Transcript Highlights:

• His doctor prescribes his prescription.
• He's prescribed a medication. He doesn't have a generic alternative.
• The doctor prescribed it.
• The doctor prescribed it.
• That card is debited so that the pharmacist gets paid for that.

Keywords: 959, house, all

Summary: The committee first heard House Bills 2365, 2490, and 2249, a bipartisan version of Elijah’s Law, which would require child care facilities to receive training on identifying and responding to food allergies and anaphylaxis, with the bill updated to refer to epinephrine delivery systems rather than only EpiPens. Sponsors and supporters described the death of Elijah Silvera and argued the bill would help prevent similar tragedies by giving child care staff clearer guidance and training. Committee members asked about whether the bill should be incorporated into licensing rules or other legislation, and sponsors said they were open to working with the Office of Childhood and other bills to advance the measure. A support witness, Mandy Kearns, testified about her family’s experience with severe food allergies and urged passage; there was no opposition, and the hearing closed on those bills. The committee then heard House Bill 1965, which would allow athletic trainers to be recognized for insurance reimbursement when providing covered services. The sponsor and witnesses said the bill would let athletic trainers bill for services in appropriate clinical settings, improve access in rural and underserved areas, and reflect their education and licensure under Missouri law. Committee members raised repeated concerns about overlap with physical therapy, whether school or event-based trainers were already paid through contracts, whether the bill would increase costs or amount to double billing, and whether athletic trainers should be placed in the same statutory category as physicians and physician assistants. Supporters said the bill was limited to credentialing and reimbursement in clinical settings and would not change the physician-directed nature of diagnosis; opponents from Blue Cross Blue Shield and the Missouri Insurance Coalition argued the bill would create a mandate, increase costs, and expand billing before the underlying scope-of-practice questions were resolved. The hearing on HB 1965 then concluded. In executive session, the committee adopted a substitute and voted do pass on House Bills 1826, 2560, 2349, and 2194 by a vote of 17-0, and also voted do pass on House Bill 1783 by 17-0. The committee then adopted a substitute for House Bill 2372, which incorporated multiple changes including updated epinephrine language and several other bills, and voted it do pass by 17-1. House Bill 1827, relating to occupational therapy and disabled placards/license plates, was also voted do pass by 18-0. The committee later resumed hearings on House Bills 1941 and 2279, which would prohibit copay accumulator adjustment programs from preventing third-party assistance from counting toward a patient’s deductible or out-of-pocket maximum on fully insured plans. Sponsors said the bills would help patients with serious conditions afford life-saving medications and noted similar laws in many other states; a rheumatologist testified in support, describing patients who lose access to needed drugs when assistance is not credited. An insurance industry representative opposed the bills, arguing they would affect only a minority of plans, raise costs in the most fragile market segment, and could worsen affordability for some consumers.

Transcript Highlights:

• However, House Bill 711 does not apply to pharmacists because the definition of providers.
• Does not include pharmacists or pharmacies under Texas Insurance Code 1458.
• I'm a pharmacist at Carval Hall Pharmacy in San Antonio.
• Like many of my colleagues, I became a pharmacist because I have a deep passion for helping people.
• Everyday pharmacists stand on the front lines.

Transcript Highlights:

• include pharmacists or pharmacies under Texas Insurance Code 1458.
• I'm a pharmacist at Carvajal Pharmacy in San Antonio.
• Like many of my colleagues, I became a pharmacist because I have a deep passion for helping people.
• Every day, pharmacists stand on the front lines.
• Pharmacists should be able to freely inform patients about the lowest cost prescription options.

Bills: HB854, HB 1052, HB1642, HB2076, HB3042, HB3695, HB3787, HB4062, HB4092, SB213, SB493, SB896, HB5519, HB4635

Keywords: insurance, replacement cost, homeowner's policy, renter's policy, condominium insurance, property damage, claims process, telemedicine, teledentistry, telehealth, health benefit plan, insurance coverage, out-of-state services, anxiety, pain management, contraceptive devices, women's health, medical procedures, healthcare, laboratory

Transcript Highlights:

• Approximately 50% of all Americans do not take medications as prescribed by their doctor.
• I am the pharmacist in charge for Amazon Pharmacy in Austin, and I'm testifying on behalf of Amazon in
• We dispense most medications prescribed at the doctor's office and deliver right to your door with fast
• Our team of pharmacists is available 24/7 to answer clinical questions, and we accept most insurance
• I am a pharmacist within our team, and I can ask my team to follow up with you on that.

