Transcript Highlights:

• And we stop insurance companies from changing drug coverage formularies midyear so no one loses access
• midy year so no one loses formularies midy year so no one loses access<00:22:32.559><c> to</c><00:22
• Senator, so the provision is talking about mid-formulary, uh, mid-year formulary changes, where if a
• formulary changes for a patient, they go to pick up their medications on a Tuesday afternoon.
• The formularies can be changed at any time otherwise. Um, thank you, Senator Rasmusson.

Transcript Highlights:

• House Bill 870, by Representative Turner, health insurance, to establish requirements, formulary placement

Bills: HR94 , HR95 , HR96 , HR97 , HR98 , HR99 , HR100 , HR101 , HR102 , HR103 , HR104 , HR105 , HR106 , HR107 , HR108 , HR109 , HR110 , HR111 , HCR45 , HCR46 , HCR47 , HCR48 , HCR49 , HCR50 , HR92 , HR93 , HCR44 , SB11 , SB72 , SB78 , SB151 , SB207 , SB210 , SB219 , SB241 , SB286 , SB324 , SB351 , SB376 , SB409 , SB411 , HR74 , HCR26 , HB4 , HB98 , HB108 , HB131 , HB151 , HB161 , HB244 , HB288 , HB294 , HB305 , HB310 , HB320 , HB336 , HB380 , HB392 , HB403 , HB420 , HB459 , HB476 , HB513 , HB540 , HB596 , HB608 , HB615 , HB631 , HB637 , HB648 , HB665 , HB682 , HB789 , HB813 , HB815 , HB835 , HB870 , HB905 , HB915 , HB933 , HB938 , HB944 , HB971 , HB987 , HB1040 , HR15 , HR20 , HCR14 , HCR6 , HCR19 , HCR10 , HB81 , HB134 , HB154 , HB163 , HB170 , HB194 , HB217 , HB220 , HB254 , HB259 , HB290 , HB308 , HB311 , HB360 , HB382 , HB401 , HB410 , HB417 , HB463 , HB575 , HB592 , HB718 , HB723 , HB750 , HB755 , HB776 , HB812 , HB844 , HB882 , HB888 , HB961 , HB966 , HB980 , HB54 , HB67 , HB73 , HB125 , HB133 , HB158 , HB168 , HB169 , HB191 , HB195 , HB245 , HB280 , HB283 , HB296 , HB319 , HB339 , HB399 , HB407 , HB448 , HB550 , HB591 , HB826 , HB995 , HB1085 , HB1086 , HB722 , HB140 , HB468 , HB546 , HB746 , HB842 , HB923 , HB166 , HB349 , HB352 , HB429 , HB436 , HB588 , HB747 , HB780 , HB782 , HB911 , HB827 , HB953 , HB796 , HB901 , HB9 , HB52 , HB58 , HB193 , HB284 , HB400 , HB570 , HB577 , HB582 , HB605 , HB733 , HB735 , HB868 , HB952

