Transcript Highlights:

• The PUA gives them an umbrella to collaborate, speak with a bigger voice. as a regional solution as part
• The current statute. makes it very clear that if you are a public entity that wants to collaborate in
• If you want to cooperate, collaborate with your regional partners, Do so. If you don't, don't.
• I think it seems to me that everyone that wants to collaborate, needs to agree to collaborate.
• We appreciate the sincere. the collaborative effort afforded to us by both advocates for the bill and

Bills: HB 1089 , HB 1163 , HB 1177 , HB 1238 , HB1318 , HB1400 , HB1407 , HB1532 , HJR7 , HJR7

Committee: House Natural Resources

Keywords: coastal protection, environmental management, Gulf Coast, storm risk management, funding, Texas General Land Office, healthcare, insurance reform, patient access, insurance regulation, affordable care, health insurance, consumer rights, coverage transparency, claims process, insurance regulations, aggregate production, environmental impact, financial responsibility, reclamation

Transcript Highlights:

• A collaborative management agreement is required between the dentist and the dental therapist, which
• This collaborative management agreement... ...dental therapists through this collaborative management
• collaborative management agreement.
• Because of the collaborative management agreement that the dentist can control within the scope of the
• agreement. ...and within the parameters of the collaborative agreement.

Summary: The Health Professions and Programs Subcommittee heard and advanced three bills. HB 21 would create a new licensed profession of dental therapy under the Department of Health and Board of Dentistry, allowing trained dental therapists to provide a limited scope of care under a supervising Florida-licensed dentist through a collaborative management agreement. Sponsor Rep. Cheney argued the bill would help address severe dental shortages and improve access in underserved areas; opponents from the Florida Dental Association and oral surgery groups warned that the bill would allow irreversible procedures by less-educated providers and could compromise patient safety. Supporters, including dentists, hygienists, and community health center leaders, said dental therapists would expand access and free dentists to handle more complex care. An amendment was adopted to require proof of local anesthesia training, adverse-incident reporting, and updated background screening language. The bill was reported favorably as amended by a 14-1 vote. The committee then considered HB 27, which creates the Social Work Licensure Interstate Compact to allow licensed social workers to practice across member states, including through telehealth, and to help military families and address workforce shortages. Supporters from the National Association of Social Workers and other advocates said the compact would improve mobility, reduce administrative burdens, and expand access to mental health services, especially in underserved and rural areas. A technical amendment restoring model language and setting an effective date of July 1, 2025 was adopted, and the bill was reported favorably as amended on a 15-0 vote. Finally, the committee heard HB 29, the public-records companion to the social work compact, which creates exemptions needed for compact compliance and allows the compact commission or its committees to meet in closed session when discussing information exempt under law. After a technical amendment authorizing closed meetings for exempt matters was adopted, the bill was reported favorably as amended on a 15-0 vote. The meeting then adjourned.

Transcript Highlights:

• Um Um Um collaborative collaborative collaborative education<00:04:22.079><c> service</c> education service
• <00:13:34.480><c> service</c> collaborative service collaborative service agencies.
• We move forward in collaboration with the Transportation Committee on work to further clarify what the
• do not collaborate with our districts<00:20:29.320><c> as</c><00:20:29.480><c> effectively</c><00:20
• <00:41:12.960><c> together</c> collaborate together collaborate together realigning<00:41:15.440><c>

Keywords: 926, house, all

Transcript Highlights:

• And what that means in terms of the connections and collaboration with APD to ensure that many times
• We are committed to collaboration.
• With state collaboration, we can scale and replicate these initiatives across the state.
• We've been collaborating with Albuquerque Bernalillo. The issues that he stated here.
• We are creating collaboratives such as our Nurse Education Collaborative for Nursing.

Transcript Highlights:

• Part of that work also related to the K-16 education collaboratives and the notion that we also need
• Part of that work also related to the K-16 education collaboratives and the notion that we also need
• Every region also has a K-16 education collaborative.
• And what that does is it builds collaborative capacity over multiple planning cycles.
• What that means is you have an incentive to stay involved in that collaborative process.

Keywords: 987, senate, all

Transcript Highlights:

• Thank you to the Health Care Authority, who continues to collaborate with me, all other agencies who
• are collaborating with us, and we'll continue to move this bill forward.
• Thank you to the Health Care Authority, who continues to collaborate with me, all other agencies who
• are collaborating with us, and we'll continue to move this bill forward.
• collaborating with us, and we'll continue to move this bill forward.

