Video & Transcript : 'local pharmacies' :

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MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Financial Services Jun 21st, 2026 at 10:00 am

Joint Committee on Financial Services

Transcript Highlights:
  • A call came into my pharmacy team at 2:21 p.m.
Summary: The committee held a hearing on several health care access and insurance-related bills, with most testimony focused on H.1136 to improve the prior authorization process. The Massachusetts Medical Society, Massachusetts Health and Hospital Association, Health Care for All, the Leukemia & Lymphoma Society, physicians, and hospital representatives all supported the bill, arguing that prior authorization delays care, increases administrative burden, contributes to clinician burnout, and can worsen patient outcomes. Witnesses described examples involving delayed cancer treatment, diabetes care, COPD medication, shingles pain treatment, and hospital discharge delays. They said the bill would preserve prior authorization but add guardrails such as longer validity periods, continuity-of-care protections, faster responses for urgent care, clearer lists of services requiring authorization, and more transparency and standardization. The committee also heard testimony on H.1142/S.783 regarding equitable reimbursement for certified registered nurse anesthetists (CRNAs), with Senator Lovely and CRNA advocates supporting parity with physician anesthesiologists. They said CRNAs provide the same services at the same standard of care, but private insurers sometimes reimburse them at lower rates than physicians, which they argued is inconsistent with federal and state policy and harms access. Senator Keenan testified in support of a bill addressing claim denials and appeals, saying insurers should provide clearer explanations, time to resubmit claims, and timely appeal responses. Dr. Lorraine Schratz supported H.1126 to align state patient disclosure requirements with federal No Surprises Act rules, and Dr. Michael Trimbley supported H.1120 to recognize direct primary care as not being insurance and to encourage primary care participation. The committee also heard testimony on H.1140/S.801 to remove barriers to patient care by updating insurance statutes to reflect nurse practitioners’ full practice authority, and on H.1168/S.A.18 to eliminate the PCP referral requirement for specialty gynecological care. Witnesses on those bills described delays and denials affecting autism diagnosis, nutrition coverage, and endometriosis care, and said the proposals would reduce unnecessary barriers and improve timely access. After testimony and a few member questions, the chair closed the hearing; no votes were taken during the session.
WA
Transcript Highlights:
  • So these are what you see at pharmacies; they have to be secure because there is the potential for there
Summary: At the April 8, 2026 JLARC meeting, members approved the January 7 minutes and recognized Marilyn Richter for more than 12 years of service to JLARC and the Citizens Commission. Staff then gave a legislative recap and work plan update, noting that JLARC staff presented to five committees during session, six bills or budget provisos implementing prior recommendations were enacted, and seven new study assignments were received. Members approved the updated 2025–2027 biennial work plan, including the new studies and the required 2027 lodging tax review. The committee also heard a presentation on a new post-meeting member survey tied to JLARC performance measures. Members then considered the final report on ignition interlock device compliance and monitoring. Staff reported that many drivers required to install ignition interlock devices do not do so, with installation rates rising with income, and identified problems in the Department of Licensing’s financial assistance program and coordination with the State Patrol. Both agencies said they concurred with JLARC’s recommendations to clarify responsibilities, formalize coordination, and develop a plan to increase installation rates. The committee approved the final report. Next, JLARC reviewed the final report on drug takeback fee setting and expenditures. Staff concluded that the Department of Health’s fee design limits full cost recovery and that the agency should publicly report oversight costs and activities; the legislature should revise the fee structure to better align with best practices. Members discussed whether the program should remain at DOH or be housed elsewhere, and adopted committee comments emphasizing transparency and future sunset review work before approving the final report. Finally, staff presented the scope and objectives for the Clean Buildings Performance Standard study, focusing on state-owned Tier 1 buildings and K-12 facilities in the first compliance cohort, with questions centered on compliance costs, energy savings, funding sources, fines, and possible workforce or budget impacts. The meeting ended with administrative announcements about upcoming meetings and adjournment.
WA
Transcript Highlights:
  • So these are what you see at pharmacies; they have to be secure because there is the potential for there
Summary: JLARC met on April 8, 2026, with Senator Keith Wagner chairing in person and Rep. Pallett joining remotely. The committee approved the January 7 minutes and honored Marilyn Richter, who is retiring in June after more than 12 years of service to JLARC and the Citizens Commission. Staff then gave a legislative recap and work plan update, noting that the legislature adopted six bills or provisos implementing recommendations from recent JLARC reports, and that JLARC received seven new study assignments, including reviews of state oversight mechanisms for fraud, waste, and abuse and State Patrol toxicology lab delays. The committee approved the updated 2025-27 work plan, including the new assignments and the required 2027 lodging tax review. The committee also heard about a new anonymous post-meeting member survey tied to JLARC performance measures, then considered the final report on ignition interlock device compliance and monitoring. Staff reported that 59% of drivers with ignition interlock requirements had not installed a device as of June 2025, with installation rates rising by income, and found problems in the Department of Licensing’s financial assistance program and in coordination between DOL and the State Patrol. The report recommended clearer goals and responsibilities for DOL, a formal interagency agreement, and a coordinated plan to raise installation rates; both agencies concurred. Members discussed whether noncompliance reflected continued driving or people stopping driving, and agency representatives said some drivers do stop driving while others take the risk. The committee approved the final report. JLARC then reviewed the drug take-back fee setting and expenditures report. Staff said the Department of Health’s oversight costs had outpaced fee revenue because the statutory fee cap is tied to program operator spending, and recommended public reporting of oversight costs and a legislative change to allow full cost recovery. Members debated transparency, the risk of overpricing the program, and whether Ecology might be a better home for the program; the committee adopted a comment urging transparency and a future review of best practices before fee-structure changes, then approved the final report with that comment. Finally, staff presented the scope and objectives for the Clean Buildings Performance Standard study, focused on large state-owned and K-12 buildings due to comply by June 2026. Members asked about fines, funding, workforce constraints, and how costs and energy savings would be measured; staff said the study would examine compliance costs, savings, funding sources, and variation by building characteristics. The meeting adjourned after administrative announcements about upcoming JLARC meetings and the survey reminder.
NV