Summary: The House convened with a quorum, prayer, and the Pledge of Allegiance, then moved through a long morning of personal privileges, commemorations, and resolution introductions. Members recognized Coca-Cola United for its Louisiana economic impact and community work, designated April 7 as Coca-Cola Day, celebrated Ponchatoula Strawberry Festival Day, Dad’s Day, and other guests and honorees, including a science fair participant, Jack and Jill of America, and a birthday recognition. The House also introduced numerous resolutions on topics including awareness days, condolences, civic education, health, and local commemorations, and several were adopted or advanced without objection. The chamber then took up a series of bills and committee reports. Among the measures advanced were bills on constitutional convention procedures, criminal justice and post-conviction relief, public meetings, health care, education, insurance, natural resources, and local government. Several bills were reported favorably or with amendments and moved to third reading, including measures on school resource officers, pharmacy benefit managers, rural health clinics, the LSU Energy Institute, and live broadcasting of public meetings. The House also passed bills recreating the Department of Treasury, requiring cash acceptance or cash-to-credit options at state public facilities, funding municipal fire and police civil service administration, naming a highway segment for Sgt. Michael J. Guillory, and clarifying legislative review of certain contract amendments. Floor debate centered on a few substantive bills. HB 134, which would prohibit platforms from delivering pornography to minor accounts and authorize Attorney General enforcement, passed 98-0. HB 170, clarifying when the prescriptive period begins for certain construction-related claims, passed 89-7 after discussion of substantial completion and owner occupancy. HB 217, creating an optional property tax exemption for rehabilitation of blighted residential property, passed 83-13 after amendment. HB 259, addressing damage to infrastructure during broadband excavation and requiring notice, repair, and payment accountability, passed 98-0 after amendments. HB 308, requiring state public facilities to accept cash or provide a cash-to-credit machine, passed 98-0. HB 360, naming a highway memorial for Sgt. Michael J. Guillory, passed 101-0. HB 382, streamlining budget committee review of certain contract amendments, passed 96-0. The House also debated HB 410, a privacy bill requiring notice when a participant in a direct in-person conversation is being recorded, with exceptions for law enforcement, evidence of crime, and certain civil or administrative proceedings. Members raised concerns about the scope of the exceptions, undercover journalism, and the relationship to Louisiana’s one-party consent wiretapping law, but the bill’s sponsor said it would not change criminal wiretapping law and was modeled on other states’ approaches. The transcript ends during that debate, with no final vote shown for HB 410.

Transcript Highlights:

• President, the House bill allows any voter to challenge the certification of ballot placement on the
• expanding eligibility for the Florida Academic Scholar Award requirements to include the Advanced Placement
• optometrists wish to prescribe a topical ocular pharmaceutical agent for their patients using a formulary
• developed by the Board of Optometry, the formulary will also include the equivalent generic drug if
• environment are protected, that our residents in Miami-Dade are protected from and have a voice in the placement

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness, a resolution honoring Vietnam veterans exposed to Agent Orange, and a remembrance of former Senator Karen Johnson Gendron. The chamber then moved to special order bills. CS/HB 687 on transportation offenses involving death was substituted for SB 138, amended to add warnings and penalties for refusal of breath or urine tests, and passed 37-0. CS/SB 306 on Medicaid providers, requiring broader after-hours access and network availability for Medicaid enrollees, also passed 37-0. The Senate then took up CS/CS/HB 913 on condominium associations, a major post-Surfside reform bill. Senator Bradley explained that the measure was intended to provide financial relief and flexibility while preserving safety and accountability. The bill was substituted for SB 1742, amended several times to limit milestone inspections and structural integrity reserve studies to buildings three habitable stories or more, and then passed 37-0 after extensive debate. Senators from both parties praised Bradley, Pizzo, Garcia, and staff for years of work on condo safety and affordability, with several members describing the bill as a balance between protecting residents and avoiding financial hardship. The final major item was CS/HB 1205, the bill on amendments to the state constitution and citizen petition drives. Sponsors Gates and Grohl argued the bill was needed to combat fraud, identity theft, and misuse in the petition process, citing a lengthy Office of Election Crimes and Security report. The House bill was substituted for SB 7016, and the chamber considered a long series of amendments and substitute amendments addressing petition circulator registration, volunteer participation, submission deadlines, invalid-signature thresholds, voter notification, and fiscal impact statements. Several amendments were adopted, while others were debated over whether they would protect access to the citizen initiative process or strengthen election integrity. The transcript ends during debate on the main substitute amendment, before final disposition on the bill is shown.

Transcript Highlights:

• President, the House bill allows any voter to challenge the certification of ballot placement on the
• expanding eligibility for the Florida Academic Scholar Award requirements to include the Advanced Placement
• optometrists wish to prescribe a topical ocular pharmaceutical agent for their patients using a formulary
• developed by the Board of Optometry, the formulary will also include the equivalent generic drug if
• environment are protected, that our residents in Miami-Dade are protected from and have a voice in the placement

