Transcript Highlights:

• AB 382 would increase safety around schools by lowering the speed limit to 20 miles per hour in a school
• , in schools. and on their website.
• our schools time and money.
• and after school.
• AB 887 requires school districts charter schools to adopt a plan to ensure all high schools offer at

Keywords: 988, house, all

Transcript Highlights:

• They can have that access to care and take care of those things with their local pharmacy and receive
• They can have that access to care and take care of those things with their local pharmacy and receive
• Well, the Board of Pharmacy does track how many pharmacies are using the protocols.
• I don't have the exact number of how many pharmacies are using it, but we can certainly get that back
• does track how the Board of Pharmacy does track how many<00:27:33.720><c> pharmacies</c><00:27:34.159

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum, first taking up referred administrative regulations. One regulation was deferred, and two others were noted as deficient; with no one wishing to speak, the committee treated the regulations as reviewed. The committee then heard Senate Bill 13 from Chairman Meredith, which would reduce the number of Medicaid managed care organizations from five to three. Meredith argued the bill would reduce administrative burden, improve oversight, help rural providers, and potentially lower costs for families and the Medicaid program. Senators Berg, Herron, and Douglas asked about data, patient impact, network adequacy, and prior authorization burdens; Meredith said the effect on patients would be indirect through better access and less administrative delay. The committee approved a committee substitute and passed SB 13 favorably on a 10-0 vote. The committee next considered Senate Joint Resolution 26, presented by Senator Richardson and Kentucky Pharmacists Association Executive Director Ben Mudd. The resolution asks the Department of Medicaid Services to provide data and cost analysis on paying pharmacists fairly for clinical services already within their scope of practice under Medicaid and KCHIP. Supporters said pharmacists can improve access, especially in rural areas, by providing services such as medication therapy management, chronic disease management, and preventive care, and that the resolution is intended to gather information before any future bill. Senator Douglas questioned whether expanded pharmacy duties have actually improved access or outcomes and whether there is published data; Mudd said the Board of Pharmacy tracks use of protocols but that more data is needed. The committee approved the resolution by roll call, with all members voting aye. At the end of the meeting, Chairman Meredith announced that Senate Bill 27 would be heard for discussion only and not acted on that day so members could review it further. Senator Brandon Storm introduced SB 27, which would create a Kentucky Parkinson’s disease research registry, and noted that a Michael J. Fox Foundation representative could not attend because of a winter storm; her letter was included in the packet. Storm said the registry is intended to support research and policy by tracking Parkinson’s disease in Kentucky, citing national prevalence and cost figures. No vote was taken on SB 27 during this meeting.

Transcript Highlights:

• </c> dental van that goes to school dental van that goes to school districts.<00:31:26.280><c> That</
• That's going into pharmacy, professional services, outpatient and inpatient services, and then FQHCs
• Yeah, I think retail pharmacy is continuing to grow year-over-year in our state and in other states.
• retail pharmacy versus professional services<00:39:55.800><c> and</c><00:39:55.920><c> things</c><00
• Yeah, I I think<00:39:57.840><c> retail</c><00:39:58.160><c> pharmacy</c><00:39:58.560><c> is</c><00:

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.

Transcript Highlights:

• in Michigan who owns a DPC practice had a patient who was paying about $420 every six months in pharmacy
• And for these, the onus is on the pharmacy benefit managers and the pharmaceutical companies to address
• Wendy Cohen continued: "The cost for the physician or the pharmacy to buy a month's worth of amlodipine
• stand to win through decreased out-of-pocket costs, improved compliance by saving a trip to the pharmacy
• are closing, which are some of the main pharmacies in these areas.

Summary: The Senate Committee on Financial Services held a public hearing on late-filed matters, chaired by Senator Paul Feeney and Representative Jamie Murphy. The committee heard testimony on several bills, including S. 2738 on rising insurance costs for manufactured home residents, S. 2739 on creating a fire cistern program, and S. 2732 on direct primary care. Members were reminded to keep testimony brief, and several legislators and local officials testified out of turn as they arrived. The hearing ended with a motion to adjourn, which passed unanimously. On S. 2738, Senator Kelly Dooner, Representative Lisa Field, Taunton Mayor Sean O’Connell, Taunton City Council President Barry Sanders, and several residents and local officials described sharp premium increases, limited carrier options, and confusion over coverage for manufactured home communities. Testifiers said many residents are seniors, veterans, or low-income households on fixed incomes, and urged creation of a special commission to study the market and recommend solutions. Some asked that residents themselves be included on the commission and suggested more immediate relief if possible. On S. 2739, fire chiefs from Hopkinton and East Hampton supported a state fund for fire cisterns, saying many communities lack municipal water or hydrants and need reliable year-round water sources for structure fires, wildfires, and newer hazards such as lithium-ion battery fires. They said cisterns improve response and can affect insurance ratings, but maintenance and installation costs are difficult for local departments to cover. The Massachusetts Insurance Federation opposed the funding mechanism, arguing that insurance assessments are being used as revenue generators and warning that the proposal would add to policy costs and trigger retaliatory taxes. The committee also heard strong support for S. 2732 from physicians and specialty groups, including Dr. Jenny Labonte, Dr. Wendy Cohen, Dr. Rica Nair, and the Massachusetts GI Association. They said the bill would allow direct primary care physicians to make referrals for HMO patients and permit in-office dispensing of medications, which they argued would improve access, continuity of care, medication adherence, and affordability. No votes were taken on the bills during the hearing.