Bills: HB 741, HB 1199, HB 2070, HB 2402, HB 2542, HB 2665, HB 2789, HB 3096, HB 3396, HB 3595, HB 3747, HB 4116, HB 4127

Keywords: child welfare, relative caregiver, monetary assistance, Department of Family and Protective Services, child custody, family law, emergency power, nursing facilities, assisted living, generator requirements, health and safety, emergency generators, power outage, emergency generator, assisted living facilities, power source, child abuse, neglect registry, court findings, Medicaid

Transcript Highlights:

• Approximately half of all Americans do not... take medications as prescribed by their doctor.
• My name is Daphne Hong, I am the pharmacist. for Amazon Pharmacy in Austin and I am testifying on behalf
• Dispense most medications prescribed at the doctor's office and deliver right to your door with fast,
• Our team of pharmacists is available 24-7 to answer clinical questions and we accept most... insurance
• I am a pharmacist within our team and I can ask my team to follow up.

Bills: HB741, HB 1199, HB2070, HB2402, HB2542, HB2665, HB2789, HB3096, HB3396, HB3595, HB3747, HB4116, HB4127

Keywords: child welfare, relative caregiver, monetary assistance, Department of Family and Protective Services, child custody, family law, emergency power, nursing facilities, assisted living, generator requirements, health and safety, emergency generators, power outage, emergency generator, assisted living facilities, power source, child abuse, neglect registry, court findings, Medicaid

Transcript Highlights:

• You know, even though I'm a pharmacist, last time I was in the doctor's office and he prescribed a drug
• </c> &gt;&gt; Any consumer can ask any pharmacist &gt;&gt; Any consumer can ask any pharmacist anytime
• </c> you know I even though I'm a pharmacist you know I even though I'm a pharmacist last<04:29:19.439
• In fact, you pharmacist at any time.
• Um second it's just an prescribed.

Keywords: 1189, house, all

Transcript Highlights:

• House Bill 2453 is the bill that allows Board Certified Psychiatric Pharmacists to sign 14-day involuntary
• The proposed substitute instead requires cities, towns, and counties to prescribe local procedures to
• violation at the owner's expense the proposed substitute instead requires cities towns and counties to prescribe
• This legislation is focused on trying to make sure that psychiatric pharmacists, who are uniquely trained

Summary: The Civil Rights and Judiciary Committee heard and acted on five bills. House Bill 2548, dealing with hospital and provider material change transactions, was presented with a proposed substitute that added disclosure requirements, quarterly AG website notices, filing fees, and nonprofit-related notice provisions while removing several original enforcement sections. Members debated the 25% ownership threshold and concerns about market effects, but the substitute passed 7-6 with a due pass recommendation. House Bill 2453 would allow board-certified psychiatric pharmacists to sign certain involuntary commitment and treatment-related petitions and opinions. Members said the bill was intended to expand access to treatment while preserving court decision-making authority, and it passed 8-5. House Bill 2640, addressing unauthorized UCC filings, would let the Department of Licensing refuse or terminate filings made to harass or defraud debtors; members described it as a Department of Licensing request bill, and it also passed 8-5. The committee then considered House Bill 2095 on vulnerable users of public ways. The proposed substitute created a rebuttable presumption of negligence against drivers, expanded protected areas, excluded motorcycles from the definition, and adjusted damages and education provisions. Members adopted several amendments, including an emergency-vehicle exemption and a reporting clarification, but rejected amendments that would have removed attorney fees, limited joint liability, or replaced the presumption with a direct civil action. The substitute passed 8-5. House Bill 2386, which removes statutory garnishment answer forms and directs the Washington Pattern Forms Committee to develop a form, passed 12-1. Finally, House Bill 2239, authorizing family burial grounds on private land, passed unanimously after a substitute added setbacks from water sources, local remediation procedures, burial reporting requirements, relocation permits, and seller disclosure language.

