Transcript Highlights:

• It was requested by the Board of Pharmacy. Further discussion.
• Chair and committee, this is the pharmacy immunization bill. We've had this in committee before.
• Without having to go back to school to get all the whole right. That's good. Thank you.
• We have to worry about re-enrolling our child into a new school.
• And in four schools in St.

Keywords: 959, house, all

Transcript Highlights:

• All right, now, with any exemption, OK, with the exception of school, because we’re going to pick up
• all the school costs, OK, then when you’re looking at a city, there is a shift if you raise a homestead
• alone, independent pharmacies are being taxed on perishable medications.
• These products we are getting taxed on in the pharmacies whether we sell them or not.
• Our coalition consists of more than 35 retailers, pharmacies, convenience stores, food distributors,

Bills: SB1331, SB1375, SB1443, SB1578, SB2251, SB2519, SB2553, SB2655, SB2764, SB2907, SB3030, SB3033, SB3035, SB3036, SB3037, SB3043, SB3047, SB3050, SB3051, SB3056, SB3057, SB3063, HB9, HB467, HB331, HB1244, HB1399, HB2559, HB2730, HB3307, HJR1, HJR99, SB3048, SB3052, SB3053, SJR78, HB1327, HB2723

Keywords: civil service, firefighters, police officers, municipalities, local government, repeal, voter petition, health care, provider participation, continuation programs, population-based regulation, health care provider participation, Medicaid, hospital funding, voluntary compliance, mandatory payments, public health, healthcare program, county participation, nonpublic hospitals

Summary: The Senate Committee on Local Government heard several bills, most of them left pending after brief public testimony. House Bill 331, by Rep. Patterson and sponsored by Sen. Hinojosa, would create a presumption that firefighters, police officers, and EMTs who suffer a heart attack or stroke within eight hours after a strenuous shift were injured in the line of duty for workers’ compensation purposes; testimony from a firefighters’ association supported the bill, and it was left pending. Senate Bill 2655, by Sen. Flores, would authorize Burnet County to establish a local provider participation fund to help support local hospital services; a hospital administrator testified in support, and the committee substitute was left pending. Senate Bill 1443, by Sen. Hughes, would extend the Northeast Healthcare Provider Participation District in three counties, and House Bill 3307, by Rep. Noble, would allow property tax arbitrators to complete required continuing education online; both were left pending without opposition. Senate Bill 3048, by Sen. Birdwell, would create the Bluebonnet Hills Municipal Management District in Midlothian and was also left pending. The committee then took up House Bill 9 and HJR 1, sponsored by Sen. Bettencourt, which would raise the business personal property tax exemption from $2,500 to $125,000 and place the constitutional amendment on the November 4, 2025 ballot. Business groups, realtors, and taxpayers’ advocates testified in strong support, saying the change would provide meaningful relief to small businesses and help balance earlier homeowner tax relief. The City of Fort Worth testified in opposition, warning of a revenue shift to homeowners and budget impacts, but the committee adopted the committee substitutes and reported both measures to the full Senate on 6-0 votes. The committee also heard House Bill 1399 and HJR 99, by Sen. Nichols, to exempt animal feed from property tax when it is already sales-tax exempt; no one testified against them, and both were left pending. Senate Bill 2553, by Sen. West, would let owners of historic archaeological sites protest land and structure appraisals separately, and it was left pending after supportive testimony. Senate Bill 2907 and SJR 78, also by Sen. West, would exempt certain perishable inventory, including food and some prescription drugs, from property tax if approved by voters; pharmacists, business groups, a researcher, and a coalition of retailers and food/medicine advocates supported the bill, and it was left pending. Finally, Senate Bill 1331, by Sen. Hancock and explained by Sen. Middleton, would lower the population threshold for certain municipal civil-service-related petition restrictions from 950,000 to 70,000; law enforcement representatives and a San Marcos police association supported it, and it was left pending. The committee then recessed until 15 to 30 minutes after adjournment.

Transcript Highlights:

• So, you know, pharmacists, pharmacies are, yeah, pharmacies are closing.
• or charter school.
• engaging in a strike or organized work stoppage against the school district or charter school.
• officer of a charter school to make modifications to a weapons detection system at a school district
• like this in a private school already, because they don't have the rules that public schools do.

