Transcript Highlights:

• pharmacy services.
• contract pharmacies?
• pharmacy or explain what your pharmacy situation is and participation thereof.
• chain pharmacies.
• Well, not the pharmacy.

Transcript Highlights:

• pharmacies.
• PBMs' own mail-order pharmacies and away from community pharmacies.
• , creating pharmacy deserts.
• , our local pharmacies.
• , our local pharmacies.

Summary: The committee heard several health-related measures. SB 27 by Senator Umberg would revise and expand California’s CARE Court by limiting the expansion to people with bipolar I disorder with psychotic features, clarifying the definition of “clinically stabilized,” and narrowing the role of nurse practitioners and physician assistants. Supporters, including behavioral health officials and family members, said the bill would reduce dismissals and better serve people with severe illness; opponents warned the expansion would strain county staffing and housing resources and could undermine voluntary engagement. The bill passed on a do pass motion to the Committee on Public Safety. SB 503 by Senator Weber Pierson would require AI tools used in health care facilities to be identified, monitored, and mitigated for bias when used in clinical decision-making or resource allocation. The author and supporters from Kaiser Permanente and the California Medical Association said the bill would help prevent discriminatory outcomes and improve trust and safety. The committee discussed the need to clarify developer and deployer responsibilities, and the bill passed as amended to Privacy and Consumer Protection. SB 68 by Senator Menjivar would require restaurants to provide written allergen information for the top nine food allergens, with tiered flexibility for smaller establishments. The bill was supported by patients, families, nurses, and allergy organizations, who described severe reactions and the difficulty of relying on verbal disclosures alone. The California Restaurant Association opposed unless amended, seeking broader use of the national model food code and additional liability language. The bill passed as amended to Appropriations. The committee also heard SB 403 by Senator Blakespear, which would remove the sunset from the End of Life Option Act; supporters described the law as a compassionate, well-functioning option for terminally ill patients, while faith-based groups opposed it. The bill passed to Judiciary. Later, SB 41 by Senator Wiener was introduced to rein in pharmacy benefit manager practices that steer patients to mail-order pharmacies and reimburse community pharmacies below cost; community pharmacists and several health organizations testified in support, describing pharmacy closures and patient access problems.

Transcript Highlights:

• When we had some pharmacy students come through the other day, I don't know what pharmacy school is like
• When you go into a rural area pharmacy or an urban corridor pharmacy, what they'll do is they'll get
• are closing, our smaller pharmacies are closing.
• are closing, our smaller pharmacies are closing.
• I met with rural pharmacies are closing, or smaller pharmacies are closing.

Keywords: 959, house, all

Summary: The Committee on Health and Mental Health heard testimony on several measures. HCR 42, sponsored by Representative Perkins, urged Congress to support programs intended to reduce prescription drug costs for Medicaid and Medicare patients. The sponsor said it would help elderly and low-income residents, while Representative Dahl argued the referenced program could cost more than other options such as GoodRx or generic pharmacy pricing. No vote was taken, and the hearing was closed after no additional support or opposition testimony was offered. The committee then heard Senate Bill 878 from Senator Fitzwater, a pharmacist practice act bill negotiated with the Board of Healing Arts and pharmacy groups. The bill would codify pandemic-era pharmacy flexibilities, expand pharmacist authority to administer certain vaccines approved by the FDA and state boards, allow therapeutic plans and some medical device dispensing, and authorize over-the-counter access to ivermectin and hydroxychloroquine with FDA-approved warning labels and standardized procedures. Supporters, including pharmacy associations and large pharmacy chains, said it would improve access, especially in rural areas, reduce delays in treatment, and help pharmacies remain open. Some members and an opponent raised concerns about safety, self-treatment, vaccine authority, and whether the bill shifts too much power from elected officials to boards. The bill was heard only; no committee vote was reported. The committee also heard House Resolution 538, which would designate May 2026 as ALS Awareness Month and encourage support for research, funding, and affected families. Members largely supported the resolution, with comments about the severity of ALS and the importance of early communication and assistive technology. House Resolution 4661 followed, calling for increased awareness and screening for chronic kidney disease, especially among high-risk patients with diabetes and hypertension, and encouraging public-private education efforts around urine albumin-to-creatinine testing. The sponsor described it as an awareness measure rather than a mandate, and members asked about how education efforts might work and whether broader screening should be considered. No votes were taken on either resolution during the hearing.

