Transcript Highlights:

• My local law enforcement asked me to bring this.
• University of Alabama School of Law that teaches in the academy and one of the lieutenants of the local

Bills: HB105 , HB296 , HB15 , HB264 , HB34 , HB304 , HB146 , HB26 , HB15 , HB34 , HB26

Committee: House Public Safety and Homeland Security

Keywords: law enforcement, retirement benefits, Alabama Peace Officers, agency-issued badge, agency-issued pistol, resisting arrest, custody, public safety, Alabama law, traffic infractions, traffic ticket, disposition, criminal contempt, vessel registration, boating fees, state funds, regulatory changes, water safety, compliance, false information

Transcript Highlights:

• legislate this for all schools. ...need to legislate this for all schools rather than let this be a local

Bills: HB141 , HB161 , HB231 , HB67

Committee: House State Government

Keywords: HB141, Alabama, state employees, salary deductions, payroll deduction, State Comptroller, membership dues, voluntary contributions, insurance premiums, financial instruments, employee associations, state payroll, Code of Alabama 1975, Section 36-1-4.3, public employees, union dues, benefits administration, payroll withholding, financial products, deferred compensation

Transcript Highlights:

• Together, local health directors, state health officials, and locally elected Community Health Board
• Together, local health directors, state health officials, and locally elected Community Health Board
• Together, local health directors, state health officials, and locally elected Community Health Board
• She said that together, local health directors, state health officials, and locally elected Community
• We have collaborated with local clinics and local public health agencies to provide these services.

Committee: Senate Health and Human Services

Transcript Highlights:

• hospital assessment payment and shall create a local provider participation fund.
• Instead of having the parish be the local sponsor, we're switching to the city.
• Nick Waltz, Louisiana Compound Pharmacy Coalition.
• Rachel Grosafco, Louisiana Compound Pharmacy Coalition.
• Louisiana Compound Pharmacy Coalition.

Bills: SCR37 , SB145 , SB237

Committee: House Health and Welfare

Keywords: informed consent, healthcare, medical procedures, patient rights, surgeon general, regulatory review, adult residential care, generators, emergency power, health safety, Louisiana Department of Health, compliance, regulations

Transcript Highlights:

• </c> from the board of pharmacy from the board of pharmacy here?
• </c> that can happen outside of a pharmacy. that can happen outside of a pharmacy.
• </c> pharmacy if you're a pharmacist. pharmacy if you're a pharmacist.
• </c><00:16:22.880><c> individuals,</c><00:16:23.839><c> pharmacy</c> licensed pharmacy individuals, pharmacy
• </c> pharmacy is making the rules. pharmacy is making the rules. Yes. Yes. Yes.

Bills: HB0143 , HB0129

Committee: Senate Labor, Health & Social Services

Transcript Highlights:

• There are pharmacies. multiple directions and there are pharmacists. There are pharmacies.
• Now you step over into the retail pharmacy space...” “...meds.
• Every time I go to a pharmacy, I don't like it. Why?
• Those are made at the local level with the discretion of their school board. local, you know, at the
• local level with the discretion of their school board.

Bills: SB1078

Committee: House Privacy and Consumer Protection

Keywords: Santa Cruz, taxation, transactions and use tax, local government, public services, voter approval

Summary: The Assembly Privacy and Consumer Protection Committee heard one bill, SB 1078 by Senator Laird. The bill would create a temporary safe harbor allowing businesses to continue using preprinted gift cards with outdated cash-redemption disclosures for a limited period, so long as consumers are clearly informed of their current right to redeem cards with balances under $15 for cash. Senator Laird said the measure was intended to prevent businesses from having to destroy large inventories of otherwise usable cards after the recent change in redemption threshold. Support testimony came from Chris Reyes of the Santa Cruz Beach Boardwalk, who said the boardwalk had about a million preprinted cards that would otherwise become obsolete, representing roughly $250,000 in cost. He emphasized that the bill would not weaken consumer protections or redemption rights and would simply allow a transition period. Sabrina DeMaio Lockhart, representing the California Attractions and Parks Association and the California Travel Association, also voiced support. There was no registered opposition. After some delay while waiting for a quorum, the committee took up the bill and members voiced general support, including a comment that the measure would help smaller businesses. The committee voted do pass, and SB 1078 received enough votes to pass out of committee, with the roll left open briefly for absent members before the hearing adjourned.

