Transcript Highlights:

• Um, so PBMs are pharmacy benefit managers. My apologies, madam chair.
• Yeah, pharmacy benefit managers, um.
• And you can be licensed in New Mexico and not practice.
• So just some for those of you who No scope of practice.
• Physicians, PAs, nurse practitioners want to practice rather than leave the state.

Transcript Highlights:

• services, including entities regulated under pharmacy benefit manager statutes.
• Well, there was concern by these folks uh discriminatory practices by health uh discriminatory practices
• <00:32:42.159> benefit construed to include a pharmacy benefit construed to include a pharmacy
• prescription drug benefits or pharmacy prescription drug benefits or pharmacy services,<00:32:51.360
• McClennon: "Does this change the scope of practice of any individual or entity?" "Thank you."

Keywords: Insurance - Room 216, 3 February, 2026; 9:00 AM, 925, all

Summary: The committee took up several insurance and health-related bills. Earlier discussion focused on metastatic cancer step therapy and biomarker testing, with the sponsor explaining that the bills would prevent insurers from requiring patients to try less effective treatments first and would require coverage for biomarker testing to better target treatment. The biomarker bill was described as a product of a summer study committee and was reported favorably. The committee also advanced a bill setting standards tied to the National Association of Insurance Commissioners, and a private residence elevator bill requiring licensing, inspection, and permitting for elevator installers, with an amendment exempting those elevators from annual inspections after the initial inspection. Members then considered a mitigation program for retrofitting homes, with the sponsor saying the Department of Insurance and industry were close to a workable statewide program. The bill would be funded by increasing a fee paid by insurance companies, not policyholders, and would allow use of a third-party administrator capped at 5% of program funds. The committee also reported bills extending the state health plan repealer, extending the LOSAP volunteer firefighter program repealer, and creating a fraud detection trust fund at the Insurance Department to address AI- and cyber-related fraud. The fraud fund bill drew questions about whether it would raise premiums and how it would help investigators; supporters said the fund would support staffing and equipment and that the existing fund had been dormant. Additional bills included a transparency measure for dental insurance spending, which would require reporting on the share of premiums spent on dental services beginning in 2027, and a bill expanding access to self-funded group health plans for members of legitimate professional and trade associations. The committee also heard a Mississippi Patient Protection Act aimed at strengthening willing-provider protections and limiting insurer discrimination against qualified providers; an amendment was proposed to clarify that vision benefit managers would not be treated as pharmacy benefit managers. Most measures were moved by title sufficient due pass and reported without opposition.

Transcript Highlights:

• The ayes have it. pharmacy and manufacturers pharmacy and manufacturers uh<00:52:57.520> and<00
• , the hospital, clinic, pharmacy, the hospital, clinic, pharmacy, manufacturer,<01:45:41.360>
• <02:04:12.000> Uh things added to their practice. Uh things added to their practice.
• Uh and uh this bill with practices.
• <02:08:45.440> and um this adds pharmacies and um this adds pharmacies and manufacturers.<

Keywords: 981, all

Summary: The Senate convened with a quorum, approved the February 3, 2026 journal, and received committee reports on several bills, appointments, and resolutions. Finance reported Senate Bills 9 and 39 favorably, with SB 39 recommended for the consent calendar, and the State, Veterans, and Military Affairs Committee reported Senate Bills 27 and 29 postponed indefinitely. The chamber also received and later adopted Senate Joint Resolution 9, recognizing Missing Persons Day, after extensive remarks from Senator Danielson and Senator Cattellin (spelling as transcribed) and recognition of families, law enforcement, CBI staff, and Missing and Murdered Indigenous Relatives office staff in attendance. SJR 9 passed 33-0. The Senate then took up Senate Bill 1 on third reading and final passage, a housing measure authorizing county commissioners to support certain housing and expanding the middle-income housing tax credit to certain transferees. The bill passed 26-7. The chamber also heard a personal privilege recognizing School Nutrition Day and the Colorado School Nutrition Association, highlighting their work providing meals to students and implementing the Healthy School Meals Act. In Committee of the Whole, the Senate began second reading of Senate Bill 32 on immunization access. The bill would expand use of the state immunization schedule alongside ACIP recommendations, allow pharmacists to independently prescribe, dispense, order, and administer vaccines, update liability provisions, authorize rulemaking for infant immunization programs, and remove a prohibition on using state money for those programs if federal funds are unavailable. Senators Mullica and supporters argued the bill protects access to vaccines and insulates Colorado from federal dysfunction, while Senators Bright and Frisell raised budget concerns and supported Amendment L004 to restore the state-funding prohibition. Senator Ba opposed the amendment, saying the bill merely removes a funding restriction and does not mandate spending. The transcript ends during continued debate on Amendment L004, with no final vote on SB 32 shown.