Transcript Highlights:

• know the exact makeup of PBM-affiliated pharmacies versus all other pharmacies.
• Lundy, does Caremark have affiliated pharmacies, CVS pharmacies?
• , giving its own pharmacies a better reimbursement rate than independent pharmacies.
• that they couldn't pay their affiliated pharmacies more than unaffiliated pharmacies.
• Whereas you go into a pharmacy, you would be seeing either a pharmacist or a pharmacy tech.

Keywords: 1182, all

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to people 65 and older to also offer them to Medicare beneficiaries under 65 with ALS or end-stage renal disease, with enrollment periods and premium protections tied to 65-year-old rates. Supporters, including dialysis and ALS advocates, said the bill would help a small population facing high out-of-pocket costs and could improve access to transplants and care; opponents argued it would shift costs onto older seniors and raise Medigap premiums. The committee recommended the bill do pass on a 12-0 vote. The committee also heard House Bill 2593, appropriating $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps obstetric and pediatric providers quickly consult on perinatal depression, postpartum psychosis, suicidality, and other mental health crises, improving outcomes for mothers, children, and families and reducing costly emergency and crisis care. The bill received a do pass recommendation on a 10-1 vote. House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, drew emotional testimony from a young woman with spina bifida and another speaker supporting the sanctity of life. Some members objected that the state should focus on practical supports such as paid leave, child care, and health care access, while others supported the resolution as a statement of human dignity. The resolution passed the committee 7-5. The committee then approved House Bill 4010, creating a Board of Genetic Counselors and licensure standards, after testimony from genetic counselors and a patient advocate about the need for qualified counseling and better access; it passed 11-1. Later, the committee approved House Bill 2196, which would require pharmacy benefit managers to reimburse non-affiliated pharmacies at least their acquisition cost and pay a dispensing fee, and establish an appeals process. Independent pharmacists and their coalition said PBM practices are driving closures and unfairly favor affiliated pharmacies, while PBM and employer representatives warned of major cost increases and said the bill would interfere with private contracts; the bill passed 11-1. The committee also adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, and then gave the amended bill a 12-0 do pass recommendation. Finally, the committee approved House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, with the sponsor and board staff saying it would help implement routine ventilator care in the home; it passed 12-0. The committee then began hearing House Bill 2404, a strike-everything amendment on inter-facility transports for behavioral health patients, but the transcript cuts off before action on that bill.

Transcript Highlights:

• It says that when a pharmacy fills a prescription, the pharmacy benefit manager needs to reimburse the
• If a pharmacy is reimbursed below its costs and wins an appeal, the PBM must make the pharmacy whole
• There will also be a contract between the PBM and the pharmacy as to pharmacy reimbursement for that
• Virtually all pharmacies are part of what's called a PSAO. It's a network of pharmacies.
• Virtually all pharmacies are part of what's called a PSAO. It's a network of pharmacies.

