Transcript Highlights:

• , then it will be up to states to put those requirements... ...include immunizations, then it will be
• , then it will be up to states to put those requirements. include immunizations, then it will be up to
• I currently live an hour and 15 minutes away from the nearest pharmacy. From the nearest pharmacy.
• Pre-ACA, Tulare County operated two federally qualified health clinics, a pharmacy, and had contracts
• Eliminate or significantly regulate pharmacy benefit managers and other intermediaries that extract margin

Summary: The joint informational hearing of the Senate and Assembly Health Committees focused on the cost of federal instability for California health coverage, access, and affordability. Opening remarks from members of both houses emphasized that California’s coverage gains under the Affordable Care Act are now threatened by federal policy changes, including the expiration of enhanced premium tax credits, H.R. 1, and new federal regulatory actions. Members repeatedly cited rising premiums, skipped care, medical debt, and the risk that low-income, immigrant, and working Californians could lose coverage or be pushed into less comprehensive plans. The first panel reviewed the federal landscape and state response. Don Joyce described the ACA’s coverage expansions and warned that H.R. 1, regulatory changes, and broader federal retrenchment could reduce coverage and weaken meaningful benefits. Covered California Executive Director Jessica Altman said the loss of enhanced premium tax credits is driving major affordability problems, with average monthly premiums projected to rise sharply and enrollment already down, especially among middle-income consumers. HCAI’s Elizabeth Lansberg explained the Office of Health Care Affordability’s role in slowing spending growth, monitoring consolidation, and setting spending targets, including lower targets for high-cost hospitals and new primary care investment goals. Members asked about bronze plans, high-cost hospitals, administrative burdens, provider taxes, and whether federal advisory changes could affect required benefits such as immunizations. The second panel examined population impacts and cost drivers. UC Berkeley Labor Center’s Miranda Dietz said most Californians get coverage through employers, Medi-Cal, or Covered California, and that affordability problems are widespread across all groups. She projected that California could have up to 2 million more uninsured residents by 2030, largely from Medi-Cal losses, and said higher premiums reduce wages and increase medical debt. Christoph Stremakis of the California Health Care Foundation highlighted survey data showing widespread concern about medical bills, skipped care, and medical debt, and argued that a large share of spending is wasted through administrative complexity, inflated prices, and underinvestment in prevention. Committee members pressed the panel on whether California can sustain coverage without new revenue, how cost-growth targets affect workers and families, how medical debt relief programs like Los Angeles County’s could be expanded, and how OCA can address uncompensated care, consolidation, and prior authorization burdens.

Transcript Highlights:

• And I shouldn't say immune because it doesn't get to immunity, but you cannot even bring a case against
• it doesn't get say immune because it's it doesn't get to<01:24:11.440><c> immunity,</c><01:24:12.239
• </c> may have heard of sovereign immunity may have heard of sovereign immunity when<01:25:01.040><c>
• </c><01:25:26.719><c> Um</c> from arguing sovereign immunity. Um from arguing sovereign immunity.
• </c><01:32:31.920><c> can</c> whether certain claims of immunity can whether certain claims of immunity

Keywords: 1189, house, all

Transcript Highlights:

• Most people prefer to just go to their regular pharmacy to get their meds.
• as well, for financial... ...the routing to certain pharmacies.
• I'm looking at page 6, line 30: developer immunity for the apps.
• Not only do they regulate the practice of pharmacies, so pharmacists and their pharmacies, they also
• Not only do they regulate the practice of pharmacies, so pharmacists and their pharmacies, they also

Bills: SB1176, SB1186, SB1235, SB1286, SB1446, SB1458, SB1515, SB1616, SB1641, SB1668, SB1670, SB1678, SB1747, SB1787

Keywords: stormwater, water storage, replenishment credits, groundwater, aquifer, Arizona Revised Statutes, disclosure, state contracts, procurement records, donations, transparency, EMS, reciprocity, interstate compact, paramedics, emergency medical technicians, licensure, public safety, military personnel, veterinary telemedicine

Transcript Highlights:

• Prescription you go to the pharmacy.
• Does not enforce what pharmacy or pharmacists to do that would also be the board of pharmacy So, what
• But I also say this as the mother of a child who depends on herd immunity. disease.
• Are you talking about the Texas Pharmacy Association or the Texas State Board of Pharmacy?
• Texas Pharmacy Association, I'm sorry, I misspoke. Texas Pharmacy Association supports your bill?

Bills: HB5141, HB4638, HB2264, HB2035, HB4813, HB4408, HB2684, HB1621, HB2300, HB216, HB3829, HB4466, HB1747, HB2284, HB3614, HB2587, HB3219, HB3318, HB5147, HB4014, HB216

Keywords: lease, state property, public purpose, Travis County, Health and Human Services, pharmaceutical initiative, drug distribution, healthcare services, generic drugs, advanced pharmaceuticals, cost savings, mental health, patient discharge, medical records, health care professionals, substance use, family involvement, chemical dependency, treatment facilities, minor admissions

Transcript Highlights:

• Cook relating to immunization data included and excluded from the immunization registry to health and
• Hall relating to affidavit form provided by the Department of State Health Services for Certain Immunization
• Senate Bill 95 by Hall relating to informed consent to immunizations for children and civil liability
• Senate Bill 117 by Hall related to required immunizations for children and primary or secondary school
• Relaying the delegation to a pharmacy technician of a pharmacist authority to administer an immunization

