Transcript Highlights:

• So that's my first bullet point: that we are not expanding the scope of practice for pharmacists.
• They're going to stay within their scope of practice, so I just wanted to be clear on that.
• Well, the Board of Pharmacy does track how many pharmacies are using the protocols.
• <00:26:52.880> has expansion of that scope of practice has expansion of that scope of practice
• does track how the Board of Pharmacy does track how many<00:27:33.720> pharmacies<00:27:34.159

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum, first taking up referred administrative regulations. One regulation was deferred, and two others were noted as deficient; with no one wishing to speak, the committee treated the regulations as reviewed. The committee then heard Senate Bill 13 from Chairman Meredith, which would reduce the number of Medicaid managed care organizations from five to three. Meredith argued the bill would reduce administrative burden, improve oversight, help rural providers, and potentially lower costs for families and the Medicaid program. Senators Berg, Herron, and Douglas asked about data, patient impact, network adequacy, and prior authorization burdens; Meredith said the effect on patients would be indirect through better access and less administrative delay. The committee approved a committee substitute and passed SB 13 favorably on a 10-0 vote. The committee next considered Senate Joint Resolution 26, presented by Senator Richardson and Kentucky Pharmacists Association Executive Director Ben Mudd. The resolution asks the Department of Medicaid Services to provide data and cost analysis on paying pharmacists fairly for clinical services already within their scope of practice under Medicaid and KCHIP. Supporters said pharmacists can improve access, especially in rural areas, by providing services such as medication therapy management, chronic disease management, and preventive care, and that the resolution is intended to gather information before any future bill. Senator Douglas questioned whether expanded pharmacy duties have actually improved access or outcomes and whether there is published data; Mudd said the Board of Pharmacy tracks use of protocols but that more data is needed. The committee approved the resolution by roll call, with all members voting aye. At the end of the meeting, Chairman Meredith announced that Senate Bill 27 would be heard for discussion only and not acted on that day so members could review it further. Senator Brandon Storm introduced SB 27, which would create a Kentucky Parkinson’s disease research registry, and noted that a Michael J. Fox Foundation representative could not attend because of a winter storm; her letter was included in the packet. Storm said the registry is intended to support research and policy by tracking Parkinson’s disease in Kentucky, citing national prevalence and cost figures. No vote was taken on SB 27 during this meeting.

Transcript Highlights:

• Veterinary telemedicine providers must practice within their scope of practice and follow prevailing
• But by state pharmacy law, any prescription from a veterinarian has to be filled by a pharmacy.
• Okay, would TVMA be able to adopt rules, guidelines, practice, you know, best practices for telemedicine
• So you're a practicing veterinarian.
• I've tried to get... with the private practice as well to do it internally based on what their practices

Bills: HB 43, HB 3364, HB 3469, HB 3479, HB 43, HB 3364, HB 3469, HB 3479

Keywords: agriculture, finance, young farmers, financial assistance, pest control, veterinarian, veterinary medicine, veterinary telemedicine, telehealth, telemedicine, veterinarian-client-patient relationship, VCPR, animal health, livestock, pets, remote care, electronic means, telephone consultation, controlled substances, prescription drugs

Summary: The second bill, House Bill 3469, was introduced to address pest control regulations concerning nuisance birds. Representative Campos explained how the bill proposes non-lethal methods to deter these birds, such as the use of laser lights and sounds, which avoids conflict with both state and federal regulations. The committee heard impassioned testimonies from members of the public who shared firsthand experiences regarding the adverse effects of these birds on property and public health. The meeting concluded with both bills being left pending, reflecting a desire for further deliberation among the committee members.

Transcript Highlights:

• I had a practical question for OnMed. I had a practical question for OnMed.
• But now every pharmacist has a doctorate degree, and yet we're bound to the same Pharmacy Practice Act
• The Cicero Institute recently evaluated Pharmacy Scope of Practice Laws across the country and only gave
• So while we receive substantial funding, broader pharmacy practice authority could have strengthened
• One, to practice in Texas, period, but two, to practice rurally.