Summary: The Senate Committee on Insurance met on May 6, 2026, and first reported HB 1241 favorably. That bill, by Chairman Furman, requires insurers to check with DCFS before paying certain insurance settlements to determine whether the recipient owes delinquent child support, and to withhold and remit arrears if found. DCFS explained that Louisiana already has intercepts and other collection tools, but no current mechanism for insurance settlements. Senators raised concerns about notice to obligors and about liability if insurers fail to withhold, but the bill was advanced without objection. The committee then heard HB 870, which would require health insurers and PBMs to cover lower-cost generic or biosimilar drugs when available and to use utilization management no more restrictively on those drugs. Supporters said the bill would improve access and lower patient costs by using wholesale acquisition cost as the comparison point. Opponents, including Louisiana Blue and the AFL-CIO, argued that WAC ignores rebates and net cost, could force plans to cover higher-cost biosimilars first, and could increase premiums and disrupt ERISA and fully insured plan design. The committee adopted a technical amendment set and then a second amendment set that added notice and reporting requirements tied to net cost calculations, and HB 870 was reported favorably as amended. Several other bills were moved with little or no opposition. HB 1176, concerning Medicare Advantage coverage for integrative cancer treatments such as cold cap therapy, cryotherapy, and acupuncture, was amended to change the effective date and then reported favorably. HB 1196, dealing with colorectal cancer screening follow-up colonoscopies, was also amended and reported favorably. HB 1162, a consumer protection bill requiring DOI to verify that a contractor named on a first-party property damage check is licensed in Louisiana, was amended and reported favorably. HB 826, which modernizes insurance referral rules to allow referrals by email or website address, was reported favorably. The committee also heard HB 1151 on insurer investment limits and solvency protections, and HB 1236 on pharmacy reimbursement and copay maximizer programs; both drew substantial testimony and concern, especially over retroactivity, PBM cost allocation, and whether copay maximizers shift costs to patients, but the transcript cuts off before final action on HB 1236.

Transcript Highlights:

• targeted to pharmacies in Minnesota. targeted to pharmacies in Minnesota.
• to do so and minimize pharmacy deserts. to do so and minimize pharmacy deserts.
• access starts with an open pharmacy. access starts with an open pharmacy.
• their only pharmacy in 2018. their only pharmacy in 2018.
• One is the pharmacy carve-out.

Keywords: 1183, house

Transcript Highlights:

• <00:07:31.280> and pharmacist working in one pharmacy and pharmacist working in one pharmacy
• <00:12:30.079> Uh the clinical aspects of pharmacy. Uh the clinical aspects of pharmacy.
• So if you look at the pharmacy.
• practice is or the practice of pharmacy practice is or the practice of pharmacy is.<00:17:40.720
• of pharmacy change dramatically.

Keywords: 1191, senate, all

Transcript Highlights:

• The other pharmacy in town was also unable to fill the prescription.
• There are, though, no fines authorized against pharmacies.
• For those pharmacies, the board is directed to work collaboratively with any noncompliant pharmacy through
• I am the chair of the New Mexico Pharmacy Business Council, representing all independent pharmacies across
• I can imagine if the pharmacies, 30 of pharmacies in New Mexico, stop piling other necessity medications

Keywords: 996, all

Transcript Highlights:

• with what far pH ists and pharmacy with what far pH ists and pharmacy technicians<00:10:00.600><
• > I something like a center for pharmacy I something like a center for pharmacy I do<00:10:11.200
• having a center helping with pharmacy having a center helping with pharmacy school<00:12:50.079>
• find more mokan going into the pharmacy find more mokan going into the pharmacy profession<00:12
• <00:18:04.440> whereas Pharmacy the center for pharmacy whereas Pharmacy the center for pharmacy

Keywords: 910, house, all

Summary: The House Committee on Higher Education met on January 31 and heard six bills. The chair opened by outlining committee practices, including giving at least 72 hours’ notice for hearings, releasing testimony by 5:00 p.m. the day before hearings, and deferring bills needing substantive HT1 changes so members would not vote “blind.” Members briefly thanked the chair for the transparency approach before moving to the agenda. HB 223 would create a Daniel K. Inouye College of Pharmacy special fund and workforce assessment fee to support a pharmacy center. Testimony from the Board of Pharmacy, the Hawaii Pharmacists Association, the University of Hawaiʻi Hilo College of Pharmacy, Mokai Drugs, and others generally supported the measure, emphasizing workforce data, rural access, student loan repayment, and retention. The committee later advanced HB 223 with amendments, including leaving fee amounts blank for further discussion and inserting a defective date, and the motion passed unanimously. HB 940 would appropriate funds for the rat lungworm lab at UH Hilo; HB 546 would establish the Aloha Intelligence Institute at UH to advance AI; HB 549 would create an early learning apprenticeship grant program; HB 1172 would add the Department of Taxation to the Statewide Longitudinal Data System for wage-data sharing; and HB 1320 would require UH to collect and publicly report graduate outcome data and create a dashboard. Testimony on these bills was largely supportive, with some privacy concerns raised on HB 1172 and a request to protect taxpayer confidentiality. In decision-making, the committee passed all five bills with amendments, generally deleting or blanking appropriations and FTEs for Finance Committee review, adding defective dates for further discussion, and in HB 549 adding a statement that the program is a matter of statewide concern. The committee recessed briefly for decision-making and then adopted the chair’s recommendations on each bill.

