Transcript Highlights:

• if if the manufacturer offers the drug if if the manufacturer offers the same<00:04:31.199><c> drug<
• </c><00:09:53.399><c> are</c> locally Advanced Cancer drugs are locally Advanced Cancer drugs are improving
• </c> the pharmaceutical industry raises drug the pharmaceutical industry raises drug prices<00:26:37.520
• manufacturers ship 340b and Drug manufacturers ship 340b prescription<00:37:37.359><c> drugs</c><00:37
• </c> can do is make sure that if drug can do is make sure that if drug companies<00:40:50.440><c> are

Summary: The Senate Standing Committee on Health Services opened with the chair welcoming several new members and outlining session rules: hearings would start and end on time, the committee would limit the number of bills heard each meeting, prioritize bills heard during the interim, and generally avoid using the consent calendar except in extreme circumstances. The committee then briefly considered administrative regulations, which were treated as approved if members had no questions. The main item was Senate Bill 14, a measure addressing the 340B drug discount program. The chair said the bill had already passed the Senate in a prior session and had been heard in interim, so he did not present it again. He described the bill as prohibiting drug manufacturers from discriminating against 340B covered entities by refusing 340B pricing when the same drug is offered at that price in the state. He also said the committee would not debate the federal 340B program itself, but would hear testimony on the bill. Hospital leaders and Kentucky Hospital Association representatives testified in support, arguing that 340B savings are essential to rural hospitals, oncology services, transportation support, chronic care, addiction recovery, and new service lines such as chemotherapy and hepatitis treatment. They said the program helps keep care close to home and that manufacturer restrictions on contract pharmacies have reduced access and cost hospitals millions. Opponents from BIO Kentucky and the National Alliance of Healthcare Purchaser Coalitions argued the bill would expand federal law beyond Congress’s intent, create administrative burdens, and not lower patient out-of-pocket costs. The chair repeatedly pressed opponents to address why Kentucky should be denied the same 340B pricing available in other states. No vote on the bill was taken in the portion provided.

Transcript Highlights:

• These prescription drug middlemen have manipulated the market, driving up the costs of drugs and putting
• So you have those drug manufacturers. PBMs are... They manufacture a drug.
• set the price of drugs.
• Drug manufacturers set the price of drugs.
• PBMs work to negotiate with those drug manufacturers to reduce the price of drugs that you pay.

Bills: AB93 , AB204 , AB414 , AB504 , AB598

Committee: Assembly Commerce and Labor

Transcript Highlights:

• Twenty-five minutes ahead of schedule. Senator President, we're learning.
• A schedule for disposition of these reports shall be provided by regulation. Mr.
• My guess is a whole heap of abusers and rapists drug their victim here and had that baby killed against
• receive per diem reimbursement for closed parole board hearings, and it also introduces considerate scheduling
• practices by ensuring that hearings will not be scheduled on the birth or death date of the homicide

Summary: The Senate convened with a quorum, prayer, pledges, and a series of announcements recognizing visiting groups and guests, including Pecos High School’s boys cross-country champions, School-Based Health Care Day, Route 66 Centennial activities, New Mexico Highlands University, an honorary lieutenant governor and shadow senator, and Bernalillo County officials. The chamber also received House messages on several bills and a gubernatorial message authorizing consideration of Senate Bill 130, which would change insurance and pharmacy rules related to cholesterol treatment and screening. Committee reports were adopted on several measures, including Senate Bill 183, Senate Bills 211 and 222, Senate Bill 254, Senate Bill 235 as a committee substitute, Senate Bill 40 as a Judiciary Committee substitute, and Senate Bill 104. The Senate then moved to third reading and took up Senate Bill 30, which repeals the state’s abortion reporting requirement. The bill drew extensive debate: supporters argued the reporting law is outdated, unnecessary, and creates privacy and safety risks for providers, while opponents said the data is needed for transparency, public health oversight, and accountability, and objected to the loss of reporting on a sensitive issue. After a roll call vote, Senate Bill 30 passed 24-15. The Senate next passed Senate Bill 43 unanimously, updating parole board procedures, including evidence-based practices, reimbursement for closed hearings, and scheduling protections for homicide victims’ families. It also passed Senate Finance Committee substitute for Senate Bill 35 unanimously, creating judgeships in the First and Second Judicial Districts. Debate then began on Senate Bill 193, which would increase transfers from the Irrigation Works Construction Fund to the acequia community ditch infrastructure fund from $2.5 million to $5 million; the sponsor explained the increase as necessary to meet growing statewide acequia needs, while senators raised concerns about existing fund balances and whether the higher transfer was justified.