Summary: The caucus reviewed a large Minority Caucus Calendar and moved quickly through many bills, with staff often noting whether items were unanimous, party-line, or pulled from consent. Early items included HB 2130 on ADOA personnel financial systems, HB 2749 on felony sentence-completion designation, HCR 258 on Medicaid claim audits, and several agency or board continuation bills. Members also discussed HB 2745 on legislative subpoenas, HB 4027 naming Loop 202 the Charlie Kirk Highway, HB 2601 on Interstate 11 studies, and a number of education, health, labor, and public safety measures. Several bills were pulled from consent or flagged for later discussion, including HCR 258, HB 4027, HB 2375, HB 2601, HB 2408, HB 2444, HB 2923, HB 2182, HCR 2048, HB 2750, HB 2765, HB 2838, HB 4043, HB 2290, HB 2940, and others. Testimony and caucus debate focused on a range of policy concerns. Members objected to bills involving school strikes, weapons detection systems, public records fees for legislators, union activity, school safety felony penalties, and restrictions on school clubs. Education bills drew extended discussion, including HB 2423 on automatic advanced math placement, HB 2478 creating a student outcomes commission, HB 2579 for free school meals, HB 2992 on child sexual abuse prevention, HB 4041 on spending authority for low-reading-performing districts, and HB 4043 requiring CPR/AED training. Health and professional regulation bills also prompted debate, including HB 2408 on nursing board investigations and expungement, HB 2444 on pharmacist testing authority, HB 2697 on expired opioid antagonists, and HB 4010 establishing a genetic counselors board. Members raised concerns about fiscal impacts, stakeholder opposition, and whether some measures were unfunded mandates or needed more amendment work. The caucus also discussed immigration, labor, and public safety measures, including HB 2416 for DPS local border support, HB 2811 on obstructing governmental operations during lawful arrests, HB 2862 on unlawful masking penalties, HB 4070 on nonprofit incorporation restrictions tied to offenses, and HB 4117 creating a crime for disturbing religious services. Water, energy, and land-use bills were reviewed as well, such as HB 2099, HB 2263, HB 2330, HB 2341, HB 2492, HB 2757, HB 2782, HB 2912, HB 2918, and HCR 2020. The meeting ended with announcements, including an Affordability Award for Brian Garcia and a March 12 breakfast update on the Colorado River, before adjournment.

Transcript Highlights:

• So, you know, pharmacists, pharmacies are, yeah, pharmacies are closing.
• or charter school.
• engaging in a strike or organized work stoppage against the school district or charter school.
• or charter school.
• like this in a private school already, because they don't have the rules that public schools do.

Keywords: 1182, all

Summary: The caucus reviewed a long list of bills and resolutions, with staff giving brief descriptions and members flagging which items were on consent, had unanimous committee votes, or should be pulled for further discussion. Topics included education, health care, public safety, labor, water, taxation, housing, and elections. Several measures were noted as party-line or mixed votes, while many others were reported as unanimous and placed on third-read or consent calendars. Among the more discussed items were bills on school and labor policy, including a proposal to prohibit teacher strikes, a measure restricting school district bond actions, a bill requiring school safety protocols and assigning felony penalties for noncompliance, and a resolution limiting public money for labor organization activities. Members also raised concerns or requested further review on bills involving pharmacist testing authority, expired opioid antagonists, a county sheriff-related measure, a housing affordability district proposal, and a tobacco/vape regulation bill. Some measures were explicitly pulled from consent, including a Medicaid audit resolution, a budget-related pay-withholding resolution, and several education and public safety bills. The caucus also heard multiple health and human services measures, such as genetic counselor licensing, nursing board and pharmacy board continuations, foster care rights, psychiatry access funding, and free school meals. In addition, there were water and energy bills on Colorado River management, groundwater, transmission-line review, and renewable energy valuation, plus election and campaign-related proposals. The meeting ended with announcements, including an upcoming Colorado River breakfast briefing and an internal award recognizing Representative Brian Garcia, followed by adjournment.

Transcript Highlights:

• He coached countless young men and mentored them at Live Oak High School, Denham Springs High School,
• I believe public schools already can do this.
• Basically, what I say is each city, parish, or other local public school may establish schools that have
• Basically, what I say is each city, parish, or other local public school may establish schools that have
• Senate Bill 132 by Senator Klein-Peter, School Safety, public school safety, exterior master-key boxes

Bills: HR275, HR276, HR277, HR278, HR279, HR280, HR281, HR282, HR283, HR284, HCR112, HCR113, HR265, HR266, HR267, HR268, HR269, HR270, HR271, HR272, HR273, HCR107, HCR108, HCR109, HCR110, HCR111, SCR63, SCR66, SCR67, SB414, SB484, SB513, HR168, HR174, HR194, HR216, HR264, HCR54, HCR74, HCR79, HCR85, HCR87, HCR94, HCR95, HCR97, HCR98, HCR104, SCR23, SCR29, SCR33, SCR38, HB75, HB705, SB54, SB56, SB72, SB79, SB97, SB105, SB123, SB125, SB129, SB163, SB171, SB252, SB287, SB375, SB386, SB461, SB466, HR84, HR188, HR205, HR3, HR197, HR243, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, SCR20, SCR24, SCR35, HCR6, HB301, HB359, HB657, HB675, HB680, HB727, HB39, HB58, HB112, HB134, HB155, HB187, HB287, HB462, HB782, HB825, HB846, HB903, HB904, HB929, HB941, HB962, HB1200, HB4, HB623, HB944, HB986, HB1098, HB1222, SB45, SB58, SB71, SB81, SB92, SB100, SB109, SB141, SB156, SB181, SB203, SB204, SB205, SB207, SB213, SB214, SB216, SB229, SB257, SB274, SB290, SB304, SB374, SB379, SB396, SB410, SB425, SB427, SB429, SB479, SB522, SB34, SB164, SB172, SB198, SB208, SB232, SB281, SB286, SB317, SB322, SB334, SB380, SB385, SB409, SB417, SB421, SB430, SB439, SB447, SB458, SB510, HB842, HB633, HB1191, HB625, HB1255, HB251, HB582, HB646, HB819, HB998, HB1257, SB197, SB436, SB78, HB901, HR20, HR74, HCR65, HCR71, HB284, HB302, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, HB258, SB149, SB382, SB441

