Transcript Highlights:

• requesting the Legislative Education Study Committee to study compensation for classified public school
• and school district employees, statewide cost of living and housing availability, and options to improve
• Bill 20: An act relating to insurance, applying the requirements of the Prior Authorization Act to pharmacy
• Bill 20: An act relating to insurance, applying the requirements of the Prior Authorization Act to pharmacy

Bills: HB111, HB108, HB145, HB164, HB291, HJR6, HR1, HB63, HB64, HB165, HB184, HB200, HB4, HB7, HB20, HB65, HB66, HB80, HB88, HB96, HB166, HB285, HB295, HB306, SB29, SB37, HJM2, HJM3, HJM1, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM32, HM13, HM47, HM20, HM51, HM1, HM31, HM35, HM36, HM46, HM53, HM54, HM11, HM14, HM21, HM34, HM50

Keywords: water law, state engineer, civil penalty, compliance order, water rights, overdiversion, illegal diversion, groundwater storage and recovery, well license, permit violation, water enforcement, New Mexico water code, irrigation district, conservancy district, water diversion, unauthorized water sales, measuring device, district court appeal, water resources, water compliance

Transcript Highlights:

• </c> program for four-year-olds for school program for four-year-olds for school districts<00:14:45.440
• School employee pay increases.
• The governor is proposing in his budget a 3% salary increase for all full-time school personnel.
• </c><00:21:04.320><c> costs,</c> minutes, uh, increase pharmacy costs, minutes, uh, increase pharmacy
• </c><00:21:08.480><c> costs</c> Employees Health Plan, pharmacy costs Employees Health Plan, pharmacy

Keywords: Meeting Start 00:00:00 Roll Call 00:00:11 Executive Budget 00:00:50, 958, all

Summary: The committee met to hear a presentation from Dr. Hicks on the governor’s recommended budget for the next biennium. He reviewed the revenue outlook, noting modest general fund growth, a large rainy day fund balance, and the impact of recent income tax reductions. He said the budget was built around recurring reductions, lower debt service and retirement contribution rates, and the use of excess restricted funds, while protecting K-12 education, Medicaid, postsecondary education, public safety, and pension obligations. Dr. Hicks outlined several major spending and reserve proposals, including $350 million from the Department of Insurance’s excess restricted funds to support Medicaid in the first year, $150 million for the affordable housing trust fund, $125 million for rural hospitals, $100 million to offset lost federal ACA premium tax credits, $75 million for utility assistance, and $50 million for food assistance. In education, the proposal included a phased pre-K for all plan funded by sports wagering tax revenue, a 3% annual salary increase for full-time school personnel, continued full funding of teacher pensions, a 2.5% annual increase in SEEK base funding, and additional support for career and technical education and school facilities. He also discussed Medicaid cost pressures, including higher managed care, pharmacy, behavioral health, and nursing facility costs, and explained the expected effects of federal HR1 changes on Kentucky’s Medicaid program. Those changes include work and community engagement requirements and more frequent eligibility redeterminations for expansion members, which the administration estimated would reduce enrollment by about 4,300 in the first year and 28,000 in the second year. No votes or formal committee actions were taken during the meeting, which was limited to the budget presentation and member questions.

Transcript Highlights:

• They were making it actually for all schools, not just government schools, private schools too, everywhere
• They were making it actually for all schools, not just government schools, private schools too, everywhere
• :23.880><c> schools</c><02:11:24.840><c> too</c><02:11:25.639><c> everywhere</c> schools private schools
• </c><02:28:01.240><c> bring</c> schools children may attend school bring schools children may attend
• School School School admission<02:55:42.680><c> um</c><02:55:43.399><c> in</c><02:55:43.640><c> closing

Keywords: 1189, house, all

Transcript Highlights:

• If a patient and their physician decide a non-opioid option is best for them when they go to the pharmacy
• ><00:02:24.959><c> state</c> department and the Medicaid state department and the Medicaid state pharmacy
• benefit</c><00:02:26.400><c> manager</c><00:02:26.879><c> from</c><00:02:27.200><c> denying</c> pharmacy
• benefit manager from denying pharmacy benefit manager from denying coverage<00:02:29.040><c> for</c>
• counter, they will not be the pharmacy counter, they will not be told<00:03:05.599><c> to</c><00:03:

