Video & Transcript Research : 'algorithmic discrimination'
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HI
Hawaii 2025 Regular Session
CPC Public Hearing - Wed Feb 12, 2025 @ 2:00 PM HST
Consumer Protection & Commerce
Transcript Highlights:
- Such workplace protections are essential to preventing discrimination, particularly against LGBTQIA+
Summary:
The Consumer Protection and Commerce Committee met on February 12 and heard several bills. HB 97, relating to travel insurance, drew only brief testimony: the Insurance Division stood on written testimony, one industry witness supported the bill and requested a minor amendment, and no one else testified or asked questions. HB 226, relating to window tinting, received support from the Department of Transportation, while the Honolulu Police Department offered comments on the proposed amendments, asking for clearer language on what it means to roll windows down, when the requirement applies, how it handles bad weather, and what sanctions would apply for noncompliance. No further testimony was offered on that measure.
The committee also heard HB 1179, relating to rural emergency hospitals. The Department of Human Services stood on written testimony, and Maui Health Systems strongly supported the bill, saying it would help critical access hospitals better serve kūpuna and provide long-term care beds. There were no questions or additional testimony. HB 420, relating to remedies and the contractor repair act, generated extensive and sharply divided testimony. Opponents, including attorneys representing homeowners and AARP Hawaii, argued the bill was anti-consumer, would weaken homeowners’ ability to recover for construction defects, and would shift costs and risk to consumers. Supporters, including builders, realtors, the Chamber of Commerce, and D.R. Horton Hawaii, said the bill would create a more balanced and efficient process, reduce unnecessary litigation, and help builders address legitimate defects more quickly.
Testimony on HB 420 focused heavily on whether the contractor repair process and class actions help or hinder repairs. Opponents said the bill would delay or limit homeowner recovery, especially for life and safety defects, while supporters said current class-action litigation can prevent direct communication with homeowners and slow repairs. Committee members asked questions about when communication with homeowners stops and whether repairs could be made before a class is certified. No votes or final committee actions were taken during the portion of the meeting provided.
NM
New Mexico 2025 Regular Session
House - Appropriations and Finance Feb 4th, 2025
House Appropriations & Finance
Transcript Highlights:
- particularly around the disparate impact, meaning that if the formerly incarcerated population was being discriminated
MD
Transcript Highlights:
- this bill authorizes the Maryland Commission on Civil Rights to enforce prohibitions against discrimination
- Um, it basically supplements existing prohibitions on discrimination, specifically noting that currently
Summary:
The House convened with 129 members present, read the prior journal, and then took up a series of third-reading bills. Early action included unanimous passage of HB 159 (mail theft), HB 412 (child support and driver’s license suspension), HB 912 (trap-neuter-return policies for community cats), HB 914 (Worcester County Board of License Commissioners membership), HB 558 (Prince George’s County wine festival licenses), HB 1400 (shellfish aquaculture penalties), and HB 1463 (Anne Arundel County Board of Education constituent services liaison). HB 582, dealing with Prince George’s County alcoholic beverages licenses and voter registration requirements, drew brief debate over whether it removed or retained a voter registration condition; it ultimately passed 119-12. HB 846, a property tax exemption for the Hagerstown multi-use sports and events facility, passed 126-7 after a system delay interrupted proceedings.
Several bills prompted more substantive discussion. HB 1218, the Safe and Healthy Homes for All Act, drew opposing explanations over a proposed public registry of properties with housing violations; supporters said it would help identify serious housing problems and improve compliance, while opponents objected to publicly naming private properties based on administrative findings. It passed 99-36. HB 525, the Maryland Phone-Free Schools Act, passed 135-1 after questions about enforcement, with supporters comparing it to ordinary classroom discipline. HB 1483, allowing out-of-state clinical professional counseling and social work providers to use telehealth for continuity of care, passed 135-0 after clarification that it applies to people moving into Maryland and allows a six-month continuity period. HB 1504, the Pedestrian Safety Act, passed unanimously.