Keywords: highway maintenance, signage, transportation safety, DOTD, infrastructure, public safety, federal grants, job creation, carbon storage, carbon dioxide storage, carbon capture and storage, CCS, mineral rights, mineral owners, oil and gas, disposal wells, injection wells, advanced drilling, carbon sequestration, Louisiana energy policy

Summary: The House met with a quorum and began with prayer, the Pledge of Allegiance, and several personal privileges recognizing National Police Week, fallen law enforcement officers, a young Olympic weightlifter, a community sports agent, a deceased coach, Alpha Phi Alpha Fraternity Day, the Louisiana Cattlemen’s Association, aviation professionals, and a birthday tribute. The chamber also received Senate messages, committee reports, and a long series of resolutions and bills, many of which were adopted or concurred in without objection. Several measures were returned to the calendar, while others were advanced with technical or clarifying amendments. A major portion of the meeting focused on resolutions honoring or commemorating people and groups, including National Police Week, Barron Baker, Paul T. Derezel II, Coach Emilio Tese, Alpha Phi Alpha, Louisiana Realtors Day, Special Olympics Louisiana, and various memorial highway designations. The House also adopted or concurred in resolutions on topics such as DOTD signage, shrimp procurement, geothermal energy, opioid settlement reporting, hospital design standards, Medicaid redetermination flexibility, chronic wasting disease management, remote online notarization, and a task force on intestate succession. Testimony on these items was generally supportive and brief, with sponsors explaining that most were technical, commemorative, or requests for study. The chamber also took up several substantive bills and Senate amendments. Among the measures concurred in were bills on peace officer citizenship requirements, post-conviction bail limits, portable benefits for independent contractors, workforce development, construction debris burning, license plate coverings, insurance and captive insurers, oil field indemnification, and rural infrastructure financing. One notable bill, HB 39 on peace officer citizenship, drew questions about National Guard members and legal permanent residents before the House concurred in the Senate amendments by a 74-22 vote. HB 134 on harmful material and interactive computer services had its Senate amendments rejected, while HB 359 on nonaffiliated candidates was temporarily returned to the calendar. The most extended debate came on the conference committee report for HB 842, which addressed Louisiana election law in response to the federal Callais decision. Members questioned how the report would affect the current congressional election cycle, absentee ballots, qualifying dates, signature requirements, and whether the closed party primary for U.S. House races had been canceled in favor of an open primary in the fall. The sponsor explained that the report cancels the current closed party primary for congressional races, voids ballots cast in that canceled election, returns qualifying fees, lowers petition-signature requirements, and sets new dates for the open primary and runoff. The House suspended the rules to consider the report the same day it was received, and the discussion highlighted concerns about election administration, district maps, and the scope of the changes before the chamber moved forward.

Transcript Highlights:

• He coached countless young men and mentored them at Live Oak High School, Denham Springs High School,
• and allows the charter school to go straight to BESE for authorization.
• Freiberg objects, saying public schools already can do this. Rep.
• Basically, what I say is each city, parish, or other local public school may establish schools that have
• The Senate has passed Senate Bill 132 by Senator Kleinpeter, providing for school safety and public school

Bills: HR275, HR276, HR277, HR278, HR279, HR280, HR281, HR282, HR283, HR284, HCR112, HCR113, HR265, HR266, HR267, HR268, HR269, HR270, HR271, HR272, HR273, HCR107, HCR108, HCR109, HCR110, HCR111, SCR63, SCR66, SCR67, SB414, SB484, SB513, HR168, HR174, HR194, HR216, HR264, HCR54, HCR74, HCR79, HCR85, HCR87, HCR94, HCR95, HCR97, HCR98, HCR104, SCR23, SCR29, SCR33, SCR38, HB75, HB705, SB54, SB56, SB72, SB79, SB97, SB105, SB123, SB125, SB129, SB163, SB171, SB252, SB287, SB375, SB386, SB461, SB466, HR84, HR188, HR205, HR3, HR197, HR243, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, SCR20, SCR24, SCR35, HCR6, HB301, HB359, HB657, HB675, HB680, HB727, HB39, HB58, HB112, HB134, HB155, HB187, HB287, HB462, HB782, HB825, HB846, HB903, HB904, HB929, HB941, HB962, HB1200, HB4, HB623, HB944, HB986, HB1098, HB1222, SB45, SB58, SB71, SB81, SB92, SB100, SB109, SB141, SB156, SB181, SB203, SB204, SB205, SB207, SB213, SB214, SB216, SB229, SB257, SB274, SB290, SB304, SB374, SB379, SB396, SB410, SB425, SB427, SB429, SB479, SB522, SB34, SB164, SB172, SB198, SB208, SB232, SB281, SB286, SB317, SB322, SB334, SB380, SB385, SB409, SB417, SB421, SB430, SB439, SB447, SB458, SB510, HB842, HB633, HB1191, HB625, HB1255, HB251, HB582, HB646, HB819, HB998, HB1257, SB197, SB436, SB78, HB901, HR20, HR74, HCR65, HCR71, HB284, HB302, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, HB258, SB149, SB382, SB441