Transcript Highlights:

• And maybe just a thought, thinking about it, is by kind of coordinating that schedule better, maybe we
• LASC has been the first to put their schedule in, and yet LFC has then put on top of it.
• If that mom manages to get a job, if she's in drug court, if she's going to treatment, she is now going
• And I think we're, yeah, we're ahead of schedule. We could have had a longer school. So, 11...
• Yeah, we're ahead of schedule. So... We could have had a longer school.

Committee: House House Appropriations & Finance

Summary: The meeting began as an informal education budget work group focused on reviewing a revised House Appropriations and Finance Committee scenario and flagging concerns rather than taking votes. Staff outlined the main changes from the LFC recommendation, including moving the statewide student information system appropriation, adding funding for the Black, Bilingual, Multicultural and Hispanic Education Act, universal school meals overrun costs, an evidence-based CTE pilot with a 50% local match, STEM network funding, wellness room pilots, Martinez-Yazzie action plan items, and changes to innovation zone and out-of-school time appropriations. A separate handout on the seven-year CTE pilot explained spending patterns, reversions, and possible federal maintenance-of-effort concerns if the state continues funding beyond a true pilot. Members then debated CTE extensively, with several arguing it improves attendance, graduation, and career readiness and should be sustained or expanded, especially in rural areas, while staff and others emphasized that much of the current funding has gone to general operational costs rather than intentional program design and that regional or matched funding models may be more effective. Members also discussed STEM and math initiatives, the need for more industry involvement, and whether the proposed match requirements would be too burdensome for smaller districts and BIE schools. The discussion also covered the Black, Hispanic, and Multilingual Education Acts and the Martinez-Yazzie lawsuit. Some members stressed that the acts should be explicitly named in the budget language and not merely implied, while staff said the scenario reaffirms prior commitments by building the costs into agency operating budgets. Members raised concerns about charter school hold-harmless funding, declining enrollment, and the need to align spending with the needs of at-risk students. The work group ended the education portion without any votes, with staff noting they would incorporate the feedback and return with clarifications, including on CTE funding, the educational acts, and the charter hold-harmless item. The meeting then shifted to the child well-being and early childhood work group, where staff presented a revised Early Childhood Education and Care Department scenario. The proposal moved money toward child care assistance and early pre-K, kept the FIT program funding level unchanged, and used a mix of trust fund, TANF, federal, and operating-budget adjustments to close part of the gap between the executive and LFC recommendations. Members questioned the policy direction, especially the shift toward infant and toddler care and pre-K expansion, the impact on school-age child care, and the implications for continuity of care and provider costs. Staff explained that the scenario prioritizes younger children and at-risk families, includes language for a wage and career ladder, and would require legislation to raise the early childhood trust fund distribution cap from 500 to 525. Members also discussed a separate proposed CYFD pilot bill (HB 65), which would be distinct from ECECD funding. No votes were taken, and staff said they would return with more cost information on full pre-K plus wraparound care. A final work group reviewed C2 and Department of Information Technology-related appropriations. Staff compared the LFC and executive recommendations for new funding and reauthorizations, noting that the LFC generally limited new projects while the executive funded more. Members discussed several IT modernization requests, including the Secretary of State’s voter registration and election management systems, the Spaceport Authority, Game and Fish, the State Engineer’s WATERS system, ECECD’s FitKids and EPIC replacement discovery, and Aging and Long-Term Services’ enterprise system modernization. The main themes were whether to fund planning versus full replacement, how to avoid piecemeal spending, and whether new systems should wait for incoming leadership. The Secretary of State’s office said its system is nearing end of life and the planning funds would help prepare a realistic replacement request, while other agencies described aging infrastructure, cybersecurity risks, and the need for modernization. The work group did not vote on any of the items and ended with staff noting additional follow-up on funding needs and reauthorization details.

Transcript Highlights:

• The next three slides give us a little bit of an idea about the release schedule in the last four years
• In terms of the release schedule for the adult population, the last four years seem to give us a little
• month for the adult population the next three slides give us a little bit idea about the release schedule
• 2024 a line is a little bit above fiscal 23 and so on for the fiscal 2025 in terms of the release schedule
• So 96 in burglary, because it's not a violent felony—the violent felonies are higher than, say, drug