Bills: SJR36, SB2, SJR6, SJR7, SJR8, SJR9, SJR10, SJR11, SJR12, SJR13, SJR14, SJR15, SJR16, SJR17, SJR18, SJR19, SJR20, SJR21, SJR22, SJR23, SJR24, SJR25, SJR26, SJR27, SJR28, SJR29, SJR30, SJR31, SJR32, SJR49, SCR1, SCR2, SCR3, SCR4, SCR5, SCR6, SCR8, SCR9, SB9, SB41, SB42, SB43, SB44, SB45, SB46, SB47, SB48, SB49, SB50, SB51, SB52, SB53, SB54, SB55, SB56, SB57, SB58, SB59, SB60, SB61, SB62, SB63, SB64, SB65, SB66, SB67, SB68, SB69, SB70, SB71, SB72, SB73, SB74, SB75, SB76, SB77, SB78, SB79, SB80, SB81, SB82, SB83, SB84, SB85, SB86, SB87, SB88, SB89, SB90, SB91, SB92, SB93, SB94, SB95, SB96, SB97, SB98, SB99, SB100, SB101, SB102, SB103, SB104, SB105, SB106, SB107, SB108, SB109, SB110, SB111, SB112, SB113, SB114, SB115, SB116, SB117, SB118, SB119, SB120, SB121, SB122, SB123, SB124, SB125, SB126, SB127, SB128, SB129, SB130, SB131, SB132, SB133, SB134, SB135, SB136, SB137, SB138, SB139, SB140, SB141, SB142, SB143, SB144, SB145, SB146, SB147, SB148, SB149, SB150, SB151, SB152, SB153, SB154, SB155, SB156, SB157, SB158, SB159, SB160, SB161, SB162, SB163, SB164, SB165, SB166, SB167, SB168, SB169, SB170, SB171, SB172, SB173, SB174, SB175, SB176, SB177, SB178, SB179, SB180, SB181, SB182, SB183, SB184, SB185, SB186, SB187, SB188, SB189, SB190, SB191, SB192, SB193, SB194, SB195, SB196, SB197, SB198, SB199, SB200, SB201, SB202, SB203, SB204, SB205, SB206, SB207, SB208, SB209, SB210, SB211, SB212, SB213, SB214, SB215, SB216, SB217, SB218, SB219, SB220, SB221, SB222, SB223, SB224, SB225, SB226, SB227, SB228, SB229, SB230, SB231, SB232, SB233, SB234, SB235, SB236, SB237, SB238, SB239, SB240, SB241, SB242, SB243, SB244, SB245, SB246, SB247, SB248, SB249, SB250, SB251, SB252, SB253, SB254, SB255, SB256, SB257, SB258, SB259, SB260, SB261, SB262, SB263, SB264, SB265, SB266, SB267, SB268, SB269, SB270, SB271, SB272, SB273, SB274, SB275, SB276, SB277, SB278, SB279, SB280, SB281, SB282, SB283, SB284, SB285, SB286, SB287, SB288, SB289, SB290, SB291, SB292, SB293, SB294, SB295, SB296, SB297, SB298, SB299, SB300, SB301, SB302, SB303, SB304, SB305, SB306, SB307, SB308, SB309, SB310, SB311, SB312, SB313, SB314, SB315, SB316, SB317, SB318, SB319, SB320, SB321, SB322, SB323, SB324, SB325, SB326, SB327, SB328, SB329, SB330, SB331, SB332, SB333, SB334, SB335, SB336, SB337, SB338, SB339, SB340, SB341, SB342, SB343, SB344, SB345, SB346, SB347, SB348, SB349, SB350, SB351, SB352, SB353, SB354, SB355, SB356, SB357, SB358, SB359, SB360, SB361, SB362, SB363, SB364, SB365, SB366, SB367, SB368, SB369, SB370, SB371, SB372, SB373, SB374, SB375, SB376, SB377, SB378, SB379, SB380, SB381, SB382, SB383, SB384, SB385, SB386, SB387, SB388, SB389, SB390, SB391, SB392, SB393, SB394, SB395, SB396, SB397, SB398, SB399, SB400, SB401, SB402, SB403, SB404, SB405, SB406, SB407, SB408, SB409, SB410, SB411, SB412, SB413, SB414, SB415, SB416, SB417, SB418, SB419, SB420, SB421, SB422, SB423, SB424, SB425, SB426, SB427, SB428, SB429, SB430, SB431, SB432, SB433, SB434, SB435, SB436, SB437, SB438, SB439, SB440, SB441, SB442, SB443, SB444, SB445, SB446, SB447, SB448, SB449, SB450, SB451, SB452, SB453, SB454, SB455, SB456, SB457, SB458, SB459, SB460, SB461, SB462, SB463, SB464, SB465, SB466, SB467, SB468, SB469, SB470, SB471, SB472, SB473, SB474, SB475, SB476, SB477, SB478, SB479, SB480, SB481, SB482, SB483, SB484, SB485, SB486, SB487, SB488, SB489, SB490, SB491, SB492, SB493, SB494, SB495, SB496, SB497, SB498, SB499, SB500, SB501, SB502, SB503, SB504, SB505, SB506, SB507, SB508, SB509, SB510, SB511, SB512, SB513, SB514, SB515, SB516, SB517, SB518, SB519, SB520, SB521, SB522, SB523, SB524, SB525, SB526, SB527, SB528, SB529, SB530, SB531, SB532, SB533, SB534, SB535, SB536, SB537, SB538, SB539, SB540, SB541, SB542, SB543, SB544, SB545, SB546, SB547, SB548, SB549, SB550, SB551, SB552, SB553, SB554, SB555, SB556, SB557, SB558, SB559, SB560, SB561, SB562, SB563, SB564, SB565, SB566, SB567, SB568, SB569, SB570, SB571, SB572, SB573, SB574, SB575, SB576, SB577, SB578, SB579, SB580, SB581, SB582, SB583, SB584, SB585, SB586, SB587, SB588, SB589, SB590, SB591, SB592, SB593, SB594, SB595, SB596, SB597, SB598, SB599, SB600, SB601, SB602, SB603, SB604, SB605, SB606, SB607, SB608, SB609, SB610, SB611, SB612, SB613, SB614, SB615, SB616, SB617, SB618, SB619, SB620, SB621, SB622, SB623, SB624, SB625, SB626, SB627, SB628, SB629, SB630, SB631, SB632, SB633, SB634, SB635, SB636, SB637, SB638, SB639, SB640, SB641, SB642, SB643, SB644, SB645, SB646, SB647, SB648, SB649, SB650, SB651, SB652, SB653, SB654, SB655, SB656, SB657, SB658, SB659, SB660, SB661, SB662, SB663, SB664, SB665, SB666, SB667, SB668, SB669, SB670, SB671, SB672, SB673, SB674, SB675, SB676, SB677, SB678, SB679, SB680, SB681, SB682, SB683, SB684, SB685, SB686, SB687, SB688, SB689, SB690, SB691, SB692, SB693, SB694, SB695, SB696, SB697, SB699, SB700, SB1047