Transcript Highlights:

• </c><00:12:52.560><c> benefits,</c> licensing boards, pharmacy benefits, licensing boards, pharmacy benefits
• I'm also proud that Shakopee Schools has become the very first school district to be classified as a
• I'm also proud that Shakopee Schools has become the very first school district to be classified as a
• I'm also proud that Shakopee Schools has become the very first school district to be classified as a
• Many of us in this chamber have worked to make sure AED trainings are offered in our schools.

Keywords: 1187, senate, all

Transcript Highlights:

• You've got the licensed psych associates, then you've got licensed specialists in school psychology.
• As a school psychologist, they function almost exclusively in the public school system.
• Thank you. 17 is an example of some of the misconduct we've seen in the pharmacy area.
• These are our pharmacy Inventory investigations, examples of this include situations where the pharmacy
• They can lose connection with their family members, their school, continuing to attend the same school

Keywords: 1184, house, all

Transcript Highlights:

• Uh, the continuous need is growing for those services. >> And in pharmacy, the commissioner mentioned
• Uh, the continuous need is growing for those services. >> And in pharmacy, the commissioner mentioned
• Uh, the continuous need is growing for those services. >> And in pharmacy, the commissioner mentioned
• ><c> commissioner</c> and in pharmacy the commissioner and in pharmacy the commissioner mentioned<00:
• </c> mentioned earlier the pharmacy for mentioned earlier the pharmacy for particularly<00:54:45.119>

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:36 Department for Medicaid Services 00:01:44, 958, all

Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.

Transcript Highlights:

• On the pharmacy side, it could be a pharmacy intern or a pharmacy technician.
• On the pharmacy side, it could be a pharmacy intern or a pharmacy technician.
• In the state of Missouri, we have over 1,300 pharmacies reporting dispensation information... 1,300 pharmacies
• interns, and pharmacy technicians, period.
• This is the pharmacy where it was picked up.

Keywords: 959, house, all

Transcript Highlights:

• And then changes related to our 2025 budget solutions: a change in the timing of the pharmacy rebate
• We have lower utilization of fee-for-service pharmacy benefits and inpatient services.
• here to tell you that a toothache is one of the leading causes of preventable school absences.
• Here to tell you that a toothache is one of the leading causes of preventable school absences.
• Preventative care keeps children healthy in school and able to focus on learning.

