Video & Transcript : 'pharmaceutical compounding' :

Page 108 of 172
TX
Transcript Highlights:
  • And then when you compound it with the whole air of... ...this one.
  • And then when you compound it with the whole air of disconnect from communications, well, that's great
Keywords: 1185, senate, all
CA

California 2025-2026 Regular Session

Senate Environmental Quality Committee Apr 22nd, 2026

Environmental Quality

Transcript Highlights:
  • Winds carry hydrogen sulfide, volatile organic compounds, aerosolized pathogens, and other industrial
  • These challenges have been further compounded by federal actions under the Trump administration that
Summary: The committee heard presentations on several energy, environmental, and consumer protection bills while operating at times without a quorum. Senator McNerney presented SB 925, which would direct the California Energy Commission to develop a statewide roadmap for fusion energy, and SB 1350, which would expand the use of green hydrogen in the power sector by allowing renewable portfolio standard credit for power plants using hydrogen. Supporters said both bills would help California maintain leadership in emerging clean-energy industries, attract investment, and create jobs. Opponents of SB 1350 raised concerns about greenwashing, resource shuffling, and increased NOx emissions from hydrogen combustion, while supporters said committee amendments added guardrails against those outcomes. Senator Ashby presented SB 1010, a manufacturer-funded extended producer responsibility program for refrigerants in appliances; supporters said it would reduce greenhouse gas emissions and improve recovery, while opponents argued existing laws already regulate refrigerants and that the bill could raise costs and disrupt recycling markets. Senator Grayson presented SB 1145 to streamline CEQA and federal reuse procedures for qualifying projects in the Concord Reuse Project Area, which supporters said would help deliver long-planned housing, jobs, and open space, while one housing group sought stronger affordable-housing guarantees. Senator Cabaldon presented SB 1341, which would give CalRecycle authority to reduce processing fees for wine and spirits bag-in-a-box containers when fee collections exceed program needs; supporters said the current fee increase was abrupt and excessive, while opponents warned against giving the agency too much discretion. Senator Padilla presented SGR 13, urging the U.S. to secure enforceable commitments to eliminate transboundary sewage pollution in the Tijuana and New River watersheds during the 2026 USMCA review, and SB 1033, which would require testing and disclosure of heavy metals in protein products; SGR 13 drew strong support from border and environmental justice advocates, while SB 1033 drew support from consumer and health groups and opposition from industry groups concerned about labeling burdens and scope. Senator Caballero presented SB 1183, requiring a state study of the environmental, land-use, and economic impacts of industrial solar in the Central Valley; farm and land-use advocates supported the bill, while solar industry groups opposed unless amended, saying it should better reflect solar’s benefits and existing state analysis. After testimony, the committee took roll and adopted several measures on a 4-0 or 3-0 basis, with bills including SJR 13, SB 925, SB 1350, SB 1145, SB 1341, SB 1033, and SB 1010 advanced on call to Appropriations or, in the case of SB 1010, already voted with a 3-1 result before being held on call.
MO