Keywords: highway maintenance, signage, transportation safety, DOTD, infrastructure, public safety, federal grants, job creation, carbon storage, carbon dioxide storage, carbon capture and storage, CCS, mineral rights, mineral owners, oil and gas, disposal wells, injection wells, advanced drilling, carbon sequestration, Louisiana energy policy

Transcript Highlights:

• High school, but he wanted me to make sure I recognized you.
• Right now, long-term pharmacies are often treated differently from retail pharmacies on paper, but in
• Right now, long-term pharmacies are often treated differently from retail pharmacies on paper, but in
• Also, the schools had some concerns, so we exempted the schools. The schools were taken out.
• So HB 1041 would not impact any of the schools or any of the hospitals.

Keywords: 974, senate, all

Summary: The Senate Committee on Health and Welfare met on May 13 with a quorum present and approved the prior meeting minutes. The committee first heard HB 971, which would equalize Medicaid reimbursement rates between independent clinics and hospital-owned rural health clinics; supporters said independent clinics are disadvantaged by a large payment disparity, and the bill was reported favorable without objection. The committee also recognized visiting Alpha Phi Alpha members and other guests during personal privilege remarks. Members then considered HB 414, which would bar hiring certain health care workers and direct support professionals with serious disqualifying convictions from other states and address background-check issues for therapeutic group homes. After adopting three amendment sets, the bill was reported as amended. HB 740, creating an independent review process for Medicaid behavioral health claim disputes in the coordinated system of care, was amended to clarify applicability and CSOC definitions and then reported as amended. HB 288, which would place the term “miscarriage” alongside “spontaneous abortion” in medical documentation, drew emotional testimony from affected parents and advocates; the committee reported it favorable. The committee also advanced several more bills: HB 405, updating the name of the national acupuncture certifying body, was reported favorable; HB 786, prohibiting extrapolation in certain managed-care claims recoupments, was reported favorable; HB 1095, allowing alternative backup power sources for nursing homes, was reported favorable; HB 403, raising the cottage food gross-sales cap, was amended from $50,000 to $150,000 and then reported favorable; HB 930, modernizing cosmetic-product regulation and creating a small-producer exemption, was reported favorable; HB 557, defining long-term pharmacies for policy purposes, was reported favorable; HB 779, on expedited partner therapy for sexually transmitted diseases, was reported favorable; HB 915, setting utilization-management timelines and standards, was reported favorable; HB 546, expanding criteria for peace officers to take someone into protective custody during a mental health crisis, was reported favorable; HB 796, creating a chiropractic preceptorship program, was reported favorable; and HB 933, authorizing commemorative birth certificates, was reported favorable. The final major item was HB 1041, a “no-mandate” bill barring discrimination based on medical intervention status. The sponsor and Surgeon General said it was aimed at healthy, asymptomatic individuals and not at public health quarantine powers, but Senator Boudreaux objected to exemptions for schools and hospitals and offered an amendment to restore broader coverage. That amendment failed on a roll-call vote, and the bill remained under discussion as the transcript ended, with no final committee disposition shown in the excerpt.

Transcript Highlights:

• When I joined the group, it consisted of six School of Pharmacy faculty members who not only gave me
• school.
• program, with our out-of-school time programs, both on-site and then at our local schools.
• I go to Cheyenne High School. I'm also a 2026 Governor's School scholar.
• Was it from the schools? Was it... ...where you got that response from? Was it from the schools?

Summary: The Higher Education Institutions Committee met at NDSU and heard an extensive presentation from President David Cook/President Stewart and NDSU leadership on the university’s priorities, including enrollment, student success, research growth, and use of New Horizons funding. Leaders emphasized NDSU’s land-grant mission, its role in workforce development, and its goal of becoming more distinctive through strategic planning, recruitment and retention, commercialization, and partnerships. They highlighted that NDSU awarded 2,370 degrees in 2025, produces a large share of the state’s engineering, nursing, and agriculture graduates, and reported strong outcomes for graduates staying and working in North Dakota. They also noted enrollment headwinds, competition from other institutions, and the need to manage tuition waivers more carefully through a scholarship optimization effort. Provost Sherry Vale outlined academic stewardship efforts, including review or consolidation of low-producing programs, strategic hiring tied to institutional priorities, faculty workload policy changes, and expanded online and regional offerings. She said the university is using New Horizons dollars to strengthen advising, student support, and programs in engineering, agriculture, and health. NDSU leaders also described new or expanded academic offerings such as robotics and automation, artificial intelligence, material science and engineering, nuclear engineering certificates, accelerated nursing, nurse practitioner certificates, a Master of Health Administration, and a clinical research master’s program with Sanford Health. They stressed that these investments are intended to improve student completion, meet workforce needs, and increase return on public investment. The committee also heard testimony from students and recent graduates who described the value of NDSU’s education, mentorship, internships, research opportunities, and support services. Alyssa Hodges spoke about pharmacy education, public health work, and campus support as a parent and student; Ethan Blessy described engineering coursework, internships with Marvin, and career preparation; and Aiden Freolic discussed neuroscience research, federally funded projects, and plans for graduate study. Their testimony was followed by presentations on partnerships with Gateway to Science for K-12 STEM outreach and with Sanford Research on biomedical research, clinical trials, obesity research, and a joint biostatistics hire. NDSU also highlighted systemwide shared services, Governor’s School programming, and research growth, including a reported 8% increase in research expenditures from $199 million to $215 million. No bill votes were taken; the meeting was informational and featured presentations, testimony, and discussion of future planning and partnerships.

