Transcript Highlights:

• They don't have to go to pharmacies.
• of time um my Pharmacy two-month period of time um my Pharmacy lost<00:54:45.680><c> over</c><00:54:
• Patient says pharmacy down the road sells it for $10; pharmacy up the road sells it for $12.
• or your local pharmacy, community pharmacy, or a chain. card card um<01:01:23.440><c> you</c><01:01:
• </c> down the road sells it for $10 Pharmacy down the road sells it for $10 Pharmacy up<01:01:34.319>

Keywords: 1191, senate, all

Transcript Highlights:

• — Education; HB 2384, school districts lease agreements requirements — Finance; HB 2385, school district
• HB 2142, ADE school safety center programs — Education.
• HB 4033, school bonding ballot language — Education.
• HB 2318, school districts election term limits. HB 2320, school districts bond financial advisors.
• ADE, the Arizona Department of Education, school districts, and charter schools came together to work

Keywords: 1182, all

Transcript Highlights:

• Can I offer that several people are signed in to testify from pharmacies and pharmacy associations?
• the pharmacies' B&O tax on that same medication.
• Pharmacy deserts are a real concern.
• So please maintain this preferential tax rate on pharmacy wholesalers so pharmacies won't close.
• As stated, the tax rate increase will be passed on to us pharmacies, our community pharmacies.

Bills: SB5989, SB5898, SB6240, SB6244, SB6231, SB6228, SB6220

Keywords: aircraft fuel tax, tax revenue distribution, aviation funding, transportation, state revenue, aeronautics, taxation, aircraft fuel, state funding, aviation fuel, hazardous substance tax, air quality, noise mitigation, environmental impact, tax exemption, agriculture, hazardous substances, crop protection, warehousing, data center

Transcript Highlights:

• Number 14, DHS with Red River Pharmacy Long-Term Care.
• For pharmacy services at the Arkansas Health Center and for DYS clients.
• This is for armed security services for Arkansas School for the Deaf and Blind.
• So when we added the security contract for the blind and deaf school, this is, we took over what was
• If it's totally adding the school of the blind and deaf, then maybe I can understand it if we have a

Keywords: 1204, all

Transcript Highlights:

• talk about our pharmacy and our pharmacy<00:34:18.720><c> uh</c><00:34:18.879><c> process</c><00:34:19.359
• ><c> off</c> bad luck. pharmacy inflation took off bad luck. pharmacy inflation took off like<01:38:33.199
• </c> combined experience medical and pharmacy combined experience medical and pharmacy and<02:02:50.560
• :40:37.840><c> players</c><02:40:38.960><c> um</c> school districts have repeat players um school districts
• </c><02:40:46.640><c> is</c> parent might go and say, "It school is parent might go and say, "It school

Keywords: 1191, senate, all

Transcript Highlights:

• ><c> and</c> pharmacy, long-term care, pharmacy, and pharmacy, long-term care, pharmacy, and compounding
• </c> leader and visionary in the pharmacy leader and visionary in the pharmacy compounding<00:15:37.760
• </c> pharmacy students at Drake University. pharmacy students at Drake University.
• </c> for the 2023 2024 school year. for the 2023 2024 school year.
• </c> while supporting strong public schools. while supporting strong public schools.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, April 29, 2025, 1012, house, all

Transcript Highlights:

• </c><00:43:14.599><c> benefit</c> insurance companies and Pharmacy benefit insurance companies and Pharmacy
• Is the specialty pharmacy owned by the insurance company or the PBM?
• This would include the town and school employees under RSA 5B.
• I'll let Senator Rort deal with the pharmacy side.
• </c> let Senator rart deal with the pharmacy let Senator rart deal with the pharmacy side<01:45:20.000

Keywords: 1191, senate, all

Transcript Highlights:

• . school. school.
• In addition to our Twin Cities medical school campus, we have a branch campus of our medical school in
• In addition to our Twin Cities medical school campus, we have a branch campus of our medical school in
• In addition to our Twin Cities medical school campus, we have a branch campus of our medical school in
• </c> school. That's my personal commentary. school. That's my personal commentary.