Bills: HB2402 , HB2555 , HB2599 , HB2685

Committee: House Health Care & Wellness

Keywords: phthalates, medical equipment, healthcare regulation, intravenous therapy, toxic substances, Medicaid, healthcare, traditional practices, health insurance, coverage expansion, therapy, psychotherapy, mental health, regulation, professional standards, tribal data, data protection, privacy, sharing of information, Indigenous rights

Transcript Highlights:

• contains all attestations required in paragraph one from any physician who participated in the collaborative
• any faisan who participated<00:08:56.720><c> in</c><00:08:56.920><c> the</c><00:08:57.080><c> collaborative
• </c> participated in the collaborative participated in the collaborative agreement<00:08:58.600><c> am
• agreement so that means collaborative agreement so that means that<00:10:19.480><c> it</c><00:10:19.600
• Senator bar collaborative agreement Senator bar thank<00:10:25.760><c> you</c><00:10:26.760><c> members

Committee: Senate State and Local Government

Keywords: 1187, senate, all

Transcript Highlights:

• will be starting off with STR 32, requesting the Department of Corrections and Rehabilitation to collaborate
• We'll get started on STR 32, requesting the Department of Corrections and Rehabilitation to collaborate
• Seeing none, moving on to STR 117 SD1 HD1, urging the Safe Routes to School Advisory Committee to collaborate
• 47.199><c> advisory</c><00:16:47.759><c> committee</c><00:16:48.079><c> to</c><00:16:48.320><c> collaborate
• </c> school advisory committee to collaborate school advisory committee to collaborate with<00:16:48.959

Keywords: 910, house, all

Summary: The Committee on Transportation met on Thursday, April 17 at 10:00 a.m. with a short agenda focused on two resolutions. STR 32 requested that the Department of Corrections and Rehabilitation work with the Department of Transportation to use inmate work furlough programs for state roadway and highway maintenance. Testimony was received in support from the Department of Transportation, the Department of Corrections and Rehabilitation, and an individual, Frank Schultz. No one testified in opposition or with reservations. The committee also heard STR 117 SD1 HD1, which urged the Safe Routes to School Advisory Committee to collaborate with the Department of Education, Department of Transportation, and the County of Hawaii to inventory bus stops on Hawaii Island used by children traveling to school and to develop safety improvements at those locations. Testimony in support came from the Department of Transportation, the Department of Education, and Frank Schultz. Again, there was no opposition or additional public testimony. After taking the measures up, the committee voted to pass both resolutions unamended as is. The chair’s recommendations were adopted, with some members excused from the vote on STR 32. Before adjournment, the chair noted this was the last traditional transportation committee hearing of the session, thanked staff, members, and advocates, and said the committee would move into conference on nearly 45 transportation measures. The meeting then adjourned.

Transcript Highlights:

• strategies to ensure the ethical and effective integration of And collaborative strategies to ensure
• Supporting faculty with grants, voluntary training, and collaborative governance structures empowers
• They came when faculty collaborated, redesigned intentionally, and used technology.
• This is why we stress our technology collaboration.
• And so there has been a lot of collaboration as it's been rolling out. I don't know.”

Summary: The Assembly Committee on Higher Education and the Assembly Privacy and Consumer Protection Committee held an oversight hearing on the California State University’s AI-empowered initiative, including the systemwide rollout of ChatGPT EDU and broader AI integration across CSU campuses. Opening remarks emphasized both the promise of AI for student success, workforce preparation, and access, and the need to address risks such as bias, privacy, misinformation, environmental impacts, and mental health harms. CSU representatives said the initiative grew out of Academic Senate recommendations and a systemwide generative AI committee, and that the goal was to provide equitable access, training, governance, and workforce alignment across the 23-campus system. CSU officials described systemwide contracts for AI tools, the AI Commons training hub, and faculty grant programs supporting AI-related curriculum innovation. They said more than 93,000 ChatGPT EDU accounts had been activated, over 4,300 faculty had taken voluntary training, and $3 million had been awarded to 63 faculty-led projects from more than 400 submissions. San Jose State University highlighted its own AI-focused programs, courses, orientation training, faculty fellows, student ambassadors, and interdisciplinary efforts to build AI literacy and responsible use into instruction and co-curricular programs. CSU also said it was tracking metrics on adoption, academic outcomes, workforce outcomes, and environmental impacts. Faculty, staff, and student representatives welcomed the educational potential of AI but raised concerns about the rollout, saying it had moved quickly and without enough consultation or consistent systemwide policy. They urged stronger protections for academic freedom, intellectual property, privacy, equity, and worker input, and warned about bias, surveillance, job displacement, and the environmental cost of AI. Legislators pressed CSU and OpenAI representatives on training requirements, data privacy, bias reporting, discipline for misuse, liability, sycophancy, and safeguards against harmful uses such as non-consensual imagery or self-harm-related interactions. CSU said interactions in the licensed tool are private, data are not used to train models, and campuses retain their own conduct processes; members also asked CSU to follow up on systemwide training, policy consistency, and additional safeguards.

