Transcript Highlights:

• Bill 5248 transfers the administration of the pilot program from the Texas State Board of Pharmacy to
• Under the bill, pharmacies... ...eligible to be registered with the DEA can apply to participate.
• The Department of State Health Services will support these pharmacies by covering the cost of one collection
• in today's model of drive-through medicine. and where you can go to Target and have an unlicensed pharmacy

Bills: SB670, SB1388, SB627, SB912, SB269, SB528, HB2711, HB4819, HB5248, HB4175

Keywords: SB 670, investigational sun protection products, sun protection, sunscreen, FDA approval, clinical trial, phase one trial, patient access, informed consent, physician prescription, Texas Health and Safety Code, Texas Medical Board, compassionate use, experimental treatment, medical freedom, patient autonomy, healthcare regulation, dietitian, dietitians, licensed dietitian

Transcript Highlights:

• Senate Bill 1236, Pharmacy Benefit Managers, PBMs,” “Senate Bill 1236, Pharmacy Benefit Managers, PBMs
• “According to data from the Texas State Board of Pharmacy, Texas experienced a net loss of one pharmacy
• “Pharmacy benefit managers exploit their market power to strong-arm pharmacies into deceptive, take-it-or-leave-it
• Audit practices like this are causing Texas pharmacies to go out of business. pharmacy.
• But the risk that we're running here is that pharmacies that don't deal—there's a lot of pharmacies out

Bills: SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care

Summary: The committee heard testimony on Senate Bill 883, which would protect physicians’ ability to prescribe off-label medications and treatments, framed by the author as a “Right to Treat” measure tied to COVID-19 care. Supporters, including physicians and patient-choice advocates, said the bill would safeguard the doctor-patient relationship and prevent interference by boards, pharmacies, or hospitals. Several witnesses described using hydroxychloroquine, ivermectin, budesonide, antibiotics, steroids, and monoclonal antibodies during the pandemic, and said they faced complaints, board scrutiny, or pharmacy refusals for those prescriptions. The bill was left pending after public testimony closed. The committee then took up Senate Bill 331, which would extend hospital price-transparency requirements to additional health care facilities such as freestanding ERs, urgent care and retail clinics, ambulatory surgical centers, outpatient clinics, and birthing centers. Proponents argued that broader disclosure of prices for shoppable services would help consumers compare costs and reduce surprise billing, while opponents from ambulatory surgery centers said the bill would impose costly compliance burdens on small providers and that insurers or the state already have much of the needed data. The bill was also left pending. Senate Bill 2422 would expunge Texas Medical Board records and impose reparations for disciplinary actions tied to COVID-era treatment decisions, including references to ivermectin, hydroxychloroquine, budesonide, and masks. The author and supporters argued that doctors were unfairly targeted for trying to save patients and should be made whole; the Texas Medical Board representative said most pandemic complaints were dismissed, that actions generally involved broader issues such as privileges, documentation, or informed consent, and that no physician was disciplined solely for prescribing off-label COVID medications. The bill was left pending. Finally, the committee heard Senate Bill 2207, which would loosen Texas Medical Board rules on physicians advertising themselves as board certified, especially by reducing barriers tied to maintenance of certification requirements. Supporters said the current rule is overly restrictive, inconsistent, and costly, and that it drives physicians out of practice; they also said Texas is one of only a few states with such a rule. Witnesses described hospitals using the rule against physicians and said the change would improve transparency and competition. The bill remained pending after testimony.

Bills: HB195, HB247, HB255, HJR2, HJR4, HJR6, HJR31, HJR34, HB195, HB247, HB255, HJR6, HJR31, HJR34

Keywords: school district, ad valorem tax, local revenue, tax collection, education funding, border security, tax exemption, ad valorem, real property, infrastructure, Texas-Mexico border, ad valorem taxation, farm products, livestock, timber, death tax, inheritance tax, estate tax, property transfer, constitutional amendment

Transcript Highlights:

• primary care and preventive services only to extensive benefits, including hospital inpatient care, pharmacy
• It is a compounding cascade of losses hitting community health centers simultaneously, and nowhere will
• Compounding that pressure is the elimination of prospective payment system rates for individuals with
• And then the final policy related to the UIS population is securing state rebates on pharmacy for the
• And then the final policy related to the UIS population is securing state rebates on pharmacy for the

Keywords: 987, senate, all

Transcript Highlights:

• Outside of the purview here, the other provision that the bill does is that it prevents retailers and pharmacies
• contraceptive purchases, students in low-income communities or areas with high STI rates face barriers compounded

Summary: The Assembly Education Committee heard several Senate bills focused on student health, access, equity, and career preparation. SB 608 by Sen. Menjivar would expand access to condoms and related sexual health resources for students in grades 7–12 and direct the Department of Education to align with the California Healthy Youth Act. Supporters argued the bill would help address high STI rates among youth and remove barriers to access, while opponents raised concerns about parental authority, local control, and encouraging early sexual activity. The bill was approved on a 6-1 vote and sent to the Health Committee. SB 965 by Sen. Blakespear would prohibit libraries from requiring a parent to be physically present for a 16- or 17-year-old to obtain a library card, while still allowing libraries to require parental consent or signature. Supporters said the current rule creates unnecessary barriers for teens and school research projects, and the California Library Association said it was now neutral after amendments. The committee passed the bill 6-0 to Appropriations. SB 998 by Sen. Gonzalez would define and expand the duties of discrimination prevention coordinators in the state’s Office of Civil Rights, including adding a disability coordinator and deputy coordinators focused on anti-Black, anti-Asian, anti-Latino, and anti-Native American discrimination. Testimony emphasized the need to address rising hate incidents and discrimination in schools, especially for Black, LGBTQ+, AAPI, and other marginalized students. The bill was approved and sent to Judiciary with amendments to be processed there. SB 845 by Sen. Perez, which expands work-based learning and youth apprenticeship opportunities, also received broad support from education, workforce, and industry groups and passed unanimously to Labor and Employment. The committee also approved a consent calendar of additional bills and adjourned after all items were acted on.

Transcript Highlights:

• It's similar, but we're currently under a current lease, so it's compounded with the lease, and we're
• We're already paying for a pharmacy there. We're already paying for security.

Summary: The committee considered a series of appropriation, fund transfer, and reserve requests across multiple agencies. Section B temporary appropriations included funding for state technology upgrades, personnel management staffing and IT skills assessment, court reporters and interpreters, crime victim claims, juvenile sex offender assessments, radiation lab testing, and higher education workforce grants and credentialing pathways. Additional items covered an ARPA grant for the University of Arkansas Fort Smith LPN program, an IIJA grant for the Oil and Gas Commission’s critical minerals work, a restricted reserve transfer for State Police vehicle purchases, a transfer to the Arkansas Heroes Program, and cash fund requests for the Real Estate Commission’s AV system and HVAC work. Most of these items were approved by voice vote. One budget classification transfer request from the Commissioner of State Lands drew extended questioning and was ultimately not approved. Members questioned the $250,000 transfer to operating expenses tied to the purchase of a West Little Rock office building, the ongoing lease costs at the prior location, and whether the agency had adequately planned for building-related expenses. After discussion, the motion failed, and members told the agency to tighten spending and return if needed. The committee then took up 15 pay plan appropriation requests totaling $25.7 million and approved them after discussion with DFA, DHS, Corrections, and the State Board of Election Commissioners. Members focused heavily on DHS staffing shortages at human development centers, where officials said vacancies and turnover were driven by overtime and burnout rather than pay alone; one member asked DHS to submit a written plan to address the issue. Corrections reported the pay plan had improved hiring and retention. The committee also approved overtime appropriations for Emergency Management and Military. Reports on reserve funds, the Budget Stabilization Trust Fund, tobacco settlement, State Central Services, Education Adequacy, Medicaid Trust, IIJA, and revenue transfer activity were received. The Medicaid Trust Fund report prompted significant concern about February’s $90 million draw; DHS said the month was unusually high because of cash-flow timing and that the fund should end the year with a balance between $150 million and $200 million, while lawmakers noted a second $100 million set-aside is planned for FY27. The final discussion centered on DHS’s state hospital damage claim and reconstruction funding, where members expressed disappointment that insurance reimbursement would likely return only about $1.8 million now and possibly about $97,000 more later, far less than the roughly $5 million initially expected. DHS explained the policy was based on actual cash value and depreciation for old buildings, and said the work would proceed on Unit 3 for secured restoration because it was the most cost-effective option.