Summary: The subcommittee heard a lengthy Department of Health Care Services presentation on the governor’s Medi-Cal budget, including a $229.1 billion total-funds proposal, projected Medi-Cal enrollment declines as redeterminations continue, and several major cost drivers such as managed care growth, Medicare-related costs, pharmacy spending, and changes tied to federal policy. Members focused heavily on the elimination of Prop. 56 dental supplemental payments beginning July 1, 2026, questioning the likely impact on provider participation and utilization. DHCS said it is completing the required rate reduction/access analysis for CMS, has been holding stakeholder meetings and issuing provider bulletins, but could not yet quantify the real-world effect. The committee also discussed a $50 million savings proposal tied to new hospice utilization management authority and asked about possible effects on emergency dental care and provider participation. The hearing then moved through the November 2025 family health estimate and several county and program administration issues, including CCS, GHPP, and Every Woman Counts. DHCS said family health costs are rising despite slight caseload declines because of higher utilization and medical costs, and members raised concerns about CCS website accessibility, county administrative funding, and the transition of youth aging out of CCS. The department said most CCS beneficiaries are also on Medi-Cal, that counties have long raised funding concerns, and that it had clarified use of maintenance-and-operations dollars to address some county workload issues. Members also asked about Every Woman Counts potentially seeing higher demand as Medi-Cal changes take effect; DHCS said that is possible and that the program has multiple funding sources including General Fund. A major portion of the hearing focused on provider taxes and federal changes under H.R. 1, especially the Medi-Cal managed care organization tax and the hospital quality assurance fee. DHCS explained that H.R. 1 restricts new or increased health care-related taxes, phases down allowable tax levels over time, and tightens “generally redistributive” rules, which could sharply reduce the state’s ability to use the MCO tax for Medi-Cal financing. Members asked whether the Legislature could amend Prop. 35 or whether voters would need to act; DHCS said a three-fourths legislative amendment may be possible if it aligns with the measure’s purpose, but the department is still evaluating options. The committee also discussed hospital financing, with DHCS describing recent increases in state-directed payments and the effect of H.R. 1 in capping those payments at Medicare levels, and the LAO noting the tradeoff between preserving provider taxes and maintaining Medi-Cal funding. The subcommittee also reviewed a series of DHCS budget change proposals and trailer bill items, including managed care final-rule implementation, managed care operations, a hospital value strategy, a one-year extension of skilled nursing facility financing, long-term care payment transparency, and interoperability/prior authorization requirements. Members repeatedly questioned the use of limited-term versus permanent positions, the overlap among proposals, and the timing of new financing reforms. DHCS said the SNF extension would preserve current workforce standards, sanctions, growth limits, and the SNF quality assurance fee while the department develops a broader 2027-28 redesign. No votes were taken; items were repeatedly held open for later action. Covered California then presented on the expiration of the federal enhanced premium tax credit and the resulting affordability crisis. The agency said Californians will lose about $2.5 billion in premium assistance for 2026, average premiums could nearly double for many enrollees, and as many as 400,000 people could eventually leave marketplace coverage. Open enrollment ended with 1.9 million sign-ups, down 3% from the prior year, with especially steep declines among middle-income consumers and increased movement into bronze plans. Covered California said the state’s $190 million affordability subsidy is helping lower-income enrollees retain coverage, but cannot fully replace the lost federal assistance. Members also asked about the Health Care Affordability Reserve Fund, repayment of loans from that fund, the status of federal review of California’s essential health benefits benchmark, and implementation of the new gender-affirming care benefit under AB 144.

Transcript Highlights:

• 1165 directs the Department of Public Safety to use $2,350,000 in its FY 2027 appropriations for the school
• $2,350,000 for the school's secure program, knowing that we've had some other funding related to school
• Do you know how many school districts that's going into? Thank you for the question.
• I've been informed that it's every single school.

Bills: HB3312, HB3700, HB2981, HB2961, HB3016, HB4478, HB4326, HB3025, HB3710, HB4125, HB2951, HB3082, HB4142, HB4106, HB1752, HB3268, HB4440, HJR1067, SB1144, SB1145, SB1146, SB1147, SB1148, SB1156, SB1157, SB1158, SB1159, SB1161, SB1162, SB1163, SB1164, SB1165, SB1166, SB1149, SB1167, HJR1024, SB1174, SB1175, SB1176, HB3419, HB3748, HB4335, HB3057, HB3279, HB4428, HB3420, HB3040, HB4140, HB1638, HB3298, HB4113, HB1082, HB4301, HB3269, HB3587, HB4226, HB4324, HB4339, HB4342, HB3278, HB3996, HB4236, HB4352

Keywords: firearm safety, public schools, education policy, student safety, gun control, opt-out option, grading system, student assessment, academic integrity, state funding, opinion conduct, open meetings, school boards, transparency, public access, education governance, HB2961, TSgt Marshal Dakota Roberts Gold Star Survivor Act, Gold Star family, Gold Star recipient

Transcript Highlights:

• She currently serves as a clinical associate professor in its school of nursing and is scheduled to complete
• He also has a piece of Westmore High School. I'm a little bit partial.
• I have all more schools, but my kids went to Westmore, as the instructor knows.
• Colel Savage sweepstakes award for division one large schools, which is the highest recognition award