Transcript Highlights:

• and organization that the finance chair is bringing to that effort, and glad to be working so collaboratively
• One of my favorite bills, which is the bill that allows us to set up the West Coast Health Collaborative
• We enjoy the collaboration that we have, and it just feels like we're going to be headed for a busy but
• This is work that we'll continue to do collaboratively over the interim, and I'm really, really happy
• And I think she and Senator Frame, who's leading in the Senate on this, are working very collaboratively

Summary: House and Senate Democratic leaders held a media availability focused on the late-session agenda, including the House policy cutoff, a supplemental budget, and the House Finance Committee hearing on the proposed “millionaire’s tax”/income tax measure. They said several Senate bills had moved or were moving quickly, including a face mask bill, an abortion medication access bill, a mobile devices in schools bill, a driver privacy/personal safety data protections bill, and a West Coast Health Collaborative bill. They also said the supplemental budget would emphasize food, shelter, health care, continuity of government, and other core services. A major topic was allegations of fraudulent or bot-generated remote sign-ins on the millionaire’s tax hearings. Leaders said remote testimony and sign-ins have broadened public participation, but misuse of the system is a problem that will be reviewed over the interim. They said the goal is to preserve easy public access while improving accuracy, and that the sign-in numbers should be treated cautiously because the system is informational rather than equivalent to voting. They also said there had been no direct contact with state Supreme Court justices about the tax bill. The leaders defended the need for the income tax proposal by arguing that state spending growth reflects inflation, population growth, the McCleary school-funding changes, and major investments in child care, higher education, Medicaid dental care, IT systems, and special education. They said the Legislature is trying to balance the tax code and that they do not support taxing incomes below $1 million, though they would not rule out future legislative changes decades from now. On tort claims against the state, they said Senator Dhingra’s arbitration bill has advanced the discussion but is unlikely to move further this session, and that broader liability reductions may require constitutional changes or prevention-focused investments. They also discussed long-term care workforce pressures, saying Washington is better positioned than many states but still faces an aging-population challenge. On the millionaire’s tax process, they said the House Finance Committee is expected to increase tax reductions in the bill, with leaders aiming to resolve differences with the Senate without going to conference if possible.

Transcript Highlights:

• We work with KQED and we built a collaborative effort.
• We work with KQED and we built kind of a collaborative effort.
• KQED was focusing on K-12, we were focusing on and we built kind of a collaborative effort.
• It is a collaborative and cooperative endeavor, and it takes a lot of people to do it.
• On this committee, it is important to continue that collaboration with state government.

Summary: The hearing focused on the impact of the federal rescission of Corporation for Public Broadcasting funding on California public media, with Assemblymember Chris Ward and Senator Akilah Weber Pierson framing public media as essential civic infrastructure for education, local news, arts, emergency alerts, and underserved communities. Local officials from San Diego and La Mesa voiced support, emphasizing public media’s role in trusted information, children’s programming, and community arts access. Panelists from PBS SoCal, KCRW, Rebuild Local News, NPR, KPBS, Radio Bilingüe, and KVPR described significant budget losses, layoffs, reduced programming, and threats to rural and specialized services. They highlighted impacts on children’s educational content, local journalism, arts coverage, science and documentary production, and emergency alert systems. Several speakers noted that smaller stations in rural or low-broadband areas are especially vulnerable, while larger stations are also cutting staff and delaying projects. They also discussed possible responses such as shared services, cost reductions, philanthropy, and state support, while warning that one-time bridge funding is not a long-term fix. Committee members asked about operational changes, alternative revenue sources, the role of state programs, and whether public pressure could restore federal funding. Witnesses said the loss is already being felt, that restoration appears unlikely in the near term, and that any state support should be structured to protect editorial independence and provide stable, timely funding. The hearing concluded with a shift to labor and production testimony and then to station-specific testimony from KPBS, Radio Bilingüe, and KVPR, followed by public comment.