Transcript Highlights:

• She committed to empowering parents and returning powers to states and local communities, which, by the
• across the country, when in fact the vast majority of decisions around public education are made by local
• decisions, licensure standards, hiring decisions, and so many other factors are in the hands of our local
• civil rights. rights protections, provides Title I and IDEA investments that help make it possible for local

Committee: Senate Health, Education, Labor, and Pensions Committee

Keywords: Department of Education, Ms. McMahon, educational reform, public testimony, federal responsibilities, local governance

Summary: The meeting of the legislative committee encompassed discussions on key bills including HB22, SB4, and HB2214, with significant focus on the implications surrounding the Department of Education. Members expressed varying opinions on the nomination of Ms. McMahon to lead the department, underlining the need for reform and accountability. The committee witnessed passionate exchanges regarding educational values and the responsibilities of the federal government versus local authorities. Public testimonies contributed to the discussions, highlighting the community's concerns about educational policies and their impact on students from diverse backgrounds.

Transcript Highlights:

• So once they are in the pharmacy, that’s going to be the Board of Pharmacy.
• In the Pharmacy Act, in 0.056, it says specifically that a pharmacy.
• So we do respect our pharmacy colleagues.
• It's the pharmacy, Board of Pharmacy.
• If a minor goes up to the pharmacy...

Bills: HB265 , HB25

Committee: House Public Health

Bills: HB431 , HB466 , HB523 , HB521 , SB182 , SB300 , HB431 , HB466 , HB523 , HB521 , SB182 , SB300

Committee: House Ways and Means General Fund

Keywords: Monroe County, sheriff, sheriff compensation, county salary, expense allowance, local act, county general fund, retirement contributions, law enforcement pay, public official salary, county budget, Alabama local legislation, service contracts, consumer protection, advertising disclosure, insurance, contract cancellation, parole procedures, advocacy, parole board

Transcript Highlights:

• As Medi-Cal expanded, counties were able to scale down indigent care programs, reducing local fiscal
• there, which is when the drug is covered under the pharmacy benefit.
• there, which is when the drug is covered under the pharmacy benefit.
• Jay, an emergency room physician and local American Heart Association volunteer. Thank you.
• But it gets to the point of sort of, you know, what is the local impact on those restaurants.

Committee: Senate Health

Summary: The committee heard SB 1422, which would restore Medi-Cal access for income-eligible undocumented adults beginning January 1, 2027. Senator Durazo and county, labor, health, immigrant-rights, and provider supporters argued the current enrollment freeze shifts costs to counties and hospitals, worsens preventive care, and increases expensive emergency treatment. No opposition testified. Several senators voiced support but also raised concerns about funding and the need for new revenue sources; the chair said she supported the concept and would continue working on financing, but the bill was not voted on because quorum was lost. The committee also heard SB 1023 on PrEP access, SB 1071 on amending death certificates after a homicide finding, SB 1057 on conviction-history review for CNA and home health aide certification, and SB 1088 on advance care planning and POLST/DNR updates. SB 1023’s author and supporters said requiring pharmacy-benefit coverage for injectable PrEP would reduce administrative barriers and improve access, while health plans opposed it as an improper benefit-design mandate; members sought clarification about how the billing pathway would work. SB 1071 drew strong support from victims’ families, law enforcement, and prosecutors who said death certificates should reflect later legal homicide findings, while coroners opposed it as blurring medical and legal determinations and risking data integrity. SB 1057 was presented as a fair-chance workforce measure to expand caregiving jobs for rehabilitated people with records, with no opposition heard. SB 1088 would modernize POLST/DNR rules, including electronic signatures, out-of-state recognition, and clearer signer authority; supporters backed the changes, while clinical nurse specialists opposed the bill for not including them as authorized signers. After quorum was established, the committee took up SB 869, which would require large chain restaurants to display an added-sugar icon next to beverages exceeding half the daily recommended sugar limit. Senator Weber Pierson and supporters from the American Diabetes Association and American Heart Association framed the bill as a transparency measure to help consumers make informed choices and reduce chronic disease risk. The senator responded to opposition concerns by saying existing nutrition information is often hard to find and that the icon would not unduly crowd menus. The hearing continued with testimony on the bill after quorum was reached, but no final vote is reflected in the transcript excerpt.