Nevada 2025 Regular Session

Assembly Floor Session May 30th, 2025 at 11:30 am

Nevada Assembly Floor Meeting

Transcript Highlights:
  • 389, introduced by Senator Scheible et al., revises provisions relating to the administration of pharmacy
TX
Transcript Highlights:
  • But the bill died on the final local and unconditioned calendar.
  • It isn't about eliminating local authority.
  • Let's offer carrots and sticks to local government as opposed to just...
  • The bill allows the state to contract with local authorities. I guess I’d be...
  • At the local level, fines and penalties are assessed. I agree.
HI

Hawaii 2026 Regular Session

Room 016 Conference AM - 04-23-2026

Hawaii Senate Floor Meeting

Transcript Highlights:
  • They are not only producers of local food, but also steward our natural resources and partners in building
  • They are not only producers of local food, but also steward our natural resources and partners in building
  • They are not only producers of local food, but also steward our natural resources and partners in building
  • They are not only producers of local food, but also steward our natural resources and partners in building
  • Bronson Oilihua, Hanson, and ILW Local Bronson Oilihua, Hanson, and ILW Local 142<00:10:20.720><c> General
OK

Oklahoma 2026 Regular Session

Senate Legislative Session Apr 21st, 2026 at 01:30 pm

Oklahoma Senate Floor Meeting

Transcript Highlights:
  • Oklahoma's economy by maintaining the energy infrastructure that powers homes, businesses, and localities
  • And whereas linemen deserve recognition for their hard work to power local communities and keep people
  • The Oklahoma legislature commands local linemen for their vital role in powering homes, businesses, and
  • localities across the state.
  • Members, the Senate Local and County Government Committee will meet as soon as we have a quorum after
FL

Florida 2026 5th Special Session

Senate in Special Session E May 29th, 2026

Florida Senate Floor Meeting

Transcript Highlights:
  • The total budget for Pre-K-12 education, including local funds, is $35.1 billion.
  • The total budget for higher education, including local funds, is approximately $11.9 billion.
  • There was also $200 million in funding for local projects important to our communities.
  • Also, there's $16 million for local government cybersecurity technical assistance grants.
  • So that was as part of negotiation and local feedback that we got and negotiation with the House that
Summary: The Senate took up the conference report on House Bill 501E, the General Appropriations Act for fiscal year 2026-27, with Chair Hooper and the appropriations chairs walking through the $114.5 billion budget. Major highlights included pay increases for state law enforcement, firefighters, park rangers, and correctional officers; funding for teacher salary increases and K-12 enrollment stabilization; workforce and university funding in higher education; major Medicaid, nursing home, waiver, and opioid-related investments in health and human services; corrections and prison-capacity funding; transportation, housing, and emergency management spending; and large environmental appropriations for Florida Forever, Everglades restoration, and water quality projects. Members then asked detailed questions about specific items. Senators pressed on the Hamilton Center at UF, the difference between assistant state attorney and public defender pay, declining student enrollment funding, private school scholarship vouchers, mental health funding in schools, the lack of preeminence funding, APD’s iBudget waiver wait list and provider rates, ADAP premium assistance and the return of Biktarvy to the formulary, prison staffing and air conditioning, Florida Forever land-buying versus easements, SNAP and Sun Bucks funding, Hope Florida, election audit funding, and the IDD managed care program. Chairs generally explained the negotiated compromises, noted where funding was flat or omitted, and in several cases said items would be revisited next year or depended on agency implementation. Several senators used debate to praise the budget while also criticizing major policy choices. Leader Berman argued the state should have expanded Medicaid, invested more in public schools instead of vouchers, and accepted federal summer EBT funds. Other senators highlighted local wins such as Biscayne Bay restoration, Tri-Rail, housing assistance, ADAP funding, and declining enrollment support. The transcript ends with debate remarks thanking Chair Hooper for his work on the budget; no final vote is shown in the excerpt.
FL