Later, HB 664 (Cecil County alcoholic beverages license quota) passed 134-1, and HB 837 (cardiovascular pre-screening for student athletic activities) passed 133-2 after the sponsor explained that reporting requirements were removed for cost reasons and the bill now mainly requires screening questions. HB 925, regulating PFAS in sewage sludge applied to farmland, generated the most extended debate: one delegate argued the bill’s limits were too weak and lacked liability for industry actors, while supporters said it establishes the first limits, requires wastewater treatment plants to reduce PFAS, and leaves room for future tightening; it passed 130-7. HB 1370, authorizing a pilot stop-sign monitoring program in Rising Sun, passed 109-26. HB 649, expanding Maryland Commission on Civil Rights enforcement to higher education discrimination claims, passed 100-35 after supporters said current protections are stronger for K-12 than for colleges. The House also passed HB 512 on compensation for Anne Arundel County license commissioners and inspectors, and the session continued into HB 661 on commemorative months.
HI
Transcript Highlights:
- been a grassroots organization representing people who smoke and vape in Hawaii from bigotry and discrimination
- , including state-sponsored discrimination against our minority group.
Bills:
HB1977, HB1764, HB1934, HB2533, HB1790, HB2181, HB1870, HB2140, HB2468, HB2358, HB1588, HB1688, HB1986, HB2030, HB2195, HB1949, HB1695, HB1950, HB2094, HB2115, HB2297, HB2336, HB2416, HB2049
Keywords:
maternal health, infant health, mobile application, Medicaid, healthcare access, state programs, music education, public concerts, Hawaii State Library, cultural collaboration, music accessibility, libraries, education, reading programs, early childhood, nonprofit, community engagement, teacher retention, Hawaiian language education, special needs schools
WY
Wyoming 2026 Regular Session
House Floor Session-Day 3, February 11, 2026-PM
Wyoming House Floor Meeting
NH
New Hampshire 2025 Regular Session
House Commerce and Consumer Affairs (09/10/2025)
Transcript Highlights:
- that some financial institution or insurance company is violating, you know, the restrictions on discrimination
- that some financial institution or insurance company is violating, you know, the restrictions on discrimination
Summary:
The committee began by discussing 15 retained bills and the chair’s preference to keep them alive through interim study rather than kill them, using them as vehicles for further discussion and possible later amendments. The chair said the bills would be executed out by November and then move to the House floor in January, and members generally agreed that interim study was the prevailing motion for the retained bills.
Several health-related bills were then discussed. On Senate Bill 247, concerning pharmacy network exclusion when PBM reimbursement is below acquisition cost, members said the issue had been presented differently in prior discussions and noted unfamiliar intermediaries such as PSAOs; the bill was viewed as too complex to resolve immediately, so interim study was favored. A bill on treatment alternatives to opiates was said to need an amendment from the Insurance Department, and a bill on self-funded employer access to claims data was described as having changed substantially through amendment; the sponsor explained it was intended to incentivize self-funded plans to opt into the state’s all-payer claims database (CHIS) so their data could be used for cost analysis, and members indicated a separate bill would be brought later.
The committee spent the most time on a glucose monitoring bill, with testimony from a sponsor and a parent of a type 1 diabetic describing the medical benefits of continuous glucose monitors, especially for preventing dangerous lows and managing fluctuations. Opponents and committee members raised concerns about the cost of a mandate, the effect on premiums in the individual and small-group markets, and whether the bill should require coverage without a prescription; one member cited medical literature suggesting limited evidence for non-insulin users. The chair concluded the bill was headed to interim study and said the committee would do further homework on the economic impact, especially for type 1 coverage. The meeting then moved on to a bill about insurer audits and clawbacks, where the Insurance Department commissioner explained that the issue involved several separate provider-payment problems that had recently come to the department’s attention and that the department would provide a report and work with the sponsor on next steps.