, SB1048, SJR6, SJR7, SJR8, SJR9, SJR10, SJR11, SJR12, SJR13, SJR14, SJR15, SJR16, SJR17, SJR18, SJR19, SJR20, SJR21, SJR22, SJR23, SJR24, SJR25, SJR26, SJR27, SJR28, SJR29, SJR30, SJR31, SJR32, SJR49, SCR1, SCR2, SCR3, SCR4, SCR5, SCR6, SCR8, SCR9, SB9, SB41, SB42, SB43, SB44, SB45, SB46, SB47, SB48, SB49, SB50, SB51, SB52, SB53, SB54, SB55, SB56, SB57, SB58, SB59, SB60, SB61, SB62, SB63, SB64, SB65, SB66, SB67, SB68, SB69, SB70, SB71, SB72, SB73, SB74, SB75, SB76, SB77, SB78, SB79, SB80, SB81, SB82, SB83, SB84, SB85, SB86, SB87, SB88, SB89, SB90, SB91, SB92, SB93, SB94, SB95, SB96, SB97, SB98, SB99, SB100, SB101, SB102, SB103, SB104, SB105, SB106, SB107, SB108, SB109, SB110, SB111, SB112, SB113, SB114, SB115, SB116, SB117, SB118, SB119, SB120, SB121, SB122, SB123, SB124, SB125, SB126, SB127, SB128, SB129, SB130, SB131, SB132, SB133, SB134, SB135, SB136, SB137, SB138, SB139, SB140, SB141, SB142, SB143, SB144, SB145, SB146, SB147, SB148, SB149, SB150, SB151, SB152, SB153, SB154, SB155, SB156, SB157, SB158, SB159, SB160, SB161, SB162, SB163, SB164, SB165, SB166, SB167, SB168, SB169, SB170, SB171, SB172, SB173, SB174, SB175, SB176, SB177, SB178, SB179, SB180, SB181, SB182, SB183, SB184, SB185, SB186, SB187, SB188, SB189, SB190, SB191, SB192, SB193, SB194, SB195, SB196, SB197, SB198, SB199, SB200, SB201, SB202, SB203, SB204, SB205, SB206, SB207, SB208, SB209, SB210, SB211, SB212, SB213, SB214, SB215, SB216, SB217, SB218, SB219, SB220, SB221, SB222, SB223, SB224, SB225, SB226, SB227, SB228, SB229, SB230, SB231, SB232, SB233, SB234, SB235, SB236, SB237, SB238, SB239, SB240, SB241, SB242, SB243, SB244, SB245, SB246, SB247, SB248, SB249, SB250, SB251, SB252, SB253, SB254, SB255, SB256, SB257, SB258, SB259, SB260, SB261, SB262, SB263, SB264, SB265, SB266, SB267, SB268, SB269, SB270, SB271, SB272, SB273, SB274, SB275, SB276, SB277, SB278, SB279, SB280, SB281, SB282, SB283, SB284, SB285, SB286, SB287, SB288, SB289, SB290, SB291, SB292, SB293, SB294, SB295, SB296, SB297, SB298, SB299, SB300, SB301, SB302, SB303, SB304, SB305, SB306, SB307, SB308, SB309, SB310, SB311, SB312, SB313, SB314, SB315, SB316, SB317, SB318, SB319, SB320, SB321, SB322, SB323, SB324, SB325, SB326, SB327, SB328, SB329, SB330, SB331, SB332, SB333, SB334, SB335, SB336, SB337, SB338, SB339, SB340, SB341, SB342, SB343, SB344, SB345, SB346, SB347, SB348, SB349, SB350, SB351, SB352, SB353, SB354, SB355, SB356, SB357, SB358, SB359, SB360, SB361, SB362, SB363, SB364, SB365, SB366, SB367, SB368, SB369, SB370, SB371, SB372, SB373, SB374, SB375, SB376, SB377, SB378, SB379, SB380, SB381, SB382, SB383, SB384, SB385, SB386, SB387, SB388, SB389, SB390, SB391, SB392, SB393, SB394, SB395, SB396, SB397, SB398, SB399, SB400, SB401, SB402, SB403, SB404, SB405, SB406, SB407, SB408, SB409, SB410, SB411, SB412, SB413, SB414, SB415, SB416, SB417, SB418, SB419, SB420, SB421, SB422, SB423, SB424, SB425, SB426, SB427, SB428, SB429, SB430, SB431, SB432, SB433, SB434, SB435, SB436, SB437, SB438, SB439, SB440, SB441, SB442, SB443, SB444, SB445, SB446, SB447, SB448, SB449, SB450, SB451, SB452, SB453, SB454, SB455, SB456, SB457, SB458, SB459, SB460, SB461, SB462, SB463, SB464, SB465, SB466, SB467, SB468, SB469, SB470, SB471, SB472, SB473, SB474, SB475, SB476, SB477, SB478, SB479, SB480, SB481, SB482, SB483, SB484, SB485, SB486, SB487, SB488, SB489, SB490, SB491, SB492, SB493, SB494, SB495, SB496, SB497, SB498, SB499, SB500, SB501, SB502, SB503, SB504, SB505, SB506, SB507, SB508, SB509, SB510, SB511, SB512, SB513, SB514, SB515, SB516, SB517, SB518, SB519, SB520, SB521, SB522, SB523, SB524, SB525, SB526, SB527, SB528, SB529, SB530, SB531, SB532, SB533, SB534, SB535, SB536, SB537, SB538, SB539, SB540, SB541, SB542, SB543, SB544, SB545, SB546, SB547, SB548, SB549, SB550, SB551, SB552, SB553, SB554, SB555, SB556, SB557, SB558, SB559, SB560, SB561, SB562, SB563, SB564, SB565, SB566, SB567, SB568, SB569, SB570, SB571, SB572, SB573, SB574, SB575, SB576, SB577, SB578, SB579, SB580, SB581, SB582, SB583, SB584, SB585, SB586, SB587, SB588, SB589, SB590, SB591, SB592, SB593, SB594, SB595, SB596, SB597, SB598, SB599, SB600, SB601, SB602, SB603, SB604, SB605, SB606, SB607, SB608, SB609, SB610, SB611, SB612, SB613, SB614, SB615, SB616, SB617, SB618, SB619, SB620, SB621, SB622, SB623, SB624, SB625, SB626, SB627, SB628, SB629, SB630, SB631, SB632, SB633, SB634, SB635, SB636, SB637, SB638, SB639, SB640, SB641, SB642, SB643, SB644, SB645, SB646, SB647, SB648, SB649, SB650, SB651, SB652, SB653, SB654, SB655, SB656, SB657, SB658, SB659, SB660, SB661, SB662, SB663, SB664, SB665, SB666, SB667, SB668, SB669, SB670, SB671, SB672, SB673, SB674, SB675, SB676, SB677, SB678, SB679, SB680, SB681, SB682, SB683, SB684, SB685, SB686, SB687, SB688, SB689, SB690, SB691, SB692, SB693, SB694, SB695, SB696, SB697, SB699, SB700, SB1047, SB1048

