Bills: HR919 , HR579 , HR177

Keywords: HIV, AIDS, public health, World AIDS Day, bipartisan support, uterine fibroids, fibroids, leiomyoma, women's health, reproductive health, pelvic pain, abnormal uterine bleeding, infertility, miscarriage, hysterectomy, Black women, Hispanic women, health disparities, awareness month, screening

Bills: HR919 , HR579 , HR177

Keywords: HIV, AIDS, public health, World AIDS Day, bipartisan support, uterine fibroids, fibroids, leiomyoma, women's health, reproductive health, pelvic pain, abnormal uterine bleeding, infertility, miscarriage, hysterectomy, Black women, Hispanic women, health disparities, awareness month, screening

Transcript Highlights:

• I was not there to undergo a hysterectomy; I was there to undergo a medical procedure post-miscarriage
• I was not there to undergo a hysterectomy; I was there to undergo a medical procedure post-miscarriage
• My sisters both have hysterectomies. And in 2008, I was told I had four fibroids.
• And the physician there told me that in addition to having my hysterectomy, my ovaries were removed.
• And so when I had my hysterectomy, I was active duty.

Summary: The Senate Indian, Rural and Cultural Affairs Committee heard Senate Memorial 14, which calls on the Indian Affairs Department and the Commission on the Status of Women to conduct a comprehensive study of the history, scope, and continuing impacts of forced and coerced sterilization of Indigenous women and women of color. Sponsors and advocates said the memorial is intended to document harms that occurred not only in Indian Health Service facilities but also through other health providers, while being culturally sensitive and respectful of tribal sovereignty. Supporters described the issue as a reproductive justice, human rights, and Indigenous rights matter, and said the study could help lead to acknowledgment, healing, and possible reparative action. Several witnesses gave personal testimony. Representative Caballero shared a personal experience in which she nearly underwent a hysterectomy after a miscarriage due to forms she was asked to sign while sedated, and said that experience motivated her support. Jean Whitehorse, a Navajo Nation member and daughter of a Navajo code talker, described being sterilized in 1972 after treatment at Gallup Indian Health Service and said the practice caused lasting trauma to Native families. Other speakers, including Elena Giacchi, Keeley Badger, Jennifer Raphael Gatz, Rachel Lorenzo, Alicia Carese Lobbius, Nasserian Olamako, Deanna Warren, and Kat Sanchez, supported the memorial and emphasized the need for survivor testimony, historical records, data gathering, informed consent protections, and culturally grounded healing. Committee members asked about the difficulty of obtaining records and whether the information exists or is being blocked. Witnesses said access is limited, requests often need to come from official state or federal bodies, and many records may be sealed or difficult to retrieve. The Commission on the Status of Women said it could serve as the organizing entity for a three-phase process: gathering data, holding discussions with subject matter experts and survivors, and contracting with an Indigenous organization to prepare the report. After public comment and questions, the committee voted 4-0 to give Senate Memorial 14 a do pass recommendation, and the chair then recessed the meeting.

Transcript Highlights:

• been checked, and it was to undergo not the procedure that I was scheduled to, but to undergo a hysterectomy
• I was not there to undergo a hysterectomy.
• This happened, and when they did a medical procedure on me, someone said, 'When was I given a hysterectomy
• Maybe a hysterectomy. My sisters both have hysterectomies, and in 2008, I was told I have fibroids.
• And so when I had my hysterectomy. I was active duty.