Transcript Highlights:

• , WHETHER IT'S A SMALL PHARMACY OR BIG PHARMACY THAN WHAT THEY ARE ALLOWED TO SELL IT FOR, IS THE GAME
• PHARMACIES THAT EXIST IN NEIGHBORHOODS ALL AROUND OUR STATE.
• PRESCRIPTION ORDER BASED ON THE PHARMACIES ACQUISITION COST.
• THEIR OWN PHARMACIES, AGAIN AN INDICTMENT OF THE STATUS QUO, REIMBURSES THEIR OWN PHARMACIES, AGAIN
• LAST YEAR 1600 PHARMACIES WENT OUT OF BUSINESS, NOT ALL OF THEM WERE INDEPENDENT BUT IN DECEMBER 2 PHARMACIES

Transcript Highlights:

• <00:27:54.320> I'm Doctor of Pharmacy program. I'm Doctor of Pharmacy program.
• entry level for practice as a pharmacy entry level for practice as a pharmacy or<00:28:10.880>
• However, you have one pharmacy that has served the island for 90 years on Mokai and another pharmacy
• Pharmacy Solutions LLC, also known as Maui Elola Pharmacy.
• ,<00:41:37.920> Maui with the Maui based pharmacy, Maui with the Maui based pharmacy, Maui

Keywords: 910, house, all

Summary: The joint hearing opened with SB 1442, which would update the statute governing the Child and Adolescent Mental Health Division and clarify its role as the state Medicaid provider of intensive mental health services for children and adolescents with serious emotional disturbance. The Department of Health testified in strong support, saying the current statute is outdated and warning against any unfunded mandate because the division relies on federal funding and faces uncertainty about future resources. Written testimony from several organizations also supported the bill. The committees took no immediate action and said they would hold decision-making until later. The hearing then moved to SB 479 on ABLE savings accounts. The Hawaii State Council on Developmental Disabilities and the Hawaii Disability Rights Center supported the measure, arguing that ABLE accounts help people with disabilities save money without losing benefits and that the state needs more outreach and staffing to expand participation. A testifier with a disability said the bill would help people keep Social Security and housing stability. The chair indicated an intention to move the bill forward, and asked about funding; the discussion settled on a requested appropriation of about $75,000 for incentives. Next, SB 1245 on reimbursement of pharmacists drew broad support from the Hawaii Pharmacists Association, rural pharmacies, the Hawaii Primary Care Association, and others, who said the bill would improve access to care, especially on neighbor islands and in rural communities, and help pharmacies participate in 340B-related services. The Insurance Division and HMSA raised concerns about bill language, saying it could be read to cover pharmacists outside an insurer’s network and that the scope of reimbursable services needed clarification; the pharmacists’ association said the bill is intended to apply only to in-network pharmacists and should continue to reference existing scope-of-practice law. The hearing also took up SB 1279, which would allow pharmacists to authorize medications via telehealth under certain circumstances. The State Board of Pharmacy opposed the bill, citing patient safety, a pilot project with reported errors, concerns about controlled substances and unregulated technicians, and the view that in-person pharmacist services are safer and already available on the affected islands. Several pharmacies and health care groups supported the measure as a way to preserve 340B access and improve service on Lānaʻi and Molokaʻi, while some local pharmacies said they already provide in-person service and opposed remote dispensing. No votes were taken in the portion of the hearing provided.

Transcript Highlights:

• If a pharmacy is reimbursed below its cost, it wins an appeal.
• The PBM must make the pharmacy whole.
• And are you representing the pharmacies, independent pharmacies? Thank you, Matthew.
• and to be steered towards a chain pharmacy because they say, 'Oh, well, if you go to this local pharmacy
• away from her local pharmacy.

