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:

• , 1,600 pharmacies...
• , 1600 PHARMACIES&nbsp; 370 Closed last year.
• Chair McClure: Eric Larson, Florida Pharmacy Association, is here for information.
• My name is Eric Larson, also an independent pharmacy owner in Central Florida.
• A small town has one pharmacy, and you have an hour drive to the next one?

Summary: The committee first took up CS/House Bill 981, which would restore the Ocklawaha River and related natural resources. Supporters, including environmental groups, Save the Manatee Club, business owners, and Reunite the Rivers advocates, argued the bill would improve manatee habitat, fish passage, flood protection, tourism, and long-term economic returns while reducing dam maintenance costs. Opponents and skeptics focused on concerns about water quality, nutrient loading in the St. Johns River, loss of the Rodman Reservoir’s habitat and water-supply value, and potential ecological and economic harms. Members in debate largely supported the restoration effort, and the bill was reported favorably on a unanimous vote. The committee then heard HB 697, the PRICE Act, which would use international reference pricing to set a drug cost benchmark, address pharmacy benefit manager practices, and require health plans to keep drug prices stable for the year. The sponsor said the bill would lower costs and improve access, especially for uninsured Floridians. Supporters, including independent pharmacists, argued PBMs are squeezing pharmacies and that the bill could help lower prices. Opponents from BioFlorida and PhRMA warned the proposal could disrupt the national drug supply chain, fail to pass savings to patients, and lead to shortages, reduced access, and less innovation. After debate, the bill passed favorably, with Rep. Chambliss voting no. The committee also considered CS/HB 1081, which was amended to include private colleges and universities with NCA designation in the program. After brief discussion and support from United Way Miami, the committee reported the bill favorably. Finally, CS/HB 177 was introduced as a framework for Florida’s regional councils to cross-assign bills among regions; it received supportive testimony and was also reported favorably. The meeting then adjourned.

Transcript Highlights:

• the same amount as they pay an affiliated pharmacy.
• And then the PBMs negotiate with the retail pharmacies in secret.
• We're losing at least two neighborhood pharmacies every week this calendar year.
• In the past year, 1,600 pharmacies closed, both chain pharmacies and small mom-and-pop pharmacies.
• , and they're sending the lowest reimbursement to my client's pharmacies.

Transcript Highlights:

• So we analyze prescription drug spending under the pharmacy benefit, and pharmacy benefits are typically
• So we analyze prescription drug spending under the pharmacy benefit, and pharmacy benefits are typically
• called Pharmacy administered by entities called Pharmacy benefit<00:30:46.480><c> managers</c><00:30
• Do they also sell my information to pharmacies?
• </c><00:48:25.559><c> discount</c> your data the V first pharmacy discount your data the V first pharmacy

Keywords: 928, house, all

Summary: The working session focused on the New Hampshire Prescription Drug Affordability Board’s budget request and its recent work. Early discussion centered on a technical question about a statutory dedicated fund for donations: members asked why the budget did not show a line item for accepting donations, and DHHS CFO Nathan White explained that the statute already authorizes the fund, but because no revenue has been received yet, it does not appear in the budget. He said any future donations would go through the normal process under RSA 14:30-a, with fiscal committee and Governor and Council approval and a memo to the Department of Revenue Administration. The chair clarified that the account was not a prerequisite to soliciting donations, and White said the fund would supplement, not replace, General Fund support. Kirk Williamson, the board’s executive director, then presented the board’s mission and budget. He said the governor’s budget provides about $256,500 in the first year and slightly more in the second, all General Funds, and that the board had distributed a technical amendment to continue the executive director position. He described the board’s role as analyzing prescription drug costs, identifying savings opportunities, monitoring market trends, promoting transparency, and making recommendations to the legislature and public payers. He also emphasized that the board operates publicly, with live-streamed meetings and a stakeholder advisory council that includes unions, state agencies, Medicaid, corrections, higher education, and other stakeholders. A major topic was the board’s estimate of $6 million in potential savings, based on Medicare’s newly negotiated prices for 10 drugs. Williamson explained that the board used those federal negotiated prices as a benchmark to estimate what New Hampshire public payers might be missing by not having similar leverage, and said the board is trying to build evidence for future recommendations rather than directly setting prices. Members asked how those potential savings could become actual savings, and Williamson said the board is sharing findings through its advisory council and feedback loops, though it has not yet sent a formal recommendation letter to specific purchasers. He also discussed the difference between pharmacy-benefit spending, which relies heavily on PBM-negotiated rebates, and medical-benefit spending, which is administered differently and is being added to the board’s next report. Williamson highlighted other work, including a model on Humira and a pending legislative effort to improve biosimilar competition, plus a proposed state-backed pharmacy savings card that would be no cost to the state and could save users about $240 per prescription based on Connecticut’s experience. No votes were taken during the session.