Keywords: Medicaid, healthcare expansion, affordable care act, federal funding, medical assistance, constitutional amendment, Texas Constitution, healthcare access, Patient Protection and Affordable Care Act, healthcare, affordable care, state constitution, low-income individuals, Medicaid expansion, federal matching funds, time regulation, daylight saving time, standard time, referendum, Texas constitution

Transcript Highlights:

• Right now, long-term pharmacies are often treated differently from retail pharmacies on paper, but in
• It simply gives a definition so that these pharmacies are properly recognized for the specialized work
• Right now, long-term pharmacies are often treated differently from retail pharmacies on paper, but in
• Under federal rules, pharmacies that serve nursing home and assisted living facilities, must deliver
• And then, you know, over time, they've come back because people are refusing to be immunized now.

Keywords: 974, senate, all

Summary: The Senate Committee on Health and Welfare met on May 13 with a quorum present and approved the prior meeting minutes. The committee first heard HB 971, which would equalize Medicaid reimbursement rates between independent clinics and hospital-owned rural health clinics; supporters said independent clinics are disadvantaged by a large payment disparity, and the bill was reported favorable without objection. The committee also recognized visiting Alpha Phi Alpha members and other guests during personal privilege remarks. Members then considered HB 414, which would bar hiring certain health care workers and direct support professionals with serious disqualifying convictions from other states and address background-check issues for therapeutic group homes. After adopting three amendment sets, the bill was reported as amended. HB 740, creating an independent review process for Medicaid behavioral health claim disputes in the coordinated system of care, was amended to clarify applicability and CSOC definitions and then reported as amended. HB 288, which would place the term “miscarriage” alongside “spontaneous abortion” in medical documentation, drew emotional testimony from affected parents and advocates; the committee reported it favorable. The committee also advanced several more bills: HB 405, updating the name of the national acupuncture certifying body, was reported favorable; HB 786, prohibiting extrapolation in certain managed-care claims recoupments, was reported favorable; HB 1095, allowing alternative backup power sources for nursing homes, was reported favorable; HB 403, raising the cottage food gross-sales cap, was amended from $50,000 to $150,000 and then reported favorable; HB 930, modernizing cosmetic-product regulation and creating a small-producer exemption, was reported favorable; HB 557, defining long-term pharmacies for policy purposes, was reported favorable; HB 779, on expedited partner therapy for sexually transmitted diseases, was reported favorable; HB 915, setting utilization-management timelines and standards, was reported favorable; HB 546, expanding criteria for peace officers to take someone into protective custody during a mental health crisis, was reported favorable; HB 796, creating a chiropractic preceptorship program, was reported favorable; and HB 933, authorizing commemorative birth certificates, was reported favorable. The final major item was HB 1041, a “no-mandate” bill barring discrimination based on medical intervention status. The sponsor and Surgeon General said it was aimed at healthy, asymptomatic individuals and not at public health quarantine powers, but Senator Boudreaux objected to exemptions for schools and hospitals and offered an amendment to restore broader coverage. That amendment failed on a roll-call vote, and the bill remained under discussion as the transcript ended, with no final committee disposition shown in the excerpt.