Summary: The Senate Finance Committee met with eight members present and deferred HB 127. It then considered a series of bills, most of which were reported favorably without opposition. HB 22 revised COLA rules for the clerks of court retirement system, allowing more frequent COLAs when the system is better funded; HB 324 made judicial stipends permanent and added future COLAs subject to available funding; HB 233 increased jury mileage reimbursement; HB 47 reorganized assessor retirement COLA statutes; HB 533 allowed St. Tammany Parish to transfer unused witness-fee account balances to the 22nd Judicial District Court; HB 980 adjusted eligibility for the Firemen’s Supplemental Pay Board; HCR 45 urged Congress to clarify ARPA deadlines for water projects; HB 559 increased court costs in the 4th Judicial District; HB 290 recreated the Department of Treasury and related entities in statute; and HB 382 addressed Joint Legislative Committee on the Budget review authority over Group Benefits plans. The committee also reported HB 1157 favorably, creating a financing bank mechanism for infrastructure projects, and HB 575 favorably, giving youth aging out of foster care preferred access to surplus state vehicles through the Louisiana Property Assistance Agency. Several measures drew more discussion. HB 1236, dealing with pharmacy benefit managers and professional dispensing fees, prompted extensive testimony from the sponsor, the Legislative Fiscal Office, the Department of Insurance, independent pharmacies, and PBM representatives. Supporters said it clarifies and strengthens enforcement of existing PBM law and protects independent pharmacies; opponents argued the bill’s requirement that PBMs bear dispensing-fee costs would be difficult to implement and could raise premiums. The sponsor said he would work on amendments, including clarifying language and a delayed effective date, and the bill was nevertheless moved favorably. SB 25, on registrar of voters compensation, was amended to a revised pay structure and then reported favorably. HB 47 and HB 533 were also presented as funding and administrative cleanups for retirement and court-related accounts, with local support noted. The committee also heard HB 233 on jury duty mileage reimbursement, which the sponsor said updates a 1961 rate and would be funded locally at an estimated average increase of about $4,000 per judicial district. HB 324 on judicial salaries was described as self-funded by the judiciary and subject to available funding, with no budget impact. HB 575 on foster youth transportation was presented as a non-appropriation measure aimed at helping youth aging out of foster care by giving them preferred access to surplus vehicles. HB 382, which concerns the Joint Legislative Committee on the Budget’s role in approving Group Benefits plans, was reported favorably with little discussion. The meeting ended after a motion to adjourn.

Transcript Highlights:

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

Keywords: 1191, senate, all

Transcript Highlights:

• When we look at pharmacy lines of business in general, what does mail-order pharmacy mean for pharmacy
• When we look at pharmacy lines of business in general, what does mail order pharmacy mean for pharmacy
• So there's so many intangibles from the pharmacy perspective.
• This is regarding mail-order pharmacy. Appreciate the discussion, members.
• House draft two Senate draft one relating to pharmacy.