Transcript Highlights:

• My family were farmers, bus drivers, educators, school secretaries, coal miners, and, most importantly
• Many students were returning to school without health coverage, along with traditional students who were
• or ordering of certain drugs and devices, and also directs the Pharmacy Quality Assurance Commission
• to adopt rules to regulate the expansion of the practice of pharmacy.
• the expansion of the practice of pharmacy.

Bills: SB5899, SB6292, SB6094, SB6182, SB5947, SJR8206, SB5933, SB6138, SB5823, SB6210, SB5921, SB6226, SB6159, SB5924, SGA9291, SGA9307

Keywords: chiropractic, animal care, veterinary medicine, license endorsement, nonhuman animals, health care, financing, legislative committee, joint committee, policy management, pediatric care, transitional services, healthcare, licensing, children's health, abortion, reproductive health, pregnancy termination, clinic access, abortion access fund

Transcript Highlights:

• So you are not talking about school athletic trainers. Where are you?
• So they are already contracted with the school district.
• School district or whomever, correct?
• If those services are contracted to provide services for said high school or school, or you're employed
• If those services are contracted to provide services for said high school or school or you're employed

Summary: The committee first heard House Bills 2365, 2490, and 2249, a bipartisan version of Elijah’s Law, which would require child care facilities to receive training and guidance on recognizing and responding to food allergies and anaphylaxis. Sponsors described the bill as a response to the death of Elijah, whose daycare did not administer epinephrine quickly enough after a food exposure. Witnesses in support, including a parent and food allergy advocate, said the measure would improve preparedness and save lives. Committee members asked about whether the bill should use broader epinephrine terminology, whether the requirements could also be handled through child care licensing rules, and whether the bill was already included in a larger measure. No opposition was presented, and the hearing on those bills was closed. The committee then heard House Bill 1965, which would require insurers to reimburse athletic trainers for covered services and add athletic trainers to the practitioner definition for billing purposes. The sponsor and athletic training witnesses said the bill would recognize athletic trainers as licensed health care providers, improve access in rural and underserved areas, and allow reimbursement when trainers work in clinics, hospitals, or other non-school settings. Committee members raised repeated questions about the difference between athletic trainers and physical therapists, whether school-based services were already paid through contracts, whether the bill would increase costs or create double payment, and how diagnosis and billing would work under the current scope of practice. Opponents from Blue Cross and Blue Shield of Kansas City and the Missouri Insurance Coalition argued the bill would create a mandate, increase costs, and expand billing before clarifying the underlying scope of practice. No vote was taken in public hearing. The committee then moved into executive session and voted several bills do pass. A substitute was adopted for House Bill 1826 and the committee substitute for House Bills 1826, 2560, 2349, and 2194 passed 17-0. House Bill 1783 also passed 17-0. House Bill 2372, which incorporated multiple related provisions including changes to epinephrine terminology and other committee items, passed 17-1 after a substitute and amendment were adopted. House Bill 1827, the occupational therapy bill related to disabled placards and license plates, passed 18-0. The committee then returned to public hearing and heard House Bills 1941 and 2279, which would prohibit copay accumulator programs for fully insured plans so that third-party assistance counts toward a patient’s deductible and out-of-pocket maximum. Sponsors and a rheumatologist testified that the bills would prevent patients with serious illnesses from being forced to pay the same deductible twice and said similar laws have been enacted in many other states. Opponents from America’s Health Insurance Plans argued the measure would affect only a minority of plans, raise costs in the individual and small-group market, and could worsen affordability for remaining enrollees. The hearing ended without a vote on those bills.