Committee: Senate Human Services

Summary: The Senate Human Services Committee held a work session focused first on the impacts of H.R. 1 on Medicaid and SNAP, especially for people with intellectual and developmental disabilities, older adults, and low-income families. DSHS Assistant Secretary B. Rector explained Washington’s Medicaid structure for developmental disabilities and long-term care, noting that most community-based services are optional under federal Medicaid rules and could be vulnerable if state budgets tighten. He described several H.R. 1 changes, including possible cost sharing, a lower home equity limit, work requirements affecting the ACA expansion population, immigration-related eligibility losses, and a future new waiver opportunity. He said Washington could see about 2,700 people lose Medicaid eligibility due to immigration status and that most people with DD or long-term care needs would likely qualify for work requirement exemptions, but he warned that reduced federal dollars could put home and community-based services at risk. Advocates and providers described the practical effects of Medicaid cuts on crisis services, supported living, and family stability. Dr. Eric Bolter said Washington has only a small continuum of services for people with IDD and severe behavioral needs, and that lower ABA reimbursement and other Medicaid reductions could shrink already limited outpatient, residential, and inpatient options, leading to more hospital stays and out-of-state placements. Scott Leavengood said supported living is already underfunded, with high turnover and staffing shortages, and warned that past cuts led to longer waitlists and fewer people served. Stacey Dimm of The Arc of Washington argued that HCBS is the main service system for most people with developmental disabilities and that cuts would push people into more restrictive and expensive institutional care. She also emphasized that many families already lack access to paid services and that workforce, housing, and family support shortages make the system fragile. The committee then shifted to SNAP and food assistance. DSHS Assistant Secretary Carla Reyes outlined H.R. 1 changes to SNAP, including expanded work requirements, reduced exemptions, tighter immigration eligibility, elimination of the SNAP education program, higher state administrative costs, and a new state share of benefit costs tied to error rates. She said about 129,000 Washington residents could be at risk under the new work rules, roughly 30,000 legal immigrants could move to the state-funded food program, and the state could face hundreds of millions in new costs. Anti-hunger advocates and food bank leaders said the changes would increase hunger and administrative burden while reducing benefits, and they stressed that food banks cannot replace SNAP. A SNAP recipient, Amy Rourke, testified that even with extensive civic involvement she barely meets the proposed work-hour threshold and said the rules would punish parents, caregivers, and people facing transportation or child care barriers. She urged the state to count caregiving, advocacy, and community service as qualifying work and to build more flexible pathways for compliance. In the second half of the meeting, the committee turned to juvenile rehabilitation caseload forecasting and court data. Caseload Forecast Council staff presented the current JR forecast, saying caseloads had declined for years, rebounded after COVID, and are now projected to remain mostly flat through the current biennium before rising modestly over the longer term. Members asked about the distinction between regular JR and adult-sentenced youth, and staff explained that longer lengths of stay in the adult-sentenced population reflect policy choices made in prior legislation. Andrew Peterson of the Administrative Office of the Courts described data-sharing efforts intended to help JR forecast admissions, including quarterly counts of pending felony cases and youth criminal history information. He said the courts began sharing some data in 2022 and 2024, but staffing limits interrupted the effort, and JR recently asked to resume and expand the information flow to support weekly forecasting and better planning for facility capacity.

Transcript Highlights:

• The second section repeals language requiring drug manufacturers to make 340B drug pricing available
• The second section repeals language requiring drug manufacturers to make 340B drug pricing available
• The second section repeals language requiring drug manufacturers to make 340B drug pricing available
• The second section repeals language requiring drug manufacturers to make 340B drug pricing available
• The second section repeals language requiring drug manufacturers to make 340B drug pricing available

Transcript Highlights:

• frankly, suggest that light rail is a 20th-century technology in the 21st-century world, and we are scheduled
• Sometimes they're homeless because of a drug habit. Sometimes they're homeless because of abuse.
• Chairman, I know for SR 88 we do have it on a twice-yearly maintenance schedule because that's one of
• the things that we've been regularly updating... ...yearly maintenance schedule because that's one of
• Is there, like, a schedule for these other primitive roads around? ...and, Mr.