Keywords: 1184, house, all

Transcript Highlights:

• In practice, fault may involve mismarked or unmarked facilities, delayed or incomplete locate responses
• Currently, 44% of the budget for the private security examiners was enforcement actions; 11% for practical
• Basically, I've worked with several attorneys that practice pretty extensively in this field, and we're
• by Representative Owen to create the task force on residential construction cost and inspection practices
• 252 by Representative Chassan to urge and request the Attorney General to study the inconsistent practices

Bills: HB1163, HB1168, HR252, HR253, HCR103, HCR108, SB80, SB131, SB251, SB254, SB279, SB384, SB414, SB468, SB469, SB496

Keywords: fireworks, retail sales, fire safety, legislation, holiday celebrations, construction standards, precast concrete, DOTD, building regulations, minimum requirements, public projects, private projects, consumer protection, credit card fees, cash transactions, rounding practices, transparency, low-income, economic impact, residential construction

Transcript Highlights:

• If that's your practice, which you guys say, then that's wonderful.

Bills: SJR50, SJR51, SJR52, SJR53, SJR54, HJR1090, HJR1091, HJR1092, HJR1093, HJR1094, HJR1095, SJR49

Keywords: Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, healthcare regulations, Oklahoma Health Care Authority, permanent rules, joint resolution, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs

Transcript Highlights:

• Um, no, this is really just an update to the current practice.
• Um, and maybe it's just we're just cleaning this up for the practice. Is that what it is?
• and advanced practice providers and advanced practice providers and physician<00:57:22.160> assistants
• <00:57:38.559> solution services and offer a practical solution services and offer a practical
• <01:10:58.320> impossible clinical trial is practically impossible clinical trial is practically

Bills: HF4438, HF4467, HF4379, SF3402, HF4349, HF4064, HF84, HF85, HF3804

Keywords: healthcare, WIC, community health, licensing, speech-language pathology, audiology, contract term limits, healthcare services, provider enrollment, disenrollment, premium payments, medical assistance, substance use disorders, mental health, children's mental health, early childhood, early intervention, consultation grants, Head Start, child care

Transcript Highlights:

• HB 1984 provides a responsible and practical solution to this problem.
• HB 1984 provides a responsible and practical solution to this problem.
• HB 1984 provides a responsible and practical solution to this problem.
• <00:15:45.640> I practical solution to this problem.
• I practical solution to this problem.

Bills: HB1984, HB1593, HB2423, HB1691, HB2283, HB2386, HB1824, HB1697, HB2164, HB2165

Keywords: renewable energy, solar energy, self-certification, building permits, environmental regulations, HB1593, affordable housing, pet-inclusive housing, pet friendly housing, rental housing, affordable rental housing, HHFDC, Hawaii Housing Finance and Development Corporation, tenant pets, companion animals, dogs, cats, landlord-tenant law, security deposit, pet deposit

Summary: The committee heard testimony on HB 1984 HD2, which would require government entities issuing building permits to create a self-certification process for certain behind-the-meter rooftop solar and energy storage systems, allowing approved applicants to proceed without waiting for standard permit review. The Public Utilities Commission and DLNR offered comments, and the Hawaii Solar Energy Association, Holoholo Energy, Photon Works Engineering, Malama Solar, RevoluSun, and others testified in strong support. Supporters said the bill would reduce permitting delays, lower costs, and help meet Hawaii’s renewable energy goals while still relying on licensed engineers, electricians, and county inspections for safety. Committee members asked about risk, existing county pilot programs, and whether self-certification had been used before; witnesses said the professional liability remains with licensed signers and that current automated review systems often flag minor issues that slow projects. The committee also noted 16 additional written testimonies in support. The committee then took up HB 1593 HD1, which would require HHFDC-financed affordable rental housing projects to allow residents to own or keep common household pets. The Hawaiian Humane Society testified that the bill is a top priority because housing restrictions are a major reason pets are surrendered and because many unhoused residents with pets avoid housing that does not allow animals. In response to questions, the Humane Society said concerns about pet-related damage are overstated, suggested pet behavior screening as a safeguard, and said it would be willing to work on broader private-market pet-friendly housing policies. Members raised concerns about whether allowing pets in public housing could create problems for residents who later transition to the private market, and the witness said California has a similar law and no major negative effects had been identified. Finally, the committee heard HB 2423 HD2, which would require that by January 1, 2028, diesel fuel sold in Hawaii for on-highway vehicles contain at least 5% biodiesel by volume. The Hawaii State Energy Office offered comments, and Hawaii Transportation Association and Pacific Biodiesel Technologies testified in support. Pacific Biodiesel argued the mandate would improve energy security, stabilize fuel prices amid global supply disruptions, and support local clean-fuel production. In response to questions, the company said its nameplate capacity is 5.5 million gallons per year and it has produced over 6 million gallons annually, but much of its output is tied up in standby generator contracts that can fluctuate. Witnesses said the mandate would provide a stable market signal and could support future investment in expanded local biodiesel production, including agricultural feedstock development and a possible second refinery. No votes or final actions were taken during the portion of the meeting provided.