Bills: SM14

Committee: Senate Senate Indian, Rural & Cultural Affairs

Keywords: forced sterilization, coerced sterilization, Indigenous women, Native American women, women of color, reproductive justice, reproductive sovereignty, truth and reconciliation commission, memorial, trauma-informed care, reparative justice, human rights, bodily autonomy, Indian Health Service, Indian affairs, Commission on the Status of Women, survivor testimony, reproductive health access, genocide, transitional justice

Transcript Highlights:

• the procedure I was going into was not checked. ...however, the box that was checked was for a hysterectomy
• Had we not had he not seen the check box indicating that I was being wheeled in for a hysterectomy, I
• would have had a hysterectomy and been deprived, as a childbearing still of childbearing age... ...of
• So this is... ...hysterectomy without her consent in this past year.
• And she said that later in life that she had a hysterectomy because the doctor there that was tending

Committee: House House Government, Elections & Indian Affairs

Transcript Highlights:

• Hysterectomies and tubal ligations are also known as Mississippi appendectomies and There's a long and
• So since I thought I have a history of family getting hysterectomies because of fibroids.
• One of the doctors told me did you know that you have a hysterectomy and both your ovaries were removed
• I guess even though I agreed to the hysterectomy. I thought I had my ovaries all this time.
• I had a hysterectomy just A couple of years after that in 2021, and they bent over backwards to make

Bills: SM13 , SM14 , SM13 , SM14

Committees: Senate Senate Rules , Senate House Rules & Order Of Business

Keywords: land grant, Las Vegas, governance, self-governance, judicial management, forced sterilization, coerced sterilization, Indigenous women, Native American women, women of color, reproductive justice, reproductive sovereignty, truth and reconciliation commission, memorial, trauma-informed care, reparative justice, human rights, bodily autonomy, Indian Health Service, Indian affairs

Transcript Highlights:

• that the procedure I was going into was not checked; however, the box that was checked was for a hysterectomy
• check Had we not had, had he not seen the check box indicating that I was being wheeled in for a hysterectomy
• , I would have had a hysterectomy and been deprived, as a childbearing, still of childbearing age, of
• just wanted to mention that in another committee, a woman came forward and talked about getting a hysterectomy
• And she said that later in life that she had a hysterectomy because the doctor there that was tending

Summary: The committee met on American Indian Day and first rolled Committee Substitute House Bill 110 at the sponsor’s request. It then heard House Memorial 32, which would direct the Indian Affairs Department and the Commission on the Status of Women to study the history and ongoing impacts of forced and coerced sterilization of Indigenous women and women of color in New Mexico, including known cases, access to reproductive health services, educational policy, and possible reparations. The sponsor, survivors, and expert witnesses described personal experiences and historical research, arguing the issue remains unresolved and that New Mexico could become the first state to formally acknowledge it through a memorial and study. Support came from the Commission on the Status of Women, Planned Parenthood, ACLU of New Mexico, and others; one member objected to the phrase “reproductive justice,” but the sponsor declined to change the language. The committee approved the memorial on a 7-1 vote, with Representative Block voting no. The committee then heard House Bill 109, which would speed up the approval and release of Water Trust Board funding by suspending the current legislative authorization step and relying on a more streamlined review process. The sponsor and NMFA witnesses said the bill would help rural and small communities avoid delays that drive up construction costs, especially given inflation, drought, and the large number of water projects needing funding. They noted the bill would still involve review by multiple state agencies and that legislators could still obtain project information from NMFA. Members asked about oversight, transparency, and whether the change would reduce legislative control, but supporters said the current process adds months and can force communities to reapply when costs rise. The committee passed the bill on a voice vote after a motion for due pass, and the meeting adjourned.

Transcript Highlights:

• which is the removal of the hysterectomy which is the removal of the uterus<00:23:26.360><c> ectomy<
• But for 10 years, once I turned 45, I started asking doctors if I could have a hysterectomy because I
• During the hysterectomy, they found endometriosis all throughout my abdomen.
• My name is Charlotte Montgomery, and I need a hysterectomy.
• A hysterectomy is my only chance to save my quality of life, and yet I am denied it.