Missouri 2026 Regular Session

General Laws Mar 11th, 2026

General Laws

Transcript Highlights:
  • I actually have one question real quick to kind of compound all this.
  • vitamin B is a lot of, in a lot of the energy drinks as well, and that can really hype people up and compounded
Summary: The Committee on General Laws met with a quorum and first went into executive session on House Bill 3088, where members discussed concerns raised by hospitals about proposed language changes. The bill sponsor said he was still working with hospitals and would continue to refine the measure, but several members objected to voting before seeing the revised language. HB 3088 was nevertheless voted do pass by an 8-4 vote. The committee then approved House Bill 2749 by an 8-4-1 vote, after which it moved into public hearing. The committee heard House Bill 2844, which would prohibit paraquat use in Missouri and require reporting related to its use. Representative Gallick said the bill was intended to be narrow and focused on paraquat’s toxicity and possible links to Parkinson’s disease. Supporters, including the Michael J. Fox Foundation, Missouri Coalition for the Environment, Sierra Club, and others, argued that paraquat is highly toxic, that research links exposure to increased Parkinson’s risk, and that many countries have banned it. Opponents from the Missouri Soybean Association, Missouri AgriBusiness Association, Missouri Farm Bureau, Missouri Corn Growers, and Missouri Pork Association said paraquat is a restricted-use pesticide already regulated under federal law, is important for weed control and crop production, and that a state ban would set a dangerous precedent and harm farmers. The committee took no final action on HB 2844 during the hearing. The committee also heard House Bill 1880, which would bar school districts and charter schools from selling beverages with more than 100 milligrams of caffeine per container to students. Representative Reuter said the bill was inspired by students from Seckman High School and cited concerns about adolescent caffeine consumption. Student witnesses described energy drink use at school, health effects such as anxiety, heart racing, dehydration, and sleep disruption, and said the bill would help reduce harmful habits. Several members supported the goal but suggested the threshold might be too high, that private schools receiving state scholarship funds should be included, and that school boards might be a better place to address the issue; others noted the bill lacked an enforcement provision. No vote was taken on HB 1880.
CA
Transcript Highlights:
  • The complexity of our work is further compounded by TRS implementation.
  • The complexity of our work is further compounded by TRS implementation.
Summary: The Assembly Budget Subcommittee on Human Services heard an informational hearing on child welfare, foster care, community care licensing, child support, and related budget issues. CDSS described the Governor’s proposed child and family services budget, emphasized a family-centered and kin-first approach, and reported that foster care entries and congregate care placements have declined over the past decade. Witnesses also highlighted the importance of extended foster care to age 21, while noting persistent racial disparities for Native American and Black children and the need for stronger prevention, family finding, and community-based supports. A major focus was the proposed tiered rate structure (TRS), which CDSS said would shift funding from placement-based rates to child-centered supports, including care and supervision, strength-building dollars, and immediate needs funding paired with high-fidelity wraparound services. CDSS and county representatives said implementation is on track, with foundational policy guidance expected by the end of the year, CANS/CFT timeliness targeted by year-end, and the CWS CARES system nearing go-live in October 2026. Counties and providers raised concerns about whether the rate model and wraparound capacity will be sufficient, especially for higher-acuity youth, and asked for more data, clearer guidance, and continued collaboration. County Welfare Directors Association representatives also requested continued emergency response funding and an extension of flexible family supports, arguing both are needed to stabilize front-end child welfare work and bridge to TRS. Providers from FFAs and STRTPs warned that insurance costs, provider closures, and the transition to TRS could threaten service capacity unless the state addresses long-term insurance and reimbursement issues. LAO noted the Governor’s budget contains no new child welfare augmentations and said the main General Fund change reflects the expiration of one-time funding. No votes were taken; members instead asked for follow-up data, technical assistance, and possible future legislative or trailer bill solutions, including on insurance and implementation timelines.
CA
Transcript Highlights:
  • The complexity of our work is further compounded by TRS implementation.
  • The complexity of our work is further compounded by TRS implementation.
Keywords: 988, house, all
MO

Missouri 2026 Regular Session

General Laws Mar 11th, 2026

General Laws

Transcript Highlights:
  • I actually have one question real quick to kind of compound all this.
  • know vitamin B is in a lot of the energy drinks as well, and that can really hype people up and, compounded
Keywords: 959, house, all
WA