Summary: The committee heard several transportation-related appropriation and policy bills. SB 1273 would appropriate $14 million in FY2027 for pavement rehabilitation of Olga Frontage Road between Bowie and San Simon; after brief discussion about the road’s length and whether it was on a rural transportation priority list, the bill was reported out 3-2 with a do pass recommendation. SB 1452 would create a cargo theft task force in the Attorney General’s office, modeled on the retail theft task force, with reporting and investigative duties; Tony Bradley of the Arizona Trucking Association testified in support, describing cargo theft as a growing, sophisticated problem and noting the funding would come from the consumer fraud protection fund rather than the general fund. The committee adopted an amendment making the task force subject to appropriations and then passed the bill 5-0. The committee also considered SB 1332, which would require the Auditor General and an independent transportation research entity to study Maricopa County light rail expansion and compare it with other transit technologies. Senator Kavanaugh argued the study was needed before committing billions more to light rail and said the governor’s office was open to the concept. Supporters, including local business owners, said the study would provide needed transparency and reflect concerns about business impacts and changing transportation options. Opponents, including Valley Metro, the City of Phoenix, and transit advocates, argued the state should not second-guess locally approved transit plans and pointed to existing studies, ridership, and economic development along light rail corridors. The bill passed 4-3. SB 1059 appropriates $9.2 million for an additional right-turn lane at State Route 87 and State Route 260, and Senator Wendy Rogers used the hearing to describe several rural road projects she and Representative Blackman were pursuing, emphasizing safety, congestion, and local requests from mayors and councils. Members broadly supported the need for rural infrastructure, and the bill was reported out unanimously. The committee then took up SB 1209, which would exempt homeless individuals and others without a residence address from non-operating ID fees if they prove U.S. citizenship. Testimony from the Homeless ID Project and ADOT focused on how IDs help people obtain work and services, how citizenship and authorized presence are verified, and whether the amendment would create operational or fiscal issues; the discussion continued as the transcript ended, with no final vote shown for that bill.

Transcript Highlights:

• frankly, suggest that light rail is a 20th-century technology in a 21st-century world, and we are scheduled
• Sometimes they're homeless because of a drug habit. Sometimes they're homeless because of abuse.
• Chairman, I know for SR 88 we do have it on a twice-yearly maintenance schedule because that's one of
• the things that we've been regularly updating... ...yearly maintenance schedule because that's one of
• Is there, like, a schedule for these other primitive roads around? And, Mr.

Bills: SB1059 , SB1209 , SB1273 , SB1332 , SB1452 , SB1456 , SB1549 , SB1552 , SB1818 , SB1826 , SB1827

Committee: House Transportation & Infrastructure

Keywords: appropriation, Department of Transportation, right turn lane, traffic improvement, infrastructure funding, nonoperating identification, homeless exemption, veterans, emancipated minors, Arizona Department of Transportation, transportation, infrastructure, pavement rehabilitation, funding, Arizona, SB1332, light rail, light rail expansion, Maricopa County, Phoenix

Transcript Highlights:

• Also, there are just basically drug... what they call drug courts. There is no...
• Drug court will still exist and will still be called drug court.
• What is drug court money? What is drug court money?
• Drug court had the whole trough. I got... Drug court had the whole trough.
• drug courts.

Bills: SJR 18 , SCR 5 , SCR 13 , SCR 25 , SB 3 , SB 6 , SB 10 , SB 11 , SB 12 , SB 13 , SB 15 , SB 17 , SB 18 , SB 35 , SB 388 , SB 412 , SB 441 , SB 495 , SB 666 , SB 687 , SB 706 , SB 740 , SB 815 , SB 842 , SB 917 , SB 925 , SB 995 , SB 1006 , SB 1281 , SB 1300 , SB 1379 , SB 1451 , SB 1902 , SJR 36 , SJR 18 , SJR 12 , SCR 13 , SCR 25 , SCR 5 , SCR 22 , SB 565 , SB 372 , SB 495 , SB 842 , SB 765 , SB 62 , SB 19 , SB 18 , SB 666 , SB 707 , SB 888 , SB 687 , SB 706 , SB 847 , SB 290 , SB 11 , SB 10 , SB 13 , SB 412 , SB 441 , SB 1248 , SB 740 , SB 14 , SB 1006 , SB 504 , SB 917 , SB 925 , SB 388 , SB 1902 , SB 1121 , SB 995 , SB 857 , SB 305 , SB 296 , SB 284 , SB 35 , SB 6 , SB 815 , SB 3 , SB 1281 , SB 1379 , SB 1300 , SB 1497 , SB 1499 , SB 1498 , SB 1451 , SB 1061 , SB 15 , SB 65 , SB 241 , SB 304 , SB 402 , SB 499 , SB 621 , SB 974 , SB 1023 , SB 1024 , SB 1025 , SB 1106 , SB 686 , SB 112 , SB 371 , SB 204 , SB 400 , SB 609 , SB 1447 , SB 670 , SB 502 , SB 427 , SB 850 , SB 854 , SB 413 , SB 1555 , SB 1362 , SB 1346 , SB 1033 , SB 1220 , SB 1073 , SB 810 , SB 987 , SB 1539 , SB 893 , SB 447 , SB 875 , SB 406 , SB 509 , SB 985 , SB 965 , SB 17 , SB 1119 , SB 1505 , SB 12 , SB 24 , SB 57 , SB 1194 , SB 1253 , SB 1215 , SB 1532 , SB 1268 , SCR 12 , SCR 24 , SB 1302 , SB 856 , SB 650 , SB 583 , SB 673 , SB 840 , SJR 18 , SB 11 , SB 441 , SB 10 , SB 18 , SB 412 , SB 495 , SR 238 , SR 264 , SR 266 , SR 267 , SR 268 , SR 270 , SR 271 , SR 272 , SR 278 , SB 1169 , SB 1169

Transcript Highlights:

• Drugs and alcohol is a drug.
• Drugs and alcohol are drugs, and these drugs that impair people change the game.
• We have drug recognition experts.
• , drug and alcohol crashes and drug and alcohol crash fatalities, as well as impaired driving crashes
• From 2018 to 2023, drugs alone or drug combination with alcohol.

