Transcript Highlights:

• And these children are now in grade school and elementary school, and they are meeting milestones that
• And these children are now in grade school and elementary school, and they are meeting milestones that
• School of Optometry in Worcester.
• School of Optometry in Worcester.
• school.

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on a wide range of bills focused on children’s health, tobacco control, newborn screening, pediatric cancer, palliative care, and professional licensure. Early testimony highlighted Senate bills to expand newborn screening for pyruvate dehydrogenase complex deficiency, lysosomal storage disorders, and congenital CMV, with families and clinicians describing severe diagnostic delays, missed treatment windows, and the benefits of early detection. Speakers also supported a bill to improve pediatric cancer research through a dedicated trust fund, and a bill to extend pediatric palliative care services to age 22, with parents and providers emphasizing continuity of care for seriously ill young people. Several witnesses gave personal accounts in support of the newborn screening measures. Families described children who endured years of misdiagnosis before receiving diagnoses such as Gaucher disease, Fabry disease, Pompe disease, Niemann-Pick disease, and CMV, often after irreversible damage had already occurred. Medical and advocacy witnesses said Massachusetts already collects some of the relevant screening data and argued that results should be reported to families, while others urged the committee to add conditions to the state panel because effective treatments already exist. The committee also heard support for a bill to establish a fetal alcohol spectrum disorder program and training for providers. On tobacco and youth health, testimony supported bills to ban internet tobacco sales, strengthen youth protections, and reduce lung cancer deaths through point-of-sale information and quit-line access. A student testified about easily purchasing flavored nicotine products online without meaningful age verification, and public health advocates backed measures to keep tobacco out of children’s environments. The committee also heard testimony on a bill to ensure parents have access to their children’s medical records through age 16, with exceptions for sensitive services already protected by law. The committee additionally took testimony on an optometry licensure bill, where ophthalmologists opposed language they said could broaden scope of practice and allow optometrists to use the title “optometric physician,” while optometry educators and students supported the bill as a modernization measure with no scope expansion. No votes were taken during the hearing; the chair repeatedly reminded speakers of time limits and noted that written testimony could be submitted for additional comments.

Transcript Highlights:

• These panelists were not brought here to talk about what's going on in school.
• experience high school.
• We believe no matter who you are, you're a student in our schools.
• It also comes from schools. It comes from activists. ...It also comes from schools.
• It also comes from schools.

Summary: The joint hearing focused on access to gender-affirming care in California, with opening remarks emphasizing the state’s legal protections, the importance of decorum, and the impact of federal actions on transgender, gender-diverse, and intersex Californians. The Department of Justice, Department of Managed Health Care (DMHC), and Department of Health Care Services (DHCS) described current state protections, including nondiscrimination rules, privacy and shield laws, Medi-Cal and commercial coverage requirements for medically necessary care, and ongoing litigation challenging federal executive orders, proposed rules, and HHS actions that could restrict care or threaten provider participation in Medicare and Medicaid. Officials also noted that California continues to oppose federal proposals through lawsuits and public comments, and that the state is preparing strategies if those proposals are finalized. Members asked about hospital closures or pauses in care, continuity of care, provider network adequacy, whether additional legislation or funding is needed, and how the state can better track access and enforce existing protections. DMHC said it monitors complaints and independent medical reviews, but does not have a specific provider category for gender-affirming care and does not collect utilization data by service type; DHCS said Medi-Cal covers medically necessary gender-affirming care and that federal proposals are not yet final. Finance staff said the previously approved $15 million allocation is still being implemented through Covered California. The second panel heard from a physician, clinic leaders, parents, and a transgender youth about how families and providers navigate access to care. Dr. Johanna Olson-Kennedy described the history of transgender medical care, the role of puberty blockers and hormones, and said minors need parental consent for medical interventions, while emphasizing that care should be individualized and that supportive parents improve outcomes. She also described the closure of the Children’s Hospital Los Angeles youth program and the difficulty of rebuilding care in private practice, including insurance contracting barriers and inadequate reimbursement. J.M. Jaffe of Lyon Martin Community Health Services said the clinic has expanded to serve minors after hospital programs closed, but that the shift has created major financial strain and increased demand, and asked for a $26 million state investment to stabilize transgender health services. Parents and youth described delays, cancellations, and uncertainty at Kaiser, Stanford, UCSF, and Rady Children’s, along with the emotional and medical consequences of interrupted care. One parent said TRICARE stopped covering her son’s care after federal changes and that Rady later closed its clinic; her family urged California to backfill lost access and funding. A 16-year-old trans student and other witnesses argued that California should remain a reliable source of care and that current protections are not enough without funding, provider support, and stronger enforcement.

Transcript Highlights:

• Through the mail is using, I believe, a pharmacy company named GIF Health, and they are the ones who
• Akila Shake, a junior in Marilla High School, I strongly support.
• ago that the majority were in favor of more sleep for our students when we moved to start time for school
• Daylight saving time forces them to rise... ...for school back.
• This is not beneficial for their health or their studies in school.

Summary: The Assembly Health Committee heard several bills focused on mental health access, preventive care, health care costs, detention oversight, and daylight saving time. SB 989 would streamline Care Court referrals by allowing first responders to ask county behavioral health agencies to review and file petitions; supporters, especially firefighters and families, said the current process is too burdensome, while Disability Rights California and other opponents argued Care Court is coercive and unproven. SB 1089, as amended, would direct CalRx/HHS to help distribute GLP-1 medications more broadly and more affordably; the author described her own experience with the drugs, and the bill drew support from medical and life sciences groups with no opposition. SB 1309 would eliminate out-of-pocket costs for medically appropriate lung cancer screening follow-up care; cancer advocates and survivors strongly supported it, while health plans and insurers opposed it as costly and said the bigger problem is low initial screening rates. The committee also heard SB 1284, which would require DHCS to report large employers whose workers are enrolled in Medi-Cal and estimate taxpayer costs, framed by supporters as a transparency measure about corporate reliance on public coverage. SCR 7, urging permanent standard time for health reasons, passed with support from medical groups and no opposition. SB 995, the Masuma Khan Justice Act, would create statewide inspection and enforcement standards for large involuntary residential facilities, including private immigration detention centers and certain youth facilities; supporters cited unsafe and inhumane conditions, while county probation officials objected to duplicative oversight for secure youth treatment facilities. The committee took votes on each measure, and the bills and resolution advanced, with SB 1309 and SB 1284 moving on amended and the others also reported out; the consent calendar was approved as well.

Transcript Highlights:

• Through the mail is using a, I believe, pharmacy company named GIF Health, and they are the ones who
• Akila Shake, of a junior in Marilla High School, strongly supports the bill.
• ago that the majority were in favor of more sleep for our students when we moved to start time for school
• Daylight saving time forces them to rise For school back.
• This is not beneficial for their health or their studies in school.

Keywords: 988, house, all

Transcript Highlights:

• On the pharmacy side, it could be a pharmacy intern or a pharmacy technician.
• can either be a class E felony or up to a $1,000 fine if a provider, a dispensing pharmacist, or pharmacy
• In the state of Missouri, we have over 1,300 pharmacies reporting dispensation information.
• interns, and pharmacy technicians, period.
• This is the pharmacy where it was picked up. This is the dose that was dispensed.

Summary: The Joint Committee on Administrative Rules met with a quorum and approved the minutes from the prior meeting. Members announced that two Department of Natural Resources rules had been withdrawn, leaving only the Missouri Prescription Drug Monitoring Program (PDMP) rule proposal for consideration. Public testimony focused on a proposed expansion of PDMP access to additional licensed behavioral health professionals, including licensed clinical social workers, licensed master social workers, marriage and family therapists, professional counselors, and psychologists, along with related clarifications to delegate access categories such as medical assistants and clinical nurse specialists. Testimony from the PDMP director and supporters from Compass Health and the Department of Mental Health argued the changes would improve care coordination, medication reconciliation, and overdose prevention within multidisciplinary behavioral health teams, especially in CCBHC settings. They said access would remain limited to licensed Missouri professionals working under supervision or collaboration with a prescriber or dispenser, and that the system is intended for treatment-related, view-only use. Opponents and skeptical committee members raised concerns that the rule would expand access beyond the original statutory framework without legislative change, could create privacy risks or misuse in non-treatment contexts such as custody disputes, and might exceed the committee’s rulemaking authority. One public witness opposed the rule, warning it could deter patients from seeking counseling and arguing the change should be made, if at all, by statute. After testimony, committee members debated whether the proposal was a permissible clarification or an impermissible substantive expansion of the law. Supporters of disapproval said the issue was legality, not the merits of PDMP access, and urged the department to seek a bill sponsor if it wanted the change enacted. A motion was made and seconded to disapprove Rule 1 CSR 60-1.010 on the grounds of lack of statutory authority, conflict with state law, and arbitrariness/capriciousness. The committee then took a roll-call vote and approved the motion by 7 ayes to 1 no, disapproving the rule and adjourning with no further business.

Transcript Highlights:

• And the bill also strengthens OIR’s oversight over PBMs, the pharmacy benefit managers.
• And the bill also strengthens OIR’s oversight over PBMs, the pharmacy benefit managers.
• , independent pharmacies, drug manufacturers, and consumers.
• For example, in 2025, Transparency RX Corporation and the Association of Pharmacy Benefit Managers was
• Should the bill posture change and it only apply to pharmacy benefit managers, most of my comments, if

Summary: The Insurance and Banking Subcommittee met to hear and vote on several bills, with all measures reported favorably. The first major item was PCS for HB 175 on payment stablecoins, which would create a Florida regulatory framework aligned with the federal GENIUS Act so issuers can choose state regulation instead of federal licensing. Members asked extensive questions about how stablecoins differ from other digital assets, whether Florida would need federal approval, and what impact the bill would have on the Office of Financial Regulation; the sponsor and OFR said the state framework would mirror federal standards and that any workload increase was currently indeterminate. The PCS passed unanimously after testimony from OFR and the Florida Blockchain Business Association in support. The committee then approved CS for HB 961, which streamlines electronic signature requirements for salvage titles and certificates of destruction, and HB 1415, a DFS stablecoin pilot program allowing certain stablecoins to be used for licensing and regulatory fees. HB 1415 was amended to remove authority for a Florida coin, limit the pilot to established stablecoins with at least $1 billion market cap, and require secure custody through a public depository or custodial bank. Members discussed how any interest or revenue would be used, with sponsors saying the pilot was still exploratory and intended mainly to cover program costs. Both bills passed favorably. HB 1039, establishing a state cryptocurrency reserve, also passed after a strike-all amendment moved administration of the reserve from the CFO’s office to the State Board of Administration and tightened eligibility to cryptocurrencies with a $100 billion market cap over the prior 12 months. Supporters argued the bill would create a framework for future diversification and investment in established digital assets, while several members raised concerns about volatility, reporting frequency, and the meaning of new terms such as qualified liquidity provider and secure custody solution. The committee also passed CS for HB 951 on penny rounding for cash transactions, with an amendment clarifying cash transaction definitions and treating money orders and gift cards like credit-card transactions for rounding purposes.

Transcript Highlights:

• But we've made significant gains in more high schools... ...offering the home care aide training program
• With a home care agency while she was in nursing school, and she worked for a number of clients.
• And 66% have some college or more in education level and 34% in high school or less.
• So you'll see things like... ...pharmacy management, advanced care planning, support to caregivers, and
• As Vichal mentioned, and data from our public and school employee benefits programs.

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• Number 14, DHS with Red River Pharmacy Long-Term Care.
• This is for armed security services for Arkansas School for the Deaf and Blind.
• If it's totally adding the school for the blind and deaf, then maybe I can understand it if we have a
• Yeah, I don't know why the $735,000 is on there, but yes, it was to add the school for the blind and
• We are showing a total projected cost of $3.2 million on this contract because we added the school for

Summary: The subcommittee reviewed multiple methods of finance and construction items, including projects for Arkansas State University, Black River Technical College, UAMS, the University of Arkansas at Pine Bluff, and UCA. The UAPB Allied Health and Sciences Building appeared both as a method of finance and as an alternative delivery construction project, with East Harding Construction selected and AMR Architects as designer. Members approved the methods of finance, the alternative delivery project, and several discretionary grants, including Department of Health grants for a heart attack center designation and community health worker training, and DHS grants related to homeless services, behavioral health transition support, and an enabling technology pilot. The committee then reviewed service contracts, including RFQs, construction-related contracts, intergovernmental agreements, and a large number of out-of-state and in-state contracts. Testimony focused heavily on DHS staffing and state hospital contracts, the Arkansas State Police seatbelt survey, AEDC’s lithium supply chain analysis, and Shared Administrative Services’ new SuccessFactors performance-management contract. Members asked detailed questions about contract nursing costs, turnover, hiring timelines, and whether some contracts were being renewed or amended beyond their original projected costs. DHS and Veterans Affairs officials explained staffing shortages, retention incentives, and the use of contract labor as a supplement to state employees. Several contracts drew scrutiny and were held for further review. Representative Wardlaw raised concerns about projected costs and repeated amendments on the Department of Education security contract and on DHS staffing contracts, arguing that some had exceeded their original projected totals. The committee voted to hold contracts 5, 7, and 8 until Friday, while adopting the remaining contracts. The meeting ended after informational reports on service contract amendments without material change, executed contracts, and emergency procurements were presented, with no further business before adjournment.

Transcript Highlights:

• Members, today we've got this really special group here from Carl Albert High School.
• That's not school history; that is your history, that is our history.
• If you haven't noticed, this is the Choctaw High School speech and debate team.
• Thank you for recognizing not only public school success but fine arts success in public schools.
• Members in the north gallery, we have the entire high school of Alleenublic schools with us today, along

Bills: HB2894, HB3418, HB3415, HB3413, HB3414, HB3416, HB3417, HB3419, HB3420, HB1739, HB1752, HB1979, HB2941, HB2992, HB3075, HB3086, HB3177, HB3269, HB3278, HB3279, HB3497, HB3644, HB4432, HB3720, HB3849, HB3882, HB3919, HB3941, HB4118, HB4141, HB4268, HB4342, HB4428, HB4429, HB4434

Keywords: HB2894, Oklahoma Rural Jobs Act, rural jobs, rural investment, tax credit, capital investment tax credit, state tax credits, economic development, rural fund, rural investor, qualified investment, eligible business, Department of Commerce, rural business, investment certification, tax liability, credit cap, workforce development, small business finance, rural development

Transcript Highlights:

• What school do you go to? Who is your sponsoring senator?
• I go to school at Laverne High School. My sponsoring senator is Senator Paxton.
• Hello, my name is Peyton Moer, and I'm a junior at Southwest Covenant Schools.
• Good morning, my name is Maine Bec, and I am a senior at Pawnee High School.
• I'm a senior at Antlers High School, and I'm paging for Senator David Bullard.

Bills: HB2894, HB3418, HB3415, HB3413, HB3414, HB3416, HB3417, HB3419, HB3420, HB1739, HB1752, HB1979, HB2941, HB2992, HB3075, HB3086, HB3177, HB3269, HB3278, HB3279, HB3497, HB3644, HB4432, HB3720, HB3849, HB3882, HB3919, HB3941, HB4118, HB4141, HB4268, HB4342, HB4428, HB4429, HB4434

Keywords: HB2894, Oklahoma Rural Jobs Act, rural jobs, rural investment, tax credit, capital investment tax credit, state tax credits, economic development, rural fund, rural investor, qualified investment, eligible business, Department of Commerce, rural business, investment certification, tax liability, credit cap, workforce development, small business finance, rural development

Transcript Highlights:

• This is the Choctaw High School speech and debate team.
• Thank you for recognizing not only public school success, but fine arts success in public schools.
• Thank you for recognizing not only public school success, but fine arts success in public schools.
• Who also is a CFO of Choctaw-Nicoma Park Schools.
• Members in the North Gallery, we have the entire high school of Aline Public Schools with us today, along

Bills: HB2894, HB3418, HB3415, HB3413, HB3414, HB3416, HB3417, HB3419, HB3420, HB1739, HB1752, HB1979, HB2941, HB2992, HB3075, HB3086, HB3177, HB3269, HB3278, HB3279, HB3497, HB3644, HB4432, HB3720, HB3849, HB3882, HB3919, HB3941, HB4118, HB4141, HB4268, HB4342, HB4428, HB4429, HB4434

Keywords: HB2894, Oklahoma Rural Jobs Act, rural jobs, rural investment, tax credit, capital investment tax credit, state tax credits, economic development, rural fund, rural investor, qualified investment, eligible business, Department of Commerce, rural business, investment certification, tax liability, credit cap, workforce development, small business finance, rural development

Summary: The Senate began with ceremonial recognitions for several student groups and community visitors, including Carl Albert High School’s boys and girls swim teams, the Lady Titans basketball team, and the Choctaw High School speech and debate team. Senators and coaches highlighted the teams’ state championships, academic achievements, and perseverance, and the chamber also welcomed visiting groups from Aline, Owasso, and Tulsa County. After the presentations, the Senate returned to general order and took up a series of House bills. Among the measures considered, House Bill 3720 expanded the Local Food Freedom Act by raising the gross annual sales threshold for local food establishments from under $75,000 to $250,000; it passed 39-4. House Bill 3849 updated the Oklahoma mentoring children of incarcerated parents program and passed 42-1. House Bill 3882 created a revolving fund for industrial and lake access improvement projects and passed 33-9, then also passed the emergency clause 39-4. House Bill 3919 reduced county free fair association boards from nine members to five to address quorum problems and passed 45-0. House Bill 3941 codified a pay raise for a court secretary and passed 45-0, including its emergency clause. House Bill 4118 updated the family caregiver tax credit and passed 44-1. House Bill 4141 removed the sunset on the statewide sexual assault nurse examiner coordinator position and passed 45-0. The chamber also debated several policy bills more extensively. House Bill 4268 created a growth-based teacher compensation program using Oklahoma Teacher Empowerment Funds and restored a $5,000 stipend for national board-certified teachers; it passed 45-0 and its emergency clause also passed 45-0. House Bill 4342 allowed prior instances of domestic violence or abuse to be admitted as propensity evidence in court, with supporters saying it would help interrupt the cycle of abuse and opponents raising due process concerns; it passed after debate. House Bill 4428 required public pension plans to base proxy voting decisions solely on financial considerations, and House Bill 4429 required proxy advisors to disclose when recommendations were not based on financial analysis; both passed after debate, 35-8 and 37-7 respectively. Two Rule 7-9 motions to pull House Bills 4422 and 4423 from committee and place them on general order failed by recorded vote. The Senate then announced Denim Day for domestic violence and sexual assault awareness, noted a few final reminders, and adjourned until April 29, 2026, at 9:00 a.m.

Transcript Highlights:

• comply with requirements established by the Health Care Authority to address amounts expended on pharmacy
• This bill will help ensure Washington consumers can access those savings at the pharmacy counter.
• From the carrier perspective, this is not a pharmacy point-of-sale issue; automatic substitution is already
• next step that will save consumers many, many thousands of dollars over the course of time at the pharmacy
• Consumers many, many thousands of dollars over the course of time at the pharmacy counter, and so I would

Keywords: 904, all

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
• stand to win through decreased out-of-pocket costs, improved compliance by saving a trip to the pharmacy
• Where I work in Lowell, Haverhill, and Lawrence, we are developing discrete pharmacy deserts, as well
• as specifically Walgreens closing, which are some of the main pharmacies in these areas.

Bills: S2732, S2738, S2739

Keywords: healthcare, direct primary care, insurance, referrals, network providers, payment denial, insurance costs, manufactured homes, homeowners insurance, affordability, state regulations, insurance market, consumer protection, mobile homes, firefighting, water supply, cistern program, rural areas, urban interface, state funding

Transcript Highlights:

• He went on to attend the Indiana University School of Medicine, pursuing a career in pediatrics.
• It really shifts billable visits from clinicians to pharmacies and siphons off revenue.
• So what this does is HB 2895 will allow high school students who transfer from one school to another
• She went to undergraduate school at ASU and then transferred to NAU and then graduated from law school
• She went to undergraduate school at ASU and then transferred to the NAU and then graduated from law school

Summary: The House convened, opened with prayer and the Pledge of Allegiance, welcomed Judges Day guests and other visitors, and read a proclamation recognizing March 2026 as Social Work Month. Members also made brief introductions of guests and the doctor of the day, Dr. Philip Williams. The chamber then moved through a long Committee of the Whole agenda, taking up numerous bills with committee and floor amendments, most of them receiving do-pass or due-pass recommendations after brief explanations and some debate. Notable discussion included HB 2444, where several members raised concerns about pharmacist-led care, patient safety, and rural health impacts, while the sponsor argued it would expand affordable access to care; HB 2726, which drew comments about a new sleep apnea device and whether it was a vendor-driven proposal; HB 2991, a bipartisan effort to address social media harms to children; and HB 4070, a bill framed as a “corporate death penalty” approach to combat sex trafficking. Other measures addressed kinship placement in child welfare, midwifery oversight, vulnerable adult protections, tuition waivers for children of disabled veterans, license plate omnibus language, and county and education-related issues. After the Committee of the Whole reported, the House adopted the report and assigned measures for engrossing. The chamber then proceeded to third reading votes on several bills. HB 2123, dealing with financial institutions and gold/silver legal tender, failed on a 24-28 vote after an excusal request was granted to one member with a financial conflict. HB 2270, concerning county authority and sheriff’s posse dissolution procedures, passed 50-3. HB 2324, creating a state fire marshal-related provision, passed 53-0, as did HB 2404 on mental health services. HB 2495 on sentencing failed 26-27. HB 2557 on patient records passed 37-16, HB 2574 on traffic violation appeals passed 52-0, HB 2594 on domestic relations and address confidentiality passed 44-9, HB 2611 on child welfare passed 51-0, HB 2681 on the county employee merit system passed 53-0, and HB 2697 also passed 51-0. The session continued into additional votes beyond the excerpt.

Transcript Highlights:

• for procurement of Medicaid managed care organizations contracts and parameters for the Medicaid pharmacy
• </c> pharmacy records by the MCOs's. pharmacy records by the MCOs's.
• </c> and additional stops, including pharmacy and additional stops, including pharmacy pickups. pickups
• </c><01:51:53.119><c> She</c> Louisville Brandise School of Law.
• She Louisville Brandise School of Law.

Keywords: 958, all

Transcript Highlights:

• Madam Chair, we have the Anderson School of Business, and we have Navajo students who go to school there
• Our reservations within the county and school district are creating opportunities.
• Then, on top of that, they had the Carlisle School issues and people got sent off.
• School, and then the rest of the school buildings are being renovated to accommodate current building
• Then we opened to the whole corridor, and we were the only pharmacy in the valley.

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.
• 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

Keywords: 987, senate, all

Transcript Highlights:

• that are recommended, including key ones that have been moved from being recommended or required for schools
• Even if the patient could have gotten to the pharmacy, they could not have afforded to pay the out-of-pocket
• 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

Keywords: 988, house, all

Transcript Highlights:

• the rider, and then rider 28 was modified to provide unexpended balance authority for the Rosenwald School
• The pharmacy cost trend is actually 11.4% in 2022, 12.8% increase in cost in 2023, and all the way to
• Blaise Duran: Um, I'll call up as our representative on the Texas Pharmacy Initiative.
• What we have to pay or what our staff has to pay when they go to the pharmacy, pharmaceuticals.
• I'll say that, I mean, pharmacy costs in general, excluding these GLP-1s, is still increasing faster

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• comply with requirements established by the Health Care Authority to address amounts expended on pharmacy
• This bill will help ensure Washington consumers can access those savings at the pharmacy counter.
• From the carrier perspective, this is not a pharmacy point-of-sale issue; automatic substitution is already
• next step that will save consumers many, many thousands of dollars over the course of time at the pharmacy
• And so I... ...consumers many, many thousands of dollars over the course of time at the pharmacy counter

Summary: The Health Care and Wellness Committee met on February 10 at 8:30 a.m. and heard two bills. On Engrossed Second Substitute Senate Bill 5594, staff explained that the bill would expand state policy on biosimilars by allowing health carriers to require patients to try a biosimilar before covering the equivalent brand drug starting in 2027, directing exchange plans to increase biosimilar utilization, and changing pharmacist substitution rules so substitution is generally allowed unless the prescriber says not to substitute. The prime sponsor, Sen. Harris, said the bill would lower costs and noted many other states already allow similar substitution. Supporters from health plans and generic/biosimilar manufacturers said biosimilars are safe, effective, and can save consumers and the system money, while a patient advocate raised concerns that the bill may not guarantee lower out-of-pocket costs at the pharmacy counter and suggested preferred formulary placement as a fix. AAM supported the bill with a technical amendment to place biosimilars in the same section as generics and interchangeable products, and the hearing on the bill was closed with no vote taken. The committee also heard Engrossed Senate Bill 5142 on Medicaid network adequacy for post-acute care. Staff said the bill would require the Health Care Authority to adopt network adequacy standards for nursing homes and inpatient rehabilitation facilities, considering community access, regional availability, timeliness, and federal Medicaid rules, with standards due by January 1, 2028 and implementation by July 1, 2028. Sen. Muzzall described it as a follow-up to last year’s bill that would create a pre-approved pathway for patients who are difficult to discharge because continuing care is hard to secure. Testimony from hospital and health system representatives strongly supported the bill, saying patients often remain in hospitals longer than medically necessary because of delays in finding skilled nursing or rehab placements and because single-case agreements are time-consuming and unpredictable, especially in rural areas. Public testimony on SB 5142 was then closed, and the meeting adjourned without any recorded votes or other action.