Transcript Highlights:

• It's not a shall by the pharmacy. It's a may, and we put language in there.
• They have about 30 pharmacies that are putting it on the counter.
• would like to take ivermectin over the counter can just go in the store and get it, or go to the pharmacy
• Basically, this is a bill that prohibits PBMs from owning and operating licensed retail pharmacies in
• They couldn't control the medicine getting to that cancer center pharmacy and limit that.

Summary: The committee took up a series of health-related bills, beginning with House Bill 4124 by Rep. Fetgatter, which would make human ivermectin available over the counter on a permissive basis for pharmacies. The bill drew extended debate over whether the legislature should decide over-the-counter status, safety concerns, dosage, adverse effects, and federal law issues, but the author argued the bill would reduce political controversy and allow pharmacies to choose whether to stock it. HB 4124 passed 5-1. Rep. Schreiber’s HB 4200, creating a public-private forensic assertive community treatment (FACT) team approach for people with severe mental illness involved in the criminal justice system, passed unanimously 6-0. Rep. Blancett’s HB 4410, which would tighten disclosures and consumer protections for referral agencies working with long-term care and assisted living placements, failed 3-4 after questions about whether the bill was still needed and how it would affect compensation and disclosures. Rep. Cantrell’s bill on assisted living facilities’ rights and responsibilities also failed, 2-3, after members questioned whether businesses need a statutory “bill of rights” and whether the material could simply be posted under existing law. Rep. Pay’s HB 1912, the Corn Mossa Nutrition Enhancement Act, passed 3-2 after amendments and discussion about folic acid fortification, neural tube defects, and whether consumers should still have access to unfortified products. Rep. Stark’s HB 3930, requiring sellers of dog-related service-animal gear to notify purchasers that the animal is not a service animal, passed 5-1, and HB 3931, extending the time to amend death certificates, passed 6-0. Rep. Newton’s HB 4457, barring PBMs from owning and operating licensed retail pharmacies in Oklahoma with a transition for specialty settings, passed 6-0, and HB 4473, creating an advisory council to assist the Oklahoma Health Care Authority on dental care, passed 5-0. The meeting then adjourned.

Transcript Highlights:

• For example, we recently had a tuberculosis outbreak at a school in San Francisco. So there were...
• For example, we recently had a tuberculosis outbreak at a school in San Francisco.
• For example, if someone gets a vaccine in a pharmacy, that goes through CARE, and then it can go back
• Providers, schools, or individuals can get their own immunization records.
• I would also note that schools have access to, I believe, the care register. school.

Summary: The Assembly Subcommittee on Health heard an overview of the California Department of Public Health budget, including a $5.1 billion department budget and 19 non-IT budget change proposals spanning environmental health, healthcare quality, infectious disease, healthy communities, health statistics, preparedness, and laboratory sciences. CDPH also presented estimates for WIC and the Genetic Disease Screening Program, both of which were described as relatively stable, with WIC food costs rising mainly due to inflation and participation holding near 1 million monthly participants. Members and public commenters raised support for several proposals, including funding for the California Reducing Disparities Project, AB 1264 implementation on school food standards, childhood lead poisoning prevention, the hospital bed capacity registry, sickle cell care networks, and WIC protections amid federal policy changes and shutdown-related uncertainty. Dr. Erica Pond then presented the 2026 State of Public Health report, highlighting major gains such as record-low mortality rates, all-time high life expectancy, and the first decline in overdose deaths in 14 years, while warning about persistent disparities in maternal and infant outcomes, rising severe maternal morbidity, and worsening mental and behavioral health trends, especially among younger adults. She emphasized racial and geographic inequities, the role of social drivers like poverty and education, and the importance of prevention investments through the Behavioral Health Services Act. Members discussed the need for upstream public health spending, environmental health preparedness, and how to translate data into action, while public comment largely focused on sustaining community-based prevention and equity programs. In a separate update on federal actions and public health partnerships, Dr. Pond and CDPH staff described California’s response to federal funding threats, vaccine policy changes, and measles outbreaks. They outlined new collaborations such as the West Coast Health Alliance, the Governor’s Public Health Alliance, the WHO outbreak network, and the FACT Coalition, along with CDPH’s process for reviewing and updating immunization and preventive service recommendations under AB 144. Members questioned the rise in measles and declining vaccination coverage, and CDPH said it is using trusted messengers and tailored outreach while continuing to evaluate federal recommendations. The committee then heard an ADAP estimate showing lower projected budget authority needs due to reduced caseload and one-time funding expiring, followed by public support for using ADAP rebate funds to expand HIV prevention, PrEP, testing, and disease intervention staffing. The final issue focused on public health information technology systems, including Sapphire, CalReady, CalConnect, CARE, MyTurn, MyCAVAC, and the digital vaccine record. CDPH explained how these systems support disease reporting, contact tracing, immunization tracking, vaccine ordering, and outbreak response, while the Department of Finance said only Sapphire and CalReady are funded in the Governor’s budget and the rest are under review because of the state’s budget deficit and declining utilization. Local health department representatives strongly opposed losing the systems, arguing that lower usage reflects post-pandemic conditions and that the tools save staff time, improve outbreak response, and prevent a return to manual spreadsheets and phone calls. Members echoed concern that cutting the systems would undermine public health capacity and waste prior state investment, and urged the administration to present a funding plan that matches its stated commitment to public health.