NH
HI
Hawaii 2026 Regular Session
House Chamber - Tue Mar 31, 2026, 12:00PM HST - Day 36
Hawaii House Floor Meeting
Bills:
HR209, SB3131, SB2494, SB2447, SB2727, SB2145, SB2143, HR22, HCR22, HR97, HCR105, HR138, HCR146, HCR16, HCR35, HCR40, HR3, HCR4, HR161, HCR171, HR109, HCR117, HR33, HCR33, HR141, HCR149, HR190, HCR200, HR193, HCR203, HR194, HCR204, HR196, HCR206, HR197, HCR207, HR191, HCR201, HR12, HCR10, HR148, HCR157, HR184, HCR194, HR195, HCR205, HR192, HCR202, HR173, HCR183, HR179, HCR189, HR181, HCR191, HR21, HCR21, HR23, HCR24, HR60, HCR66, HR113, HCR121, HR145, HCR153, HR74, HCR82, HR77, HCR85, HR90, HCR98, HR27, HCR36, HR165, HCR175, HR187, HCR197, HR5, HCR6, SB2054
Keywords:
entertainment, comedy, youth wellness, cultural identity, Hawaiian culture, mental health, public service, job title, administrative assistant, executive assistant, state personnel, civil service, modernization, employment standards, bribery, corruption, statute of limitations, public servant, criminal justice, campaign finance
TX
Bills:
SB5, SJR3, HB 11, HJR72, HB48, HB27, HB144, HB37, HB1481, HB581, HB1696, HB2216, HB 1035, HB1633, HB742, HB754, HB1689, HB1690, HB2669, HB391, HB517, HB1775, HB 1024, HB1607, HB252, HB1716, HB1562, HB4116, HB1866, HB1741, HB2103, HB2637, HB2884, HB3707, HB503, HB 1089, HB1757, HB2986, HB972, SB365, SB1786, SB5, SJR3, HB14, HB43, HB36, HB26, HB149, HB 121, HB206, HB136, HB3114, HB2733, HB1732, HB3700, HB467, HB 1130, HB1846, HB1442, HB 1147, HB2176, HB2701, HB805, HB2890, HB 1154, HB1644, HB2118, HB1718, HB2488, HB2596, HB2468, HB484, HB2578, HB3204, HB 1041, HB307, HB685, HB538, HB2525, HB3125, HB2027, HB2894, HB3077, HB 106, HB18, HB 11, HJR72, HB48, HB27, HB144, HB37, HB1481, HB581, HB1696, HB2216, HB 1035, HB1633, HB742, HB754, HB1689, HB1690, HB2669, HB391, HB517, HB1775, HB 1024, HB1607, HB252, HB1716, HB1562, HB4116, HB1866, HB1741, HB2103, HB2637, HB2884, HB3707, HB503, HB 1089, HB1757, HB2986, HB972
Keywords:
dementia, research institute, Alzheimer's disease, Parkinson's disease, funding, grants, state health initiatives, research funding, state budget, prevention, healthcare, medical research, Dementia Prevention and Research Institute, licensing, reciprocity, regulation, Texas Department of Licensing and Regulation, interstate agreements, tax exemption, intellectual disability
NH
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Wednesday, March 4, 2026)
US Federal House Floor Meeting
Transcript Highlights:
- commissioner, officer, or employee of the House may not discharge, refuse to hire, or otherwise discriminate
- /c> refuse to hire an individual or refuse to hire an individual or otherwise<04:27:12.000>
discriminate - <04:27:12.560>
against <04:27:12.960>an otherwise discriminate against an otherwise - discriminate against an individual<04:27:14.159>
with <04:27:14.479>respect <04:27:14.800
NH
New Hampshire 2026 Regular Session
House Criminal Justice and Public Safety (01/14/2026)
Criminal Justice and Public Safety
Transcript Highlights:
- policy make sense and tries to make sure that cannabis patients and consumers generally are not discriminated
- >
not patients and consumers generally are not patients and consumers generally are not discriminated - 57.040>
in <04:05:57.359>ways <04:05:57.600>that <04:05:57.760>don't discriminated - against in ways that don't discriminated against in ways that don't make<04:05:58.160>
sense.
