Transcript Highlights:

• We meet in person in Concord at a school board or a school.
• </c> in the school rather than at a pharmacy in the school rather than at a pharmacy and<02:09:02.159
• I mean, you're a parent; school is school.
• is school and like and was also mentioned<02:31:31.600><c> the</c><02:31:31.840><c> pharmacies</c> mentioned
• . schools. schools.

Committee: House Health, Human Services and Elderly Affairs

Keywords: 1189, house, all

Transcript Highlights:

• But OSI said, you know, our PBMs, our pharmacy benefit managers, and the IBAC should also do that.
• Moving on, A pharmacy benefit manager was written in several places to clarify.
• And also, as you may find when you go to the pharmacy, it is a definite convenience for them.
• Of course, do you feel like you're sitting at a kids' table in school? Yeah.
• She learned to golf on the local courses and graduated from Roswell High School.

Summary: The committee first heard SB 20, as amended, which would limit prior authorization for certain medications used to treat serious mental illness and extend prior authorization approvals for other chronic maintenance drugs to three years. The sponsor and supporters said the bill would reduce treatment interruptions and administrative burden for patients, clinicians, and pharmacies, while opponents argued the three-year period could raise safety concerns, reduce annual clinical review, and increase costs and premiums. After public testimony and committee discussion, the bill passed on a 7-2 vote. The committee then considered SB 21, as amended, establishing an annual Medigap open enrollment period with guaranteed issue protections for eligible Medicare beneficiaries already enrolled in Medigap plans. The Aging and Long-Term Services Department said the measure would give seniors more flexibility to change plans as their needs and premiums change, and OSI said premium impacts were expected to be limited. An amendment setting the effective date at January 1, 2027 was adopted, and the bill passed unanimously. Next, the committee heard SB 177, a large economic development package centered on quantum, advanced energy, defense, and related workforce and research investments. The sponsor and administration witnesses described New Mexico as uniquely positioned to attract major private and federal investment, while members raised questions about guardrails, reporting, use of the Research and Development Fund, and whether EDD could manage the spending and educational components. An amendment removed the public safety section, a technical title fix was adopted, and the bill passed 9-1. The committee also took up SB 189, which would protect existing coverage and expand insurance coverage for reproductive and gender-affirming care, including mid-year enrollment options for pregnancy and coverage for double electric breast pumps. Supporters said the bill would prevent abrupt coverage changes and ensure access to care, while opponents objected to abortion-related coverage and argued existing law and Medicaid already cover much of the care. A motion to table failed, and the bill then passed 6-4. Finally, the committee unanimously passed Senate Memorial 6 honoring golfer Nancy Lopez and her New Mexico roots and achievements.

Transcript Highlights:

• the 3340B pharmacy program.
• To pharmacies or other entities that would not necessarily be low income.
• to run some of our community pharmacies out of business.
• We have an old school 19th century 60 day session and a 30 day session.
• Oh, Senator Shearer's schools, Farmington and Pedro Vista in town.

Transcript Highlights:

• My name is Annuk Burini, and I'm a freshman at Lakeside High School.
• At my school, our water fountains look clean, but when we tested them, we found microplastics.
• We drink what's available at home, practice, and school.
• I've been president of Ray's Pharmacy, the only pharmacy on Orcas Island and one of three in San Juan
• So I would say 80% of my customers, outside of our pharmacy customers that for HIPAA reasons have to

Bills: HB1420 , HB2233 , HB2271 , HB2212 , HB2284

Committee: House Environment & Energy

Keywords: textile responsibility, recycling, sustainability, environmental impact, consumer protection, waste reduction, environment, retail, bags, pollution, consumer products, plastic, environmental policy, postconsumer waste, microplastics, environmental protection, washing machines, water quality, litter reduction, public health

Transcript Highlights:

• K-12 schools. Yes, K-12 schools.
• SB 41 is the pharmacy benefit manager bill.
• , prohibiting discrimination against non-affiliated pharmacies and requiring PBMs to include any pharmacy
• , prohibiting discrimination against non-affiliated pharmacies and requiring PBMs to include any pharmacy
• CDPH is required to provide training and technical assistance to school food professionals and school

Keywords: 987, senate, all

Transcript Highlights:

• Uh Senate Bill 3075, appropriation<01:10:09.320><c> Pharmacy</c><01:10:09.760><c> Board.
• Then the Board of Pharmacy is quite a bit over LBR.
• Then the Board<01:11:12.240><c> of</c><01:11:12.320><c> Pharmacy</c> Board of Pharmacy Board of Pharmacy
• </c><01:11:37.080><c> has</c> that the Board of Pharmacy has that the Board of Pharmacy has established
• I think that is something to do with auditing the pharmacy reporting system, the PMP.