Transcript Highlights:

• database; provide for duties of Louisiana Workforce Commission; manager reporting of medical and pharmacy
• claims data; provide for confidentiality, public records exceptions. ...reporting of medical and pharmacy
• relative to peptides, regulation of peptides by licensing boards, and requirements for providers in compounding
• pharmacies.

Bills: HR252, HR253, HR254, HR255, HR256, HCR103, HCR104, HR244, HR245, HR246, HR247, HR248, HR249, HR250, HR251, HCR101, HCR102, SCR40, SCR60, SB112, SB131, SB145, SB194, SB268, SB307, SB312, SB319, SB333, SB341, SB346, SB464, SB466, SB488, SB495, SB503, SB507, SB509, HR9, HR196, HCR27, HCR28, HCR50, HCR62, HCR67, HCR71, HCR78, HCR81, SCR20, HB123, HB251, HB625, HB662, HB709, HB769, HB775, HB783, HB895, HB1011, HB1057, HB1155, HB1186, HB1224, HB1245, HB1247, HB1253, HB1254, HB1255, HB1256, SB8, SB10, SB11, SB12, SB13, SB14, SB16, SB17, SB18, SB20, SB21, SB22, SB40, SB48, SB55, SB69, SB75, SB77, SB78, SB85, SB102, SB115, SB133, SB140, SB148, SB151, SB165, SB169, SB170, SB185, SB197, SB200, SB217, SB235, SB278, SB280, SB291, SB300, SB303, SB315, SB324, SB330, SB411, SB416, SB420, SB436, SB438, SB449, SB455, SB456, SB477, SB489, SB521, SB97, SB105, HR171, HCR49, HCR65, HCR72, HR37, HCR64, HR170, HR191, HR206, HR207, HR208, HR217, HCR11, HCR53, HCR60, HCR66, HCR68, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, HCR6, HB64, HB68, HB92, HB130, HB258, HB633, HB801, HB61, HB98, HB102, HB139, HB142, HB170, HB185, HB194, HB199, HB231, HB247, HB294, HB336, HB474, HB661, HB842, HB852, HB66, HB153, HB165, HB326, HB387, HB455, HB513, HB603, HB660, HB719, HB762, HB766, HB802, HB816, HB833, HB940, HB950, HB975, HB1028, HB1039, HB1051, HB1053, HB1080, HB1201, HB1215, HB1228, HB1251, HB1252, SB1, SB23, SB32, SB42, SB43, SB46, SB51, SB110, SB113, SB150, SB154, SB161, SB218, SB220, SB221, SB253, SB289, SB310, SB351, SB399, SB404, SB502, SB26, SB28, SB29, SB30, SB41, SB44, SB64, SB84, SB87, SB93, SB98, SB107, SB118, SB142, SB192, SB195, SB199, SB219, SB222, SB234, SB241, SB255, SB275, SB277, SB292, SB294, SB306, SB314, SB482, HCR32, HB798, HB998, HB1084, HB1223, HB59, HB955, HB1191, HB1234, HB646, HB824, HB341, SB397, SB442, HB901, HB79, HR20, HR74, HB284, HB306, HB366, HB393, HB458, HB577, HB582, HB605, HB614, HB682, HB733, HB752, HB773, HB911, HB926, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB47, SB82, SB89, SB149, SB382

Keywords: consumer protection, credit card fees, cash transactions, rounding practices, transparency, low-income, economic impact, residential construction, building codes, inspection practices, housing costs, task force, HR254, House Resolution 254, Ty Hebert, Acadiana Legislative Delegation, Louisiana State University, LSU, graduation, commendation

Transcript Highlights:

• We urge caution before advancing any mandates that could compound the affordability crisis already underway
• really clear that misoprostol is also something that the Department of Corrections holds in their pharmacy
• really clear that misoprostle is also something that the Department of Corrections holds in their pharmacy

Bills: HB1496, HB2182, HB2196, HB2242

Keywords: patients' rights, healthcare information, medical confidentiality, health data security, healthcare access, abortion, medications, reproductive health, access, healthcare, PANDA, PANS, treatment access, mental health, legislation, preventive services, state authority, definitions clarification, public health, 904

Transcript Highlights:

• Hospitals, doctors, nurses, pharmacies survive in 191 rural.
• Pawn shops and jewelry stores buy and sell gold and silver, mail houses, pharmacies. airports that weigh
• The low cotton production in Texas is compounded by low market prices and sky-high input costs have positioned

Keywords: 1184, house, all

Transcript Highlights:

• ,</c><00:34:07.039><c> there</c> prescription system at a pharmacy, there prescription system at a pharmacy
• </c><00:34:20.000><c> So,</c> the processing system at a pharmacy.
• So, the processing system at a pharmacy.
• it, but I'm just flagging that compound it, but I'm just flagging that as<02:34:59.120><c> something
• They compound, and if they compound. And since Mr.

Keywords: 928, house, all

Summary: The Division 3 work session focused largely on amendment 1176 to HB 2, which would have incorporated the substance of HB 548FN, a House-passed bill creating a direct-pay or membership-based model for health care facilities. Representative Mlan described the proposal as a way to increase competition in health care by extending the direct-care model used in primary care to facilities, arguing it could encourage innovation and that concerns about widespread harm to critical access hospitals were overstated. He pointed to Oklahoma’s long-standing Surgical Center model as evidence that the approach had not spread broadly or displaced hospitals there. Several members and witnesses raised concerns. Representative Stringham questioned whether the model would shift profitable services and patients away from existing hospitals, potentially worsening their finances and affecting Medicaid-related funding. David Ross, speaking for county nursing homes, opposed the language because it also removed moratoriums on nursing home, skilled nursing, inpatient rehabilitation, and self-pay beds, warning that it could increase pressure on Medicaid rates and undermine community-based care. Ben Bradley of the New Hampshire Hospital Association said the proposal appeared to create a separate regulatory framework for direct-pay facilities and raised concerns about patient safety, CMS participation rules, and a separate patient bill of rights. The chair concluded that, because HB 548 was already moving through the Senate, the HB 2 process was not the best vehicle for the policy and that the issue should be left to the Senate’s more deliberative committee process. Representative Ferski moved to not accept or remove amendment 1176 from the agenda, and the committee approved the motion by roll call, 9-0, withdrawing the item from HB 2.

Transcript Highlights:

• We helped our state's pharmacies Nadau.
• </c><00:08:53.360><c> seen</c><00:08:53.680><c> done</c> pharmacies that we've not seen done pharmacies
• pharmacies can be 30, 40, 60 miles away.
• This is a great bill for pharmacies, especially the small independently owned pharmacies.
• :21:30.399><c> more</c><03:21:31.279><c> mandates</c> compound this members with more mandates compound

Keywords: 1183, house

Transcript Highlights:

• We appreciate that the budget keeps the pharmacy benefit in managed care and continues the adult dental
• I own a pharmacy in Granite Falls, the only remaining pharmacy in that rural town now that Rite Aid is
• Unlike most businesses, pharmacies have zero ability to raise prices.
• Pharmacy benefit managers control what we are paid for over 90 percent of our prescriptions, often at
• I'm compounded by last year's cuts.