Transcript Highlights:

• Members, just a reminder for this bill, pharmacist doctoral level education curriculum does not include
• diagnosing patients and prescribing treatments based on that diagnosis.
• , our well-trained pharmacists, to help treat simple things such as the flu, strep throat, COVID testing
• Pharmacists are educated and trained to do this already, which is why they do it in so many other states
• to follow and ensure communication with the patients... ...in-place statewide protocols for pharmacists

Summary: The House met, opened with prayer and the Pledge, approved the prior journal, and first took up a motion to request Senate consent for an extended adjournment. Representative Volk opposed the motion, arguing members should keep working on unfinished business, while Speaker Montenegro said the House had completed its current budget work and was waiting on the governor to return to negotiations. The motion passed 31-20, and the House also agreed to a related Senate adjournment request and to return HB 2415 to the Senate for reconsideration. The chamber then went into Committee of the Whole and considered several Senate bills. SB 1199, concerning the Salt River wild horse herd, was amended to pause removals for a genetic diversity study and received a do-pass recommendation. SB 1399 on Medicaid spending transparency, SB 1496, SB 1497, SB 1582, SB 1713, and SB 1798 were also amended and advanced. SB 1713 drew the most debate, with supporters saying it would expand pharmacist access to basic care and improve rural and veteran access, while opponents warned it expanded scope of practice beyond pharmacists’ training. The House later adopted the Committee of the Whole report, ordered several bills engrossed, and sent SB 1399 to third reading. In a second Committee of the Whole, SB 1214 and SB 1670 were further amended and advanced. The House then moved to third reading and voted on multiple bills. SB 1006, SB 1037, SB 1171, SB 1242, SB 1270, SB 1419, SB 1429, SB 1445, SB 1452, SB 1478, and SB 1566 passed, while SB 1099 and SB 1635 failed on the initial vote. Members then used reconsideration motions to place SB 1006 and SB 1635 back on the third-reading calendar. The session ended with personal privilege remarks recognizing correctional officers, Cinco de Mayo guests, Missing and Murdered Indigenous Peoples Awareness Day, and other tributes, followed by adjournment until June 1, 2026.

Transcript Highlights:

• Yeah, they can prescribe psychiatric meds. Senator Schof. They can prescribe psychiatric meds.
• Senator Schof, this bill doesn't allow them to prescribe anything other than what they can prescribe
• or electrical failure, so long as the failure is not within the control of the prescriber and the prescriber
• Simply put, pharmacists can continue to fill... ...to deny reimbursements.
• There is no real explanation as to why we need to go 100% to e-prescribing.

Summary: The House convened with prayer, the pledge, quorum call, and several recognitions, including guests for Education and Sharing Day, law enforcement officer of the day Detective Miata Anderson, and later FAMU Day at the Capitol and other visiting groups. The chamber adopted the special order report and then moved through a series of budget-related bills and conforming measures, with debate focused largely on recurring funding, environmental programs, housing, insurance reserves, and tax policy. Members approved HB 5011/SB 2506, which conform environmental resource funding to the proposed budget by shifting Seminole Gaming Compact-related dollars from recurring to nonrecurring funding; supporters said this preserves annual legislative review, while opponents warned it would reduce funding for the Resilient Florida program, wildlife corridor protection, invasive species removal, and other conservation efforts. The House then passed HB 5013, reducing state-funded property reinsurance reserves by lowering the RAP program and repealing FORA funding, and HB 5501, which redirects documentary stamp tax revenues from housing and transportation trust funds to general revenue; Democrats argued the housing changes would reduce affordable housing support, while Republicans said the move was needed to control recurring spending. The chamber also passed HB 5015 on state group insurance, HB 5201 on Florida PALM accounting conforming changes, HB 5203 on Capitol Center tenancy and utilities control, and HB 5009 creating a Florida Accountability Office and revising audit and budgeting functions. The most extended debate came on HB 7031, which permanently reduces the state sales tax rate from 6% to 5.25% and also lowers several related tax rates. Supporters described it as broad-based, immediate tax relief for Floridians, while opponents said property tax relief would be more targeted and that sales tax cuts also benefit tourists and out-of-state visitors. The bill passed 112-0. The House then took up the main budget bill, HB 501, and subcommittee chairs outlined the proposed $112.9 billion budget, including education, health care, transportation, agriculture and natural resources, higher education, state administration, justice, and IT spending. Members began questioning the pre-K-12 budget on school funding, vouchers, proration, mental health and safety allocations, and inflation, with the discussion continuing beyond the excerpt provided.

Transcript Highlights:

• Pharmacists, for the most part, don't want the bill. medical professionals.
• Pharmacists, for the most part, don't want the bill. Medical professionals don't like the bill.
• Pharmacists have testified. concerns, time concerns.
• Pharmacists have testified and have outreach to us. We're not trained. We can't diagnose.
• Pharmacists are highly trained health care professionals.