Committee: House Health, Human Services & Elderly Affairs

Summary: The House Committee on Health, Human Services and Elderly Affairs heard testimony on House Bill 606, as amended, a bill aimed at preventing physicians from denying medically necessary sterilizing or fertility-affecting treatment based on a patient’s age, number of children, marital status, or a doctor’s speculation about future reproductive intentions. Representative Ellen Reed, the sponsor, described the bill as a response to her own long experience with PCOS, heavy bleeding, and repeated refusals by doctors to perform a hysterectomy despite her clear wishes. She said the amendment narrows the bill to medically necessary care, adds definitions for “medical condition” and “appropriate reproductive care,” and removes earlier provisions about voluntary sterilization referrals. She also said the bill does not target religious objections, and that doctors could still refuse for medical, payment, or existing religious reasons not addressed by the bill. Committee members asked about religious freedom, informed consent versus waivers, and the scope of the new definitions. Reed responded that religion was not added to the list of prohibited reasons for denial, and that the amendment is intended to protect doctors when patients sign informed consent or waivers. She explained that “appropriate reproductive care” includes procedures such as hysterectomy, oophorectomy, orchiectomy, salpingectomy, and endometrial ablation, and that the bill now focuses on medically necessary treatment rather than elective sterilization. She said the change was intended to make the proposal narrower and more tailored after earlier concerns. Several witnesses supported the bill with personal accounts of being denied hysterectomies or other procedures despite serious symptoms. Representative Lauren Selig described a decade-long effort to obtain a hysterectomy after years of cycle problems and migraines, saying doctors dismissed her concerns and treated her symptoms as normal. Jade Flad also testified in support, saying she had long been told to simply endure her cycle problems and noted that her husband was offered a vasectomy without similar barriers. The sponsor said online support was strong and that there was little or no written opposition testimony. No vote or final committee action was taken during the portion of the hearing provided.

Transcript Highlights:

• Which is what led me to push for the hysterectomy.
• I asked to have a hysterectomy.
• My mother had to have a partial hysterectomy at the age of 35.
• Um, so at this point I am a year and a half out from my hysterectomy.
• Um, so at this point I am a year and a half out from my hysterectomy.

Committee: Senate Health and Human Services

Transcript Highlights:

• I'm actually two weeks and two days post having hysterectomy.
• I'm actually two weeks and two days post having hysterectomy.
• I'm actually two weeks and two days post having hysterectomy.
• My name is Charlotte Montgomery, and I need a hysterectomy.
• Um, I have been searching for a hysterectomy since I was 17.

Committee: House Health, Human Services & Elderly Affairs

Transcript Highlights:

• My mother had to have a hysterectomy. I think that's the correct word. I think I was 12 years old.
• My mother had to have a hysterectomy. I think that's the correct word, but they left her ovaries.
• There are treatments for women who've undergone hysterectomies versus women who haven't.

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health held a hearing during a snowstorm, with members participating both in person and via Teams, and the chairs said testimony would be kept open for an additional week. The first bill heard was H.4796, an act relative to organ transplant vehicles. NORA New England testified in support, arguing that dedicated organ transport vehicles need authority to use lights and sirens so time-sensitive organs can be moved more quickly and safely without relying on EMS systems already stretched by 9-1-1 calls. No opposition was heard and the bill was then set aside as the committee moved to the next item. The bulk of the hearing focused on H.4838, an act expanding access to perimenopause and menopause care. Chair Decker, who filed the bill, said it was the product of a year of meetings with dozens of individuals and organizations and was intended as a starting point to identify gaps in care, training, access, and coverage. Testimony overwhelmingly supported the bill and described widespread misdiagnosis, dismissal of symptoms, limited clinician training, insurance barriers, medication access problems, and workplace impacts. Speakers included patients, clinicians, advocates, the Massachusetts Health and Hospital Association, Blue Cross Blue Shield, the Massachusetts Commission on the Status of Women, and out-of-state and international experts, many of whom urged better education, public awareness, research, and workplace accommodations. Several witnesses emphasized that menopause affects whole-body health, including cardiovascular, bone, mental health, and work outcomes, and that Black women and other marginalized groups face greater barriers and worse outcomes. Some speakers noted the bill is important but largely a framework that will need further work to address coverage and access more directly. Blue Cross Blue Shield said it supports the bill and already covers menopause-related care and training, though the chair used the exchange to criticize broader insurer and state decisions on GLP-1 coverage for obesity. The committee took no vote during the hearing, and the chairs closed by thanking witnesses and stating that additional written testimony would be accepted.