Transcript Highlights:

• </c><00:34:01.279><c> These</c> immunization requirements. These immunization requirements.
• </c> exemptions, remove immunization exemptions, remove immunization requirements,<00:35:00.160><c> or
• </c> the Bureau of Immunization? the Bureau of Immunization?
• </c><01:28:56.719><c> for</c> to be exempt from immunizations for to be exempt from immunizations for
• </c> that the child has not been immunized that the child has not been immunized because<01:46:23.280

Keywords: 1189, house, all

Transcript Highlights:

• I would argue that increased knowledge of the virtual immunity that manufacturers have with regard to
• I would argue that increased knowledge of the virtual immunity that manufacturers have with regard to
• And that line of case law started in 1976 with the Virginia Pharmacy Board case, and some of the advertising
• law by President Bush, they tried to get a law passed like this, but with the converse, providing immunity
• owners navigating their pets' medical concerns by providing flexibility to pick up medicine at the pharmacy

Summary: The Committee on Regulated Industries heard and voted on several bills. SB 986 would prohibit smoking or vaping marijuana in public places and also restrict smoking in rooms and bars; the sponsor said it is intended to protect public health and outdoor spaces, while the Florida Restaurant and Lodging Association supported the goal but raised concerns about impacts on designated smoking areas, and cannabis advocates warned about unintended effects on patients and property rights. The committee reported SB 986 favorably. The committee also passed SB 678, which restores statutory authority for DBPR’s long-standing rule allowing alcohol distributors to deduct unsellable alcohol from monthly excise taxes; a strike-all amendment was adopted, including retroactive application to January 1, 2025, and the bill was reported favorably. SB 800, which increases penalties for repeat unlicensed engineering practice and creates an engineering student loan assistance program for engineers working for state agencies and water management districts, was amended and reported favorably as well. Members then considered SB 408 on vaccine advertising and liability. The sponsor argued the bill would address declining public trust in vaccines by allowing claims against manufacturers that advertise in Florida, while opponents said the measure is preempted by federal law, raises First Amendment concerns, and would create unnecessary litigation. After extensive testimony and debate, the committee reported SB 408 favorably. The committee also heard SB 484 on data centers, which would set PSC tariff requirements so large load customers pay their own costs, preserve local planning authority, and limit water permits for large data centers; testimony was mixed, with supporters emphasizing ratepayer protections and economic benefits and critics warning about overregulation and confidentiality limits. The bill was reported favorably. Finally, the committee approved SB 1118, which creates a time-limited public records exemption for certain data center development information held by local governments, after the sponsor said it was meant to prevent extended NDAs while still allowing local notice and input. SB 1050, requiring veterinarians to provide written prescriptions so pet owners can choose their pharmacy, was also reported favorably. The meeting ended after several members recorded votes on bills they had missed.

Transcript Highlights:

• Myers honors his long-standing commitment to advancing independent community pharmacies. Dr.
• Myers has enrolled Norland Avenue Pharmacy as a long-term care at home pharmacy, thereby increasing medication
• as a long-term care at home Pharmacy as a long-term care at home pharmacy,<00:10:03.520><c> thereby<
• </c><00:10:24.000><c> That</c><00:10:24.200><c> is</c> of independent pharmacies.
• That is of independent pharmacies.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, March 16, 2026, 1012, house, all

Transcript Highlights:

• , is declared to be against public policy. prohibited voting. ...or pharmacy, is declared to be against
• In Lake City this fall, we lost our only major grocery store and our last standing pharmacy when the
• It has been truly devastating for my community. ...pharmacy when the Fred Meyer closed.
• leaves... ...and really is focused on trying to make sure that if a grocery store or a pharmacy leaves
• We're asking for balance, not immunity, and we respectfully ask for your support of this proposal.

Summary: The Washington State Senate Committee on Business, Trade, and Economic Development waived the five-day notice rule to consider Engrossed Substitute House Bill 2274 and Engrossed House Bill 2294. The committee first heard HB 2274, which would modify the Washington Commercial Electronic Mail Act by requiring false or misleading subject lines to be knowingly false or misleading, and reducing statutory damages from $500 to $100 or actual damages, whichever is greater. Representative Springer and retail witnesses described the bill as a compromise reached with consumer lawyers, retailers, and the Attorney General’s office, intended to address a surge in lawsuits after a recent Supreme Court ruling while preserving consumer protections. Consumer advocates testified that they supported the compromise as a temporary step, while one consumer-side attorney objected to the bill’s text-message damages change, arguing it was unrelated to the email issue and could weaken existing protections. The committee held the public hearing open and did not take final action on the bill during the meeting. The committee then heard HB 2294, which prohibits private agreements that restrict real property from being used as a grocery store or pharmacy, declaring such negative use restrictions against public policy and unenforceable after the bill’s effective date, with exceptions for preexisting agreements and limited relocation scenarios. Representative Farivar said the bill was prompted by grocery and pharmacy closures and aimed to prevent property covenants from blocking replacement stores in underserved communities. Supporters from the Washington Food Industry Association and Northwest Grocery Retail Association said the bill would help independent grocers and communities, though the retail association asked for further language refinement for retail-center situations and noted the bill preserves some limited protections for existing investments. The committee took public testimony but did not vote on HB 2294 during the hearing. In executive session, staff briefed Substitute House Bill 2428, which requires insurers issuing individual life insurance policies to send lapse notices to policyholders and designated third parties. The committee then adopted a due pass recommendation and sent the bill to the Rules Committee. The motion passed by voice vote, with the bill passed subject to signatures.

Transcript Highlights:

• Breastfeeding provides optimal nutrition and antibodies that strengthen an infant's immune system, offering
• Breastfeeding provides optimal nutrition and antibodies that strengthen an infant's immune system, offering
• The bill also prohibits the Arizona State Board of Pharmacy from issuing any civil penalties imposed
• I can give a brief overview, but basically the Board of Pharmacy is a little bit different than a lot
• They not only regulate the pharmacists and the pharmacies, they also regulate pharmaceutical manufacturers