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:

• And chief among those elements of the delivery system that are broken is the pharmacy delivery system
• We regulate our pharmacists, pharmacy scope of practice. We did this, frankly, with generics.
• This means that Sharp Pharmacy team must undertake additional time-consuming steps and make multiple
• At the same time, it's bringing the relationship with the doctor and the pharmacy even closer.
• And or the pharmacy, when they receive it and the doctor says nothing, then the pharmacy will be able

Summary: The Senate Business, Professions and Economic Development Committee heard SB 1094 by Senator Weber Pearson, which would expand pharmacist and health plan authority to substitute biosimilars for reference biologic drugs in order to lower prescription drug costs. The author and supporters, including Blue Shield of California, Sharp HealthCare, and several business and health groups, argued that biologics are a major driver of rising health care spending and that biosimilars can provide substantial savings while maintaining safety and efficacy. The bill also included transparency provisions and committee amendments, including notice requirements and clarifications around substitution and exceptions. Opposition came from the Biotechnology Innovation Organization, the California Rheumatology Alliance, and Biocom, who said the bill was not scientifically justified, could undermine FDA standards, and might lead to unwanted switching, side effects, or delays in care for patients with chronic conditions. They emphasized that pharmacists can already substitute interchangeable biosimilars and that non-interchangeable products can be changed with prescriber contact. Committee discussion focused on patient safety, the meaning of “do not substitute,” the 30-day notice provisions, and the distinction between biosimilars and interchangeable biosimilars. After debate, the committee adopted a due pass as amended motion to the Senate Health Committee. The bill passed the committee on a 10-0 roll call vote and was sent onward.

Transcript Highlights:

• You'll pull out a quote from my elementary school or something? On the bill.
• >> Is the pharmacy responsible if a purchase involves regulated information, and does the pharmacy have
• We've all gone to the pharmacy and got your medication and brought other things up.
• Would the same thing occur at a pharmacy that you regularly go to, in a local pharmacy, each interaction
• WOULD THE SAME THING OCCUR AT A PHARMACY THAT YOU REGULARLY GO TO IN A LOCAL PHARMACY EACH INTERACTION

Keywords: 993, senate, all

Summary: The Senate convened, approved the journal, and then moved through a large number of motions to discharge bills from committees and substitute identical Senate bills for third reading. The chamber also received and accepted a Finance Committee report on nominations for Kathleen Mosier as Commissioner of Parks, Recreation and Historic Preservation, Terrence O’Leary as Commissioner of Homeland Security and Emergency Services, and John Kagia as Executive Director of the Office of Cannabis Management. All three nominees were confirmed, with Mosier and O’Leary confirmed unanimously and Kagia confirmed 57-1, with Senator Walczyk voting no. The Senate adopted previously approved resolutions recognizing June 2026 as LGBTQIA+ Pride Month and mourning the death of Susan Irene Wright of Harlem. Senators Brisport and Bottcher spoke at length in support of Pride Month, emphasizing LGBTQ+ history, resilience, and ongoing threats to the trans community. On the Susan Wright resolution, Senators Cleare, Bailey, and Bottcher praised her community leadership, philanthropy, and family legacy, and Assembly Member Jordan Wright was recognized in the chamber. The body then considered and passed many bills on the calendar, including measures on insurance, environmental conservation, public health, education, business law, labor, social services, highway law, and local tax exemptions. Several bills drew brief explanations of vote, including a measure to end higher insurance premiums for widows, a bill to prohibit correctional facilities from denying visitation because of menstrual products or IUDs, and a Medicaid-related bill to expand access to blood pressure monitors for pregnant people. Most bills passed with broad support, though some had notable opposition from a small group of senators. Late in the session, the Senate took up a proposed constitutional amendment on redistricting. Senator Stewart-Cousins sponsored the measure, and Senator Walczyk questioned it extensively, arguing voters had previously approved an independent redistricting process and objecting to changes that would remove the Legislature’s two-thirds map-approval requirement and alter the commission’s role. The sponsor said the changes were needed in response to aggressive partisan redistricting in other states and would still require voter ratification in future sessions. The transcript ends during that debate, with no final vote on the amendment shown.