Keywords: 1182, all

Transcript Highlights:

• This is really prescribed by a doctor after a surgical event for short-term use only.
• So, that doesn't say it can't be prescribed for longer than that, but it does say that that's what the
• ,</c><00:36:32.560><c> community</c> physicians, uh pharmacists, community physicians, uh pharmacists
• </c> that doesn't say it can't be prescribed that doesn't say it can't be prescribed for<00:38:02.960
• you should also prescribe you know the you should also prescribe you know the medication<00:39:59.440

Bills: HF3521, HF1807, HF1270, HF2070, HF3136

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Transcript Highlights:

• I am first and foremost a pharmacist, and I I'm the Assistant Director of Programs at the Center of Health
• My only question would be, this helps the small pharmacists and rulers. areas or neighborhoods.
• When you talk to pharmacists, the opaqueness of PBMs and again, their original purpose and what they
• Requiring that a pharmacist, a PBM shall allow a pharmacy to dispense in accordance with whatever state
• The bill uses the same qualific is the current right to try statute before a physician can prescribe

Bills: SB502, SB513, SB622, SB670, SB731, SB732, SB916, SB961, SB1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• This is about pharmacists and their rights when it comes to vaccinations.
• The COVID-19 pandemic brought vaccinations to the forefront in health care, with pharmacists playing
• nationwide to administer COVID-19 vaccines, but it did not mandate that any individual pharmacists do
• For example, a pharmacist was terminated from her position at H-E-B after she refused to administer the
• I practiced for 17 years as a clinical pharmacist and hospital pharmacist, as a licensed pharmacist.

Bills: SB623, SB1266, SB1310, SB1373, SB1580, SB1952, SB2032, SB2269, SB2544, SB2653, SB2796

Keywords: pharmacist, vaccine administration, COVID-19, exclusive authority, healthcare, Medicaid, provider enrollment, credentialing, administrative burden, Texas Health and Human Services, senior retirement communities, emergency response, residential safety, contract provisions, health and safety regulations, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges

Transcript Highlights:

• Members, just a reminder for this bill: pharmacist doctoral-level education curriculum does not include
• diagnosing patients and prescribing treatments based on that diagnosis.
• And that's allowing our pharmacists, our well-trained pharmacists, to help treat simple things such as
• Pharmacists are educated and trained to do this already, which is why they do it in so many other states
• to follow and ensure communication with the patients... ...in-place statewide protocols for pharmacists

Keywords: 1182, all

Transcript Highlights:

• , cost Lord only knows how much to the system, once able to be placed in ASH and get put on the prescribed
• This is simply a duty that is prescribed when we, as health care professionals, are taking care... ..
• .duty that is prescribed when we, as health care professionals, are taking care of patients and to break
• Having no further business before the committee, we are... duty that is prescribed when we as healthcare

Bills: HB2408, HB2434, HB2725, HB2728, HB2729, HB2730, HB2731, HB2732, HB2733, SB1192, SB1398, SB1399, SB1494, SB1557, SB1813, SB1821

Keywords: nursing board, regulatory actions, disciplinary actions, expungement, healthcare professionalism, controlled substances, prescription monitoring, opioid crisis, healthcare regulations, patient safety, prescription drugs, opioids, healthcare, pain management, utilization controls, AHCCCS, Department of Economic Security, social services, welfare programs, vocational rehabilitation

Transcript Highlights:

• We support paying the pharmacists what they need to stay in business, but... ...the pharmacists what
• Ford stated, it will bring more money into the PBM in order to then pay the pharmacists more.
• "Yeah, and in fact, the language in the bill says the cost should not be assigned to a pharmacist.
• I can't imagine the individual pharmacist would ever pay that cost."
• Yeah, certainly not the pharmacist.

Bills: HB591, HB765, HB826, HB870, HB938, HB1151, HB1162, HB1176, HB1196, HB1236, HB1241

Keywords: family leave, insurance, paid leave, employment benefits, caregiver support, liability insurance, coverage defenses, direct action, judgment enforcement, legal procedures, insurance referrals, compensation, non-licensed agents, consumer protection, insurance products, HB 870, Act 907, Louisiana insurance, health insurance, prescription drugs

Transcript Highlights:

• His doctor prescribes his— So my son has hemophilia. His doctor prescribes his prescription.
• He's prescribed a medication. He doesn't have a generic alternative.
• I mean, they're prescribed by their doctors. The patient doesn't have a choice.
• The doctor prescribed it.
• That card is debited so that the pharmacist gets paid for that.