Transcript Highlights:

• My mother had to have a hysterectomy. I think that's the correct word. I think I was 12 years old.
• My mother had to have a hysterectomy. I think that's the correct word, but they left her ovaries.
• There are treatments for women who've undergone hysterectomies versus women who haven't.

Bills: H4796 , H4838

Committee: Joint Joint Committee on Public Health

Keywords: organ transplant, emergency vehicle, transportation, medical personnel, regulation, organs, menopause, perimenopause, healthcare access, female health, public health, medical education, workplace policies, discrimination, accommodation

Transcript Highlights:

• This woman had endometriosis, begged her doctor for a hysterectomy for years. They denied her.
• This woman had endometriosis, begged her doctor for a hysterectomy for years. They denied her.
• This woman had endometriosis, begged her doctor for a hysterectomy for years. They denied her.
• This woman had endometriosis, begged her doctor for a hysterectomy for years. They denied her.

Committee: Senate Health and Human Services

Transcript Highlights:

• We've had sisters who have come to us and said that the suggestion was that they should have a hysterectomy
• And in her 40s, the doctor suggested hysterectomy for her. And then it increased.
• Not play hysterectomy roulette with the internet.
• The hysterectomy exposed another painful disease, adenomyosis, endo's evil cousin.
• Luckily for me, after eight surgeries and a total hysterectomy with Dr.

Committee: Joint Joint Committee on Public Health

Summary: The committee opened by explaining hearing procedures and time limits, then heard testimony on House 2499, a bill to create a public awareness campaign on menopause and related midlife health issues. Supporters, including a nurse, the Massachusetts Commission on the Status of Women, and other advocates, said menopause is widely misunderstood by patients and providers, leading to delayed care, unnecessary suffering, workplace impacts, and inequities in women’s health. Several speakers shared personal experiences with symptoms being dismissed or misdiagnosed and urged the committee to advance the bill. The committee then took testimony on a package of endometriosis bills, including House 2527 and Senate 1564, calling for a task force and broader awareness efforts. Patients, a physician, and advocates described long diagnostic delays, severe pain, infertility, medical gaslighting, and limited access to specialists and effective treatment. They argued for more research, provider education, and a coordinated state strategy, and several asked for favorable reports. The chair also noted the hearing was running behind and extended time to allow more testimony. Later, the committee heard Senate 1579, which would eliminate parental consent and judicial bypass requirements for abortion access for minors under 16. Planned Parenthood representatives, physicians, legal advocates, and students argued the current law creates unnecessary delays and harms vulnerable youth, especially those in unsafe homes or foster care, while supporters said minors can already consent to other reproductive health care. A pro-life witness opposed the bill and emphasized parental involvement and support services. The committee also heard House 2403 and Senate 1560, which would create a Human Service Transportation Consumer Advisory Board; disability advocates and riders described past safety problems and current service gaps, and supported the board as a low-cost way to improve accountability, rider input, and reliability. No votes or final actions were taken in the excerpt.