Transcript Highlights:

• Speaker, I rise today to honor the Georgia Pharmacy Association and recognize its 150th anniversary this
• The organization's reach has expanded into four pharmacy schools in Georgia, and the Georgia Pharmacy
• THE ORGANIZATION'S REACH HAS EXPANDED INTO FOUR PHARMACY COOLS IN GEORGIA.
• LEVELS INCLUDING A STATE REIMBURSEMENT BILL SUPPORTING INDEPENDENT PHARMACIES IN THEIR BATTLE AGAINST
• Preventive care, to have mental health professionals in our schools dealing with young people, to have

Keywords: U.S. House of Representatives Floor Proceedings on Monday, June 9, 2025, 1012, house, all

Transcript Highlights:

• This is the Medicaid to Schools budget.
• that more money is able to be claimed by schools.
• If they're not collected by the pharmacy, then the pharmacy still is assumed to have been paid that we're
• if they're not collected by the pharmacy if they're not collected by the pharmacy<01:43:03.360><c> then
• still</c><01:43:05.480><c> is</c> pharmacy then the pharmacy um still is pharmacy then the pharmacy um

Keywords: 928, house, all

Summary: The committee first recessed briefly, then took up HB 570, the prescription drug affordability board (PDAB). The chair and several members discussed the House amendment to repeal the board, which removed the fiscal note. The main concern raised was that the PDAB had not yet produced a clear business case showing value for the taxpayer investment, despite several years of work and four annual reports. Supporters of the repeal said the board’s recent report was largely redundant and that the board should either demonstrate a strong return on investment or be shut down; others cautioned against discarding the program too quickly and urged more time to refine the mission and legislative language. No vote was taken, and the committee appeared to agree to retain the bill for further work, with the possibility of revisiting it in a formal executive session on Tuesday. Members also shifted into discussion of HB 2, beginning with Section 85 on opioid abatement trust fund dollars for shelter programs. Department of Health and Human Services officials explained that the provision would provide $10 million from the opioid abatement trust fund, replacing general funds in the governor’s budget, while also noting an additional $2.5 million prioritized needs request for shelter care that was already fully funded. Committee members asked about shelter bed capacity, job placement efforts, and the remaining balance in the opioid fund; DHHS said there are 934 contracted beds and that case management includes help with housing and employment. Officials also said the current proposed budget includes another $1 million later in HB 2 from the opioid fund. The committee then began discussion of Sections 86 through 87, which would preserve the department’s ability to transfer funds between personnel lines. DHHS said the provision is operationally critical and that losing it would make it extremely difficult to manage the department, though it would not have a direct fiscal impact. The next item introduced was Section 88, extending a suspension related to eligibility for services until July 1, 2027; DHHS indicated that if the suspension were not continued, it would likely increase expenditures for Community Mental Health Centers and potentially others. No votes were taken during this portion of the meeting.

Transcript Highlights:

• And chief among those elements of the delivery system that are broken is the pharmacy delivery system
• We regulate our pharmacists' pharmacy scope of practice. We did this, frankly, with generics.
• I currently serve as the vice president of pharmacy and clinical nutrition at Sharp Health Care in San
• A larger concern I've been told is around the multiple switching that occurs at the specialty pharmacy
• And or the pharmacy, when they receive it and the doctor says nothing, then the pharmacy will be able

Summary: The Senate Business, Professions and Economic Development Committee heard SB 1094 by Senator Weber Pierson, which would expand pharmacist substitution authority for biosimilars and allow health plans to require use of lower-cost generic or biosimilar alternatives when available, unless the prescriber marks “do not substitute.” The author said the bill is intended to lower prescription drug costs, improve access, and require insurers to report on whether substitutions reduce out-of-pocket costs and premium growth. Committee amendments were accepted, including changes to align definitions with federal law, require a link to the FDA Purple Book, add a 30-day advance notice requirement for plan-driven substitutions, and allow exceptions for patients or providers. Supporters included Blue Shield of California, Sharp HealthCare, health plans, CVS, the California Chamber of Commerce, and other business and health care groups, who argued the bill would increase competition, reduce costs, and remove administrative barriers to using FDA-approved biosimilars. Opponents and “opposed unless amended” witnesses, including the Biotechnology Innovation Organization, the California Rheumatology Alliance, and some physician groups, argued the bill goes beyond current FDA interchangeability standards, could undermine physician judgment, and may create patient safety concerns for some chronic-disease patients who react differently to biosimilars or experience problems with multiple switches. Committee members discussed the “do not substitute” option, patient notification, insurance approval, and whether the bill preserves physician discretion. After debate, Senator Arreguín moved the bill, and the committee voted 10-0 to pass SB 1094 as amended to the Senate Health Committee.