Washington 2025-2026 Regular Session

Joint Transportation Committee Dec 3rd, 2025

Joint Transportation Committee

Transcript Highlights:
  • say at-berth emissions, we are referring to nitrogen oxides, particulate matter, reactive organic compounds
  • matter, reactive organic we are referring to nitrogen oxides, particulate matter, reactive organic compounds
Summary: The committee first heard a presentation from WSDOT on balancing uncertainty in capital program estimates and cash flow management. WSDOT explained the differences between design-bid-build and design-build delivery, its tiered risk-assessment process by project size, and how it uses base estimates, inflation, and risk modeling to set budgets. Staff said design-bid-build estimates are generally accurate within about 1% across the program, while design-build projects carry much wider uncertainty and are better communicated as ranges; they cited a P85 budget approach and noted that large, complex projects can be affected by market competition and long procurement timelines. Members asked about the Columbia River Bridge cost growth and about value engineering, and WSDOT said it uses value engineering but has limited scope to cut costs because of project requirements and policy mandates. Troy Swing also discussed cash flow, noting that a few large projects can significantly affect biennial funding needs, and said a risk pool would not reduce overall program risk but could help manage timing if paired with appropriation and cash-flow controls. The committee then received the final presentation in the WSDOT Project Delivery and Innovative Practices study from HKA Global. The consultant said WSDOT’s estimating practices are generally robust and recommended improving transparency by presenting budget authorizations as ranges or estimate classes, better tracking estimate growth over time, and adjusting advertisement timing to avoid competing lettings. The report also discussed surety bonding, suggesting the legislature consider restoring authority for reduced bonding on select large design-build projects or using phased bonding and alternative securities. On indefinite delivery/indefinite quantity contracting, the consultant said current job order contract rules are restrictive and recommended legislative changes to make such tools more usable, especially for smaller tasks and to help use unspent funds more flexibly. The committee also heard a follow-up presentation on transit-oriented development policy recommendations tied to HB 1491. The Urban Institute’s Yona Freemark said Washington has been a national leader on TOD but that housing construction, especially in the Puget Sound, has slowed sharply since 2022. He said rising construction costs, high financing costs, and local tax and rent conditions are making many TOD projects infeasible, and recommended that the state fill infrastructure funding gaps around stations, revisit MFTE affordability requirements, consider minimum rather than average density requirements near transit, and create a statewide system to track TOD outcomes such as affordability, gentrification, and transit access. Members questioned the study’s developer interviews, the role of rent control and crime, property tax assumptions, and parking needs; the presenter said the study included five private developers, that rent control was not part of the study scope, and that parking was included in the model assumptions. Finally, the committee began a presentation on regulating emissions from ocean-going vessels at berth. Staff and consultants described California-style at-berth rules, which require shore power or equivalent emissions controls so ships can shut off diesel auxiliary engines while docked. The study is examining vessel traffic, emissions reductions, implementation costs, labor and operational needs, and possible effects on port competitiveness and cargo diversion. No votes or formal actions were taken during the meeting.
KY
Transcript Highlights:
  • Uh, and it was a very volatile setting, and I feel that that's compounded around the state within our
  • Uh, and it was a very volatile setting, and I feel that that's compounded around the state within our
Summary: The committee met to hear updates from the Department of Juvenile Justice and the Department of Corrections on two related issues: a proposed high-acuity juvenile mental health treatment facility and medical services contracts, including the impact of Wellpath’s bankruptcy proceedings. At the start, the chair agreed to hear the Department of Corrections first so members could get context on the medical contract before turning to DJJ’s proposal. DOC officials said Wellpath, the department’s comprehensive medical and mental health provider since 2013, was awarded its current contract through a 2021 procurement process. They reported that Wellpath’s Chapter 11 reorganization plan had been confirmed and that the company had transitioned ownership to lenders, but had not yet fully completed the bankruptcy process. DOC said there had been no service lapses, no reduction in care, and no known impact on Kentucky vendors or hospitals, and that DOC staff meet with Wellpath almost weekly. Members asked whether the committee had been kept informed and whether the bankruptcy could affect future services or subcontractors. DJJ then presented its concept for a high-acuity facility, explaining that the project is still in the preliminary programming and conceptual stage and has not yet entered the formal design phase with DECA. Officials said the proposal in the capital plan would create a 24-bed facility, with 16 clinical beds and 8 assessment/stabilization beds, to serve justice-involved youth with serious mental health needs. They said the facility would need to separate males and females and high- and low-risk youth, and that current placements often require sending youth out of state to places such as Pennsylvania, Michigan, Georgia, Arkansas, and Texas. Staff said the goal is to centralize treatment, improve safety, and reduce the need for fragmented or out-of-state placements. Committee members questioned the cost estimates, staffing needs, and whether the facility was justified given the small number of youth currently placed out of state. DJJ said the operational estimate includes an unknown medical-contract component and that the number of youth needing the facility can fluctuate because of surges in the juvenile population. Officials also said they had consulted with South Carolina, which is developing a similar facility, and noted that renovating existing facilities was considered but could be more expensive or impractical than building a separate site. No votes or formal actions were taken during the discussion.
CA

California 2025-2026 Regular Session

Assembly Floor Session May 19th, 2025

California House Floor Meeting

Transcript Highlights:
  • Latina and Indigenous mothers also experience higher rates of postpartum depression, often compounded
  • This includes clinical trials for evaluating psychedelic compounds to treat opioid use disorders, traumatic
Summary: The Assembly met after a quorum call, prayer, and Pledge of Allegiance, then moved through a long Daily File with several guest introductions and floor speeches. Members recognized visiting student leaders, championship football teams from Tuolumne County, Alpha Kappa Alpha members at their Capitol day, and later a descendant of Wong Kim Ark. The chamber also adopted a procedural motion allowing certain members to host guests in the rear of the chamber. Among the major policy items, AB 578 on food delivery platform refund practices passed 47-2, AB 344 on successor beer manufacturer definitions passed 61-0, AB 454 to make California’s migratory bird protections permanent passed 55-12 on the urgency clause, AB 482 updating the Table Grape Commission passed 64-1, AB 1237 to support transit access for 2026 FIFA World Cup ticket holders passed 56-15 on the urgency clause, AB 738 on wildfire rebuild solar exemptions passed 42-2, AB 1460 on 340B pharmacy access for clinics passed 41-5, AB 750 on homeless shelter oversight passed 49-1, AB 1061 on housing in historic districts passed 41-13, AB 1523 on expanding mandatory mediation thresholds passed 65-0, and AB 316 on AI-related civil liability passed 56-0. AB 761 authorizing the Monterey-Salinas Transit District to seek a sales tax ballot measure passed 47-12. The chamber also adopted several resolutions. AJR 3 urging protection of Social Security, Medicare, and Medicaid passed 53-2 after extensive debate that included criticism of federal cuts and counterarguments focused on state Medi-Cal policy and budget decisions. ACR 65 proclaiming California Tourism Month was adopted by voice vote after coauthors were added, and ACR 62 recognizing California Nonprofits Day was also adopted by voice vote with 65 coauthors. AJR 5 affirming birthright citizenship and opposing efforts to end it passed 58-1 after a lengthy, highly partisan debate centered on the 14th Amendment and the Wong Kim Ark precedent. The session also included passage of AB 571, a CEQA exemption for the Southern California Veterans Cemetery at Gypsum Canyon, which was presented as a long-running bipartisan effort to create a final resting place for Orange County veterans.
CA
Transcript Highlights:
  • But I just wanted to quickly flag for some issues I have seen in the May Revision, which compound some
  • We recognize these are challenging fiscal situation and given the compounding at the federal level, and
Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.
CA
Transcript Highlights:
  • good because it allows, again, capacity to staff these collaborations that have ripple effects and compounding
  • good because it allows, again, capacity to staff these collaborations that have ripple effects and compounding
Summary: The hearing focused on California wildfire resilience, with the first panel discussing statewide funding, policy, and strategic priorities, and the second panel shifting to home hardening and defensible space. The LAO outlined the state’s wildfire risk, the large increase in resilience spending in recent years, and the fact that most funding has been one-time rather than ongoing. Testimony emphasized that wildfire risk varies greatly by region, that the state must balance response spending with prevention, and that success should be measured more carefully than by acres treated alone. Witnesses also noted the importance of local, federal, utility, and Proposition 4 funding sources, as well as the need for long-term maintenance and strategic prioritization rather than scattered projects. Cal Fire leadership and other witnesses stressed that California’s wildfire problem is not uniform: forested areas, chaparral, and wildland-urban interface communities require different strategies. In Northern California and forested watersheds, speakers emphasized fuels reduction, prescribed and cultural burning, strategic fuel breaks, watershed protection, and maintaining forest health. In Southern California, testimony focused on wind-driven fires, ember intrusion, ignition prevention along roads and power lines, and the limits of large-scale vegetation clearing. Several witnesses argued that the state should invest where it can leverage local and regional partnerships, support capacity-building programs like Regional Forest and Fire Capacity, and improve data systems to track treatment effectiveness and project outcomes. Members repeatedly pressed witnesses on how to prioritize limited funds, asking what should be done more of, less of, and first. The chair argued that protecting homes and communities through hardening and defensible space should be a major priority, especially near structures, while also acknowledging the need for broader landscape work and watershed protection. There was discussion of incentives such as insurance discounts, property tax treatment, and community certification for hardened homes, along with the need for multiple payers rather than relying on the state alone. Cal Fire reported new and expanding data tools, including treatment trackers, defensible space inspection dashboards, and a fuels treatment effectiveness program that evaluates whether nearby treatments affected wildfire behavior. No votes were taken because the hearing was informational only.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Thursday, June 5, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • many grad students, of programs, innovations, but also concerningly we are starting to see the compounding
  • many grad students, of programs, innovations, but also concerningly we are starting to see the compounding
  • many grad students, of programs, innovations, but also concerningly we are starting to see the compounding
  • </c><08:27:49.440><c> to</c><08:27:49.680><c> see</c><08:27:50.318><c> the</c><08:27:50.638><c> compounding
  • </c> are starting to see the compounding are starting to see the compounding effects<08:27:51.600><c>
NH

New Hampshire 2026 Regular Session

House Health, Human Services and Elderly Affairs (02/24/2026)

Health, Human Services and Elderly Affairs

Transcript Highlights:
  • Iberane comes from a Central African shrub, and it's a psychoactive compound that has long been used
  • It's a psychoactive compound. As I said at the very top, it's from a central African shrub.
  • background that can better explain what it means to be a psychoactive compound.
  • It's a psychoactive compound.
  • So a psychoactive compound obviously has affects the psyche, not totally unlike a psilocybin thing.
Keywords: 928, house, all
Summary: The House Committee on Health, Human Services, and Elderly Affairs heard HB 1790-FN, which would address involuntary admissions for certain individuals with a substance use disorder. Representative Lucy Weber introduced the bill for Representative Long, and the committee heard extensive testimony both in support of and in opposition to the proposal. Opponents, including John Burns of SOS Recovery and Jake Barry of New Futures, argued that involuntary commitment is not well supported by research, can retraumatize people, may increase overdose risk after release, and could undermine New Hampshire’s existing recovery and harm-reduction efforts. They emphasized that treatment should be voluntary, trauma-informed, and paired with housing, recovery supports, and other community-based services. Representative Long said he was willing to accept DHHS’s request to amend the bill into a study commission, though he expressed concern that a prior state study had not led to action. He said the commission should focus on implementation details, including where people would be placed, staffing, withdrawal management, elopement prevention, length of commitment, and aftercare. He described involuntary commitment as one tool for people with severe dangerous addictions, distinct from drug court, and said it could help avoid criminal records. Committee members asked about capacity at New Hampshire Hospital and how the proposal would work in practice. DHHS officials Katya Fox and Cynthia Pabonis testified that the bill raises major policy and fiscal concerns. They said New Hampshire’s current system has benefited from investments in naloxone, medication-assisted treatment, recovery centers, and community-based services, and that those investments have helped reduce overdose deaths. They estimated the bill would require a new 70-bed facility costing about $40 million to build and about $33.3 million annually to operate, with only a small portion offset by insurance, plus more than $600,000 in annual legal costs and additional staffing and system changes. They also said New Hampshire Hospital has 185 beds, with about 100 patients typically ready for less restrictive settings, and that housing shortages are a major bottleneck. NAMI New Hampshire also testified in opposition, saying families often want any possible treatment for loved ones but still opposed the bill. No vote or final action was taken in the hearing.
NH
Transcript Highlights:
  • This trash these days is full of volatile organic chemicals or compounds, excuse me, toxic chemicals,
  • Representative Terry Spar: This trash these days is full of volatile organic chemicals or compounds,
  • There were 19 wells that had a total of 107 different PFAS compounds detected.
  • </c><04:37:11.840><c> in</c> same four to five posos compounds in same four to five posos compounds in
  • EPA deemed that a hazardous compound last April.
Keywords: 928, house, all
Summary: The Environment and Agriculture Committee held a hearing on HB 566, which would require permit applications for new landfills to include a detailed leachate management plan. Representative German introduced the bill and explained that it was prompted by recent reporting on leachate management problems at New Hampshire landfills, including alleged violations and deficiency letters from DES. He said the bill was intended to address public health concerns, PFAS contamination, and increased leachate volumes tied to more severe rainstorms, while still allowing innovation in treatment and transportation methods. He also described a set of proposed amendments developed after discussions with DES and a landfill operator, including changing “permit for construction” to “operating approval,” applying the bill to landfill expansions, moving contract-related language into the planning section, and removing a proposed new subparagraph. Committee members asked whether the bill would limit operator flexibility or duplicate existing DES rules. Representative German said the bill would not dictate specific treatment methods or lock operators into long-term contracts, but would require a plan showing how leachate will be managed, transported, and disposed of, with later contract changes reported to DES. Several members and the BIA representative questioned whether the bill was necessary given existing Env 806 rules and DES enforcement authority. The Business and Industry Association opposed the bill as introduced, arguing that DES already has rules and technical expertise, that the issue is better handled through rulemaking, and that moving requirements into statute could freeze the framework and make future adjustments harder. Supporters countered that a statute would provide a stronger, more durable policy commitment in response to ongoing problems. No vote or final committee action was taken during the hearing. The discussion ended with the bill still under consideration and with the sponsor indicating that a revised amendment would likely be brought forward for later work session or executive session review.
NJ

New Jersey 2026-2027 Regular Session

Senate Budget and Appropriations Jun 28th, 2026

Senate Budget and Appropriations

Transcript Highlights:
  • City is a consortium including the Jersey City Science Center; there are hospitals in there, pharmaceuticals
Keywords: 1146, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Cannabis Policy Jun 21st, 2026 at 10:30 am