Summary: The House Appropriations Committee held a public hearing on proposed substitute House Bill 2289, the House operating budget. Budget staff Mary Monroe gave a detailed overview of the proposal’s near general fund outlook, reserve levels, major revenue assumptions, and major spending and savings items. She highlighted assumed revenue from capital gains and a proposed “millionaires tax,” a transfer from the budget stabilization account, administrative reductions across agencies, and several major policy shifts, including changes affecting Working Connections Child Care, K-12 education, higher education, long-term care, behavioral health, wildfire response, and state employee compensation. Members then asked questions, including about the higher education building account/operating fee swap and its interaction with the capital budget and Climate Commitment Act funds. The committee also announced amendment deadlines for the budget process. The bulk of the meeting was public testimony, with many speakers generally supporting or opposing specific parts of the budget. Supportive testimony praised funding for wildfire prevention, public health, reproductive health, civil legal aid, the Poison Center, some higher education institutions, and certain disability and child welfare services. Many speakers urged restoration or protection of funding for K-12 education, especially transition to kindergarten, local effort assistance, bus depreciation, and Running Start; others opposed cuts to child care, early learning, public defense, long-term care, adult day and home care services, occupational/physical/speech therapy for Medicaid patients, and community and technical colleges. Several local government, health, and nonprofit representatives also asked the committee to preserve public works, homelessness, energy assistance, environmental justice, and recovery/diversion programs, while some business and public safety groups sought continued funding for organized retail crime prevention and related initiatives. No votes were taken during the hearing. The committee recessed briefly and later resumed with virtual testimony, where additional witnesses repeated concerns about education cuts, long-term care, health care access, disability services, dispute resolution, early childhood programs, and the need for ongoing or increased funding in those areas.

Transcript Highlights:

• And then changes related to our 2025 budget solutions: a change in the timing of the pharmacy rebate
• changes where we actually have less General Fund spend, we have lower utilization of fee-for-service pharmacy
• We have lower utilization of fee-for-service pharmacy benefits and inpatient services.
• Both our GHPP and CCS programs are experiencing increased expenditures due to growth in pharmacy costs
• Fund spending continues to grow upwards, just given the cost per case and the increased cost in pharmacy

Keywords: 987, senate, all

Transcript Highlights:

• And then changes related to our 2025 budget solutions: a change in the timing of the pharmacy rebate
• changes where we actually have less General Fund spend, we have lower utilization of fee-for-service pharmacy
• We have lower utilization of fee-for-service pharmacy benefits and inpatient services.
• Both our GHPP and CCS programs are experiencing increased expenditures due to growth in pharmacy costs
• Fund spending continues to grow upwards, just given the cost per case and the increased cost in pharmacy

Summary: The subcommittee heard a lengthy Department of Health Care Services presentation on the governor’s Medi-Cal budget, including a $229.1 billion total-funds proposal, projected Medi-Cal enrollment declines as redeterminations continue, and several major cost drivers such as managed care growth, Medicare-related costs, pharmacy spending, and changes tied to federal policy. Members focused heavily on the elimination of Prop. 56 dental supplemental payments beginning July 1, 2026, questioning the likely impact on provider participation and utilization. DHCS said it is completing the required rate reduction/access analysis for CMS, has been holding stakeholder meetings and issuing provider bulletins, but could not yet quantify the real-world effect. The committee also discussed a $50 million savings proposal tied to new hospice utilization management authority and asked about possible effects on emergency dental care and provider participation. The hearing then moved through the November 2025 family health estimate and several county and program administration issues, including CCS, GHPP, and Every Woman Counts. DHCS said family health costs are rising despite slight caseload declines because of higher utilization and medical costs, and members raised concerns about CCS website accessibility, county administrative funding, and the transition of youth aging out of CCS. The department said most CCS beneficiaries are also on Medi-Cal, that counties have long raised funding concerns, and that it had clarified use of maintenance-and-operations dollars to address some county workload issues. Members also asked about Every Woman Counts potentially seeing higher demand as Medi-Cal changes take effect; DHCS said that is possible and that the program has multiple funding sources including General Fund. A major portion of the hearing focused on provider taxes and federal changes under H.R. 1, especially the Medi-Cal managed care organization tax and the hospital quality assurance fee. DHCS explained that H.R. 1 restricts new or increased health care-related taxes, phases down allowable tax levels over time, and tightens “generally redistributive” rules, which could sharply reduce the state’s ability to use the MCO tax for Medi-Cal financing. Members asked whether the Legislature could amend Prop. 35 or whether voters would need to act; DHCS said a three-fourths legislative amendment may be possible if it aligns with the measure’s purpose, but the department is still evaluating options. The committee also discussed hospital financing, with DHCS describing recent increases in state-directed payments and the effect of H.R. 1 in capping those payments at Medicare levels, and the LAO noting the tradeoff between preserving provider taxes and maintaining Medi-Cal funding. The subcommittee also reviewed a series of DHCS budget change proposals and trailer bill items, including managed care final-rule implementation, managed care operations, a hospital value strategy, a one-year extension of skilled nursing facility financing, long-term care payment transparency, and interoperability/prior authorization requirements. Members repeatedly questioned the use of limited-term versus permanent positions, the overlap among proposals, and the timing of new financing reforms. DHCS said the SNF extension would preserve current workforce standards, sanctions, growth limits, and the SNF quality assurance fee while the department develops a broader 2027-28 redesign. No votes were taken; items were repeatedly held open for later action. Covered California then presented on the expiration of the federal enhanced premium tax credit and the resulting affordability crisis. The agency said Californians will lose about $2.5 billion in premium assistance for 2026, average premiums could nearly double for many enrollees, and as many as 400,000 people could eventually leave marketplace coverage. Open enrollment ended with 1.9 million sign-ups, down 3% from the prior year, with especially steep declines among middle-income consumers and increased movement into bronze plans. Covered California said the state’s $190 million affordability subsidy is helping lower-income enrollees retain coverage, but cannot fully replace the lost federal assistance. Members also asked about the Health Care Affordability Reserve Fund, repayment of loans from that fund, the status of federal review of California’s essential health benefits benchmark, and implementation of the new gender-affirming care benefit under AB 144.

