlog status, and whether the proposed building would solve the current problems; Penner said it would and noted backlogs have improved overall, though some delays remain. The committee also heard from the new Medicaid Fraud Control Unit director, who described the unit’s civil and criminal work, federal-state funding split, and examples of fraud such as billing for services not provided or upcoding. The gaming division reported continued growth in charitable gaming and e-tabs, with members expressing concern about large trust-account balances, site competition, and possible misuse of proceeds. Finally, BCI outlined its caseload, cybercrime work, missing Indigenous persons task force, and the surge in CSAM cyber tips; members asked about AI-generated CSAM, and the AG’s office noted that last session’s law increased penalties and expressly allowed AI-generated CSAM to be prosecuted like other CSAM. No formal votes or actions were taken beyond approval of the minutes.

Transcript Highlights:

• The system is broken.
• systems.
• health system is using the 340B program.
• systems.
• health system is using the 340B program or not.

Keywords: 995, all

Summary: The committee held a lengthy hearing on a large docket of pharmacy and drug-pricing bills, with most testimony focused on PBM reform, 340B drug discount program protections, specialty medication access, and medication adherence. Chair James Murphy and Senator Paul Feeney opened the hearing and took testimony from legislators, patient advocates, pharmacists, health center leaders, industry representatives, and policy groups. Several speakers described delays, denials, high out-of-pocket costs, and pharmacy closures tied to PBM practices, while others emphasized the importance of community health centers and independent pharmacies in serving patients. On the 340B program, supporters including Senator Eldridge, Senator Payano, Community Care Cooperative, Fenway Health, the Massachusetts League of Community Health Centers, and several community health center leaders argued that bills such as H. 1107 and S. 819 would stop discriminatory PBM and manufacturer practices, preserve contract pharmacy access, and protect safety-net providers that say they reinvest savings into care, pharmacy expansion, interpreter services, behavioral health, and other services. Opponents including PhRMA, the Community Liver Alliance, and a public policy analyst argued the program lacks transparency and accountability, has grown beyond its original purpose, and may benefit large hospitals and for-profit entities more than low-income patients. They urged more reporting and oversight rather than expanding protections. On PBM reform, testimony supported bills including H. 1157, H. 1234, S. 724, S. 831, and related measures that would require rebate pass-through, ban spread pricing, limit steering to PBM-owned pharmacies, and improve reimbursement for community pharmacies. Independent pharmacists and patients said current PBM practices raise costs, create administrative burdens, and threaten access to local pharmacies. PCMA, representing PBMs, opposed the reforms, arguing PBMs lower costs, that plan sponsors choose to contract with them, and that the Health Policy Commission and CHIA should complete their ongoing study before new mandates are adopted. The committee also heard support for H. 1322 and S. 734 on specialty medications, and for H. 781 and H. 1305 on medication synchronization to improve adherence. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• advancing Equity of our Energy System advancing Equity of our Energy System and<00:06:42.199>
• <00:07:24.560> and are stressing our Energy Systems and are stressing our Energy Systems and
• Now, in terms of the gas system...
• So increasingly, I think we'll see the electric system and the gas system be even more coordinated, and
• Commissioner Partridge: So increasingly, I think we'll see the electric system and the gas system be

Keywords: 1187, senate, all

Transcript Highlights:

• Electronic health record system that'll tie in directly to our ICON system.
• into the system.
• brick and mortar system.
• With this system, we jumped on this one. It's a newer system.
• system that we had in place.

Keywords: 914, all

Transcript Highlights:

• I was wondering if you can give us, you know, that's quite a drop in rate on PERS systems, TERS systems
• , and SERS systems, between the 2023–25 numbers and the new numbers that we're using.
• That assumption, the demographic assumption, varies by a member's retirement system.
• We put those together to model total salary growth for each member in the system.
• What we call peer retirement systems. All right, thank you.

