Transcript Highlights:

• I'll open up, I believe this. Yep, perfect. This links to the audit report.
• So I'll open up any other legal questions if anybody has any. Any questions for Chris?
• So we are definitely open to options. Okay. Senator Vecadal. Thank you, Mr. Chairman.
• Open to your feedback and ideas.
• We get multiple open records requests. Our staff spends a lot of time going through those.

Summary: The committee met to receive a series of audit presentations, beginning with the statewide Annual Comprehensive Financial Report (ACFR) for fiscal year 2025. The State Auditor’s Office and OMB reported a clean, unmodified opinion for the state, with strong financial results including a $40.6 billion net position, $30.99 billion in assets, $1.81 billion in liabilities, and continued Legacy Fund growth. OMB also explained the new GASB 101 compensated-absences reporting change and discussed pension-liability fluctuations tied to discount-rate assumptions and investment performance. Members asked about how the state compares to others and about the effect of short-term commodity price swings, and OMB said the report reflects actual fiscal-year results rather than forecasts. The committee then heard the University System audit, which also received a clean opinion but included four findings: misreporting of Strategic Investment and Improvements Fund revenue, insufficient monitoring of service organizations at CTS, NDSU, and UND, improper bank reconciliations at Dakota College of Bottineau, Dickinson State, and Williston State, and investment/cash reconciliation problems at Bismarck State College related to bond proceeds. University officials agreed with the findings and said corrective actions were underway, including internal review of bank reconciliations. Members raised questions about NDSU’s use of certificates of deposit, and university staff explained that CDs are used to earn interest on funds being accumulated for future projects. Several other audits were presented, most with clean opinions and no findings, including the State Auditor’s Office, Workforce Safety and Insurance, Housing Finance Agency, Housing Incentive Fund, Job Service North Dakota, the Retirement and Investment Office, PERS, the Center for Distance Education, the Commission on Legal Counsel for Indigents, the Ethics Commission, and the Office of Administrative Hearings. Notable exceptions included a State Fair Association audit with an adverse opinion on the foundation component unit because its financial statements were not available for audit, and a Securities Department performance audit finding that performance-based pay increases and bonuses were issued without required evaluations. The committee also discussed the State Auditor’s future needs, including more staff capacity, data analytics, cybersecurity reviews, possible subpoena authority, independent legal counsel, and whether some audits—such as the Ethics Commission and State Fair—should be handled by independent third parties or under different statutory arrangements.

Transcript Highlights:

• Conway School District, Magnolia School District, and Westside School District of Johnson County contained
• The audit report for Booneville School District contained a finding that was also referred to the prosecuting
• Their eligibility system controls whether or not that case remains open.
• Fifth, authority budgets did not contain individual salaries to document approval by the board as required
• Authority budgets did not contain individual salaries to document approval by the board as required by

Summary: The committee met to adopt prior minutes and reports from its executive and standing committees, including counties and municipalities, educational institutions, and state agencies. Those reports covered routine audit activity, delinquent private water and sewer audits, municipal accounting compliance issues, education audit findings, and several state agency audit items. The committee also reviewed and adopted the State of Arkansas annual comprehensive financial report for fiscal year 2025 and the related single audit report, both presented by Legislative Audit staff. The state financial report showed unmodified opinions on the state’s financial statements and described total assets of about $41.9 billion and liabilities of about $11.1 billion, along with retirement system assets of $39.9 billion and a net pension liability of $9 billion. Two material weaknesses were identified: insufficient internal controls at the Office of State Technology to monitor threats and unauthorized access, and a Division of Workforce Services methodology change for unemployment-related estimates that was not properly documented or approved. The single audit covered $12.4 billion in federal awards across 469 programs, with 16 major programs reviewed; it resulted in 33 findings, 14 with questioned costs totaling $16.6 million, and qualified opinions for the Summer EBT program, the Coronavirus Capital Projects Fund, and the Child Care Development Fund cluster. Members questioned agency officials in detail about the Summer EBT questioned costs, DHS unresolved findings, broadband grant documentation, cyber security controls, workers’ compensation liabilities, and child care funding and reporting. DHS explained that the Summer EBT issue involved drawing federal funds in advance rather than as benefits were redeemed, and said the process has been corrected. Broadband officials said the questioned $6.6 million reflected documentation-detail disagreements across many invoices rather than missing payments. OST officials described new logging, endpoint detection, and phishing-training efforts, and DFA and Education officials addressed specific audit findings and corrective actions. The committee ultimately moved to hold the two large statewide reports over until the August meeting for further review, with discussion continuing on whether to release some agency staff in the meantime.