Summary: The committee approved the minutes and then heard several bills. HB 2686, sponsored by Rep. Heap, would require physicians performing surgeries at outpatient surgical facilities to annually and whenever changed provide the facility a call-coverage plan, including hospital coverage if applicable, to ensure patients have a known physician contact for complications; it passed 6-0 with one not voting. HB 2051 would require AHCCCS contractors, subject to CMS approval, to cover breastfeeding and lactation services in inpatient, outpatient, home-based, and group settings; supporters described the bill as improving maternal and infant health and AHCCCS said it was neutral with an estimated $1.8 million general fund cost, and it passed 6-0 with one not voting. HB 2837, a transparency bill for municipal zoning hearings, would require speakers to disclose compensation for testimony and require certain board members or hearing officers to disclose and recuse for recent ties to entities appearing before them; it passed 6-0 with one not voting. The committee also approved HB 2875, as amended, which clarifies local authority over commercial drone delivery systems and related land-use and zoning issues, including near airports; Zipline and industry supporters backed the bill as providing regulatory clarity, and it passed 6-0 with one not voting after adoption of the amendment. HB 2324 would let cities with their own fire codes, through an intergovernmental agreement, enforce those codes on county-owned buildings in city limits, with reporting requirements to the State Fire Marshal; county and fire-management representatives supported the measure as a clarification of jurisdiction, and it passed 6-0 with one not voting. HB 2439 would exempt single-user public or semi-public cold plunges from ADEQ pool rules, but the committee adopted an amendment removing ADEQ rulemaking authority; supporters said the bill would reduce confusion and regulatory burden, while one senator opposed it over public-health concerns, and it passed 4-2 with one not voting. HB 2457 would allow utilities to build certain co-located power plants without a certificate of environmental compatibility after notice and a public comment session, which opponents said would reduce public review and transparency for power plant siting, while supporters said it would streamline power development; it passed 4-2 with one not voting. Finally, HB 2953 would cap certain nondisciplinary and disciplinary civil penalties imposed by the State Board of Pharmacy at $25,000 in specified circumstances; a supporter said it matched limits used elsewhere and gave the board authority to use nondisciplinary actions, and it passed 6-0 with one not voting. The committee then adjourned.

Transcript Highlights:

• So the initial areas of focus, as I mentioned, are immunizations.
• And so that's another reason why immunizations are our real focus.
• And so that includes preserving access to immunization.
• There are the pharmacy benefit managers and all the other entities that manage benefits.
• There are pharmacy benefit management entities. And there are just a whole slew of entities.

Summary: The committee first welcomed new DSHS Secretary Angela Ramirez, who introduced herself and described her background in public service, federal and state legislative work, and health and human services leadership. Members emphasized the importance of building strong relationships with her and noted her focus on protecting services, using strategic approaches in a tight budget environment, and improving partnerships with the Legislature. Ramirez said she wanted to keep communication open and that her priorities would be shaped by what she learns from lawmakers and agency partners. The next work session focused on the West Coast Health Alliance and the broader Governor’s Public Health Alliance. Department of Health and governor’s office staff said the West Coast alliance, involving Washington, Oregon, California, and Hawaii, was formed to coordinate science-based public health guidance, especially around vaccines, return-to-work guidance, and responses to federal changes. They said the alliance is intended to reduce confusion, counter misinformation, and preserve access to evidence-based recommendations, with early actions including vaccine guidance for COVID-19, flu, and RSV, a statement rejecting any vaccine-autism link, and preparation for possible ACIP changes. Members asked about workload and coordination with other regional alliances, and staff said there is informal coordination but no formal regular meetings. The committee then heard from the Washington State Health Benefit Exchange about open enrollment and the effects of federal policy changes. Exchange leaders said the expiration of enhanced premium tax credits, HR1 provisions, and immigration-related eligibility changes are affecting affordability and enrollment, with some customers facing large premium increases and some counties becoming harder to serve. They reported early open-enrollment traffic increases, nearly 10,000 new sign-ups, and nearly 12,000 active coverage drops so far, while noting that many more people may disenroll later if subsidies are not extended. They also described mitigation efforts such as silver loading, Cascade Care Savings, outreach through navigators and community partners, and planning for future HR1 requirements like ending auto-renewal and adding verification steps. In the final work session, staff from the Health Care Authority and Insurance Commissioner’s office reviewed Washington’s health reform history and the state’s current affordability and access efforts. They highlighted past ACA-related coverage gains, continued work on prescription drug affordability, PBM oversight, primary care and behavioral health access, and a pending legislative proposal to preserve access to preventive services. They also discussed federal changes affecting Medicaid and the exchange, including work requirements, six-month redeterminations, and the need to coordinate across agencies to implement new rules. Members raised concerns about network adequacy, provider access, and the complexity of the health care system, while staff said they are trying to mitigate harm, simplify administration, and keep coverage and access as stable as possible.

Transcript Highlights:

• Robust tracking of product, and it's not like a pharmacy because marijuana medical is not a pharmacy;
• Robust tracking of product, and it's not like a pharmacy because marijuana medical is not a pharmacy;
• Robust tracking of product, and it's not like a pharmacy because marijuana medical is not a pharmacy;
• Robust tracking of product, and it's not like a pharmacy because marijuana medical is not a pharmacy;
• The doctor writes the script, the pharmacy fills it, and then there's mechanisms for the pharmacy to

Keywords: 912, senate, all

Summary: The committee first heard SB 888, which would bar operators of smart household security devices from sharing user data with law enforcement unless the user consents or police obtain a warrant. DCCA’s Office of Consumer Protection offered comments and Judiciary submitted written support. Several individuals also submitted written support. The committee recommended passage with amendments clarifying that the Office of Consumer Protection may enforce violations and adopting Judiciary’s recommended changes, while also deferring the effective date to July 1, 2050. The motion passed unanimously among members present, with one senator excused. The committee then took up SB 2777 on insurance disclosures. The bill would require authorized insurers to disclose claim-handling data to consumers, including claims open at the start of a period, closed with payment, closed without payment, and open at the end of the period. The committee described amendments to clarify the bill, remove a requirement for the DCCA insurance division to handle publication, and defer the effective date to July 1, 2050. The measure was passed with amendments and the recommendation was adopted, with one member voting no and another excused. In a joint Commerce and Consumer Protection/Judiciary hearing on SP2738 relating to tax haven abuse, the Department of Taxation offered comments and the Tax Foundation testified in opposition, arguing the state should rely on IRS audits and existing worldwide reporting rules rather than create a separate state approach. Other written testimony was noted in both support and opposition. The committees recommended passage with amendments adopting Taxation’s technical changes and deferring the effective date to July 1, 2050; the recommendation was adopted, with one senator noting reservations. The joint hearing then moved to health-related bills, including SB 2690 on primary care spending, SB 3103 on energy assistance, SB 3137 on Department of Health authority over food, drugs, and cosmetics, SB 3164 on child welfare service organizations, and SB 3206 on cannabinoids. SB 2690 drew strong support from physicians and advocates who said it would address primary care shortages, especially on neighbor islands, while HMSA and others warned a fixed spending percentage could raise costs and suggested a working group. SB 3164 drew support from child welfare providers and opposition from the Attorney General over indemnification language, and SB 3206 drew mixed testimony: state agencies raised federal-law and vagueness concerns, while hemp and cannabis advocates and some farmers supported the measure and urged broader legalization or amendments.