Keywords: 912, senate, all

Summary: The Senate Commerce and Consumer Protection Committee heard House Bill 1481, which would require cemeteries, crematories, funeral establishments, HSI facilities, and mortuaries to dispose of human remains within 60 days after a burial transit permit or related affidavit is issued. The Hawaii Funeral and Cemetery Association and several funeral-related entities supported the bill, and the association said it had already implemented consistent cremation authorization language regarding notice and consent for recycling metal implants, effective January 1. The committee later recommended HB 1481 be passed with a defective effective date of July 1, 2050; the vice chair voted with reservations, saying the prior version with Department of Health rulemaking was stronger consumer protection. The committee also considered several resolutions. SCR 96 and SR 91, on a status update for implementation of the Hawaii Electric Reliability Administrator, were recommended for passage with amendments adopting the PUC’s requested changes. SCR 172 and SR 163, seeking a comprehensive analysis of ways to reduce costs and financial risks while meeting state goals, drew support from the PUC and Energy Office with comments, and the committee recommended passage with amendments removing a disputed whereas clause. SCR 109 and SR 102, on studying expanded mail-order pharmacy use, drew mixed testimony: the Insurance Division and HMSA supported a study, while the Hawaii Pharmacist Association and others raised concerns about patient outcomes, rural access, and community pharmacy sustainability; the committee amended the resolutions to require broader agency cooperation and evaluation of community pharmacy impacts, then recommended passage. In additional decision-making, the committee deferred SCR 193 and SR 1802 on trust transparency due to no testimony. It recommended passage with amendments on several bills, including HB 1782 after clarifying terminology with the Attorney General’s Office, HB 1514 on workers’ compensation, HB 1619 on electric vehicle infrastructure, HB 1643 on pharmacy, HB 1721 on housing, HB 1864 on insurance, HB 1946 on timeshare registration, and HB 2475 on labeling requirements. HB 350 on energy was deferred for more work. The committee also reconsidered HB 2101 on commercial aquarium collection and recommended passage as amended after hearing from supporters and noting concerns about enforcement and statewide consistency.

Transcript Highlights:

• affiliated pharmacies.
• more for medications dispensed from their pharmacies than competing specialty pharmacies.
• Two is to modernize pharmacy care.
• own pharmacies.
• And they own the specialty pharmacy. Let me guess. a specialty pharmacy.

Keywords: 1185, senate, all

Transcript Highlights:

• . pharmacy. pharmacy.
• . pharmacy. pharmacy.
• Many pharmacy<02:35:19.600> schools pharmacy schools pharmacy schools uh<02:35:21.320> well
• Pharmacy. Pharmacy.
• workload within the pharmacy. workload within the pharmacy.

Keywords: 1189, house, all

Transcript Highlights:

• If local pharmacies fail, then the health care costs will rise.
• only available at independent pharmacies.
• And as Representative Markey said, they've created a business with health plans, pharmacies, and pharmacy
• What's proprietary is how much they're going to pay a pharmacy.
• I have not seen any... ...placement in paying pharmacies.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a broad set of health care bills focused on cost, market oversight, pharmaceutical access, transparency, hospital closures, and pharmacy access. Chairs John Lawn and Cindy Friedman opened by emphasizing recent health care reforms and the need for further action on the drug supply chain, PBMs, private equity, and affordability. The committee heard testimony on several measures, including a Betsy Lehman Center bill to make technical changes and create a permanent trust account for federal and private funding, and bills on hospital profits and fairness, hospital closures and health planning, pharmacy deserts, and health care market oversight and pharmaceutical access. No votes were taken during the hearing. On the hospital profits bill, physicians and labor advocates strongly supported capping hospital CEO compensation at 50 times the lowest-paid worker, requiring greater financial transparency, and directing penalties from high-margin public hospitals into a Medicaid reimbursement fund. Testifiers argued that executive pay is excessive while frontline staff and safety-net services are under strain. Committee members raised concerns about unintended consequences, including whether hospitals might shift workers to contract status or lose executive talent, and whether the bill would actually direct money to the safety net. Supporters responded that the measure is one piece of a larger effort and that the bill’s Medicaid reimbursement provisions would help underserved hospitals. Testimony on market oversight and pharmaceutical access centered on rising health care and drug costs, PBM practices, and the proposal to give the Health Policy Commission authority to set upper payment limits for certain drugs. Consumer advocates, disability advocates, an independent pharmacist, the Attorney General’s office, and others supported stronger oversight, citing premium increases, affordability problems, and the impact of high drug prices on patients and community pharmacies. Pharma and some industry witnesses opposed parts of the bill, warning that upper payment limits could disrupt access, create legal issues, and fail to address the broader supply chain. The committee also heard support for stronger hospital closure notice and public hearing requirements, and for a pharmacy deserts bill aimed at identifying and addressing closures like the one in Roxbury that affected thousands of patients.

Transcript Highlights:

• do for independent pharmacies.
• <00:08:38.440> here is the owner of North Town Pharmacy here is the owner of North Town Pharmacy
• We Pharmacy in Vicksburg, Mississippi.
• Pharmacy in Batesville. Pharmacy in Batesville. Welcome. Welcome. Welcome.
• He also serves on the Board of Pharmacy.