Transcript Highlights:

• Thank you, Madam President. that we open session with in January.
• contain a total delta-9 extract that does not exceed 10 milligrams per container.
• And House Bill 75 as unamended opens the window back. This... ...amended. It opens the window back.
• This amendment continues to open the window back.
• In fact, this amendment, as House Bill 75, keeps the doors open.

Summary: The Senate received communications from the House on numerous measures, including several bills and resolutions passed with amendments, committee reports on bills such as large energy use facilities, campaign finance, voting rights, and appropriations, and a list of pre-file legislation. The chamber then moved through a long floor session with confirmations, bill readings, and roll-call votes, ultimately confirming the nomination of Morgan T. Zern to the Delaware Supreme Court by a 21-0 vote. Among the major policy items considered were property tax and school tax measures tied to the statewide reassessment. The Senate passed House Bill 460, clarifying monthly municipal permit-data reporting to New Castle County; House Bill 461, granting temporary authority for New Castle County school districts to reset school tax rates for one cycle; and House Bill 462, making the split school tax rate permanent with a lower nonresidential cap. Members discussed the fiscal effects at length, including testimony from a school district finance officer that HB 461 would allow revenue-neutral rate setting and offset the fiscal note on HB 462. The Senate also passed House Bill 365 creating a Delaware Indigenous Affairs Commission, House Bill 458 on backflow requirements for low-hazard buildings, Senate Bill 27 establishing the Office of New Americans with a sunset and interagency coordination, and Senate Bill 315 on the Delaware Technical Innovation Program. The chamber also approved Senate Substitute 1 for Senate Bill 300, a firearms dealer regulation bill, after extensive debate over amendments, confidentiality, background checks, and the balance between public safety and burdens on lawful dealers. Several members raised constitutional and practical objections, while supporters argued the bill would reduce trafficking, straw purchases, and theft from dealers. In addition, the Senate passed House Bill 305 creating a diabetes wellness pilot program, with supporters emphasizing the state’s diabetes burden and the program’s federal funding, and House Concurrent Resolution 157, which asks the State Lottery Office to report on iLottery’s impact on small businesses. Senate Bill 325, a fire prevention/background-check bill, was laid on the table after concerns about a late House amendment and requests for more time to consult stakeholders.

Transcript Highlights:

• Doors open at the Armory down the street at 10 a.m. this morning. Lunch will be provided.
• Chair, I'm open to just having staff Mr.
• There's a $20,000 increase for two items related to the open general fund.
• > fund is an open general fund is an open general fund appropriation.<00:10:11.519> Um,
• So that brings to the open general fund.

Keywords: 1183, house

Transcript Highlights:

• So I'm trying to be open-minded. I understand it is complex; hence my question.
• So I'm trying to be open-minded. I understand it is complex; hence my question.
• So I'm trying to be open-minded. I understand it is complex; hence my question.
• <01:24:38.920> uh sense so I'm trying to be open-minded uh sense so I'm trying to be open-minded
• The legislation also contains NAIC model law regarding long-term care.

Keywords: 1187, senate, all

Transcript Highlights:

• that it may look really bad that we're creating all of these sister city agreements that just then opens
• <00:34:47.919> up agreements that just then opens up agreements that just then opens up us
• We shouldn't be passing laws that try to or may circumvent constitutional protections of open meetings
• closed meeting would actually be opened closed meeting would actually be opened up<00:43:41.520>
• Notably, one of the subcommittees was dedicated solely to reviewing chapter 804, HRS, which contains