Bills: HB3312, HB3700, HB2981, HB2961, HB3016, HB4478, HB4326, HB3025, HB3710, HB4125, HB2951, HB3082, HB4142, HB4106, HB1752, HB3268, HB4440, HJR1067, SB1144, SB1145, SB1146, SB1147, SB1148, SB1156, SB1157, SB1158, SB1159, SB1161, SB1162, SB1163, SB1164, SB1165, SB1166, SB1149, SB1167, HJR1024, SB1174, SB1175, SB1176, HB3419, HB3748, HB4335, HB3057, HB3279, HB4428, HB3420, HB3040, HB4140, HB1638, HB3298, HB4113, HB1082, HB4301, HB3269, HB3587, HB4226, HB4324, HB4339, HB4342, HB3278, HB3996, HB4236, HB4352

Keywords: firearm safety, public schools, education policy, student safety, gun control, opt-out option, grading system, student assessment, academic integrity, state funding, opinion conduct, open meetings, school boards, transparency, public access, education governance, HB2961, TSgt Marshal Dakota Roberts Gold Star Survivor Act, Gold Star family, Gold Star recipient

Transcript Highlights:

• We know there's three elementary schools that have parents working two and three jobs.
• related to school safety programs.
• And then we've had some other funding as related to school safety programs.
• And as it relates to the panic button, do you know how many school districts that's going into?
• I've been informed that it's every single school.

Bills: HB3312, HB3700, HB2981, HB2961, HB3016, HB4478, HB4326, HB3025, HB3710, HB4125, HB2951, HB3082, HB4142, HB4106, HB1752, HB3268, HB4440, HJR1067, SB1144, SB1145, SB1146, SB1147, SB1148, SB1156, SB1157, SB1158, SB1159, SB1161, SB1162, SB1163, SB1164, SB1165, SB1166, SB1149, SB1167, HJR1024, SB1174, SB1175, SB1176, HB3419, HB3748, HB4335, HB3057, HB3279, HB4428, HB3420, HB3040, HB4140, HB1638, HB3298, HB4113, HB1082, HB4301, HB3269, HB3587, HB4226, HB4324, HB4339, HB4342, HB3278, HB3996, HB4236, HB4352

Keywords: firearm safety, public schools, education policy, student safety, gun control, opt-out option, grading system, student assessment, academic integrity, state funding, opinion conduct, open meetings, school boards, transparency, public access, education governance, HB2961, TSgt Marshal Dakota Roberts Gold Star Survivor Act, Gold Star family, Gold Star recipient

Summary: The Senate first took up House Bill 4440, a proposal related to Medicaid expansion. Pro Tem Paxton said the measure would move parts of the expansion from the Constitution into statute, add work requirements for able-bodied adults, and create a trigger if the federal FMAP match falls below 90%. Supporters argued this would give the Legislature more flexibility to manage costs and protect the program long term, while opponents said it would weaken voter-approved constitutional protections and could lead to reduced coverage or benefits. After extended debate, the bill itself passed 30-8, but the separate motion to place it on an August special election ballot failed 30-9. The Senate then advanced and passed H.J.R. 1067, a related November ballot measure that would repeal the constitutional Medicaid expansion obligation entirely; it passed 29-8. The chamber then considered several retirement cost-of-living adjustment bills. SB 1144 would provide a 3% or 6% COLA for retired teachers depending on years retired, while ending a dedicated revenue apportionment once the system reaches 100% funded or in 2036. Senators raised concerns about the long-term funding changes, but the bill passed 43-1. SB 1145 provided similar COLAs for retired state employees and passed 41-4. SB 1146 offered COLAs for police retirees and passed unanimously 48-0. SB 1147, a COLA for firefighters and volunteer firefighters with estimated added unfunded liability, was also adopted by the Senate after committee approval and proceeded to final passage as the transcript ended.