Keywords: MS Senate Floor - 19 February, 2026; 10:00 AM, 925, all

Transcript Highlights:

• Standard cookie-cutter model school facilities that we could get an elementary school, a middle school
• Does it mean the school board? Does it mean the superintendent? Does it mean the school board?
• districts and our charter schools.
• ... school districts and our charter schools.
• Under current Idaho Code, school districts must obtain permits for new public school buildings before

Summary: The Senate convened with a quorum present, approved the journal, and moved through routine orders before taking up committee reports, gubernatorial messages, House messages, and first and second reading calendars. Several bills were advanced, including appropriations measures and enrolled bills transmitted to the House, Governor, or Secretary of State. The chamber then proceeded to third reading and final action on a series of bills, with debate focused largely on budget priorities, Medicaid, firearms preemption, medical education funding, rural health, and kratom regulation. The Senate passed Senate Bill 1420, creating a dedicated funding source for medical education beginning in 2028; Senate Bill 1430, strengthening state firearms preemption enforcement and authorizing penalties and injunctions against local violations; Senate Bill 1432, an appropriation for Health and Welfare indirect support and related modernization items; Senate Bill 1433, a large Medicaid enhancement budget with discussion of MMIS procurement, estate recovery, program integrity, hospital assessment fund alignment, and population/cost growth; Senate Bill 1434, the Division of Welfare budget reflecting SNAP administrative cost changes and Medicaid eligibility system updates; Senate Bill 1437, an appropriation for Idaho State Police tied to DNA collection for sexual battery and domestic violence offenses; Senate Bill 1439, delaying a school facilities model report deadline to 2027; and Senate Bill 1264 as amended, creating a rural health transformation account and legislative oversight committee for federal rural health funds. Most of these measures passed on party-line or split votes, while SB 1437 and SB 1439 passed unanimously. The most extended debate centered on Senate Bill 1264, where supporters said the bill would give the Legislature oversight over already-awarded federal rural health money and help ensure sustainable uses, while opponents argued it would deepen federal debt and create a process that could still leave control with the executive branch. Another major debate was on Senate Bill 1418, the kratom consumer protection bill, which would restrict sales to adults 21 and older, set product limits and labeling standards, and allow inspections and enforcement against synthetic or adulterated products. Supporters framed it as a consumer protection and harm-reduction measure; opponents raised concerns about warrantless inspections, lack of pharmacy board support, and whether the bill would effectively normalize kratom. The transcript ends during continued debate on SB 1418, before a final vote is taken.

Transcript Highlights:

• items before school starts. to better allow families to shop for school items before school starts.
• school... ...that I've wanted schools to have.
• It requires PBMs to pay a pharmacy the same amount as they pay a PBM-affiliated pharmacy, prohibits a
• You were in middle school when I decided to run for school board.
• seeking employment in schools.

Keywords: 998, house, all

Summary: The House convened with prayer, a moment of silence for two service members killed in the Middle East, the Pledge of Allegiance, and a quorum present. Members adopted the special order report and then began taking up the special order calendar. The first major measure was HB 7031, the annual tax package, which included a hunting, fishing, and camping sales tax holiday, a back-to-school holiday moved earlier in the summer, property tax changes for mobile home parks and other exemptions, reductions in pari-mutuel taxes and fees, extensions and expansions of several tax credit programs, vacation-rental tax collection changes, and a full decoupling from federal tax changes in the “One Big Beautiful Bill.” The bill drew questions about the fiscal impact of decoupling and the firearm-accessories holiday; supporters emphasized fiscal caution, housing and home-hardening provisions, and family tax relief, while opponents objected to the firearm-related tax break. HB 7031 passed 105-2. The House then passed CS/CS/CS HB 1177 on Space Florida and spaceport operations, which updates business development rules, board membership, and creates a strategic spaceport hub designation. CS/CS HB 639/CS SB 246 on specialty license plates also passed after a strike-all amendment that added several new plates, revised the Fraternal Order of Police plate, and tightened financial and nonprofit requirements for plate sponsors. CS HB 697 on drug prices and coverage passed after debate on pharmacy benefit manager reforms requiring equal reimbursement, prohibiting forced losses on drugs, and allowing consolidated appeals. CS/CS HB 1263 on the Office of Insurance Regulation passed with an amendment clarifying fingerprinting provisions, and CS/CS HB 527 passed with a human-review requirement for insurance claim denials so AI cannot be the sole basis for denying or reducing claims. Additional bills approved included CS HB 1449, which limits use of the statewide provider and health plan claim dispute resolution program when a claim is already in the federal process and, by amendment, narrows the bill to out-of-network emergency services and claims of $50,000 or less; CS HB 93, requiring surgical smoke evacuation systems in hospitals and surgical centers, which passed overwhelmingly after emotional bipartisan praise for the sponsor’s multi-session effort; and CS HB 1217, which prohibits governmental entities from adopting net-zero greenhouse gas policies, after Democrats argued it would preempt local climate and resilience efforts and Republicans argued it protects energy reliability and affordability. The House also passed CS/CS HB 1461 establishing a framework for licensing and regulating advanced nuclear reactors, with supporters framing it as a step toward reliable, affordable, cleaner energy. Later, CS HB 1229 on residential homes for medically or technologically dependent children was explained as creating a licensure program for medically complex children’s homes and was rolled over for final passage as the transcript ended.

