Video & Transcript : 'hazard map' :
Page 271 of 365
HI
Bills:
HB2315, SB2471, HB306, HB1692, HB1842, HB2171, HB2207, HB2343, HB2296, HB389, HB469, HB1510, HB1573, HB1705, HB1858, HB1875, HB1946, HB1961, HB1962, HB2001, HB2093, HB2096, HB2097, HCR200, HCR144, HCR33, HCR154, HCR165, HCR186, HCR206, HCR166, HCR31, HCR85, HCR103, HCR117, HCR180, HCR112, HCR18, HCR105, HCR173, HCR137, HCR179, HCR32
Keywords:
vacation payout, down payment assistance, state employee benefits, housing crisis, homeownership, Department of Health, SB2471, Hawaii, corporate powers, artificial persons, business entities, election spending, political spending, campaign finance, ballot measure, ballot issue, electioneering, corporations, nonprofit corporations, LLC
WA
Washington 2025-2026 Regular Session
House Floor Session Feb 10th, 2026 at 01:00 pm
Washington House Floor Meeting
Bills:
HB1160, HB1289, HB1339, HB1798, HB1002, HB1065, HB1155, HB1916, HB2264, HB1078, HB1687, HB1701, HB1717, HB1795, HB1859, HB2088, HB2091, HB2107, HB2109, HB2110, HB2113, HB2124, HB2125, HB2133, HB2134, HB2140, HB2151, HB2152, HB2155, HB2165, HB2185, HB2191, HB2205, HB2211, HB2219, HB2228, HB2229, HB2230, HB2235, HB2238, HB2242, HB2245, HB2249, HB2253, HB2254, HB2269, HB2272, HB2283, HB2304, HB2317, HB2340, HB2343, HB2385, HB2406, HB2417, HB2426, HB2445, HB2452, HB2472, HB2492, HB2501, HB2531, HB2574, HB2606, HB2664
Keywords:
design review, local government, land use, zoning, project permits, housing density, middle housing, affordable housing, parking minimums, single-family zoning, infill development, growth management, comprehensive plan, permit streamlining, objective development regulations, architectural review, administrative review, transit-oriented development, accessory dwelling units, ADU
Summary:
The House considered and passed a series of bills on topics including public employee bargaining communication, condominium and middle-housing development, building code changes for scissor stairs, substance use disorder monitoring for nursing assistants, pet insurance continuity, liquor licensing flexibility, voter registration challenges, concealed pistol license records exemptions, social housing public development authorities, services for people with developmental disabilities, rent increase notices, and unlawful detainer notices. Members repeatedly described the housing bills as efforts to increase supply, improve affordability, and fix prior statutory problems, while the health-related bills were framed as improving patient comfort, provider flexibility, or workforce consistency. Several measures were advanced without amendment, while others were substituted with committee recommendations before final passage.
The most debated item was Engrossed Substitute House Bill 1916 on voter registration challenges. Supporters said it would curb mass or frivolous challenges, protect voters, and give election officials clearer standards and more accountability. Opponents argued it would make legitimate voter challenges harder, reduce citizen oversight of voter rolls, and weaken election integrity. Multiple amendments were offered to reduce penalties from felony to gross misdemeanor, allow electronic challenges, remove county-residency limits, and strike sections of the bill; most were rejected, though one amendment removing the same-county requirement was adopted. The bill ultimately passed after a divided vote.
Other notable debate included House Bill 2152, which would allow terminally ill patients in hospitals and similar facilities to use medical cannabis; supporters emphasized dignity and comfort at end of life, while one opponent worried about added burdens on rural hospitals. House Bill 2235, concerning Public Records Act exemptions tied to concealed pistol license records and a permit-to-purchase framework, passed with strong support. House Bill 1687 on social housing public development authorities passed after an amendment restored city council involvement in housing cooperation decisions, while House Bill 2249, relating to Washington Technical employees and civil service treatment, passed with a larger number of nays. The House then placed additional bills on second reading and adjourned until the next legislative day.