Transcript Highlights:

• you mentioning issues with H.R. 1 that quality assurance funding was an issue, as well as the med school
• The increase in fiscal year 2027-28 reflects the addition of new pharmacy benefit manager data to the
• SB 41 builds upon the previously established pharmacy benefit manager...
• SB 41 builds upon the previously established pharmacy benefit manager licensure requirements enacted
• , prohibiting discrimination against non-affiliated pharmacies and requiring PBMs to include any pharmacy

Summary: The Assembly Budget Subcommittee on Health heard updates on five health-related budget items. First, members reviewed state support for distressed hospitals and health facilities. The California Health Facilities Financing Authority and HCAI described the Distressed Hospital Loan Program as a lifeline for 16 hospitals, many of which remain financially strained and are expected to seek loan forgiveness rather than repayment. Speakers cited reduced contract labor, new service lines, strategic partnerships, and the reopening of Madera Hospital as signs of progress, but also warned that federal policy changes under H.R. 1 will likely increase uncompensated care and pressure emergency departments. Public commenters from hospital, dental, and consumer groups supported additional funding, including a request to refresh the program with another $300 million. The committee then heard HCAI’s update on the California Rural Health Transformation Program, a five-year federal initiative funded at $233.6 million for California. HCAI said the program will focus on rural care models, workforce development, and health technology, with grants to be rolled out on a fast timeline and all funds obligated by October 30, 2026. Members raised concerns about rural provider capacity to apply for grants, and HCAI said it will use a third-party administrator, a technical assistance center, webinars, and other supports to help applicants. HCAI also presented its budget request for the health care payments database, seeking ongoing non-General Fund support to continue operations and expand data, including pharmacy benefit manager data. The Emergency Medical Services Authority presented three budget change proposals: funding to replace disaster medical services fleet vehicles, funding for IT security work, and additional positions for HR, enforcement, and legal workload. A member also raised concern that EMSA has not yet completed the annual ambulance rate reporting required by AB 716, and EMSA said it remains committed to the requirement but lost prior funding through later budget reductions. Covered California reported that it is still finalizing its own budget, but expects a lower operating budget due to efforts to reduce baseline costs and align spending with actual expenditures; it also projected enrollment declines tied to the expiration of enhanced premium tax credits, H.R. 1, and federal rule changes, while noting that revenues may still rise because premiums are expected to increase. Finally, the Department of Managed Health Care outlined budget proposals tied to menopause coverage and education, PBM licensure and enforcement under AB 116 and SB 41, credentialing reforms under AB 1041, and prior authorization reporting under SB 306. Public testimony generally supported the menopause and PBM proposals, while also urging clearer language and attention to Medi-Cal parity. The hearing concluded after public comment, including additional advocacy for sickle cell services and rural health workforce funding.

Transcript Highlights:

• “The increase in fiscal year 2027–28 and ongoing reflects the addition of new pharmacy benefit manager
• legal requirements related to PBM revenue practices and pharmacy network reforms.
• legal requirements related to PBM revenue practices and pharmacy network reforms.
• , prohibiting discrimination against non-affiliated pharmacies, and requiring PBMs to include any pharmacy
• It just seems to me, you know, pharmacy benefit managers, they're supposed to be adding such a great

Keywords: 988, house, all

Transcript Highlights:

• Senate Bill 3, an act relating to school district finances. Senator Tishner.
• Pharmacies are often the most accessible health care provider, particularly in rural and underserved
• Senate Bill 38 is a measured, responsible approach to improving access, supporting local pharmacies,
• </c><00:18:36.799><c> Pharmacies</c><00:18:37.280><c> are</c> changing eligibility.
• Pharmacies are changing eligibility.

Keywords: 958, all

Transcript Highlights:

• And there are other sources of school-based funding as well.
• Pharmacy counter.
• Right now, we have our Safe Schools Program.
• To Attleboro High School, to the team here at the high school, incredible work.
• To Attleboro High School, to the team here at the high school, incredible work.

Keywords: 995, all

Summary: The committee heard budget testimony from Department of Mental Health Commissioner Brooke Doyle, who said DMH serves about 29,000 people and is facing rising demand, higher operating costs, and uncertainty about federal funding. She explained that the FY26 budget prioritizes fully funding the state-operated inpatient system, which is at 100% occupancy and often serves people transferred from Bridgewater State Hospital, while making reductions in other areas to balance the budget. Those reductions include a 50% cut to case managers, a pause on closing the Pocasset unit pending a working group on Cape access, and changes to youth and contracted services such as right-sizing IRTP and CIRT, reducing Youth PACT from seven teams to three, scaling back flex and jail diversion grants as ARPA funds wind down, and preserving the behavioral health helpline and community-based crisis services. Members from Western Massachusetts and the Cape raised concerns about access, staffing, and the impact of cuts, and Doyle said the department would continue operating IRTP services, improve the referral process, and work with stakeholders on the Pocasset review and other access issues. The committee also discussed school-based mental health, 988, loan forgiveness for workforce recruitment, and the role of co-response programs for law enforcement. Secretary Robin Lipson then testified for the Executive Office of Aging and Independence, describing a proposed FY26 budget increase of about 21% to support councils on aging, home care, elder abuse investigations, caregiver support, care transitions, and nutrition programs. She said the agency is managing rising demand, especially from the growing 80-plus population, and noted uncertainty around federal Older Americans Act funding after the federal disbursement agency was disbanded. To control costs, the office will manage intake and caseload growth in a fully state-funded home care program, but current clients will not lose services. Lipson also highlighted a new $1 million line item for local mini-grants to support age-friendly initiatives. In questions, members focused on elder scams, and Lipson said scams are increasing and the agency is working with banks, district attorneys, and public awareness campaigns. The Health Policy Commission’s Executive Director David Seltz presented the agency’s FY26 request and said the biggest challenge is health care affordability, with family premiums near $29,000 annually and many residents delaying care because of cost. He emphasized that recent legislation significantly expands HPC’s role through a new Office of Pharmaceutical Policy and Analysis, which will examine the drug supply chain and pricing, and a new Office of Health Resource Planning, which will support statewide planning around closures and access gaps. The new law also creates task forces on maternal health access and primary care, and adds transparency and oversight for private equity in health care. Members asked about pharmaceutical costs, GLP-1 weight-loss drugs, 340B, and maternal health closures; Seltz said the data show rapid growth in GLP-1 spending and that the new offices will help the state better understand cost drivers and access problems. The Center for Health Information and Analysis then began its testimony, describing its role as the state’s data hub for health care spending, utilization, quality, and affordability analysis.