Transcript Highlights:

• items before school starts. to better allow families to shop for school items before school starts.
• You were in middle school when I decided to run for school board.
• Jada Holmes, School School, Seminole High School.
• schools under 150 students.
• seeking employment in schools.

Summary: The House convened with prayer, a moment of silence for two fallen service members, the Pledge of Allegiance, quorum call, and several recognitions, including law enforcement officers and visiting students and advocates. Members then adopted the special order report and moved into the special-order calendar. The first major item was HB 7031, the annual tax package, which was explained as a broad measure covering sales tax holidays, property tax changes, tax credits, pari-mutuel tax reductions, vacation-rental tax collection, and decoupling from federal tax changes. Members asked about the fiscal impact of decoupling and the firearm-accessories holiday; supporters emphasized fiscal caution and the package’s mix of consumer and housing provisions, while opponents objected to the gun-related tax holiday. The bill passed 105-2. The House then passed CS/CS/CS HB 1177 on Space Florida and spaceport operations 107-0, with supporters saying it would strengthen Florida’s competitiveness in commercial aerospace. CS for SB 246 on specialty license plates also passed unanimously after a strike-all amendment that added several new plates, revised the Fraternal Order of Police plate, and tightened specialty-plate financial and nonprofit requirements. CS HB 697 on drug prices and coverage passed 100-0 after supporters said it built on prior PBM reforms by requiring fairer pharmacy reimbursement and limiting forced losses on drugs. CS/CS HB 1263 on the Office of Insurance Regulation passed 109-0 after an amendment clarifying fingerprinting requirements, and CS/CS HB 527 on insurance claim denials passed 100-0 with a requirement for human review before claims are denied or reduced solely by AI. The House also passed CS HB 1449 on the statewide provider and health plan claim dispute resolution program 100-0 after narrowing the bill to out-of-network emergency services and claims at or below $50,000. CS HB 93 on protection from surgical smoke passed 178-0 after extensive emotional debate, with supporters describing it as a long-sought patient and worker safety measure requiring smoke evacuation systems in hospitals and surgical centers. Later, CS HB 1217 on prohibited governmental greenhouse-gas policies passed 29-0 after questions clarified that it would bar net-zero policies and related funding arrangements but not general energy efficiency or incidental emissions reductions; opponents argued it would preempt local climate and resilience efforts, while supporters said it protected energy reliability and affordability. The House then began debate on CS/CS HB 1461 on advanced nuclear reactors, with sponsors describing a framework for licensing and oversight of small modular and microreactors and supporters arguing it would help meet future energy demand and improve reliability.

Transcript Highlights:

• took all of those time took to school took all of those time took all<00:02:56.040><c> the</c><00:02
• Luckily, this was in Louisville, where I could find another pharmacy.
• </c><00:25:22.520><c> hours</c> Pharmacists and reduced Pharmacy hours Pharmacists and reduced Pharmacy
• We have the lowest rate of people going into medical school here after the Dobbs decision.
• I'm wondering why we don't make this a basic part of nursing school.

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:

• Please welcome Broward County Public Schools. President: Okay. Anybody else? Senator Simon?
• Senator Pizzo: We went to high school together 30 years ago and she said if I didn't vote for this bill
• Clerk: Senate Bill 294, a bill to be entitled an Act relating to pharmacy practice for chronic health
• As you may remember, six years ago we passed collaborative pharmacy practice which allows pharmacists
• We are saying here are the tools to have the hospitals, the schools, everything.

