Transcript Highlights:

• service.
• service.
• Whereas a third-service municipal or third-service city service or others might not have that same laser
• service.
• they designate service areas for ambulance services, ensure that a central ambulance service covers

Keywords: 908, all

Summary: The committee was called to order, a quorum was established, and the minutes from the prior meeting were approved. The first major presentation came from Montana Public Employees Retirement System executive director William Hollahan, who gave an overview of Montana’s Volunteer Firefighters’ Compensation Act plan. He explained that the plan covers volunteer firefighters in unincorporated areas, is funded by 5% of state fire insurance premium taxes, and currently serves 228 departments with about 2,936 active members and 1,242 retirees. He described eligibility rules, annual training and reporting requirements, benefit levels for partial and full pensions, disability, death, medical, and funeral benefits, and said the plan is actuarially sound with roughly $60 million in assets and a funded ratio slightly above 100%. Committee members asked about prior-service credit, whether EMS personnel are included, the effect on recruitment and retention, and whether expanding coverage would require a funding analysis; Hollahan said prior service is not credited, EMS is not currently included, and any expansion would need financial review. Tim Walleen of Workforce Safety and Insurance then presented a draft North Dakota workers’ compensation solution for volunteer firefighters and volunteer EMS personnel. He explained that volunteer responders are already covered by workers’ comp for medical and wage-loss benefits, but the proposal would set a minimum annual wage of $30,000 for calculating wage-loss benefits for qualifying volunteers, with the benefit paid at two-thirds of that amount. Representative Porter suggested tying the volunteer definition to existing code rather than a fixed dollar amount, and Walleen agreed. Questions focused on whether search and rescue or other volunteer emergency services could be included, whether departments would face new paperwork, and whether volunteer organizations can already elect coverage; Walleen said there would be no additional paperwork and that volunteer coverage is already available. The committee also heard from volunteer fire service representatives and the state fire marshal. An Oakes-area firefighter, Mr. Olson, testified that small departments are struggling with retention, communication, and administrative burdens, especially around separate bookkeeping and funding rules for donated or fundraising money, and he said departments need clearer guidance from the state. State Fire Marshal Dr. Matthew Clark introduced himself and outlined a broader effort to improve education, support, and coordination for fire departments, including a planned 10% audit of certificates of existence beginning in 2027, more outreach through his office, and better assistance with training, reporting, and grant access. He said his office is authorized under current law to provide these services, but the role has been vague and underused. Finally, Arnagard Rural Fire District Chief Rick Schreiber testified in favor of new recruitment and retention ideas, including retirement-style benefits, health insurance, tax incentives, scholarships, grants, and more remote or regional training. He said volunteer departments are losing members, that local tax and donation funds are already stretched, and that any new retirement or incentive program should be sustainable and likely involve a mix of state and local support.

Transcript Highlights:

• I'm the statewide suicide prevention coordinator with the Department of Health and Human Services.
• Is that on the health and human services website?
• So it's not like a free service to all the schools of New Hampshire.
• So their service wasn't interrupted.
• , logistics, registration services, logistics, registration services, communication<04:21:18.720>

Keywords: 1189, house, all

Transcript Highlights:

• The deputy sheriff attempted to make service on Mr.
• Riley and advised us that they believed Someone was in the home but refused service, so we wanted to
• General, do you agree that service may be effectuated by counsel providing service to the Secretary?
• Madam Clerk, based upon the return, you can go ahead with service provided by counsel that certifies
• There's a lot of discussion of the standard of review for constitutional interpretation.

Keywords: 914, all

Transcript Highlights:

• services, case management, and physical and occupational therapy services to children under age 21 with
• On being able to have the funding and support that they need for prevention services, frontline services
• I'm the State Medicaid Director at the Department of Health Care Services. of Health Care Services.
• Yet to integrate waiver services into managed care nor to determine which services should remain in fee-for-service
• for housing support services.

Keywords: 988, house, all

Transcript Highlights:

• They call it interpretation. They call it procedure. They call it procedure. They call around her.
• They call it interpretation. They call it procedure. They call it law.
• Well, as indicated, gentlemen, I am not familiar with the profession of interior design services, but
• , and it's their job to make sure that those services are performed according to the standards of their
• They are going to interpret that bylaw. Is that correct? Yeah, they can suggest a rule change.