Transcript Highlights:

• practicing pharmacist from the Tampa Bay Area faculty at the University of South Florida, College of Pharmacy
• Pharmacist Association and work closely with the Florida Medical Association and Florida Board of Pharmacy
• improving medication compliance, and getting him back to a higher quality of life and Improving his school

Transcript Highlights:

• The increase in fiscal year 2027-28 is reflective of the addition of new pharmacy benefit manager pricing
• mix of the California Health Data and Planning Fund, the Health Plan Improvement Trust Fund, the Pharmacy
• We still have had to reach out to the wholesalers, to the pharmacies, to the health plans, and the PBMs
• I'll first start with our pharmacy benefit manager licensing requirements and data review.
• I'll first start with our pharmacy benefit manager licensing requirements and data review.

Summary: The committee heard opening budget remarks from the Department of Finance and the Legislative Analyst’s Office on the May Revision for Health and Human Services. Finance said the proposal significantly reduces projected out-year operating deficits through a mix of revenue increases and program cost reductions, while the LAO warned that even with booming revenues the state still faces a structural deficit and should prioritize reserves and avoid new ongoing commitments. The chair and members echoed concern about cuts to vulnerable populations, but also noted the need to maintain the overall level of budget solutions and add to reserves. The hearing then moved through a series of CalHHS and HCAI proposals, mostly held open after presentation. CalHHS requested additional legal support to respond to federal H.R. 1-related issues and a net-zero transfer of positions for a shared eligibility/data-sharing platform. Other items included ongoing funding for the 988 Behavioral Health Crisis Service Fund and a request for EMSA to fund maintenance of its enterprise data management system. HCAI presented proposals for hospital fair pricing implementation, the data exchange framework, the all-payer claims database, CalRx insulin development, the diaper access initiative, distressed hospital grants, opioid settlement fund reversion, and the Rural Health Transformation Program. Members questioned funding sources, special fund use, contracting exemptions, timelines, and whether some proposals should be more targeted or supported by alternative funding. A major discussion centered on HCAI’s diaper access initiative and the use of a Public Contract Code exemption to continue contracting for free diapers distributed through hospitals. The chair and some members criticized the optics of the selected vendor and questioned the lack of an income threshold, while HCAI said the program was designed to be universal and administratively simple, with future phase-two direct-to-consumer purchasing to be handled by a different vendor. Another extended exchange focused on distressed hospital funding, where HCAI said the May Revision would provide up to $50 million for hospitals at immediate risk of closure, but members argued the repeated annual need shows a structural problem and asked for broader reforms to hospital payment and care transitions. The final major topic was the Behavioral Health Services Oversight and Accountability Commission’s budget. The Commission opposed the May Revision’s reduction of the Innovation Partnership Fund from $20 million to $10 million and a $6.7 million cut to community advocacy contracts, arguing both are core Proposition 1 tools for statewide innovation and community engagement. Finance responded that the proposal is within Proposition 1’s allowable maximums and that prior unspent appropriations could be redirected if the Legislature wanted to restore the full amount. No votes were taken; items were generally held open for later action.

Transcript Highlights:

• Louisiana Board of Pharmacy, board membership qualifications, and term limits.
• House Bill 624 by Speaker Pro Tem Mike Johnson, relative to school emergency operation plans; provides
• When a parent drops their child off at school or puts them on a bus, they're trusting that that school
• to us from the Louisiana Center for School Safety Program Director.
• to us from the Louisiana Center for School Safety Program Director.