Transcript Highlights:

• And then changes related to our 2025 budget solutions: a change in the timing of the pharmacy rebate
• changes where we actually have less General Fund spend, we have lower utilization of fee-for-service pharmacy
• We have lower utilization of fee-for-service pharmacy benefits and inpatient services.
• Both our GHPP and CCS programs are experiencing increased expenditures due to growth in pharmacy costs
• Fund spending continues to grow upwards, just given the cost per case and the increased cost in pharmacy

Summary: The subcommittee heard an overview of the Department of Health Care Services’ proposed budget, including a $229.1 billion total-funds budget and projected Medi-Cal enrollment decline as redeterminations continue. Members focused heavily on the fiscal and programmatic effects of prior budget solutions and federal changes, especially the elimination of General Fund-supported Prop. 56 dental supplemental payments beginning July 1, 2026, the hospice utilization-management change, and the impact of reduced caseloads alongside rising health care costs. DHCS said it is still completing required access and rate-reduction analyses for the dental cuts and has been engaging stakeholders, but could not yet quantify the real-world effect on utilization or provider participation. The committee also reviewed the November 2025 Medi-Cal local assistance estimate, which shows higher General Fund spending despite lower enrollment, driven by managed care rate growth, Medicare cost growth, state-only claiming, and federal policy changes. The hearing then turned to provider taxes and federal H.R. 1 constraints, with extensive discussion of the MCO tax, the hospital quality assurance fee, and other health care-related taxes. DHCS explained that H.R. 1 phases down allowable tax levels and tightens “generally redistributive” rules, making the current MCO tax structure and the proposed higher hospital fee levels difficult or impossible to renew as originally designed. Staff and the LAO described the tradeoff between preserving Medi-Cal funding and avoiding higher costs on private providers and consumers. Members asked about options for preserving revenue, including possible amendments to Prop. 35 or returning to voters, and were told the department is still evaluating approaches while federal guidance remains in flux. The committee also reviewed hospital payment increases already implemented through state-directed payments, with DHCS noting that H.R. 1 will force those payments down to Medicare levels over time. Several budget change proposals were discussed and left open, including requests tied to the managed care final rule, managed care operations, hospital value strategy, long-term care payment transparency, and interoperability requirements. The committee also heard about a one-year trailer bill extension for skilled nursing facility financing, including continuation of the SNF workforce standards program, the SNF quality assurance fee, and annual rate growth, while the department develops a longer-term financing redesign for 2027-28. Members expressed skepticism about repeated rate reform efforts and questioned whether a one-year extension of the eliminated workforce quality incentive program should be restored during the transition. Finally, Covered California presented its budget and enrollment update, reporting that the expiration of the federal enhanced premium tax credit is expected to reduce affordability significantly, with average premiums roughly doubling for many enrollees and as many as 400,000 Californians potentially losing marketplace coverage over time. The exchange said California’s $190 million subsidy program is helping lower-income enrollees, but not enough to offset the federal loss, and it is also implementing a new gender-affirming care benefit and awaiting federal action on benchmark plan changes.