Transcript Highlights:

• We also have representatives from public health and from pharmacy here, and I also have Vice President
• You're already on pharmacy. Oh, I am? Yes. There we go. We'll back up one. There we go.
• We're going to the College of Pharmacy. The College of Pharmacy is another really important place.
• Our College of Pharmacy has actually seen an increase, and we are at about a 3.3 percent growth in our
• Clinical practice, clinical care, and we are actually intentionally designing this program so that it

Transcript Highlights:

• House Bill 3538 is negotiated language between the pharmacy association and the pharmacy benefit manager
• First, I want to say that I understand the independent pharmacies are struggling.
• Do independent pharmacies make as much off a dispensing fee as PBM-owned pharmacies?
• This amendment allows students to practice any religion at school.
• I want to practice healthcare. I wanna provide care for people.

Bills: HB4420, HB3974, HB3016, HB3062, HB3021, HB3145, HB4128, HB3131, HB3015, HB3472, HB3453, HB1638, HB4126, HB2696, HB2710, HB3552, HB3031, HB3544, HB3521, HB4490, HB4488, HB1746, HJR1069, HB4428, HB4429, HB1170, HB3538, HB4124, HB3904, HB4106, HB2999, HB3982, HJR1077, HB3464, HB2588, HB3462, HB4440, HB3674, HB3345, HJR1067, HB4326, HB4331, HB4337, HB4338, HB4359, HB4392, HB3557, HJR1076, HB4003, HB3495, HB3497, HB3501, HB3505, HB3749, HB3011, HB4336, HB4346, HJR1087, HB3240, HB3647, HB3796, HB3969, HB3972, HB3983, HB3984, HB3989, HB3383, HB3130, HB4358, HB3327, HJR1055, HB3386, HJR1089, HB3087, HB2970, HB3314, HB4129, HB4199

Keywords: reading, intervention, literacy, education, third grade retention, teacher training, funding, Strong Readers Act, tort claims, inmate housing, government immunity, public trust, private prison, emergency legislation, vision screening, binocular vision, kindergarten, elementary education, health, firearm rights

Transcript Highlights:

• ability to transfer controlled prescriptions, specifically medications such as Vyvanse, from one pharmacy
• Right now, when one pharmacy is out of stock, we're often forced into a frustrating loop: back to the
• doctor for a brand-new prescription, then off to another pharmacy, hoping they'll have it.
• Allowing prescriptions to be transferred between pharmacies solves this. It reduces stress.
• And imagine having the opportunity to reduce some of the administrative costs associated with practicing

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a hearing with Chair Jamie Murphy and Senate co-chair Senator Feeney presiding. Members asked witnesses to keep testimony to three minutes and noted that written testimony could still be submitted. The committee heard testimony on several health insurance and pharmacy-related bills, including a proposal to allow controlled prescriptions to be transferred between pharmacies within the same chain, legislation affecting health savings account (HSA)-compatible plans and future insurance mandates, a bill on small business health insurance incentives, and H. 1212 on emergency insulin access. Several parents and patients testified in support of emergency insulin access, describing severe diabetes emergencies, diabetic ketoacidosis, prescription delays, and the need for pharmacists to dispense insulin in urgent situations when doctors or insurers are unavailable. A parent also described the burden of repeatedly obtaining new prescriptions for ADHD medication when pharmacies are out of stock. Witnesses supporting the HSA bill argued that state coverage mandates can unintentionally disqualify HSA-qualified plans and that the bill would preserve tax advantages for enrollees while avoiding repeated legislative fixes. A representative of the Retailers Association supported the small business health insurance incentives bill, saying it could help retain small employers in the merged market by allowing carriers to offer financial incentives tied to cooperative purchasing and utilization efforts. One witness, Kathleen Demarest, testified against a co-pay assistance restriction, saying a state rule had unexpectedly cut off her drug assistance before a generic was actually available, leaving her with very high out-of-pocket costs. Committee members asked a few clarifying questions about HSAs, insulin dispensing, and school support for diabetes care. After all scheduled witnesses had testified and no additional testimony was offered, the committee voted to close the hearing.

Transcript Highlights:

• That's very common in our in our state or for nights and holidays where pharmacies may not be open and
• it's difficult to know which ones even some 24 hour pharmacies that are closed for holidays and then
• to pharmacy, where patients may be unable to get a prescription for their child or for themselves.
• What happens if you do have a 24 hour pharmacy in your town, but they don't stock that medication.
• I have been a medical practice. I know how complicated this is.

Keywords: 999, senate, all

Transcript Highlights:

• So first up, HB 72 relating to pharmacy. We have... Excuse me.
• James Kazi, Board of Pharmacy, in support. Okay, hello, Chair.
• to shipa so we can see practices to shipa so we can see transparently<00:09:22.519> what's<00
• We think that it's not necessarily the intent to include all of pharmacy.
• processes for pharmacy currently so this processes for pharmacy currently so this would<00:10:50.800

Keywords: 912, senate, all

Summary: The committee heard testimony on several health-related bills. HB 72 on pharmacy drew only support, with testimony from the University of Hawaiʻi system, the Board of Pharmacy, pharmacists, and others; no questions were raised. HB 237 on peer support programs also received broad support from the Department of Health, DHS, early learning officials, families, and advocates, with testimony emphasizing the value of peer-to-peer mentoring and support for parents, youth, and people with disabilities; no opposition or questions were noted. HB 250, the prior authorization bill, generated the most discussion. SHPDA supported a revised version focused on reporting prior authorization practices and creating a nonbinding working group to develop automation standards, while PCMA, HMSA, Kaiser Permanente, and others raised concerns about duplicative pharmacy requirements, unintended consequences, and alignment with federal timelines and reporting. Several medical groups and individual patients supported the measure, describing delays and burdens caused by prior authorization. A committee member asked whether the bill’s working group differed from a similar group in Senate Bill 1449, and the witness said it was intended to be the same. HB 303 on health care preceptors was supported by the Department of Health, University of Hawaiʻi, nursing and health care organizations, and the Hawaii Pharmacists Association, which asked that pharmacists’ residency programs be specifically tied to national accreditation standards. HB 341, relating to issuance of SPURS to assist the Hawaii Island Community Health Association, drew support from the health center and related groups. HB 692 on Preschool Open Doors received extensive support from early learning, education, family, labor, and community organizations; testimony stressed the shortage of child care and preschool slots, especially on Kauai, and the need to expand access for families. Committee members asked about adding family child care providers and about licensing/certification barriers, and DHS said the bill was focused on current licensed child care facilities and that certification issues were a separate, broader problem. HB 700 on cognitive assessments also drew strong support, with the Department of Health, the Executive Office on Aging, disability advocates, the Alzheimer’s Association, caregivers, and others urging use of a validated cognitive assessment tool during annual wellness visits and asking that the age 65 threshold be removed; some witnesses supported keeping the data-collection portion as a pilot and emphasized early detection and reporting.

Transcript Highlights:

• Later, I've worked in a pharmacy in downtown San Francisco.
• One day, a woman entered the pharmacy and was acting erratically.
• While working at the downtown pharmacy, I often... ...and the public safe.
• One day, a man came into the pharmacy behaving erratically.
• Practicing therapy without a license is already illegal.

Summary: The Assembly Business and Professions Committee heard several Senate bills, with most of the discussion focused on worker training, public safety, and consumer protection. SB 1203 by Senator Smallwood-Cuevas would expand training and de-escalation requirements for private security officers. Supporters, including security workers and labor groups, said the bill would better prepare officers who often respond first to mental health crises and violent incidents. Opponents, including security industry representatives and business groups, argued it would impose major costs, create training bottlenecks, and could reduce licensed security coverage. The committee ultimately voted the bill out on a due pass recommendation to Labor and Employment, with some members noting future amendments to address training capacity and employer-provided training. The committee also approved SB 936 by Senator Blakespear, which would restrict retail sales of nitrous oxide canisters larger than 8 grams while preserving legitimate medical, dental, culinary, and automotive uses. Support came from county officials, public health groups, waste management organizations, law enforcement, and local governments, who described rising misuse, impaired driving, and recycling hazards. No opposition testimony was presented, and the bill passed to Public Safety. SB 1271 by Senator Reyes, aimed at strengthening California’s midwifery training pipeline by requiring data collection on licensed midwife preceptor capacity, also passed unanimously to Health. Supporters said the bill would help address shortages in rural birth care and improve access to training for aspiring midwives. SB 903 by Senator Padilla, which would place guardrails on the use of AI in mental health and psychotherapy settings and prohibit AI from being marketed as a therapist, drew emotional testimony from a mother whose son died by suicide after extensive chatbot interactions. Health and behavioral health groups supported the measure, while several industry and health organizations were opposed unless amended; the committee nevertheless sent it to Privacy and Consumer Protection on a unanimous vote. The committee also approved SB 1165 on consent and then adjourned.

Transcript Highlights:

• I think this is really practical and fair, and it's necessary again to protect public health and ensure
• any of these venues I think this is any of these venues I think this is really<00:03:28.439> practical
• and fair and it's it's really practical and fair and it's it's necessary<00:03:30.720> again<
• to pick up her refill only to Pharmacy to pick up her refill only to be<00:25:01.200> met<00:
• <00:48:25.079> benefit Therapeutics we're Pharmacy benefit Therapeutics we're Pharmacy benefit

Keywords: 1187, senate, all

Transcript Highlights:

• Anna Yap to elaborate further on the need for this measure through their practice and their experience
• Ensuring that patients can obtain syringes without a prescription at a community pharmacy, along with
• We studied counties that had safe and legal access to syringes at pharmacies versus those that didn't
• This practice is fundamentally unfair.
• It updates policies to reflect current best practices and make sure our laws support healing and not

Summary: The Assembly Health Committee met on April 8 and heard a long series of bills, beginning with AB 54 on medication abortion access. The author and supporters, including the Attorney General’s office and reproductive justice advocates, said the bill would protect California’s medication abortion supply chain and shield providers and manufacturers from civil, criminal, and professional liability. Opponents from the California Family Council argued the bill removes safeguards and increases risks. The bill was moved forward on a committee motion. The committee then heard several reproductive and public health measures, including AB 551 to create a pilot program supporting emergency departments in providing reproductive health services, AB 260 to protect medication abortion access and telehealth, AB 309 to remove sunset dates on laws allowing pharmacy syringe sales and lawful possession of sterile syringes, AB 536 to preserve colorectal cancer screening coverage if federal guidelines are challenged, AB 804 to make housing support services a Medi-Cal benefit, AB 594 to address student health insurance billing and transparency, AB 836 to study and expand the midwifery workforce, AB 1418 to collect data on health coverage for eligible employees, and AB 1500 to maintain and expand the abortion.ca.gov information site. Supporters emphasized access, preventive care, workforce shortages, and public health benefits, while opponents raised concerns about abortion, syringe distribution, and the focus of state resources. Most measures were advanced by committee vote, with roll calls showing broad support and a few no votes from members on some bills. The final bill discussed in the transcript was AB 1037, which would update substance use disorder laws to reflect evidence-based, harm-reduction approaches and remove barriers to treatment. The author and supporters described it as a compassionate response to overdose and treatment access problems, while law enforcement opposition argued it would encourage drug use and endanger communities. The transcript cuts off during testimony on AB 1037, so no final committee action on that bill is shown in the provided text.

Transcript Highlights:

• So in my mind, and I think most people would agree, as long as you are preventing the practice of nickel
• We're trying to stop the practice of them being taken advantage of.
• The regulating authority would be the Alabama State Board of Pharmacy and the Department of Industries
• Um, we have responsible manufacturing practices. We have child safety.
• He has taught pharmacy at Sanford. He has taught pharmacy at Sanford University.

Bills: HB1

Keywords: DUI, driving under the influence, ignition interlock, interlock device, driver license suspension, restricted license, motor vehicle, alcohol offense, first offense, repeat offender, blood alcohol concentration, BAC, license revocation, Alabama State Law Enforcement Agency, ALEA, public safety, traffic safety, chemical dependency, substance abuse, court referral program

Transcript Highlights:

• What happens if you do have a 24-hour pharmacy in your town, but they don't stock that medication.
• That would be hospitals, health systems, practice groups, any provider.
• That would be hospitals, health systems, practice groups, any provider.
• I have run a medical practice. I know how complicated this is.
• I have run a medical practice. I know how complicated this is.