Summary: The committee approved the July minutes and then received an informational presentation from the Office of the State Actuary on the financial condition of the state retirement systems. The actuary reported that employer contribution rates are generally declining, helped by strong investment returns and reduced funding for PERS 1 and TERS 1, while funded ratios have continued to improve; on a combined basis the plans were reported at 100% funded in 2024, with open plans above 95% and legacy plans varying by system. The presentation also reviewed projected rates and funded ratios under current assumptions, noted that pension costs are taking a smaller share of the state general fund, and discussed risks from investment volatility, policy changes, and demographic experience. Committee members asked about savings from lower rates, deferred asset smoothing, and how Washington compares with other states. The committee then considered the state actuary’s recommendation on long-term economic assumptions and adopted all four recommendations by roll call votes: inflation at 3.0%, general salary growth at 3.5%, membership growth for Plan 1 funding at 1.0%, and investment rate of return at 7.25%. The actuaries explained that the inflation and salary growth increases were driven largely by higher long-term inflation expectations, while the investment return recommendation matched the current statutory assumption. Members discussed the timing of the Pension Funding Council’s decision, the effect of tariffs and inflation uncertainty, and how assumption changes would affect future contribution rates and budgets, particularly for open plans. Staff then gave an update on the LEOFF 1 study, explaining the difference between being “ahead of schedule” and truly overfunded, and summarizing responses received from DRS, the State Treasurer, and the State Investment Board on the merger and restatement proposals. DRS said both bills could be administered, though the merger bill’s COLA banking provision would be challenging until its new system is ready; the Treasurer urged caution, especially about the restatement bill and the use of one-time funds; and the Investment Board said removing assets from the trust would have some transaction costs but likely small impacts. The committee discussed whether to invite additional agencies and local government groups to testify, and staff said more responses, including from Ice Miller and the State Actuary, were expected for the October meeting. Finally, the committee heard a briefing on PERS 1/TERS 1 COLA policy and related bills from the last session. Staff reviewed the committee’s prior ongoing COLA recommendation, the SCPP-endorsed bills that would have created a one-time 3% COLA followed by an ongoing COLA, the Senate merger bill, and a separate ad hoc COLA bill. Public testimony largely supported Plan 1 COLAs and stable contribution rates, while several speakers urged caution about transferring LEOFF 1 surplus assets or merging legacy plans, and others raised concerns about climate risk and the pension fund’s investments. No further committee action was taken on the COLA item during this portion of the meeting.

Transcript Highlights:

• But I think there are huge opportunities to use our systems better and have systems that actually can
• But I think there are huge opportunities to use our systems better and have systems that actually can
• But I think there are huge opportunities to use our systems better and have systems that actually can
• <00:13:43.279> called bringing on a new um system called bringing on a new um system called
• <00:15:00.040> that systems better and and have systems that systems better and and have systems

Keywords: 928, house, all

Summary: The committee first handled organizational business, electing Representative Mark Pearson as chair for the coming term, appointing Representative Lucy Weber as clerk, and approving the November 22 minutes with abstentions from members who were absent. Members also noted excused absences for Senator Avard and Representative Jessica Lontine. After the vote, the committee moved to the DHHS commissioners’ update. DHHS associate commissioners Patricia Tilly and Chris Santinello described a process-improvement effort to improve transitions for youth moving from DCF care into adult developmental services and Medicaid. They said the old process was fragmented, dependent on personal relationships, and not sustainable, so staff from DCF, the Bureau of Family Assistance, Developmental Services, and public health used a Kaizen/Lean event to map the workflow, identify bottlenecks, clarify roles, and create a more consistent playbook. Members asked about IT support and whether the process would create new bureaucracy; DHHS said current systems are antiquated, especially DCF’s CWIS, but the goal is to streamline coordination, not add bureaucracy, and future systems like Granite Families may help with reminders and age-based ticklers. Several members praised the work, including a CASA volunteer who said the added attention has improved services for vulnerable youth. The committee then received the annual healthcare-associated infections update from Ctin Hansen of the Division of Public Health Services. Hansen reported that New Hampshire’s HAI program, created by statute, tracks infections in hospitals, ambulatory surgery centers, dialysis centers, and long-term care facilities. For 2023, hospitals reported fewer infections than predicted nationally, with 135 infections statewide and 174 C. diff infections also below national rates; hospital influenza vaccination was 89.9%. Ambulatory surgery centers reported low infection counts and an 80.1% staff flu vaccination rate; dialysis centers reported fewer infections overall than the prior year but higher local access-site infections, with staff vaccination at 52.6%; and long-term care facilities reported a 50.1% flu vaccination rate, up from 37.8%. Hansen also said the program conducted over 100 investigations, handled 84 antibiotic-resistant organism reports, completed 20 infection-prevention assessments, and operated on a budget of about $348,000 plus grant funding, including an Epidemiology Laboratory Capacity Grant that was later reduced.

Transcript Highlights:

• I'm also a former firefighter when I was in the CYA system.
• The prison systems are failing. There's no success rates.
• young people, we don't have to invest as much in the systems that cage and punish them.
• I served 20 years in the prison system.
• I served 20 years in the prison system.