Keywords: 912, senate, all

Transcript Highlights:

• It's similar, but we're currently under a current lease, so it's compounded with the lease, and we're
• We’re already paying for a pharmacy there. We’re already paying for security.

Summary: The committee considered a series of appropriation, transfer, and review items, approving most requests in Sections B through J. These included temporary appropriations for state technology upgrades, personnel management, court reporters and interpreters, crime victim claims, juvenile sex offender assessments, radiation lab testing, higher education workforce grants, an ARPA grant for the UAFS LPN program, an IIJA grant for geological/critical minerals work, a restricted reserve transfer for 102 State Police vehicles, a transfer to the Arkansas Heroes Program, several cash fund requests for the Real Estate Commission HVAC and AV needs, and overtime appropriations for Emergency Management and Military. One budget classification transfer request from the Commissioner of State Lands for $250,000 to cover operating expenses tied to a new building was discussed at length but failed on the vote after questions about the lease and operating costs. A major portion of the meeting focused on a $25.7 million pay plan appropriation request for 15 agencies. Members questioned why the Department of Human Services had not requested additional pay-plan dollars for human development centers, where DHS acknowledged staffing shortages, high turnover, and heavy overtime but said the issue was not lack of pay-plan funding. DHS was asked to provide a written plan to address staffing problems. The Department of Corrections testified that the pay plan had improved retention and hiring, and committee members asked for follow-up data on vacancies and staffing outcomes. Members also clarified that the pay-plan request was appropriation only, not new funding, and approved it. The committee then reviewed fund reports, including the restricted reserve, Budget Stabilization Trust Fund, Tobacco Settlement, State Central Services, Education Adequacy, Medicaid Trust Fund, IIJA, and Revenue Services transfer reports. DHS and DFA were questioned closely about the Medicaid Trust Fund, with members noting a $90 million February draw and asking about projected year-end balances; DFA and DHS said February was a high-expense, low-revenue month and projected the fund would remain solvent through the fiscal year, ending between $150 million and $200 million, while a second $100 million set-aside is planned for FY27. The committee also discussed a state hospital damage report, where DHS explained that insurance proceeds would not fully cover the repair costs because of depreciation and the age of the buildings; members expressed concern that the state would recover far less than originally expected, and DHS said any additional insurance recovery would be limited and returned to restricted reserve.

Transcript Highlights:

• It's similar, but we're currently under a current lease, so it's compounded with the lease, and we're
• We're already paying for a pharmacy there. We're already paying for security.

Keywords: 1204, all

Transcript Highlights:

• Health plans, insurers, and pharmacy benefit managers are increasingly imposing policies that prevent
• a history of severe allergic reactions to a variety of drug therapies being sent to an infusion pharmacy
• On average, a physician office charges about 23% more than specialty pharmacies for the same drug.
• Specialty pharmacy programs are developed and designed to avoid any delays in care.
• Specialty pharmacies have a myriad of safety guidelines that they must meet, and they are developed to

Summary: The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost. The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns. Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.

Bills: HB1411, HB3143, HB3144, HB3901, HCR1019, HB3981, HB4248, HB3194, HB3849, HB4095, HB4302, HB3342, HB3344, HB3287, HB3645, HB3647, HB3930, HB3931, HB1818, HB4454, HB4336

Keywords: True Grit Trail, Oklahoma, tourism, signage, Department of Transportation, state parks, historical sites, economic development, medical marijuana, license transfer, Oklahoma Medical Marijuana Authority, moratorium, business regulation, commercial grower licenses, licensing restrictions, agriculture, psychological autopsy, mental health, suicide prevention, state health department