Summary: The Senate began with opening prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness, and a resolution honoring Vietnam veterans exposed to Agent Orange on the 50th anniversary of the fall of Saigon. The chamber also observed a moment of silence for former Senator Karen Johnson Gendron. After routine business, the Senate took up several special-order bills. The first major bill, transportation offenses involving death, increased penalties for repeat DUI/BUI manslaughter and vehicular homicide offenses. An amendment added penalties for refusal to submit to breath or urine testing and required law enforcement to notify suspects of those penalties. The bill passed 37-0. The Senate then passed SB 306 on Medicaid providers, requiring broader after-hours and holiday access to care and setting network standards for Medicaid managed care plans, also by a 37-0 vote. The chamber next considered a major condominium and cooperative associations bill responding to post-Surfside safety and financial concerns. Senators described the measure as balancing building safety with financial relief, extending reserve-study deadlines, allowing temporary reserve relief after inspections, tightening oversight of managers and inspectors, and adjusting voting, resale, and reserve rules. After extensive debate and praise from members for the bill’s sponsors and staff, the bill passed 37-0. The longest discussion centered on a constitutional amendments/petition process bill aimed at curbing fraud in citizen initiative petitions. Sponsors argued that the 2024 petition process was plagued by fraud and identity theft and proposed tighter rules for circulators, faster submission deadlines, voter notification, penalties, and limits on petition handling. Senators offered and adopted multiple amendments, including changes to petition-circulator definitions, invalid-signature thresholds, and voter notification procedures. After a substitute amendment was withdrawn, the Senate continued debating the underlying amended bill, with members split between concerns about election integrity and worries that the bill would burden volunteers and make it harder for citizen initiatives to qualify.

Transcript Highlights:

• President, the House bill allows any voter to challenge the certification of ballot placement on the
• expanding eligibility for the Florida Academic Scholar Award requirements to include the Advanced Placement
• optometrists wish to prescribe a topical ocular pharmaceutical agent for their patients using a formulary
• developed by the Board of Optometry, the formulary will also include the equivalent generic drug if
• environment are protected, that our residents in Miami-Dade are protected from and have a voice in the placement

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness, and a resolution honoring Vietnam veterans exposed to Agent Orange. Senators also paid tribute to former Senator Karen Johnson Gendron with a moment of silence. The chamber then moved to special-order bills after routine announcements that no committee reports, governor’s messages, or House messages were on the desk. The first major bill, SB 138/HB 687 on transportation offenses involving death, increased penalties for repeat DUI/BUI manslaughter and vehicular homicide offenses and added warnings and misdemeanor penalties for refusing lawful breath or urine tests. After a brief amendment and questions about attorney rights and prior impairing-substance language, the bill passed 37-0. SB 306 on Medicaid providers followed, requiring broader provider access, including after-hours availability and more primary care access for Medicaid enrollees; it also passed 37-0. The chamber then took up the major condominium reform bill, SB 1742/HB 913, addressing post-Surfside safety, reserve funding, milestone inspections, budgeting, reserve flexibility, manager regulation, conflicts of interest, and condo sale rescission periods. Senators from both parties praised the sponsors for extensive stakeholder work and the bill passed 37-0 after multiple amendments. The final major item was SB 7016/HB 1205 on constitutional amendments and petition-gathering rules, with sponsors arguing the bill was needed to combat fraud in the 2024 petition process and opponents warning it would burden citizen initiatives. The Senate adopted the House bill and then considered numerous amendments on petition circulator rules, submission deadlines, invalid-signature thresholds, voter notification, and related enforcement provisions; several amendments were adopted, and the substitute was later withdrawn, leaving the chamber to continue on the underlying bill and remaining amendments.

Bills: SB843 , SB1733 , SB1476 , SB1237 , SB1410 , SB1894 , SB1272 , SB1204 , SB1721 , SB1725 , SB1735 , SB1337 , SB1339 , SB1461 , SB1975 , SB1450 , SB1458 , SB1232 , SB1238 , SB1325 , SB1209 , SB1362 , SB2072 , SB1451 , SB1540 , SB1581 , SB1535 , SB1266 , SB1927 , SB1460 , SB2084 , SB2182 , SB392 , SB985 , SB1265 , SB1283 , SB1441 , SB1307 , SB1425 , SB1826 , SB1365 , SB1696 , SB1870 , SB1722 , SB1639 , SB715 , SB716 , SB182 , SB609 , SB169 , SB134 , SB1611 , SB432 , SB1407 , SB2039 , SB1356 , SB1288 , SB2019 , SB1705 , SB1878 , SB2118