Transcript Highlights:

• But OSI said, you know, our PBMs, our pharmacy benefit managers in the IEBM...
• Our pharmacy benefit managers in the IBAC should also do that.
• Moving on, pharmacy benefit manager was written in several places to clarify.
• And also, as you may find when you go to the pharmacy, it is a definite convenience for them.
• In New Mexico, we have the most abortions in practically the world, certainly per capita.

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

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

Transcript Highlights:

• We've worked with the Board of Pharmacy since that time to implement that process.
• pharmacy that's willing to dispense it. pharmacy that's willing to dispense it. back<00:24:01.200
• Um, under the collaborative practice agreement that we have in practice now, it's two years.
• Under the collaborative practice agreement that we have in practice now, it's two years.
• Under the collaborative practice agreement that we have in practice now, it's two years.

Bills: HB161, HB146, HB289, HB290, HB31, HB146, HB289, HB290, HB31

Keywords: consumer protection, app store, age verification, parental consent, data protection, minors, HB146, ivermectin, pharmacist, standing order, prescription drug, non-patient-specific order, dispensing, physician assistant, nurse practitioner, licensed health care provider, pharmacy board, medical licensure, disciplinary action, drug access

Transcript Highlights:

• We also partner with our MedImpact pharmacy benefit manager, um, because they look at pharmacy first
• with our with Med impact our Pharmacy with our with Med impact our Pharmacy benefit<00:30:16.840
• > comes<00:30:20.960> to Pharmacy first before Pharmacy comes to Pharmacy first before Pharmacy
• organizations so we have one uh Pharmacy organizations so we have one uh Pharmacy benefit<00:36:
• claims activity we also have a pharmacy claims activity we also have a pharmacy and<00:37:15.160

Keywords: 958, all

Summary: The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations. Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends. Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.

Transcript Highlights:

• Of those pharmacies, 58% have been independent pharmacies.
• closing pharmacies these pharmacies are closing pharmacies these pharmacies are closing everywhere
• and other pharmacies.
• and other pharmacies.
• and other pharmacies.

Keywords: 1183, house

Transcript Highlights:

• Yet current law says MMB must hire a pharmacy benefit manager, singular.
• law says MMB must hire a pharmacy law says MMB must hire a pharmacy benefit<01:13:15.040> manager
• The pharmacy benefit manager. Singular.
• Uh second, it applies practices.
• I'm the director of the data practices I'm the director of the data practices office<01:38:43.760

Keywords: 1187, senate, all

Transcript Highlights:

• I serve as a chief pharmacy officer for Western Health Advantage. Dr. Kieran Bearing.
• A pharmacy and your medication is not available.
• They can transfer that prescription to another pharmacy that will have available stock.
• They're dispensed by a specialty pharmacy.
• That's not how we practice. Okay. And if I may, as a pharmacist, we do.