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.
• We're also setting up a process by which we allow the pharmacy alert the pharmacy that they cannot bill
• But DME providers submit to AFMC... ...or all pharmacy PAs.
• And now what you're saying is they're going to go through pharmacy for these.

Summary: The committee reviewed a series of Arkansas Medicaid and Department of Health rules, many implementing 2025 acts. Early items covered presumptive eligibility and Medicaid policy updates, including adding a definition of fictive kin for foster children and changing the disability onset age for ABLE accounts from 26 to 46. Another rule clarified that continuous glucose monitors may be billed by both pharmacies and durable medical equipment providers, with committee members questioning prior authorization timing, system lag, and a fiscal impact estimate of about $3 million over two years; the rule was reviewed, but members requested additional cost breakdowns. Other Medicaid-related rules addressed an RSV vaccine administration fee increase, an ET3 telemedicine exemption for ambulance treat-triage-transport services, a dental rate increase under Act 1025, expanded physical therapy access, and the Healthy Moms, Healthy Babies package covering doulas, lactation consultants, remote monitoring, and expanded prenatal testing. Most were reviewed without objection after brief discussion or no questions.

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:

• 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:

• 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:

• We also cover a significant portion of school board employees across the Commonwealth.
• The relatively lower cost of school board employees, who tend to be younger and therefore healthier,
• And school boards, you've focused on over half of that population as school boards.
• It's basically anyone that would be employed by a school district. >> Yes, sir.
• Certain school boards, you know, depending on their contract with certain administrators, they may be

Keywords: Meeting Start 00:00:00 State Health Insurance Plans 00:00:03 Executive Branch Salary Schedule Adjustments 00:29:15 Nutrition Program for the Elderly 00:34:52 Update on DORIS 01:05:38, 958, all

Summary: The committee met on November 5, 2025, and first approved the minutes after a moment of silence for the UPS airport tragedy. The main presentation was from the Personnel Cabinet on the state health insurance plans and executive branch salary schedule adjustments. Officials said the health plan covers roughly 265,000 active members and up to about 300,000 across all benefit offerings, including school board employees, retirees, and other eligible groups. They described rising claims and expenditures, especially from high-cost claimants and pharmacy spending, and said recent premium and benefit changes were intended to balance costs while preserving recruitment and retention efforts. They also explained that employee premiums had not increased for several years, while employer contributions rose sharply in recent years, and projected a 10% employer increase and 3% employee increase going forward based on actuarial analysis. Committee members asked about deductibles, GLP-1 drug costs, claims validation, and the causes of cost growth; officials said the plan uses multiple payment-integrity vendors and that the increases reflect utilization, drug trends, and high-cost cases rather than a change in coverage. The committee also discussed executive branch salary schedule adjustments. Personnel and budget officials explained that when the legislature approves annual pay increases, the salary schedule is adjusted by the same percentage through executive order so the minimum and midpoint stay aligned with approved compensation levels. They said the 2025 adjustment was a 3% match effective September 16 and that the change was costless because salaries had already been increased. Members raised concerns about salary compression, noting that new hires can sometimes be paid near the level of long-serving employees. Officials said the adjustment helps prevent compression from worsening but does not solve it, and they acknowledged prior RFP efforts to address the issue were unsuccessful because no qualified bidder met the requirements. After the health plan and salary discussions, the committee began a presentation from the Cabinet for Health and Family Services on Kentucky’s senior meal program. Secretary Stack explained that the program is a federal-state-local partnership under the Older Americans Act, with area development districts helping deliver services. He outlined eligibility rules, noting that congregate meals at senior centers are available to people age 60 and older, with a spouse of any age allowed to join, and that home-delivered meals have additional homebound and assistance requirements. Members asked whether there was any means test for congregate meals, and the secretary said there is not; the only threshold is age for the center-based meals, while the home-delivered program has additional criteria.

Transcript Highlights:

• Chair, no, I don't remember any engagement with the Board of Pharmacy.
• </c> pharmacy as well. pharmacy as well.
• </c><01:14:57.040><c> I</c> engagement with the board of pharmacy.
• I engagement with the board of pharmacy.
• </c> uh board of pharmacy etc. uh board of pharmacy etc.

Keywords: 1187, senate, all

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:

• 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

Transcript Highlights:

• Instead, the amendment requires each school district and charter school to submit a report to ADE by
• not rural schools.
• schools.
• schools.
• a majority of their schools, if not all their schools, within the program to be operational.