WA
Washington 2025-2026 Regular Session
House Floor Session Feb 10th, 2026 at 09:00 am
Washington House Floor Meeting
Bills:
HB1160, HB1289, HB1339, HB1798, HB1002, HB1065, HB1155, HB1916, HB2264, HB1078, HB1687, HB1701, HB1717, HB1795, HB1859, HB2088, HB2091, HB2107, HB2109, HB2110, HB2113, HB2124, HB2125, HB2133, HB2134, HB2140, HB2151, HB2152, HB2155, HB2165, HB2185, HB2191, HB2205, HB2211, HB2219, HB2228, HB2229, HB2230, HB2235, HB2238, HB2242, HB2245, HB2249, HB2253, HB2254, HB2269, HB2272, HB2283, HB2304, HB2317, HB2340, HB2343, HB2385, HB2406, HB2417, HB2426, HB2445, HB2452, HB2472, HB2492, HB2501, HB2531, HB2574, HB2606, HB2664
Keywords:
design review, local government, land use, zoning, project permits, housing density, middle housing, affordable housing, parking minimums, single-family zoning, infill development, growth management, comprehensive plan, permit streamlining, objective development regulations, architectural review, administrative review, transit-oriented development, accessory dwelling units, ADU
Summary:
The House convened, established a quorum, approved the previous day’s minutes, and heard a prayer and the Pledge of Allegiance. Members also announced caucus breaks and a reminder that Seahawks apparel would be permitted on the floor the next day. The chamber then moved through second- and third-reading business on a series of bills, with several committee substitutes and amendments adopted by voice vote before final passage votes were taken by roll call.
House Bill 1155, dealing with non-compete agreements, drew the most debate. Supporters said it would ban non-competes, improve worker mobility, and promote entrepreneurship; opponents raised concerns about contract freedom and, in one failed amendment, sought to exempt high earners and senior executives. Other adopted amendments clarified tribal worker relationships, defined patients in place of customers, and required notice that existing non-competes would be void. The bill ultimately passed 65-29. House Bill 1002, concerning PTSD eligibility for coroners and medical examiners, failed an amendment that would have limited costs to the relevant risk class, then passed 70-24 after supporters argued the measure would help a small group of workers exposed to traumatic scenes. House Bill 2264, on unemployment benefits for workers who voluntarily participate in layoffs, passed unanimously 94-0.
The House also passed House Bill 2110, allowing nurses to accompany inter-facility ambulance transports without EMT licensure, after an amendment requiring training on ambulance equipment; House Bill 2272, a technical update to ski equipment terminology; House Bill 2238, creating a statewide food security strategy and narrowing agency scope through amendment; House Bill 2445, aimed at stopping profiteering in probate cases involving unclaimed estates; House Bill 2109, allowing covered transport of certain vehicle loads to reduce roadway debris; House Bill 2492, requiring behavioral and mental health training for construction and trades workers despite objections about added costs; House Bill 2472, strengthening licensing enforcement for fire sprinkler work; House Bill 288, joining the dietician licensure compact; and House Bill 2229, updating the Professional Engineers Registration Act and requiring board members to have practiced in Washington for at least five years. Final votes on these bills ranged from near-unanimous to more divided, with each receiving the constitutional majority needed to pass.
WA
Washington 2025-2026 Regular Session
House Floor Session Feb 10th, 2026
Washington House Floor Meeting
Bills:
HB1160, HB1289, HB1339, HB1798, HB1002, HB1065, HB1155, HB1916, HB2264, HB1078, HB1687, HB1701, HB1717, HB1795, HB1859, HB2088, HB2091, HB2107, HB2109, HB2110, HB2113, HB2124, HB2125, HB2133, HB2134, HB2140, HB2151, HB2152, HB2155, HB2165, HB2185, HB2191, HB2205, HB2211, HB2219, HB2228, HB2229, HB2230, HB2235, HB2238, HB2242, HB2245, HB2249, HB2253, HB2254, HB2269, HB2272, HB2283, HB2304, HB2317, HB2340, HB2343, HB2385, HB2406, HB2417, HB2426, HB2445, HB2452, HB2472, HB2492, HB2501, HB2531, HB2574, HB2606, HB2664
Keywords:
design review, local government, land use, zoning, project permits, housing density, middle housing, affordable housing, parking minimums, single-family zoning, infill development, growth management, comprehensive plan, permit streamlining, objective development regulations, architectural review, administrative review, transit-oriented development, accessory dwelling units, ADU
Summary:
The House convened, established a quorum, recited the Pledge of Allegiance, and heard a prayer. Members approved the prior day’s minutes, referred introduction-sheet bills, and later took up several second- and third-reading bills. Early in the day, the chamber also announced that members could wear Seahawks apparel during floor action the next day.
