Video & Transcript Research : 'general manager'
Page 177 of 500
NH
New Hampshire 2026 Regular Session
House Labor, Industrial and Rehabilitative Services (04/14/2026)
Labor, Industrial and Rehabilitative Services
Transcript Highlights:
- general plan today. general plan today.
- this in general? this in general?
- It's not manageable.
- can't manage it. It's not manageable. can't manage it. It's not manageable.
- Generous to whom? >> Thank you, Mr. Chair. Generous to whom?
Summary:
The committee opened its labor hearing on SB 655 and outlined the day’s schedule, including a later working session on SB 416 and an executive session planned for 2:30 p.m. Senator Dan Innis introduced SB 655, describing it as a technical bill affecting employee leasing companies/professional employer organizations (PEOs), workers’ compensation coverage, and a Senate-added minimum wage exemption for minor league baseball players covered by a collective bargaining agreement. He said the PEO change would let either the PEO or the client business hold workers’ comp coverage, while still requiring coverage, and argued it would align New Hampshire with most other states and reduce barriers for small businesses and multi-state employers. He also said the baseball provision would clarify wage treatment for minor league players and support the Manchester team.
Justin Warell of Insperity testified in support of the PEO portion, explaining that PEOs provide HR, payroll, benefits administration, and workers’ compensation administration through a co-employment model. He said the bill would preserve mandatory coverage while allowing flexibility for the client or PEO to maintain the policy, which could help clients who already have preferred coverage or who face cost or administrative issues in multiple states. He noted that most clients would still remain under the PEO’s policy and said Insperity would submit written comments. Committee members asked about how the arrangement would work, whether the client or PEO would pay, and whether the bill would affect liability insurance packaging; Warell said the employer still bears the cost and that the bill mainly gives larger clients an option. One member asked him to remain available for possible follow-up after hearing from the labor department.
Stephen Gonzalez of Major League Baseball testified in support of the minor league baseball exemption. He said MLB and the MLB Players Association negotiated a collective bargaining agreement that already provides players with salary, housing, meals, per diems, health and retirement benefits, disability continuation, tuition assistance, and signing bonuses. He argued that treating players as hourly workers creates impractical time-tracking problems because players do work-related activities on their own time, and said the bill would recognize them as salaried workers and avoid litigation over what counts as hours worked. Committee members questioned why the exemption was needed if players are already salaried and whether MLB could simply amend its CBA; Gonzalez said the bill would help prevent wage-and-hour lawsuits and noted that similar exemptions have been enacted in other states. No vote was taken during the hearing, and the chair indicated the bill would be considered for executive action later that afternoon.
WY
Wyoming 2026 Regular Session
Capitol Interpretive Exhibits and Wayfinding Subcommittee, May 7, 2026
Capitol Interpretive Exhibits and Wayfinding Subcommittee
Transcript Highlights:
- <00:52:06.240>
contractor have a single GC or general contractor have a single GC or general - and management activities.
- <01:27:44.800>
and <01:27:45.040>management joint preservation and management joint - <01:30:34.080>
meeting <01:30:34.480>management event management meeting management - event management meeting management really<01:30:35.199>
being <01:30:35.679>good <01:30
NH
New Hampshire 2025 Regular Session
House Finance Division III (02/26/2025)
Transcript Highlights:
- <00:03:09.000>
court your attention to the general court your attention to the general court - state general funds.
- state general funds.
- 2022 uh on the federal and a general 2022 uh on the federal and a general fund<01:04:25.039>
- we've seen an increase in in general we've seen an increase in in general fund<01:05:27.640>
Summary:
The Division 3 House Finance Committee opened a work session and announced scheduling updates, including a second Medicaid work session on March 5 at 9:00 a.m. and a reminder that recommendations or budget amendments must be moved to the full finance committee by the end of March. Members were told no motions, roll calls, or votes would be taken, and the chair also reviewed upcoming meeting dates and weather-related cancellation procedures. The day’s presentation was a budget work session on the Division for Children, Youth and Families (DCYF), with officials Marie Nunan and Nathan White introducing the agency’s budget materials and mission.
