Transcript Highlights:

• Yes, in a sense, because you can get a prescription for fluoride from a pharmacist or a doctor can prescribe

Summary: The Senate Committee on Agriculture met and considered four bills. SB 178, by Senator Rouson, created an agronomic study to be conducted by Florida A&M University, subject to appropriation, to identify viable crops or products for land taken out of production by disease or weather and to assess environmental and economic impacts; it passed unanimously and was reported favorably. SB 980, by Senator Bernard, created a one-year Hunger-Free Campus Pilot Program within FDACS to help postsecondary institutions address student hunger through task forces, SNAP assistance, food pantries, and related measures; DACS support was noted, one student government representative appeared in support, and the bill was reported favorably. SB 786, by Chair Truenow, prohibited assignment of assessments on agricultural improvements for agricultural purposes on lands classified as agriculture; it also passed unanimously and was reported favorably. The committee then took up SB 700, the FDACS “farm bill,” via a strike-all amendment. The amendment included a broad package of technical and substantive changes, including restrictions on additives to public water systems, limits on ESG considerations in agricultural lending, criminal penalties related to drone harassment, updates to disaster loan programs, truth-in-labeling provisions, charity registration changes, on-farm worker housing provisions, and support for FFA and 4-H dues. A major point of discussion was the provision preempting local governments from deciding whether to fluoridate water; supporters argued for statewide consistency and consumer choice, while opponents, including the Florida Dental Association and local officials, warned it would remove local control and harm public health, especially for low-income residents. Other speakers addressed concealed carry due process concerns, landowner rights, and labeling issues. The strike-all was adopted, and CS/SB 700 was reported favorably, with some senators noting they would continue working on concerns before later stops. At the end of the meeting, Senator Burton asked to be recorded as voting yes on SB 178, SB 980, and SB 786, and the committee agreed. The chair also welcomed Warner University agriculture policy students visiting the Capitol, and the meeting adjourned without objection.

Transcript Highlights:

• It also clarifies who is covered from physicians and nurses to pharmacists and Time limits for addressing
• It also clarifies who is covered from physicians and nurses to pharmacists and rights that are enshrined
• </c><00:05:40.479><c> and</c> Physicians and nurses, to pharmacists and therapists, and other professionals
• single action against a single licensee because of either advising patients to take that or even prescribing
• He's unbecoming to the profession. prescribing it. Not one. Not one. prescribing it. Not one.

Bills: HB0143, HB0129

Keywords: health care providers, free speech, discrimination, governmental agencies, civil remedies, physician access, internationally trained physicians, medical licensing, provisional license, healthcare workforce, 916, all

Transcript Highlights:

• I just, I’m going to have to object to it, Mike, just based upon, I’m a pharmacist.
• it requires that a complaint involving clinical decision-making, making diagnoses, treatments, prescribing
• this bill applies when the allegations involve clinical decision-making, diagnosis, treatment, prescribing
• this bill applies when the allegations involve clinical decision-making, diagnosis, treatment, prescribing
• Back in 2009, when I started prescribing testosterone to male patients, it was considered heresy.

Summary: The House Committee on Health and Welfare met on April 23 and first disposed of several items without hearing them, including HB 1093 and HB 1145, and voluntarily deferring HB 946. The committee then quickly reported HB 1095 favorably without objection. That bill would require nursing facilities to have fuel or another alternative power generation source to maintain power, and supporters said it preserves existing backup-power safety requirements while giving facilities more flexibility as technology changes. The committee then took up HB 926, which concerns vaccination status and admission to public buildings and seeks to prohibit medical mandates. After adopting an amendment set and additional changes clarifying exclusions for licensed health care providers and facilities, medical masks, and child welfare/school-related provisions, the committee heard testimony both for and against the bill. Supporters framed it as a civil-liberties measure limiting vaccine-card requirements for public buildings, while opponents warned it could interfere with public health measures, school immunization rules, and the ability of health care facilities to protect patients. The bill was reported favorably on an 8-4 vote. HB 1220, a cleanup bill for the Louisiana State Board of Medical Examiners, was then reported favorably after a technical amendment set. HB 1227, which would require complaints involving medical judgment to be reviewed by a three-physician panel before formal disciplinary action, drew extensive testimony from a physician sponsor, a doctor describing his disciplinary experience, and the board’s executive director, who said the board already uses practicing physicians, nurses, and experts in its process and warned the proposed panel system could be impractical because physicians are difficult to recruit for such reviews. At the sponsor’s request, the committee voluntarily deferred HB 1227 for further work. Finally, the committee reported HB 1217 favorably with amendments to a pharmacy benefit manager transparency bill, after supporters said it would expose hidden pricing and rebate practices and opponents argued some provisions were duplicative or unnecessary. HB 1028, setting minimum Medicaid reimbursement rates for non-emergency medical transportation, was reported favorably and referred to Appropriations after supporters described the need for higher rates and members discussed funding. The committee also reported HB 1185 favorably, with amendments preserving the existing Rural Hospital Preservation Act while extending similar protections to additional rural-lookalike hospitals, and adopted HCR 76 to continue the Health Inequities and Disparities in Rural Areas Task Force for another year.