Transcript Highlights:

• Hawaiʻi Workforce Funders Collaborative, Matt Stevens, written testimony and support.
• White Data Collaborative, Nick Reading, and Jacob Winecheck, both in support.
• White Data Collaborative, Nick Reading, and Jacob Winecheck, both in support.
• <00:20:20.520><c> Matt</c> collaborative Matt collaborative Matt Stevens<00:20:23.679><c> okay</c><00
• </c><00:20:27.919><c> Nick</c> support white data collaborative Nick support white data collaborative

Committee: Senate Labor and Technology

Keywords: 912, senate, all

Summary: The Committee on Labor and Technology heard testimony on several measures. Senate Bill 327, relating to internships, drew broad support from the Department of Education, Department of Labor and Industrial Relations, University of Hawaiʻi, DBEDT, P20, HFIA, Hawaiʻi Electric, the Hawaii Primary Care Association, and the Chamber of Commerce, with suggested amendments to clarify the internship purpose, limit some responsibilities to the state executive branch, and address staffing and reporting details. The committee later recommended passing SB 327 with amendments, including changes to the internship language, private-sector references, work-hour limits, reporting requirements, and a deferred effective date for further discussion. Senate Bill 716, relating to the Hawaii Employment Security Law, received support from the Department of Labor and Industrial Relations as a step toward modernizing unemployment insurance, and the committee recommended passage with housekeeping and technical amendments. Senate Bill 717, relating to collective bargaining, would allow certain exempt employees to grieve suspensions or discharges. The City and County of Honolulu and the Department of Human Resources Development said the issue should remain a collective bargaining matter, while HGEA and United Public Workers supported the bill. DHRD opposed changing the statute and pointed to existing internal complaint procedures. The committee nevertheless recommended passing SB 717 with amendments and deferred the date for further discussion. Senate Bill 742, relating to data sharing, would create a data sharing and governance working group within the Office of Enterprise Technology Services and include appropriations. OETS, the Executive Office on Early Learning, the University of Hawaiʻi, DOE, Hawaiʻi Kids Can, Hawaiʻi P-20, and others supported the measure, with OETS estimating a total cost of about $2.64 million, including software, consulting, and six FTE. The committee recommended passage with amendments and a deferred effective date, and noted the budget request in the committee report. The final measure, Senate Bill 855, relating to the Hawaii Retirement Savings Act, would shift the program from opt-in to opt-out and appropriate startup funds; former Senator Brian Taniguchi and AARP supported it, while Retail Merchants of Hawaiʻi and the Tax Foundation of Hawaiʻi opposed it over costs and burdens on small businesses and concerns about adding mandates before the program is implemented. The committee recessed briefly on a proposed AARP amendment, then returned and indicated support for the opt-out language before taking the bill up for decision-making.

Transcript Highlights:

• And so intersegmental collaboration since the time of the master plan has been fraught over time, and
• We are the first program that incentivizes faculty collaboration on specific innovative projects.
• I think collaboration is key.
• We had the regional K-14 collaboratives also that were in OPSC, I think, which is also in DGS, which
• We had the regional K-14 collaboratives also that were in OPSC, I think, which is also in DGS, which