Bills: HB2246, HB2119, HB1929, HB1953, HB1572, HB2549, HB2594, HB2551, HB2595, HB2548, HB2459, HB1931, HB1604, HB1616, HB1736, HB2233, HB2241, HB1891, HB1803, HB2567, HB2534, HB2399, HB2172, HB1595, HB1811, HB2168, HB1780, HB1781, HB1785, HB2122, HB2012, HB2398, HB1779, HB2296, HB1894, HB1925, HB2019, HB1896, HB2294, HB2298, HB2300, HB2344, HB2345, HB2391, HB2037, HB2201, HB1941, HB1635, HB1943, HB2325, HB1926, HB2490, HB1710, HB2545, HB1976, HB2173, HB1804, HB1563, HB2015, HB1619, HB2475, HB1889, HB2367, HB2187, HB1765, HB1452, HB2231, HB1700, HB1705, HB1626, HB1897, HB1642, HB1523, HB2593, HB815, HB1655, HB1596, HB1732, HB1842, HB2476, HB2478, HB2022, HB1588, HB2575, HB1163, HB2153, HB772, HB1519, HB2050, HB2309, HB2147, HB2329, HB2274, HB2280, HB2547, HB2275, HB2452, HB2306, HB2148, HB2088, HB1764, HB2438, HB2117, HB1860, HB2604, HB2118, HB2017, HB2155, HB1832, HB2216, HB1601, HB1934, HB2297, HB2397, HB1893, HB2533, HB1890, HB2454, HB2004, HB2427, HB2207, HB1810, HB1840, HB1644, HB1645, HB1946, HB1648, HB2324, HB2323, HB1509, HB1514, HB1515, HB2164, HB2165, HB2283, HB1691, HB2386, HB2423, HB2121, HB1984, HB1593, HB1671, HB2619, HB1481, HB2314, HB2319, HB1643, HB2558, HB1864, HB1898, HB2214, HB2167, HB2488, HB2009, HB2007, HB322, HB1964, HB2218, HB2616, HB1535, HB1574, HB1977, HB2054, HB2046, HB146, HB2094, HB2181, HB2250, HB2515, HB2444, HB2385, HB1740, HB1724, HB1733, HB1799, HB1725, HB2049, HB2161, HB1970, HB2519, HB1790, HB2416, HB1873, HB2001, HB2151, HB1603, HB1880, HB1753, HB2198, HB1511, HB1991, HB2546, HB1615, HB1939, HB2140, HB2429, HB1870, HB1850, HB1782, HB2137

Keywords: agriculture, federal grants, Hawaii, grant administration, revolving fund, department of agriculture and biosecurity, grant compliance, financial support, coffee, pest control, subsidy program, coffee berry borer, coffee leaf rust, economy, biosecurity, invasive species, Molokai, advisory board, quarantine, environmental protection

Transcript Highlights:

• Senators and guests in the gallery, please rise for the opening prayer.
• And act relating to a review under the Open Government Sunset Review Act.
• Senate Bill 7026, a bill to be entitled an act relating to a review under the Open Government Sunset
• Senate Bill 7026, a bill to be entitled an act relating to a review under the Open Government Sunset
• A bill to be entitled an act relating to a review under the Open Government Sunset Review Act.

Summary: The Senate convened with an opening prayer, pledge, and several introductions recognizing visitors, students, local officials, and professional groups in the gallery. The chamber then took up a report from the Ethics and Elections Committee confirming 42 executive appointments; the report was adopted by a vote of 36-0. The Senate also adopted a resolution honoring the Ripple Project for childhood cancer awareness and funding. The bulk of the meeting was spent on special-order bills, many of them open-government sunset review measures and policy bills. The Senate passed bills preserving or updating public records exemptions for aquaculture records, trade secrets, and cybersecurity information; a child-abuse reporting statute of limitations bill; a commercial driving schools bill; a human trafficking training requirement for nursing graduates; a new injunction for protection against serious violence by a known person and its companion public-records bill; a nature-based coastal resiliency bill with an amendment restricting dredge-and-fill in Terra Ceia Aquatic Preserve; a chiropractic patient-funds bill; specialty license plate legislation; a one-time waiver for late financial disclosure fines; public school personnel compensation changes; the Florida Farm Bill with amendments protecting Everglades lands and technical corrections; homestead exemption clarification for long-term leaseholders; disability presumption clarifications for firefighters and law enforcement; reinsurance intermediary manager conformity changes; patriotic displays in public schools; ADS-B aviation fee restrictions; autism-related law enforcement training and a blue envelope program; public post-secondary safety policy requirements; and a bill allowing licensed agents to market health care sharing ministries. Several bills were temporarily postponed, including local vessel restrictions, temporary certificates for practice, and domestic animals. Members debated a number of measures, especially the health care sharing ministries bill, where opponents raised consumer-protection and commission concerns and supporters argued for free speech, religious liberty, and expanded consumer choice; it passed 32-5. Other debated bills included the autism law enforcement bill, the school athletics bill addressing coach support for student-athletes, and the Farm Bill, where senators discussed surplus land safeguards and biosolids timing. Most bills passed overwhelmingly, often 37-0 or 38-0, with a few closer votes such as the patriotic displays bill (36-2) and the health care sharing ministries bill (32-5).