NH
New Hampshire 2025 Regular Session
House Finance Division III (03/25/2025)
Transcript Highlights:
- You can do all of that without having a discriminatory tone, but I don't think there is a discriminator
- 58.399>
is <04:14:58.560>a but I don't think there is a but I don't think there is a discriminator - 59.840>
we're <04:15:00.000>just <04:15:00.159>going <04:15:00.239>to discriminator - So, we're just going to discriminator.
Summary:
The committee met in Division 3 work session on HB 2 and began by noting a delayed start to allow the Legislative Budget Assistant to finish a large packet of updated amendments and revisions. The chair said the goal for the day was to move as many items as possible, with any cleanup deferred to a Friday follow-up. Members also discussed the process for handling public and department testimony on selected items before votes.
Several early amendments were taken up and voted on. The committee unanimously recommended items dealing with repealing the liquor transfer to the alcohol fund and redirecting liquor-related revenue to the general fund, and it also approved an amendment revising Granite Advantage funding so there would be no automatic transfer from the liquor fund, instead using a general fund appropriation. Members then approved repealing the foster grandparent program by a 5-4 vote, and later approved an amendment requiring DHS contractors to comply with the patients’ bill of rights by a 9-0 vote. The committee also approved incorporating House Bill 94 on Medicaid coverage of circumcision by a 5-4 vote, while deferring the Wick Farmers Market Nutrition Program repeal for more discussion.
The committee spent substantial time on the youth risk behavior survey amendment. Supporters said the change was intended to clarify opt-out procedures and ensure parents, guardians, and students are clearly notified that they may opt out without negative consequences. Some members raised privacy concerns and said the language could add administrative burden, but the amendment was ultimately recommended to Finance by a recorded vote of 8-1. Another amendment on civil rights and contractor standards for DHHS was discussed but not voted on after concerns were raised about vague enforcement language and possible penalties. The committee also struck amendment 1026 as redundant, with members noting related work in existing law and Senate Bill 134, and then moved on to other items, including a revised equity/access-related amendment that was postponed for later discussion.
NH
New Hampshire 2025 Regular Session
House State-Federal Relations and Veterans Affairs (01/31/2025)
State-federal Relations and Veterans Affairs
Transcript Highlights:
- We do not discriminate any way we can get there. We want to get there, and so that is our goal.
- convention<00:38:58.800>
we <00:38:58.920>do <00:38:59.160>not <00:38:59.480>discriminate - <00:39:00.440>
any convention we do not discriminate any convention we do not discriminate
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Wednesday, June 4, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- , we're allowing in this country for the auto insurance industry to use non-driving factors to discriminate
- , we're allowing in this country for the auto insurance industry to use non-driving factors to discriminate
- , we're allowing in this country for the auto insurance industry to use non-driving factors to discriminate
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 53 Afternoon Session May 6th, 2026 at 01:00 pm
Oklahoma House Floor Meeting
Bills:
SB1687, HB1687, HB4431, HB2894, HB2979, HB3262, HB3298, HB3369, HB3431, HB3462, SB1226, SB1876, SB1916, SB1920, HB3467, HB3498, HB3500, HB3521, HB3581, HB3650, HB3673, HB3764, HB3767, HB3781, HB3800, HB3831, HB3834, HB3941, HB2749, HB3970, HB3972, HB3979, HB3980, HB3981, HB3996, HB4095, HB4104, HB4191, HB4248, HB4298, HB4338, HB4427, HB4428, HJR1023, HB3660, HB3718, HB4326, HB3443, HB3880, HB3649, HB3000, SB1651, SB504, SB372, SB1326, SB1633, SB248, SB1242, SB1238, SB423, SB1989, SB1286, SB904, SB1213, SB1216, SB1827, SB65, SB1390, SB259, SB1944, SB540, SB2139, SB346, SB1595, SB1400, SB1555, SB1209, SB2110, SB1670, SB1061, SB2104, HR1057, SB1946, SB1734, SB1316, SB1360, SB1557, SB1684, SB2049, SB1410, SB2011, SB1437, SB1204, SB1732, SB1775, SB2084, SB1380, SB1572, SB1772, SB1224, SB710, SB1338, SB1266, SB1303, SB1307, SB1562, SB1794, SB1191, SB1983, SB1832, SB1448, SB1534, SB1593, SB1597, SB1630, SB1489, SB1726, SB1796, SB1806, SB1877, SB1451, SB1553, SB1632, SB1423, SB1425, SB1502, SB2180, SB1725, SB2182, HB3003, HB3004, HB4434, HB4324, HB4342, HB2137, HB4432, SJR50, SJR52, SJR53
Keywords:
driver licenses, exam proctor, Service Oklahoma, commercial training, background checks, advance directive, advance health care directive, health care proxy, medical power of attorney, durable power of attorney for health care, living will, surrogate decision-maker, default surrogate, health care agent, capacity determination, supported decision making, mental health directive, psychiatric advance directive, end-of-life care, life-sustaining treatment
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 53 Morning Session May 6th, 2026 at 10:30 am
Oklahoma House Floor Meeting
Bills:
SB1687, HB1687, HB4431, HB2894, HB2979, HB3262, HB3298, HB3369, HB3431, HB3462, SB1226, SB1876, SB1916, SB1920, HB3467, HB3498, HB3500, HB3521, HB3581, HB3650, HB3673, HB3764, HB3767, HB3781, HB3800, HB3831, HB3834, HB3941, HB2749, HB3970, HB3972, HB3979, HB3980, HB3981, HB3996, HB4095, HB4104, HB4191, HB4248, HB4298, HB4338, HB4427, HB4428, HJR1023, HB3660, HB3718, HB4326, HB3443, HB3880, HB3649, HB3000, SB1651, SB504, SB372, SB1326, SB1633, SB248, SB1242, SB1238, SB423, SB1989, SB1286, SB904, SB1213, SB1216, SB1827, SB65, SB1390, SB259, SB1944, SB540, SB2139, SB346, SB1595, SB1400, SB1555, SB1209, SB2110, SB1670, SB1061, SB2104, HR1057, SB1946, SB1734, SB1316, SB1360, SB1557, SB1684, SB2049, SB1410, SB2011, SB1437, SB1204, SB1732, SB1775, SB2084, SB1380, SB1572, SB1772, SB1224, SB710, SB1338, SB1266, SB1303, SB1307, SB1562, SB1794, SB1191, SB1983, SB1832, SB1448, SB1534, SB1593, SB1597, SB1630, SB1489, SB1726, SB1796, SB1806, SB1877, SB1451, SB1553, SB1632, SB1423, SB1425, SB1502, SB2180, SB1725, SB2182, HB3003, HB3004, HB4434, HB4324, HB4342, HB2137, HB4432, SJR50, SJR52, SJR53
Keywords:
driver licenses, exam proctor, Service Oklahoma, commercial training, background checks, advance directive, advance health care directive, health care proxy, medical power of attorney, durable power of attorney for health care, living will, surrogate decision-maker, default surrogate, health care agent, capacity determination, supported decision making, mental health directive, psychiatric advance directive, end-of-life care, life-sustaining treatment
DE
Delaware 2025-2026 Regular Session
House of Representatives Legislative Session - Session 2 - 42nd Legislative Day- REASSEMBLE Part 1 Jun 30th, 2026
Delaware House Floor Meeting
Transcript Highlights:
- Again, due to concerns about bias, discrimination, all of that.
Summary:
The House convened on June 30, 2026, with opening ceremonies, guest introductions, and moments of silence for Gerlindy Lancelotti and Iva Durham. Members then took up a long agenda of bills and resolutions, including consent calendar items and several measures related to agriculture, lottery reporting, health care, fire service membership standards, inmate work, telecommunications, rent increases, youth camp licensing, primary elections, respiratory care practice, and marriage equality. The chamber also heard extended debate on Senate Bill 233, concerning removal of snow and ice from vehicles, and on House Bill 188, which would allow unaffiliated voters to choose a party primary while barring participation in both parties’ primaries.