DCYF’s presentation focused on its core mandates and recent operational changes. Officials described child protective services, juvenile justice services, and the Sununu Youth Services Center, then highlighted workforce improvements, including reduced vacancy rates for assessment caseworkers, juvenile justice officers, and youth counselors. They attributed the staffing gains to legislative pay raises, mass recruitment posting changes, a more stable and trauma-informed model at SYC, and broader flexibility after prior budget cuts and hiring freezes. Members asked about full-time versus part-time staffing, and DCYF said most positions discussed were full-time, with some harder-to-fill part-time youth counselor roles at SYC.
The committee also discussed DCYF’s emphasis on serving families earlier through its Community Navigator hotline referrals and community-based voluntary services, which are intended to connect families to supports before abuse or neglect escalates. Officials said the Community Navigator program had received 807 referrals since August 2023. On juvenile justice, DCYF described its assessment and diversion process and said it had reduced juvenile probation involvement by 30% from 2019 to 2023; members were directed to slide 17 for 2024 data, and officials said the trend continued toward fewer in-home juvenile justice cases. The agency also reported progress in kinship care, saying initial out-of-home placements with kin now occur 74% of the time and that kinship placements are associated with more reunification. Officials said kinship caregivers are being licensed and paid similarly to foster parents, and that the legislature’s kinship law has helped. Finally, DCYF outlined transition-age youth supports, including the HOPE program, Youth Villages LifeSet, and housing vouchers. No votes or formal actions were taken.
FL
Florida 2026 5th Special Session
Environment and Natural Resources Oct 7th, 2025
Transcript Highlights:
- There’s development that we do in our land management operations of managing vast swaths of land across
- He said that was one species the state was not managing.
- And now, with the passage of that, will be part of Florida's DNA for generations to come.
- So to me, that's more of a conservationist, of managing, being a good steward of our land.
- I want to talk a little bit more about the derelict vessel management and how we're doing that.
Summary:
The Senate Environment and Natural Resources Committee first took up the appointment of Joshua Kellum to the Fish and Wildlife Conservation Commission (FWC). Kellum described his background in diversified land, agricultural, materials, and real estate operations and said he views himself as a conservationist. Senators questioned him closely about his development background, the balance of perspectives on the commission, his vote supporting the black bear hunt, and the use of Fish and Wildlife Foundation funds for the “Yes on 2” campaign. Supporters argued he is primarily a land steward and conservation-minded landowner, while opponents said the commission is already dominated by developers and lacks scientific or conservation expertise. After debate, the committee voted to recommend Kellum’s confirmation, with Senator Smith voting no and the rest of the voting members in favor.
The committee then received a presentation from FWC on implementation of recently enacted boating and vessel laws. Bill Holcomb outlined changes under SB 1388 (the Boater Freedom Act), including limits on vessel stops and boarding, a new Florida Freedom Boater Safety Inspection decal, and revised rules for Springs Protection Zones. He also reviewed SB 164 on derelict and at-risk vessels, including new enforcement tools, a long-term anchoring permit, and updated penalties; HB 289, Lucy’s Law, which strengthens boating safety penalties and education requirements; SB 830 on the disposition of migrant vessels; and HB 735 on water access facilities and boating infrastructure. Holcomb said FWC is in rulemaking, training officers, and updating forms and permitting systems to implement the laws.
Members asked follow-up questions about derelict vessel cost recovery and whether penalties go back to the state, and about the Springs Protection Zone standard. Holcomb said the state can recover removal costs from responsible owners and that the new springs standard requires “significant harm” and that vessel activity be the predominant cause, with subject matter experts and partner agencies helping make those determinations. He said Silver Glen Springs remains a proposed zone but was paused pending the new criteria and rulemaking. The committee took no further action on the presentation and adjourned after completing the agenda.
WA
Washington 2025-2026 Regular Session
House Postsecondary Education & Workforce Dec 5th, 2025
Transcript Highlights:
- So that one is very general.
- is a very general.
- that when hiring managers were given recommendations by AI models with racial biases, those hiring managers
- Our support at the state has had to be very generic.
- I could talk more in generalities.