Transcript Highlights:

• psychology, probably what most of you would know as a school psychologist.
• They function almost exclusively in the public school system.
• to tighten the spigot down so tight on psychology that you can't get your VA slots filled or your schools
• These are our pharmacy inventory investigations.
• They can lose connection with their family members, um, their school, continuing to attend the same school

Transcript Highlights:

• By setting a clear, equitable minimum contribution for school districts and charter schools, the legislation
• Carlsbad Municipal Schools.
• My kids live 26 miles from school.
• A virtual school does, so a district. could request from the PED to create a unique virtual school.
• tough budget deficit whenever we implemented school lunches and school breakfasts because they had to

Keywords: 996, all

Transcript Highlights:

• <01:23:38.480><c> board</c> school board school board during<01:23:40.400><c> my</c><01:23:40.560><c>
• Maybe they're stressed about school. Maybe they're lonely.
• Maybe they're stressed about school. Maybe they're lonely.
• </c> tailored educational tools in school tailored educational tools in school settings<02:03:23.760>
• Schools must follow defined reporting and supervision rules.

Keywords: 981, all

Transcript Highlights:

• This school year, Kula Kauni Ki Okapo opened its doors at Capo High School, marking the establishment
• </c><00:15:03.600><c> community</c> committed and united school community committed and united school
• .<00:15:24.160><c> Aola</c> school.
• Aola school.
• </c> school children through the school school children through the school lunches,<00:20:40.400><c>

Bills: HCR1, HCR2, SB2001, SB2002, SB2003, SB2004, SB2005, SB2006, SB2007, SB2008, SB2009, SB2010, SB2011, SB2012, SB2013, SB2014, SB2015, SB2016, SB2017, SB2018, SB2019, SB2020, SB2021, SB2022, SB2023, SB2024, SB2025, SB2026, SB2027, SB2028, SB2029, SB2030, SB2031, SB2032, SB2033, SB2034, SB2035, SB2036, SB2037, SB2038, SB2039, SB2040, SB2041, SB2042, SB2043, SB2044, SB2045, SB2046, SB2047, SB2048, SB2049, SB2050, SB2051, SB2052, SB2053, SB2054, SB2055, SB2056, SB2057, SB2058, SB2059, SB2060, SB2061, SB2062, SB2063, SB2064, SB2065, SB2066, SB2067, SB2068, SB2069, SB2070, SB2071, SB2072, SB2073, SB2074, SB2075, SB2076, SB2077, SB2078, SB2079, SB2080, SB2081, SB2082, SB2083, SB2084, SB2085, SB2086, SB2087, SB2088, SB2089, SB2090, SB2091, SB2092, SB2093, SB2094, SB2095, SB2096, SB2097, SB2098, SB2099, SB2100

Keywords: recess, legislative session, Hawaii State Legislature, 2026, Governor address, joint session, legislature, Hawaii, state of the state, Banyan Drive, Waiakea peninsula, Makaokū, Hilo, Hawaii Island, HCDA, Hawaii Community Development Authority, community development district, redevelopment, urban renewal, blight

Transcript Highlights:

• modifies the covered entity reporting requirements by specifying that payments made to contract pharmacies
• unless that pharmacy is in a rural county or a medically underserved area.
• What this would do is limit entities that are contracting with additional contract pharmacies to ones
• Representative Engel continues: ...they do not have any other pharmacies that they're able to contract
• One of my biggest concerns... ...had the ability to contract with additional pharmacies.

Bills: SB5877

Keywords: anesthesiology, medical personnel, surcharges, licensing, healthcare regulations, 904, all

Transcript Highlights:

• It is supported by the pharmacy association and ensures regularity and clarity, reliable patient access
• Just curious, why only nonprofit pharmacies?
• Henry Ollamock: We represent, except for each third, the nation's largest nonprofit pharmacy, if not
• the nation's only nonprofit pharmacy.
• So the nonprofit pharmacy did serve the region the most.