Among the notable actions, House Concurrent Resolution 157 passed as amended, directing the State Lottery to report on options to support traditional lottery retailers. Senate Bill 53, preserving the Delaware Farm to Community Program if federal support declines, passed unanimously. Senate Bill 307, giving the Public Service Commission authority to designate eligible Lifeline carriers, and Senate Bill 339, clarifying advance health care directives, also passed. Senate Bill 235, removing a sunset on manufactured home rent increase calculations, passed, as did Senate Bill 325 after House Amendment 1 narrowed disqualifying offenses for fire service membership and adjusted related background-check rules. Senate Bill 309, discharging remaining incarceration-cost balances, and Senate Bill 324, addressing constable-related firearm permit provisions, both passed.
The chamber tabled Senate Bill 233 once to consider a proposed amendment for trucks and other hard-to-clear vehicles, but the amendment failed and the bill later passed as amended by the Senate. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was tabled pending legal review. Senate Substitute 2 for Senate Bill 100, proposing a constitutional amendment to protect the right to marry, passed after extensive floor debate and personal statements from members on both sides. Senate Bill 293, creating a licensure pathway for summer camps to participate in purchase-of-care, passed after House Amendment 1. House Bill 188 on open primary access for unaffiliated voters passed 22-17, and Senate Bill 94, concerning respiratory care practitioners and ECMO medication delivery, passed after House Amendment 2. The transcript ends as the House begins consideration of House Substitute 1 for House Bill 404.
MA
Massachusetts 2025-2026 Regular Session
Correctional Consolidation and Collaboration Jun 21st, 2026 at 11:00 am
Transcript Highlights:
- Is there gender discrimination now?
Summary:
The commission on correctional consolidation and collaboration heard testimony focused on how Massachusetts uses custody levels, staffing, programming, and medical release tools, with Prisoners’ Legal Services arguing that the system is overusing expensive high-security settings and underusing step-down options. Dave Rainey said the incarcerated population has dropped substantially over the last several years, but spending and staffing have not fallen in proportion. He argued that DOC overclassifies people into medium and maximum security, relies too heavily on behavioral assessment units that function like segregation, and keeps people in restrictive settings such as Souza-Baranowski and Shattuck Hospital longer than necessary. He also said medical parole is underused and that many people with serious chronic illness or advanced age pose little public-safety risk and should be released through existing legal pathways.
Sheriffs and other commission members pushed back on some of those points, emphasizing that staffing needs are driven by the acuity of the current population, that corrections is not overstaffed, and that classification decisions involve serious public-safety judgments. They also stressed that some high-cost medical placements are necessary because people remain under sentence and require care, and that furloughs and other release tools can create security risks if contraband or substance use is involved. The discussion also covered the role of county sheriffs versus DOC in reentry, with several members saying county systems tend to do more day-to-day step-down and release planning, while DOC has more difficulty moving people through lower-security settings before release.
Ben Foreman of MassINC offered a more systemwide, data-focused perspective, praising the state’s transparency and arguing that Massachusetts has made major progress in reducing incarceration and increasing public safety. He said the state still has an opportunity to improve by right-sizing facilities, investing in community-based mental health treatment, and using the commission to better understand the capital and operating costs of the current system. In response to questions, he said he was aware of DOC studies on programs like furlough but had not reviewed recent ones, and he noted that total-control facilities like Souza-Baranowski have long been criticized in the research literature for poor outcomes.
Nora Wassel of the Women and Incarceration Project then testified that the commission should issue an interim report and scrutinize the planned new women’s prison, which she said is not justified by current population trends or available data. She argued that women are overclassified under DOC’s own tools, that reentry beds and minimum-security placements are underused, and that the system may be failing to account for women’s distinct medical and reentry needs. The meeting ended with continued discussion of reentry, furloughs, day reporting, and whether consolidation should mean fewer facilities, better step-down pathways, or both.
KY
Kentucky 2026 Regular Session
Medicaid Oversight and Advisory Board. (2-23-26)
Transcript Highlights:
- larger body report having suffered stigmatization, which oftentimes comes in the form of outright discrimination
Summary:
The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone.
The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months.
Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value.
After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.