Committee: Senate Criminal Justice

Summary: The committee heard a presentation from Jessica Spencer on cannabis, criminal justice, and mental health. She argued that marijuana products have become far more potent over time, that high-potency THC and hemp-derived products are widely available in Florida, and that daily or near-daily use can contribute to addiction, psychosis, and other mental health problems, especially for adolescents. She also said cannabis is linked to violent crime and suicide in some cases, urged more prevention funding in schools, stronger regulation of Delta-8 and similar products, better law enforcement and regulatory oversight, expanded treatment and diversion options, and more expungement opportunities for simple possession. Senators questioned her about potency data, testing methods, and whether she was claiming causation in violent cases; she said she was and noted she had worked on the No on 3 campaign while still favoring decriminalization of simple possession rather than full legalization. The committee then took up several bills. CS/SB 150, “Trooper’s Law,” was amended and reported favorably; it makes extreme animal cruelty during a declared emergency a third-degree felony, inspired by the rescue of a dog during Hurricane Milton. SB 234, the Jason Rayner Act, was reported favorably after debate over its changes to self-defense language and mandatory life imprisonment for manslaughter committed against a law enforcement officer; supporters said it closes a loophole exposed in the Rayner case, while opponents raised concerns about unintended consequences and mandatory sentencing. CS/SB 138, “Trenton’s Law,” also passed after amendment; it increases penalties for repeat DUI/vehicular homicide offenders and adds language on intoxicating substances, with supporters citing the death of Trenton Stewart and opponents warning about cannabis impairment standards and first refusal penalties. SB 130, dealing with compensation for wrongful incarceration, was reported favorably. The bill removes Florida’s “clean hands” bar, extends the filing deadline from 90 days to two years, and allows exonerees with factual innocence findings to pursue compensation and civil remedies. Support came from innocence and civil liberties advocates. The committee also received a law enforcement presentation from Florida Highway Patrol Lieutenant Channing Taylor on impaired driving enforcement, DRE training, and crash data, emphasizing that drug impairment—especially cannabis—plays a major role in fatal crashes and that officers rely on observation and field testing because roadside chemical testing is limited.

Transcript Highlights:

• spent on specialty drugs.
• In 2024, anti-diabetic drugs were the most expensive drug class, accounting for 20% of the total drug
• A drug formulary is simply a list of available drugs covered by the health plan.
• there's drug A, drug B, and drug C.
• Drug B is a little more expensive than Drug C, then it would say... ...expensive, Drug B is a little

Summary: The Budget Committee met with a quorum and took up several bills. HB 677, relating to state-covered fertility preservation for employees undergoing cancer treatment, was introduced as coverage for egg and sperm preservation for up to three years, with an estimated fiscal impact of about $813,000. After brief questions and no public testimony or amendments, the bill passed unanimously and was reported favorably. The committee then considered CS/HB 59, which would reform Florida’s wrongful incarceration compensation process by extending the filing deadline from 90 days to two years, removing the clean-hands requirement, and allowing exonerees to choose between the state compensation process and a civil lawsuit; it was supported by the City of Flagler Beach and passed unanimously. CS/HB 1313, which recreates the Resilient Florida Trust Fund in the Department of Environmental Protection before its scheduled termination in 2025, also passed unanimously after supportive testimony from advocacy groups. The committee received a lengthy presentation from the Department of Management Services on the State Group Insurance Program and the recent Revenue Estimating Conference. The presentation covered enrollment, revenues and expenditures, rising medical and pharmacy costs, emergency room utilization, GLP-1 drug spending, and options for tighter formulary and utilization management. Members asked about ER cost growth, GLP-1 coverage and copays, PBM oversight and potential conflicts, avoidable ER visits, cancer screening claims, dental and vision costs, specialty drug biosimilars, and possible savings from more restrictive pharmacy models. DMS said it would follow up on several questions and noted ongoing work on cancer coordination, preventive screening, biomarker testing, and a proposed member-facing benefits platform. The committee also heard extensive testimony on HB 301, which would raise sovereign immunity caps from $200,000 per person and $300,000 per incident to $1 million and $3 million, align limitations periods with private claims, and allow government entities to settle above the caps without a claims bill. Local governments, school-related entities, and county and city associations opposed the bill, warning of major fiscal impacts, higher insurance costs, and pressure on services; several speakers urged smaller increases or a tiered approach. Proponents, including families affected by catastrophic injury or death, argued the current caps are too low and the claims bill process is inefficient and unfair. After debate, the bill passed on a recorded vote, with some members voting no, and was reported favorably.