Transcript Highlights:

• upon real property, so as to prohibit or restrict the use of the property for a grocery store or pharmacy
• , is declared to be against public policy. prohibited voting. ...or pharmacy, is declared to be against
• In Lake City this fall, we lost our only major grocery store and our last standing pharmacy when the
• leaves... ...and really is focused on trying to make sure that if a grocery store or a pharmacy leaves
• We're asking for balance, not immunity, and we respectfully ask for your support of this proposal.

Keywords: 904, all

Summary: The Senate Committee on Business, Trade, and Economic Development waived the five-day notice rule to hear Engrossed Substitute House Bill 2274 and Engrossed House Bill 2294. HB 2274 would modify the Washington Commercial Electronic Mail Act by requiring false or misleading email subject lines to be knowingly false or misleading based on actual or fairly implied knowledge, and by reducing statutory damages from $500 to $100 or actual damages, whichever is greater. Rep. Larry Springer described the bill as a compromise reached among retailers, trial lawyers, consumer advocates, and the Attorney General’s office in response to a surge of lawsuits after a recent Supreme Court ruling; retail and consumer law witnesses generally supported the compromise as a temporary step, while one consumer attorney objected to the bill’s separate reduction in damages for commercial text messages and urged that provision be removed. The committee also heard HB 2294, which would prohibit private agreements such as deed restrictions or covenants that block grocery stores or pharmacies from operating on real property, with exceptions for existing agreements and limited relocation or retail-center situations. Rep. Daria Farvar said the bill was intended to prevent communities from being left without food or pharmacy access when stores close, citing her Lake City neighborhood as an example of the problem. Testimony from grocery industry representatives was generally supportive, with independent grocers and the Washington Food Industry Association backing the bill as a way to expand access, while the Northwest Grocery Retail Association said the bill was a good-faith compromise but asked for further language changes to protect certain retail-center investments. After public hearing, the committee moved into executive session on Substitute House Bill 2428, which requires insurers issuing individual life insurance policies to send lapse notices to policyholders and designated third parties. Staff said the Office of the Insurance Commissioner estimated a $35,000 operating cost and no amendments were offered. The committee voted to give SHB 2428 a do-pass recommendation and send it to the Rules Committee, with the motion passing subject to signatures.

Transcript Highlights:

• </c><01:10:00.080><c> severely</c> hospital policy was to immunize severely hospital policy was to immunize
• </c> appointment or take them to a pharmacy. appointment or take them to a pharmacy.
• </c> in the school rather than at a pharmacy in the school rather than at a pharmacy and<02:09:02.159
• </c> pharmacy that is open until 9:00. pharmacy that is open until 9:00.
• </c> mentioned the pharmacies mentioned the pharmacies really<02:31:34.720><c> I</c><02:31:34.960><c>

Keywords: 1189, house, all

Transcript Highlights:

• But as a licensed Oklahoman, if I don't pay my taxes, I can't renew my pharmacy license.
• But as a licensed Oklahomaan, if I don't pay my taxes, I can't renew my pharmacy license.
• So they're already tracking the immunization record of the child?"
• records, or it should include immunization records.
• records, or it should include immunization records.

Bills: SB1983, SB444, SB1503, SB1561, SB592, SB1501, SB1946, SB1567, SB1833, SB2026, SB904, SB2178, SB1651, SB1558, SB1565, SB1553, SB1257, SB65, SB1749, SB1242, SB1642, SB640, SB667, SB1436, SB1484, SB1562, SB1794, SB1644, SB1533, SB933, SB1555

Keywords: SB1983, foster care, resource family partner, resource family partners, Department of Human Services, DHS, child welfare, foster homes, foster children, placement data, data sharing, de-identified data, aggregated data, sibling groups, placement disruptions, foster parent recruitment, foster parent retention, private child-placing agency, Title 10A, Oklahoma