Keywords: 959, house, all

Summary: The House opened with prayer, approval of the prior day’s journal by a 120-0 roll call, and a successful motion to suspend House Rule 98 so members could wear hats on the floor. The chamber then spent time on introductions of special guests, including the Eugene High School Class 2 basketball champions, family members of members, and other visitors. One member also used a personal privilege speech to respond to the U.S. Supreme Court’s voting-rights ruling, arguing it weakens protections for Black voters and other communities of color and calling for expanded access to the ballot. The House received committee reports recommending passage of House Substitute for House Bill 2426 and Senate Substitute No. 2 for Senate Bills 863 and 866. It then agreed to a motion to go to conference on the property-tax omnibus, Senate Bills 1066 and 1088. On third reading, House Bill 3329 passed 142-0 to repeal expired tax credits, and House Bill 3405 passed 138-0 to clean up SALT deduction language and improve tax-credit accounting. House Committee Substitute for House Bill 2426, a parental-rights bill, failed on a 70-60 vote after opponents argued it would burden schools and could endanger vulnerable students, while supporters said it affirmed parents’ fundamental rights. The House also took up House Committee Substitute for Senate Bill 1233, a professional licensure bill dealing with CPA licensing and other occupational-licensure provisions. Members adopted an amendment removing compact language, an amendment allowing APRNs and physician assistants to perform nursing-home physicals was offered but then withdrawn after the sponsor objected, and the bill ultimately passed 129-6. Finally, the chamber debated House Committee Substitute for Senate Bill 1408, a transportation package centered on allowing MoDOT to raise rural interstate speed limits up to 75 mph, with multiple amendments added or removed. The bill drew sharp debate over speed limits, vehicle inspections, DOR language, and road safety, and members also began considering an amendment to add specialty license plates for women’s professional sports teams such as the Kansas City Current and a future WNBA franchise.

Transcript Highlights:

• children to make sure that our communities are safe and to provide that expanded care in mental health services
• 00:12:51.279> in<00:12:51.600> mental<00:12:51.920> health<00:12:52.160> services
• expanded care in mental health services. expanded care in mental health services.
• that<00:36:11.599> second<00:36:11.839> amendment<00:36:12.320> very interpreting
• that second amendment very interpreting that second amendment very broadly,<00:36:13.760> Justice

Keywords: 1187, senate, all

Transcript Highlights:

• Thank you, Senator Betancourt and Senator West for your service. on the Commission on Virtual Education
• It gives us also the ability to expand and reach more students with services.
• In Texas, Stride K-12 provides educational services to four ISDs—Hallsville, Huntsville— Texarkana and
• So clearly, however, you know, modern lawyers are interpreting this and acting like that's, you know.
• freedom of speech so that we could preach, freedom to assemble so that we could actually have our services

Bills: SB 10, SB 11

Keywords: human trafficking, trafficking victim, compelling prostitution, affirmative defense, criminal defense, coercion, force fraud or coercion, sexual exploitation, victim protection, Penal Code, Texas criminal law, prosecution, party liability, affirmative defense statute, survivor rights, 1185, senate, all

Transcript Highlights:

• Public Service Public Service a<01:05:01.880> legacy<01:05:02.480> of<01:05:02.640
• the Public Service Department. the Public Service Department.
• Services have agreed to this change. Services have agreed to this change.
• the Center for Crime Victim Services. the Center for Crime Victim Services.
• is amended to make that interpretation is amended to make that interpretation clear.