Bills: HR218, HR219, HR220, HR221, HR222, HCR91, HCR92, HCR93, HR210, HR211, HR212, HR213, HR214, HR215, HR216, SCR29, SCR38, SB100, HR171, HCR49, HCR65, SCR23, HB276, HB508, HB512, HB599, HB632, HB656, HB998, HB1052, HB1084, HB1171, HB1193, HB1194, HB1204, HB1209, HB1250, SB2, SB19, SB24, SB50, SB70, SB96, SB101, SB103, SB104, SB114, SB122, SB159, SB160, SB173, SB180, SB182, SB260, SB412, SB418, SB424, SB442, SB460, SB476, HCR41, HCR76, HCR77, HCR63, HCR69, HCR86, SCR19, SCR3, SCR6, SCR18, HB64, HB68, HB92, HB130, HB167, HB227, HB243, HB321, HB335, HB398, HB492, HB624, HB689, HB708, HB804, HB906, HB926, HB955, HB968, HB969, HB978, HB985, HB1005, HB1029, HB1069, HB1077, HB1095, HB1104, HB1107, HB1187, HB1203, HB1217, HB1220, HB730, HB225, HB175, HB198, HB437, HB457, HB488, HB646, HB763, HB909, HB971, HB981, HB1066, HB1089, HB1125, HB1154, HB1231, HB1246, HB1248, HB1249, SB47, SB82, SB106, SB206, SB210, SB248, SB305, SB376, SB397, SB441, HCR32, HB59, HB617, HB897, HB911, HB1223, HB798, HB824, HB989, HB1140, HB1166, HB1244, HB901, HB79, HR20, HR74, HB284, HB306, HB366, HB393, HB458, HB459, HB577, HB582, HB605, HB614, HB682, HB733, HB752, HB773, HB996, HB1035, HB1113, HB1180, HB1234, HB1240, SB89

Keywords: EJ Fields, Shreveport, Louisiana, gospel music, commendation, resolution, honorary resolution, Billboard Gospel Airplay, Mediabase Gospel Airplay, Mercy Endureth, music award, ministry, artist recognition, cultural heritage, spiritual heritage, African American gospel, local hero, state commendation, St. Charles Parish, parish day

Summary: The House met with 89 members present and began with prayer, the pledge, and routine journal and leave requests. The early part of the session was largely ceremonial, with multiple personal privilege remarks recognizing visiting groups and special days at the Capitol, including St. Bernard Parish Day, Gulf States Renewable Energy Industries Association Day, ARPEC members, retired public servant Barney Arsenault, Deaf History Month, Asthma and Allergy Awareness Month, Young Farmers and Ranchers, Louisiana Housing Corporation participants, and Louisiana Hospital Day. The chamber also received Senate messages, including concurrence in several House concurrent resolutions, Senate passage of a number of bills, and a list of Senate resolutions lying over. The House then moved through a long series of resolutions and bills, many of them adopted without objection. Among the measures approved were resolutions designating or commending various observances and groups, and bills addressing inmate documentation upon release, court filings on letter-sized paper, safe harbor protections for trafficking victims, public benefits verification, travel meal reimbursement limits for state employees, the Governor’s Task Force on Impaired Driving, school emergency operation plans, justice of the peace jurisdiction in East Baton Rouge Parish, unaffiliated voter participation in party primaries, electronic monitoring rules, crime victims’ compensation terminology, the indigent defender fund threshold for small municipalities, sex offender identification procedures, the Office of State Public Defender, microbrewery special-event permits, alternative power sources for nursing facilities, relay attack device penalties, and a capital-case intellectual disability bill. Several of these passed overwhelmingly; some were temporarily returned to the calendar or tabled after passage. A few bills drew more discussion. HB 335 on citizenship verification for public benefits passed 77-17. HB 398, limiting meal reimbursements for state travel to GSA rates with an exception process, passed 62-32 after questions about scope and lodging. HB 906 on presidential preference primary qualification and party rules for unaffiliated voters passed 68-19. HB 897, protecting health data collected by pregnancy centers and imposing fines for unauthorized disclosure, passed 94-0 after an amendment and questions about its application. HB 1107 on intellectual disabilities in capital cases passed 75-11 after amendments informed by disability advocates. HB 1187, allowing Citizens Property Insurance to direct certain emergency assessment overages to the Fortify Homes Program or reserves, passed 87-9. HB 1220 on the State Board of Medical Examiners passed 95-0. The House also reconsidered and successfully revived HB 225 after suspending the rules, and several bills were returned to the calendar for later consideration, including HB 689 before it was later brought back and passed 84-7 after amendment. The session concluded with notice of additional Senate messages and upcoming floor scheduling.

Transcript Highlights:

• The Medicaid schools program is not like a clinic within a school just for Medicaid kids; it's specific
• The Medicaid schools program is not like a clinic within a school just for Medicaid kids; it's specific
• , would they be seen in the school or in a physician or other provider's office?
• I'm the pharmacy director for New Hampshire Medicaid.
• </c><02:26:01.560><c> uh</c> providers and to uh Pharmacy uh providers and to uh Pharmacy uh companies

Keywords: 1189, house, all

Transcript Highlights:

• There was a neighborhood that had an elementary school.
• And then for behavioral health, we have 11 school-based therapists in 13 different school districts,
• I find out about their schools, their medical, all the things.”
• “I find out about their schools, their medical, all the things.
• Access to a quick and efficient pharmacy experience, right?