The House passed House Bill 1155, which bans non-compete agreements, after adopting amendments clarifying tribal worker relationships, replacing references to “customer” with “patient” in certain contexts, and requiring notice to current and some former employees that non-competes are void. An amendment to exempt senior executives earning over $350,000 was rejected. The bill passed 65-29. The House also passed House Bill 1002, allowing certain coroners and medical examiners to seek workers’ compensation for PTSD; an amendment to isolate costs to their own risk class was rejected, and the bill passed 70-24. House Bill 2264, clarifying unemployment insurance eligibility for workers who voluntarily participate in layoffs, passed unanimously 94-0.
Later measures included House Bill 2110, allowing nurses to accompany inter-facility ambulance transports without also holding EMT licenses, which passed 94-0 after an amendment clarifying training; House Bill 2272, a technical update to ski equipment terminology, which passed 94-0; House Bill 2238, creating a statewide food security strategy, which passed 83-12 after a technical amendment narrowing agency scope; and House Bill 2445, aimed at preventing profiteering in probate estates, which passed 67-28 after a technical amendment. The House also passed House Bill 2109 on securing vehicle loads (95-0), House Bill 2492 requiring behavioral and mental health training for construction workers and apprentices (79-16), House Bill 2472 on licensed contractors for fire sprinkler work (92-3), House Bill 288 joining the dietician licensure compact (93-1), and House Bill 2229 updating the Professional Engineers Registration Act and requiring five years of Washington practice for board members after an amendment (68-26).
WA
Washington 2025-2026 Regular Session
House Pro Forma Floor Session Feb 9th, 2026 at 09:55 am
Washington House Floor Meeting
Bills:
HB1160, HB1289, HB1339, HB1798, HB1002, HB1065, HB1155, HB1916, HB2264, HB1078, HB1687, HB1701, HB1717, HB1795, HB1859, HB2088, HB2091, HB2107, HB2109, HB2110, HB2113, HB2124, HB2125, HB2133, HB2134, HB2140, HB2151, HB2152, HB2155, HB2165, HB2185, HB2191, HB2205, HB2211, HB2219, HB2228, HB2229, HB2230, HB2235, HB2238, HB2242, HB2245, HB2249, HB2253, HB2254, HB2269, HB2272, HB2283, HB2304, HB2317, HB2340, HB2343, HB2385, HB2406, HB2417, HB2426, HB2445, HB2452, HB2472, HB2492, HB2501, HB2531, HB2574, HB2606, HB2664
Keywords:
design review, local government, land use, zoning, project permits, housing density, middle housing, affordable housing, parking minimums, single-family zoning, infill development, growth management, comprehensive plan, permit streamlining, objective development regulations, architectural review, administrative review, transit-oriented development, accessory dwelling units, ADU
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on the Judiciary Jun 21st, 2026 at 01:00 pm
Joint Committee on the Judiciary
Transcript Highlights:
- Given the uniquely hazardous environment in correctional facilities, this bill is a necessary step to
- This bill recognizes the essential public service correction staff provide and the extra hazards they
Summary:
The Joint Committee on the Judiciary held a lengthy hearing on several juvenile justice and parole-related bills, with much of the testimony focused on H. 2051/S. 1087 to end lifetime parole for juveniles and emerging adults, and H. 1923 to raise the age of juvenile court jurisdiction to include 18-, 19-, and 20-year-olds. Chairs Brandy Fluker-Reid and Lydia Edwards opened the hearing by noting the large number of bills and witnesses, the need to keep testimony moving, and special procedures for incarcerated witnesses and sensitive testimony. They also acknowledged the historic nature of the hearing being chaired by two Black women attorneys. No votes were taken during the hearing itself.