Transcript Highlights:

• And chief among those elements of the delivery system that are broken is the pharmacy delivery system
• We regulate our pharmacists, pharmacy scope of practice. We did this, frankly, with generics.
• I currently serve as the vice president of pharmacy and clinical nutrition at Sharp Health Care in San
• This means that Sharp Pharmacy team must undertake additional time-consuming steps and make multiple
• And or the pharmacy, when they receive it and the doctor says nothing, then the pharmacy will be able

Keywords: 987, senate, all

Transcript Highlights:

• SCHOOLS TO NOTIFY THE PARENT WITHIN&nbsp; FIVE SCHOOL DAYS WHEN SERVICE&nbsp; 208 IS MISSED SUCH AS WHEN
• For any ESE students, that help starts at school.
• It clarifies schools can enroll students and requires a school board or governing board to qualify activity
• There's a process in schools, and if you come in with a prescription, you give that to the school nurse
• PROCESS IN SCHOOLS AND IF YOU&nbsp; COME IN WITH A PRESCRIPTION YOU&nbsp; 833 GIVE THAT TO THE SCHOOL

Summary: The committee met with a quorum and began by welcoming students and coaches participating in the inaugural Sunshine State Debate. Members then heard and voted on a series of education-related bills, with most measures receiving favorable reports by unanimous or near-unanimous votes. The first bill, HB 1081, created a Cybersecurity Internship Clearance Readiness Program in the Department of Commerce for NCACE-designated universities and Florida College System institutions; a friendly amendment expanded access to private schools, and the bill passed 19-0. HB 1201 updated Florida’s epilepsy/seizure plan law to clarify protections for charter school students, require acceptance of physician-submitted plans, extend training validity to five years, and expand training to regular bus drivers; epilepsy advocates supported it, and it passed 19-0. HB 851 required annual autism-specific professional learning opportunities for teachers and school-based administrators, and it also passed 19-0. HB 615, dealing with IEPs, required quicker parent notice when services are missed, faster access to service logs, individualized parent orientation, and standardized district service logs; parents and advocates testified strongly in support, and the bill was reported favorably. HB 1503 added technology-related competencies to education courses and directed the Department of Education to develop computer science certification coverage; it passed 19-0. HB 371 required public schools to display portraits of Abraham Lincoln and George Washington in common areas and passed 19-0 after testimony both for and against. HB 731 revised extracurricular eligibility rules and allowed local policies for compensating coaches and activity sponsors; an amendment broadened manual requirements and clarified fee actions, and the bill passed 18-0. The committee also took up HB 173, a parental rights bill that drew the most extensive debate and public testimony. The bill would require parental consent for many medical decisions for minors, give parents access to medical records, and expand parental review/opt-in rights for certain school surveys and biofeedback devices. Supporters argued it restores parental authority, improves safety, and prevents children from being cut out of important medical decisions; opponents warned it would remove confidential access to STI treatment, crisis mental health care, and other services for minors in unsafe or abusive homes. Members raised questions about abuse exceptions, emergency care, and how the bill would affect routine treatment and time-sensitive care. The bill was not voted on in the portion provided, and debate continued through multiple rounds of sponsor responses and member comments.