Summary: The subcommittee first heard a presentation on ongoing funding for the California Education Learning Lab. The Learning Lab described its intersegmental grant-making work with UC, CSU, and community college faculty, including projects on AI, math alignment, and open educational resources. The administration proposed moving the program’s administrative home from the Governor’s Office of Land Use and Climate Innovation to GovOps and restoring $4 million annually. The Department of Finance supported the proposal as a way to improve coordination, while the LAO recommended rejecting it, arguing the program is difficult to scale, overlaps with existing campus and segment-wide professional development, and could be wound down to save General Fund dollars. Senators split on the issue: some emphasized the program’s role in fostering innovation and cross-segment collaboration, while others questioned its measurable outcomes and whether it addresses problems rooted in K-12 preparation. The item was held open without a vote. The committee then considered funding for the new Office of Civil Rights within GovOps, created to implement AB 715 and SB 48. The proposal sought $3.5 million in 2026-27 and $2.8 million ongoing to staff the office, provide training and technical assistance to local educational agencies, and help track discrimination complaints through the Department of Education’s uniform complaint process. Finance said the office was being stood up administratively, but many positions were still unfilled; the LAO had no concerns and said the proposal simply implements recent legislation. Senators raised concerns about the office’s placement in GovOps, the lack of guidance while the office is not yet operational, the potential duplication with CDE processes, and whether staffing levels and coordinator roles match the volume and type of complaints. The department said it would adjust resources as workload becomes clearer and that first-year goals would include hiring staff, developing materials, and beginning outreach. The item was held open. After public comment and votes on several vote-only items, the committee heard from the Office of Data and Innovation on a request for five positions and $1.25 million in reimbursement authority. ODI said it uses data science, design, and engineering to improve state services, citing work on EBT theft detection and forecasting community water system outages. Finance had no comment, and the LAO supported the reimbursement model. Senators generally praised ODI’s small but high-impact role and asked about privacy safeguards for vendor AI tools; ODI said it uses state guardrails, enterprise contracts, and coordination with CDT to protect data. The item was held open. The Department of Technology then presented on the Middle-Mile Broadband Initiative, reporting progress on the 8,100-mile network, including 423 miles already complete and more than 70% permitted. CDT said it had selected Skyline Technology Solutions as operator and expected about 5,300 miles completed by December 2026, with some miles possibly slipping into 2027. The LAO noted most of the $3.8 billion appropriated has been encumbered, but raised concerns about the new three-party operating structure and long-term sustainability. Senators asked about accountability, the need for a two-year extension of liquidation authority, and whether revenues will cover operating costs. CDT said the extension is a precaution to allow for final reallocations if needed, that CDT retains ultimate responsibility, and that it expects the network to be self-sustaining over time through service revenues and lease arrangements. The department committed to continued reporting through annual reports, advisory committees, and briefings.

Transcript Highlights:

• Josephine Romo from ICC Integrated Community Collaborative, in support.
• I am also from the Integrated Community Collaborative organization, and I'm here supporting this bill
• I am also an advocate with the Integrated Community Collaborative, ICC.
• I'm a mother to two children with disabilities, also with Integrated Community Collaborative.
• I'm a mother to two children with disabilities, also with Integrated Community Collaborative.

Committee: Senate Human Services

Keywords: 987, senate, all

Transcript Highlights:

• All of these are so important so that they can have decision-making and be a part of this collaborative
• All of these are so important so that they can have decision-making and be a part of this collaborative
• But the most important thing we do is we collaborate.
• So we are much better because we are able to collaborate and work together on a lot of problems that
• So there's no one else inside of our district where that teacher can plan and collaborate and grow and

Committee: Senate Education Pre-K - 12

Summary: The Senate Education Pre-K-12 Committee met to discuss the needs of rural school districts and the role of Florida’s three regional education consortia: the Panhandle Area Education Consortium, Northeast Florida Educational Consortium, and Heartland Educational Consortium. Executive directors and several rural superintendents described the consortia as member-led organizations that provide shared services, professional learning, leadership development, grant support, cooperative purchasing, risk management, IT/cybersecurity help, and back-office assistance that small districts could not afford to provide on their own. They emphasized that rural districts are often very small, have limited staff, and must still meet the same state reporting and compliance requirements as large urban systems. Testimony focused heavily on teacher recruitment and retention, alternative certification, and the difficulty of staffing specialized roles such as CFOs, MIS directors, IT staff, and content-area teachers. Superintendents said many new hires are career changers or alternatively certified teachers who need consortium-supported training, and several argued for more flexibility in funding so districts can raise salaries and compete with neighboring districts and nearby states. Members also asked about the impact of declining enrollment, homeschooling, and voucher-related school choice; superintendents said those trends are reducing FTE and creating budget instability, while also requiring districts to right-size staff and programs. Several speakers described the financial strain on rural districts, including rising insurance costs, transportation costs, and the challenge of forecasting budgets when enrollment changes after the school year begins. One superintendent recounted major hurricane damage and said consortium risk-management support was essential to recovery. Others said the consortia help districts pool resources for property and health insurance, payroll, student data systems, and procurement, and that this shared approach saves money and improves services. No votes or formal committee actions were taken during the meeting.