Many incarcerated speakers and advocates supported ending lifetime parole, arguing that young people can change, that lifetime supervision creates constant fear of technical violations, and that it undermines rehabilitation, family stability, employment, and reintegration. Several testified about their own trauma, youth, and growth in prison programs, while others emphasized the costs of decades of supervision and the racial disparities in the system. Support also came from elected officials, UTEC, the Transformational Prison Project, United Way, CPCS’s Youth Advocacy Division, the Massachusetts Coalition to Prevent Gun Violence, and others, who said juvenile systems are better suited to developmentally appropriate treatment and that the bills would improve public safety and reduce recidivism.
There was also opposition, including testimony from family members of a murder victim who argued that lifetime parole should remain for serious violent crimes and that some offenders are not sufficiently rehabilitated. One virtual witness described a family tragedy involving the kidnapping and murder of her infant nephew and warned that ending lifetime parole could remove needed long-term supervision for dangerous offenders. In addition to the juvenile justice bills, the committee heard testimony on H. 1867, a bill related to continuing care for severe mental illness, and H. 2063, which would increase penalties for assaults on correction officers and other prison staff; the correction officers’ union supported H. 2063 and related safety bills. The hearing continued with many more witnesses and bill topics, but no final committee action was announced in the portion provided.
MN
Minnesota 2025-2026 Regular Session
Senate Floor Session - Part 3 - 05/17/26
Minnesota Senate Floor Meeting
VT
Vermont 2025-2026 Regular Session
Senate Session - 2026-05-13 - 10:00AM
Vermont Senate Floor Meeting
HI
Hawaii 2026 Regular Session
PSM-EIG DEFER, EIG-HOU, HOU-EIG-WLA, WLA-EIG, EIG-TRS-AEN, EIG Public Hearings 02-17-2026
Public Safety and Military Affairs
Transcript Highlights:
- When collapse occurs, hazardous debris scatters on public beaches, posing immediate injury risks, obstructing
- When collapse occurs, hazardous debris scatters on public beaches, posing immediate injury risks, obstructing
Summary:
The committees first took up SB 3322 relating to law enforcement. Chairs recommended adopting amendments from the Department of Law Enforcement that would exempt plainclothes officers from identification requirements, limit conspicuous agency markings to vehicles used in immigration enforcement operations, and allow a plainclothes officer to wear a mask when within eyesight of an unmasked officer from the same agency while performing official duties. Although there was an initial quorum issue, both committees ultimately voted to adopt the chair’s recommendation and advance the bill as amended.
The next major item was SB 3333 relating to property tax treatment for certain housing. Testimony was strongly supportive, including from a Maui County real property tax board member and a representative of Nali Maui, who described homeowners in affordable housing being taxed at much higher rates when exemptions were missed or when resale restrictions kept values below market. The committees recommended passing the bill with amendments, including a deferred effective date of April 19, 2042, and the recommendation was adopted.
The committees also heard SB 2422 on a pro housing score program for counties, SB 2981 on eliminating minimum off-street parking requirements in urban districts, SB 2007 on county land use boundary amendments, SB 3028 on restructuring the conveyance tax to a marginal rate system, SB 3033 on public petitions for review of beach structures, and SB 2434 on electric vehicle infrastructure. SB 2422 drew support with a request for flexibility and an appeals process for counties facing extraordinary circumstances; the chair’s recommendation was to pass it with amendments and note a $200,000 implementation study request, which was adopted. SB 2981 received strong support from housing and transportation advocates and was advanced unamended, while SB 2007 drew opposition from the Sierra Club and discussion about the Land Use Commission’s limited enforcement tools and the number of approved but unbuilt units. SB 3028 received mixed testimony, with support for the marginal-rate change but concerns about earmarking and blanks in the bill, and SB 3033 was supported as an early-warning mechanism for erosion-threatened coastal structures, though OPSD said it should not be the regulatory decision-maker. SB 2434 prompted concern about whether utility capacity can support EV infrastructure goals, with the chair citing a recent report suggesting transmission and distribution constraints.
AZ
Transcript Highlights:
- existing state law has been stretched to address minor technical issues rather than real life safety hazards
- And just by way of example, we've Rather than real life safety hazards.