Keywords: school boards, educational governance, conflict of interest, employee relations, Oklahoma statutes, child abuse, reporting requirements, sexual misconduct, law enforcement, school personnel, confidentiality, student safety, land office, land exchange, investment, education funding, real estate management, Teachers' Bill of Rights, education, teachers' rights

Bills: HB29 , HB 125 , HB145 , HB171 , HB255 , HB50 , HB796 , HB363 , HB 116 , HB491 , HB589 , HB1495 , HB368 , HB 1285 , HB1905 , HB1360 , HB2002 , HB917 , HB2723 , HB2067 , HB 1238 , HB2337 , HB745 , HB 1188 , HB1606 , HB2003 , HB2147 , HB2391 , HB2355 , HB2546 , HB2495 , HB2818 , HB2249 , HB1749 , HB3109 , HB3228 , HB3240 , HB1507 , HB658 , HB1748 , HB1851 , HB1922 , HB2001 , HB2798 , HB 107 , HCR29 , SB5 , SB262 , HB 11 , HJR72 , HB 106 , HB18 , HB48 , HB27 , HB37 , HB1481 , HB581 , HB1696 , HB2216 , HB 1035 , HB1633 , HB742 , HB754 , HB1689 , HB1690 , HB2669 , HB391 , HB517 , HB 1024 , HB1607 , HB252 , HB1716 , HB1562 , HB4116 , HB1866 , HB1741 , HB2103 , HB2637 , HB2884 , HB503 , HB 1089 , HB2986 , HB972 , HB502 , HB29 , HB 125 , HB145 , HB171 , HB255 , HB50 , HB796 , HB363 , HB 116 , HB491 , HB589 , HB1495 , HB368 , HB 1285 , HB1905 , HB1360 , HB2002 , HB917 , HB2723 , HB2067 , HB 1238 , HB2337 , HB745 , HB 1188 , HB1606 , HB2003 , HB2147 , HB2391 , HB2355 , HB2546 , HB2495 , HB2818 , HB2249 , HB1749 , HB3109 , HB3228 , HB3240 , HB1507 , HB658 , HB1748 , HB1851 , HB1922 , HB2001 , HB2798 , HB 107 , HCR29

Keywords: water audit, water loss, water loss mitigation plan, municipally owned utility, municipal utility, water conservation, Texas Water Development Board, TCEQ, Texas Commission on Environmental Quality, water leakage, leak detection, billing data accuracy, utility validation, water audit validation, water scarcity, water management, infrastructure, public utility, conservation plan, administrative penalty

Summary: The Florida House of Representatives conducted legislative business including prayer, pledge, and voting on multiple bills. Key legislation included HB 1105 expanding Florida Bright Futures Scholarship eligibility, HB 443 on charter school regulations (passed 83-23), and HB 1539 on materials harmful to minors (passed 81-29) after extensive debate about book challenges in schools. Other bills addressed education funding, law enforcement benefits, parole guidelines, and various local issues. The Speaker announced budget negotiations with the Senate have stalled, with disagreements over spending levels and tax cuts. The House will not meet this weekend as originally planned. Session adjourned until tomorrow at 10 AM.

Transcript Highlights:

• federal rules, SB 1199 encourages insurers and PBMs to place more lower-cost generics on their formularies