Summary: The committee heard several bills, beginning with SB 1312 by Senator Richardson on abandoned endowed-care cemeteries. Richardson described vandalism, theft, and neglect at abandoned cemeteries and said the bill would define abandonment, create a process for local governments to declare a cemetery abandoned, and allow the Bureau to act as conservator of endowment funds. Support came from Marin County, while county and special district groups opposed or had concerns, arguing the bill could shift burdens to local governments or public cemetery districts without enough safeguards. Members expressed general support but noted the need for further work; the bill was discussed but no final vote was taken in the excerpt. The committee then took up SB 758 by Senator Umberg, which would restrict retail sales of nitrous oxide to curb misuse. Supporters, including the League of California Cities, narcotic officers, counties, pediatricians, and other local governments and health groups, said easy access at smoke shops and convenience stores has fueled recreational abuse and health harms. There was no opposition testimony, and members voiced strong support for a statewide approach over city-by-city bans. The bill was well received, with the author closing in support. Dr. Weber-Pierson presented SB 1094, a health care affordability bill on biosimilars and biologic substitution. The bill would allow pharmacists to substitute biosimilars under certain conditions, require advance notice to providers and patients, and add reporting on savings; the author said amendments would strengthen provider notice and preserve the ability to mark prescriptions “do not substitute.” Supporters from health plans, insurers, pharmacies, labor, business, and some provider groups argued the bill would lower costs and expand access. Opponents, including dermatology and rheumatology groups and biotech interests, warned about non-medical switching, prior authorization delays, and patient harm. After extensive discussion, the committee voted 13-0 to pass SB 1094 to the Committee on Health. The committee also passed SB 849 by Dr. Weber-Pierson, which would bar reinstatement of physicians who surrendered their licenses while a sexual misconduct accusation was pending. The Medical Board and California Medical Association were generally supportive or neutral, and members praised the bill’s patient-protection focus. SB 993 by Senator Ochoa Bogh, which limits routine disclosure of identifying information for mental health professionals in correctional and psychiatric settings while preserving complaint processes, also passed unanimously to Appropriations. SB 1002 by Senator Niello, extending the David Hall Act to allow certain patients in remission to continue telehealth care with out-of-state specialists, drew strong patient support but opposition from the Medical Board and CMA over licensure and oversight concerns; the committee voted it out on a split roll with some members not voting. Finally, SB 1263 by Senator McGuire, aimed at protecting wildfire survivors and workers by requiring licensed, trained contractors for post-disaster residential debris removal, received support from labor and the Contractors State License Board, with contractors raising a narrower amendment concern about scope.

Transcript Highlights:

• elimination of alternative practices elimination of alternative practices funding.<00:10:15.200>
• We agreed on pharmacy.
• We agreed on pharmacy.
• We help pharmacies, and that was also great because we have too many pharmacy deserts.
• We help pharmacies, and that was also great because we have too many pharmacy deserts.

Bills: HF2435

Keywords: healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health, 1183, house

Transcript Highlights:

• And that is in a practical reality in which we live today.
• The pharmacy thing really kind of blows my mind. I have to be honest with you.
• And I feel like that does a disservice to those small independent pharmacies.
• But he is, and his wife are small, they own a small independent pharmacy.
• I mean, heck, our pharmacies, our small pharmacies, are going to shut down.

Keywords: 977, all

Bills: HB389, HB469, HB1510, HB1573, HB1705, HB1858, HB1875, HB1946, HB1961, HB1962, HB2001, HB2093, HB2096, HB2097

Keywords: HB389, uncrewed aircraft, drone, drones, UAS, unmanned aerial vehicle, misuse of uncrewed aircraft, criminal offense, felony enhancement, drone crime, public safety, police, deputy sheriff, fire department, intoxicated operation, registration number tampering, property damage, bodily injury, Honolulu Prosecuting Attorney Package, Hawaii Revised Statutes

Bills: HB389, HB469, HB1510, HB1573, HB1705, HB1858, HB1875, HB1946, HB1961, HB1962, HB2001, HB2093, HB2096, HB2097

Keywords: HB389, uncrewed aircraft, drone, drones, UAS, unmanned aerial vehicle, misuse of uncrewed aircraft, criminal offense, felony enhancement, drone crime, public safety, police, deputy sheriff, fire department, intoxicated operation, registration number tampering, property damage, bodily injury, Honolulu Prosecuting Attorney Package, Hawaii Revised Statutes