Transcript Highlights:

• us to provide access beyond just the pharmacies that are physically located.
• us to provide access beyond just the pharmacies that are physically located.
• </c><00:23:31.240><c> is</c> savings um the contract Pharmacy is savings um the contract Pharmacy is
• </c> public policies that help keep all local public policies that help keep all local Working<01:24:
• </c> because our survey also surveyed locally because our survey also surveyed locally employed<01:25

Committee: House Judiciary & Hawaiian Affairs

Summary: The committee first heard House Bill 302, which would repeal the requirement that a provider-patient relationship for medical cannabis certification be established in person first. The Department of Health said it supported the House Draft 2 version as a way to expand patient access, and several testifiers from the medical cannabis community and dispensary industry supported the bill, especially for patients on outer islands or those unable to travel. One witness asked that earlier language removed in committee be restored to further improve access. Representative Shimizu asked whether follow-up in-person visits would still occur, and DOH responded that this varies by provider, with some continuing in-person care and others moving to telehealth for chronic conditions. The committee then took up House Bill 712, relating to the federal 340B drug pricing program and contract pharmacies. The Office of Consumer Protection and the Attorney General’s office both said they supported the bill’s purpose but wanted it clarified and possibly moved into a standalone chapter rather than chapter 481B. Supporters, including Hawaii Pacific Health and the Queen’s Health Systems, said the bill is needed to protect safety-net funding and access to discounted drugs, citing large financial benefits from 340B and losses caused by manufacturer restrictions on contract pharmacies. PhRMA opposed the bill, arguing the issue is not access to discounts but accountability and transparency in how contract pharmacies distribute benefits, and said it was willing to discuss amendments. Members asked follow-up questions about whether there was data showing misuse; PhRMA said it did not have numbers, while hospital witnesses said the program is federally audited and used appropriately in Hawaii. Finally, the committee heard House Bill 1482, HD1, which would tighten hemp and controlled-substance definitions to exclude Schedule I cannabinoids from manufactured hemp products and clarify the treatment of artificially derived cannabis. The Department of Health supported the measure, saying it adds clarity to existing prohibitions. Kūre Hawaii and other supporters said it would close loopholes involving Delta-8 and similar products. An individual testifier urged stronger language to also cover compounds such as HHC, THCA, THCP, and THCO. In response to questions about enforcement against mislabeled hemp products, DOH explained that THC percentages are relative to product weight, that some products can remain under the hemp threshold while still containing significant THC, and that hemp flower is already prohibited from direct retail sale, though enforcement can be complicated and involves both administrative and criminal authorities.

Transcript Highlights:

• </c> cannabis bill that supports the local cannabis bill that supports the local people<01:11:19.560>
• We are the national trade association for pharmacy benefit managers, and pharmacy benefit managers are
• any pharmacies that are near us.
• of their pharmacies.
• </c> last year of 1500 employed local last year of 1500 employed local residents<02:36:08.000><c> and

Committee: House Health

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.

Transcript Highlights:

• Her father, John Laster, who's here with us, has not only been a mainstay in the pharmacy community for
• And our executive director, the State Board of Pharmacy, Mr. Marty Hendrick, is here in support.
• PBMs play a big part in that with the payment of pharmacy and how the health care system is done.
• But after we made a couple phone calls, they were able to fulfill that prescription at a local pharmacy
• And so I think if we can keep it local, not only would it be good for our pharmacies, but would you believe

Bills: HB3767 , HB3934 , HB4199 , HB4336 , HB2947 , HB3834 , HB4302 , HB4095 , HB3287 , HB3649 , HB4430 , HB4431 , HB2059 , HB3647