Summary: The Senate convened with a quorum, offered a Memorial Day prayer, and welcomed a third-grade class from Sacred Heart Parish School to the chamber. Members then handled several procedural motions, including suspending a joint rule to allow budget subcommittees to meet during blackout period and removing certain bills from inactive or consent files. The chamber confirmed multiple gubernatorial appointments, including Nicholas Mueller to the Off-Highway Motor Vehicle Recreation Commission, Arthur Krantz to the Public Employment Relations Board, Chris Ferguson to the California Student Aid Commission, and Brian Haynes to the same commission. The Senate also adopted several resolutions, including SR 102 recognizing National Safe Boating Week, SCR 172 proclaiming Asthma and Allergy Awareness Month, SCR 177 declaring World No Tobacco Day, SR 107 for Lupus Awareness Month, and SR 115 marking the 50th anniversary of the Judgment of Paris in California wine history. On third reading, the Senate passed a series of bills on topics including beverage container recycling fees (SB 1341), school employee misconduct procedures (SB 1083), wildfire preparedness for water suppliers (SB 1153), insurance cost-sharing accounting (SB 1199), nonprofit government liaison services (SB 1240), energy coordination and fuel supply planning (SB 1337), language access in elections (SB 1360), gaming fee transparency (SB 920), mental health evaluation in Care Court-related cases (SB 1016), reckless driving penalties (SB 1198), greenhouse gas reporting for subsidized medium- and heavy-duty vehicles (SB 1213), the Go Green financing program (SB 1265), repossession transport interference (SB 1338), and wildlife coexistence (SB 1135). Most measures passed on unanimous or near-unanimous votes; SB 920 passed 28-1, SB 1265 passed 26-5, and SB 1135 passed with two no votes. The session concluded with a Veterans Caucus adjournment-in-memory ceremony honoring 82 fallen service members, followed by adjournment until the next scheduled floor session.

Transcript Highlights:

• federal rules, SB 1199 encourages insurers and PBMs to place more lower-cost generics on their formularies

Transcript Highlights:

• It adds differences in prescription drug formularies to the list of factors the exchange may consider

Summary: The Senate Health and Long-Term Care Committee held confirmation hearings for Ryan Moran to lead the Health Care Authority and Dennis Worsham to serve as Secretary of Health. Moran emphasized his personal background, experience in Maryland Medicaid, and priorities of protecting coverage amid federal changes, addressing health disparities, strengthening tribal partnerships, and improving agency operations. Worsham described his long public health career in Washington, his statewide listening tour, and his focus on collaboration, science-based decision-making, accountability, workforce support, and rebuilding public trust. Senators raised questions about behavioral health, social determinants of health, communication, misinformation, and the impact of federal policy changes; both nominees said Washington should continue leading on coverage, prevention, and public health resilience. In executive session, the committee advanced several bills. It passed SB 5899, allowing qualified chiropractors to perform chiropractic diagnosis and adjustments on animals; SB 6292, creating a joint legislative-executive committee on health care financing with a substitute; SB 6182, establishing an abortion savings program, after rejecting several Christian-sponsored amendments and adopting a Bateman amendment limiting eligible organizations to DOH-contracted abortion providers or funds; SB 5947, creating the Washington Health Care Board; SJR 8206, proposing a constitutional right to affordable health care; and SB 5933, on overdose mapping information sharing, with a substitute. The committee also recommended confirmation of both gubernatorial appointments. In a second group of bills, the committee passed SB 5823 on patient advocates with a substitute requiring at least one person physically present daily in acute care settings and expanding exemptions for certain hospitals; SB 6210 on the health plan certification process with a substitute; SB 5921 on psilocybin; SB 6226 protecting audiologists’ clinical autonomy with a substitute; and SB 5924 expanding pharmacists’ prescriptive authority with a substitute. Members discussed access, affordability, rural workforce shortages, and patient safety, and the committee adjourned after completing its agenda.

Transcript Highlights:

• A number of those are into community placements.
• of their choice um a number placements of their choice um a number of<00:59:20.319><c> those</c><00:
• </c> of those are into Community placements of those are into Community placements um<00:59:23.760><c
• anywhere else um or somebody placement anywhere else um or somebody that<01:04:58.720><c> has</c><01
• And part of that is the system itself amping and having more placement availability.