Transcript Highlights:

• The Well-Being Collaborative of Arizona is a statewide coalition of more than 650 members across 180
• Formed in response to rising burnout and workforce strain, the collaborative advances research, leadership
• The Well-Being Collaborative of Arizona is a statewide coalition of more than 650 members across 180
• development, and shared solutions, to rising burnout and workforce strain, the collaborative advances
• Through cross-section partnerships and innovation, the collaborative is helping build a healthier and

Summary: The House opened with prayer, the Pledge of Allegiance, approval of the journal, and recognition of the Doctor of the Day, Dr. Kai Sun. Members also welcomed newly sworn Representative Cody Rhyme and congratulated Sergeant-at-Arms Chuck Fitzgerald on his recent wedding. Several members introduced guests and visiting groups, including pharmacists at Pharmacy Day at the Capitol, the Arizona Education Association, the Well-Being Collaborative of Arizona, and local officials and constituents from around the state. The chamber then took up House Resolution 2001, which designated March 18, 2026 as Health Workforce Well-Being Day in Arizona. The resolution cited burnout and workforce shortages among physicians, nurses, medical students, residents, pharmacists, and other health professionals, and urged state officials and health organizations to prioritize workforce well-being. It was adopted without objection to waive first and second reading, and Representative Bliss introduced guests connected to the Well-Being Collaborative. The House also considered several bills on third reading. House Bill 2375, relating to housing and historic neighborhoods, drew extensive debate over local control, historic preservation, housing shortages, and concerns about exclusion and segregation; it passed 31-24, but without the required two-thirds vote for its emergency clause. House Bill 2931, concerning the Arizona Civil Rights Advisory Board, passed 36-19, and House Bill 2992, creating a child sexual abuse and assault awareness and prevention pilot program, passed 35-20 after debate over whether funds should instead support broader sex education. Senate Bill 1010, substituted for House Bill 4027 and relating to historic names, passed 33-22. The House also handled committee assignments, referrals, and first readings of additional Senate bills before adjourning until the next day.

Transcript Highlights:

• May they serve with humility, collaboration, and courage to give voice, strength, and life to those they
• He brings decades of collaborative leadership from his experience serving in the community.
• from his collaborative leadership from his experience<02:12:26.679><c> serving</c><02:12:27.239><c>
• to collaborate with mutual respect<02:19:45.920><c> in</c><02:19:46.160><c> resolve</c><02:19:46.960
• Let's work collaboratively, and let's get some great work done for the people of Hawaii.

Keywords: House Agenda:, 910, house, all

Transcript Highlights:

• It was a collaboration. We actually merged all the TOPS Tech bills so that we can combine them.
• It is a collaboration with our school board, and it has been from day one.
• Adversarial collaboration, or lack thereof.
• Aversarial collaboration or lack thereof.
• When we have positive collaborations with ABA providers, we have a great product.

Committee: Senate Education

Keywords: 974, senate, all

Transcript Highlights:

• We worked uh through the interim over a number of meetings, collaborating and finding uh something that
• I just want to thank him and the Multi-Housing Association for working so collaboratively with us.
• <00:16:19.920><c> collaboratively</c><00:16:20.800><c> with</c><00:16:21.120><c> us.
• </c> collaboratively collaboratively with us. collaboratively collaboratively with us.
• uh that's that's led the collaboration uh that's that's led to<00:21:32.880><c> it.

Bills: HF4141 , HF3951

Committee: House Housing Finance and Policy

Keywords: housing authority, criminal penalty, assault, public safety, redevelopment, submetered utility service, tenant rights, digital payment, eviction protection, housing policy, 1183, house

Transcript Highlights:

• It's a collaboration issue.
• It's a collaboration issue.
• It's a collaboration issue.
• It's a collaboration issue.
• It's a collaboration issue.

Bills: SB20 , SB21 , SB166 , SB177 , SB181 , SB189 , SM6

Committee: Senate Senate Tax, Business & Transportation

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder