Transcript Highlights:

• And the same<00:52:00.079> with<00:52:00.559> uh<00:52:01.160> pharmacists<00:52
• > a pharmacist, never has a pharmacist, never has a doctor<01:00:20.160> not<01:00:20.480
• <01:07:37.680> to in here to uh protect the pharmacist to in here to uh protect the pharmacist
• Um, and there's no other reimbursement for pharmacist time.
• other reimbursement for pharmacist time. other reimbursement for pharmacist time.

Keywords: 1189, house, all

Transcript Highlights:

• I'm the director of government affairs at the Kentucky Pharmacist Association.
• affairs at the Kentucky Pharmacist affairs at the Kentucky Pharmacist Association.
• > like<01:05:19.760> other ensures that pharmacists, like other ensures that pharmacists,
• pharmacists currently practicing across Kentucky in 119 of our 120 counties, as was noted.
• <01:08:31.440> scope services already within pharmacist scope services already within pharmacist

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.

Transcript Highlights:

• that the pharmacist whether they do<00:27:40.080> it<00:27:40.240> or<00:27:40.400>
• So they go to a physician, they don't like what they hear, they can go to a pharmacist and have them
• So they go to a physician, they don't like what they hear, they can go to a pharmacist and have them
• So they go to a physician, they don't like what they hear, they can go to a pharmacist and have them
• Pharmacists to be used as a second opinion for a physician.

Keywords: 1191, senate, all

Transcript Highlights:

• House Bill 1135, Health Occupations, Pharmacist Vaccination Orders.
• So, when a pharmacist prescribes Sure.
• The problem is if it's the pharmacist ordering it, the pharmacist is putting my name in ImmuNet saying
• <01:07:17.400> is problem is if it's the pharmacist is problem is if it's the pharmacist is
• > is<01:07:18.840> putting ordering it, the pharmacist is putting ordering it, the pharmacist

Keywords: House streaming session for Saturday, March 21, 2026, 957, house, all

Summary: The House convened with 126 members present, heard the prayer, approved the previous day’s journal, and then took up a series of Senate messages and committee reports. Senate bills on consent calendars 21 and 22 were read the first time and referred to committees. The House then adopted favorable reports, often without amendment, on a wide range of bills including workers’ compensation evaluation procedures (HB 1325), a state shark designation (HB 97), several local alcoholic beverages measures, commemorative months for Muslim American Heritage and Jewish American Heritage (HB 661), and local license commissioner changes in Anne Arundel, Worcester, Harford, Baltimore City, and Prince George’s counties. Several bills were amended before being ordered printed for third reading. HB 121 (Baltimore County alcohol sales) was amended to change the sponsor to the Baltimore County delegation. HB 1335 on Department of Information Technology workforce recruitment and retention was amended to convert the measure into a study and recommendations report. HB 1037 on PSC oversight of broadband and VoIP was similarly amended from direct oversight to a study and report. HB 1164 on water and sewage rate consolidation and limited-income mechanisms was amended to remove rate-consolidation provisions, require a PSC study, and delay implementation. HB 1381 on stopping or parking in bike lanes added exceptions for emergency, transit, disability pickup/drop-off, disabled vehicles, loading/unloading, and construction or maintenance; HB 1504 prioritized sidewalk and bicycle pathway projects near highways with complete streets or Vision Zero policies; HB 912 adjusted community cat trap-neuter-return rules; and HB 969 clarified electric vehicle charging billing and service fees. The most extended debate centered on HB 639, the Transportation Aviation Passenger Health and Safety Act. After amendments turned it into a reporting measure for fixed-base operators and aviation service companies regarding flights carrying detained individuals, warrants, refueling, and emergency-response documentation, members questioned its practical operation, safety implications, and possible federal preemption issues. The floor leader explained the bill as amended was intended to gather information for Maryland safety and emergency planning. On motion of the committee chair, the House agreed to special order HB 639 until the end of the session for further clarification. The House also amended and advanced HB 1063 on hunting management, including deer damage permits and Sunday hunting rules, and heard a brief statement from an Eastern Shore delegate about the Rural Caucus’s approach to offering amendments rather than opposing bills outright. The session ended with HB 972, creating the Maryland Fair and Agricultural Education Promise Fund, amended to rename the bill in honor of the late Delegate Charles Otto and to replace lottery funding with an annual appropriation; the House adopted the amendments and the favorable report.

Transcript Highlights:

• This approach aligns with chapter 461, which establishes that pharmacists must operate under pharmacist
• This approach aligns with chapter 461, which establishes that pharmacists must operate under pharmacist
• This approach aligns with chapter 461, which establishes that pharmacists must operate under pharmacist
• This approach aligns with chapter 461, which establishes that pharmacists must operate under pharmacist
• <00:25:57.679> control must operate under pharmacist control must operate under pharmacist

Keywords: 912, senate, all

Summary: The joint HHS and LBT meeting opened with accessibility concerns, as several blind attendees arrived after the general public had already been seated. The chair apologized and said future hearings would try to seat blind members earlier. The committee also announced the hearing was being streamed on YouTube, testimony would be limited to one minute, and written testimony was available online. The first bill heard was SB 2281, relating to the use of artificial intelligence in healthcare. The Department of Health supported transparency for patients but preferred disclosure through provider websites and office signage rather than a new regulatory program. The Hawaii Medical Association and Healthcare Association of Hawaii generally supported the bill’s intent but raised concerns about administrative burden and suggested a working group or model policies. Hawaii Pacific Health said it already uses AI for note-taking and patient portal functions and worried that written notice requirements could create too much consumer information. In response, the chair emphasized that patients should be informed when AI is used, especially if it affects diagnosis or consequential decisions, and said AI should not be making medical decisions. The committee later voted to recommend SB 2281 pass with amendments, including narrowing the definition of consequential decisions, removing certain language requested by DOH, adding a two-year implementation period, and setting a far-future defective date for further discussion; both committees adopted the recommendation, with the chair voting aye and the vice chair voting with reservations. The second major bill was SB 2852, a civil rights measure focused on digital access for people with disabilities. The Hawaii State Council on Developmental Disabilities, Hawaii Civil Rights Commission, Hawaii Disability Rights Center, and the National Federation of the Blind of Hawaii all supported the bill, arguing that existing law clearly protects physical access but should also make digital access explicit. Blind testifiers described how accessible technology, such as VoiceOver on iPhones, allows them to participate independently in public processes and warned that inaccessible digital systems can create barriers for thousands of blind residents. One testifier, an attorney with disability-law experience, supported the bill’s intent but said the draft had flaws, including no exceptions for archived materials, no distinction between small and large businesses, and concerns about the timing and choice of accessibility standards; he suggested delegating regulatory authority to the Hawaii Civil Rights Commission. The bill’s sponsor said he supported DAB’s proposed amendments, and the committee indicated those amendments would address many of the concerns raised. No final vote on SB 2852 was taken in the portion provided. The committee then took up SB 2751, which defines compounded prescription drugs for workers’ compensation purposes. The Department of Labor and Industrial Relations supported the bill but requested clarifying amendments to keep pharmacists as the primary professionals authorized to compound in licensed pharmacies and to limit any physician compounding authority to the physician’s own patient. Supporters included the Work Injury Medical Association of Hawaii, while Solera Integrated Medical Solutions opposed the measure, arguing the current definition was already broad enough and warning about cost inflation, especially with 503B bulk compounding facilities and physician dispensing. In questioning, members asked about rural access, reimbursement for 503B products, and late testimony suggesting definitions for 503A and 503B facilities, limits on physician dispensing to 30 days post-injury, and pre-approval for non-FDA-approved drugs. DLIR said not every rural community has licensed pharmacists available, that products with a national drug code are reimbursed at 140%, and that 503B facilities raise concerns because they are bulk manufacturers rather than patient-specific compounding operations. The meeting then moved into decision-making on SB 2281; the chair’s pass-with-amendments recommendation was adopted by both committees, with the vice chair voting with reservations.

Transcript Highlights:

• Cory Sanders, Hawaii Pharmacists Association in support. Good afternoon, Chair.
• Cory Sanders, executive director of the Hawaii Pharmacists Association.
• Sanders, Hawaii Pharmacists Cory Sanders, Hawaii Pharmacists Association<00:05:21.360> in<00:05
• We're okay with Pharmacists Association.
• Cory Sanders, executive director of the Hawaii Pharmacists Association.

Keywords: 912, senate, all

Summary: The Health and Human Services committee hearing opened with notice that the meeting was being streamed and could reconvene later if technical problems forced an abrupt end. The chair also announced a one-minute testimony limit and proceeded through several bills, taking mostly written and oral support testimony and asking limited questions. No votes were taken in the portion provided. HB 1626, relating to youth penalties, drew strong support from the Office of Hawaiian Affairs, youth advocates, the ACLU, the Department of Education, and others. Testifiers said financial sanctions on youth are ineffective, disproportionately burden Native Hawaiian youth, and function as poverty penalties; they urged replacing fines with community service, restorative practices, and ʻāina-based programs, and eliminating uncollectible legacy debt. The chair moved on after no member questions. HB 1643, relating to pharmacy, was discussed with support from the Hawaii Pharmacists Association, Kaiser, the Board of Pharmacy, independent pharmacies, and PBM representatives. Testimony focused on amendment language, audit procedures, HIPAA concerns, and the need for flexibility for small island pharmacies. HB 1668, relating to Medicaid, received broad support from disability advocates and the Department of Human Services; witnesses said CMS had already approved the underlying state plan amendment removing income and asset limits for certain workers with disabilities, but they wanted the protection codified in law to preserve it long term. The chair asked whether codification was necessary and was told it would not be harmful and would help ensure continuity if federal policy changed. The committee then heard HB 1550 on drug paraphernalia and syringe access, with support from Shipta and the Department of Health; testimony emphasized preserving flexibility for the statewide syringe access program to respond to emerging drugs like xylazine. HB 1974, relating to health, was presented as a planning measure for hearing loss; testifiers said Hawaii lacks a comprehensive hearing-loss plan and that the bill would fund a state planning process, not direct services. HB 1858 on vital statistics drew support from clinicians and medical organizations, who said better data on spontaneous fetal deaths is needed and that the term used in the bill is standard medical and CDC terminology. HB 1871 and HB 1966 also received support, with HB 1966’s EMS special fund prompting discussion about the cigarette-tax revenue source; the chair questioned the nexus to EMS, and the Department of Health said the revenue currently funds the special fund and there is no alternative funding stream.

Transcript Highlights:

• I am a pharmacist and third-generation owner of Sterling Pharmacy.
• I'm here today representing Minnesota independent pharmacists in support of House File 1100.
• I am a pharmacist and the current owner of St. Paul Corner Drug, located at Snelling and St.
• <00:53:07.799> in of the other independent pharmacists in of the other independent pharmacists
• I mean, these pharmacists in these small local pharmacies, they're not just a pharmacist, right?

Keywords: 1183, house

Transcript Highlights:

• Finally, the proposed legislation authorizes pharmacists to provide ivermectin behind the counter for
• Also, immunity from liability is included for pharmacists and other health care providers who provide
• who would provide that..." "...for pharmacists who would provide that.
• This will just make it available what's called behind the counter if they approach the pharmacist.
• Information by the pharmacist before they would be getting that from behind the counter if they're 18

Summary: The committee first took up CS for SB 896 on school safety, which would expand the Guardian program to public postsecondary institutions, require active assailant response plans and threat management protocols, improve reporting and information sharing, and make it a felony to discharge a weapon within 1,000 feet of a campus. A late-file amendment by Senator Polsky was adopted to clarify that students who are also employees or faculty at a public postsecondary institution are not eligible for the Guardian program. The bill drew strong opposition from faculty, students, and gun-safety advocates who argued that more guns on campus would create confusion, weaken safety, and undermine campus police; supporters said trained guardians would improve deterrence and protection. After debate, the committee reported the bill favorably by a roll call vote. The committee then considered SB 1690 on child care and early learning services, which updates child care laws, reduces some regulatory burdens, and expands the Florida Education Foundation’s authority to fundraise for early learning from birth through VPK. Members discussed oversight of the related direct-support organization and the removal of certain notice requirements, while supporters from Moms Rising and other advocates said the bill would help families access affordable, high-quality child care and support home-based providers. One opponent argued the bill added more government regulation, but the committee adopted the amendment and reported the bill favorably. Next, the committee passed CS for SB 118, a narrow bill on non-ad valorem special assessments for recreational vehicle parks, clarifying how assessments are calculated for RV spaces and campsites. The bill received supportive comments from RV advocates and was reported favorably without controversy. The committee then took up CS for SB 1220, the Department of Transportation package, which included provisions on seaports and airports, personal delivery devices, autonomous vehicles, broadband and utility permitting, and advanced air mobility. Amendments were adopted that revised research institute membership, limited some delivery-device provisions, and clarified cruiser light rules for law enforcement; after questions about utility preemption and PDD safety, the bill was reported favorably. Finally, the committee began hearing SB 1756 on medical freedom, which would require new vaccine educational materials, expand school-entry exemptions to include conscience-based objections, limit the Surgeon General’s emergency vaccination authority, and allow behind-the-counter ivermectin for adults with written information and liability protections. The bill drew extensive testimony from both supporters and opponents, with supporters emphasizing parental rights, informed consent, and vaccine injury concerns, and opponents warning about reduced immunization rates, public health risks, and the appropriateness of ivermectin provisions. The transcript ends during public testimony and debate on SB 1756, before final action on that bill is shown.

Transcript Highlights:

• Finally, the proposed legislation authorizes pharmacists to provide ivermectin behind the counter for
• Also, immunity from liability is included for pharmacists and other health care providers who provide
• also the encouragement... ...policy would be that information would have to be provided by that pharmacist
• This will just make it available what's called behind the counter if they approach the pharmacist.
• Again, they'd be provided with information by the pharmacist before they would be getting that from behind

Bills: S0118, S0896, S1690, S1756

Keywords: recreational vehicle parks, special assessments, property tax, occupancy rates, commercial assessment, school safety, guardian program, firearms, crimes near schools, security assessments, public postsecondary education, medical freedom, vaccination, ivermectin, healthcare practitioner liability, immunization exemptions

Summary: The committee first took up CS for SB 896, a school safety bill expanding the Guardian program to public postsecondary institutions. The bill requires active assailant response plans, security risk assessments, threat-management protocols, use of the suspicious activity reporting tool, and allows voluntary participation in Guardian for colleges and universities. A late-file amendment by Senator Polsky was adopted to clarify that students who are also employees or faculty are not eligible for Guardian. Members debated campus carry concerns, storage of firearms, and whether the bill could lead to broader gun access on campuses. Several faculty and gun-safety advocates testified against the bill, while supporters argued trained guardians can deter violence. The committee reported the bill favorably by roll call vote. The committee then approved CS for CS for CS for SB 1690 on child care and early learning services. The bill updates child care laws, clarifies regulations, and reduces overregulation of before- and after-school programs. An amendment expanded authority for the Florida Education Foundation to fundraise for early learning from birth to VPK. Testimony was largely supportive, emphasizing affordability, access to quality child care, and relief for working families, though one speaker opposed the bill as an expansion of government. The bill was reported favorably. Next, the committee passed CS for CS for SB 118, which clarifies how non-ad valorem special assessments are applied to recreational vehicle parks and limits the square footage used for assessment purposes to the maximum size of an RV space. The committee also approved CS for CS for SB 1220, the Department of Transportation package, which addresses seaport and airport planning, personal delivery devices, autonomous vehicles, advanced air mobility, toll programming, and other transportation-related changes. Amendments modified provisions on personal delivery devices, utility permits, autonomous vehicle penalties, and law-enforcement cruiser lights. Both bills were reported favorably. Finally, the committee began hearing SB 1756, the medical freedom bill, which proposes new vaccine information requirements, conscience-based school immunization exemptions, limits on compelled vaccination during public health emergencies, and behind-the-counter access to ivermectin for adults. The sponsor and supporters framed the bill as strengthening informed consent and parental rights, while opponents and some senators raised concerns about vaccine hesitancy, herd immunity, and the inclusion of ivermectin. Public testimony was extensive and sharply divided. The transcript ends during continued testimony and debate on SB 1756, before a final vote is taken.

Transcript Highlights:

• great deal of pleasure, they're welcome to the House today: Jared Heise, who is a clinical liaison pharmacist
• For those pharmacists that stuck around, if you please would rise, I want to welcome the pharmacists,
• Pharmacists are some of the closest and most accessible health care providers for Arizonans and are grateful
• up to 54% of physicians, 68% of nurses, 60% of medical students and residents, and 61 to 75% of pharmacists
• have symptoms of burnout. 61 to 75% of pharmacists have symptoms of burnout, which is high emotional

Keywords: 1182, all

Transcript Highlights:

• ,<00:38:01.440> pharmacy<00:38:01.839> techs<00:38:02.480> employees, pharmacists
• A pharmacist could refuse to provide HIV prevention drugs.
• A pharmacist could refuse to provide HIV prevention drugs.
• <00:40:49.599> A<00:40:49.839> pharmacist mother, single mother.
• A pharmacist mother, single mother.

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum and first moved through administrative regulations without comment. The committee then heard Senate Bill 56, sponsored by Senator Gerald Neal, which would require Medicaid and its managed care entities to treat non-opioid pain medications on equal footing with opioid analgesics by prohibiting more restrictive coverage controls, prior authorization, or step therapy for non-opioids. Neal argued the bill would improve access to safer pain treatment options and reduce the risk of opioid use disorder, and Billy O'Brien of Young People in Recovery testified in support, describing personal experiences where non-opioid options were difficult to obtain despite a desire to avoid opioids. After discussion, the bill received a motion and second and passed the committee on a 10-0 vote. The committee then took up Senate Bill 72, sponsored by Senator Don Douglas and presented with Greg Chaffin of Alliance Defending Freedom. Douglas described the bill as a provider recruitment and retention measure intended to protect health care workers from being compelled to act against their conscience and to address workforce shortages and pressure in health care settings. He said the bill would protect individual beliefs while maintaining professionalism. A large number of witnesses then testified, and the chair limited public comments to two minutes each because of the number of speakers and the controversy surrounding the bill. Most public testimony opposed SB 72. Speakers including representatives of the Kentucky Council of Churches, a psychologist, an ordained minister and nurse, a nurse practitioner, and an ACLU policy strategist argued the bill was overly broad, could allow refusals of care by a wide range of health care workers, and could delay or deny treatment, especially for vulnerable patients and in rural or emergency settings. Several cited concerns about discrimination, patient safety, and the lack of adequate protections for patients. One witness recounted the death of an 18-year-old pregnant patient as an example of the harm that can result from delayed care. The transcript ends during additional testimony on SB 72, before any committee vote or final action on that bill is shown.

Transcript Highlights:

• Years ago, I had a pharmacist refuse to fill Plan B for my patient when it was a prescription.
• This could happen all the time now if passed, especially with the shortage of pharmacists and reduced
• and reduced Pharmacy hours Pharmacists and reduced Pharmacy hours this<00:25:23.640> bill<00:
• puts a SP patient in an pharmacist puts a SP patient in an unsafe<00:26:54.240> situation<00:
• <00:32:26.039> could denied treatment a pharmacist could denied treatment a pharmacist could

Keywords: Discussion on SB 132 - 00:06 Vote on SB 132 - 04:41 Discussion on HB 219 - 43:49 Vote on HB 219 – 49:00 Discussion on HCR 20 – 50:08 Vote on HCR 20 – 51:28, 958, all

Summary: The committee heard testimony on Senate Bill 132, which would create conscience protections for health care professionals who object to participating in certain procedures or services on religious, moral, or ethical grounds. Senator Donald Douglas and several supporters argued the bill is a recruitment and retention tool for Kentucky’s health care workforce, emphasizing provider shortages, maldistribution, and the need to protect individual conscience rights. Supporters said the bill would not apply to emergency care, would not permit denial of care based on a patient’s identity, and would mainly protect professionals from being forced to perform procedures they believe are unethical. They also cited similar laws in six other states and said the bill would have a cause of action to give it enforcement teeth. Supportive testimony came from an emergency physician, a registered nurse, and others who described personal experiences or examples involving objections to abortion-related care, opioid prescribing, and pressure to participate in procedures that conflicted with conscience. They said conscience protections would help attract providers, preserve ethical integrity, and allow clinicians to make professional judgments without corporate or institutional coercion. In questioning, senators asked about practical examples, the scope of the bill, whether it would cover hypothetical cases involving patients of particular religions or identities, and which states have similar laws. The sponsor and supporters repeatedly said the bill is about procedures, not patients, and that it should not be read to allow discrimination against individuals. Opponents, including pediatricians and a registered nurse/minister, warned that the bill is overly broad and could allow refusals of care by not only physicians but also pharmacists, clerks, and ambulance drivers. They argued it could delay treatment, increase discrimination, and worsen access problems in rural areas, especially for contraception, Plan B, blood transfusions, and other services. Critics said existing professional ethics already require patient care and that the bill could undermine evidence-based medicine and worsen Kentucky’s provider shortage. The committee took testimony and questions; no final vote or disposition was announced in the portion provided.

Transcript Highlights:

• . >> Hey, I'm Anna Catherine Lambert and I'm a pharmacist with the Mississippi State Department of Health
• Even a pharmacist has trouble pronouncing all these.
• 00:03:01.800> tazenes,<00:03:02.440> even<00:03:02.640> a<00:03:02.680> pharmacist
• <00:03:03.120> has the tazenes, even a pharmacist has the tazenes, even a pharmacist has trouble

Keywords: Drug Policy - Room 409, 26 February, 2026; 2:30 P.M., 925, all

Summary: The Senate Drug Policy Committee met to consider two bills. For House Bill 417, which updates the Uniform Controlled Substances Act by adding substances to Schedule I, committee counsel explained that a strike-all was needed because the House version relied on outdated correspondence. Anna Catherine Lambert of the Mississippi State Department of Health said the department updates the language each year by matching Mississippi law to the DEA’s Federal Register, including salts, isomers, and related forms of newly scheduled substances. She noted the additions largely fall into three broad categories, including fentanyl derivatives, phenidates, and tazenes. Senators asked about the number of compounds and the need to list each derivative form. The committee moved to adopt the strike-all and then the title sufficient do pass strike-all, and the bill was reported. The committee then took up House Bill 563, which would allow Mississippi law to conform automatically if psilocybin is scheduled by the federal government before the next legislative session. The chair described psilocybin as a mushroom-derived compound being studied in clinical trials for treatment-resistant depression, and noted that an email from Veterans Exploring Treatment Options supported the legislation. Members discussed that the bill would prevent delay if federal scheduling occurs and asked about the conditions for which the substance might be used; the response mentioned treatment-resistant depression, traumatic brain injury, substance use disorder, and other mental health indications. Senator Blackmon made a lighthearted comment about possible amendments, but no amendments were adopted. The committee approved the motion for title sufficient to pass, and House Bill 563 was reported.

Transcript Highlights:

• And this one talks about prescriptive authority for pharmacists and therapeutic substitution.
• This one talks about prescriptive authority for pharmacists and therapeutic substitution.
• in place for some time, which means that a limited number of treatments would be possible for a pharmacist
• brought up the fact that it would be better to have exclusions for the list of things that the pharmacist
• very difficult to have a complete list of inclusions, but you could specifically exclude ones that pharmacists

Keywords: 908, all

Summary: The Health Care Task Force reconvened to hear reports from its divisions. The Appropriations Division reviewed a draft bill appropriating $198 million in federal grant funds for the current year and another $198 million for the next grant year, authorizing DHS to transfer funds within its budget, allowing OMB to adjust federal fund authority for related grants, speeding procurement and bulk purchasing, requiring grant recipients to acknowledge the temporary nature of the funding, and mandating periodic reporting. After questions were answered to the division’s satisfaction, the committee voted to forward the appropriations bill draft to Legislative Management. The Policy Division then reviewed four bills. One would require the presidential physical fitness test to be included in high school physical education; another would require physicians to complete one hour of continuing education on nutrition and metabolic health each renewal cycle; a third would add physician assistants to the interstate licensure compact framework; and a fourth would authorize limited pharmacist prescriptive authority and therapeutic substitution. Members generally supported the first three measures and noted that the pharmacist bill had been amended in discussion but was left in its current form so stakeholders could comment before the special session. The division also discussed that all four policy bills were tied to the federal grant funding and that failure to pass them, or changing them in a way that reduced CMS scoring, could reduce or eliminate funding. Department officials confirmed that if any of the bills failed or were altered in a way that lowered the score, the state could lose money and could not make up the points elsewhere. Members raised concerns about the physical fitness bill, including possible exemptions for students with severe illnesses or physical limitations, and noted the need for DPI input. Leadership indicated the special session hearings would likely begin Wednesday morning. The committee then approved a motion for Legislative Council to prepare a committee report for Legislative Management and adjourned, noting the task force may need to remain available during the special session.

Transcript Highlights:

• Members, Senate Bill 2074 is a pharmacy bill to protect our pharmacists from what has become a broken
• Yes, this is a fee that is intended to compensate pharmacists fairly for the work that they do in their
• The issue right now is that a lot of these pharmacists, a lot of these PBMs, have negotiated deals with
• Pharmacists, a lot of these PBMs have negotiated deals with these employers where they’re paying, in
• some cases, a 20-cent fill fee for the pharmacist to be able to fill their prescription.

Bills: HR1051, HR1048, SB2074, SJR39, SJR47, SB1983, SB444, SB1503, SB1561, SB592, SB1501, SB1946, SB1567, SB1833, SB2026, SB904, SB2178, SB1651, SB1558, SB1565, SB1553, SB1257, SB65, SB1749, SB1242, SB1642, SB640, SB667, SB1436, SB1484, SB1562, SB1794, SB1644, SB1533, SB933, SB1555

Keywords: livestock, judging, Oklahoma State University, championship, agriculture, military children, recognition, community support, military families, April 15, pharmacy benefits managers, reimbursement, healthcare, prescription drugs, cost regulation, property valuation, tax limit, homestead, income threshold, elderly

Summary: The House opened with prayer, the Pledge of Allegiance, and a series of special presentations and introductions celebrating Oklahoma State University, the Cowgirl Wrestling Club, the OSU livestock judging team, military children, poster contest winners, and several visiting groups and honorees. The chamber also recognized the Doctor of the Day, Dr. Kurt Emerson, and the Nurse of the Day, Beverly Felton. Much of the floor time was devoted to OSU Day remarks, including a citation honoring the university and comments from Speaker Hilbert, Coach Eric Morris, and President Jim Hess. The House then took up Senate Bill 2074, a pharmacy benefit manager measure intended to regulate PBMs and support pharmacists. An amendment by Representative Jenkins to remove a section of the bill was tabled, and members questioned the bill extensively about reimbursement rates, consumer costs, employer options, transparency, and the impact on independent pharmacies. After debate, the bill advanced and passed the House by a vote of 87-7. Members also considered Senate Joint Resolution 39, which would place a constitutional amendment on the ballot to cap property tax growth. The measure, as amended, would set a 1.75% annual cap on homestead property tax growth and a 4% cap on other properties, with a stair-step senior freeze. The resolution drew debate over effects on local government revenue, schools, roads, jails, and inflation, but supporters argued it would provide strong taxpayer protections. The House passed the resolution 85-9 and then took the additional vote required to refer the constitutional amendment to a special election.

Transcript Highlights:

• We've heard from pharmacists saying that they don't have capacity for this.
• And also that there might be ways in which patients going and seeking medical care from a pharmacist
• I've heard from a number of pharmacists.
• I say a good percentage of the pharmacists don't really want this bill also.
• The pharmacists don't really want this bill also.

Keywords: 1182, all

Transcript Highlights:

• Representative Dargie: This bill came about because Senator Roachford had a pharmacist come to him who
• come to him >> Yeah. um had a pharmacist come to him who<01:59:40.480> had<01:59:41.679
• With that, thank you and we are closed." pharmacy um the pharmacist bill.
• So I'm pharmacy um the pharmacist bill.
• to add the ORF certified pharmacists to add the ORF certified pharmacy<02:34:11.280> technician.

Keywords: 1189, house, all

Transcript Highlights:

• Cuz if I get another text message from my good pharmacist, text message from my good pharmacist, text
• I sat down with multiple pharmacists. They were drawing multiple pharmacists.
• is they're trying to find a pharmacists is they're trying to find a pharmacists is they're trying to
• What impact directly the pharmacist. What impact directly the pharmacist.
• in messages from all the pharmacists in messages from all the pharmacists in your district to learn

Bills: HB 10, HB 12, HB 147, HB 1522, HB 422, HB 675, HB 204, HB 748, HB 912

Keywords: regulatory reform, government efficiency, administrative law, rulemaking, agency deference, judicial review, de novo review, Texas Government Code, Administrative Procedure Act, state agencies, plain language, regulatory burden, regulatory reduction, cost-benefit analysis, fiscal note, public benefits and costs, contested case, rule challenge, Texas Regulatory Efficiency Office, advisory panel

Transcript Highlights:

• Schwab from the Pharmacists Association and had a very productive meeting.
• We also could explore some further relationship with the Board of Pharmacy and the Pharmacists Association
• I haven't hired a pharmacist. I haven't gone down that road yet.
• But again, without that appropriation, we don't have the resources to hire the attorneys, the pharmacists
• Senator Klein, members of the committee, for the record, Mike Schwab, North Dakota Pharmacists Association

Keywords: 908, all

Summary: The Senate Committee on Industry and Business reconvened to work on House Bill 1584, which would create a new pharmacy benefit manager (PBM) regulatory structure within the Insurance Department. Insurance Commissioner John Godfrey and Deputy Commissioner John Arnold explained a revised set of amendments negotiated with Representative Casper and the North Dakota Pharmacists Association. They said the bill largely kept the House policy intact but added technical corrections, narrowed some references in Chapter 19-02, created a separate PBM licensing class, set a delayed effective date for licensing, and established emergency authority so the department could begin building the new division. They also described the proposal to fund the program through existing trust fund resources, PBM license fees, and a transfer of about $1.6 million from the prescription drug transparency program fund, while allowing the department flexibility to hire needed attorneys, pharmacists, and examiners. A major point of discussion was Section 10, which would have required the Attorney General to represent and bear costs for lawsuits related to the bill. Chief Deputy Attorney General Claire Ness said the language was too broad and would go beyond normal constitutional defense work, potentially obligating her office to cover all lawsuits against the commissioner or state under the section. Representative Casper said the intent was only to avoid the Insurance Department having to seek emergency funding for litigation, and both he and department officials said they were open to removing the section or narrowing it. After further discussion, the committee agreed to remove Section 10 from the amendments. The committee then voted 4-0 to adopt the amended amendment package, and then voted 4-0 to give House Bill 1584 a do pass recommendation as amended and refer it to Appropriations. Members noted the bill was still a work in progress, but said the revised version was intended to move the PBM regulation issue forward while continuing discussion in the appropriations process.

Transcript Highlights:

• The next measure is SB 1279, SD 1, relating to pharmacists.
• This measure authorizes a registered pharmacist under contract with a covered entity, for purposes of
• measure authorizes a registered measure authorizes a registered pharmacist<00:06:58.479> under
• > contract<00:06:59.240> with<00:06:59.360> a<00:06:59.599> covered pharmacist
• under contract with a covered pharmacist under contract with a covered entity<00:07:01.639> uh

Keywords: 912, senate, all

Summary: The Hawaii State Senate Committee on Commerce and Consumer Protection met in decision-making session and took up a series of previously heard bills. SB 21 on water carriers was passed with amendments to make the inflationary cost-indexed adjustment mechanism permissive rather than required, along with technical changes and a non-defective effective date. SB 133 on energy was passed with amendments adopting PUC recommendations and changing the effective date to July 1, 2050. SB 391 on recycling, creating an end-of-life lithium-ion battery management working group, was passed unamended. SB 532 on DOE medication administration in public schools was passed with amendments incorporating Hawaii State Center for Nursing proposals and a defective effective date. SB 230 on wild game meat donations was passed with technical amendments and a July 1, 2050 defective date. SB 1279 on pharmacists and telehealth supervision under the 340B program was also passed with a defective effective date of July 1, 2050. SB 1494 on optional hearing aid coverage was passed with technical amendments and a defective effective date of July 1, 2050. The committee deferred action on SB 588, which would allow self-certification for certain behind-the-meter solar systems and exempt them from FEA no-rise/no-impact declarations, citing the testimony submitted. It also deferred SB 281 on telehealth conformity with federal Medicare rules and SB 49 on prior authorization data reporting, both until Tuesday, February 25, 2025, at 9:30 a.m. in Conference Room 229. SB 838 on health insurance coverage for continuous glucose monitors was passed with amendments adopting technical changes and Department of Human Services proposals, plus a defective effective date of July 1, 2050; one member noted support but urged future consideration of including Medicaid managed care. All measures acted on were adopted without objections or reservations, with Senator Richards excused from voting on the measures discussed.