Summary: Division 3 opened a work session focused on direct care agencies, with the chair saying the day would center on the Veterans Home and other state hospitals and homes. Members first discussed the upcoming Finance Committee process, including how many bills would be assigned to Division 3, whether they would appear on the House calendar, and how much time would be allowed for each bill. The chair said the division would likely spend about an hour on each bill, then return for a second day of review before making recommendations. Staff later identified three bills expected on the calendar: House Bills 704, 751, and 54. Members also raised a question about the use of educational trust fund money in the budget, but that issue was deferred. The main presentation came from Kim McKay, commandant of the New Hampshire Veterans Home, who described the facility as a long-term care intermediate facility serving eligible veterans. She said the home is licensed for 250 beds, budgeted for 225 veterans, and currently has 135 residents with four more scheduled to arrive. McKay highlighted improvements over the last two years, including a reduction in the admission wait list from more than a year to about three to six months, the creation of an LNA training program, energy-saving and Wi-Fi upgrades, and a new electronic learning management system that will provide mandatory training and continuing education units for staff. She said the home’s long-term goal is to return to a 225-bed census, but staffing remains the biggest hurdle. Members asked about admissions, wait times, staffing, vacancies, and the home’s use of contract nurses. McKay explained that the wait time is measured from the initial application date, not from a completed packet, and that staff now help families gather records and paperwork more quickly. She said the home averages about 45 deaths per year, residents stay about 2.5 years on average, and the vacancy rate is around 35 percent, though some positions are intentionally held open until census grows. She attributed staffing shortages largely to retention problems, citing higher private-sector pay, bonuses, and more flexible hours, and said the home has a handful of contract nurses, mainly on second shift. On finances, she said pharmacy services are contracted, the VA reimburses some medication costs based on disability, and the home is pursuing federal changes to cover high-cost medications and catastrophic disability cases. The discussion also covered the home’s off-book donation account, which is overseen by the state and transferred into the state system when funds are spent.

Transcript Highlights:

• It adds differences in prescription drug formularies to the list of factors that the exchange may consider

Bills: SB5899 , SB6292 , SB6094 , SB6182 , SB5947 , SJR8206 , SB5933 , SB6138 , SB5823 , SB6210 , SB5921 , SB6226 , SB6159 , SB5924 , SGA9291 , SGA9307

Committee: Senate Health & Long-Term Care

Keywords: chiropractic, animal care, veterinary medicine, license endorsement, nonhuman animals, health care, financing, legislative committee, joint committee, policy management, pediatric care, transitional services, healthcare, licensing, children's health, abortion, reproductive health, pregnancy termination, clinic access, abortion access fund

Transcript Highlights:

• , we have created the system where we have to make sure that we put the most expensive drug on a formulary
• expensive<00:23:40.920><c> drug</c><00:23:41.240><c> on</c><00:23:41.400><c> a</c><00:23:41.480><c> formulary
• or</c><00:23:42.440><c> as</c><00:23:42.520><c> a</c><00:23:42.760><c> as</c> expensive drug on a formulary
• or as a as expensive drug on a formulary or as a as the<00:23:43.000><c> preferred</c><00:23:43.480>

Committee: Senate Health and Human Services

Transcript Highlights:

• They're required to look at all of the clinical evidence out there as they're developing formularies,
• ,</c><02:05:53.440><c> putting</c> they're developing formularies, putting they're developing formularies
• that are not usually more for um drugs that are not on<02:08:55.760><c> the</c><02:08:55.920><c> formulary
• ,</c><02:08:56.560><c> not</c><02:08:56.880><c> utilization</c> on the formulary, not utilization on
• the formulary, not utilization review,<02:08:57.760><c> but</c><02:08:58.000><c> it's</c><02:08:58.239

Committee: House Commerce and Consumer Affairs

Transcript Highlights:

• I would say a little bit of the frustration is we used to have an open formulary for pharmacy.
• There's very few, from what I understand, very few programs that have an open formulary like that.
• Um, health plans rely on formularies to determine what prescriptions are covered under those plans.
• Um, health plans rely on formularies to determine what prescriptions are covered under those plans.
• ><c> what</c> formularies to determine what formularies to determine what prescriptions<02:56:31.840>

Committee: Joint Select Committee on School Finance Recalibration

Transcript Highlights:

• That's not within our formulary, nor have we ever sought to have it.

Bills: SB2024 , SB227 , SB268 , SB1467 , SB1580 , HB5537 , SB1313 , SB1677 , SB918 , SB331 , SB2207 , SB2721

Committee: House Public Health

Keywords: e-cigarettes, marketing prohibition, youth protection, criminal penalties, public health, school funding, education reform, state budget, property taxes, equity in education, health care, licensing, complaint procedure, disciplinary action, law enforcement, death records, vital statistics, healthcare, trauma facility, Medicaid

Transcript Highlights:

• vitamins, prenatal vitamins, folic acid supplements, vitamin D supplements for certain age categories, formulary

Bills: SB2160

Committee: House Industry, Business and Labor

Summary: The committee resumed work on Senate Bill 2160, which would move the Public Employees Retirement System health plan from grandfathered to non-grandfathered status under the Affordable Care Act. PERS officials Rebecca Frickie and Derek Holbein explained that the bill would allow more flexibility in plan design, including higher deductibles, co-pays, and out-of-pocket maximums, while also adding enhanced preventive benefits. They clarified that ACA “essential health benefits” apply to individual and small-group markets, not to PERS as a large employer, and that the bill’s projected cost increases were based on actuarial estimates and prior bid scenarios from Sanford and Blue Cross Blue Shield. Members debated whether the bill would actually save money or simply shift costs to employees. Supporters argued that non-grandfathered status would create more levers to manage medical inflation and could produce net premium savings through plan redesign, citing prior bid comparisons showing potential reductions of 1% to 8% depending on the option. Opponents, including Representative Schauer and North Dakota United president Nick Archelette, questioned how the state would pay for the estimated $25 million to $30 million in added benefits and warned that employees could face higher out-of-pocket costs amid already strained household budgets. Frickie said the legislature would control funding decisions and that current law requiring the state to pay full family premiums could be changed only by statute. The committee also discussed reserve funding, with members noting that a $4.3 million reserve draw in the bill was intended to cover the final months of the biennium and could be modified. After testimony and discussion, Vice Chair Johnson moved a do-pass recommendation and referral to Appropriations. The motion passed 10-3-1, with Representatives Ostlie, Schatz, and Schauer voting no. Representative Gump agreed to carry the bill.

Transcript Highlights:

• Other payers like the VA have very strict formulary and will say no to a lot of drugs if it's not cost
• ><01:07:05.880><c> very</c><01:07:06.120><c> strict</c><01:07:06.800><c> uh</c><01:07:06.880><c> formulary
• </c><01:07:07.480><c> and</c> VA have very strict uh formulary and VA have very strict uh formulary and
• of pharmaceuticals and rebates and how that whole process works, that drug is now coming back on formulary
• of pharmaceuticals and rebates and how that whole process works, that drug is now coming back on formulary

Committee: Joint Health Insurance Affordability Task Force

Transcript Highlights:

• We reached out to Anthem; Anthem said the state is changing their formulary process for reimbursement

Summary: The Virginia Disability Commission held its first meeting of the year on June 18, established a quorum, and introduced members. Senator Barbara Favola was elected chair and Delegate Amy Laufer was elected vice chair, both unanimously. The commission also reviewed and unanimously approved its electronic/remote participation policy, which mirrors last year’s policy and allows limited remote participation under Virginia FOIA rules. Staff then reviewed a package of 14 disability-related bills that passed last session and were signed into law. Topics included disabled veterans’ vehicle registration fee exemptions, open captioning requirements for movie theaters, guardianship/conservatorship order forwarding, service dog team definitions, education and transition planning for students with disabilities, Blue Envelope and driver communication training for law enforcement and driver education, deferred disposition and jury service protections, voting rights in guardianship cases, expansion of the Virginia Human Rights Act, continuation of a DD waiver eligibility change, and DMAS training authority for autism competency checklists. Members discussed implementation concerns, especially making the Blue Envelope/driver communication program more visible and considering a follow-up letter and DMV presentation. The commission then adopted its interim work plan unanimously, with discussion of possible presentations on DMAS and Medicaid waivers, DBHDS telehealth training implementation, SCHEV and VDOE transition planning, transition from institutions to community settings, criminal justice reform, transportation and parking accessibility, adult-sized changing tables, and school accessibility. Members also suggested adding EVV concerns, seclusion and restraint, rare disease issues, and insurance coverage problems for needed medications. Public commenters urged the commission to address burdensome EVV requirements for family caregivers, improve accessibility for local government meetings and documents, and explore a standardized credential/career pathway for direct support professionals. The chair said follow-up work would be assigned on EVV and implementation issues, and the meeting location would move to the Senate side of the Capitol going forward.

Transcript Highlights:

• We reached out to Anthem; Anthem said the state is changing their formulary process for reimbursement