Summary: The committee first heard House Bills 2365, 2490, and 2249, a bipartisan version of Elijah’s Law, which would require child care facilities to receive training and guidance on recognizing and responding to food allergies and anaphylaxis. Sponsors described the bill as a response to the death of Elijah, whose daycare did not administer epinephrine quickly enough after a food exposure. Witnesses in support, including a parent and food allergy advocate, said the measure would improve preparedness and save lives. Committee members asked about whether the bill should use broader epinephrine terminology, whether the requirements could also be handled through child care licensing rules, and whether the bill was already included in a larger measure. No opposition was presented, and the hearing on those bills was closed. The committee then heard House Bill 1965, which would require insurers to reimburse athletic trainers for covered services and add athletic trainers to the practitioner definition for billing purposes. The sponsor and athletic training witnesses said the bill would recognize athletic trainers as licensed health care providers, improve access in rural and underserved areas, and allow reimbursement when trainers work in clinics, hospitals, or other non-school settings. Committee members raised repeated questions about the difference between athletic trainers and physical therapists, whether school-based services were already paid through contracts, whether the bill would increase costs or create double payment, and how diagnosis and billing would work under the current scope of practice. Opponents from Blue Cross and Blue Shield of Kansas City and the Missouri Insurance Coalition argued the bill would create a mandate, increase costs, and expand billing before clarifying the underlying scope of practice. No vote was taken in public hearing. The committee then moved into executive session and voted several bills do pass. A substitute was adopted for House Bill 1826 and the committee substitute for House Bills 1826, 2560, 2349, and 2194 passed 17-0. House Bill 1783 also passed 17-0. House Bill 2372, which incorporated multiple related provisions including changes to epinephrine terminology and other committee items, passed 17-1 after a substitute and amendment were adopted. House Bill 1827, the occupational therapy bill related to disabled placards and license plates, passed 18-0. The committee then returned to public hearing and heard House Bills 1941 and 2279, which would prohibit copay accumulator programs for fully insured plans so that third-party assistance counts toward a patient’s deductible and out-of-pocket maximum. Sponsors and a rheumatologist testified that the bills would prevent patients with serious illnesses from being forced to pay the same deductible twice and said similar laws have been enacted in many other states. Opponents from America’s Health Insurance Plans argued the measure would affect only a minority of plans, raise costs in the individual and small-group market, and could worsen affordability for remaining enrollees. The hearing ended without a vote on those bills.

Transcript Highlights:

• We support paying the pharmacists what they need to stay in business.
• Ford stated, it will bring more money into the PBM in order to then pay the pharmacists more.
• Yeah, and in fact, the language in the bill says the cost should not be assigned to a pharmacist.
• I can't imagine the individual pharmacist would ever pay that cost.
• Yeah, yeah, certainly not the pharmacist.

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

Transcript Highlights:

• :05:17.960><c> because</c><00:05:18.440><c> those</c><00:05:18.680><c> are</c><00:05:19.120><c> prescribed
• </c> hearing aid because those are prescribed hearing aid because those are prescribed by<00:05:19.800
• Last point: his cousin, who was head pharmacist at Queen's for 30 years, said to him about a year ago
• at Queen for 30 years said to pharmacist at Queen for 30 years said to me<00:08:13.120><c> about</c>
• </c> people that are going to be prescribing people that are going to be prescribing these<00:59:43.160

Keywords: 912, senate, all

Summary: The Health and Human Services Committee heard testimony on several health-related measures, with most of the discussion focused on SB 1419, SB 1494, and SB 1495, which were taken out of order to accommodate ASL/Death Blind Task Force testimony. SB 1419, relating to Act 253 (Session Laws of Hawaii 2023), drew support from the Department of Human Services and the National Federation of the Blind of Hawaii, with testimony emphasizing use of the term “low vision” and support for the program timeline. The committee later recommended passage with amendments, including technical changes and updated appropriation fiscal years, and the motion was adopted unanimously by the members present. SB 1494, concerning hearing aids, drew broad support from disability advocates and others who argued that hearing aids improve health, reduce accidents, and may help reduce dementia risk. Testifiers also urged that the bill define hearing aids as prescription hearing aids rather than including over-the-counter devices, and the Department of the Auditor and Insurance Division raised cost and coverage questions. The committee recommended passage with amendments, changing the coverage approach to optional coverage similar to vision and dental and requesting a sunrise analysis for prescription hearing aids; that recommendation was adopted. SB 1495, which exempts hearing aids from the general excise tax, also received support, while the Attorney General flagged a possible single-subject issue and the Tax Department estimated a potential $1.1 million revenue impact. The committee recommended passage with amendments, including deletion of the challenged language, technical fixes, and noting the revenue estimate; that recommendation was adopted. The committee then moved through additional measures with mostly supportive testimony. SB 1421 on medical records prompted questions about what happens when a solo practitioner dies or closes practice, and the discussion centered on ensuring patients can obtain records, including a proposed amendment requiring a successor provider to send records to the patient’s last known address. SB 1422, dealing with a special fund and vital statistics funding, was supported by the Department of Health, which said the special fund did not meet criteria and that deposits should instead go to the Vital Statistics Improvement Special Fund. SB 1423 on certificate of need exemptions for Department of Health facilities drew support, with discussion of possibly extending exemptions to dialysis and behavioral health/psychiatric services; the Department indicated it would not oppose that change. SB 1424 on credentialing of health care providers also received support, and SB 1425 on the State Emergency Medical Services Committee focused on reducing quorum requirements because many members are active first responders and cannot always attend meetings. The committee also heard support for SB 1426 on emergency medical services, SB 1431 on viral hepatitis, and SB 1433 on harm reduction, with testimony on hepatitis outreach funding and syringe access best practices; for SB 1433, the Department of Health identified a blank in the bill and recommended a six-month period for the syringe-possession exception.

Transcript Highlights:

• technician registration and renewal applications. 2011 K2165 amends provisions to clarify that a pharmacist
• <00:01:17.439><c> a</c> amends provisions to clarify that a amends provisions to clarify that a pharmacist
• may delegate the transferring pharmacist may delegate the transferring of<00:01:19.840><c> a</c><00:
• conditions it deems necessary prescribe conditions it deems necessary to<00:05:14.880><c> ensure</c>
• the scope of regulation which prescribes the scope of the<00:31:55.440><c> duty</c><00:31:55.840><c>

Keywords: 958, all

Summary: The Administrative Regulation Review Subcommittee met in August with a quorum present and approved the prior meeting minutes without objection. The committee then reviewed several regulations, generally adopting staff-suggested amendments without objection, and heard brief explanations from agency representatives on each item. The Board of Pharmacy regulations would clarify what registered and certified pharmacy technicians may do under supervision and what certified technicians may not do, while updating registration applications. The Board of Cosmetology package included changes to executive director authority, licensure and reciprocity rules, school requirements, training hours, instructor ratios, sanitation and disease-related rules, complaint procedures, and permit terms; members asked about straight razor language and the increase in student-to-instructor ratios, and the board explained that cosmetologists are not permitted to use straight razors and that the higher ratio was intended to give schools flexibility, especially for part-time students and schools with wait lists. The Occupational Therapy emergency compact regulation added four compact rules adopted in April 2025, and Senator West raised a technical question about certification requirements under House Bill 6; the agency said it had been instructed to file the regulation as submitted. The Department for Fish and Wildlife Resources presented a package covering wildlife management area rules, a northern pintail bag limit increase, reportable disease reporting, and a repeal tied to boat registration fees. After a brief explanation of the new wildlife disease reporting rule, the agency requested and received a deferral of 301 KAR 2:031 to avoid a gap while replacement language is finalized. The Economic Development Finance Authority explained an emergency regulation for the Kentucky Entertainment Incentive Program, saying it was needed because the program had become oversubscribed and because administration was shifting to a new film office and council; members also asked about certification issues under House Bill 6, and the agency said it had filed the regulation as directed. The Department of Workplace Standards emergency PPE regulation was also discussed, with members asking about HB 6 certification language, and the agency gave the same response. The Department of Insurance regulation would create a $10,000 registration fee and a $1,000 annual licensing fee for pharmacy benefit manager licenses, with an agency amendment exempting PBMs that solely serve workers’ compensation plans. Members asked how many PBMs would be affected and why workers’ compensation PBMs were carved out; the agency said there were 70 registered PBMs total, four solely workers’ comp, and that workers’ comp rates are set by statute and could not absorb the fee. Finally, the Public Service Commission’s pole attachment regulation was summarized as a broadband-expansion measure that speeds application review, increases the number of poles allowed in a single application, and shortens dispute timelines; the commission explained it grew out of earlier legislative direction and subsequent emergency amendments, and the committee adopted the staff amendment.