Transcript Highlights:

• Without having to go to a physician, a drug that's meant for horses, a drug that's meant for animals,
• The doctors of Texas said it was a dangerous drug. They said it was a drug for animals.
• That every doctor who is a part of the Texas Medical Association says is a dangerous drug, a drug that
• Voting for your horse drug bill today.
• States do not have the authority to require the sale of FDA prescription drugs, i.e., FDA legend drugs

Bills: SB 3 , SB 16 , SB 2 , SB 5 , SB 10 , HB17 , SB 54 , SB 9 , SB 7 , SB 17 , SB 4 , HB8 , HB25 , HB26 , HB192 , HB8 , HB25 , HB26 , HB48 , HB149 , HB192 , HB254 , HB17 , SB54 , SB9 , SB7 , SB17 , SB4 , SB3 , SB16 , SB2 , SB5 , SB10

Transcript Highlights:

• International drug reference pricing is a tool where governments benchmark prices of the drug by comparing
• THE DRUG BY COMPARING IT TO THE&nbsp; PRICES OF THE SAME DRUG AND OTHER&nbsp; 274 COMPARABLE COUNTRIES
• They have an average of 12 to 15 years to sell their drug without any competition.
• less than what the cost of the drug is.
• Currently paying for a $500 drug, we'll spend $150.

Summary: The committee first took up CS/House Bill 981, which would restore the Ocklawaha River and related natural resources. Supporters, including environmental groups, Save the Manatee Club, business owners, and Reunite the Rivers advocates, argued the bill would improve manatee habitat, fish passage, flood protection, tourism, and long-term economic returns while reducing dam maintenance costs. Opponents and skeptics focused on concerns about water quality, nutrient loading in the St. Johns River, loss of the Rodman Reservoir’s habitat and water-supply value, and potential ecological and economic harms. Members in debate largely supported the restoration effort, and the bill was reported favorably on a unanimous vote. The committee then heard HB 697, the PRICE Act, which would use international reference pricing to set a drug cost benchmark, address pharmacy benefit manager practices, and require health plans to keep drug prices stable for the year. The sponsor said the bill would lower costs and improve access, especially for uninsured Floridians. Supporters, including independent pharmacists, argued PBMs are squeezing pharmacies and that the bill could help lower prices. Opponents from BioFlorida and PhRMA warned the proposal could disrupt the national drug supply chain, fail to pass savings to patients, and lead to shortages, reduced access, and less innovation. After debate, the bill passed favorably, with Rep. Chambliss voting no. The committee also considered CS/HB 1081, which was amended to include private colleges and universities with NCA designation in the program. After brief discussion and support from United Way Miami, the committee reported the bill favorably. Finally, CS/HB 177 was introduced as a framework for Florida’s regional councils to cross-assign bills among regions; it received supportive testimony and was also reported favorably. The meeting then adjourned.

Transcript Highlights:

• We're one hour behind schedule right now. So, yeah, on HB 1409. All right. Representative Ames.
• </c> or drug use. or drug use.
• Uh if they for alcohol, drugs, whatever.
• And now we're only 42 minutes behind schedule. &gt;&gt; Question. &gt;&gt; Question.
• We scheduled this bill. The sponsor of the bill is in front of us. We are not allowed to back out."