Transcript Highlights:

• Cook plans to continue his college career and later go to law school, to major in criminal law.
• Sometimes folks can't get into the pharmacy quicker than they can get to a clinic or drive an hour to
• If Missouri is hit by tornadoes, floods, or other emergency, the Board of Pharmacy can temporarily waive
• certain rules so pharmacies can continue serving people during that disaster period.
• bill also includes language allowing ivermectin and hydroxychloroquine to be available behind the pharmacy

Summary: The House opened with prayer and the Pledge of Allegiance, then approved the House Journals for the 65th and 66th legislative days. Members also spent time on personal privilege and special guest introductions, including a recognition of law enforcement officers who were injured in the line of duty and several interns serving in House offices. The chamber then took up several fiscal review committee reports and moved to conference and Senate bills. House Bill 2818, dealing with annexation and related local government language for St. Joseph Airport, St. Charles County, and Jefferson County, was explained as a compromise on voluntary annexation standards; after debate it was adopted and then third read and passed by a vote of 136-7. House Bill 1825, concerning county salary commissions and county classification changes for Lafayette, Pettis, and Saline counties, drew debate over county pay and the exclusion of coroners, but the Senate substitute was adopted 109-35 and finally passed 106-39. The House also considered House Joint Resolution 87, the so-called constitutional sheriff resolution, which would place sheriff duties and the office itself in the Missouri Constitution. Members debated its scope, including concerns about the term “traitors,” possible effects on Kansas City’s police governance, and whether the measure was necessary; a St. Louis City amendment clarifying the City of St. Louis sheriff provisions was adopted. The resolution then passed 100-47. Finally, Senate Bill 878 on pharmacy practice and rural health access, including pharmacist treatment for common illnesses, emergency waivers, and access to certain medications and supplies, passed 132-13 after an amendment on blood pressure cuffs for pregnant women and opioid-alternative language was adopted. Senate Bill 903, addressing telecommunications infrastructure and copper theft, passed 137-5. The House then announced upcoming committee work, including a born-alive bill, and adjourned until May 12, 2026.

Transcript Highlights:

• or from a pharmaceutical distributor or a compounding pharmacy.
• Because I was—I worked in a pharmacy in a correctional institute.
• I mean, is there an interface with pharmacies at all or pharmacy? Yeah.
• Unfortunately, not with DPH, but it's with a pharmacy that I can.
• No, because I think I would look more like the legislative route than the Board of Pharmacy.

Keywords: 995, all

Summary: The working group on best practices for oversight and enforcement met for its first session and focused on xylazine, including its legal veterinary uses, its appearance in the illicit drug supply, and whether it should be classified as a controlled substance. Members discussed the distinction between pharmaceutical-grade and non-pharmaceutical-grade xylazine, the role of international/illicit sourcing, and the limits of state-level regulation if the substance is already being added to fentanyl or other drugs outside the Commonwealth. The Department of Public Health representative summarized the agency’s view that scheduling xylazine could follow the “ironclad law of prohibition” and push the market toward other, potentially worse substances, and said DPH opposed straight scheduling in favor of education, support, and harm-reduction approaches. Veterinary members explained how xylazine is used in large-animal and research settings, why it is useful, and why federal-style scheduling could create practical burdens for veterinarians who work in the field. They also described reversal agents such as yohimbine and atipamezole (Antisedan), and noted that xylazine is not commonly used in small-animal practice. Several members raised questions about how much xylazine is actually used legally in Massachusetts, whether boards of pharmacy or distributors could provide useful data, and what other states have done. Arizona and Florida were mentioned as possible examples for further research, along with the need to examine stakeholder opposition and any effects on legitimate veterinary practice. The group agreed to divide into two subgroups: one focused on oversight and regulation of production/distribution, and another on whether xylazine should be classified as a controlled substance and what penalties, if any, should apply. Staff said they would circulate notes, a draft PowerPoint template, and a shared folder, with members asked to submit materials by December 2, draft materials due December 4, and final approval by December 9 ahead of the next public meeting on December 11. The meeting ended with a motion to adjourn, a second, and unanimous closure.

Transcript Highlights:

• And, you know, I did my thesis in grad school on infant and maternal mortality.
• The Board of Pharmacy will establish rules to ensure communication with patients' primary care providers
• The Board of Pharmacy will establish rules to ensure communication with patients' primary care providers
• I'm the executive director of the Delaware Pharmacy Society and I'm here today for our strong support
• We run the risk of putting paraphernalia in young adults’ hands, high school-age kids.

Bills: SB274, SB301, SB249

Keywords: healthcare, life-sustaining treatment, patient preferences, POLST, advance directive, medical orders, hospital discharge, pregnancy, patient care, discharge planning, healthcare policy, substance use, harm reduction, syringe services, needle exchange, overdose prevention, naloxone, opioid antagonist, drug paraphernalia, syringe

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.