Summary: The Committee on Professional Registration and Licensing met with a quorum present and first took up House Bill 1797, a public accounting bill. The committee adopted a substitute that was described as clarification language to mirror the Senate version, then voted the House Committee Substitute do pass by unanimous roll call. The committee also considered House Bill 2974, adopted Amendment 0.01H adding clarifying scope-of-practice language, rolled the amendment into a committee substitute, and then voted the House Committee Substitute do pass unanimously. The committee then heard testimony on House Bill 1623, which would add massage therapists and chiropractors to the list of health care professionals subject to emergency disciplinary action through the Administrative Hearing Commission. The sponsor said the bill is intended to protect patients and give licensing boards faster authority to act against bad actors in vulnerable settings. Supporters included a trial lawyer who described sexual assault cases involving massage parlors and a lobbyist for the Missouri Chiropractic Physicians Association, who said quicker action would improve public safety and professional integrity. No opposition was presented. Next, the committee heard House Bill 309, which would provide clarity for nonprofit pharmacies serving low-income and underserved patients in emergency situations, inspired by access problems after the St. Louis tornadoes. The sponsor and an RX Outreach representative said the bill would help pharmacies transfer or dispense needed medications during emergencies without reducing oversight, and they discussed limits on quantities and controlled substances. Members asked why the bill was limited to nonprofit pharmacies and whether it applied outside Missouri; the witnesses said they were open to amendments and clarified the bill was aimed at Missouri emergencies. Finally, the committee heard House Bill 3129, the Physician Assistant Compact. The sponsor said the compact would improve access to care, especially in rural areas, by allowing reciprocal practice across participating states without changing Missouri scope-of-practice law. A PA testified in support, saying it would help retain and recruit PAs and improve flexibility near state borders. The Missouri State Medical Association opposed the bill, arguing it could affect scope of practice, give compact commission rules too much authority, and weaken Missouri’s regulatory control; the Division of Professional Registration supported it, saying it fits rural health transformation goals and that compact participants would still have to follow Missouri scope laws. A nonprofit workforce group also testified in support. No votes were taken on the hearing bills before adjournment.

Transcript Highlights:

• And then changes related to our 2025 budget solutions: a change in the timing of the pharmacy rebate
• We have lower utilization of fee-for-service pharmacy benefits and inpatient services.
• Both our GHPP and CCS programs are experiencing increased expenditures due to growth in pharmacy costs
• here to tell you that a toothache is one of the leading causes of preventable school absences.
• Preventative care keeps children healthy in school and able to focus on learning.

Keywords: 987, senate, all

Transcript Highlights:

• in and start adding some additional systems and equipment that's needed, including shelving for pharmacy
• Any activity that's close to a school we target as much as possible.
• There's no elementary school teacher that I know who makes that kind of money.
• The second proposal is for the California State Board of Pharmacy, which requests $251,000 and one position
• And then, second, related to the Board of Pharmacy, one of the questions that I had was: can you just