Summary: The task force heard extensive testimony on recovery support, harm reduction, and community-based care. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he said recovery housing, peer support, employment, accountability, and stable housing are what help people stay sober and avoid relapse. Members asked about funding, housing shortages, transportation, treatment courts, and support for medication-assisted treatment (MAT). Haniken said Into Action relies on a braided mix of federal, state, county, city, foundation, and private funding, and that recovery housing needs longer-term support than many current funding streams provide. He also said Missouri should expand recovery housing, peer recovery support, and recovery community centers, and improve awareness and access to MAT in recovery settings and after incarceration. Matt Cushman, a community paramedic with Raytown Fire Protection District, urged Missouri to expand harm reduction, including syringe service programs and broader access to clean needles and drug-checking tools. He argued that stigma and abstinence-only approaches keep many people from seeking help, and said harm reduction reduces disease transmission, overdose deaths, hospitalizations, and other harms while creating pathways to recovery. He cited naloxone distribution as a successful example and said similar strategies should be decriminalized and expanded. Members asked about naloxone access, community paramedicine funding, and whether safe consumption sites should be considered; Cushman said syringe exchange should be a near-term priority, while safe consumption sites are a longer-term policy question. Representatives from Ozarks Medical Center/COMC and Four Rivers Community Health Center focused on the need to reimburse peer support specialists and community health workers, especially in rural and underserved areas. COMC’s Monet Lehman shared her trauma and recovery story and described her jail reentry work, helping incarcerated people with housing, benefits, IDs, employment, MAT, and community supports before release. Four Rivers said its care coordinators and CHWs provide wraparound services such as transportation, housing help, Medicaid enrollment, clothing, and same-day MAT access. Members and staff discussed confusion over reimbursement rules, noting that CCBHCs can bill for peer services through Medicaid while FQHCs generally cannot, and that CHWs are often funded through grants rather than reimbursement. No votes were taken; the meeting consisted of testimony and member questions, with several requests for follow-up information on funding, transportation, and reimbursement rules.

Transcript Highlights:

• everything from SNAP, So there's, there's, I mean, we cover everything from SNAP, CYFD, hospitals, pharmacy
• We look at pharmacy. We look at scope of practice for people. We look at pharmacy.
• I mean, I can't even believe part of why we did the Archaeological School is because the acequias and
• I mean, I can't even believe part of why we did the Archaeological School is because the Asakeas and
• Bliss, multiple data centers, thousands of construction jobs, millions of dollars in tax base, new schools

Summary: The committee first took up House Bill 287, which would create a permanent Health and Human Services Committee. The sponsor argued the state spends about $14.4 billion annually on health and human services and needs a standing committee to better oversee programs such as Medicaid, SNAP, CYFD, hospitals, pharmacy benefit managers, and related issues. Members discussed staffing, start-up costs, and whether the committee would have subpoena power; staff said interim funding exists in the feed bill and additional funding would likely be needed later. The committee adopted an amendment striking the appropriation and changing the effective date, then voted due pass on the amended bill, with several members recorded in opposition. The committee then considered House Bill 371, as substituted, to create land grant and acequia infrastructure funds financed from remaining severance tax bond capacity. The sponsor and acequia/land grant advocates said the measure would provide a short-term funding source for infrastructure needs such as land acquisition, right-of-way access, ditch cleaning, and repairs, with distributions beginning only after the fund reaches a threshold and subject to limits through 2031. Members asked about bond capacity, the relationship to capital outlay, legislative approval of projects, and whether the bill would reduce reliance on repeated capital requests. The committee adopted the substitute and passed the bill, with one member in opposition. The committee also heard Senate Bill 143, which raises fee caps under the New Mexico Department of Agriculture’s inspection and grading programs, including egg grading, nursery stock, pesticide, feed, and related services. The department and industry supporters said the caps had been unchanged for decades and that the bill would help fund inspections and staffing without meaningfully affecting consumer prices. After questions about fee administration, consumer impact, and staffing levels, the committee voted do pass. Finally, the committee discussed House Bill 329, which would create an Energy Affordability and Grid Reliability Council attached to the Public Regulation Commission. The sponsor said the council would study affordability, reliability, grid modernization, and energy options, drawing on experts from state agencies and utilities. Members raised concerns about the bill’s vagueness, lack of term limits and detailed structure, possible duplication with existing agencies, missing representation for rural co-ops, tribes, and nuclear energy, and the funding source. The sponsor said the governor’s office had requested the bill and that funding would come from governor-controlled GROW money, but the committee ultimately rolled the bill for further work and did not adopt the amendment presented that day.