Committee: House Ways and Means

Summary: The committee heard testimony on House Bill 1596, which would raise New Hampshire’s cigarette excise tax from $1.78 per pack to about $2.80, using an inflation-based adjustment since the rate was last set in 2008. Representative Jerry Stringham, the bill’s sponsor, said the measure would keep New Hampshire competitive with neighboring states, generate revenue, and help offset other budget pressures. He also described the bill as repealing an income-based premium charge in Medicaid/CHIP-related programs and restoring cuts to the University System of New Hampshire, arguing that the combined package would still leave the state in a positive fiscal position. He said the tobacco tax increase would likely have some cessation effect but would remain low relative to other New England states, and he cited prior testimony from health groups supporting a larger increase. Members questioned the sponsor about how the new rate was calculated, the prior tobacco tax reduction and restoration, whether tobacco companies would absorb or pass on the tax, and the fiscal note’s estimates for Medicaid premium revenue and UNH funding. Stringham said he used Bureau of Labor Statistics inflation data, that the earlier 10-cent reduction did not produce the expected sales increase, and that the current bill would eliminate the premium charges now in the budget. He later clarified that the Department of Medicaid Services had updated the revenue estimate, but said the bill still showed a surplus overall. He also said the federal government already imposes a $1-per-pack tax and that New Hampshire would remain below neighboring states even after the increase. Two public witnesses testified in opposition to the tax increase. Anna Bettincourt, a tobacco category manager, argued that higher tobacco taxes would unfairly target smokers, reduce New Hampshire’s tax advantage, and likely shift purchases to other states or illicit markets rather than reduce use. She said tobacco companies generally do not lower prices and that Massachusetts’ flavor restrictions had not eliminated sales. In response to questions, she maintained that a smaller increase would still be harmful and that enforcement problems make bans ineffective. The sponsor and some members countered that smokers impose higher health costs and that tobacco taxes are a policy tool for both revenue and public health. No vote or final committee action was taken in the portion of the meeting provided.

Transcript Highlights:

• that drug.
• PCPs, they understand what drugs you are taking, and they understand the interaction of those drugs with
• Warfarin, it's that blood thinner drug. So that's already a known drug interaction.
• Because they wouldn't get the drug?
• So it's not just a drug for parasites.

Bills: HB25 , HB48 , HB149 , HB254 , HB26 , HB192 , HCR3 , HCR4 , HCR5 , HCR6 , HCR8 , HCR14 , HCR16 , HR1 , HR2 , HR3 , HR4 , HR6 , HR7 , HR8 , HR9 , HR12 , HR11 , HR13 , HR14 , HR15 , HR16 , HR20 , HR22 , HR23 , HR24 , HR25 , HR26 , HR27 , HR28 , HR29 , HR30 , HR31 , HR32 , HR33 , HR45 , HR48 , HR49 , HR51 , HR52 , HR55 , HR56 , HR57 , HR59 , HR60 , HR61 , HR62 , HR63 , HR64 , HR65 , HR66 , HR70 , HR71 , HR72 , HR74 , HCR2 , HCR7 , HR10 , HR21 , HR35 , HR36 , HR37 , HR38 , HR39 , HR40 , HR42 , HR43 , HR44 , HR46 , HR47 , HR50 , HR53 , HR54 , HR67 , HR69 , HR75 , HCR5 , HCR6 , HCR8 , HCR14 , HCR16 , HR1 , HR3 , HR4 , HR6 , HR7 , HR8 , HR9 , HR12 , HR11 , HR13 , HR14 , HR15 , HR16 , HR20 , HR22 , HR23 , HR24 , HR25 , HR26 , HR27 , HR28 , HR29 , HR30 , HR31 , HR32 , HR33 , HR45 , HR48 , HR49 , HR51 , HR52 , HR55 , HR56 , HR57 , HR59 , HR60 , HR61 , HR62 , HR63 , HR64 , HR65 , HR66 , HR70 , HR71 , HR72 , HR74 , HCR7 , HR10 , HR21 , HR35 , HR36 , HR37 , HR38 , HR39 , HR40 , HR42 , HR43 , HR44 , HR46 , HR47 , HR50 , HR53 , HR54 , HR67 , HR69 , HB25 , HB48 , HB149 , HB254 , HB26 , HB192

Transcript Highlights:

• </c><00:41:46.480><c> drug</c> works by uh requiring that drug drug works by uh requiring that drug drug
• Those are drugs um administered drugs.
• . highcost drugs, specialty drugs.
• Um highcost drugs, specialty drugs.
• </c> drug companies that violate state law. drug companies that violate state law.