Keywords: 998, house, all

Transcript Highlights:

• Please join me in recognizing the 450 pharmacy technicians and pharmacy students from across the state
• Members, Summit High School is part of the Mansfield Independent School District, located in the city
• They are also joined by the principal of Summit High School, Jason Mutterer, today.
• requirements of the School District of Innovation.
• instruments in public schools and the assignment of public school campus performance ratings.

Keywords: 1184, house, all

Transcript Highlights:

• agencies, provide home-delivered meals, medical equipment, and supplies, and most recently, we opened a pharmacy
• So, as an example, a child that needs additional support in school can have access to tutoring services
• But how about if you could bring a pharmacy and pharmacy technician to every bedside to participate in
• that through the use of smart room technology, where we are creating, for lack of a better word, a pharmacy
• technician bunker, where I'm sitting as a pharmacy technician away from the bedside and logging into

Summary: The committee held a panel discussion focused on how Florida health care organizations are working to improve access, quality, and affordability. Panelists from Florida Community Care/Independent Living Systems, Sunshine Health, AdventHealth, UF Health, and Nemours described their approaches, including Medicaid managed care, value-based contracting, community partnerships, mobile screening units, smart-room technology, telehealth, and specialized programs for maternal health, children, and complex chronic conditions. Several speakers emphasized that managed care and coordinated care can improve outcomes while reducing unnecessary utilization and costs. Members asked about the impact of Medicare’s V28 changes, mobile cancer screening, urgent care versus emergency room billing, pediatric specialty access, complaint resolution, Black maternal mortality, provider shortages, network adequacy, and the use of AI in prior authorization. Witnesses said V28 has affected providers and revenue, UF Health’s mobile screening program is expanding beyond a few cancer types, and its urgent care model bills patients at the appropriate level rather than both urgent care and ER rates. Nemours said it reduced specialty wait times through scheduling changes, telemedicine, and registry tools, while AdventHealth described postpartum coordination and maternal heart programs to reduce maternal complications and mortality. On complaints and access problems, panelists said their organizations use patient/member advocates, care managers, call centers, and escalation processes to resolve issues, and Sunshine Health specifically discussed a transportation complaint that was addressed with its vendor and the family. Sunshine Health also said it is not using AI for prior authorization, though it is exploring responsible uses elsewhere, and Florida Community Care said it is not using AI in utilization management. In closing, panelists identified workforce shortages, provider burnout, and high-cost drugs as the biggest ongoing challenges. The meeting ended with thanks to the panel and adjournment after Representative Brackett moved to rise, without objection.

Transcript Highlights:

• their affiliated pharmacies at higher rates than our independent pharmacies.
• their affiliated pharmacies at higher rates than our independent pharmacies.
• and independent pharmacies pharmacies and independent pharmacies such<01:26:44.280><c> as</c><01:26:
• </c> reimbursements to pharmacies. reimbursements to pharmacies.
• . pharmacies. pharmacies.

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• Of those pharmacies, 58% have been independent pharmacies.
• closing</c> pharmacies these pharmacies are closing pharmacies these pharmacies are closing everywhere
• and other pharmacies.
• and other pharmacies.
• and other pharmacies.

Committee: House Health Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• Pharmacy benefit managers conduct utilization review.
• And the medical doctor agrees, and the doctor of pharmacy agrees, but the insurance, who's controlling
• You're going to ask me a pharmacy question. I would defer to Rep. Chesson on that as a pharmacist.
• I think we, I’m like Glorioso, we make them go to school and make them do all this stuff.
• And that's not the insurance's job to determine what we went to school for.

Summary: The committee first voluntarily deferred House Bills 460 and 561, then took up House Bill 1101 on workers’ compensation. The sponsor said the bill would define maximum medical improvement, adjust fraud provisions, shorten temporary total disability and supplemental earnings benefit periods, and revise vocational rehabilitation rules; an amendment removed proposed age-based termination language for benefits. Business groups including LABI supported the bill as a way to reduce Louisiana’s comparatively high indemnity costs and align the state with regional norms, while injured-worker advocates and attorneys strongly opposed it, arguing it would cut benefits, shift medical and disability decisions away from treating physicians and judges, broaden fraud too far, and potentially push costs onto public programs. After debate, the committee voted to report HB 1101 with amendments. House Bill 282 was voluntarily deferred. House Bill 293, which would add sexual orientation and gender identity to Louisiana employment discrimination protections, drew generally supportive testimony from the sponsor and supporters, with some members raising questions about religious exemptions and federal law. The committee ultimately voted against reporting HB 293 favorably. House Bill 390, providing unpaid leave protections for domestic abuse survivors at larger employers, was presented as a tool for survivors, but the committee split 6-6 on a motion to report it favorably; the tie resulted in the bill being voluntarily deferred. The committee then heard House Bill 456, which would expand workers’ compensation petition requirements and allow employers or payers broader access to file disputed claims and seek discovery. Supporters argued employers currently lack a practical way to obtain records and challenge claims without first cutting off benefits, while opponents said the bill would revive a rejected 2012 approach, increase litigation, and undermine the no-fault workers’ compensation bargain. The discussion centered on whether the bill would preserve benefits while allowing discovery or instead encourage more disputes and penalties. The transcript ends with testimony still underway on HB 456, with no final vote shown.

Transcript Highlights:

• The next one is the Board of Pharmacy.
• Now, the $118,067 would be to expand the pharmacy recovery program, and we passed a separate general
• </c><00:40:56.560><c> recovery</c> would be to expand the pharmacy recovery would be to expand the pharmacy
• </c> that would allow the board of pharmacy that would allow the board of pharmacy to<00:41:05.119><c
• </c> to DFA for the independent schools to DFA for the independent schools infrastructure<00:59:20.319

Committee: Joint Appropriations

Keywords: Appropriations - Room 216, 18 February, 2026; 11:00 AM, 925, all

Transcript Highlights:

• It says between 2019 and 2022, 16 states enacted laws banning insurers and pharmacy benefit managers.
• I attended school in Glens Ferry, Rigby, Idaho Falls, and Rexburg.
• I attended school in Glens Ferry, Rigby, Idaho Falls, and Rexburg. I was a normal teenager.
• We were denied adequate high school education. I am the daughter of an educator.
• We were denied adequate high school education. I am the daughter of an educator.

Committee: House Health and Welfare

Keywords: 989, all

Transcript Highlights:

• individuals struggling with substance use disorders, the ability to purchase syringes at a community pharmacy
• Additionally, it is not uncommon for patients receiving medication via mail-order pharmacies or visiting
• Ensuring that patients can obtain syringes without prescriptions at a community pharmacy, along with
• For a Responsible Budget, Ella Baker Center, Initiate Justice, Initiate Justice Action, USC Gould School
• Hi, Lexi Lopez Crothers for Go Public Schools in support of AB 865 and AB 313. Thank you.

Summary: The Assembly Appropriations Committee met on April 23, 2025, with a large regular-order agenda and first approved a consent calendar covering many bills. Several measures were then heard individually, with most receiving support from sponsors and stakeholder groups and no formal opposition in the room, though some bills drew respectful opposition or no votes. The committee also read and deemed approved a lengthy suspense calendar before taking up additional bills and public comment. Among the bills discussed, AB 263 would extend temporary flow regulations on the Smith and Shasta Rivers for five years or until permanent rules are completed; AB 309 would remove the sunset on pharmacists’ ability to provide sterile syringes without a prescription to support HIV and hepatitis prevention; AB 631 would require animal shelters to post intake and outcome data online; AB 792 would allow consolidation of bargaining for court interpreters; AB 867 would ban cat declawing except when medically necessary; AB 1206 would require pre-approved housing plans for small residential projects; AB 787 would require health plans to better help patients find in-network providers; AB 596 would protect workers’ right to wear face coverings unless unsafe; AB 282 would allow housing providers to prefer voucher holders without violating source-of-income discrimination law; AB 738 would create a limited rebuilding exemption for disaster survivors from newer solar requirements; AB 566 would require browsers and mobile operating systems to make global privacy opt-outs easier; and AB 622 would clarify CDCR’s authority to award credits to people serving indeterminate sentences who complete rehabilitation programming. Most of these bills were reported out on roll calls, often with bipartisan or limited dissent. AB 309, AB 631, AB 792, AB 867, AB 1206, AB 787, AB 596, AB 282, AB 738, AB 566, and AB 622 all advanced, while AB 263 also moved forward despite opposition from the Siskiyou Board of Supervisors and the California Farm Bureau. AB 622 generated the most extensive debate, with supporters emphasizing rehabilitation, parole-board review, and cost savings, and opponents warning about public safety and the impact on serious violent offenders. The meeting ended after brief public comment on several other bills on the suspense file and then adjournment.

Transcript Highlights:

• We just passed AB 727 to put hotlines on school ID. But this is the next big step.
• We just passed AB 727 to put hotlines on school ID. But this is the next big step.
• I strongly oppose this bill, and I am a school board member for Gallaud Elementary School District.
• I was urinating blood and had ulcers in my bladder and was too weak to attend school.
• And I'm a school board member for Gallaud Elementary School District, and I oppose this bill.

Committee: House Health

Keywords: 988, house, all