Joint Committee on Cannabis Policy

Transcript Highlights:
  • One to 2% is applicable for things like the pharmaceutical industry.
Keywords: 995, all
Summary: The Joint Committee on Cannabis Policy held its fourth hearing, with opening remarks from Senate Chair Adam Gómez and House Chair Dan Donahue emphasizing the committee’s broad agenda, including retail modernization, labor protections, advertising rules, sustainability, and financial resources. Testimony began with public health advocates supporting H.157/S.9 to ban cannabis billboard advertising, arguing that billboards normalize use for youth and are linked to cannabis-related harms such as psychosis, addiction, and cannabinoid hyperemesis syndrome. Witnesses cited research, family stories, and court decisions in Mississippi and Virginia upholding similar restrictions, while committee members questioned the scope of the state’s authority to regulate billboards on private property and the relevance of federal highway funding and federal cannabis law. The committee also heard testimony on H.175, a proposal to allow cannabis drive-through sales. A dispensary operator argued drive-throughs would improve access, especially for disabled customers and veterans, and said security and ID checks could be handled with cameras and staff screening. Committee members pressed him on how employees would assess impairment, whether drive-throughs could increase access for minors, and whether the industry should be treated like alcohol, with the witness responding that staff already refuse service to intoxicated customers and that education, not prohibition, is the better approach. Another bill, H.3982, would apply the bottle deposit law to carbonated hemp- or THC-infused beverages; the sponsor said the measure would standardize recycling requirements for products already sold in dispensaries and other markets, and members asked about container types and recycling compatibility. A major portion of the hearing focused on labor peace agreements, with UFCW representatives, cannabis workers, and Sen. Lydia Edwards supporting S.77/H.161. They said the bill would require cannabis businesses to remain neutral when workers seek to organize, arguing that unions improve safety, wages, benefits, and job stability in an industry they described as underregulated and prone to retaliation. Witnesses cited workplace hazards, wage theft, and the death of a worker at a Holyoke facility as examples of why stronger worker protections are needed. Committee members asked how the proposal differs from existing labor law, whether tying LPAs to licensing and renewal could create legal or administrative problems, and how other states handle similar requirements. No votes or final actions were taken during the hearing.
OR
Transcript Highlights:
  • come up a lot is physician-administered drugs tend to be under physician and professional, while pharmaceuticals
Keywords: 907, all
Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.
MO

Missouri 2026 Regular Session

Budget Feb 16th, 2026 at 12:00 pm

Budget

Transcript Highlights:
  • This is in addition to that for API, the active pharmaceutical agreement.
Keywords: 959, house, all
OK
Transcript Highlights:
  • The expansion of the OSU Medical Center will include pharmaceutical research laboratories, new ORs, and
Summary: The subcommittee heard budget presentations and questions from several health and human services agencies, with members repeatedly emphasizing that agency numbers had been posted since October and that questioning should stay focused and brief. The Office of Juvenile Affairs said its $5.45 million request would support 162 employees receiving a pay adjustment, and members asked about juvenile care conditions and staffing. The Department of Human Services discussed major changes to child care subsidy funding, including a reduced subsidy request, a $11.5 million child care teacher recruitment/retention request, and planned eligibility and reimbursement changes; it also reviewed SNAP administrative cost shifts under federal law, the state’s SNAP error rate, and the risk of large future state costs if the error rate is not reduced. DHS also addressed TANF reserves, the DDS waiver wait list, the Greer Center buildout, the Advantage waiver supplemental, and meal service options for waiver members. OCCY described a largely personnel-driven budget, requests for more oversight staff, and workload pressures in juvenile competency evaluations. The Office of Disability Concerns reported a flat budget and said it relies mainly on mediation and informal resolution rather than enforcement. OSU Medical Authority said its Tulsa expansion, VA skybridge, and c-section suites remain on schedule, that psychiatric residency funding is being phased in over several years, and that it is working to reduce contract labor and evaluate service lines. J.D. McCarty Center reported its new ABA outpatient clinic is on time and on budget and is nearing full capacity. OMMA said its lab is following required standards, its FTE count is below budgeted levels because hiring depends on lab accreditation and other unknowns, and dispensary numbers continue to decline as the market matures. Oklahoma Rehabilitation Services said it needs about $1.4 million to avoid a maintenance-of-effort penalty and discussed aging campus capital needs and staffing vacancies. The Oklahoma Health Care Authority then outlined a very large budget requirement driven by utilization growth and the shift to value-based care, saying FY26 is currently stable but FY27 would likely require additional appropriations if the request is not fully funded.