Summary:
The committee spent much of the meeting hearing presentations on student mental health supports at Central Washington University, Washington State University, the University of Washington, and the State Board of Community and Technical Colleges. CWU described high levels of student distress, loneliness, anxiety, depression, suicidal ideation, and basic-needs insecurity, along with a campus-wide holistic well-being model that includes behavioral intervention teams, emergency aid, peer outreach, community partnerships, and a collegiate recovery community. WSU emphasized loneliness, common presenting concerns such as anxiety, depression, PTSD, and relationship distress, and the role of housing and residence life, resident advisors, living-learning communities, and coordinated crisis response in identifying and supporting students. UW highlighted prevention and support programs through LiveWell, including alcohol and other drug consultations, confidential advocacy, suicide intervention, student needs navigation, peer health educators, and peer wellness coaches. The community and technical college system reported persistent access barriers, especially for students ages 18 to 24 and those facing housing or food insecurity, and said the legislature-funded mental health pilot at four colleges expanded counseling access, telehealth, and referral pathways, while broader system efforts focus on awareness, telehealth, basic-needs supports, and workforce training in behavioral health fields.
Members asked each panel how they gather student feedback, and the institutions said they use surveys, evaluations, and ongoing outreach to students in services. Questions also focused on substance-use and recovery resources, Greek life outreach, and whether colleges have enough licensed mental health staff versus academic advisors; the community college board said not all colleges have licensed mental health providers on staff, and some rely on community contracts or telehealth. The committee also discussed whether counseling services are increasing because of post-pandemic effects or because students are more willing to seek help, with presenters saying both factors likely play a role.
The committee then shifted to artificial intelligence in higher education. Washington State University, the University of Washington, Western Washington University, and the community and technical college system described campus AI task forces, governance structures, and efforts to set policies for students, faculty, and staff. Presenters said institutions are requiring course-level AI use statements, promoting ethical and transparent use, expanding access to approved tools such as Microsoft Copilot, and using AI for teaching, research, advising, and administrative support while guarding privacy, equity, and academic integrity. Members raised concerns about deepfakes, bias, student monitoring, and whether AI should be used to screen applications or evaluate student work; presenters said human review remains essential and that some institutions prohibit AI use in hiring or admissions screening. The final presentation, from OSPI, described the statewide rollout of the School Links high school and beyond plan platform under 2023 legislation, saying it will standardize career and college planning across K-12, provide better data and student guidance, and connect students to postsecondary pathways and employers; OSPI said the rollout is underway but current funding only extends through June 30, 2026.
HI
Hawaii 2025 Regular Session
House Chamber - Adjournment Sine Die Fri May 2, 2025, 12:00PM HST - Day 60
Hawaii House Floor Meeting
Transcript Highlights:
- <00:27:33.120>
Sanana Waldrip. my office manager Sanana Waldrip. my office manager Sanana - I have Re Mahelia and my office manager, Ruby.
- It is estimated that Wiki's annual generates close to $2 billion.
- to $2 annual annually generates close to $2 billion. billion. billion.
- Thank you, Madam generations to come. Thank you, Madam Speaker.
NM
New Mexico 2025 Regular Session
House - Appropriations and Finance Jan 24th, 2025
House Appropriations & Finance
Transcript Highlights:
- To try to do good management, but you can't legislate good management.
- So, I think that's harder to manage.
- The executive recommended $3,000 more from the general fund than LFC.
- Both recommendations include just a small general fund increase of 1.9.
- computer programs and case management tools.
CA
California 2025-2026 Regular Session
Assembly Emergency Management Committee Apr 23rd, 2026
Transcript Highlights:
- So again, the general standard is in a conspicuous location where the employees are.
- Other states are deploying Next Generation 911.
- Citizens of California deserve to have Next Generation 911 deployed in the state as well.
- Certainly, this is going to be a general one-time... Woods, you know, at home.
- I feel more like a marketing manager and advertising manager than I feel like a fire safety person with
Summary:
The committee heard several bills related to public safety, emergency response, wildfire prevention, and environmental protection. AB 2152 by Assembly Member Mark Gonzalez would streamline CEQA litigation for new fire station projects and add best-practice requirements; supporters, including firefighters, said it would help communities and firefighter safety, while opponents argued the project labor agreement requirements would raise costs and limit participation for small and nonunion contractors. The bill passed to Appropriations. AB 2041 by Assembly Member Carrillo would expand reporting related to 911 dispatcher pre-arrival medical instructions; after amendments and stakeholder agreement, opposition groups said they would remove their opposition, and the bill passed to Appropriations. AB 2101 by Assembly Member Gipson would require human trafficking notices and training at disaster sites and for disaster response workers; supporters said it would protect vulnerable workers, while broadband, city, and county representatives raised implementation concerns, especially in rural disaster areas. It passed to Appropriations despite a no vote from Vice Chair Hadwick.