Transcript Highlights:

• I realized that they had also put down that I was going to have a full hysterectomy.
• It wasn't tubes tied; it was a hysterectomy.
• The article that was covered in the mass media was about the number of hysterectomies that were being

Committee: House House Government, Elections & Indian Affairs

Transcript Highlights:

• affect millions of women and are a leading cause of chronic pain, heavy bleeding, infertility, and hysterectomies
• affect millions of women and are a leading cause of chronic pain, heavy bleeding, infertility, and hysterectomies

Bills: S0042 , S0196 , S0878 , S0902 , S0914 , S1092 , S1168 , S1340 , S1404 , S1414 , S1684 , S1686

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services met to hear and vote on a series of health, human services, and education-related bills, along with a presentation of the committee’s proposed HHS budget. The budget was described as increasing by more than $2.1 billion over the current base, with major funding highlighted for Medicaid and KidCare, rural health, provider rate increases, child welfare, mental health and substance use, opioid treatment, Alzheimer’s initiatives, cancer research, ADAP, veterans’ services, and IT modernization. Public testimony on the budget focused heavily on AIDS Drug Assistance Program funding and concerns about Department of Health changes affecting access, premium assistance, notice, and continuity of care for people living with HIV/AIDS. Among the bills reported favorably were measures on podiatric medicine and tissue-based products (SB 1092), background screening and clearinghouse procedures (SB 1168), child protective investigations involving specific medical diagnoses and second opinions (SB 42), clinical laboratory personnel licensure standards (SB 878), uterine fibroid data tracking and research (SB 196), medical marijuana treatment center oversight and related health provisions (SB 902), dyslexia and dyscalculia screening and intervention in schools (SB 1340), memory care licensure for assisted living facilities (SB 1404), congenital CMV education materials (SB 1414), Parkinson’s disease registry and related public records exemption bills (SB 1684 and SB 1686), and occupational therapy dry needling licensure standards (SB 914). Several bills were amended before passage, including SB 1092, SB 42, SB 902, SB 1684, and SB 1404. Testimony generally came from professional associations, advocacy groups, and affected stakeholders, with support voiced for most measures. The committee adopted amendments on the floor, heard no opposition during debate on the bills described, and then voted to report each measure favorably. At the end of the meeting, senators requested to be recorded in the affirmative on selected bills, and the committee adjourned.

Transcript Highlights:

• There are about 100,000 hysterectomies performed annually to treat it, even though that is not necessarily
• , organ dysfunction, infertility, and many other body-wide impacts that can persist even after hysterectomy
• , organ dysfunction, infertility, and many other body-wide impacts that can persist even after hysterectomy

Summary: The committee first met in executive session and advanced Senate Bills 6102 and 6103 with due-pass recommendations to the Rules Committee, and referred Senate Bill 6194 to the Ways and Means Committee without recommendation. SB 6102 would align the Ambulance Transport Fund quality assurance fee with federal regulations, SB 6103 would make payments for rural emergency hospital services subject to appropriation, and SB 6194 would allow cost-based Medicaid payments for rural hospitals on federally recognized Indian reservations under specified conditions. The committee then held public hearings on several bills. SB 6183 would require health plans, beginning in 2027, to cover FDA-approved HIV antiviral drugs without prior authorization, step therapy, or other utilization management, with one therapeutic-equivalent exception for prevention drugs. The prime sponsor and one testifier supported the bill as a way to reduce barriers to timely HIV treatment and prevention; sign-in testimony showed 53 pro, 58 con, and one other. SB 5985 would create an online endometriosis resource center, require Department of Health training modules, and direct OSPI to include menstrual health and endometriosis awareness in school standards. The sponsor and multiple patients and clinicians testified in support, emphasizing long diagnostic delays and the need for earlier education; sign-in testimony showed 36 pro, 56 con, and 92 not testifying. SB 6019 would revise home care rate statutes to clarify how Medicaid home care agency rates are set, cap administrative portions at 20%, and require verification that funds are spent as required. The sponsor, labor, and provider representatives supported it as a technical fix to preserve pay parity, while sign-in testimony showed 46 pro and 57 con. SB 6161 would direct the Department of Health to include dementia risk-reduction information in public and provider materials when appropriate and to consult experts; supporters said it could help reduce cognitive decline and align with the state Alzheimer’s plan, while sign-in testimony showed 61 pro and 62 con. Finally, SB 6210 would authorize the Health Benefit Exchange to add a new certification criterion for marketplace plans to address affordability and access, including possible requirements tied to county availability, plan differentiation, and metal-level offerings. The prime sponsor, the Exchange, AARP, and patient advocates supported it as a response to rising premiums and limited choices, especially in rural or single-carrier counties; insurers, brokers, and some carriers opposed it, warning it could reduce competition, create uncertainty, and raise costs. The Office of the Insurance Commissioner supported the bill with a requested amendment to avoid premature disclosure of proposed rates.