Bills:
HB2128, HB2255, HB2397, HB2429, HB2591, HB2680, HB2834, HB2868, HB2911, HB2951, HB2979, HB2991, HB2996, HB2999, HB4001, HB4011, HB4017, HB4020, HB4026, HB4086, HB4088, HB2244, HB2342
Keywords:
homeowners associations, condominiums, open meetings, governance, transparency, Arizona Teachers Academy, teacher preparation, education funding, public schools, scholarships, teacher certification, community colleges, HOA, homeowners association, planned community, condominium, CC&Rs, covenants, conditions and restrictions, resale disclosure, association disclosure
WY
NH
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Thursday, May 14, 2026)
US Federal House Floor Meeting
Transcript Highlights:
- This time, not with the hoods, but with maps and court rulings that do the same old work. choice. follow
- Because they turned around and changed the maps to dilute Black voices.
- That's why they're redrawing the maps, because it's the only way they can win.
- On one day, they rescued 15 different individuals as they faced strong rip currents and hazardous conditions
- </c> hazardous conditions on our beaches. hazardous conditions on our beaches.
MD
CA
California 2025-2026 Regular Session
Senate Energy, Utilities and Communications Committee Apr 21st, 2026
Energy, Utilities and Communications
Transcript Highlights:
- We know there was a distribution infrastructure deferral framework, and these capacity maps did emerge
- The PUC recently adopted priority maps. And with these concerns, we ask for your no vote.
- the opportunity to keep working, though, you know, obviously the committee is probably all over the map
Summary:
The committee heard several energy, water, and utility bills. SB 919 by Senator Grayson would extend the biomethane monetary incentive program through 2030 and authorize additional funding to support renewable natural gas projects by reducing interconnection costs. Supporters said high interconnection costs and the current tax treatment are major barriers to methane reduction projects; opponents, including TURN and environmental groups, raised ratepayer cost concerns and objected to rate-basing and additional public funding. The author said amended language would remove the rate-basing provisions and instead urge the CPUC to act quickly on its pending decision.
SB 931 by Senator Laird would reauthorize the Community Impact Mitigation Program for the Diablo Canyon plant through 2030 to continue funding local emergency preparedness, fire protection, public safety, and school district costs. The County of San Luis Obispo and labor groups supported the bill, while TURN opposed it as a statewide ratepayer subsidy that could be funded from existing PG&E revenues instead of higher rates. Members discussed the bill in the context of the 2022 Diablo Canyon extension deal and the possibility of a future longer extension.
SB 1215 by Senator Cortese would direct the CPUC to set deployment targets for EV charging in multifamily housing and evaluate progress, with amendments aimed at affordability and limiting system upgrade costs. Supporters said renters are largely locked out of home charging and that prior utility programs proved cost-effective; no opposition testified. SB 1359 by Senator Stern would require more deliberate CPUC review before major gas system investments, emphasizing electrification and non-pipeline alternatives. Gas utilities and several industry groups opposed it, arguing it could undermine the obligation to serve, create safety and reliability risks, and change the regulatory compact.
The committee also heard SB 1125 by Senator Menjivar, presented by Senator Gonzalez, which would establish a statewide low-income water rate assistance program upon appropriation. Water agencies, environmental groups, and local governments supported the measure, while one member expressed concern that it lacked a funding source and could not overcome Proposition 218 limits; the bill was moved to Appropriations and the roll was left open. Finally, SB 1098 by Senator Perez would restrict the use of long-running memorandum and balancing accounts by investor-owned utilities, require exceptional circumstances for new accounts, and add sunset and cost-sharing requirements. Consumer advocates and large energy users supported tighter oversight, while the utilities and business groups opposed the bill as too rigid and potentially harmful to flexibility for wildfire, emergency, and safety-related costs.
ND
North Dakota 2026 1st Special Session
Information Technology Committee Mar 26th, 2026 at 10:00 am
Information Technology Committee
Transcript Highlights:
- All right, I do want to call out that this map actually shows the consolidation of all the grant programs
- center facility, and typically it's in one of these communities that are highlighted in yellow on this map
- We have the benefit of, when you look at the state of North Dakota on this map, we have the benefit that
ND
North Dakota 2025-2026 Regular Session
Information Technology Committee Mar 26th, 2026
Transcript Highlights:
- All right, I do want to call out that this map actually shows the consolidation of all the grant programs
- And typically it's in one of these communities that are highlighted in yellow on this map: Minneapolis
- We have the benefit of, when you look at the state of North Dakota on this map, we have the benefit that
Summary:
The committee received several informational reports from NDIT and DPI. Justin Data reviewed the quarterly major IT project portfolio, noting the portfolio was slightly under budget and behind schedule overall, with three red schedule items: Bed Management System and Vital Records were essentially complete and being closed out, and the Roadway Capital Planning Project was delayed by vendor bug fixes after testing. He also summarized recent project startups and closeouts, including the Victim Notification System, Medicaid data exchange, Highway Patrol’s motor carrier permit system, and several completed HHS and RIMS projects. Members asked for follow-up on ADA compliance work, the public-facing RIO website, and the state’s mainframe retirement timeline, and staff agreed to provide updates later.