Transcript Highlights:

• Definitely, we would see more pharmacies and dentists.
• Now they can't learn in school because they can't hear their teacher.
• Hospitals, schools, and strengthening our communities.
• sent to schools that ended up as a death sentence.
• There are good things for EMS, hospitals, and pharmacies in this bill.

Transcript Highlights:

• School in Sarasota. He's been with us.
• We have a portion of this amendment that prohibits the charter school under a school improvement plan
• It is, in fact, an expansion of the school bus camera system for charter schools and private schools.
• It is, in fact, an expansion of the school bus camera system for charter schools and private schools.
• We didn't really talk a lot about the school the camera systems, red light, school zone.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a series of recognitions for interns, staff, and guests. Members also honored retiring Senate staffer Susan Miller and recognized a veteran injured in combat. After routine announcements, the chamber moved to returning messages from the House and began taking up bills and amendments. The Senate concurred in House amendments and passed SB 118 on RV park assessments and SB 572 on ethics for public officers and employees, both by 38-0 votes. It then took up the elections bill, CS/CS/HB 991, which drew extensive debate. Supporters said it would strengthen election integrity by tightening citizenship verification and ID rules; opponents argued it would burden eligible voters, especially students, seniors, disabled voters, and others without the newly required documents. The bill passed 27-12. The chamber also passed the education package SB 182 after adopting a Senate amendment to the House amendment, and approved SB 474 on military affairs, SB 425 on historic cemeteries, HB 929 on local regulation of chickees, and HB 35/SB 1370 on habitual traffic offender designation, all with unanimous or near-unanimous votes. The Senate then considered SB 902/ HB 733, the Department of Health package. Members adopted an amendment and amendment-to-amendment that preserved most Senate provisions while modifying or removing several House additions, including some early steps and medical marijuana-related changes, and the bill passed 37-0. The chamber also began work on HB 905, the foreign influence bill, with a strike-all amendment offered to expand restrictions on foreign influence, sister-city agreements, linkage institutes, and related activities, but the debate on that measure was still underway when the transcript ended. Several other returning messages and bills were temporarily postponed, and the Senate recessed briefly before resuming business.

Transcript Highlights:

• I'm of the old school that it's always useful to have people sit around a table and have a conversation
• that old school that it's<00:01:45.439><c> always</c><00:01:45.759><c> useful</c><00:01:46.159><c> to
• um to to do their board of pharmacy um to to do their quality<01:06:21.520><c> checks.
• Have you spoken to the Board of Pharmacy, and are they in favor of this bill?
• Two of the Board of Pharmacy members, Mr.

Keywords: Public Health and Welfare - Room 216, 3 February, 2026; 3:00 PM, 925, all

Transcript Highlights:

• district closure; and state transportation payments to school districts.
• This last interim session, the school funding task force tasked with the idea of studying public school
• As far as the pharmacies and pharmaceuticals, I was approached by representatives of the pharmacy industry
• in Energy and Natural Resources, because the question came up then, what about pharmacies?
• members of the Board of Pharmacy, and they think there's a whole lot that's not known about this.

Keywords: 908, all

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a quorum call showing 46 members present. It then took up multiple House messages and amendments, appointing conference committees on several measures, including SB 2007, SCR 4007, SB 2374, SB 233, and House bills 1029, 1218, and 1022. The chamber also considered a series of House bills on the sixth and 14th orders, often adopting committee amendments before final passage or, in some cases, rejecting the bill outright. Among the major policy items, the Senate passed HB 1524 on regional planning council grants, HB 1143 increasing a food bank appropriation to $10 million, HB 1126 modernizing cosmetology licensing and inspections, HB 1542 making student applications for admission exempt records, HB 1613 regulating law enforcement use of robots, HB 1582 directing a study on false reports and accusations, HB 1214 revising school transportation funding, HB 1448 creating a study on advanced technologies, HB 1280 on drainage project voting rules, HB 1499 protecting records related to federal judges, and several Senate bills returned from the House, including SB 2221, SB 2117, SB 2198, SB 2120, and SB 2214. The Senate also adopted amendments to HB 1541 on septic systems before rejecting it on final passage. Several high-profile bills failed after debate. HB 1566, dealing with kratom regulation, saw an amendment to convert it to a study fail on a 21-25 vote, after which the chamber laid the bill over for one legislative day rather than take final action. HB 1283, which would have eliminated cost-sharing for diagnostic and supplemental breast exams in the state employee plan, was defeated 22-24 after extensive debate over cost, precedent, and insurance impacts. HB 1527, requiring Holocaust education in statute, also failed 22-24, with supporters emphasizing the importance of the subject and opponents arguing curriculum belongs in standards rather than statute. The Senate adjourned after announcements, scheduling its next meeting for Monday, April 14, 2025.