Transcript Highlights:

• I just, I'm going to have to object to it, Mike, just based upon, I'm a pharmacist.
• Treatment, prescribing, or standard of care be reviewed by a panel of practicing physicians before it
• does, it requires a complaint involving clinical decision-making, making diagnoses, treatments, prescribing
• this bill applies when the allegations involve clinical decision-making, diagnosis, treatment, prescribing
• Back in 2009, when I started prescribing testosterone to male patients, it was considered heresy.

Bills: HB689, HB742, HB926, HB946, HB948, HB1028, HB1095, HB1114, HB1121, HB1155, HB1185, HB1217, HB1220, HB1227, HCR76

Keywords: public assistance, child welfare, benefit adjustment, DCFS, LDH, fraud detection, household reporting, Medicaid, immunization, healthcare eligibility, Family Independence Temporary Assistance Program, health policy, vaccination requirements, vaccination status, vaccine mandate, medical freedom, medical autonomy, public buildings, public access, government services

Transcript Highlights:

• House Bill 2175 prescribes that a person is not eligible for suspension of sentence, probation, or any
• The vehicle is required to be sold at auction as prescribed in your caucus sheet.
• The vehicle is required to be sold at auction as prescribed in your caucus sheet.
• Additionally, vehicle is required to be sold at auction as prescribed in your caucus sheet.
• This bill also prescribes that a person is not eligible for suspension of sentence, probation, pardon

Keywords: 1182, all

Summary: The caucus reviewed a long list of bills and resolutions, with members frequently asking to pull measures from consent and noting party-line or unanimous votes. Topics included medical and vaccination restrictions (HB 2248, HB 2086), state investment and conflict-of-interest rules for the treasurer (HB 2303), budget and reporting requirements (HB 2688, HB 2015), procurement limits involving China-linked companies (HB 2170, HB 2134), homelessness administration (HB 2533), traffic and transportation measures (HB 2109, HB 2574, HB 2210), school testing and education policy (HB 2032, HB 2033, HB 2075, HB 2266, HB 2395, HCR 2003), and several health-care bills involving lactation services, gender-transition care for minors, abortion-related restrictions, and hospital immigration-status reporting (HB 2072, HB 2085, HB 2364, HB 2689, HB 2796). Members also discussed water policy, including desalination, groundwater transport, and water-use limits (HB 2052, HB 2056, HB 2098, HB 2758, HB 2328), as well as food and agriculture measures such as SNAP restrictions, cultivated-cell food labeling and bans, and the Beef Council extension (HB 2396, HB 2762, HB 2791, HB 2155). Several members criticized bills as unconstitutional, costly, or harmful to affordability, while sponsors described them as clarifications, consumer protections, or administrative fixes. The caucus also considered a number of bills affecting labor, property, and consumer issues, including unemployment eligibility changes, mobile home park submetering fees, appraisal management company rules, digital goods seller requirements, property tax clarifications, and protections for minors in online content creation (HB 2690, HB 2459, HB 2501, HB 2010, HB 2120, HB 2192, HB 2261, HB 2279). Other measures addressed sexual extortion penalties, name-change procedures for sex offenders, and restrictions on abortion-inducing drugs and gender-transition procedures for minors (HB 2666, HB 2223, HB 2364, HB 2085). Members repeatedly raised concerns about federal preemption, constitutional issues, implementation costs, and unintended consequences, and several sponsors or members indicated they were working on amendments or stakeholder discussions. At the end of the meeting, the caucus also heard memorials and resolutions, including a proposal to limit voting centers and precinct voting, and memorials urging withdrawal from the United Nations and defunding the IMF (HCR 2016, HM 2001, HM 2004). The meeting concluded with caucus announcements, including an affordability-themed award recognizing Rep. Betty Villegas, a Black History Month sign-up request, and reminders about upcoming affordability and Latino Caucus events. No final floor votes were taken in the transcript, but multiple bills were pulled from consent or noted for opposition.

Transcript Highlights:

• The PAB is comprised of legislators, health economists, pharmacists, and lay experts, which really helps
• /c><00:28:15.960><c> economists</c> legislators Health economists legislators Health economists pharmacists
• lay experts which really pharmacists lay experts which really helps<00:28:19.000><c> to</c><00:28:19.200
• There was virtually no ability to impact what is prescribed or how much we pay for it.
• </c><01:08:59.719><c> or</c> ability to impact what is prescribed or ability to impact what is prescribed

Keywords: 928, house, all

Summary: The working session focused on the New Hampshire Prescription Drug Affordability Board’s budget request and its recent work. Early discussion centered on a technical question about a statutory dedicated fund for donations: members asked why the budget did not show a line item for accepting donations, and DHHS CFO Nathan White explained that the statute already authorizes the fund, but because no revenue has been received yet, it does not appear in the budget. He said any future donations would go through the normal process under RSA 14:30-a, with fiscal committee and Governor and Council approval and a memo to the Department of Revenue Administration. The chair clarified that the account was not a prerequisite to soliciting donations, and White said the fund would supplement, not replace, General Fund support. Kirk Williamson, the board’s executive director, then presented the board’s mission and budget. He said the governor’s budget provides about $256,500 in the first year and slightly more in the second, all General Funds, and that the board had distributed a technical amendment to continue the executive director position. He described the board’s role as analyzing prescription drug costs, identifying savings opportunities, monitoring market trends, promoting transparency, and making recommendations to the legislature and public payers. He also emphasized that the board operates publicly, with live-streamed meetings and a stakeholder advisory council that includes unions, state agencies, Medicaid, corrections, higher education, and other stakeholders. A major topic was the board’s estimate of $6 million in potential savings, based on Medicare’s newly negotiated prices for 10 drugs. Williamson explained that the board used those federal negotiated prices as a benchmark to estimate what New Hampshire public payers might be missing by not having similar leverage, and said the board is trying to build evidence for future recommendations rather than directly setting prices. Members asked how those potential savings could become actual savings, and Williamson said the board is sharing findings through its advisory council and feedback loops, though it has not yet sent a formal recommendation letter to specific purchasers. He also discussed the difference between pharmacy-benefit spending, which relies heavily on PBM-negotiated rebates, and medical-benefit spending, which is administered differently and is being added to the board’s next report. Williamson highlighted other work, including a model on Humira and a pending legislative effort to improve biosimilar competition, plus a proposed state-backed pharmacy savings card that would be no cost to the state and could save users about $240 per prescription based on Connecticut’s experience. No votes were taken during the session.

Transcript Highlights:

• Or is it when I prescribe a dose that... From having to wait for the insurance?
• Or is it when I prescribe a dose that exceeds the recommended dose? Okay. It is the former.
• It is when you are prescribed an actual, when you prescribe a drug and it is approved by the plan, they
• My question, though, on I guess the clinical side or the doctor's side is if a doctor prescribes...
• The other question I have is: your doctor prescribes you a medication, and then the pharmacist often

Keywords: 987, senate, all

Transcript Highlights:

• They're not prescribing to people. They're not intervening. >> And so it's not the same.
• </c> from my local uh pharmacists from my local uh pharmacists of<01:25:36.239><c> those</c><01:25:36.480
• Let's take AB's prescribing patterns.
• </c><01:40:42.239><c> This</c> prescribe the more expensive drug.
• This prescribe the more expensive drug.

Keywords: 919, house, all

Summary: The committee first approved the March 11, 2026 minutes, then heard House File 4048, which would exempt chiropractors from Minnesota’s provider tax if they are no longer eligible to provide chiropractic benefits under Medicaid/MinnesotaCare. Representative Robbins said the bill corrects an unfair situation because chiropractors still pay the tax even though the benefit was eliminated. Testifiers from the Minnesota Chiropractic Association and a longtime chiropractor supported the bill, arguing that most chiropractors are small-business owners and should not pay a tax for services they can no longer provide. Several members said they supported restoring chiropractic coverage instead of changing the tax, and there was discussion about whether the tax applies to all providers and whether it is effectively passed on to patients. The committee adopted a motion to recommend HF 4048 to the Committee on Taxes. The committee then took up House File 3893, as amended, a bill to restrict artificial intelligence from engaging in psychotherapy or counseling with humans. The author and supporters said the bill is intended to prevent AI chatbots from posing as therapists or counseling vulnerable people, citing reports of suicides and other harms linked to chatbot interactions. The A2 amendment was adopted; the author said it reflected stakeholder concerns and added informed-consent language. Testifiers in support, including a psychologist and a suicide-prevention nonprofit leader, urged strong safeguards and said AI should not replace licensed professionals in crisis settings. Other testimony raised concerns about overbreadth and unintended effects. TechNet and a rural mental health provider said the bill should be narrowed so it applies to clinical therapy rather than wellness or educational tools, and should allow supervised AI uses such as transcription and administrative support. Members discussed rural access, existing licensing-board authority, privacy laws, and whether the bill should target AI companies directly rather than licensed clinicians. The transcript ends during continued discussion of HF 3893, with no final committee action shown in the excerpt.

Transcript Highlights:

• Second, this bill would require pharmacists to dispense up to a 12-month supply of prescriptive hormone
• the fear that they will lose access to life-saving gender-affirming care that is currently being prescribed
• Patients are also reporting that they are cutting back on their currently prescribed treatment in order
• potential for discriminatory encounters with pharmacy staff on a monthly basis simply by picking up prescribed

Keywords: 988, house, all

Transcript Highlights:

• Related to this amendment, the state is not prescribing this medication, and the purpose of the stockpile
• is to distribute to providers and to pharmacies who can, in fact, prescribe and dispense safely and
• Related to this amendment, the state is not prescribing this medication, and the purpose of the stockpile
• is to distribute to providers and to pharmacies who can, in fact, prescribe and dispense safely and
• We are now basically using the Department of Corrections pharmacy intended for purchasing pharmacist.

Summary: The Senate opened with roll call, the pledge, prayer, and recognition of guests from the Sikh Coalition and Kalsa Gramath Center. Members then approved the journal and moved through committee reports and resolutions, including Senate Resolution 8678 honoring the Chimicum High School Marching Band for being selected to represent Washington in the 2026 National Independence Day Parade in Washington, D.C. The resolution was adopted unanimously, and the band and its supporters were recognized in the gallery. The chamber then confirmed two gubernatorial appointments to major health agencies. Ryan Moran was confirmed as Director of the Health Care Authority by a 49-0 vote, with supporters citing his Medicaid and health system experience and ability to provide stable leadership. Dennis Worsham was also confirmed as Secretary of Health by a 49-0 vote, with senators highlighting his long public health career, statewide outreach, and work on HIV/AIDS and community health. On legislation, the Senate passed Senate Bill 6011, expanding Court of Appeals bailiff authority to conduct threat assessments, and Senate Bill 5831, creating the Uniform Mortgage Modification Act. Senate Bill 6188, which expands Labor and Industries’ authority to update asbestos training and certification rules, passed 38-19 after an amendment to limit the bill to federal standards was rejected. Substitute Senate Bill 5917, concerning access to abortion medications through the Department of Corrections pharmacy, passed 32-17 after several Republican amendments were defeated. The Senate also passed In Gross Senate Bill 6024 on developmental disability services confidentiality and Substitute Senate Bill 6091 on prohibiting real estate brokers from marketing residential properties in exclusive private listings. Finally, Substitute Senate Bill 5840, adjusting campaign finance expenditure reporting deadlines, passed 46-3. After completing the day’s business, the Senate recessed for caucus and lunch until 1:15 p.m.

Transcript Highlights:

• agencies and over a million current and prior licenses across a wide range of professions, including pharmacists
• That's the Executive council PTOT examiners, and so that includes plumbers, dentists, pharmacists, optometrists
• and pharmacist interns, and 77,800 pharmacy technicians and pharmacy technician trainees.
• The board's executive director is legally mandated to be a Texas licensed pharmacist, which will be a
• my name is Julie Speer, and I am the president of the Texas State Board of Pharmacy, a licensed pharmacist

Transcript Highlights:

• We should do this for pharmacists as well.
• Hawaii Pharmacists Association in support.
• pharmacist Association in Hawaii pharmacist Association in support.
• :34.080><c> team-based</c> have pharmacists embedded in team-based have pharmacists embedded in team-based
• We pharmacists at no cost to the state.

Bills: HB20, HB2612, HB2404, HB2459, HB2194, HB1880, HB2284, HB1969, HB2458, HB1546, HB2161, HB1721, HB1641, HB2137, HB1782, HB2360, HB1965, HB1897, HB1513

Keywords: lava insurance, homeowners, insurance market, subsidy, Hawaii, mortgage, debt, secured transactions, real property, Hawaii Revised Statutes, cooperative associations, electric utility cooperatives, agricultural cooperatives, mutual help, food innovation, agribusiness, food safety, market access, branding, economic diversification

Summary: The committee heard testimony on HB 20, which would create a lava zone insurance subsidy/fund. The Insurance Division opposed the bill, arguing that lava zones 1 and 2 are the highest-risk areas, that a subsidy would not reduce the underlying risk or loss costs, that it could invite similar subsidy requests for other hazards, and that the bill may conflict with HICV by diverting funds from the CRF. Members discussed the lack of authorized homeowners insurance in those lava zones, the role of HPIA and the surplus market, and the difference between the proposed lava-zone subsidy and the Hawaii Hurricane Relief Fund. The chair noted 37 submitted testimonies in support and one in opposition, and the committee then moved on without taking a vote on HB 20 in the portion provided. The committee then took up HB 2612, relating to mortgages, which would clarify that a mortgage does not exist independently of the debt it secures and is not independently enforceable from that debt. The Hawaii Credit Union League and Hawaii Financial Services Association opposed the bill, while several individuals testified in support, arguing it would restore Hawaii’s long-standing lien-state rule and prevent so-called “zombie mortgages” after the Hawaii Supreme Court’s White decision. Supporters said the bill would protect borrowers from delayed foreclosures and predatory lending practices, while opponents and the Insurance Division emphasized that foreclosure actions still require proof of standing and possession of the note, and that lenders generally pursue foreclosure without seeking deficiency judgments. Committee members questioned the Insurance Division about how the current market works, whether lenders could wait out the statute of limitations and then foreclose only on the mortgage, and whether equitable tolling or later defaults could allow refiling. The division said it is still trying to attract authorized insurers back into the lava-zone market, but has seen little progress. No vote or final action on HB 2612 was taken in the excerpt provided.

Transcript Highlights:

• Pharmacists are often in the position of dispensing or delivering opioids to patients who need them for

Bills: SB1117, SB1373, SB672, SB1986, SB1098, SB626, SB1784, SB2480, SB2487, SB437, SB660

Keywords: dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness

Transcript Highlights:

• pharmacy. shall disclose the lowest cost cash price at the pharmacy for the drug or biological product prescribed
• My prescribed medications and mobility aid were helpful. ...withheld, and I had no opportunity to speak

Bills: SB1117, SB1373, SB672, SB1986, SB1098, SB626, SB1784, SB2480, SB2487, SB437, SB660

Keywords: dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness

Transcript Highlights:

• the amendment allows, rather than requires, a pharmacy management network to perform audits of pharmacists
• I have become a founding member of an organization called Pharmacists United for Truth and Transparency
• We love independent pharmacists, because for injured workers to get well, they need to have access to
• difference in required and actual spending for direct instructional expenses or teacher pay as prescribed
• difference in required and actual spending for direct instructional expenses or teacher pay as prescribed

Summary: The committee first took up a discussion-only strike-everything amendment to HB 2211, which would make it unprofessional conduct for certain health care providers to submit offers in independent dispute resolution above 300% of Medicare or the qualified payment amount. The chair said he was not ready to move the bill because more stakeholder meetings were needed. Testimony split between insurers, who said a small number of providers were abusing the No Surprises Act and driving up costs, and provider representatives, who argued the proposal would improperly cap rates, relied on opaque insurer-set QPAs, and could threaten licensure in a billing dispute. No vote was taken on HB 2211. The committee then considered HB 4028 on accessory dwelling units. The bill would remove the 1,000-square-foot cap, change setback rules, bar municipalities from requiring an administrative use permit and certain elevation criteria, and extend the deadline for cities to adopt ADU regulations. The sponsor argued it would give homeowners more flexibility and help address housing affordability, while cities, neighborhood groups, and residents warned it would allow oversized ADUs, reduce local control, create density and safety concerns, and invite investor-driven development. After extensive debate, the committee voted 8-9 with one present, and HB 4028 failed. Next, the committee heard HB 2620, as amended, which appropriates $300,000 annually for five years from the General Fund to the Department of Veterans’ Services for grants to emergency shelters. An amendment removed age and non-congregate-setting conditions for eligibility. The sponsor and a shelter provider said the funding would help shelters better serve homeless veterans and connect them to services. The committee adopted the amendment and then passed HB 2620 on a 17-0 vote with one member not voting. The committee then considered HB 2960, as amended, which creates a veterans specialty court grant program and a dedicated fund to support local veterans treatment courts. An amendment shifted administration of the fund to the Office of the Courts and allowed support for expansion of existing programs. The sponsor, a Lake Havasu judge, and a veteran graduate testified that veterans courts reduce recidivism and save lives by linking veterans to treatment and support. The bill was still being taken up when the transcript ended, with testimony continuing from supporters including a veterans shelter founder.

Transcript Highlights:

• They do a more robust, um, kind of similar to the language of this bill that eliminates the prescriber
• Um, how much is this going to cost the pharmacist and the consumer?
• And um, other than Michael Galoyo, who I don't think will be able to get prescribed this, all the other
• Then is that your, is that the board's position, that you do not care if we mandate that the pharmacist
• Then is that your, is that the board's position, that you do not care if we mandate that the pharmacist

Keywords: 912, senate, all

Summary: The HHS committee met in Room 224 and announced the hearing was being streamed live, with a one-minute limit on testimony. The chair explained that written testimony had already been reviewed and that speakers should either add new comments or stand on their written testimony. The committee first heard SB 2211, an emergency appropriation to the Department of Human Services. Testimony was overwhelmingly in support, including DHS, Aloha United Way, the Hawaii Food Industry Association, the Hawaii Public Health Institute, Catholic Charities, and many individuals. Supporters emphasized the importance of maintaining SNAP-related food assistance and emergency food delivery, while Catholic Charities raised a question about whether the bill’s language would also reach food banks serving food-insecure households that are not on SNAP. No opposition was heard and the bill was moved on without questions from members. The committee then heard SB 2025, which would exempt actively practicing advanced practice registered nurses from jury duty. Testimony was broadly supportive from nursing and health organizations, including the Hawaii American Nurses Association, the Hawaii affiliate of the College of Nurse Midwives, the Hawaii State Board of Nursing, and others. One witness from Kaiser Permanente requested an amendment to include physician assistants, and a committee member asked the Board of Nursing to review that request. The bill otherwise drew no opposition and no further member questions. SB 2038, relating to medication labeling, drew the most extended discussion. The measure would change labeling requirements for certain abortion medications, and testimony was split between supporters who framed it as a privacy and access issue and opponents who raised patient safety, ethics, and transparency concerns. The Department of Health supported the intent but requested an amendment to allow quicker access to private information during investigations without a subpoena. The Board of Pharmacy said it supported the written comments but noted operational challenges and possible cost impacts, while Kaiser said compliance would likely require manual workarounds and could slow pharmacy processes. The chair and members questioned whether patients could simply remove labels themselves, but witnesses said there could still be safety and access issues if the patient is not the one receiving the prescription. The committee then moved on to SB 2050, relating to chiropractic, which received support from the Hawaii Board of Chiropractic and the Hawaii State Chiropractic Association, with no substantive opposition noted. The hearing later turned to SB 201, relating to insurance, which appeared to be a new mandated-benefit measure tied to infertility/IVF coverage. The Hawaii Civil Rights Commission provided comments, while Hawaii Family Forum opposed the bill, arguing it went beyond medical infertility and raised ethical and public policy concerns. Kaiser and the Hawaii Association of Health Plans both asked for a study or audit, saying the measure could create new insurance mandates and increase costs for residents and employers. Private Work Hawaii strongly supported the bill as an equity issue. The committee noted there was no quorum for decision-making and deferred action on the measure to a later hearing, then recessed.

Transcript Highlights:

• I employ over 600 hardworking clinicians, pharmacists, chemists, and MDs, PhDs.
• It involves the prescribing physician having to send reports, justifications, and even case notes to
• In other words, they can still insist, before they get the drug that the prescriber wants, that they
• And have been an Arizona pharmacist for over 20 years.
• As a pharmacist in rural Arizona, my greatest concern is providing my patients with safe, convenient

Summary: The committee heard several bills related to radiation protection in cardiac catheterization labs and later a stem cell/regenerative therapy bill. On SB 1121, which would allow hospitals with radiation protection systems to let clinicians forgo lead aprons if they work in the designated safety area and use real-time dosimetry, testimony was largely supportive or neutral after a late amendment gave radiation safety officers discretion to require protective gear if exposures approach thresholds. The committee adopted the amendment and passed SB 1121 on a 9-1 vote. SB 1120, a more prescriptive bill requiring at least 50% of cath lab rooms in hospitals to be equipped with the radiation protection system, drew divided testimony: sponsors and several physicians argued it would reduce orthopedic injury and radiation exposure and improve recruitment and retention, while hospital and radiology groups objected to the mandate, cost, limited vendor pool, and lack of clarity in the bill’s definitions. After adopting an amendment excluding children’s hospitals, the committee deadlocked 6-6 and SB 1120 failed to pass. The committee then considered SB 1118, which would appropriate $3 million to help rural hospitals install radiation protection systems in cath lab rooms. The sponsor said the funding would help rural facilities meet the same safety goals, and the committee passed the bill 6-5. The committee also heard SB 1214, a “guardrails” bill regulating non-FDA-approved stem cell and regenerative therapies, requiring informed consent, sourcing and reporting standards, advertising limits, and civil penalties for violations. Supporters said it would protect patients while allowing access to promising therapies; some members raised concerns about evidence and commercialization, but after adopting a technical amendment, the bill passed 9-3. The transcript ended as the committee moved on to SB 1630, which would seek federal approval for a home- and community-based service benefit for adults with serious mental illness; the sponsor described it as a capped, Medicaid-based community care option, and Access testified neutral while estimating a fiscal impact, but no final action on SB 1630 appears in the excerpt.

Transcript Highlights:

• Members, of course, many of you have already greeted pharmacists from back home. students who are here
• We're welcoming in pharmacists, pharmacy technicians, pharmacy students here from all across the state
• Pharmacy Association, Texas Federation of Drugstores, Texas Society of Health System Pharmacists.
• We share in common the relationships we enjoy. with that neighborhood pharmacist that we rely on for
• As the sole pharmacist in the legislature, I want to make sure you are welcomed to your Capitol.

Bills: SJR57, SCR8, SB8, SB14, SB24, SB108, SB112, SB125, SB213, SB251, SB315, SB318, SB371, SB378, SB379, SB472, SB487, SB502, SB513, SB565, SB621, SB650, SB689, SB707, SB710, SB761, SB763, SB815, SB854, SB875, SB896, SB916, SB925, SB958, SB961, SB965, SB973, SB987, SB990, SB995, SB1006, SB1018, SB1019, SB1024, SB1026, SB1146, SB1194, SB1198, SB1253, SB1330, SB1343, SB1362, SB1379, SB1497, SB1498, SB1527, SB1532, SB1547, SB1596, SJR36, SJR12, SJR57, SCR22, SCR12, SCR8, SB565, SB765, SB62, SB666, SB707, SB888, SB687, SB847, SB1248, SB14, SB1006, SB504, SB925, SB995, SB857, SB305, SB296, SB284, SB815, SB1379, SB1497, SB1499, SB1498, SB241, SB304, SB621, SB1023, SB1024, SB686, SB112, SB371, SB204, SB609, SB670, SB502, SB850, SB854, SB413, SB1362, SB1346, SB1033, SB1220, SB1073, SB810, SB987, SB1539, SB447, SB875, SB406, SB985, SB965, SB1119, SB1505, SB24, SB1194, SB1253, SB1215, SB1532, SB1302, SB856, SB650, SB583, SB673, SB213, SB681, SB1172, SB1252, SB378, SB1343, SB608, SB487, SB955, SB957, SB988, SB990, SB1019, SB1021, SB1120, SB251, SB958, SB761, SB541, SB315, SB379, SB1018, SB1737, SB266, SB1415, SB1527, SB125, SB599, SB1330, SB53, SB916, SB896, SB1352, SB973, SB785, SB710, SB472, SB1450, SB1502, SB1566, SB414, SB1062, SB1547, SB961, SB1038, SB513, SB578, SB711, SB746, SB942, SB1404, SB1448, SB1738, SB108, SB8, SB318, SB507, SB533, SB689, SB1026, SB1349, SB1355, SB1433, SB1434, SB1596, SB1403, SB1198, SB1146, SB763, SB667, SB1059, SB617, SB1567, SB503, SJR37, SB16, SB310, SB311, SB396, SB505, SB1209, SB1210, SB1470, SB264, SB924, SB1029, SB1185, SB1202, SB1358, SB1364, SB1569, SB1697, SB1376, SB1228, SB519, SB878, SB1350, SB462, SB1535, SB827, SB1585, SB207, SB1207, SB1619, SB1396, SB920, SB1484, SB1273, SB1741

Keywords: central bank digital currency, CBDC, Federal Reserve, digital dollar, digital currency, cashless payments, financial privacy, cybersecurity, government surveillance, financial surveillance, money laundering, terrorism financing, illicit finance, banking policy, monetary policy, payments system, commercial banks, Texas Legislature, concurrent resolution, federal reserve digital currency

Transcript Highlights:

• If I have prescribed a medication at a certain dosage and my patient needs a higher dose that is not
• Or is it when I prescribe a dose that exceeds the recommended dose? Okay. It's the former.
• It is when you are prescribed a drug and it is approved by the plan.
• My question, though, on I guess the clinical side or the doctor's side is if a doctor prescribes... .
• The other question I have is: your doctor prescribes you a medication, and then the pharmacist often

Summary: The Senate Committee on Health heard several health-related bills, with extensive public testimony and multiple roll-call votes. SB 895, by Senator Wiener, would create the California Foundation for Science and Health Research and place a bond measure on the November 2026 ballot to support science and health research in California amid federal funding cuts. The author and UC researchers argued the measure would protect jobs, public health, and the state’s research leadership; many universities, labor groups, and patient advocates testified in support, and there was no opposition. The committee members praised the bill, and it passed 6-0 to the Committee on Natural Resources and Water. SB 944, also by Senator Wiener, would make acupuncture a permanent Medi-Cal benefit regardless of federal matching funds. Supporters, including acupuncturists, patients, community organizations, and health access advocates, described acupuncture as effective, low-cost, and culturally important care; there was no opposition. The committee discussed access for API communities and Medi-Cal patients, and the bill passed 6-0 to the Committee on Appropriations. SB 987, by Senator Wiener, would create a California Health Access Fund to capture state savings if federal Medicaid changes cause Medi-Cal enrollment losses, with the goal of redirecting those savings to care for affected patients and providers. Support came from disability, consumer, family physician, emergency physician, psychiatric, medical, and safety-net hospital groups. Committee members discussed prioritizing indigent care, prevention, and other vulnerable populations if savings materialize. The bill passed 8-0 to Appropriations. SB 964, by Senator Smallwood-Cuevas, would limit prior authorization barriers by allowing certain dose or frequency adjustments for covered medications without repeated authorization, up to two clinically appropriate changes. The bill was supported by a Crohn’s and colitis patient and sponsor testimony describing delays in care, while health plans and insurers opposed it over safety, FDA-labeling, and cost concerns. Committee members raised questions about off-label use and clinical standards, but the author said the bill was intended to reduce delays and avoid emergency care; it passed 11-0 to Appropriations. SB 1099, by Senator Reyes, would clarify local governments’ authority to provide state and local public benefits to all residents under PRWORA-related exemptions, to reduce legal uncertainty for local safety-net programs. County counsel and city attorney representatives said the bill would preserve local flexibility to provide services such as health care, shelter, crisis response, and food distribution without unnecessary eligibility barriers; there was no opposition, and the bill passed 11-0 to the Committee on Human Services. SB 1033, by Senator Padilla, would require manufacturers of protein products to test for heavy metals and disclose results. Supporters cited Consumer Reports findings of lead, cadmium, arsenic, and mercury in protein powders and beverages, while opponents asked for narrower scope and raised concerns about naturally occurring metals and over-warning consumers. The committee discussed narrowing the bill and the need for transparency, and it passed 11-0 to the Committee on Environmental Quality. Finally, SB 1049, by Senator Weber-Pearson, would give providers a fair opportunity to correct certain claim errors after a health plan action, rather than being barred by original filing deadlines. An OBGYN testified that a missing diagnostic code led to large clawbacks and delayed payments despite appropriate care; the bill was presented as a limited fix for honest mistakes. The transcript ends during testimony on SB 1049, before a final vote is shown.

Transcript Highlights:

• 35.680><c> sell</c><01:06:35.839><c> the</c> pharmacist is forced to sell the pharmacist is forced to
• <c> that</c> pharmacist.
• The pharmacists wanted that pharmacist.
• :12:00.320><c> sell</c> forcing the pharmacist to sell forcing the pharmacist to sell medication<01:12
• </c> to come in and get it from a pharmacist to come in and get it from a pharmacist that<01:17:43.120

Keywords: 928, house, all

Summary: The committee first heard Senate Bill 47, sponsored by Sen. Regina Birdsell at the request of the Insurance Department. The bill would codify the department’s interpretation that a birth mother’s health insurance is the primary coverage for a newborn, unless the mother has no insurance or coverage under an employer-sponsored plan. Birdsell and Insurance Commissioner DJ Benton Court said the measure is a clarification of existing practice and intended to protect vulnerable newborns; a question from Rep. Miles clarified that if a young woman is on her parents’ policy, the newborn would generally be covered under that family coverage. The hearing on SB 47 was then closed. The committee then took up Senate Bill 121, introduced by Grant Bosi for Sen. Kevin Avard, which would require insurers to notify the Insurance Department when they stop writing an entire line of business or, in some cases, Medicare Advantage plans. Commissioner Benton Court said the bill arose from disruption in the Medicare Advantage market, where consumers, brokers, and the department were confused by carriers changing or ending offerings; he said the department wanted a simple notification requirement so it could better advise consumers. Members discussed network adequacy, county-based service areas, and the fact that the bill would make notice a condition of licensure, with possible fines or license action for noncompliance. Witness Paula Rogers of AHIP said her group supported the bill if amended, and the department indicated it would support a change from a 120-day notice period to 90 days to align with state rules; the committee planned to work on an amendment in subcommittee. Finally, the committee heard Senate Bill 247, introduced by Rep. Brian Cole, which would prohibit network exclusion of pharmacies that refuse to dispense prescriptions when PBM reimbursement is below acquisition cost. Cole argued the bill is meant to stop pharmacies from being forced to sell drugs at a loss, describing PBMs as middlemen and saying the measure is a compromise that protects local pharmacies. Members questioned whether consumers would pay more and whether pharmacies voluntarily enter PBM contracts; Cole responded that the bill would let pharmacies refuse unprofitable fills while consumers could still obtain the drug through mail order or other channels. He also said the issue has changed over time because the practice now affects a much larger share of generics and is concentrated among a few PBMs. The hearing remained open as questions continued, with no vote taken in the excerpt.