The committee also considered AB 1805, which would require an audit and stronger oversight of the state’s Next Generation 911 project after concerns about major spending and delays. CalNENA supported the bill’s transparency and accountability provisions, and the measure passed to Appropriations. AB 1536 by Assembly Member Addis would tighten safety and public review requirements for offshore oil pipeline restarts and require decommissioning of certain spill-prone pipelines; environmental and coastal government groups supported it, while the Western States Petroleum Association warned it would threaten fuel supply and pipeline operations. The bill passed to Appropriations on a divided vote. AB 1964 would direct the State Fire Marshal to survey home hardening in fire-prone areas and estimate costs; it passed to Appropriations with broad support.
AB 1960, also by Assembly Member Bennett, would use a portion of wildfire prevention grants to encourage community-level home hardening certification. The author said the bill would create incentives and broader public awareness, while the vice chair argued it would favor communities that can already afford hardening and divert resources from higher-need areas; the bill still passed to Appropriations. AB 1863 by Assembly Member DeMaio would clarify that people cannot be charged simply for calling 911 or when no services are rendered, while preserving fees for actual services and allowing billing for legitimate emergency response costs; it passed to the Assembly floor. The committee also took up consent item AB 2517, which passed to Appropriations. After add-on votes for absent members, the meeting adjourned.
TX
Transcript Highlights:
- The Attorney General shall prosecute. and by authorizing the Office of the Attorney General to do so
- Are you carrying this bill for the Attorney General? Yes, ma'am.
- So first of all, the Attorney General does more than just that.
- Only then does the Attorney General step in.
- I mean, that would be the Attorney General.
Bills:
HB842, HB1907, HB2844, HB2892, HB3439, HB4211, HB4536, HB5111, HB5138, HB5182, HB5247, HB5269, HB5323, HB5435, HJR201, SB871, HB3896, SJR40
Keywords:
power lines, Gulf Coast, weather-related outages, Public Utility Commission, infrastructure, government contracts, Chinese companies, information technology, cybersecurity, state regulations, food safety, mobile vendors, licensing, permitting exemptions, health inspections, nonprofit organizations, personal information, government disclosure, privacy, criminal penalties
NM
Transcript Highlights:
- As you'll see, the LFC recommendation increases general fund revenue by $2.5 million.
- So, it added $89,400 in general fund revenue to the LFC's personnel recommendation.
- is getting 4 million for a case management order.
- During the application timeframe, that's generally a 9 to 12 month timeframe.
- So I would say generally we've learned quite a bit.
Keywords:
State Fairgrounds District, fairgrounds bonds, public financing, bond authorization, gross receipts tax, gaming tax, tax-backed bonds, infrastructure funding, Albuquerque fairgrounds, State Fair Tid, economic development, municipal bonds, revenue pledge, capital projects, New Mexico finance, special education, office of special education, deputy secretary, public education department, IEP
MN
Transcript Highlights:
- medical management.
- He asked if, and said that maybe she needed full medical management or more medical management.
- The cross-institutional program management team, PMT, is responsible for the oversight, management, and
- The project budgets are reviewed quarterly between the management team and the program finance manager
- team and the program finance management team and the program finance manager<00:44:48.240>
to
HI
Transcript Highlights:
- On behalf of the House, myself as Chair and Representatives Chun and Ric as managers.
- And on behalf of the House, we have myself as Chair, Representative Chun, and Ric as managers.
- Tucci and manager Reyes Oda. Okay. Thank you, Chair.
- So the recommendation of the House and Senate managers is to pass this with amendments.
- We have House conferees: myself as chair, Mahi Akai, Sean, Holt, and Matsumoto as managers.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Bonding, Capital Expenditures and State Assets Jun 21st, 2026 at 01:00 pm
Joint Committee on Bonding, Capital Expenditures and State Assets
Transcript Highlights:
- set of focused capital initiatives that address key infrastructure challenges such as lifecycle management
- It includes $500 million for bridge and pavement lifecycle asset management.
- No, so the $185 million and the $500 million are both going into programs that MassDOT manages, so they're
- just released at the end of June, includes Chapter 90, as it has in past years, $200 million with general
- Program... ...Road and Bridge Lifecycle Assessment Management Program, as well as the $185 million in
Summary:
The Joint Committee on Bonding, State Assets, and Capital Expenditures held its first public hearing on House Bill 4257, a transportation bonding bill. The administration testified in support, describing the bill as a $1.185 billion authorization: $300 million for Chapter 90 municipal road funding and $885 million for statewide transportation capital programs. Officials said the bill would increase municipal aid by 50%, with $200 million distributed under the traditional Chapter 90 formula and $100 million based solely on road mileage to better help rural communities. They also highlighted $500 million for bridge and pavement lifecycle asset management, $200 million for culverts and small bridges, and $185 million for congestion, safety, ADA, sidewalk, and multimodal improvements. Committee members asked about how municipalities would apply, how the road-mile formula would affect rural towns, and how the bill would interact with federal funding uncertainty and debt financing. Administration witnesses explained that projects would be administered through MassDOT district offices and Grant Central, that the bill would not backfill rescinded federal funds, and that the proposal would likely use special obligation bonds backed by Fair Share revenues to reduce pressure on the Commonwealth’s general obligation debt limit.
Members also pressed the administration on the shift from general obligation to special obligation financing and on whether the Chapter 90 increase keeps pace with inflation. Administration officials said the special obligation structure would be credit-rated separately and was intended to expand available capital without affecting the GO bond cap, while acknowledging that the Commonwealth’s debt portfolio would grow. They said the Chapter 90 increase would roughly restore purchasing power lost since 2012, though construction inflation has outpaced general inflation. Several members and witnesses emphasized the importance of the road-mile formula for rural communities and the need for technical assistance for small towns.
The Massachusetts Municipal Association testified in strong support of the bill, calling Chapter 90 and the new infrastructure authorizations critical for cities and towns facing federal uncertainty and rising costs. The Massachusetts Aggregate and Asphalt Pavement Association also supported the bill, citing the importance of the funding for road and bridge work, the construction season, and the industry’s economic impact. A committee member asked about asphalt price inflation, and the witness said liquid asphalt costs rose sharply after COVID, including increases of around 20% in some years. At the end of the hearing, the chair said members would receive a poll by email to move the bill out quickly, and the committee then voted to adjourn.
MN
Minnesota 2025-2026 Regular Session
Environment Committee Meeting - 2025-04-01
Environment and Natural Resources Finance and Policy
Transcript Highlights:
- management.
- Brad Parsons, Fisheries Section Manager for the Minnesota DNR.
- Generally, north of I-94, deer hunters across the state enjoy the use of a rifle.
- South of I-94, approximately, the use of shotgun and pistol is generally used for deer.
- I'm a section manager within the Division of Ecological and Water Resources.
Keywords:
water appropriation, aquifer management, potable water, water conservation, environmental policy, fishing regulation, angling, sustainability, biodiversity, game fish, Carley State Park, Minnesota state parks, state lands, park boundary expansion, Wabasha County, Department of Natural Resources, DNR, public lands, land acquisition, park addition
NH
New Hampshire 2026 Regular Session
Senate Energy and Natural Resources (04/21/2026)
Energy and Natural Resources
Transcript Highlights:
- In general, we're in support of the bill.
- So, one generating these compounds.
- 1100 service connections and manages 1100 service connections and manages wastewater<01:40:18.480
- Uh we risk managing land application.
- So that was kind of cool. look at 12F in general, um, uh, my look at 12F in general, um, uh, my chairwoman
CA
California 2025-2026 Regular Session
Assembly Business and Professions Committee Jun 23rd, 2026
Transcript Highlights:
- Sean Hoffman with the Pharmaceutical Care Management Association, in support.
- So those are just my general concerns. I'm going to see it again in Health.
- than a generic med.
- I'm happy to vote aye today because I'm going to see it in Emergency Management.
- I'm happy to vote aye today because I'm going to see it in Emergency Management.
Summary:
The committee heard several bills, beginning with SB 1312 by Senator Richardson on abandoned endowed-care cemeteries. Richardson described vandalism, theft, and neglect at abandoned cemeteries and said the bill would define abandonment, create a process for local governments to declare a cemetery abandoned, and allow the Bureau to act as conservator of endowment funds. Support came from Marin County, while county and special district groups opposed or had concerns, arguing the bill could shift burdens to local governments or public cemetery districts without enough safeguards. Members expressed general support but noted the need for further work; the bill was discussed but no final vote was taken in the excerpt.
The committee then took up SB 758 by Senator Umberg, which would restrict retail sales of nitrous oxide to curb misuse. Supporters, including the League of California Cities, narcotic officers, counties, pediatricians, and other local governments and health groups, said easy access at smoke shops and convenience stores has fueled recreational abuse and health harms. There was no opposition testimony, and members voiced strong support for a statewide approach over city-by-city bans. The bill was well received, with the author closing in support.
Dr. Weber-Pierson presented SB 1094, a health care affordability bill on biosimilars and biologic substitution. The bill would allow pharmacists to substitute biosimilars under certain conditions, require advance notice to providers and patients, and add reporting on savings; the author said amendments would strengthen provider notice and preserve the ability to mark prescriptions “do not substitute.” Supporters from health plans, insurers, pharmacies, labor, business, and some provider groups argued the bill would lower costs and expand access. Opponents, including dermatology and rheumatology groups and biotech interests, warned about non-medical switching, prior authorization delays, and patient harm. After extensive discussion, the committee voted 13-0 to pass SB 1094 to the Committee on Health.
The committee also passed SB 849 by Dr. Weber-Pierson, which would bar reinstatement of physicians who surrendered their licenses while a sexual misconduct accusation was pending. The Medical Board and California Medical Association were generally supportive or neutral, and members praised the bill’s patient-protection focus. SB 993 by Senator Ochoa Bogh, which limits routine disclosure of identifying information for mental health professionals in correctional and psychiatric settings while preserving complaint processes, also passed unanimously to Appropriations. SB 1002 by Senator Niello, extending the David Hall Act to allow certain patients in remission to continue telehealth care with out-of-state specialists, drew strong patient support but opposition from the Medical Board and CMA over licensure and oversight concerns; the committee voted it out on a split roll with some members not voting. Finally, SB 1263 by Senator McGuire, aimed at protecting wildfire survivors and workers by requiring licensed, trained contractors for post-disaster residential debris removal, received support from labor and the Contractors State License Board, with contractors raising a narrower amendment concern about scope.
MN
Minnesota 2025-2026 Regular Session
Fraud Committee Meeting - 2025-09-17
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- There are indications of fraudulent AI-generated healthcare records.
- Thank you, Inspector General Clark. Thank you, Madam Chair.
- Inspector General Clark calls community tips.
- General Clark. Thank you, Rep. Greenman.
- Thank you, General Clark.
KY
Kentucky 2026 Regular Session
Medicaid Oversight and Advisory Board. (2-23-26)
Transcript Highlights:
- Uh, I think we generally share it.
- Zepbound or management medications.
- >
separate <00:38:16.079>program generous program is a separate program generous program - fee is generally adequate for lowerc<01:10:17.040>
cost <01:10:17.280>generics, <01:10: - dialysis, or chronic disease management. dialysis, or chronic disease management.
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.
CA
California 2025-2026 Regular Session
Assembly Floor Session Apr 23rd, 2026
California House Floor Meeting
Transcript Highlights:
- We have Mayor Eric Olson, City Manager Sal Mendez, Assistant City Manager Sarah Gallagher, and Assistant
- City Manager Nari Lopez.
- City Manager Sal Mendez, Assistant City Manager Sarah Gallagher, and Assistant City Manager Nari Lopez
- We're joined by City Manager Nick Wells and Councilman Mike Goodsell.
- My other brother donated to him, and that will go on through generations.
Summary:
The Assembly convened after a quorum call, prayer, and pledge, then dispensed with reading the journal and moved through a large number of procedural items, including deeming 102 second-reading items read and amendments adopted. The body also approved several floor motions, including suspending rules for guest access and committee noticing, moving AB 2595 to second reading, and sending ACR 110 to the inactive file. Numerous local officials and community representatives were introduced from cities including South Pasadena, Isparia, Beverly Hills, Santa Monica, Palmdale, Holtville, and Lindsay.
On the floor file, several measures were taken up and passed. AB 1673 by Hadwick, allowing county fish and game commissions more flexibility to use certain funds for wildlife conflict prevention, passed 62-0. ACR 143 by Pacheco, proclaiming April 19-25 as California Cities Week, was adopted with 65 co-authors added. AB 1982 by Lowenthal, removing sunsets from existing anti-drink-spiking requirements for certain establishments, passed 68-0. ACR 158 by Solache, recognizing April 2026 as Donate Life Month, was adopted with 74 co-authors added after testimony about organ donation and transplant needs. AB 1908 by McKinnor, authorizing counties to establish victim compensation funds for survivors of abuse involving public agencies, passed 71-0. AB 2052 by Stephanie, aimed at ensuring continuity for vulnerable victims in criminal cases by allowing the same prosecutor to remain on a case, passed 62-0. ACR 178 by Flora, recognizing April 21 as National Rendering Day, was also adopted with 69 co-authors added.
The second-day consent calendar and remaining listed items were then approved, with all votes recorded at 69-0 and no items removed. The Assembly also heard an adjournment in memory from Assembly Member Haney for Mary Dallas Armstrong of San Francisco, followed by announcements of committee meetings and the next floor session. The House adjourned until Monday, April 27, at 1 p.m.
HI
Transcript Highlights:
- Alana Bryant, Deputy Attorney General, to summarize our comments: current law generally allows for a
- Deputy Attorney General Andrew Kim.
- We are the national trade association for pharmacy benefit managers, and pharmacy benefit managers are
- of the pharmacy benefit management of the pharmacy benefit management companies<01:49:20.360>
- herself or himself about how to manage herself or himself about how to manage their<02:15:48.599
Summary:
The committee first took up SB 1494 on hearing aids. Testimony was generally supportive of expanding hearing-aid coverage, with the Insurance Division raising concern about possible federal defrayment issues, SHPDA supporting the goal of hearing augmentation, DCAB strongly supporting the bill as an important access issue, and health plans and insurers asking for amendments. Kaiser Permanente and the Hawaii Association of Health Plans requested changes to add a medical-necessity standard and clarify annual notice language, while HMSA suggested the proposal should be studied by the auditor. The chair noted concerns about federal preemption and the lack of an audit, and deferred the bill in favor of a related resolution calling for a study.
The committee then heard SB 1448, an emergency appropriation for the Hawaii State Hospital. DAGS and the Department of Health supported the measure, with the hospital administrator saying the funding would improve the environment of care, support cleaning, and allow a third-party review of the building. Committee members questioned the size of the request and the status of litigation against the design-builder. Administration witnesses said they were pursuing a comprehensive study involving destructive testing, had made a demand on the design-builder to fund the study, and were using different processes than before. They also said the roof work would be handled through a separate CIP request. No final action was taken in the portion provided.
The committee next heard SB 1432, relating to the future responsibilities of the Department of Health and land issues at Kalaupapa after the last patient dies. DOH supported the bill in part but said its long-term role would be limited mainly to environmental cleanup, with operations expected to continue under the National Park Service and land-use decisions left to DHHL and beneficiary consultation. DHHL asked that the measure reflect that any land-use or zoning changes on homeland lands require commission approval and beneficiary consultation. Testifiers from Kalaupapa and Maui County, including Degra Vanderbilt-Papa and Council Member Keani Rollins-Fernandez, supported deferring the bill, saying there had been no meaningful community discussion about provisions affecting Kalaupapa’s future management and possible transfer of responsibilities to Maui County. The committee also read into the record written testimony from Gloria Marks emphasizing that Kalaupapa stakeholders must be included in future discussions.
Finally, the committee heard SB 955 on fitness-to-proceed examinations. The Judiciary and the Public Defender’s Office both supported raising pay and standardizing expectations for private examiners, but opposed reducing felony fitness evaluations from three examiners to one and opposed expanding use of expedited reports. They argued that a single examiner would reduce reliability, create a more adversarial process, and likely increase costs and contested hearings, while expedited reports do not contain enough information for a proper fitness determination. The Department of Health also supported the bill’s intent but asked to preserve a three-examiner framework and said the goal was to reduce the number of people sent to the State Hospital, where admissions have reportedly risen about 20% year over year since Act 26. The bill remained under discussion in the excerpt, with no final vote shown.