Transcript Highlights:

• We don't track tonsillectomies, hysterectomies, or any other medical procedures, so why should we track
• the I really enjoyed the statement that abortion should not be reported because we don't report hysterectomies
• But hysterectomies, vasectomies, and tonsillectomies are not taking the life of a person.

Bills: HB195 , HB279 , SB30 , HB234 , HB292 , SB100 , SB23 , SB221 , SB261 , SB264

Committee: House House Judiciary

Keywords: medical malpractice, judgments, independent providers, insurance, personal assets, settlements, healthcare, healthcare privacy, electronic medical records, reproductive health, gender-affirming care, data protection, location tracking, confidentiality, SB30, induced abortion, abortion reporting, vital statistics, public health reporting, medical records

Transcript Highlights:

• We don't track tonsillectomies, hysterectomies, or any other medical procedures, so why should you track
• is, I really liked the statement that abortion should not be reported because we don't report hysterectomies
• But hysterectomies, vasectomies, and tonsillectomies are not taking the life of a person.

Bills: HB195 , HB279 , SB30 , HB234 , HB292 , SB100 , SB23 , SB221 , SB261 , SB264

Committee: House House Judiciary

Summary: The committee first took up House Bill 195, which would protect the personal assets of certain health care providers from collection in medical malpractice judgments. Supporters said the bill would help recruit and retain physicians, especially in high-liability fields like obstetrics, while opponents argued broader malpractice reform should focus on insurance and legal representation. Members discussed whether the bill’s definition of “independent provider” matched existing law, and the committee adopted a friendly amendment to add osteopathic physician. HB 195 then passed on a 9-0 vote. The committee then heard House Bill 279, a health care privacy and safety measure for reproductive and gender-affirming care. The sponsor said it would strengthen protections for sensitive health information, limit geofencing around clinics, allow providers to keep personal addresses confidential, and remove provider names from medication abortion packaging. Supporters framed it as a privacy and safety bill; opponents said it would weaken parental access, create confusion for emergency physicians, and shield abortion access. After extensive questions about HIPAA, emergency care, and data collection, the bill passed 6-3. Senate Bill 30, which would repeal the requirement that induced abortions be reported to the state registrar, drew similar testimony. The sponsor and supporters argued the reporting requirement is outdated, medically unnecessary, and exposes providers to surveillance and possible out-of-state targeting; opponents said the data supports transparency and public health oversight. Members questioned what data would be lost and how the state currently uses the reports. SB 30 passed 6-3. The committee also heard House Bill 234 on fentanyl definitions, with law enforcement and business groups supporting clearer criminal penalties; members and the sponsor worked through possible amendment language to better align the bill with existing controlled-substance definitions, and the discussion was continued for a revised draft. Finally, House Bill 292, the New Mexico Prison Rape Elimination Act, received broad support from advocacy groups and passed the committee substitute 7-0.

Transcript Highlights:

• So think knee replacement, hip replacement, hysterectomy, cancer-related procedure, other general surgery
• Knee replacement, hip replacement, hysterectomy, cancer-related procedure, other general surgeries—the
• So think knee replacement, hip replacement, hysterectomy, cancer-related procedure, other general surgery
• . knee replacement, hip replacement, hysterectomy, cancer-related procedure, other general surgeries,

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.