Committee: Senate Health and Human Services

Summary: The Senate Health and Human Services Committee first considered three executive nominations. Shonda Lasseter was reappointed to the State Board of Pharmacy, with discussion focused on pharmacy staffing shortages, PBMs, and broader health care workforce challenges; she was advanced 11-0. Dr. Lane Sabara was renominated to the Health Care Workforce Training Commission, where members discussed rural physician shortages and training pipelines; he was advanced 12-0. Dr. Paul Wright was nominated to fill an unexpired term on the same commission and was advanced 12-0 after questions about his availability and experience supporting rural medicine. The committee then heard several health-related bills. HB 3767, which adds 14 chemicals used to enhance fentanyl to Oklahoma’s controlled substances schedules, advanced 10-0. HB 3934, a dentistry workforce and cleanup bill updating insurance-claim and billing language, advanced 11-0. HB 4199, creating a three-year tri-share workforce pilot program for the Department of Commerce, was amended to change eligibility language and then advanced 9-2. HB 2947, allowing supervised behavioral health interns to bill Medicaid, advanced 10-1. HB 3834, authorizing the Department of Health to begin stage-one clinical trials for ibogaine and creating a revolving fund for that purpose, drew extensive testimony about veteran and first responder treatment, safety, funding, and state liability, and advanced 10-2. Additional measures also moved forward. HB 4302, after amendment, advanced 12-0 on a juvenile oversight reporting and law enforcement notification issue. Committee member bills included HB 495, reinstating the 211 Collaborative advisory council, which advanced 11-0; HB 3287, requiring domestic violence and human trafficking signage in health facilities, which advanced 11-0; HB 3649, allowing the Mental Health Department to sell underused property and keep the proceeds in its trust, which advanced 12-0 after amendment; HB 4430, clarifying malpractice coverage for APRNs and PAs at state facilities, which advanced 12-0; HB 2059, creating a mechanism to reimburse medication costs for incarcerated people in county and municipal jails, which advanced 12-0 after questions about continuity of care; and HB 3647, creating an all-payer claims database and transparency board, which advanced 10-2. The committee adjourned after announcing another meeting the following week.

Transcript Highlights:

• And then you have to try and find an independent pharmacy.
• I have a special-needs child, and not every pharmacy does carry everything.
• And then you have to try and find an independent pharmacy.
• I have a special needs child, and not every pharmacy does carry everything.
• And I've literally gone between two pharmacies on the same street.

Summary: The committee took up a large health and human services agenda and first approved HB 711, the Spectrum Alert bill, which would create a statewide alert system for missing autistic children and require FDLE to coordinate training with state and local agencies. The measure drew a supportive waiver from the Florida Smart Justice Alliance and passed unanimously, 24-0, reported favorably. Members then considered CS for HB 229 on health facilities, which modernizes the Health Facilities Authority Act to allow additional nonprofit health system structures to use tax-exempt financing. Two amendments were adopted: one requiring advance notice, public hearings, and stakeholder notifications before a nonprofit hospital closure, and another removing a property tax exemption for a nonprofit hospital that closes and fails to maintain emergency services for 120 days, applied retroactively to January 1, 2025. The Florida Hospital Association opposed the amendments, citing workforce and nonprofit-status concerns, but the bill as amended passed 24-0. The committee also approved CS for HB 1405 on juvenile justice status offenders, expanding early truancy intervention, parent involvement, and shelter placement review timelines; it passed 24-0. CS for HB 27, joining the Social Work Licensure Interstate Compact, and its linked public records bill CS for HB 29 both passed unanimously after supportive testimony from several advocacy and business groups. The committee then debated HB 111 on out-of-network referrals and HB 1083 on patient access to records. HB 111 would require referring practitioners to inform patients in writing when a referral is out of network and to apply out-of-network payments to deductibles; it drew opposition from medical groups over administrative burden and patient-care concerns, but passed 17-8. HB 1083 would shorten the time for producing medical records to 14 working days and standardize access rules, with amendments clarifying portal access and delaying the effective date to January 1, 2026; despite opposition from some health information and provider groups over HIPAA and access concerns, it passed 19-7 as amended. Later, the committee approved HB 883, allowing autonomous practice for psychiatric nurse practitioners with the required credentials, after strong support from nurse practitioner groups and opposition from psychiatric and medical associations; it passed 23-3. HB 1297, which aligns Florida’s electronic prescribing exceptions with federal law and removes several state exemptions, passed 19-7 despite opposition from hospice, emergency physician, rheumatology, and medical groups concerned about paper prescriptions in emergencies and hard-to-find medications. HB 1353 on home health care services and CS for HB 989 on foster home licensure transfers both passed unanimously after supportive amendments. The committee also heard HB 1505 on parental rights, which would require written parental consent for many health care services, surveys, and biofeedback devices for minors and expand parental access to records; the bill drew extensive support testimony but also questions and concerns about confidentiality, abuse reporting, and existing exceptions, and the transcript ended before a final vote on that bill.