Keywords: 1183, house

Transcript Highlights:

• And the Board of Pharmacy since has really expanded the And the Board of Pharmacy since has really expanded
• Stacey Hall, Port of Pharmacy Association. Stacey Hall, Board of Pharmacy Association.
• educational pathway completed by all U.S. pharmacy graduates.
• Goes to the pharmacy last week for an antibiotic.
• , and simply a 20-hour course approved by the Board of Pharmacy.

Summary: The Appropriations Committee on Health and Human Services took up two bills. Senator Burgess presented SB 116, the Senate Veterans Package, which would reduce the number of Veterans Hall of Fame nominations, expand FDVA health survey and coordination efforts, add mental health training to the veterans suicide prevention pilot program, fix statutory references, improve coordination between Veterans Florida and FDVA, and require FDVA to develop a plan for adult day health care facilities for veterans and their families. An amendment was adopted to appropriate $300,000 for the suicide prevention training pilot and $50,000 for the health survey. The bill was supported in debate, especially for the adult day care provision, and CS/SB 116 was reported favorably by roll call vote. The committee then heard SB 294 by Senator Harrell, which would exclude specified cardiac conditions—such as heart failure, coronary heart disease, and cardiac arrhythmias—from the list of chronic health conditions that may be managed under collaborative pharmacy practice agreements. Senator Harrell argued that these complex conditions require direct physician involvement and that pharmacists should not be making medication changes for severe cardiac patients based on protocols alone. Senator Rouson asked why heart conditions had been included previously, and Vice Chair Davis asked about fiscal impact; Harrell said there would be no state cost, though patients might face additional out-of-pocket expenses, which she said could be offset by avoiding more serious complications. Public testimony on SB 294 was divided. The Florida Pharmacy Association opposed the bill, arguing that collaborative practice agreements are voluntary, physician-controlled, and already include safeguards, and that pharmacists are highly trained to help manage chronic conditions and improve access and outcomes. A cardiologist with the Florida Chapter of the American College of Cardiology supported the bill, warning that cardiac patients are complex and that pharmacists may make dangerous decisions without the full clinical picture. Senator Burton also supported the bill, saying the original collaborative practice framework was not intended to let pharmacists diagnose or treat serious cardiac disease. SB 294 was then reported favorably by roll call vote. At the end of the meeting, Senators Rodriguez and Garcia asked to be recorded in the affirmative on SB 116, and the committee adjourned without further business.

Transcript Highlights:

• , your contract pharmacies, your insurers, your manufacturers, okay, and it's mostly related to 340B.
• We also put, we added the contract pharmacy.
• We also added the contract pharmacies, the federally qualified health centers.
• to include, to be clear that we include the hospital or specialty pharmacies, and maybe somebody else
• to include, to be clear that we, should be clarified under contract pharmacy to include, to be clear

Keywords: 908, all

Summary: The committee met with a quorum and took up the final bill on its agenda, Senate Bill 2370, which had been converted into a 340B drug transparency measure tied to insulin and broader prescription drug pricing issues. Representative Hendrix outlined the latest bill draft, explaining that it would require reporting by covered entities, contract pharmacies, federally qualified health centers, drug manufacturers, pharmacy benefit managers, and health insurers, with confidentiality protections, civil penalties, and staggered effective dates. He also noted unresolved questions about the scope of required reporting, possible overlap with federal reporting, and whether the Insurance Department would need a consultant to analyze the data. Representative Dobervich then proposed an alternative amendment that would replace the bill language with a Legislative Management study on 340B transparency reporting during the 2025-26 interim. Her proposal would remove the detailed reporting mandates and instead direct a study of what information should be collected, how it should be used, who should receive it, staffing or contracted support needs, and stakeholder input from hospitals, pharmacies, FQHCs, rural health, state agencies, insurers, and manufacturers. Members discussed germaneness, the late-stage nature of the changes, and whether the issue had been adequately heard, while the Insurance Department testified that it had not previously studied 340B-specific data but supported transparency and could see value in either a study or reporting approach. The committee first adopted the Hendrix amendment by a vote of 8-5, then voted on a do not pass motion on the amended bill, which passed 7-6. Representative Frelich was selected to carry the bill. The chair then adjourned the committee for the last time and reminded members about the committee dinner.

Transcript Highlights:

• It also increased the small school adjustment for Kentucky State University and Morehead State University
• It also increased the small school adjustment for Kentucky State University and Morehead State University
• adjustment for Kentucky State school adjustment for Kentucky State University<00:05:14.320><c> and</
• </c><00:25:33.279><c> districts</c> Provisions to require school districts Provisions to require school
• </c><00:30:05.480><c> and</c> required hours CE and Pharmacy and required hours CE and Pharmacy and Controlled

Keywords: 0:01– Meeting start/roll call 0:34 – Approval of minutes 0:48 – Welcome of new committee members 1:34 – Council on Postsecondary Education 25:17 – Teachers’ Retirement System 27:00 – Kentucky Public Pension Authority 29:04 – Board of Veterinary Examiners 31:40 – Board of Nursing 34:01 – Board of Emergency Medical Services 36:15 – Fish & Wildlife Resources 40:34 – Department of Corrections 56:00 – Department of State Police 58:05 – Department of Criminal Justice Training 59:22 – Transportation Cabinet 1:00:18 – Department of Education 1:01:23 – Department of Employment Services 1:04:17 – Department of Workplace Standards 1:05:25 – Department of Housing, Buildings & Construction 1:06:59 – Cabinet for Health & Family Services, Dept. for Public Health (Sanitation) 1:13:50 – Cabinet for Health & Family Services, Dept. for Public Health (Trauma System) 1:17:46 – Cabinet for Health & Family Services, Dept. for Public Health (Radon) 1:18:30 – Cabinet for Health & Family Services, Dept. for Medicaid Services 1:19:15 – Cabinet for Health & Family Services, Dept. of Aging Services 1:20:36 – Other Business/Adjournment, 958, all

Summary: The subcommittee met with a quorum, approved the minutes, and welcomed new members before taking up Council on Postsecondary Education regulations 13 KAR 2:120 and 13 KAR 2:130. The regulations, as amended by staff and agency amendments, update public university and KCTCS performance funding models to conform to 2024 Senate Bill 191 and the performance funding work group’s recommendations. Changes discussed included replacing the underrepresented minority metric with an underrepresented students metric defined as first-generation students, adding an adult learner metric, increasing the low-income degree premium, adjusting small-school and nonresident credit-hour weights, revising data aging and progression metrics, and adding STEM+H criteria in 13 KAR 2:120. Travis Pal of the Council on Postsecondary Education explained that the changes reflect the work group’s three-year review process and that the work group ultimately voted to define underrepresented students as first-generation students and to apply half-weighting between research and comprehensive universities for the new metric. Michael Frasier of the Kentucky Student Rights Coalition and Eastern Kentucky University student government opposed 13 KAR 2:120, arguing that the regulation improperly applies weights where the statute does not clearly authorize them and that the funding changes disadvantage comprehensive universities and vulnerable students. He asked the committee to find the regulation deficient or, alternatively, recommend legislative clarification and a revised fiscal analysis. Pal responded that weighting has been part of the model since 2017, that CPE was following the statute and work group recommendations, and that the model could be changed by future legislation. Members asked about the timing of the broader performance funding review, and Pal said the full model is reviewed every three years, with the next work group cycle beginning in 2026. No motion to find the regulation deficient was made, and the committee allowed the regulations to proceed to the committee of jurisdiction. The committee then approved a staff amendment to Teachers’ Retirement System regulations 102 KAR 1:195 and 102 KAR 1:340, which require annual reporting of accumulated sick leave, leave policies, and salary schedules to TRS and make technical changes to the final average salary calculation and related definitions.

Transcript Highlights:

• Eric Turner speaking on behalf of the Arizona Pharmacy Association.
• All pharmacy professionals share the commitment to public safety.
• Arizona Board of Pharmacy, typically on an annual basis.
• My pharmacy serves many medically fragile patients and is currently the only pharmacy in Arizona that
• I'm here on behalf of the Arizona Pharmacy Association.

Summary: The committee began with a presentation from Berthold Barak Karlich of Benor Capital on investment and innovation from a European perspective. He argued that legacy in trade and innovation is about enabling future generations, not isolation, and highlighted Austria and Europe’s strengths in education, applied research, hidden-champion SMEs, and deep-tech. He also warned against economic nationalism and emphasized that entrepreneurship and cross-border trade create shared interests, peace, and long-term collaboration. In response to questions, he said Arizona had impressed him as a strong, international deep-tech hub, and he expressed interest in learning more about opportunities there. The committee then considered HB 2746, which creates a study committee on trade offices under the Arizona Commerce Authority to review existing trade offices, gather stakeholder input, and report recommendations by December 31, 2028. Members discussed oversight of Arizona’s trade offices in countries including Mexico, Korea, Taiwan, Japan, Romania, and Germany, and the sponsor said the bill would help evaluate effectiveness while identifying new opportunities. The bill received a due pass recommendation on a 7-0 vote. HB 2750, which establishes the Arizona-Sonora Trade Commission with legislative appointees, also received a due pass recommendation after members discussed its role as a complement to executive-branch efforts; it passed 5-1 with one present. The committee next heard HB 4036, a bill restricting the sale and distribution of compounded GLP-1 weight-loss drugs made with certain bulk drug substances and authorizing inspections by the State Board of Pharmacy. Supporters, including Novo Nordisk and the Partnership for Safe Medicines, argued the bill would address unsafe imported ingredients, impurities, misleading advertising, and a surge in mass compounding that they said exceeds the intent of compounding law. Opponents from the Arizona Pharmacy Association, compounding pharmacists, and a physician argued the bill would burden lawful compounders, raise costs, reduce access, and could harm patients who rely on compounded medications. After extensive debate, the committee failed to pass HB 4036 on a 5-5 vote. Finally, the committee took up HB 2765, as amended by a strike-everything amendment creating a vapor product manufacturer licensing framework, fees, penalties, and Department of Revenue oversight. The sponsor said the measure was intended to address illegal smuggling of vape products and protect children, while opponents argued it would burden lawful businesses and that the real problem was illicit actors outside the regulated market. The transcript ends during the discussion of this bill, before a final vote is recorded.

Transcript Highlights:

• The state of Iowa conducted a pharmacy benefit manager.
• So what was the acquisition cost for the pharmacy. Okay.
• You have fees, you have rebates, you have GPOs, you have specialty pharmacies, you have regular pharmacies
• that they own, and what those pharmacies compete with.
• You walk into a CVS pharmacy and you buy a stick of gum.

Summary: The Senate Insurance Committee met on May 13, 2026, adopted the May 6 minutes, and then took up several bills dealing with pharmacy benefit managers, prescription access, behavioral health coverage, and Citizens Property Insurance. HB 938, as amended, was the main PBM reform measure. After the committee adopted a large amendment set that narrowed the bill, members heard extensive testimony in support from Mark Bloom, Justin Joseph of Capital Rx, and Kathy Ue of Pontchartrain Cancer Center, all emphasizing transparency, pass-through pricing, reverse auctions, and patient access. Supporters described savings from reverse auctions and administrative models, while the cancer center testified that PBM-owned specialty pharmacy requirements can delay cancer medications and create financial hardship. The committee reported HB 938 favorably with amendments. The committee also heard HB 1154, which prohibits prior authorization for certain generic medications prescribed by qualified physicians, with a $250 cap discussed as a safeguard against higher-cost generics. The bill was supported by representatives from Ochsner Health and the Louisiana State Medical Society and was reported favorably. HB 909, which requires commercial coverage for behavioral health crisis services, was amended to clarify the insurers covered and then reported favorably with support from the Office of Behavioral Health and several outside groups. Testimony on HB 909 focused on reducing emergency room and law enforcement burdens and expanding crisis response capacity across the state. HB 1187, dealing with excess emergency assessment funds from Louisiana Citizens Property Insurance Corporation, was explained by the Insurance Commissioner as a way to transfer remaining Katrina-era assessment funds to the Fortified Roof Program. The committee reported the bill favorably. Finally, SB 511 and SB 512 were deferred and converted into a study resolution approach because there was not yet consensus on the underlying issue. The meeting then adjourned.

Transcript Highlights:

• DOs and MDs both attend four years of medical school, followed by internships, residencies, and fellowships
• Assembly Member Ransom at the moment on her bill AB 1794, which clarifies existing pharmacy law to ensure
• This is especially important to people living in remote rural areas, where a trip to the pharmacy...
• AB 1794 would allow pharmacies and medical product distributors to send formula directly to the patient's
• The members who brought this to our attention are licensed, closed-door pharmacies that do have licensed

Summary: The committee heard a series of bills on access to care, professional licensing, and consumer protection, beginning as a subcommittee because quorum was initially lacking. AB 1307 would create a pilot program allowing up to 30 qualified dentists from Mexico to work in underserved California areas for up to three years; the author and sponsor framed it as a cost-neutral way to address dental shortages, the California Dental Association moved from opposition to neutral after amendments, and members expressed support. AB 1703 would restrict use of osteopathic titles and osteopathic manipulative treatment to licensed DOs; supporters said it would prevent patient confusion and unlicensed practice, while non-physician osteopaths argued it would criminalize a long-standing, safe practice and reduce access. Members raised concerns about consumer clarity and access, and the author said she would continue working with opponents. AB 2250 made technical cleanup changes to last year’s hemp enforcement law, with support from the cannabis industry and no opposition. AB 1758 would raise the annual seller-of-travel assessment for the Travel Consumer Restitution Fund from $35 to $60, and AB 1794 would allow prescribed enteral nutrition formulas to be drop-shipped directly to patients’ homes with pharmacist oversight; both drew support and no opposition. AB 1775 would expand state licensing priority and related support for veterans discharged because of a federal transgender military policy, with emotional testimony from a transgender Army captain and support from equality and women’s organizations. AB 1939 would allow licensed professional fiduciaries to form corporations, and AB 2477 would create a limited provisional period for new pest control employees to work under supervision while licensing is pending; both were supported, though AB 2477 drew questions about supervision and committee amendments. AB 1999 would address veterinary workforce shortages by creating retired volunteer status, a shelter-veterinarian pathway, changes to VCPR rules, and narrowing the owner exemption to exclude surgical procedures; supporters cited animal welfare concerns, while some opponents warned about overreach. AB 2010 would permit high-quality, high-volume spay/neuter clinics in nontraditional settings to expand access, but the Veterinary Medical Board and some advocates opposed it unless amended over safety and clarity concerns. AB 2311 would let public health care district hospitals directly employ physicians, with supporters saying it would improve recruitment and access and opponents warning about erosion of physician autonomy; the author said the bill included safeguards, a sunset, and reporting requirements, and continued negotiations were ongoing. After quorum was established, the committee took roll-call votes and advanced the bills, generally on party-line or broad bipartisan votes, with several measures placed on call and others sent to Appropriations, Judiciary, Revenue and Taxation, Military and Veterans Affairs, or other committees as noted.

Transcript Highlights:

• Number two, the aggregate amount paid to pharmacies that are owned or affiliated with the pharmacy benefit
• Number three, the aggregate amount paid to pharmacies that are not owned or affiliated with the pharmacy
• Each PBM shall disclose 340B savings for mail-order pharmacy, specialty mail-order pharmacies, and community
• Disclose the difference in 340B rates for pharmacies owned or affiliated compared to non-affiliated pharmacies
• You could have contract pharmacies, you could have FQHCs.

Keywords: 908, all

Summary: The committee first addressed Senate Bill 2387, which had previously included language expanding the definition of a sexual assault victim advocate to include advocates from organizations serving victims of sexual trafficking or other sexual violence. After concerns were raised that the language could broaden participation in forensic interviews beyond appropriately credentialed organizations, the parties agreed to remove that added language. The committee then reconsidered its prior action, adopted the amendment striking the new language, and passed SB 2387 as amended on a 12-0-1 roll call vote. The bulk of the meeting focused on Representative Nelson’s proposed changes to a 340B-related bill, centered on expanding reporting and transparency requirements. His draft would require hospitals to report how 340B savings are used, and would also add reporting by drug manufacturers, pharmacy benefit managers, and health insurers on rebates, pricing, ownership interests, 340B savings, premiums, claims, and related data. Nelson argued the reporting was needed to give lawmakers better information about how the 340B program affects hospitals, insurers, pharmacies, and public costs, and noted the Department of Corrections also benefits from the program. Testimony was mixed but generally supportive of more transparency. Sanford Health Plan said it needed more time to review carrier impacts and had concerns about employer-related language and rebate reporting. The North Dakota Hospital Association supported hospital transparency and said the broader approach was appropriate because hospitals are only one part of the 340B system. Several members raised procedural concerns about the scope of the proposal and the lack of a drafted LC amendment. The committee decided not to take final action on the 340B proposal that day, instead forming a subcommittee led by Representative Hendricks, with Representatives Dobervich and Bolinske, to work with LC and return with drafted language for further review on Monday.

Transcript Highlights:

• There was a neighborhood that had a school, an elementary school.
• For behavioral health, we have 11 school-based therapists in 13 different school districts.
• I find out about their schools, their medical, all the things.
• So moving on to the next section with medical care and pharmacy services at APO.
• We also operate an on-site pharmacy that offers...

Keywords: 959, house, all

Transcript Highlights:

• . pharmacies. pharmacies.
• . pharmacies. pharmacies.
• </c> all pharmacies. all pharmacies.
• c> to</c> want the pharmacy the pharmacy board to want the pharmacy the pharmacy board to to<01:26:06.680
• </c> you know who makes up the pharmacy you know who makes up the pharmacy board?

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

Transcript Highlights:

• THE BOARD OF PHARMACY AT THAT POINT WAS AUTHORIZED TO EXPAND THAT LIST IN COLLABORATION.
• STACY HALL, FLORIDA PHARMACY ASSOCIATION. OKAY.
• PRESIDENT AND CEO FOR FLORIDA PHARMACY ASSOCIATION.
• BOARD CERTIFICATION BUILT ON THE DOCTOR OF PHARMACY EDUCATIONAL PATHWAY COMPLETED BY ALL US PHARMACY
• PATIENT GOES TO THE PHARMACY TO GET A PRESCRIPTION, PHARMACY TELLS THE PATIENT THAT IF HE'S TAKING AN

Keywords: 999, senate, all

Transcript Highlights:

• </c> insurance payments so legislators School insurance payments so legislators School Employees<01:02
• </c> Employees school districts and retirees Employees school districts and retirees came<01:02:32.319
• </c> interest of the state the school interest of the state the school districts<01:04:51.319><c> and
• Way taking care of a loved one, going to school, or actively looking for work.
• </c><01:46:24.199><c> rebates</c> ask one question so the pharmacy rebates ask one question so the pharmacy

Keywords: Meeting start 00:06:05 Roll Call 00:06:33 HB 152 Discussion 00:07:55 HB 152 PHS 2 Vote 00:10:12 HB 545 Discussion HB 545 PHS 1 Vote 00:13:47 HB 606 Discussion 00:15:15 HB 606 Vote 00:16:32 HJR 30 Discussion HJR Vote 00:19:07 HJR 32 Discussion 00:20:25 HJR 32 PHS 1 Vote 00:23:11 HJR 34 Discussion 00:25:04 HJR 34 PHS 1 Vote 00:28:50 HJR 46 Discussion 00:30:09 HJR 46 Vote 00:34:15 HJR 53 Discussion 00:35:40 HJR 53 Vote 00:38:55 HJR 54 Discussion 00:40:15 HJR 54 Vote 00:40:50 HB 546 Discussion 00:42:15 HB 546 PHS 1 Vote 00:46:15 HB 605 Discussion 00:47:38 HB 605 PHS 1 Vote 00:52:10 HB 694 Discussion 00:53:46 HB 694 Vote 01:07:47 HB 695 Discussion Only 01:10:20, 958, all

Summary: The House Standing Committee on Appropriations and Revenue met on February 25 and considered a series of bills and joint resolutions, mostly involving appropriations, capital projects, and local infrastructure funding. The committee first adopted PHS 2 and passed House Bill 152, which creates a Medicaid supplemental payment program for public ground ambulance providers; the sponsor said the substitute ensures no state general fund dollars will be used and that local agencies must identify a funding source for any required match. HB 152 was reported favorably on a 20-0 vote. The committee also passed House Bill 545, the annual claims bill, after members confirmed all executive-branch claims were included; it was reported favorably on a 21-0 vote. House Bill 606, requiring reporting for general obligation bonds, also passed unanimously and was reported favorably. The committee then took up several joint resolutions tied to capital and infrastructure spending. House Joint Resolution 30, concerning water projects, was described as implementing ranked projects under the Waters program administered by KIA and was reported favorably on a 21-0 vote. House Joint Resolution 32, concerning school facilities construction, was amended by PHS 1 and advanced after discussion referencing the Auditor’s report and questions about a Johnson County Schools expenditure; it also passed 21-0. House Joint Resolution 34, relating to contingent appropriations for KCTCS, was amended by PHS 1 and advanced after testimony outlining three projects in Somerset, Jefferson Community and Technical College, and Glasgow; it passed 21-0. House Joint Resolution 46, for local road projects, was described as funding the highest-scoring local road requests from a larger pool of applications and passed 21-0. The committee also advanced House Joint Resolution 53, authorizing release of funds for KSU’s Health Sciences Center project, after KSU officials said the building is needed for nursing and allied health programs and promised a business plan report by November 1, 2025; it passed 21-0. House Joint Resolution 54, authorizing funds related to the State Fair Board, also passed unanimously. Later, the committee considered House Bill 546, which revises the local roads and streets program by adding a DOT-developed scoring system, monthly reporting, a match requirement, and a $500,000 project cap; members asked about the cap and were told larger projects should be handled through other mechanisms. HB 546 was reported favorably on a 21-0 vote. Finally, House Bill 605, a technical corrections and update bill for the local economic relief grant program, was amended by PHS 1 and discussed as expanding eligibility, including to the Delta Regional Authority and certain local-affiliated applicants; the transcript cuts off before the final vote on HB 605.

Transcript Highlights:

• Pharmacies must comply with contract.
• It is every prescription that we fill in our retail pharmacy.
• </c> care, clinic services, and pharmacy care, clinic services, and pharmacy access<00:25:05.039><c>
• </c> processes of could the board of pharmacy processes of could the board of pharmacy look<00:29:31.840
• </c><00:32:06.960><c> is</c> which means more than one pharmacy is which means more than one pharmacy

Keywords: 919, house, all

Summary: House File 369 was the main topic, with House authors Rep. Natalie Zeleznikar, Rep. Robert Bierman, and Rep. Dave Baker arguing that the bill would give Minnesota’s 2024 340B law “teeth” by enforcing protections for nonprofit and rural hospitals’ access to the federal drug pricing program. They said the measure costs the state nothing, aligns with similar laws in more than 20 other states, and is needed before adjournment to help hospitals close funding gaps, support services like emergency care, obstetrics, behavioral health, and pharmacy access, and preserve care in remote communities. Several hospital leaders from across greater Minnesota testified that 340B revenue helps keep their facilities viable and that losing it would threaten services and, in some cases, hospital survival. Witnesses described severe financial pressure on rural hospitals, including reimbursement cuts, workforce shortages, inflation, and rising drug costs. Leaders from United Hospital District in Blue Earth, Lakewood Health System in Staples, Ely-Bloomenson Community Hospital, Northshore Health in Grand Marais, Community Memorial Hospital in Cloquet, and Cuyuna Regional Medical Center in Crosby said their hospitals serve as safety-net providers and often operate with thin or negative margins. They emphasized long travel times to other hospitals, seasonal tourism pressures in some areas, and the importance of local emergency, ambulance, inpatient, and specialty services. The Minnesota Hospital Association president also criticized pharmaceutical company messaging and said nonprofit hospitals are working around the clock to maintain access. In response to questions, Zeleznikar said she had considered other enforcement approaches but now supported using the original Senate-passed bill, citing concerns about fraud and the difficulty of alternative enforcement mechanisms. She and hospital leaders distinguished this bill from a separate hospital stabilization-grant proposal, saying both are needed but serve different purposes. No vote was taken at the meeting, and the speakers repeatedly urged House leadership to bring the bill to the floor before session ends.