Craig Falkley reported on coordination of services with political subdivisions and higher education, including StageNet, cybersecurity, radio/911 services, and PeopleSoft coordination. He also explained distributed ledger technology as a tool for transparency and fraud prevention, but said it is not widely used in state government and suggested the report be modernized to focus more broadly on emerging technologies such as AI and cybersecurity. The committee generally agreed that the topic should be updated.
Chris Gurgan presented the mandatory cybersecurity incident reporting program created by HB 1314, explaining how agencies and political subdivisions report incidents through NDIT’s website or service desk. He said 77 incidents had been reported since 2021, 47 met the statutory definition, and most were phishing-related; most reported incidents were resolved, with one recent ransomware matter still open. He also reviewed notable incidents since the last report, including the PowerSchool compromise, a SimpleHelp intrusion at a school district, a court intrusion, a WSUS vulnerability, a business email compromise, and a recent ransomware incident involving a non-state critical infrastructure entity. Members asked about recovery of stolen funds, early warning signs, smishing, training, MFA, conditional access, and cybersecurity maturity assessments; Gurgan said the state uses MFA and conditional access, provides awareness training to state employees, and would return with more information on maturity assessments.
Tony Ambrose then updated the committee on the K-12 student information system bridge project. He said district implementation of Infinite Campus had begun statewide, but the data migration vendor originally selected was terminated for poor performance and replaced by Aurora Educational Technology, which had experience with similar statewide migrations. He also said DPI is migrating special education data from Tynet into Infinite Campus, and that some SLDS-based tools such as e-transcripts and Choice Ready may not function exactly as they do now at July 1, requiring interim or alternative solutions. Members raised concerns about summer school disruptions, the timing of the cutover, and whether the new system would support existing reporting and transcript functions; DPI said it was working on identity, authentication, data-sharing agreements, and post-go-live integrations, and would continue to refine the plan beyond June 30.
MS
Mississippi 2026 Regular Session
MS Senate Floor - 25 February, 2026; 10:00 AM
Mississippi Senate Floor Meeting
Transcript Highlights:
- And I have a map that we can put on the screen. >> Mr.
- Clerk, please put it on the screen. >> Uh, what you see on the map is...
- allows for more businesses to qualify based on that geographical area within the green parts of the map
KY
Kentucky 2026 Regular Session
Medicaid Oversight and Advisory Board. (2-23-26)
Transcript Highlights:
- Now I appreciate that RF map<01:01:19.599><c> is</c><01:01:19.760><c> very</c><01:01:20.079><c> high,
- 21.200><c> but</c><01:01:21.520><c> still</c><01:01:21.839><c> that's</c><01:01:22.079><c> money</c> map
- is very high, but still that's money map is very high, but still that's money that's<01:01:22.480><c
Summary:
The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone.
The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months.
Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value.
After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.
AL
Alabama 2026 Regular Session
Alabama Senate Banking and Insurance Committee Feb 4th, 2026
Banking and Insurance
Transcript Highlights:
- You have the maps that we provided you on the locations of those.
- You have the maps that we provided you on the locations of those.
- </c> You have the maps that we provided you on the locations of those.
Bills:
SB170, SB177, SB207, SB208, SB215, HB27, SB219, SB247, SB232, SB81, SB170, SB177, SB207, SB208, SB215, HB27, SB219, SB247, SB232, SB81
Keywords:
health insurance, health savings account, high deductible plans, federal regulations, cost-sharing, insurance law, breast cancer, health coverage, deductible, copayment, insurance, captive insurance, captive insurer, captive insurers, insurance regulation, Alabama Department of Insurance, insurance commissioner, premium tax, capital requirements, surplus requirements