Keywords: 926, house, all

Summary: The House first suspended the rules briefly to make announcements, including welcoming former representative Doug Gage to the gallery. It then returned to House Bill 211 on data brokers and personal information, where the Appropriations Committee explained a $50,000 appropriation to the Secretary of State for a consultant-led study on an accessible deletion mechanism for consumers to delete personal data held by data brokers, with interim and final reports due in 2027 and 2028. The committee reported a 9-0-2 vote in favor, and the House agreed to the Commerce and Economic Development Committee’s amendment and ordered third reading. Floor debate on H. 211 focused heavily on the bill’s deletion and exemption framework. Supporters argued the bill is needed to give Vermonters meaningful control over their data and to prevent data brokers from commingling information for unrelated uses. Opponents warned the bill could conflict with existing federal frameworks such as the Fair Credit Reporting Act, Gramm-Leach-Bliley, and the Driver’s Privacy Protection Act, and could make credit, banking, insurance, fraud prevention, and identity verification harder. In response, the sponsor said the bill uses use-case-based exemptions rather than broad entity-level exemptions, noted testimony from banks, insurers, a data broker, a former data broker employee, and the Attorney General, and said no constitutional concerns were raised. The House ultimately adopted the amendment and advanced the bill. After H. 211, the House moved to House Bill 577, establishing the Vermont Prescription Drug Discount Card Program. Committee reports from Health Care, Ways and Means, and Appropriations were read into the record, and the Colchester member described the bill as a way to lower prescription drug costs by joining the multi-state Array Rx program. The bill would let any Vermont resident obtain a free discount card for FDA-approved prescription drugs, with claimed savings up to 80% on generics and 20% on brand-name drugs. The House then proceeded to second reading on H. 577.

Transcript Highlights:

• of Families POW/MIA flag, the flag of any branch of the United States Armed Forces, or a Blue Star Service
• I think this makes a change for several very important groups who is a service.
• I interpreted what he said as most...
• I interpreted what he said is most most to me, click that link.
• I would like to ask, I guess, nonpartisan, that's how they are interpreting it as well.

Bills: HF2185, HF1849, HF3719, HF3721, HF3845, HF3720

Keywords: flag display, residential property rights, homeowners association, HOA, covenants, restrictive covenant, deed restriction, subdivision regulation, local ordinance, rental agreement, property rights, patriotic display, United States flag, Minnesota flag, POW/MIA flag, military flags, armed forces flag, Blue Star flag, Gold Star flag, common interest community

Transcript Highlights:

• The updated Community Based Support Services utilization—this is for wraparound services—there's been
• The updated Community Based Support Services utilization—this is for wraparound services—there's been
• Department of Health and Human Services Department of Health and Human Services to<00:21:44.080>
• service um the the duo service service um the the duo service um<01:02:36.720> was<01:02:
• Those are the required services and the optional services that the state has adopted.

Keywords: 1189, house, all

Summary: The House Finance Division 3 work session continued its review of the Department of Health and Human Services’ Medicaid budget and related policy issues, with CFO Nathan White and Medicaid Director Henry Litman presenting updated materials. The discussion focused on a crosswalk between the adjusted FY 2025 Medicaid budget and the governor’s FY 2026 recommendation, plus handouts showing service additions, eligibility changes, dental rates, and other Medicaid changes since 2019. The department also said it would provide a clearer breakdown of the pharmacy cost-sharing item by general, federal, and other funds. Members asked detailed questions about the Medicaid enhancement tax, the 80% plan, and how funds are allocated between hospital payments, directed payments, and DSH uncompensated care. The department explained that the MET is being used more toward rates and directed payments to better align with federal matching rules, while DSH remains important for uncompensated care. They also noted that a pending Senate Bill 249 would keep the 80% structure and move to Senate Finance. On the trigger law, the department identified the governing provision as Chapter 342:12, Laws of 2018, and explained that if the federal match for Medicaid expansion falls below 90%, the state must notify legislative leaders and participants and the program would sunset after 180 days unless the legislature acts. The committee also reviewed current Medicaid expansion enrollment and program trends. Officials said enrollment was just under 59,000 as of March 3, with about 87,000 people enrolled over the past year and more than a quarter-million residents having used the program over its lifetime. They said enrollment has fallen from a post-pandemic high of nearly 97,000 and may eventually settle in the low 50,000s. Finally, the department discussed federal DSH funding risk, saying New Hampshire could face a significant reduction if Congress does not extend current protections, which is part of why the state has shifted more funding toward payment rates and directed payments.

Transcript Highlights:

• ,<02:18:40.399> is warn camera video service, is warn camera video service, is horrendous.
• It was just a call for service.
• But then he requested the 91A service.
• The second part is actually related to the electronic service of the warrants to electronic service.
• Warrants to electronic service providers.