Florida 2026 Regular Session

Senate in Special Session E May 29th, 2026

Florida Senate Floor Meeting

Transcript Highlights:
  • The total budget for Pre-K-12 education, including local funds, is $35.1 billion.
  • The total budget for higher education, including local funds, is approximately $11.9 billion.
  • There was also $200 million in funding for local projects important to our communities.
  • Also, there's $16 million for local government cybersecurity technical assistance grants.
  • So that was as part of negotiation and local feedback that we got and negotiation with the House that
Summary: The Senate convened with prayer and the Pledge of Allegiance, then moved to the conference report on House Bill 501E, the General Appropriations Act for fiscal year 2026-27. Budget chairs presented the major spending areas, describing a $114.5 billion overall budget that they said was fiscally responsible and below the prior year’s spending. Highlights included pay increases and retirement adjustments for public safety employees, education funding for K-12, higher education, health and human services, criminal justice, transportation, environmental programs, and agriculture/regulatory agencies. Members then questioned chairs on several items. In education, senators discussed K-12 declining enrollment funding, teacher salary set-asides, private school scholarship spending, mental health funding, preeminence funding for universities, the Hamilton Center at UF, and charter school PICO funding. In health and human services, questions focused on the iBudget waiver waitlist, provider rates, ADAP/HIV funding and the return of Biktarvy to the formulary, KidCare, rural health funding, SNAP-related IT and error reduction efforts, and the IDD managed care program. In criminal justice, senators asked about correctional officer pay, prison staffing and infrastructure, air conditioning in prisons, juvenile justice facilities, law enforcement recruitment, and court system funding. Environmental and transportation questions covered Florida Forever, water quality, state parks, water projects, housing, elections funding, and emergency management. Several specific actions and explanations were given during debate: the budget includes $8.8 million for state attorney competitive area differentials but no funding for public defender CAD requests; assistant state attorneys will start at $70,000 and assistant public defenders at $65,000; the battery disposal issue was described as a temporary study/preemption approach; and the Senate said the budget does not fund Medicaid expansion, preeminence funding, or the SunBucks Summer EBT state share. Senators also noted that some proposals discussed in committee did not make it into the final budget. The transcript ends with debate statements from members praising the budget process and Chair Hooper, while also expressing concerns about public schools, health care access, affordability, and the lack of funding for certain priorities.
AL

Alabama 2025 Regular Session

Alabama House Apr 10th, 2025

Alabama House Floor Meeting

Transcript Highlights:
  • Local votes. 46 yay, zero nays. Local votes. 46 yay, zero nays.
  • of the the local of the the local application.
  • and state to local and state to local and state economies.
  • tax or pending local have existing local tax or pending local have existing local tax or pending local
  • as possible decisions be made as local as possible decisions be made as local as possible on the local
HI

Hawaii 2026 Regular Session

House Chamber - Thu Apr 9, 2026, 12:00PM HST - Day 42

Hawaii House Floor Meeting

CA
Transcript Highlights:
  • We know student housing helps local communities as well as students.
  • We know student housing helps local communities as well as students.
  • We know student housing helps local communities as well as students.
  • These are dentistry, optometry, pharmacy, and veterinary medicine.
  • They bring all of their perspectives locally, and we do have that conversation system-wide with the local
LA

Louisiana 2026 Regular Session

Judiciary May 7th, 2026

Judiciary

Transcript Highlights:
  • He said there is a horrible problem in his local school system, Lafayette Parish School System.
  • Usually, local ordinances have tried to address it.
  • And similar to alcohol, state law only says if a local ordinance is, if a local ordinance is, And similar
  • For the state, I'm not talking about local ordinances.
  • Right now, the alcohol statute says if the locals choose to have...
Bills: HB302 , HB371 , HB597 , HB1097 , HB1190 , SB34 , SB164 , SB208 , SB232 , SB317 , SB357 , SB421 , SB510
Committee: House Judiciary
OK

Oklahoma 2026 Regular Session

General Government Apr 7th, 2026 at 01:30 pm

General Government

Transcript Highlights:
  • Currently, the workforce commission is empowered to collect certain data from federal, state, and local
  • Again, it's the data is that is referenced is from the variety of agencies again, federal, state, and local
WA

Washington 2025-2026 Regular Session

House Floor Session Feb 28th, 2026 at 09:00 am

Washington House Floor Meeting

Transcript Highlights:
  • the local judges and the local county.
  • That local lawyers have and the local judges and the local county prosecutor have for cases, for the
  • They don't know the nature of disputes as well as the local judges, the local prosecutor, and local people
  • We try to contract with local lawyers.
  • And I would recommend we move that money back to the local deliverers, the local lawyers.