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:

• 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:

• 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:

• 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:

• 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:

• 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:

• 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:

• 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:

• 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:

• Um, pharmacy inspection. So we have three pharmacy inspectors.
• ,</c><00:13:07.519><c> you'll</c> we are the board of pharmacy, you'll we are the board of pharmacy,
• I will say the regulation of the pharmacy board is not necessarily connected to the pharmacy benefit
• ><c> were</c><00:21:41.039><c> were</c> The pharmacy benefit managers were were The pharmacy benefit
• ><c> the</c><00:22:00.320><c> pharmacy</c><00:22:00.720><c> benefit</c> connected to the pharmacy benefit

Keywords: 1189, house, all

Summary: The committee first approved the minutes from its October 3 meeting unanimously. It then reviewed follow-up status on prior performance audits, beginning with the Department of Corrections’ sex offender treatment program. DOC said all audit items from the 2016 review were resolved except one related to tracking benchmarks, progress, and recidivism. Officials explained that a new offender management system, Chorus, was recently implemented but has had rollout problems affecting operations, including restitution checks, and that they hope the system will be stable enough within about six months to begin tracking the needed metrics. Members asked about treatment inside prison and after release; DOC described in-prison treatment, parole aftercare, probation and parole oversight, administrative restrictions, and reassessment if conditions are not met. The committee next heard from OPLC on the Real Estate Commission audit. OPLC reported that all but one finding is substantially or fully resolved, with the remaining issue involving review of applicants’ adverse financial history and liabilities. The delay is tied to ongoing rulemaking, and OPLC said the commission is amending its criteria and integrating universal application procedures into board rules. The office estimated substantive completion by March 2027, with rule filing expected sooner. The committee then took up the Board of Pharmacy audit, where OPLC said most findings remain partially resolved because the board is in the middle of a major rule overhaul and a new licensing software project. Officials described a shift toward a compliance bureau and more routine, risk-informed inspections, rather than inspections driven only by complaints, and said updated manuals and forms will follow the new rules and technology. Finally, the Legislative Budget Assistant reported on ongoing audits. For special education, staff said they are writing the report, have 25 completed observations, and have expanded to 70 identified observations, with a full draft expected in the first quarter of 2026 and a final report by summer 2026. For education freedom accounts, 40 observations have been identified, 15 finalized, and a draft is expected by midspring with a fiscal committee presentation in summer. For the Doorway program, the audit plan was finalized with DHHS help, financial activity was isolated, fieldwork is expected to finish by Thanksgiving, and a draft report is planned for January or February 2026, with a final report by March or April 2026. The committee discussed scheduling its next meeting for February 6 at 10 a.m. and emphasized the value of follow-up on older audits; the meeting adjourned after members agreed the follow-up process should continue.

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:

• We have two schools and we have multiple green spaces.
• I mentioned the four museums, the four stadiums, the two schools.
• We do have a school that we operate on site, a neighborhood elementary school in partnership with LA
• We do have a school that we operate on site, a neighborhood elementary school in partnership with LA
• So when maybe pharmacy... ...pharmacy, which does have inspection authority, goes in and they'll say,

Summary: The subcommittee heard a series of budget proposals, beginning with Exposition Park. Park leadership described the 160-acre state property’s historic role, growing visitation, and major upcoming events, including the FIFA World Cup fan fest and the 2028 Olympics. The governor’s proposal sought $96.5 million for utility replacement, site improvements, code compliance, accessibility, and public safety/traffic systems, plus $1.698 million for operational sustainability. The LAO said the proposals had merit but suggested the Legislature could consider downscaling some work given the budget condition. Members generally supported the requests, emphasizing deferred maintenance, public access, and the park’s statewide importance; both Exposition Park items were held open. The California Science Center requested funding to open and operate the new Air and Space Center, a major expansion featuring the Space Shuttle Endeavour. The LAO supported the proposal but suggested the Legislature consider alternative funding sources such as admission fees, higher parking fees, or private funds. Members debated whether the state should continue to fund operations without charging admission, with the Science Center explaining its public-private funding model and warning that fees could sharply reduce attendance, especially for underserved communities. The item was held open. The committee also reviewed continuation funding for the Department of Financial Protection and Innovation’s consumer protection and debt collection programs. DFPI and Finance said the requests would extend existing expenditure authority and were not General Fund asks. The LAO supported limited-term funding but urged cumulative reporting or a sunset-style review before permanent funding. Members pressed DFPI on outcomes, workload, and the high cost of the debt collection licensing program, noting that the number of licensees was far below early estimates and that assessments on the industry were substantial. Public commenters from the debt collection industry echoed those concerns, while others supported DFPI’s consumer protection work. The committee then heard a Board of Registered Nursing request for $1.4 million to fund eight special investigators. The board said complaint volume has risen with licensee growth and more complex cases, and members asked about complaint outcomes, regional caseloads, med spa oversight, viral complaints, and bias-related complaints. The board explained its investigation, probation, and intervention processes and said most cases reaching the Attorney General result in discipline. That item was also held open. After public comment on additional agenda items, the committee voted on several vote-only items. Items 8, 10, 11, 12, 13, 15, 16, and 17 were approved 4-0. Items 7, 9, and 14 were also approved, with the chair correcting the tally to 4-0. The hearing then adjourned.

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:

• She also serves on the Los Angeles County School Trustees Association Board and is active in several
• Escorted by Assembly Member Ta is Kang Bao, a teacher at Westminster High School in Orange County with
• As a graduate of Stanford University and the MIT Sloan School of Management, Ms.
• This bill is about heat safety guidelines for high school athletics.
• districts. when in funding that's supposed to be going to our school districts.

Keywords: 988, house, all

Transcript Highlights:

• Next item up is the January 2026 pharmacy formulary recommendations.
• Next item up is the January 26th pharmacy formulary recommendations.
• His question was whether affiliate pharmacies were being paid more than independent pharmacies within
• being paid more than independent pharmacies.
• are being affected differently than affiliated pharmacies.

Keywords: 1204, all