Transcript Highlights:

• Harrison, the house rules contain specific procedures for the setting of calendars by the house.
• Four years later, Paola officially joined her mother to help her open their second location.

Bills: HB630, HB420, HB767, HB1708, HB2842, HB1404, HB2457, HB140, HB333, HB227, HB913, HB201, HB2198, HB 109, HB2763, HB519, HB 1261, HB 1135, HB1318, HB2358, HB2415, HB2765, HB2735, HB3307, HB1373, HB694, HB 1242, HB272, HB1437, HB1888, HCR78, HCR12, HCR128, HR7, HR11, HR37, HR69, HR83, HR89, HR100, HR123, HR129, HR137, HR254, HR258, HR289, HR293, HR318, HR324, HR350, HR368, HR370, HR372, HR379, HR406, HR407, HR432, HR445, HR471, HR504, HR506, HR507, HR528, HR567, HR572, HR591, HR592, HR593, HR603, HR614, HR621, HR673, HR684, HR685, HR687, HR700, HR701, HR711, HR712, HR754, HR757, HR758, HR760, HR764, HR765, HR766, HR767, HR768, HR769, HR770, HR771, HR772, HR774, HR776, HR777, HR778, HR779, HR780, HR783, HR784, HR784, HR6, HR6, HR17, HR17, HR18, HR18, HR49, HR49, HR170, HR170, HR236, HR236, HR247, HR275, HR355, HR356, HR364, HR672, HR690, HR690, HR755, HR755, HR756, HR756, HR759, HR759, HR762, HR762, HR763, HR763, HR781, HR781, HR785, HR785, SB2, SB260, SB569, HB2, HB2000, HB213, HB222, HB645, HB1458, HB 1022, HB141, HB643, HB3093, HB1700, HB 117

Keywords: outboard motors, certificate of title, vessel regulation, Texas Parks and Wildlife Code, marine documentation, HB 420, Texas Water Code, special district, water district, board meetings, meeting location, teleconference, videoconference, remote meeting, public hearing, tax rate hearing, special districts, Cedar Creek Reservoir, county boundary, local government

Transcript Highlights:

• chapter 13 and chapter 13d the open chapter 13 and chapter 13d the open meetings<00:03:49.239>
• much an open question I frankly F I'm a much an open question I frankly F I'm a little<00:07:39.199><
• <00:26:53.440> meeting to follow existing open meeting to follow existing open meeting laws
• Decisions by applying existing open Decisions by applying existing open meeting<00:30:20.519>
• <00:46:58.920> so<00:46:59.319> this open open meeting laws right so this open open

Bills: HF390, HF1202, HF550

Keywords: government data, data practices, record keeping, penalties, legal enforcement, public meetings, transparency, government accountability, interagency groups, Minnesota Statutes, redistricting, Bipartisan Commission, Minnesota Constitution, census, legislative districts, 1183, house

Transcript Highlights:

• It does contain positions. Refer to personnel.
• It also contains positions. Refer to personnel.
• It contains positions. Refer to personnel.
• It contains positions. Refer to personnel.
• Those amendments contain both positions and special language.

Summary: The committee met briefly to review a long list of agency and governor’s letters and determine which items should be referred to subcommittees. The chair explained that the main purpose of the meeting was referral only; any letters not acted on would be carried over to next Tuesday’s agenda. Under agency communications, letters from the Auditor of State, Supreme Court, Secretary of State, and Lieutenant Governor were referred to personnel because they contained positions. Under the governor’s letters, several items were referred to personnel or special language, including requests involving the Department of Education, Department of Health, multiple DHS divisions, the Department of Correction, the Department of Agriculture, the Department of Public Safety, Shared Administrative Services, Workforce Services, Energy and Environment, and the Department of Finance and Administration. No substantive debate or votes were described beyond the referral decisions. The chair then announced a busy schedule for the following week, with personnel, JBC, claims, peer review, and special language meetings set across Tuesday through Thursday, and the meeting adjourned.