Transcript Highlights:

• They could be grocery stores, gas stations, pharmacies.
• We hear a lot of high school students, freshmen in high school, but during one of our surveys, it actually
• So I high school in the Commonwealth.
• And he was a freshman in high school.
• And he graduated<01:38:35.760><c> high</c><01:38:35.920><c> school.

Keywords: 0:00 – Meeting start/roll call 0:10 - Roll call/approval of minutes 1:43 - Cabinet for Health and Family Services (CHFS), Department for Medicaid Services 27:40 - Department of Alcoholic Beverage Control 55:54 - Board of Veterinary Examiners 1:33:15 - Testimony in support of 804 KAR 13:010E, 020E, 030E and 040E. 1:49:04 - Education Professional Standards Board 1:49:58 - Attorney General, Office of Regulatory Relief 1:52:18 - Kentucky Public Pensions Authority (KPPA) 1:54:28 - Board of Nursing 1:56:44 - Board of Occupational Therapy 1:57:37 - Board of Medical Imaging and Radiation Therapy 1:58:58 - Department of Fish and Wildlife Resources 1:59:50 - Economic Development Finance Authority 2:01:34 - Department of Corrections 2:02:37 - Department of Juvenile Justice 2:04:02 - Department for Employment Services, Unemployment Insurance 2:04:57 - Cabinet for Health and Family Services (CHFS), Department for Public Health, 958, all

Summary: The committee first approved the minutes and then took up Department for Medicaid Services regulations 907 KAR 23:010 and related rules. DMS explained that one regulation would establish a beneficiary advisory council and another would remove language barring coverage of GLP-1 drugs for obesity-related use. The department said coverage would still be limited by prior authorization and clinical criteria, with use tied to underlying chronic conditions such as diabetes or cardiovascular disease, and that the pharmacy and therapeutics committee would help set the detailed standards. Members discussed the potential health benefits, but several raised concerns about cost, timing, and whether the legislature and the Medicaid Oversight and Advisory Board should review the policy first. DMS said the drugs are already on the formulary, that current Medicaid users with diabetes are already covered, and that the fiscal impact was estimated using current utilization, rebates, and expected savings; the department also said it would only cover the drugs if subject to rebates. The committee then voted 5-1 to find 907 KAR 23:010 deficient. The committee next considered several emergency regulations from the Public Protection Cabinet’s Department of Alcoholic Beverage Control implementing SB 100. The rules covered tobacco, nicotine, and vapor product licensing, including the application form, denial standards, and transitional licensing. ABC counsel said the department had received about 5,500 applications and issued nearly 5,000 licenses, with additional provisional licenses issued to avoid interruption in sales after the law’s effective date. He said some applications remained pending because inspections and photographs revealed possible unauthorized nicotine vapor products, and the department was seeking documentation before approval. A staff amendment was adopted without objection before the ABC presentation continued.

Transcript Highlights:

• that are recommended, including key ones that have been moved from being recommended or required for schools
• I currently live an hour and 15 minutes away from the nearest pharmacy. From the nearest pharmacy.
• Pre-ACA, Tulare County operated two federally qualified health clinics, a pharmacy, and had contracts
• that she would do whatever she can to ensure her mom remains on Medi-Cal, even if it meant missing school
• Eliminate or significantly regulate pharmacy benefit managers and other intermediaries that extract margin

Summary: The joint informational hearing of the Senate and Assembly Health Committees focused on the “cost of uncertainty” in health coverage, access, and affordability amid federal policy changes. Opening remarks from committee leaders and members emphasized that California’s gains under the Affordable Care Act and Health for All policies—high coverage rates, consumer protections, and lower uninsured rates—are now threatened by federal rollbacks, including the expiration of enhanced premium tax credits and H.R. 1. Members repeatedly cited rising premiums, skipped care, medical debt, and the risk of coverage losses, especially for low-income Californians, workers, seniors, and immigrant communities. The first panel featured federal policy and state implementation experts, including Don Joyce, Jessica Altman of Covered California, and Elizabeth Lansberg of HCAI’s Office of Health Care Affordability. Testimony described the ACA’s coverage expansions and the current federal threats: shorter open enrollment, more verification requirements, loss of enhanced subsidies, and changes affecting immigrants and preventive coverage. Covered California reported that average monthly premiums could nearly double without the subsidies, new enrollment is down sharply, and more consumers are shifting into bronze plans with higher deductibles. HCAI explained its affordability strategy through spending targets, consolidation review, and primary care investment, while members asked about the impact of federal cuts on provider taxes, uncompensated care, and whether California can sustain coverage without new revenue. The second panel, with UC Berkeley Labor Center’s Miranda Dietz and California Health Care Foundation’s Christoph Stremikis, broadened the discussion to statewide cost drivers and consumer impacts. They highlighted that more than half of Californians under 65 rely on job-based coverage, yet premiums, deductibles, and out-of-pocket costs have risen faster than wages. They also pointed to medical debt, administrative waste, market consolidation, and underinvestment in primary care as major drivers of unaffordability. Members asked about the 25% of health spending that does not improve patient care, the role of fraud versus administrative friction, the effect of cost growth targets on workers, and the need for preventive care and possible revenue solutions. The hearing then moved to a third panel on human impacts, beginning with testimony from a Central Valley promotora describing how families are choosing lower-tier coverage, struggling with diabetes care, and facing higher premiums after subsidy losses.