Summary: The Select Committee on the Status of Boys and Men of Color held its second hearing, focused on cradle-to-college-and-career pipelines and education. Members opened with remarks emphasizing bipartisan support, the need to address opportunity gaps, and the committee’s prior hearing in Los Angeles, which helped generate legislation. The chair framed the day around school safety and discipline, community schools, and college/career pathways, and noted that public comment would be included at the end. In the first panel, witnesses described persistent disparities in school discipline and policing, even as suspension rates have declined statewide. Dr. David Turner cited reductions in suspensions tied to reforms such as bans on willful defiance suspensions, but warned that Black and Native boys remain disproportionately suspended and that “ghost suspensions” and police referrals still push students out of class. Other advocates called for stronger accountability, more restorative and culturally rooted practices, and greater investment in community-based supports. Members asked about the role of state and local policy, rural versus urban differences, and how to measure which interventions work best. The second panel centered on community schools. Advocates from Californians for Justice, Reclaim Our Schools LA, MILE, and the Sierra Health Foundation argued for the governor’s proposed $1 billion ongoing investment in the California Community Schools Partnership Act. They said community schools improve attendance, reduce suspensions, strengthen belonging, and create shared decision-making with families and students. Panelists described the role of community school coordinators, the importance of authentic partnerships, and the need to track informal discipline practices. Committee members pressed for a plain explanation of community schools and heard that the model is intended to be a high-return equity strategy that can save the state money over time. The final panel addressed college and career pathways. Speakers from the California Faculty Association, UC Student Association, Brotherhood Crusade, A Men, and Improve Your Tomorrow highlighted barriers facing Black, Latino, Native, and other boys and men of color in higher education, including financial aid gaps, weak transfer pathways, underinvestment in student support, and low campus belonging. They urged continued funding for community schools, expanded dual enrollment and ELOP access, and support for mentorship and culturally responsive programs. Public commenters echoed support for community schools and youth investment, including calls to redirect prison spending toward education and prevention. The chair closed by thanking the panelists, reflecting on his own school struggles and the role of mentorship, and adjourned the committee.

Transcript Highlights:

• and our prior approval system.
• system, I'm concerned about overhauling that system and creating a problem where maybe none or none
• And the third is that we do have a prior approval system here.
• was the issue because it's the same regulatory system.
• The system is working.

Transcript Highlights:

• You do not have to come into the dependency system to receive that.
• And then APS does have a brand-new system called the SAFE system, and we did a real quick upgrade to
• So what I would say... ...has experience in the foster care system.
• They also began incorporating placement assessment data into its new information system.
• DJJ staff reported... ...into its new information system.

Summary: The Committee on Children, Families, and Elder Affairs received three presentations and took no bill votes. The Department of Children and Families gave an extensive update on human trafficking prevention and services, describing Florida’s statutory framework, hotline and investigation data, placement options such as safe houses and safe foster homes, new adult safe house certification rules, expanded screening tools for vulnerable adults, and prevention efforts including youth-led outreach and training. Members asked about whether current funding is sufficient, how DCF addresses grooming and re-victimization in residential settings, and how long youth typically remain in safe-house placements; DCF said funding is only one part of the support system, that families and youth receive prevention resources even when allegations are not substantiated, and that placement length varies by child. OPPAGA then presented its 2024 annual report on commercial sexual exploitation of children. The report found that verified CSE victims slightly declined in 2023, with Broward, Miami-Dade, Duval, Hillsborough, and Escambia among the highest-prevalence counties. Most verified victims were community youth rather than children already in care, though dependent youth had higher rates of prior maltreatment. OPPAGA also reported continued concerns about limited placement capacity, especially for less restrictive Tier 1 safe houses, and service gaps such as the need for survivor mentors. Its recommendations focused on expanding placement options, improving data collection, and strengthening collaboration to support survivor mentors. Finally, DCF presented the Step into Success pilot program for current and former foster youth ages 16 to 26. The program combines workforce education, professional development, and paid internships with mentor support; the first cohort launched in 2024 with 15 participants, all of whom secured placements, and the department reported strong satisfaction and early outcomes. Committee members asked about scalability, costs, and whether the model could be moved beyond DCF-run operations into community-based providers. DCF said the program was designed to be scalable, currently costs about $500,000 annually for the pilot, and could be expanded statewide with additional funding and partner support. The committee adjourned after the presentations.