Transcript Highlights:

• So, I could just open it up like this.
• <01:02:03.200> up happened when the ATC's first opened up happened when the ATC's first opened
• I'm open to any questions. Thank you. I'm open to any questions. Thank you.
• I'm open to any questions. Thank you.
• I'm open to any are are deserving of.

Keywords: 1191, senate, all

Transcript Highlights:

• The 297A.99 has the limitations that exist in statute are contained in that chapter.
• Yes. statute are contained in that chapter. statute are contained in that chapter.
• I this is non-controversial items and I this is really<00:32:26.520> wide<00:32:26.880> open
• I<00:32:27.240> don't<00:32:27.440> know<00:32:27.560> if really wide open
• I don't know if really wide open.

Keywords: 1187, senate, all

Transcript Highlights:

• To date, the district has implemented governing board conflict of interest procedures, improved open
• For fiscal year 2024, we found that all sub-awards were reported, but seven contained errors totaling
• Now, in terms of extending the scope from 25 to 26, I'm open to that conversation.
• Or it's a new system... ...25 to 26, I'm open to that conversation.
• If we're adding the ESAs onto this measure, it would violate the Open Meetings Act because we didn't

Keywords: 1182, all

Transcript Highlights:

• We already have facilities that are unable to be open to capacity due to the nursing shortage, and this
• There are over 6,300 job openings for nurses right now.
• She applied for an externship that had 40 positions open. Thank you. Your time is up.
• I do have a summary of those states, but I'd have to open up my computer and look it up.
• I don't, I think that that's contained in the FIR, in one of them. I don't, let's see.

Transcript Highlights:

• I did offer the four leaders of the committee on the minority side and the ranking side to open comments
• I'm not sure if we got the money to you, but I am open to it, just so you know. Thank you, Mr.
• Chairman, it's right in the name: Arizona Health Care Cost Containment System.
• And this budget includes some additional investment for a cost containment analytics team within our
• The entire system is set up to be a cost containment program.

Keywords: 1182, all

Summary: The committee met to review the governor’s fiscal 2027 budget presentation, with the chair repeatedly asking members to keep questions brief and avoid speeches. The discussion focused first on the overall revenue and spending outlook, including concerns from members that the executive forecast was more optimistic than the JLBC baseline and that the budget appeared to front-load revenue and expenditure growth. The governor’s budget team said the forecast was close to JLBC’s, that the budget was structurally balanced, and that differences were roughly $100 million per year on ongoing revenue. Members asked for follow-up calculations in writing, including the total multi-year gap and the amount of revenue enhancements above base revenues. A major portion of the meeting centered on tax and fee proposals tied to data centers, water use, and sports betting. The governor’s team defended eliminating the existing data center tax incentive as the removal of a loophole rather than a new tax, arguing the incentive had already succeeded in attracting major investment. They also described a proposed Department of Water Resources fee-setting authority for data centers to support a new Colorado River Protection Fund, and said the proposal would apply to existing and future facilities without a grandfather clause. Members raised concerns about fairness, competitiveness, and whether the changes would require a supermajority vote. The team also discussed increased sports betting fees, saying the revenue forecast did not include dynamic behavioral effects. The committee then moved through major spending areas, including corrections, public safety, border security, cybersecurity, K-12 education, Medicaid, and developmental disabilities. The governor’s budget includes ongoing funding to prevent correctional officer pay cuts, money to comply with prison health care court orders, probation funding, body-worn cameras, law enforcement staffing, fentanyl task forces, and cyber readiness grants. Members questioned the lack of funding for a prison oversight committee and asked for corrections spending totals over the administration. On border security, the executive said it was seeking about $759.7 million in federal reimbursement for border-related costs and that the governor had met with federal officials, including Secretary Noem and Tom Homan, about the request. In education, the budget proposes renewing Prop. 123, adding K-12 base funding, and issuing $1.5 billion in school facilities bonds over three years; members debated whether the proposal was appropriate and whether Prop. 123 revenues could support the debt service. The meeting also covered AHCCCS cost growth and federal HR1 impacts, with the executive warning of major coverage losses and hospital funding reductions, and DDD funding, where the governor’s team said the budget fully funds services and includes about $120 million in supplemental needs. No votes were taken; the meeting was a presentation and question-and-answer session only.