Transcript Highlights:

• This is for pharmacy benefits management services.
• Number 34 is with the Department of Education School for the Deaf and Blind and Community Rehab Associates
• This is for therapy services at the school.
• This is a new contract for school-based mental health, or school-based health mentorship, and technical
• This is for janitorial services. 66, School for the Deaf and Blind with Lindle Green.

Summary: The committee met to review a supplemental agenda, procurement rule revisions, methods of finance, discretionary grants, contracts, and a member disclosure. The Office of State Procurement presented rule changes tied to 2025 legislative changes, including Act 782, with updates to sole-source definitions, unrealistic bids, protest requirements, debarment procedures, and recodification references; the committee voted to accept the supplemental agenda and approve the rules. Members also approved eight methods of finance covering university repairs, equipment replacement, property purchase, and capital projects, along with a large slate of discretionary grants for courts, health, DHS, historic preservation, and tobacco prevention programs. The committee then reviewed RFQs and six ratifications. The ratifications included a Workforce Connections payment to ACT WorkKeys, Department of Health costs from an ice-storm-related water leak, a large Department of Public Safety ratification for Motorola’s Arkansas Wireless Information Network upgrade, Veterans Affairs HVAC and medical-service payments, and a UA Little Rock painting contract. The Department of Public Safety ratification drew extended questioning about why the expired Motorola contract had not been renewed sooner and why the issue took months to reach the committee; agency officials said the project was bond-funded, had not been tracked in ASIS, and involved ongoing negotiations and system updates. Despite concerns, the committee approved the ratifications. Members also reviewed a long list of construction, intergovernmental, out-of-state, and in-state contracts, including numerous university, DHS, health, corrections, and state agency agreements. Several contracts were discussed in more detail, including an SAU custodial contract question about sales tax and transparency reporting, and Department of Corrections aerial application contracts for Tucker and Cummins farms, which officials said served separate facilities in different parts of the state. The committee approved the contract lists, reviewed reports, and accepted a disclosure from Representative Andrew Collins regarding his investment interest in a company leasing property to Arkansas Rehabilitation Services before adjourning.

Transcript Highlights:

• This is for pharmacy benefits management services.
• Number 34, Department of Education School for the Deaf and Blind with Community Rehab Associates.
• for school-based mental health or school-based health mentorship and technical assistance in underserved
• Contract 66, School for the Deaf and Blind with Lindel Green, is for therapy services.
• Contract 78, Department of Health with Health Care Pharmacy, is for pharmacy medication services for

Keywords: 1204, all

Transcript Highlights:

• It allows for CGMs to be billed by both pharmacy and durable medical equipment providers.
• Pharmacy and durable medical equipment providers. It is already live with our system.
• So my understanding, you correct me, I hope, is that it's instantaneous basically for pharmacy.
• We're also setting up a process by which we allow the pharmacy alert the pharmacy that they cannot bill
• And now what you're saying is they're going to go through pharmacy for these.

Summary: The committee reviewed a series of Arkansas DHS and Department of Health rules, most tied to 2025 legislation. Early items covered Medicaid changes including presumptive eligibility application timing, adding a fictive kin definition for foster child eligibility, raising the able account disability onset age to 46, allowing continuous glucose monitors to be billed by both pharmacy and DME providers, increasing the RSV vaccine administration fee for children, a telemedicine exemption for ET3 ambulance services, and a physical therapy access rule that also included occupational therapy. Members generally asked limited questions and most rules were reviewed without objection. A major portion of the meeting focused on the dental rate increase rule under Act 1025. DHS said it implemented rate increases for certain pediatric, special-needs, and oral surgeon services, but not orthodontics, and it interpreted the act as applying only to oral and maxillofacial surgeons, not general dentists. The Arkansas State Dental Association and legislative sponsors testified that the intent was to cover general dentists performing oral surgery procedures for special-needs patients, estimating the broader interpretation would add about $1.5 million annually. Committee members debated the plain language of the act versus legislative intent, and the rule was reviewed, but with testimony noting the issue should be fixed in future legislation. Later items included the Healthy Moms, Healthy Babies rule adding doula and lactation consultant billing and remote monitoring benefits; an adverse decisions rule extending provider appeal time from 35 to 65 days; CNA training program updates; PASSE network-status disclosure rules; certification rules for community-based doulas and community health workers; cosmetology, massage therapy, lead-based paint, radiation, radiologic technology, and RV park rule updates. Most of these were described as technical, statutory, or federally driven changes and were reviewed without objection. The committee briefly reopened the CGM rule after a motion to expunge the prior vote, and Representative Wardlaw said he would hold the rule for further review because he believed the billing changes did not match the law’s intent. The meeting ended with no further business and adjournment.