Keywords: 1189, house, all

Transcript Highlights:

• Indeed, over 85% of medical services and 75% of pharmacy services do not require authorization for care
• There are two basic ambulance services: 9-1-1 services, which I think everybody's familiar with when
• and translation services.
• and translation services. ...of machine- and AI-generated interpretation and translation services.
• need those services.

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.

Transcript Highlights:

• <01:20:50.800> We'll those services um to bear. We'll those services um to bear.
• <02:49:40.319> So, service? That's a great question. So, service?
• I think it leaves open interpretation um I think it leaves open interpretation um that<02:56:40.640><
• who have their own cloud services?
• thing in their terms of service? thing in their terms of service?

Keywords: 928, house, all

Summary: The Judiciary Committee opened a hearing on House Bill 1067-FN, which would formalize and expand mental health courts in New Hampshire and create a grant-based funding structure for them. Representative Mark Pearson, the prime sponsor, described the bill as a bipartisan, compassionate, and cost-effective approach that would connect people with mental illness to treatment and supervision instead of incarceration, while still holding them accountable. He said the proposal was developed with input from the judicial branch, law enforcement, corrections, mental health organizations, and others, and emphasized that local courts could tailor programs to their needs. Committee members questioned the bill’s fiscal note, whether the legislature had previously studied the issue, how the program would be funded, and whether the bill should more explicitly address treatment, prevention, and data collection. Representative Buzz Sher, who helped develop the bill, explained how mental health courts work, including referral, clinical and public-safety assessments, case management, goal-setting, and graduation from the program. He said existing New Hampshire mental health courts are mostly partial and county-funded, and that the bill would formalize them, set standards, and allow grant funding. He also cited data from Georgia and New Hampshire suggesting significant savings from reduced incarceration and related costs. Members also raised concerns about due process, whether people not formally charged could be swept into the system, and whether individuals with violent offenses or domestic violence histories could be diverted inappropriately. Sher responded that only people already in the criminal justice process are eligible and that courts use safety assessments to screen out most violent cases. The committee requested that Sher file supporting financial data from other jurisdictions, and he agreed to do so. No vote or final action was taken during the hearing.

Transcript Highlights:

• This is a bill establishing a committee to study private business providing special education services
• words 'but not limited to' because, in my opinion, that means that somebody else is going to be interpreting
• going<00:12:06.920> to<00:12:07.040> be Means that somebody else is going to be interpreting
• So when we leave that open like that, it's leaving it for somebody else to interpret the meaning of it
• Wednesday and that's when you go down to Legislative Services next week. I need you to sign off.

Keywords: 1189, house, all

Summary: The conference committee first discussed HB 1099, which creates a committee to study private business providing special education services and local school district reimbursement. Members explained that the issue is broader than special education alone, involving residential placements, foster care, court-ordered placements, and questions about which entity pays for education and care costs when students are placed in residential facilities. The House proposed an amendment to expand the study to include students placed in residential facilities by school districts as well as those placed through episodes of treatment or court order, and members agreed the existing commission would not resolve the issue before its July 1, 2026 expiration. Representative Coker raised concern about the phrase “but not limited to,” but members said the broader language was needed to capture placements beyond the existing statutory categories. The committee then agreed to accede to the Senate version of HB 1099 with a committee amendment, and the House voted unanimously to adopt amendment 2026-1845H. The bill was placed on the consent calendar, and the meeting adjourned. The transcript also includes a separate conference committee discussion on HB 1807, concerning mandatory reporting to voters. The main dispute was how to present administrator compensation: the House favored total administrative cost, while the Senate initially preferred average administrator salary. Members debated whether voters would be better informed by totals or averages, and whether the bill should define “administrator” more clearly by reference to DOE rules. The committee reached a tentative compromise to add both an average administrator salary graph and a total administrator cost graph, define administrators by reference to ED 501.02(B), scale the graph more precisely, and list the top 10 highest-paid administrators plus any employee earning over $100,000. Both chambers then gave unanimous support to the revised approach, with the understanding that the draft would be finalized and signed later.