Transcript Highlights:

• with our pharmacy school.
• There was a need for our pharmacy school.
• with our pharmacy school.
• with our pharmacy school.
• with our pharmacy school.

Keywords: 912, senate, all

Summary: The meeting covered several Senate resolutions related to the University of Hawaiʻi system, the East-West Center, and related education and workforce issues. On SCR 178 and SR 48, testifiers strongly supported the East-West Center, describing it as an important Hawaii asset that promotes cultural exchange, global citizenship, diplomacy, and ties to the University of Hawaiʻi. Speakers said the Center has helped train leaders and bring international connections and investment to Hawaii, and they urged continued funding despite federal cuts. The chairs then recommended passage with technical amendments, and both resolutions were adopted by the committees. The committee also heard testimony on resolutions calling for audits of University of Hawaiʻi operations. On SR 32 and SCR 50, the University of Hawaiʻi said it supported the resolution and had already begun work on establishing a Bachelor of Science in nursing at the UH Maui campus, with additional staff available on Zoom to answer questions. On SR 160 and SCR 142, which sought a financial and performance audit of UH Mānoa facilities, UH Athletics said it already undergoes annual financial audits required by NCAA bylaws but not performance audits, and discussed its internal evaluations, contingency planning, and efforts to address concerns raised by student athletes and staff. The committee then took up SCR 138 and SR 55, requesting a management and performance audit of the UH Office of the Vice President for Academic Strategy. Vice President Deborah Halbert and P20 Director Steve Shotz said they did not oppose the audit and believed it could provide clarity, while explaining that the office is relatively new and works collaboratively across campuses on articulation, transfer, grants, and workforce alignment. They described grant programs including Perkins, GEAR UP, preschool development, and data-sharing efforts, and said they are focusing more resources on teaching, health care, and skilled trades. The discussion also touched on SR 54, a proposed performance audit of the UH Foundation, where foundation representatives said they already undergo annual financial audits, acknowledged some donor communication issues, but emphasized improved stewardship and growth in fundraising over recent years.

Transcript Highlights:

• So basically it's pharmacy by pharmacy.
• It's not a statewide saying all pharmacies are going to count. Correct. It's pharmacy by pharmacy.
• ><c> by</c><00:05:33.360><c> pharmacy.
• It's it's pharmacy by pharmacy. Correct. It's it's pharmacy by pharmacy.
• I have to admit... for the pharmacy. It provides clarity for the pharmacy.

Keywords: 928, house, all

Summary: The committee heard Senate Bill 254, which Senator David Roford described as a technical correction to controlled substance inventory law for pharmacies. He said the bill would remove outdated language requiring inventories to be done in an odd-numbered year, while keeping the existing requirement that pharmacies conduct a full controlled substance inventory every two years in line with federal law. Members asked several clarifying questions about whether the requirement is pharmacy-by-pharmacy, whether new pharmacies would be affected, and whether the change would alter scope or compliance; the sponsor and a representative of the New Hampshire Pharmacist Association said it would not, and that it mainly provides clarity for pharmacies and inspectors. The public hearing on SB 254 was then closed, and the committee also heard support from a representative of the pharmacist community, who said the association supports the bill. The committee then discussed a non-germane amendment to SB 254 dealing with FBI background checks for educational surrogate parents under the Department of Education. Representative Leyon explained that the amendment was requested by the Department of Education after the FBI rejected prior statutory language, and that the goal was to allow people serving as educational surrogate parents to complete FBI fingerprint-based background checks so they can perform their duties. Department of Education and Department of Safety staff testified that the amendment mirrors language that has worked in other education-related background check statutes, including provisions with specific disqualifying offenses tied to child safety, and that the FBI requires precise statutory language and direct transmission of records through the Department of Safety. Members questioned why the FBI’s approval was needed, whether individuals could simply provide their own records, and whether changing federal leadership could require future changes; witnesses said the state needs both state and national records, that records must come directly from the FBI through the Department of Safety, and that the language is intended to satisfy current federal requirements. During the discussion, some members expressed skepticism about the need for the amendment and about placing it on a bill about controlled substance inventories, but no vote was taken during the portion of the transcript provided. The committee also briefly discussed a separate bill on physician assistants/physician associates, with members noting that the proposed name change would not alter scope of practice and that some outside groups had raised concerns about transparency, but that discussion was interrupted and not concluded in the excerpt.