Summary: The Assembly Budget Subcommittee on State Administration heard several CalVet budget updates first. CalVet reported progress on the Southern California Veterans Cemetery at Gypsum Canyon, explaining that DGS is revising the earlier feasibility study to reflect a smaller footprint and lower grading costs, with updated numbers expected by the end of April. Members and public commenters emphasized the project’s importance and asked whether additional budget authority or trailer bill language was needed; CalVet said it may need more spending authority but wanted to return after the revised study is complete. The committee also reviewed the Yountville skilled nursing facility replacement project, where CalVet said construction is nearing completion, a certificate of occupancy was received, and the new 240-bed facility will replace Holderman Hospital while older buildings will be repurposed for lower levels of care. CalVet also defended eliminating about 178 vacant positions at Yountville and West Los Angeles as a fiscal and staffing efficiency measure, saying current care levels can still be met and that retention and hiring efforts are improving. The committee then took up the Department of Cannabis Control’s enforcement and legal affairs proposal. DCC described the size of the illicit cannabis market, said enforcement alone cannot solve the problem, and asked for additional sworn staff, a new Redding-area field office, and more analysts to focus on distribution networks, organized crime, environmental harms, and high-priority public safety cases. Finance supported the proposal as a targeted investment, while the LAO had no additional comment. Members asked about funding impacts and local co-location options, and DCC said the request would be funded from cannabis excise tax revenues and could help shift sales into the legal market. Public testimony from the cannabis industry strongly supported more enforcement against illicit retail and said it would help legal operators compete. DCC also presented its hemp enforcement and regulation proposal tied to AB 8. The department said the law closes loopholes around intoxicating hemp products, strengthens enforcement across agencies, and prepares for hemp to enter the cannabis regulatory framework in 2028. DCC requested staff for a civil enforcement unit, field-testing equipment, lab capacity to detect synthetic cannabinoids, a track-and-trace specialist, and a policy specialist. Members asked about enforcement in informal retail settings and consumer confusion, and DCC said the biggest problems have been smoke shops and online sales. Public commenters from the legal cannabis industry supported the proposal, saying intoxicating hemp has harmed the regulated market and created public safety risks. The Cannabis Control Appeals Panel then requested ongoing funding of $3.4 million to support 12 positions and its quasi-judicial appeals function. The panel said that with provisional licenses largely phased out, more annual licensees now have appeal rights and the workload is beginning to increase, with two cases currently on the docket. The LAO recommended limiting funding to three years and requiring a workload and comparative analysis before making the funding permanent, while Finance supported ongoing funding as consistent with the panel’s permanent statutory role. Members questioned the panel’s compensation and workload, noting that the five-member body is paid at a high statutory rate despite historically meeting only quarterly, though panel staff said the work now includes substantial case preparation and monthly hearings. Finally, the Department of Consumer Affairs introduced two proposals: $2 million ongoing for the Contractors State License Board’s IT needs and $251,000 plus one limited-term position for the Board of Pharmacy to implement Proposition 34-related licensing policy and reduce barriers to licensure.

Transcript Highlights:

• in and start adding some additional systems and equipment that's needed, including shelving for pharmacy
• Any activity that's close to a school, we target as much as possible.
• There's no elementary school teacher that I know makes that kind of dollars.
• The second proposal is for the California State Board of Pharmacy, which requests $251,000 and one position
• And then second, related to the Board of Pharmacy, one of the questions that I had was, can you just

Keywords: 988, house, all

Transcript Highlights:

• </c><00:42:13.800><c> vaccine</c> parents being present at school vaccine parents being present at school
• </c> uh children that are younger than school uh children that are younger than school age<00:43:19.080
• </c><00:43:28.840><c> vaccination</c> uh initiation of school vaccination uh initiation of school vaccination
• in the school vaccine in to participate in the school vaccine clinics, clinics, clinics, and<00:45:22.320
• ,</c><01:32:32.280><c> they</c> wanted to put the med school, they wanted to put the med school, they

Keywords: 1189, house, all

Transcript Highlights:

• </c><00:05:33.319><c> costs</c> everything you know about Pharmacy costs everything you know about Pharmacy
• </c> and if you were to go into a pharmacy and if you were to go into a pharmacy and<00:09:36.560><c>
• </c> issue which um the Medicaid to schools issue which um the Medicaid to schools program<02:01:05.440
• that</c> told told the school psychologist that told told the school psychologist that he<03:13:18.479
• </c> I needed to come immediately to school I needed to come immediately to school and<03:13:22.880><

Keywords: 1191, senate, all

Transcript Highlights:

• , but not other schools.
• And we do a lot of training of K-12 teachers, especially high school teachers, for AP courses.
• These are dentistry, optometry, pharmacy, and veterinary medicine.
• These are dentistry, optometry, pharmacy, and veterinary medicine.
• We would support programs in optometry, dentistry, pharmacy, and... ...in optometry, dentistry, pharmacy

Keywords: 988, house, all