Transcript Highlights:

• Some districts interpret the statutory silence to mean Title I funds cannot be used for STEM programs
• unless affirmatively permitted, while others interpret the silence to mean that Title I funds may be
• STEM programs unless affirmatively permitted, while others interpret the silence to mean that Title I
• Parents may disengage from schools, meetings, special education services, or academic support programs
• Parents disengaging from schools, meetings, special education services, or academic support programs

Summary: The Pre-K through 12 Budget Subcommittee took up CS for House Bill 1071, a broad education package described by the sponsor as updating transparency, parental rights, student safety, early learning accountability, scholarship oversight, and instructional program rules. The committee adopted two amendments without objection: one clarifying that Title I funds may be used for STEM programs, and another removing a prior provision related to canine dogs on school grounds. Members then questioned the bill’s provisions on student records transfers, instructional materials adoption and removal, educational emergency authority for low-performing schools, health education and a fetal development video, student-led organizations, FHSAA board language, lab schools, and rulemaking authority. The sponsor repeatedly said the bill was intended to improve accountability, keep education dollars focused on students, and give districts flexibility, while also noting that some issues would be addressed through future rulemaking or later amendments. Public testimony was overwhelmingly opposed. Many speakers argued the bill was an omnibus measure that bundled unrelated policies together, making it hard for families and educators to understand or meaningfully comment on it. Opponents also said it would increase school-law enforcement coordination, chill immigrant and mixed-status families’ participation, restrict DEI-related and student-led organizations, and impose controversial health and embryology content on students. Supporters, including the Christian Family Coalition and Florida Citizens Alliance, backed the fetal development video and the bill’s parental rights and funding restrictions, saying the content should be medically accurate and that schools should not fund political advocacy. Several speakers urged the committee to break the bill into separate measures. In debate, some members praised the sponsor’s responsiveness but said they would vote no because of constituent concerns, especially around DEI, the fetal development video, and local control. Others supported the bill, emphasizing rulemaking, educational emergency flexibility, EpiPen access, early learning changes, and evidence-based math instruction. The sponsor closed by reiterating support for the bill as amended, saying the law enforcement provision had been removed, the embryology content would be opt-out with posted materials, state funds should not support political advocacy, and the bill would help with safety, accountability, and student outcomes. The committee then voted on the bill after debate, with the sponsor indicating support and members stating their positions during closing discussion.

Transcript Highlights:

• I think interpreting test scores is fairly complex and a lot of folks who haven't worked in education
• I think interpreting test scores is fairly complex and a lot of folks who haven't worked in education
• I think interpreting test scores is >> Yes.
• "It is clear that a basic understanding of interpreting test scores accurately is important."
• "If memory serves yesterday, it wasn't the interpretation of the graph of the scores.

Keywords: 928, house, all

Summary: The committee first reviewed and approved the prior day’s minutes after making several corrections, including changing references to the “majority report,” fixing wording and spelling in the special education section, clarifying language about NAPE scores, and correcting a funding figure from 2,000 to 20,000. Members also agreed to add a sentence noting that the conclusions of the special education study commission should be considered in any consolidation plan. The minutes were then adopted unanimously. The committee then worked through the minority report, making edits to soften or clarify language. Changes included replacing “partisan” with “participation,” revising a statement about test scores so it reflected that “the minority believes” some committee members lacked a complete understanding, and adding “the minority believes” before a statement that the structure of education funding is inequitable because of its reliance on local property taxes. Members also discussed whether some wording was factual or opinion-based, and agreed to leave some comments in place or make minor wording adjustments. After discussion, the committee voted on the final report of the majority of the committee, with edits and appendices, and approved it by a 5-2 vote. Representatives Damon and Bricky voted no. Members noted that a minority report would also be included in the final materials. Finally, the committee authorized the committee assistant to make technical corrections, fix remaining typos, and include the minutes of the meeting, and then adjourned.