Keywords: MS House Floor - 24 March, 2026; 10:00 AM, 925, all

Summary: The House opened with a prayer by guest minister Lee Carson, followed by the Pledge of Allegiance. After a quorum was confirmed, the journal reading was dispensed with and there were no reports from select committees or resolutions, petitions, or memorials. Members then introduced a large number of guests, with many of the introductions focused on pharmacists and pharmacy owners from across Mississippi, along with visitors from the Mississippi School for the Deaf and Blind and other local guests in the galleries. During the floor proceedings, members also announced that students from the Mississippi School for the Deaf and Blind would be available to meet legislators in Room 402, and the clerk announced a public utilities joint hearing with the Senate Energy Committee later that day. Representative Powell reminded members that the Beam office had broadband maps available in Room 204 for review. Representative Eubanks distributed information about the Morgan Freeman Symphonic Blues Experience, and Representative Ford announced an evening Builders and Contractors of Mississippi crawfish boil. On the legislative calendar, Representative Robertson moved to invite conference on House Bill 1395, and the motion was adopted. The House then recessed subject to call so members could wait for state championship teams expected from the Senate for recognition, but before that occurred, the chamber later adjourned on motion of the gentleman from Rankin until 10:00 a.m. the following day.

Transcript Highlights:

• It's already behind the pharmacy counters. This is not a new thing behind the pharmacy counters.
• Texas Board of Pharmacy, that's a standard Texas Board of Pharmacy. Rules, protocols, etc.
• The Texas Pharmacy Board has already done that.
• The Texas Board of Pharmacy takes care of their pharmacists, the Pharmacy Association takes care of the
• So if the Pharmacy Board of Pharmacy says the person must complete a form verifying their weight, age

Bills: HB25, HB48, HB149, HB254, HB26, HB192, HCR3, HCR4, HCR5, HCR6, HCR8, HCR14, HCR16, HR1, HR2, HR3, HR4, HR6, HR7, HR8, HR9, HR12, HR11, HR13, HR14, HR15, HR16, HR20, HR22, HR23, HR24, HR25, HR26, HR27, HR28, HR29, HR30, HR31, HR32, HR33, HR45, HR48, HR49, HR51, HR52, HR55, HR56, HR57, HR59, HR60, HR61, HR62, HR63, HR64, HR65, HR66, HR70, HR71, HR72, HR74, HCR2, HCR7, HR10, HR21, HR35, HR36, HR37, HR38, HR39, HR40, HR42, HR43, HR44, HR46, HR47, HR50, HR53, HR54, HR67, HR69, HR75, HCR 5, HCR 6, HCR 8, HCR 14, HCR 16, HR 1, HR 3, HR 4, HR 6, HR 7, HR 8, HR 9, HR 12, HR 11, HR 13, HR 14, HR 15, HR 16, HR 20, HR 22, HR 23, HR 24, HR 25, HR 26, HR 27, HR 28, HR 29, HR 30, HR 31, HR 32, HR 33, HR 45, HR 48, HR 49, HR 51, HR 52, HR 55, HR 56, HR 57, HR 59, HR 60, HR 61, HR 62, HR 63, HR 64, HR 65, HR 66, HR 70, HR 71, HR 72, HR 74, HCR 7, HR 10, HR 21, HR 35, HR 36, HR 37, HR 38, HR 39, HR 40, HR 42, HR 43, HR 44, HR 46, HR 47, HR 50, HR 53, HR 54, HR 67, HR 69, HB 25, HB 48, HB 149, HB 254, HB 26, HB 192

Keywords: ivermectin, pharmacist authority, prescription-free, healthcare regulation, patient access, HB 48, Texas alert notification systems, emergency alerts, public warning systems, alert fatigue, notification fatigue, Texas Division of Emergency Management, Department of Public Safety, DPS alerts, emergency management, State of Texas Emergency Assistance Registry, STEAR, disaster notifications, weather alerts, Amber Alert

Transcript Highlights:

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

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