Transcript Highlights:

• But we adopted the state of Idaho, that's another thing, is if you know the Board of Pharmacy, they get
• together, I think it's the Board of Pharmacy is correct.
• represent the Division of Occupational and Professional Licenses, specifically the Idaho Board of Pharmacy
• The Board of Pharmacy, when it goes through and does its review and proposes new additions to the Controlled
• To declare a Rule 80, as I do own retail pharmacies, and just to comment briefly, I appreciate where

Summary: The Health and Welfare Committee approved the minutes from February 17 and February 23. It then introduced RS 33-496, a proposal from Rep. Steve Tanner prompted by the death of a 12-day-old infant in Nampa. Tanner said the measure is intended to protect newborns and infants up to age one when mandatory reporters identify high-risk parental histories, requiring the Department of Health and Welfare to verify reports within 12 hours and prioritize the case; he said the fiscal impact should be negligible. The committee heard House Bill 497 from Rep. Marco Erickson, the annual controlled substances scheduling bill, but voted to hold it in committee. Erickson said the bill updates Idaho’s drug schedules and reflects state-specific decisions rather than automatic federal conformity. During discussion, Rep. Beiswenger questioned the inclusion of ibogaine in Schedule I, citing research and possible medical benefits for PTSD and depression; Division of Occupational and Professional Licenses representative Oren Duffin said ibogaine was scheduled in 1972, the board does not revisit substances retroactively, and any change would need to come from the legislature. The committee then considered RS 33-450, the replacement bill for HB 497, and voted to introduce it and send it to the second reading calendar with a due pass recommendation. Beiswenger reiterated concerns about ibogaine, while other members said they would support future legislation if research warranted changes. The meeting ended with adjournment and a reminder about vendors and a prison industries gift display in the rotunda.

Transcript Highlights:

• But we adopted the state of Idaho, that's another thing, is if you know the Board of Pharmacy, they get
• together, I think it's the Board of Pharmacy is correct.
• represent the Division of Occupational and Professional Licenses, specifically the Idaho Board of Pharmacy
• The Board of Pharmacy, when it goes through and does its review and proposes new additions to the controlled
• To declare a Rule 80, as I do own retail pharmacies, and just to comment briefly, I appreciate where

Keywords: 989, all

Summary: The Health and Welfare Committee approved the minutes from February 17 and February 23. It then introduced RS 33-496, a proposal from Representative Tanner prompted by the death of a 12-day-old infant in Nampa; the measure would require the Department of Health and Welfare to verify certain high-risk reports involving newborns or children up to age one within 12 hours and, if verified, assign the case the highest priority for faster escalation. The RS was introduced without opposition. The committee heard House Bill 497 from Representative Erickson, the annual controlled-substances update that aligns Idaho’s schedules with state review and changing drug classifications. At the sponsor’s request, the committee voted to hold HB 497 in committee while a replacement RS was prepared. Members then discussed RS 33-450, the cleanup replacement for HB 497, with questions focused on ibogaine’s inclusion as a Schedule I substance and whether emerging research suggests medical benefit. A DOPL representative explained that the substance has been scheduled since 1972 and that the legislature can change the law if it chooses; several members said they would support future legislation if research is brought forward. After discussion, the committee voted to introduce RS 33-450 and send it to the second reading calendar with a due pass recommendation. The meeting then adjourned, with members reminded about items in the rotunda and a vendor display.

Transcript Highlights:

• I serve as a chief pharmacy officer for Western Health Advantage. Dr. Kieran Bearing.
• A pharmacy and your medication is not available.
• They can transfer that prescription to another pharmacy that will have available stock.
• And these medications are not coming from your local pharmacy because they're expensive meds.
• They're dispensed by a specialty pharmacy.