Summary: The committee opened with prayer and then heard a long series of Senate bills, many of them agency request or cleanup measures. Early bills included SB 1983, directing DHS to provide foster care data to resource family partners to better identify foster family needs; SB 444, allowing hospice personnel to control or destroy controlled substances after a patient’s death; and SB 1503, a PCS related to pregnancy resource center outreach and in-state referrals, which drew discussion about virtual versus face-to-face support and was reported out after members agreed to continue working on the language. Other measures advanced included SB 1561 on progressive discipline for certain M.T.M.S. personnel, SB 592 and SB 1946 on alcohol-related licensing/sales issues, SB 1501 and SB 1567 as cleanup or implementation bills, and SB 1833 codifying a SNAP waiver barring candy and soft drinks purchases. The committee also considered several health and human services bills. SB 2026 expanded access to military discharge papers to grandchildren; SB 904 addressed public funds and state facilities, with members raising concerns about legislative interference in medical decision-making and liability; SB 2178 modified alcohol licensing insurance requirements; SB 1651 updated Oklahoma Medical Board license language; SB 1558 clarified the definition of a child for level E group homes; SB 1565 promoted Food is Medicine efforts to improve maternal and infant outcomes; and SB 1553 required psychologist review of appealed adverse determinations involving mental health claims. SB 1257, with a policy recommendation, expanded THC/controlled substance language to align with federal guidelines, and SB 1749 made a cleanup change related to food trailers and LP gas inspections. Later in the meeting, the committee advanced SB 65 with a policy amendment adding fentanyl and xylazine test strips; SB 1242, which included OMMA education and abandoned grow cleanup provisions; SB 1642, allowing shorter acute prescriptions to help reduce addiction risk; SB 640, treating abandoned grow facilities as public nuisances so local governments can abate them; SB 667, clarifying accreditation language for chiropractic programs; SB 1436, requiring hospitals to provide information on obtaining records after stillbirth or miscarriage; SB 1484, codifying medical examiner practices in infant or child deaths; SB 1562, addressing hospice patient solicitation; SB 1794, creating a mental health bed-availability database; SB 1644, seeking data on alpha-gal syndrome to support federal research funding; SB 1533, ensuring burial assistance for Oklahoma veterans who die out of state; SB 933, creating a right-to-try pathway for individualized treatments; and SB 1555, aligning the definition of intellectual disability with federal law. Most bills were reported out do pass, with recorded votes ranging from unanimous to a few nays on some measures. SB 1304 was laid over, and the committee adjourned at the end of the meeting.

Transcript Highlights:

• I am the chief pharmacy officer for Western Health Advantage.
• So you will see it at the pharmacy.
• It's when you go to the pharmacy.
• At the pharmacy? Yeah, at the pharmacy. Okay.
• At the pharmacy. Yeah, at the pharmacy. Okay.

Summary: The Assembly Health Committee heard several measures, beginning with SB 331 by Sen. Menjivar, which would require large-group health plans to cover hearing aids for children. The author and supporters described the bill as a long-running effort to address a developmental emergency and reduce out-of-pocket costs for families, while opponents were absent. Testimony from parents, advocates, medical experts, and organizations emphasized the importance of early access to hearing aids; committee members voiced strong support, and the bill was moved on a do-pass basis to Appropriations, with several members requesting to be added as coauthors. The committee then heard SB 608, also by Sen. Menjivar, to expand access to condoms in school-based health centers and related settings and to prevent barriers such as ID checks. Supporters, including students and school health advocates, argued the bill would improve sexual health and reduce stigma, while opponents from family and faith groups argued it would undermine parental authority and normalize early sexual activity. The bill was supported by committee members and moved forward on a do-pass basis to Appropriations. Next, SB 971 by Sen. Choi proposed community-based healthy aging partnerships for older adults, with testimony from the California Senior Legislature and supporters from aging and dementia organizations. The measure was described as voluntary and focused on connection, independence, and local collaboration; there was no opposition, and the committee moved it on a do-pass basis to Appropriations. The committee also heard SB 869 by Sen. Weber Pierson, which would require warning icons and statements on chain restaurant menus for beverages with very high added sugar content. Supporters framed it as a transparency and public health measure, while restaurant and beverage industry representatives opposed it unless amended, citing cost and menu-space concerns; the bill was nevertheless moved on a do-pass basis to Appropriations after a roll call vote, with some members voting no and the measure placed on call. The committee also considered SB 950 by Sen. Weber Pierson, aimed at ensuring timely coverage of FDA-approved, medically necessary treatments for early-onset Alzheimer’s disease on commercial plans. Supporters, including the Alzheimer’s Association and a patient advocate, said the bill would reduce delays and barriers to care, while health plan representatives opposed it over step therapy and utilization-management concerns. Members discussed the limited treatment window and the need for early access, and the bill was moved on a do-pass basis to Appropriations. In addition, SB 490 by Sen. Umberg would set timelines for DHCS investigations of unlicensed sober living homes and allow counties to assist if the department cannot act in time; supporters from Anaheim and a patient-brokering survivor described serious abuse and oversight gaps, while county behavioral health representatives opposed the county role as an unfunded and potentially liability-creating burden. After discussion, the bill was also moved on a do-pass basis to Appropriations. Finally, the committee began hearing SB 1037 by Sen. Weber Pierson on health insurance affordability and rate review, with supporters arguing it would tie premium increases more closely to affordability targets and public reporting; the transcript cuts off before the committee completed action on that measure.

Transcript Highlights:

• And this legislature is not<00:27:05.440><c> immune</c><00:27:06.000><c> to</c><00:27:07.039><c> not<
• :27:07.679><c> it</c><00:27:07.919><c> a</c><00:27:08.159><c> full</c><00:27:08.480><c> 3</c> not immune
• You passed a mandate two sessions ago when you resolved a disagreement on pharmacy benefits.
• You passed a mandate two sessions ago when you resolved a disagreement on pharmacy benefits.
• Chairman. pharmacy benefits. The legislature has pharmacy benefits.

Bills: HB424, SB63, SB269

Keywords: HB424, Montgomery County, sheriff, county sheriff, salary increase, expense allowance, local act, county general fund, retirement contributions, public official compensation, law enforcement pay, elected official salary, Montgomery County legislation, sheriff compensation, term-based salary, immigration, law enforcement, fingerprints, DNA collection, illegal aliens

Transcript Highlights:

• In 2024, another 32 pharmacies closed, including our pharmacy in Faribault.
• their only pharmacy.
• Unfortunately, pharmacies open pharmacy.
• closing</c> pharmacy.
• Pharmacies are also closing pharmacy.

Keywords: 1187, senate, all

Transcript Highlights:

• Because in Broward County, the herd immunity is 82%.
• Herd immunity, as we just heard, is dropping tremendously.
• When you go to these countries, you need to be immunized.
• This medication, if somebody goes into the pharmacy, This medication, if somebody goes into the pharmacy
• or community immunity.

Keywords: 998, house, all