Bills: HB389, HB469, HB1510, HB1573, HB1705, HB1858, HB1875, HB1946, HB1961, HB1962, HB2001, HB2093, HB2096, HB2097

Keywords: HB389, uncrewed aircraft, drone, drones, UAS, unmanned aerial vehicle, misuse of uncrewed aircraft, criminal offense, felony enhancement, drone crime, public safety, police, deputy sheriff, fire department, intoxicated operation, registration number tampering, property damage, bodily injury, Honolulu Prosecuting Attorney Package, Hawaii Revised Statutes

Bills: HB389, HB469, HB1510, HB1573, HB1705, HB1858, HB1875, HB1946, HB1961, HB1962, HB2001, HB2093, HB2096, HB2097

Keywords: HB389, uncrewed aircraft, drone, drones, UAS, unmanned aerial vehicle, misuse of uncrewed aircraft, criminal offense, felony enhancement, drone crime, public safety, police, deputy sheriff, fire department, intoxicated operation, registration number tampering, property damage, bodily injury, Honolulu Prosecuting Attorney Package, Hawaii Revised Statutes

Transcript Highlights:

• And just two months ago, he retired from practicing corporate law.
• It's a practical tool for public safety, better understanding, and independence.
• It's a practical tool for public safety, better understanding, and independence.

Bills: HCR32, HB493, HB679, HB745, HB896, HB1000, HB1024, HB1050, HB1159, HB1172, HB1173, HB1207, HB1208, HB1218

Keywords: Saint Claude Avenue Bridge, Port of New Orleans, backup motors, infrastructure, traffic management, expropriation, property rights, Amite River Basin, drainage, East Feliciana Parish, St. Helena Parish, government authority, traumatic brain injury, identification card, law enforcement training, medical verification, disability rights, special permits, transportation, tandem loads

Summary: The House Transportation Committee met on April 21 and considered a series of transportation, licensing, tolling, and public safety measures. It reported favorably House Bill 745, extending special permits for tandem loads hauling containers to and from port facilities; House Bill 1000, a DOTD cleanup bill that clarifies Highway Priority Program reporting and raises the letter-bid contract threshold from $1 million to $3 million; and House Bill 1050, which clarifies commercial driver’s license rules, including age and intrastate/interstate driving limits. The committee also approved House Bill 1172 naming a portion of U.S. Highway 165 in Oberlin the Coulin Brooks Manuel Memorial Highway, House Bill 1218 naming a portion of Louisiana Highway 1090 the Lewis Pat Miramon Memorial Highway, House Concurrent Resolution 32 urging backup motors for the St. Claude Avenue Bridge, and House Bill 1207 on public contracting standards and competition in public bidding. A major portion of the meeting focused on House Bill 896, which responds to tolling issues at the Belle Chasse bridge project. The bill would require toll signage, local toll customer service centers, dispute procedures, and limits on administrative fees, with amendments addressing effective dates, in-person assistance, appeal deadlines, law-enforcement exemptions, and limits on certain charges. The author and witnesses described high administrative fees, long travel distances to customer service locations, and problems with toll bills, while committee members noted the issue was complex and ongoing. The committee reported the bill favorably as amended. The committee also heard House Bill 1159, allowing Jefferson Parish municipalities to use automated speed enforcement devices again under local control. Supporters from Gretna, Westwego, Harahan, and Kenner said photo enforcement reduced crashes, improved safety, and helped limited police resources, while opponents were not emphasized in the transcript. After discussion about whether the measure should be voluntarily or involuntarily deferred, the committee ultimately deferred the bill. House Bill 493, which would prohibit expropriation by the Amite River Basin Drainage and Water Conservation District in East Feliciana and St. Helena Parishes, drew extensive testimony about reservoir fears and local opposition; the committee voluntarily deferred it. House Bill 679, as substituted, created a driver’s license designation for people with brain injuries and required related law-enforcement training; witnesses described personal experiences with brain injury and the need for officers to recognize communication and behavioral effects, and the committee reported the substitute favorably. House Bill 1173, which waives late fees for certain reinstatement-relief payment plans for driver’s licenses, was also reported favorably, and House Bill 1024 creating a Louisiana Democratic Party prestige plate was approved as well.