Transcript Highlights:

• We represent pharmacists, pharmacy technicians, and future pharmacists in all practice settings across
• all practice settings across the state. all practice settings across the state.
• targeted to pharmacies in Minnesota. targeted to pharmacies in Minnesota.
• access starts with an open pharmacy. access starts with an open pharmacy.
• their only pharmacy in 2018. their only pharmacy in 2018.

Keywords: 1183, house

Transcript Highlights:

• I think so many of our mental health practices, they're tiny little practices.
• and rheumatology practices, any practice that's prescribing high-cost drugs.
• pharmacy, or a big chain pharmacy.
• pharmacy, or a big chain pharmacy.
• <01:21:30.800> um<01:21:31.520> some Pharmacy or a big chain Pharmacy um some Pharmacy

Keywords: 00:00:00 Call to Order/Roll Call 00:01:19 Discussion of 25RS HB 785 00:30:25 Roll Call Vote on 25RS HB 785 00:32:15 Discussion of 25RS HB 61 00:36:42 Roll Call Vote on 25RS HB 61 00:38:07 Discussion of 25RS HB 788 00:51:01 Discussion of 25RS SB 14 01:11:09 Discussion of 25RS HB 685 01:44:57 Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and took up House Bill 785, as amended by a committee substitute that combined language from HB 785 and HB 787. The bill was described as addressing Medicaid managed care organization (MCO) audits, provider contract notice and amendment procedures, mental health parity compliance, and related transparency requirements. Supporters said the measure would tighten notice to providers, limit repeated contract amendments and rate reductions, require more standardized audit procedures, and add reporting on Medicaid claims, appeals, and grievances. It also includes a provision requiring coverage of at least two evaluation-and-management billable services per physician per recipient per date of service, and a section addressing narcotic/opioid treatment program licensing and reimbursement language. Testimony in support came from Representative Kim Moore, John Inman of BrightView Health, Michelle Sandborne of the Children’s Alliance, and Kelly Cormic of RYSE. They argued that MCOs often use audits and recoupments in ways that are burdensome, opaque, and financially damaging to providers, especially smaller and rural ones. They cited examples of multiple audit requests in short timeframes, large record requests with short deadlines, delayed or absent feedback, and recoupments taken before appeals are resolved. They also said parity laws are not being consistently enforced and that the bill would give the Department of Insurance authority to suspend or revoke an MCO certificate of authority for willful or repeated parity violations. Committee members generally expressed support for provider protections and transparency, while asking for clarification on the narcotic treatment and E/M billing provisions. Tom Stevens of the Kentucky Association of Health Plans testified in opposition, saying the bill is complex to implement and should be handled through the broader Medicaid oversight work of House Bill 9, the MOAB. He said the issues raised were better suited for that bipartisan stakeholder process and noted the committee substitute had not yet been fully reviewed by his group. After discussion, the committee adopted the committee substitute and then moved to a vote on the bill; the roll call began, with several members recorded as voting yes, but the transcript cuts off before the final vote result is shown.

Transcript Highlights:

• Pharmacies are not just any other corner store or retailer.
• In pharmacies, they actually have a poor track record.
• I'm a pharmacist and pharmacy owner of 10 Acres Pharmacy here in Sacramento.
• I'm a pharmacist and pharmacy owner of 10 Acres Pharmacy here in Sacramento. So come visit me.
• Francisco when we banned the sale of tobacco from our pharmacies in 2008.

Summary: The Assembly Business and Professions Committee heard a long agenda of licensing, health care, and workforce bills. Measures discussed included AB 957, which would prohibit tobacco sales in licensed pharmacies; AB 447, which would allow patients to take home certain unopened medications started in emergency rooms; AB 427, joining the Social Work Licensure Compact; AB 667, allowing interpreters for certain licensing exams; AB 742, prioritizing descendants of slaves in licensing review; AB 873, changing infection-control training timing for dental assistants; AB 360, requiring a report on menopause education for physicians; and AB 1175, modernizing CPA licensure requirements and mobility. Testimony generally emphasized public health, access to care, workforce shortages, language access, and economic opportunity, while opposition or concerns focused on implementation, worker protections, compact authority, and constitutional issues in AB 742. Several bills drew broad support from sponsors, professional associations, and advocacy groups. AB 957 was backed by cancer and pharmacy advocates and pharmacists who said pharmacies should not sell tobacco; AB 447 was supported by emergency medicine and hospital representatives as a way to reduce waste and help patients leave with needed medication; AB 427 drew support from social work and mental health groups but concerns from AFSCME about standards and displacement; AB 667 was supported by immigrant-rights and community groups, with questions about whether translated exams would be preferable to interpreters; AB 360 received extensive support from women’s health advocates and medical groups, and opposition from CMA and ACOG was removed after amendments; and AB 1175 was supported by the Board of Accountancy and CPA groups as a way to expand the pipeline and improve mobility. The committee took votes after quorum was established. AB 360, AB 427, AB 447, AB 667, AB 873, AB 1175, and AB 742 were all approved and sent to their next committees, with AB 742 going to Judiciary and AB 1175 to Appropriations. AB 957 was initially held on call, then later passed after additional votes were recorded. The consent calendar bills AB 375, AB 1107, and AB 1496 were also approved. Most measures passed on largely party-line or near-unanimous votes, with some members not voting on certain items during the roll calls.

Transcript Highlights:

• are practicing within the state.
• pharmacy technicians that are practicing pharmacy technicians that are practicing within<00:19:22.320
• Hawaii is the only state in the United States without an active managed list of practicing pharmacy technicians
• <00:21:13.640> pharmacy<00:21:14.480> technicians<00:21:15.480> Beyond practicing
• pharmacy technicians Beyond practicing pharmacy technicians Beyond enhancing<00:21:16.400> our

Keywords: 910, house, all

Summary: The committee heard testimony on several measures, beginning with HB 205 HD1 and HB 480 HD1 on workers’ compensation. Testifiers from the Department of Labor and Industrial Relations and the Department of Human Resources Development supported the bills, with DLIR saying HB 205 would codify and regulate nonprescription over-the-counter drugs at a reasonable rate, and DHRD saying HB 480 would encourage timely and accurate assessments of injured workers’ physical abilities. No opposition was raised on those measures, and the committee moved on without votes or amendments noted. On HB 331 HD1 relating to permits, the University of Hawaiʻi, the Department of Education, and the Hawaii School Facilities Authority supported the bill, while the Board of Water Supply and Greg Mikan opposed it. Supporters did not elaborate much beyond standing on written testimony, but the School Facilities Authority asked that renovations be added to the definition of repeatable projects. Opponents argued the Department of Planning and Permitting is understaffed and that bypassing or speeding the permitting review process could create problems, especially for projects requiring proper engineering review. No action was taken beyond hearing testimony. The committee also heard HB 72 HD1 on pharmacy technician regulation, with the Board of Pharmacy offering comments and the Hawaii Pharmacist Association, Walgreens, and Mōʻiliʻili Drugs supporting the measure. Supporters said pharmacy technicians already perform essential duties such as vaccinations, compounding, inventory, and dispensing, and argued Hawaiʻi is the only state without an active managed list of practicing pharmacy technicians. On HB 139 HD1 regarding insurance, the Department of Commerce and Consumer Affairs offered comments, and the Hawaii Society for Clinical Oncologists supported the bill, arguing fertility preservation coverage should not conflict with federal law or the prepaid health care system. On HB 32 HD1 relating to cannabis, the Attorney General and Department of Health raised concerns about allowing purchase before certification is approved, while the Hawaii Cannabis Industry Association supported the bill and suggested lowering the purchase limit from 2 ounces to 1 ounce; the Department of Health said its average turnaround is two to three business days, with about 20% of applications returned for incompleteness and an internal expedited process for certain cases. Later, the committee heard HB 470 HD1 on noise, with the Department of Health supporting the goal of reducing noise pollution but cautioning that regulating intermittent noise like string trimmers is complicated, while the Retail Merchants of Hawaiʻi opposed the bill as a hardship for small businesses and questioned the practicality of battery-powered equipment. Ted Bolan supported the measure, saying it would not ban gas leaf blowers but would require quieter models over time. The committee then heard HB 534 HD1 on labeling requirements, where DLNR and the Department of Agriculture offered comments and several fishing and consumer groups supported the bill. Testimony focused on seafood origin labeling, especially raw tuna used in poke and sushi, with DLNR explaining the bill was being narrowed to avoid federal preemption and to avoid unintentionally covering canned tuna or other processed products. Finally, the committee heard H47 HD1 on aquaculture, with the Department of Agriculture, the Hawaii Invasive Species Council, and the Agribusiness Development Corporation supporting the measure; no votes were taken on any bill during the hearing.

Transcript Highlights:

• do, this is not a scope of practice. do, this is not a scope of practice.
• . pharmacies. pharmacies.
• . pharmacies. pharmacies.
• all pharmacies. all pharmacies.
• c> to want the pharmacy the pharmacy board to want the pharmacy the pharmacy board to to<01:26:06.680

Keywords: Public Health and Welfare - Room 216, 3 March, 2026; 3:00 PM, 925, all

Summary: The committee first took up House Bill 1622, a strike-all amendment to create a pilot program for certain small-community hospitals to receive limited certificate-of-need exemptions. The bill would allow qualifying hospitals to open a geriatric psychiatric unit without a CON, permit each hospital one additional CON exemption for a service otherwise requiring one, cap dialysis-unit exemptions at eight hospitals, continue existing moratoriums with periodic Department of Health review, allow facilities in Issaquena or Humphreys Counties under limited conditions, and add a loser-pays rule for unsuccessful CON court challenges. Technical corrections were made, the strike-all amendment was adopted, and the bill was reported do pass as amended by voice vote. The committee then moved to House Bill 942, where Senator McMahan offered an amendment to allow a Lee County chiropractor to advertise as a neurologic chiropractor and list related credentials. Members questioned whether chiropractic neurology is recognized in Mississippi and raised concerns about the practitioner’s prior discipline by the board, but the chair ruled the amendment germane. The amendment failed on voice vote, and the bill itself then passed and was reported to the floor. The committee next considered House Bill 1034, but no amendment was offered. It then took House Bill 479 off the table. That bill extends the temporary licensing period for psychology and marriage-and-family-therapy boards from 30 to 60 days to allow more time for criminal background checks. Senator Blackwell offered a clarifying amendment to make clear that temporary licenses must be revoked if required background checks or other licensure requirements are insufficient, and that the temporary license does not replace the underlying education, training, and examination requirements. The amendment was adopted and the bill was reported do pass as amended. Finally, the committee heard House Bill 1067, the Rural Health Transformation Program. Senator Hickman explained that the bill would require procurement procedures and reporting for the state’s rural health transformation funds, prioritize projects tied to the original application, and direct funds toward rural and underserved areas such as health professional shortage areas, low-income counties, and places without hospitals. Senators questioned whether the added state rules would layer on top of existing federal requirements and whether the bill could slow distribution or invite litigation, but supporters said it was meant to add transparency and guardrails rather than change the federal program. The bill was discussed at length, but the transcript ends before a final vote on HB 1067.

Transcript Highlights:

• The board was established in 1903 to regulate the practice of pharmacy and the manufacturing, distribution
• We can track pharmacies, but the pharmacies are not the ones filling the prescriptions; the pharmacists
• : it controls pharmacies, but you have pharmacies within assisted living facilities or nursing facilities
• controls pharmacies, but you have pharmacies within assisted living facilities or nursing facilities
• Is that custom in practice?

Keywords: 1182, all

Summary: The committee conducted sunset reviews for the Arizona State Board of Pharmacy, the State Board of Nursing, the Arizona Board of Occupational Therapy Examiners, and the Arizona Regulatory Board of Physician Assistants. The Auditor General’s reports praised each board for timely licensing in some areas but identified recurring problems with complaint investigations, public safety oversight, fee analysis, records/documentation, and internal controls. For Pharmacy, the main concerns were weak enforcement of controlled substances prescription monitoring program (CSPMP) requirements and slow complaint resolution; the board said it had implemented some recommendations, was pursuing a new database vendor, and supported legislation to strengthen CSPMP enforcement. For Nursing, the audit found a large and growing backlog of complaints and repeated delays in resolving cases; the executive director said the board was under-resourced and requested 28 additional investigative positions, while nursing stakeholders supported process reforms and cited a bill to improve timelines and fairness. For Occupational Therapy, the audit focused on missing or poorly documented fingerprint clearance card checks, delayed action on a serious criminal-charge disclosure, and other compliance issues; the board said it had accepted and was implementing all recommendations, including new procedures and rulemaking. For Physician Assistants, the audit found weak oversight by the executive director, extensive delays in complaint handling, and an incentive-pay system that did not align with key performance goals; the board said it had already made structural changes, was improving tracking and IT systems, and planned to continue implementing recommendations. After discussion and testimony from board officials, public members, and nursing stakeholders, the committee voted to continue the Arizona State Board of Pharmacy for six years until July 1, 2032, the State Board of Nursing for four years until July 1, 2031, the Arizona Board of Occupational Therapy Examiners for four years until July 1, 2030, and the Arizona Regulatory Board of Physician Assistants for a continued term with statutory changes (the transcript includes the board review and related discussion, but the final motion text for the physician assistants board is not fully captured in the excerpt). The votes on the first three continuations were approved by roll call, with members generally supporting continuation while expressing concern about complaint backlogs and the need for reforms.

Transcript Highlights:

• Pharmacies are not just any other corner store or retailer.
• In pharmacies, they actually have a poor track record.
• And research suggests that a tobacco-free pharmacy law would not hurt business.
• I'm a pharmacist and pharmacy owner of 10 Acres Pharmacy here in Sacramento, so come visit me.
• Francisco when we banned the sale of. from our pharmacies in 2008 and we feel pharmacies are health

Keywords: 988, house, all

Transcript Highlights:

• It's already behind the pharmacy counters. This is not a new thing behind the pharmacy counters.
• Texas Board of Pharmacy, that's a standard Texas Board of Pharmacy. Rules, protocols, etc.
• The Texas Pharmacy Board has already done that.
• The Texas Board of Pharmacy takes care of their pharmacists, the Pharmacy Association takes care of the
• So if the Pharmacy Board of Pharmacy says the person must complete a form verifying their weight, age

Bills: HB25, HB48, HB149, HB254, HB26, HB192, HCR3, HCR4, HCR5, HCR6, HCR8, HCR14, HCR16, HR1, HR2, HR3, HR4, HR6, HR7, HR8, HR9, HR12, HR11, HR13, HR14, HR15, HR16, HR20, HR22, HR23, HR24, HR25, HR26, HR27, HR28, HR29, HR30, HR31, HR32, HR33, HR45, HR48, HR49, HR51, HR52, HR55, HR56, HR57, HR59, HR60, HR61, HR62, HR63, HR64, HR65, HR66, HR70, HR71, HR72, HR74, HCR2, HCR7, HR10, HR21, HR35, HR36, HR37, HR38, HR39, HR40, HR42, HR43, HR44, HR46, HR47, HR50, HR53, HR54, HR67, HR69, HR75, HCR 5, HCR 6, HCR 8, HCR 14, HCR 16, HR 1, HR 3, HR 4, HR 6, HR 7, HR 8, HR 9, HR 12, HR 11, HR 13, HR 14, HR 15, HR 16, HR 20, HR 22, HR 23, HR 24, HR 25, HR 26, HR 27, HR 28, HR 29, HR 30, HR 31, HR 32, HR 33, HR 45, HR 48, HR 49, HR 51, HR 52, HR 55, HR 56, HR 57, HR 59, HR 60, HR 61, HR 62, HR 63, HR 64, HR 65, HR 66, HR 70, HR 71, HR 72, HR 74, HCR 7, HR 10, HR 21, HR 35, HR 36, HR 37, HR 38, HR 39, HR 40, HR 42, HR 43, HR 44, HR 46, HR 47, HR 50, HR 53, HR 54, HR 67, HR 69, HB 25, HB 48, HB 149, HB 254, HB 26, HB 192

Keywords: ivermectin, pharmacist authority, prescription-free, healthcare regulation, patient access, HB 48, Texas alert notification systems, emergency alerts, public warning systems, alert fatigue, notification fatigue, Texas Division of Emergency Management, Department of Public Safety, DPS alerts, emergency management, State of Texas Emergency Assistance Registry, STEAR, disaster notifications, weather alerts, Amber Alert

Transcript Highlights:

• business practices.
• According to data from the Texas State Board of Pharmacy, Texas saw a net loss of one pharmacy per week
• Pharmacy benefit managers exploit their market power to strong-arm pharmacies into accepting non-negotiable
• of the unjust PBM practices.
• The pharmacy got the right payment, but due to a paperwork error, the pharmacy lost it all.

Transcript Highlights:

• Schaffner: It's already behind the pharmacy counters.
• The Texas Board of Pharmacy takes care of their pharmacists.
• The Pharmacy Association takes care of the pharmacists.
• So if the pharmacy Board of Pharmacy says the person must complete a form verifying their weight, age
• This is not forcing a pharmacy to sell it OTC.

Bills: HB25, HB48, HB149, HB254, HB26, HB192

Keywords: ivermectin, pharmacist authority, prescription-free, healthcare regulation, patient access, HB 48, Texas alert notification systems, emergency alerts, public warning systems, alert fatigue, notification fatigue, Texas Division of Emergency Management, Department of Public Safety, DPS alerts, emergency management, State of Texas Emergency Assistance Registry, STEAR, disaster notifications, weather alerts, Amber Alert

Transcript Highlights:

• The Board of Pharmacy is fully supportive of pharmacists in our state practicing to the top of their
• To the question about the repeal of the section, there was a section in the Pharmacy Practice Act that
• authorities drafted from other states can be incorporated into the practice of pharmacy here and can
• authorities drafted from other states can be incorporated into the practice of pharmacy here and can
• I also, practically, have seen this happen when patients test positive for strep at a pharmacy, when

Keywords: 908, all

Summary: The committee first took up Senate Bill 2401, which would require physicians to complete continuing education on nutrition and metabolic health as part of the state’s rural health transformation effort. HHS supported the bill, saying it would help physicians better address chronic disease and preserve federal grant points tied to the state’s application. A member of the public also testified in favor, arguing that better nutrition education could improve diabetes outcomes and reduce costs. The committee then adopted an amendment to add the Board of Occupational Therapy Practice to the background-check statute so the occupational therapy compact could proceed, and it passed the bill as amended on a roll call vote. The committee next heard House Bill 1621, which would require the Presidential Fitness Physical Fitness Test in elementary, middle, and high school physical education courses. HHS said the bill was part of the rural health transformation application and could help preserve federal funding, but members raised many questions about the test’s criteria, adaptive options for students with disabilities, equipment needs, and whether the bill should apply to non-public schools. Senator Clemens offered an amendment to limit the requirement to public schools, but it failed. Senator Hogan then offered an amendment to clarify exemptions and allow DPI to align implementation with federal guidance; that amendment passed. A further amendment adding language allowing DPI to establish criteria for and exceptions to the test also passed. The committee then approved the bill as amended on a roll call vote. The committee also considered House Bill 1622, which joins North Dakota to the physician assistant licensure compact. HHS said the compact would improve access to care, especially in rural areas, support military families, and help preserve rural health transformation funding. Members noted the compact had been discussed in a prior session and that many earlier concerns had been resolved. After brief discussion about the compact process and its consistency with other interstate compacts, the committee voted to do pass the bill. Finally, the committee began Senate Bill 2402, which expands pharmacists’ prescriptive authority and therapeutic substitution powers. HHS and the Board of Pharmacy supported the bill as a way to improve access to care and maintain rural health transformation funding. Senator Roers introduced a detailed amendment negotiated with the Board of Medicine and Board of Pharmacy to narrow and clarify the bill, including notification requirements, limits on certain drug categories, and patient-protection language for therapeutic substitution. The Board of Pharmacy then testified in support of the broader bill and explained the CLIA-waived testing provisions and the repeal of the older, narrower pharmacist-testing language. The hearing and amendment discussion were still underway when the transcript ended.

Transcript Highlights:

• Most rural hospitals lack in-house pharmacies, and they have to contract with local pharmacies to provide
• :43.320> pharmacies<00:10:43.920> to<00:10:44.160> provide with local pharmacies
• Kentucky, we serve over 200 practicing clinicians, physicians, dentists, and advanced practice professionals
• work collaboratively with our Pharmacy work collaboratively with our Pharmacy team<00:20:56.120>
• <00:37:42.200> are<00:37:42.319> not law however pharmacies are not law however pharmacies

Keywords: 00:00 Introductions 02:46 Roll Call 03:35 Discussion on SB 14 46:13 Vote on SB 14 48:07 Discussion on SB 17 50:38 Vote on SB 17, 958, all

Summary: The Senate Standing Committee on Health Services opened with the chair welcoming several new members and outlining session rules: hearings would start and end on time, the committee would limit the number of bills heard each meeting, prioritize bills heard during the interim, and generally avoid using the consent calendar except in extreme circumstances. The committee then briefly considered administrative regulations, which were treated as approved if members had no questions. The main item was Senate Bill 14, a measure addressing the 340B drug discount program. The chair said the bill had already passed the Senate in a prior session and had been heard in interim, so he did not present it again. He described the bill as prohibiting drug manufacturers from discriminating against 340B covered entities by refusing 340B pricing when the same drug is offered at that price in the state. He also said the committee would not debate the federal 340B program itself, but would hear testimony on the bill. Hospital leaders and Kentucky Hospital Association representatives testified in support, arguing that 340B savings are essential to rural hospitals, oncology services, transportation support, chronic care, addiction recovery, and new service lines such as chemotherapy and hepatitis treatment. They said the program helps keep care close to home and that manufacturer restrictions on contract pharmacies have reduced access and cost hospitals millions. Opponents from BIO Kentucky and the National Alliance of Healthcare Purchaser Coalitions argued the bill would expand federal law beyond Congress’s intent, create administrative burdens, and not lower patient out-of-pocket costs. The chair repeatedly pressed opponents to address why Kentucky should be denied the same 340B pricing available in other states. No vote on the bill was taken in the portion provided.

Transcript Highlights:

• So how does this work in practice?
• I think that's practical and it's compassionate. I want to do...
• I think that's practical and it's compassionate.
• So, brief tutorial: what exactly is a pharmacy benefit manager, or PBM?
• In addition, they own pharmacies and specialty pharmacies and set the terms, conditions, and reimbursement

Keywords: 908, all

Summary: The Senate opened with prayer, the Pledge, a quorum call, and approval of journal corrections. It then handled several House messages, appointing conference committees on Senate Bills 2004 and 2006 and House Bills 1018, 1019, and 1363, and re-referring House Bill 1216 to Appropriations. The chamber also adopted amendments to House Bill 1601, which would have expanded special assistant attorney general authority for certain offices, but the bill failed on final passage after strong opposition centered on preserving the Attorney General’s control and avoiding a solution in search of a problem. A major portion of the day focused on education funding. House Bill 1369 was amended to raise per-pupil aid from 2% and 2% to 3% and 3% and to increase the school construction loan transfer from $75 million to $100 million; supporters said this would help local schools and military base projects, while opponents raised questions about special education placement language and state coordination. The bill passed 44-3. House Bill 1013, the DPI budget, was also amended extensively to adjust staffing, funding sources, grants, meal assistance, teacher training, and other education programs; it passed 45-2. House Bill 2234, dealing with Choice Ready grants, was amended to shift funding away from general funds and toward federal or other sources, but then failed on final passage after the sponsor urged a red vote. The Senate also approved House Bill 1482, restricting bond and indebtedness elections for counties, cities, school districts, and park districts to primary or general election days, and House Bill 1332, creating a value-added agriculture facility incentive program with an emergency clause. House Bill 1010, the Insurance Department budget, passed unanimously after amendments reflecting the merger of the Securities Department into Insurance and adding staff and fee changes, while House Bill 1011, the separate Securities Department budget, failed because its funding was already included in HB 1010. House Bill 1584, a major pharmacy benefit manager reform bill, passed with an enforcement fund and new licensing/enforcement structure despite debate over ERISA and market transparency. In other action, the Senate concurred in House amendments and passed Senate Bills 2226, 2230, 2069, 2082, 2387, 2385, and 2186, with SB 2186 on parenting time interference and a child custody task force passing 27-20 after debate over whether the issue should be left to the courts. Senate Bill 2234, on Choice Ready grants, and Senate Bill 2243, on driver’s license points and traffic penalties, both failed after concurrence motions were adopted but final passage votes were overwhelmingly negative. The chamber also advanced Senate Bill 2291 to conference committee consideration near the end of the transcript.

Transcript Highlights:

• These restrictions often limit health centers to one in-house pharmacy or one contract pharmacy location
• The contract pharmacy restrictions also meant clinic systems can't contract with multiple pharmacies
• More contract pharmacy arrangements would guarantee access in low-income areas, which helps keep pharmacies
• contract pharmacies.
• This bill prohibits that practice.

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

Transcript Highlights:

• > got<00:01:24.880> our not just pharmacies, we've got our not just pharmacies, we've got
• we also have pharmacy benefit managers. we also have pharmacy benefit managers.
• <00:01:35.200> benefit That's that's a big pharmacy benefit That's that's a big pharmacy benefit
• act the current medical medical practice act the current medical practice<00:43:14.800> act practice
• investigators is a pharmacy. investigators is a pharmacy. >> Yes.<00:54:10.160> Yes.

Keywords: Appropriations - Room 409, 28 January, 2026; 1:30 P.M., 925, all

Summary: The committee heard budget presentations from the Mississippi Board of Pharmacy and the Mississippi State Board of Chiropractic Examiners, followed by the physical therapy board. The Pharmacy Board said it licenses pharmacists, technicians, students, and many facilities and supply-chain entities, including wholesalers, manufacturers, 3PLs, PBMs, and nonresident compounders. Its main requests were a 3% salary increase for specialized staff, about $118,000 for contract help to evaluate pharmacists with substance abuse or mental health issues under a recently passed public health bill, and additional IT spending authority for system upgrades and cloud migration. Members discussed the board’s role in protecting the public, vetting out-of-state facilities, and the need to keep sensitive data secure; no vote was taken. The Chiropractic Examiners board described itself as a small, contract-staffed agency with about 700 active licenses and a database system that is no longer supported by Microsoft. It said it had requested about $173,000, but the legislative budget recommendation was $134,000, and it needs roughly $40,000 more to upgrade or rebuild the system, including security fixes and online renewal capability. Members focused on the cybersecurity risk of using unsupported software and the need to protect personal information; the board also noted that its licensing data does not include banking information because payments are handled through the state portal. The Physical Therapy Board said it regulates physical therapists and physical therapist assistants, with 4,242 licenses and 252 complaints in the last fiscal year, and that demand for the profession continues to grow. Its requests included $6,000 in salary progression for long-serving staff, about $360 more in PDM salary authority, and roughly $38,610 for a one-time upgrade to its LMS licensing system, plus related cloud-migration costs. Senators noted the board’s strong reputation, discussed the burden of annual or biennial renewals, and supported the technology upgrade because the current system is no longer supported and could create liability risks if not addressed.

Transcript Highlights:

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

Keywords: 1187, senate, all

Transcript Highlights:

• 45.680> in<00:01:45.920> a believe in healing practices in a believe in healing practices
• > practices<00:01:54.399> for<00:01:54.799> better with um other practices for better
• I'm the pharmacy director at DHS.
• We don't work for pharmacy plans.
• So, they saw a by pharmacy students.

Keywords: 1183, house

Transcript Highlights:

• practice and experience with Vertin. practice and experience with Vertin.
• Welcome to my practice."
• Welcome to my practice."
• Welcome to my practice."
• Minnesota Board of Pharmacy. Minnesota Board of Pharmacy.

Keywords: 1187, senate, all

Transcript Highlights:

• It allows for CGMs to be billed by both pharmacy and durable medical equipment providers.
• So my understanding, correct me if I hope, is that it's instantaneous, basically, for pharmacy.
• We're also setting up a process by which we allow the pharmacy, alert the pharmacy, that they cannot
• And to answer your question, the Arkansas Dental Practice Act specifically defines the practice of dentistry
• The whole purpose of that bill, four hours from a pharmacy store.

Keywords: 1204, all

Summary: The committee reviewed a series of Medicaid and health-related administrative rules, most of them tied to 2025 acts. Early items covered presumptive eligibility end dates, adding a definition of fictive kin for foster children, and updating ABLE account disability onset age. The committee also reviewed rules on continuous glucose monitors, RSV vaccine administration fees, ET3 telemedicine exemptions for ambulance services, dental rate increases, physical and occupational therapy access, and the Healthy Moms Healthy Babies and lactation consultant provisions. Most rules were reviewed without objection, though several members asked for fiscal and implementation details, especially on the CGM rule and the dental rate rule. The most extended discussion centered on the dental rate increase under Act 1025. DHS said the rule applies only to oral surgeons’ dental services as written, while the Arkansas State Dental Association and legislative sponsors argued the intent was to raise rates for a broader set of dentists performing the same procedures, especially for adults with special needs. Members discussed the statutory language, CMS constraints, bifurcated rates, and the estimated additional cost of about $1.5 million annually if general dentists were included. The committee ultimately reviewed the rule, but the chair noted the testimony and lawmakers indicated they would work on a fix next session. Another major exchange involved the CGM rule. Members questioned the reported $3 million two-year fiscal impact, the prior authorization process, and whether DME providers would be forced into a pharmacy-based system. DHS explained that the same vendor would handle prior authorizations and that the billing system changes were already live, but one member moved to expunge the earlier review vote and then said he would hold the rule pending further clarification. The committee also reviewed rules on adverse decisions appeals, CNA training, substance abuse and mental health network-status disclosures, new certification rules for doulas and community health workers, cosmetology/body art, massage therapy, lead-based paint, radiation control, radiologic technology licensure, and mobile home/RV park standards. The meeting ended with all remaining items reviewed and the committee adjourned.

Transcript Highlights:

• This tells us that while mobile licensing is a technically open to all professions in practice, it is
• These pharmacies are required to submit the access to care plans annually by February. 28, the Board
• Pharmacy and BioLogics Solutions.
• They estimate the proof to the Board of Pharmacy of their written collaborative practice agreement.
• and Bell pharmacy in Pinellas County and First Coast community development in Duval County.