Bills: SB1041, SB1050, SB1131, SB1138, SB1249, SB1267, SB1272, SB1317, SB1461, SB1488, SB1504, SB1517, SB1523, SB1580, SB1582, SB1584, SB1585, SB1602, SB1630, SB1654, SB1672, SB1673, SB1718, SB1761, SB1819, SB1826, SB1827

Keywords: electronic monitoring, nursing care, assisted living, resident rights, privacy, consent, surveillance, veterans, lifetime pass, state parks, Arizona, access, disabled veterans, cardiac arrest, defibrillators, school safety, emergency response, CPR training, Arizona education funding, automated license plate readers

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:

• </c> a particular Center within the school a particular Center within the school for<00:10:03.800><c>
• and in our school of dentistry.
• and in our school of dentistry.
• across</c> middle schools and high schools across middle schools and high schools across the<00:55:30.039
• ><c> school</c><01:12:16.120><c> students</c> number of high school students number of high school students

Keywords: 1183, house

Transcript Highlights:

• On page 33, they specify that the SRO reimbursements can go to public and non-public schools, and they
• and we delete the non-public schools and we delete the language<00:15:11.079><c> specifying</c><00:15
• The pharmacy much improved set in Medicaid—there are two other states, Maine and Idaho, that do it in
• The pharmacy much improved set in Medicaid—there are two other states, Maine and Idaho, that do it in
• The pharmacy much improved set in Medicaid—there are two other states, Maine and Idaho, that do it in

Keywords: Meeting Start 00:00:00 Roll Call 00:00:10 HB 2 Discussion 00:01:00 HB 2 Vote 00:04:00 HB 544 Discussion 00:05:05 HB 544 Vote 00:06:15 HB 552 Discussion 00:07:00 HB 552 Vote 00:08:40 HB 605 Discussion 00:09:35 HB 605 Vote 00:11:35 HB 606 Discussion 00:12:10 HB 606 Vote 00:15:40 HB 695 Discussion 00:16:25 HB 695 Vote 00:34:05, 958, all

Summary: The Appropriations and Revenue Committee took up several House bills and committee substitutes. House Bill 2, as amended by Senate Committee Substitute 1, was described by Rep. T.J. Roberts as restoring a tax exemption enacted in 2024 by providing refunds with interest to those improperly taxed and creating a cause of action; the substitute also aligned state filing deadlines for certain flood-disaster counties with the federal November 15 deadline. The committee adopted the substitute and then passed the bill with favorable expression. The committee also adopted a title amendment for House Bill 544, which Rep. Jason Petrie said was part of the state’s flood-relief discussion and would allow the guard cap to be used over the biennium rather than annually, effectively increasing the cap from $50 million per year to $100 million over two years; the measure passed with favorable expression. House Bill 552, handled by Rep. Josh Bray after Rep. Kim King’s absence, was described as simplifying tourist commission appointments. The committee substitute added creation of the Kentucky-Ireland Trade Commission and changed marina licensing agreements by exempting private contractors from the model procurement code. The committee adopted the substitute, approved a title amendment, and passed the bill with favorable expression. House Bill 605, sponsored by Rep. Kim King, clarified which grants qualify for a grant program and allowed cities or counties to apply on behalf of water districts or other entities not directly affiliated with them; Rebecca Hearts of Grant Ready Kentucky said the program had matched $103 million of the $200 million allocation, generating about $469.98 million in total project value. The committee adopted the title amendment and passed the bill with favorable expression. House Bill 606, by Rep. Wade Williams, added a capital-oversight reporting requirement for school district general obligation bonds that had been omitted from prior legislation. The committee substitute also made several budget and program adjustments, including moving Regional Training Center funds, accelerating funding for the Grand Lyric Theater, correcting water funding language, removing Odyssey Inc. language from a treatment-related item, fixing a double appropriation to LifeWorks Transition Academy, clarifying carry-forward language, allowing SRO reimbursements for public and non-public schools, and authorizing an additional $10 million in agency bonds for Western Kentucky University athletic facilities. The committee adopted the substitute, approved a title amendment, and passed the bill with favorable expression. The committee then spent the most time on House Bill 695, a Medicaid-related bill. Rep. Adam Bowling said the bill was intended to stabilize Medicaid, create oversight and advisory mechanisms, and address growth in the program. Cabinet for Health and Family Services Secretary Eric Friedlander and Medicaid CFO Steve Beckle said they were generally supportive of the transparency and reporting changes but flagged risks, including federal compliance concerns, budget growth from changing the drug rebate treatment, administrative costs tied to MCO rebidding and a managed long-term services study, and some data-collection challenges. Representatives from the Kentucky Association of Healthcare Facilities opposed the section calling for a managed long-term care reimbursement study, arguing it would be costly, duplicative, and likely ineffective, and they warned against managed care models for long-term care. Despite the concerns, the committee adopted the committee substitute by voice vote and moved the bill forward with favorable expression.

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:

• And then you've got individuals who are going to school.
• We're then potentially going to school.
• We serve thousands of children through our early childhood education programs, before- and after-school
• As a mother, former elementary school<05:42:51.080><c> educator,</c><05:42:52.080><c> family</c><05:42
• :52.558><c> child</c><05:42:52.798><c> care</c> school educator, family child care school educator, family

Keywords: 1189, house, all