Transcript Highlights:

• For example, higher pharmacy costs.
• For Medicaid, pharmacy as a whole is an optional benefit, but once states choose to offer pharmacy as
• I am an executive board member for SEIU Local 721.
• Katie Andrew with Local Health Plans of California.
• Katie Andrew, Local Health Plans of California.

Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.

Transcript Highlights:

• It can be with us or any pharmacy that they choose in the community, whether that pharmacy is or is not
• , before accounting for what expanded contract pharmacy access would do.
• This bill is anticipated to also impact certain local governments.
• control and the merits of what passed out of Local Government.
• some local consideration for the local governments, and we do want to be able to maintain some local

Bills: SB5420 , SB5877 , SB5868 , SB5109 , SB5832 , SB5922 , SB5944 , SB5988 , SB6065 , SB6103 , SB6151

Committee: House Appropriations

Keywords: veterans, military spouses, service members, uniformed services, National Guard, reservists, active duty, qualifying discharge, veterans preference, hiring preference, public employment, state benefits, license renewal, professional licensing, retirement service credit, pension, public retirement system, Washington RCW, military leave, reemployment rights

Transcript Highlights:

• Line 484 reflects $1.84 add-on to the directed pharmacy dispensing payment.
• I'll start with Article 4, which is the pharmacy benefits article.
• The pharmacy adjustments were huge to allow our freestanding community pharmacies to serve our communities
• Locally and as a consultant to national plans.
• We helped pharmacies, and that was also great because we have too many pharmacy deserts.

Bills: HF2435

Committee: House Health Finance and Policy

Transcript Highlights:

• </c><00:10:30.560><c> injectable</c> And in looking back at what the standard of practice is for pharmacy
• and dispensing medications, for pharmacy and dispensing medications, that<00:11:12.000><c> is</c><00
• level, which I think here at the local level, which I think is<00:21:19.440><c> an</c><00:21:19.679>
• Both the receiving pharmacy can opt out. There are parameters for that.
• Uh there are pharmacy can opt out.

Committee: Senate Health and Human Services

Transcript Highlights:

• that compete with our local pharmacies that have to contract with PBMs in order to service their communities
• Local pharmacies are facing more struggles as PBMs are using anti-competitive and unfair business practices
• that compete with our local pharmacies that have to contract with PBMs in order to service their communities
• Local pharmacies are However, PBMs don't treat all of their in-network pharmacies the same.
• Local pharmacies are facing more struggles as PBMs are using anti-competitive and unfair business practices

Bills: SB1052 , SB1115 , SB1118 , SB1120 , SB1121 , SB1124 , SB1171 , SB1172 , SB1174 , SB1175 , SB1214 , SB1233 , SB1235 , SB1316 , SB1345 , SB1372 , SB1399 , SB1458 , SB1494 , SB1496 , SB1564 , SB1602 , SB1621 , SB1628 , SB1630 , SB1631 , SB1668 , SB1672 , SB1814 , SB1821

Committees: House Health & Human Services , House House Health & Human Services Committee of Reference

Keywords: assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent, AHCCCS, remote work, state agency, employment, public health, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes, townhomes, historic preservation, radiation protection