Transcript Highlights:

• I know she cared a lot about victim rights and victim services and sexual assault.
• victim services and um sexual assault. victim services and um sexual assault.
• So providing service, a service process, is a lawful activity.
• The issue is those interpreting the laws and enforcing laws. We'll have that conversation.
• <00:59:52.319> enforcing interpreting the laws and enforcing interpreting the laws and enforcing

Bills: HF1567, HF2809, HF3380

Keywords: public safety officer, peace officer, correctional officer, law enforcement, police privacy, officer safety, doxxing, personal information, data privacy, government data practices, private data, internet posting, online disclosure, residential address, phone number, email address, family member protection, child safety, school information, public records

Transcript Highlights:

• Having services that are available when the family is ready for the service and in need of the service
• So it's having, I think, this focus on the services, getting the services out there.
• identify maybe a service array.
• You'll hear a service array, a navigator.
• So then we're going to refer them to your local human service center to get mental health services, ongoing

Keywords: 908, all

Transcript Highlights:

• No, I can't interpret that for you. Um, it's a very short order.
• I think you can interpret the decision and the oral argument from the words that the court used.
• They interpreted the Minnesota Constitution.
• Hi, um, so my question is, is your interpretation that, um, let's say the Democrats—or, excuse me, the
• that um let's say the interpretation that um let's say the Democrats<00:10:42.760> or<00:10:43.000

Keywords: 1183, house

Summary: Minnesota House Democrats reacted to the Minnesota Supreme Court’s ruling that a quorum in the House is 68, saying the decision confirms that neither party can act alone and that Republicans and Democrats must negotiate to organize the chamber. They argued that the GOP’s actions over the prior two weeks were illegitimate once Secretary of State Steve Simon determined there was no quorum, and said all committee activity and the election of a presiding officer during that period were not valid. A major focus was the status of Rep. Brad Tabke’s seat in Shakopee. Democrats said Republicans were trying to use a temporary one-seat advantage to oust Tabke despite his election win, recount victory, and court ruling, which they said found it mathematically impossible that he lost. They said they would not return to the Capitol unless Republicans agreed not to remove him and to respect the voters’ will. Democrats said they were still open to a negotiated power-sharing deal and emphasized that such agreements should be in writing. They described their current offer as allowing Republicans to run the chamber while they hold a one-seat advantage, with committee members from the DFL not voting, and then moving to full power sharing if the House returns to a tie. They said the special election timeline was not changed by the court ruling and that the governor could still issue the writ on February 5, with the session having begun on January 14.

Transcript Highlights:

• Lastly, I want to highlight that the most significant investment we make in these services are interpreter
• services at our...
• The significant investment we make in these services is interpreter services at our health centers.
• That's a non-billable service.
• services, get paid the same rates as the PBM-owned pharmacies that provide these same services.

Keywords: 995, all

Summary: The committee held a lengthy hearing on a large docket of pharmacy and drug-pricing bills, with most testimony focused on PBM reform, 340B drug discount program protections, specialty medication access, and medication adherence. Chair James Murphy and Senator Paul Feeney opened the hearing and took testimony from legislators, patient advocates, pharmacists, health center leaders, industry representatives, and policy groups. Several speakers described delays, denials, high out-of-pocket costs, and pharmacy closures tied to PBM practices, while others emphasized the importance of community health centers and independent pharmacies in serving patients. On the 340B program, supporters including Senator Eldridge, Senator Payano, Community Care Cooperative, Fenway Health, the Massachusetts League of Community Health Centers, and several community health center leaders argued that bills such as H. 1107 and S. 819 would stop discriminatory PBM and manufacturer practices, preserve contract pharmacy access, and protect safety-net providers that say they reinvest savings into care, pharmacy expansion, interpreter services, behavioral health, and other services. Opponents including PhRMA, the Community Liver Alliance, and a public policy analyst argued the program lacks transparency and accountability, has grown beyond its original purpose, and may benefit large hospitals and for-profit entities more than low-income patients. They urged more reporting and oversight rather than expanding protections. On PBM reform, testimony supported bills including H. 1157, H. 1234, S. 724, S. 831, and related measures that would require rebate pass-through, ban spread pricing, limit steering to PBM-owned pharmacies, and improve reimbursement for community pharmacies. Independent pharmacists and patients said current PBM practices raise costs, create administrative burdens, and threaten access to local pharmacies. PCMA, representing PBMs, opposed the reforms, arguing PBMs lower costs, that plan sponsors choose to contract with them, and that the Health Policy Commission and CHIA should complete their ongoing study before new mandates are adopted. The committee also heard support for H. 1322 and S. 734 on specialty medications, and for H. 781 and H. 1305 on medication synchronization to improve adherence. No votes or formal actions were taken during the hearing.