Summary: The committee first approved the March 11, 2026 minutes, then heard House File 4048, which would exempt chiropractors from Minnesota’s provider tax if they are no longer eligible to provide chiropractic benefits under Medicaid/MinnesotaCare. Representative Robbins said the bill corrects an unfair situation because chiropractors still pay the tax even though the benefit was eliminated. Testifiers from the Minnesota Chiropractic Association and a longtime chiropractor supported the bill, arguing that most chiropractors are small-business owners and should not pay a tax for services they can no longer provide. Several members said they supported restoring chiropractic coverage instead of changing the tax, and there was discussion about whether the tax applies to all providers and whether it is effectively passed on to patients. The committee adopted a motion to recommend HF 4048 to the Committee on Taxes. The committee then took up House File 3893, as amended, a bill to restrict artificial intelligence from engaging in psychotherapy or counseling with humans. The author and supporters said the bill is intended to prevent AI chatbots from posing as therapists or counseling vulnerable people, citing reports of suicides and other harms linked to chatbot interactions. The A2 amendment was adopted; the author said it reflected stakeholder concerns and added informed-consent language. Testifiers in support, including a psychologist and a suicide-prevention nonprofit leader, urged strong safeguards and said AI should not replace licensed professionals in crisis settings. Other testimony raised concerns about overbreadth and unintended effects. TechNet and a rural mental health provider said the bill should be narrowed so it applies to clinical therapy rather than wellness or educational tools, and should allow supervised AI uses such as transcription and administrative support. Members discussed rural access, existing licensing-board authority, privacy laws, and whether the bill should target AI companies directly rather than licensed clinicians. The transcript ends during continued discussion of HF 3893, with no final committee action shown in the excerpt.

Transcript Highlights:

• So I'm just wondering why this drug?
• So if the Food and Drug Administration says that this drug is not approved for use against COVID-19.
• So I believe drug-drug interactions are likely a physician's responsibility.
• Include drug interactions because it's clearly set out in the FDA what the drug interactions are.
• It's what are the known drug-drug interactions, and I think a lot of comments have been made, but if

Bills: HB265 , HB25

Committee: House Public Health

Transcript Highlights:

• And now we’re giving them everything from preparing the body to preparing the drug to injecting the drug
• “People who use drugs are going to use drugs because they do use drugs, and so whether or not the needle
• And I understand...” “...to preparing the drug, to injecting the drug, to cleaning up afterwards.
• I’m a drug user.” Thank you.
• You cannot fix a drug problem with a drug.

Bills: SB274 , SB301 , SB249

Committee: House Health & Human Development

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.

Transcript Highlights:

• So by doing that, we now can exclude certain drugs from a formulary.
• negotiate with a single drug manufacturer to lower their price to compete to get on the formula.
• the excluded list, it does not mean that you will never be able to take the drug again.
• to get approval for drugs outside of that.
• FORMULA AND THERE ARE EXCEPTIONS TO&nbsp; GET APPROVAL FOR DRUGS OUTSIDE OF THAT.

Summary: The State Administration Budget Subcommittee met to consider four conforming committee bills tied to the proposed 2026-27 House General Appropriations Act. Rep. Maggard presented PCB SAB 26-04, the annual retirement bill, which updates Florida Retirement System contribution rates based on the annual actuarial study and was said to produce a $31.7 million state savings. He also presented PCB SAB 26-02, which addresses collective bargaining impasses for state employees by tying resolution to spending decisions in the appropriations act or implementing legislation. Both bills drew brief questions, mainly from Rep. Gantt, and both passed favorably on roll call. Rep. Miller presented PCB SAB 26-03, which reorganizes state audit functions and creates the Florida Accountability Office, consolidating legislative audit work into four divisions and adding whistleblower protections and reporting requirements. Rep. Gantt asked whether the bill changed the use of outside auditors and whether it had a fiscal impact; Miller said the work would be absorbed within existing resources and that the Legislature would retain responsibility. A taxpayer witness supported the bill and urged stronger local-government audit standards and broader whistleblower coverage. The bill passed favorably. Rep. Abbott presented PCB SAB 26-01, a broader appropriations conforming bill focused on the State Employee Health Insurance Trust Fund, prescription drug formulary changes, a health insurance assessment on agencies and vacant positions, the $3 traffic violation surcharge for the State Law Enforcement Radio System, Capitol complex space management, and changes to the Office of Supplier Diversity. Much of the discussion centered on whether a closed formulary would make medications harder to obtain, with Abbott saying prior authorization would still allow access and that the change was needed to control costs and protect the trust fund. Rep. Gantt and Rep. Robinson raised concerns about employee health benefits and the repeal of supplier diversity provisions, arguing the committee lacked data on the impact to minority- and women-owned businesses; Abbott said the changes would still allow small businesses to compete and that the bill was intended to save money and modernize procurement. PCB SAB 26-01 also passed favorably, and the meeting adjourned after all agenda items were reported out.

Transcript Highlights:

• we've switched our attitude around there and thought, well, we need to make changes that fit our schedule
• state's attorney or the clerk of court's office, and somebody didn't know where to get them on the schedule
• And I’ll just let you know all of the treatment courts except adult drug courts are under ours.
• expectations and time standards, using data-driven management to establish our judge rotation and schedules
• Moving a little bit ahead of schedule, a tiny bit, give Mr. Dorman more time to talk, as we did Mr.

Committee: Joint Legislative Task Force on Government Efficiency