Transcript Highlights:

• We also partner with our MedImpact pharmacy benefit manager, um, because they look at pharmacy first
• </c> with our with Med impact our Pharmacy with our with Med impact our Pharmacy benefit<00:30:16.840
• > comes</c><00:30:20.960><c> to</c> Pharmacy first before Pharmacy comes to Pharmacy first before Pharmacy
• </c> organizations so we have one uh Pharmacy organizations so we have one uh Pharmacy benefit<00:36:
• </c> claims activity we also have a pharmacy claims activity we also have a pharmacy and<00:37:15.160

Keywords: 958, all

Summary: The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations. Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends. Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.

Transcript Highlights:

• And just having a conversation, I know you and I talked offline about the young lady in a school shooting
• and really what it does, and if any of you pay attention or own a business, it puts a lockbox on schools
• They already exist, and so this would just make that each school would have them across the state.
• for treatment for their sexual assault saves them a further trip down the road to have to visit a pharmacy
• victims are adolescents, many of whom do not have the resources to fill a prescription or get to a pharmacy

Summary: The committee first met in executive session and took up House Bill 3174 by Representative Justice. Members adopted two committee amendments: one removed the bill’s mapping provisions so that the vendor-list portion could move forward separately, and another required schools to have at least one master key box for emergency responders. The amendments were rolled into a committee substitute, which the committee then voted do pass on a 10-0 roll call. A second executive-session bill was postponed until the following week because of a family emergency involving Representative Williams. The committee then heard Senate Bill 982, a cleanup and reorganization bill dealing with Missouri’s sex offender registry and related registration rules. Senator Mary Elizabeth Coleman said the bill was intended to align the registry statutes with prior changes, clarify tiering and registration requirements, address offenders with ties to Missouri but living elsewhere, and improve information-sharing rules for law enforcement and victims, including notice when a registrant dies or moves. Testimony in support came from the Missouri Alliance for Family Restoration, which said the bill codifies case law and reduces administrative confusion for the Highway Patrol and registrants. No opposition was offered. The committee also heard House Bill 3414, which would create a state offense modeled on a federal online-fraud law to help law enforcement pursue internet-based fraud, including schemes involving credit cards, account numbers, telecommunication identifiers, and similar access devices. The sponsor and a law-enforcement witness said the bill would give investigators another tool against increasingly common fraud, including elder fraud and VoIP-based schemes; a Maverick convenience stores representative also supported it as a response to changing technology. No opposition was presented. Finally, the committee heard House Bills 2628 and 3460, the CARE Act, which would require hospitals and health facilities treating sexual-assault survivors to inform patients about emergency contraception, provide it if requested, test and treat for sexually transmitted infections, and seek reimbursement through the Department of Public Safety. Sponsor Jacqueline Zimmerman said the bill is meant to reduce trauma and prevent pregnancies resulting from rape, and witnesses from sexual-assault nursing, reproductive-health, anti-poverty, medical, and nursing organizations supported it as a way to standardize care, especially in rural areas. Several members raised questions about whether the bill would require abortion-inducing drugs, whether hospitals could opt out on conscientious grounds, and how reimbursement would work; the sponsor said she intended to add language excluding abortion-inducing medications and that the current DPS forensic-exam payment structure would not change. No votes were taken on the later bills in the portion of the transcript provided.

Transcript Highlights:

• And just having a conversation, I know you and I talked offline about the young lady in a school shooting
• and really what it does, and if any of you pay attention or own a business, it puts a lockbox on schools
• They already exist, and so this would just make that each school would have them across the state.
• for treatment for their sexual assault saves them a further trip down the road to have to visit a pharmacy
• lot of those don't have the resources to either fill the prescription or even just make it to the pharmacy

Keywords: 959, house, all