Transcript Highlights:

• Opening of the Senate to offer that prayer, and it is an honor to be back today, so thank you.
• Senator, that's completely on what happens during the negotiations, but it is a very open part that can
• be negotiated. is a very open part that can be negotiated.
• Senator, it still has to meet the criteria of the Open Meetings Act and also with the approval and the
• What the product contains, including whether it has a higher level than is allowed by law, has to be

Transcript Highlights:

• Going back to our opening procedures.
• All debate having ceased, the clerk will open the roll.
• All debate having ceased, the clerk will open the roll.
• I respectfully ask that the first role open for co-authors. Thank you.
• I respectfully ask that the first roll be open for co-authors.

Keywords: 988, house, all

Transcript Highlights:

• <01:29:18.239> some Uh the underlying bill uh contains some Uh the underlying bill uh contains
• And so I, um, we're open for questions.
• And so I, um, we're open for questions.
• to make a couple comments as a opening to make a couple comments as a opening as<02:31:19.920>
• completely open-ended, but you're right. completely open-ended, but you're right.

Keywords: 1187, senate, all

Transcript Highlights:

• Open the queue for a vote. Open the queue for a vote. Clear the vote.
• I'll open the queue. Turn to the vote. Close the vote.
• We'll open the queue. Is there any discussion or debate?
• Please open the queue for voting. Close the vote. Declare the vote. Mr.
• Open the queue. Any other questions? Any other debate? Representative McCane?

Bills: HJR1090, HJR1091, HJR1092, HJR1093, HJR1094, HJR1095, SJR49

Keywords: administrative rules, rule approval, joint resolution, Oklahoma Register, Department of Agriculture, Food, and Forestry, Corporation Commission, Department of Environmental Quality, Liquified Petroleum Gas Board, water resources, wildlife conservation, tourism, zoning commission, energy regulation, agricultural regulation, agency rules, permanent rules, state agencies, Oklahoma Legislature, business and commerce, professional licensing

Summary: The committee took up several joint resolutions dealing with agency rules. H.J.R. 1090, approving energy- and agriculture-related agency rules, was adopted and passed 10-0. H.J.R. 1091, covering business and commerce rules, was also adopted and passed 10-0. H.J.R. 1092, which had been split out from the business and commerce packet because of a reported $10 million cost impact on one business, was adopted after discussions with regulators about delaying remodeling requirements and addressing safety concerns; it passed unanimously. H.J.R. 1093, approving health-related agency rules, passed 11-0, with some Oklahoma Health Care Authority major rules noted as being handled separately in the Senate. The committee then discussed H.C.R. 1094, a major rule from the Long-Range Capital Planning Commission. Members raised concerns that the agency’s rule impact statement contained errors, incorrect notice and hearing information, and an incomplete economic analysis. After debate over whether the resolution could be amended or had to be accepted or rejected as a whole, the committee voted 11-0 that it did not pass. The committee then considered H.J.R. 1095 with an amendment to specifically disapprove a proposed permanent rule change by the Long-Range Capital Planning Commission that would have allowed the commission to ignore its own rules in the “best interest of the state.” The amendment was adopted 11-1, and the resolution as amended passed. At the end of the meeting, the chair thanked members and staff for their work and said the committee would try to move the resolutions to the floor on Thursday, with another meeting likely needed to address additional major rules coming from the Senate. A committee member also suggested a brief educational review of a prior procedural issue at a future meeting, and the chair agreed to discuss broader concerns about the administrative rules process in a later wrap-up.

Transcript Highlights:

• It's not just one big box that you open and everyone's the same.
• You're opening the door as early as day two when an opioid-naive patient is treated with opioids.
• But I'm open to any questions and diving deeper into any of the information I shared.
• And I think, you know, that's fair because that's supported by data, open access, open appropriate access
• With that, I'll just open it up for any questions the committee has.

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.