Transcript Highlights:

• Last year, we logged 225,000 volunteer hours in the prison system.
• Staffing for dealing with health within the system there?
• We were clogging the court system with erroneous violations.
• During that year, we started a telephone reporting system program.
• And when they hung up, they would put the case note in the system.

Summary: The Criminal Justice Subcommittee heard an informational presentation from the Florida Department of Corrections on how the prison and community supervision systems operate after sentencing. Assistant Deputy Secretary Hope Gartman described the reception process for new inmates, including intake, medical and mental health screening, classification, custody and housing levels, gain time, and the department’s academic, vocational, substance abuse, chaplaincy, visitation, and communication programs. She emphasized that reentry begins on day one and that program placement is driven by risk and needs assessments, with facilities matched to inmates’ medical, mental health, and security requirements. Members also asked about family contact, visitor applications, inmate welfare trust funds, tablet access, private prison placement, staffing shortages, overtime, contraband interdiction, and waiting lists for programs; several follow-up materials were requested for distribution to all members. Mr. Winkler then outlined community corrections, explaining the different supervision types under Florida law, including probation, drug offender probation, community control, sex offender supervision, conditional release, and addiction recovery supervision. He described the department’s monitoring tools, such as office and field visits, warrantless searches, alternative sanctioning for technical violations, telephone reporting for low-risk offenders, employment assistance, and mobile probation and reentry units. He said the department’s supervision success rate is about 62%, with more than 91% of successful completers not returning to custody within three years. Members questioned officer workloads, the use of radios and GPS check-ins, the rollout of uniforms and firearms, how violations are handled, and whether all circuits participate in alternative sanctioning; Winkler said the program is statewide and that the department is seeking funding for radios. During public comment, Florida Cares Charity urged the committee to consider evidence on deterrence, parole, and recidivism, arguing that community supervision is less costly than incarceration and can be effective. James Beardy of the Florida PBA emphasized the dangers faced by correctional and probation officers, including long shifts, field searches, and working alone, and argued for higher pay and better support comparable to other law enforcement. The meeting concluded with the chair thanking the presenters and public speakers, and the subcommittee adjourned without taking any legislative votes or formal actions.

Transcript Highlights:

• there is a report from the ACM system there is a report from the ACM system that<00:05:20.960>
• , a point system.
• /c><00:48:18.920> sounds<00:48:19.319> much system a point system that sounds much system
• system comes all the way down.
• in this system where the lighting system in this system where the lighting system comes<01:58:21.560

Keywords: 912, senate, all

Transcript Highlights:

• But the school system, we just did not.
• Where I want to spend some time is our systemic barriers.
• is outdated and old, yet that’s the system we work in.
• But that’s not a systemic way.
• We had a trust system we needed to establish.

Summary: The hearing focused on youth mental health and treatment access in California, with opening remarks emphasizing that youth distress, self-harm-related emergency visits, and difficulty obtaining care remain elevated, while workforce shortages and reliance on one-time funding continue to limit access. Assemblymember Lori Davies echoed concerns about unstable funding and said lawmakers need to hear directly from providers and families as they prepare for the budget and legislation. The chair framed the hearing as a chance to hear from county, school, provider, and student perspectives, especially in San Diego County, where needs are high and investments have not always matched demand. County and school officials described the current system and recent state initiatives, including the Children and Youth Behavioral Health Initiative, school-linked fee schedules, payment reform, and the Behavioral Health Services Act transition. San Diego County Behavioral Health said it serves Medi-Cal youth with specialty mental health needs through a broad continuum of care, including outpatient clinics, school-based services, crisis response, residential treatment, and new crisis and residential facilities. San Diego County Office of Education and San Marcos Unified School District described efforts to expand school-based services and reimbursement through CYBHI, but said implementation is slowed by complex billing rules, insurance-data collection concerns from families, administrative burden, and uncertainty about sustaining staff positions funded by grants or soft money. School counselor testimony highlighted reduced stigma through campus outreach and clubs, but also noted that counselor-to-student ratios remain well above national standards and that budget cuts threaten supports. Provider testimony stressed that the system remains fragmented and that youth often move between emergency rooms, inpatient care, outpatient therapy, schools, and county programs without smooth handoffs. A child psychiatrist described crisis cases in which the main choices are brief hospitalization or discharge with limited follow-up, and argued for stronger warm handoffs, more outpatient and intensive outpatient options, better school-clinic coordination, and broader use of mobile crisis and 988. Rady Children’s Hospital and Aurora Behavioral Health described large increases in behavioral health demand, expansion of integrated care, and major barriers tied to low reimbursement rates, delayed payments, and administrative complexity. Across the panel, witnesses called for more stable funding, clearer reimbursement rules, better parent education on warning signs, and stronger collaboration among schools, counties, hospitals, and community providers to reduce stigma and improve timely care for youth.

Transcript Highlights:

• California's community college system is the backbone of California's higher education system, and it
• California's community college system is the backbone of California's higher education system, and it
• It's just that the thing that is different is that, just like with the UC system, the Cal State system
• Currently, the CSU system conducts an external system-wide audit each year.
• The system assumes that all recipients should advance at the same pace, disregarding The system assumes

Summary: The committee first adopted its 2025-26 rules on a 7-0 roll call, then approved three consent items—AB 88, AB 240, and AB 313—on a due-pass motion to Appropriations. The hearing then moved to AB 648, which would give community college districts the same zoning authority as the UC and CSU systems to build student and staff housing on property they own or lease. The author and supporters argued the bill would help address severe housing insecurity and homelessness among community college students, while opponents and some members raised concerns about local control, zoning exemptions, and the impact on nearby communities. AB 648 passed the committee on a 5-2 vote and was sent to the Local Government Committee. The committee next heard AB 466, which would require California Community Colleges and CSU campuses to provide organ and tissue donor registry information during student orientation, and request UC campuses to do the same. Supporters shared personal stories about transplants and donation, saying college orientation is a good opportunity to increase registrations. Some members worried about information overload during orientation and suggested campuses have flexibility in how they present the material, but the bill advanced on a unanimous 7-0 vote to Appropriations. AB 326 followed, proposing campus-by-campus external audits of the CSU every three years and public release of the audits. The author, faculty supporters, and a student argued that systemwide audits do not provide enough transparency about how money is spent at individual campuses, citing examples of financial mismanagement and fee increases. CSU opposed the bill, saying it already conducts annual consolidated external audits and that campus-level audits would add cost without added benefit. After extensive discussion about transparency, audit scope, and implementation, the bill passed 6-1 to Appropriations. The committee then took up AB 335, which would create a California Black-Serving Institution Grant Program to support Black student success and broader underserved student services; supporters emphasized persistent equity gaps and low completion rates, while an opponent argued the bill needed to be carefully amended to comply with Proposition 209 and equal protection requirements. The transcript ends during that item’s discussion, before a final vote is shown.

Transcript Highlights:

• folks about how complicated the system folks about how complicated the system is<01:32:49.360>
• The system is complex.
• <01:40:14.639> at disability waiver R system at disability waiver R system at appropriate<
• competencies Regional mentorship systems competencies Regional mentorship systems and<01:45:56.599
• <01:51:12.239> to need for Competency Based systems to need for Competency Based systems to

Bills: HF2367, HF2319, HF2523, HF1742, HF671, HF2331, HF2722, HF2406, HF1674

Keywords: HF2367, Community First Services and Supports, CFSS, personal care assistance, PCA, consumer-directed community supports, CDCS, home and community-based services, HCBS, direct support professionals, direct care workers, caregivers, support workers, SEIU Healthcare Minnesota & Iowa, collective bargaining agreement, retention stipend, health care cost stipend, training stipend, orientation program, retirement trust

Transcript Highlights:

• A nice system.
• I absolutely agree with it being part of the system.
• Here is my 2026 North Dakota Stroke System of Care Report.
• As part of this project, the stroke system of care partnered with the EMS system of care to provide education
• I am incredibly proud of the North Dakota Stroke System of Care.

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.

Transcript Highlights:

• Today, the federal regulatory system...
• Systems. I don't know if that answers your question.
• The rest of the system? Yeah, Fort Worth system.
• I'd like to revisit a statement that was made earlier about our antiquated system, our 42-year-old system
• It's a great system.

Bills: HB2065, HB2462, HB2621, HB3187, HB3539, HB3563, HB3726, HB4164, HB4207, HB4368, HB4706, HB4916, HB4950, HB4967, HB5177, HB4429, HB5597

Keywords: commercial vehicles, parking regulations, residential areas, local governance, land use, traffic safety, high occupancy vehicle lane, pregnant operators, transportation, parental rights, motor vehicle regulations, live video feed, state agency, transparency, public safety, regional transportation, mobility program, sales tax, public infrastructure, local government