Summary: The committee heard several bills, beginning with SB 1312 by Senator Richardson on abandoned endowed-care cemeteries. Richardson described vandalism, theft, and neglect at abandoned cemeteries and said the bill would define abandonment, create a process for local governments to declare a cemetery abandoned, and allow the Bureau to act as conservator of endowment funds. Support came from Marin County, while county and special district groups opposed or had concerns, arguing the bill could shift burdens to local governments or public cemetery districts without enough safeguards. Members expressed general support but noted the need for further work; the bill was discussed but no final vote was taken in the excerpt. The committee then took up SB 758 by Senator Umberg, which would restrict retail sales of nitrous oxide to curb misuse. Supporters, including the League of California Cities, narcotic officers, counties, pediatricians, and other local governments and health groups, said easy access at smoke shops and convenience stores has fueled recreational abuse and health harms. There was no opposition testimony, and members voiced strong support for a statewide approach over city-by-city bans. The bill was well received, with the author closing in support. Dr. Weber-Pierson presented SB 1094, a health care affordability bill on biosimilars and biologic substitution. The bill would allow pharmacists to substitute biosimilars under certain conditions, require advance notice to providers and patients, and add reporting on savings; the author said amendments would strengthen provider notice and preserve the ability to mark prescriptions “do not substitute.” Supporters from health plans, insurers, pharmacies, labor, business, and some provider groups argued the bill would lower costs and expand access. Opponents, including dermatology and rheumatology groups and biotech interests, warned about non-medical switching, prior authorization delays, and patient harm. After extensive discussion, the committee voted 13-0 to pass SB 1094 to the Committee on Health. The committee also passed SB 849 by Dr. Weber-Pierson, which would bar reinstatement of physicians who surrendered their licenses while a sexual misconduct accusation was pending. The Medical Board and California Medical Association were generally supportive or neutral, and members praised the bill’s patient-protection focus. SB 993 by Senator Ochoa Bogh, which limits routine disclosure of identifying information for mental health professionals in correctional and psychiatric settings while preserving complaint processes, also passed unanimously to Appropriations. SB 1002 by Senator Niello, extending the David Hall Act to allow certain patients in remission to continue telehealth care with out-of-state specialists, drew strong patient support but opposition from the Medical Board and CMA over licensure and oversight concerns; the committee voted it out on a split roll with some members not voting. Finally, SB 1263 by Senator McGuire, aimed at protecting wildfire survivors and workers by requiring licensed, trained contractors for post-disaster residential debris removal, received support from labor and the Contractors State License Board, with contractors raising a narrower amendment concern about scope.

Transcript Highlights:

• down to the middle school level.
• And we will provide a satellite. pharmacy school at that location.
• . school students.
• Can you tell me about the Hilton School Hotel? What ranking is that among other hotel schools?
• Is that in the Bauer School? Yes, that's in Bauer School. That's also new.

Keywords: 1184, house, all

Transcript Highlights:

• That's also for the school... ...modernization fund.
• You have a $3 million reduction in public schools for transportation.
• But again, about a $20 million and some change for online schools or the ILO program there.
• funding formula or some combination therein for online virtual schools.
• funding formula or some combination therein for online virtual schools.

Summary: The Senate Local Government and Taxation Committee met to hear a JFAC budget presentation from Senator Scott Groh and Keith Bybee on the state’s general fund outlook and budget process. The discussion focused on structural balance, revenue trends, sales tax distributions, and the growing share of sales tax that is directed away from the general fund to earmarked programs, tax relief, and local government distributions. Bybee also reviewed long-term budget growth by category, noting major drivers such as public schools, Medicaid, higher education, and other policy-driven spending increases. A major topic was the state’s fiscal position for fiscal years 2026 and 2027. Bybee explained that revenue projections have come in below prior expectations, leaving a much smaller ending balance than originally projected. He said the governor’s budget relies on one-time money, a 3% holdback, and other assumptions to maintain balance, while the legislative scenario still faces uncertainty, especially around tax conformity and possible federal tax changes. Senators asked about the reliability of the revenue and conformity estimates, the use of one-time funds versus rainy day reserves, and the potential impact on Idaho’s AAA bond rating. Senator Groh summarized JFAC’s approach as cautious and conservative, emphasizing uncertainty in revenue forecasts and the need to avoid relying too heavily on one-time money or stabilization funds. He said JFAC planned to vote Friday on a 3% governor holdback, with agencies asked to identify 1% to 2% cuts for fiscal years 2026 and 2027. No formal votes were taken by the committee in this meeting, and the chair adjourned after thanking the presenters.

Transcript Highlights:

• You know, $1,800 for ambulance... ...don't want, you know, $1,800 for ambulance rides from the schools
• or $1,500 to $3,000 ER visits from the schools.
• average $250 to $300 a day off to take... ...average $250 to $300 a day off to take off and go to the school
• So, are you recommending we sell these in pharmacies, or what do you... No, I'm just asking...
• We Pharmacy benefit managers... okay, anyway, that's what this does.

Bills: HB194, SB87, SB237

Keywords: healthcare, advanced practice nursing, nurse collaboration, medical board, nursing board, committee structure, midwifery, licensed midwives, State Board of Midwifery, licensure fees, professional liability insurance, complaints investigation, emergency care plan, out-of-hospital care, hemp, hemp beverages, psychoactive cannabinoids, psychoactive hemp products, delta-8 THC, delta-9 THC