Summary: The committee took up a large health policy agenda. SB 1568 on electronic prescribing was explained as a federal conformity measure, but members raised concerns about preserving patients’ ability to obtain paper prescriptions and about exemptions for emergency, hospice, and other situations. Emergency physicians testified in support of e-prescribing but asked for flexibility, and the bill was reported favorably despite Senator Harrell’s opposition. SB 1606 on patient access to records sought to standardize record-production timelines and require electronic delivery when available; after an amendment correcting a drafting error, the bill drew concerns about HIPAA, behavioral health confidentiality, and the distinction between personal and legal representatives, and it was reported unfavorably as a committee substitute. The committee then approved SB 1346 on fentanyl testing, with a technical amendment, to require hospitals and campus emergency departments to test for fentanyl in urine testing for suspected overdose or poisoning. SB 1224 on administration of controlled substances by paramedics was amended to clarify language and reported favorably. SB 656 on health care billing and collection activities was substantially revised by strike-all amendment to allow sale of medical debt to third parties under new limits, including no interest or fees and return of debt if charity care applies; it was reported favorably as a committee substitute. SB 68 expanded health facilities authority financing to include not-for-profit LLCs and parent companies, and SB 524 added Duchenne muscular dystrophy to the newborn screening panel; both were reported favorably. Later, the committee approved SB 1842 on out-of-network referrals after multiple amendments, requiring providers to verify network participation at the point of service and notify patients in writing, though several members and physicians warned it could burden providers and increase workload. The committee also advanced proposed committee bill SB 7028, which revises the Casey DeSantis Cancer Research Program, adds oversight and reporting requirements, creates a pediatric cancer research incubator, and establishes the Bascom-Palmer VisionGen initiative; cancer center representatives testified in strong support, and the bill was reported favorably as a committee bill. SB 172 on specialty titles and designations was amended to clarify enforcement and was reported favorably after supporters said it would prevent misleading use of specialist titles, while opponents argued it could confuse practitioners’ titles. Finally, SB 1690 on surrendered infants was reported favorably after supporters said it would codify and expand safe-haven baby box procedures and opponents raised safety concerns about the devices. The committee also noted SB 1606 remained pending for reconsideration next week before adjourning.

Transcript Highlights:

• Teacher of the Year for pharmacy practice in 2019 and Faculty Preceptor of the Year in 2022 and 2023
• <07:11:46.398> practice<07:11:47.200> and Department of Pharmacy practice and Department
• of Pharmacy practice and Director<07:11:47.718> of<07:11:47.920> interprofessional<07:
• pharmacy<07:12:08.398> practice<07:12:08.760> in<07:12:09.200> 2019<07:12:10.200
• > and year for pharmacy practice in 2019 and year for pharmacy practice in 2019 and faculty<07

Keywords: U.S. House of Representatives Floor Proceedings on Monday, January 13, 2025, 1012, house, all

Transcript Highlights:

• Engage in the unlicensed practice of law, and they harm consumers by doing so.
• , where a pharmacy wanted to advertise drug prices for their pharmacy, and the Virginia... ...advertise
• drug prices for their pharmacy.
• And the Virginia State Board of Pharmacy said, no, you're not allowed to do that.
• They issue formal advisory opinions on the unlicensed practice of law as well.

Summary: The Judiciary Committee met with a quorum present and Senator Thompson excused. The committee first considered Senate Bill 48 by Senator Garcia on judicial sales and procedures. Garcia explained a delete-all amendment that would create clearer statewide procedures for alternative judicial sales, increase transparency, remove bidding credits, extend sale timelines, and add oversight for auctioneers and escrow agents to prevent fraud and collusion. After no questions or opposition, the amendment was adopted, Senator Pasadoma said the rewrite addressed many of his concerns, and the committee then voted CS for SB 48 favorably with unanimous yes votes from members present. The committee then received a presentation from the Seminole County Sheriff’s Office on the effectiveness of Florida’s recent anti-squatting law, House Bill 621/SB 888. Presenters described several cases in which deputies used the new process to remove unlawful occupants, including a false landlord report, a long-term fake lease situation, and a more recent unlawful occupancy case. They said the law has helped protect property owners and potential victims, but suggested technical changes: clearer authorization for deputies to enter and use force if needed, and a fix to the affidavit penalty provision because false statements are currently being charged as false reports rather than perjury under the existing wording. The Florida Bar also presented on its role in regulating lawyers, lawyer advertising, and the unlicensed practice of law. Bar leaders explained that the Bar operates under the Florida Supreme Court’s authority, is funded by member fees, and handles complaints through a multi-step process involving intake, branch offices, grievance committees, referees, and final Supreme Court review. They described advertising review procedures, discipline statistics, consumer assistance, the Clients’ Security Fund, and enforcement against unlicensed practice. Senators asked about the Legislature’s authority over lawyer advertising, the prevalence of legal ads, the role of public members on grievance committees, and how those members are selected and used.

Transcript Highlights:

• This update will uphold fair and competitive business practices.
• This update will uphold fair and competitive business practices.
• , not a type of pharmacy, one specific pharmacy.
• The contract pharmacy restrictions also mean clinic systems can't contract with multiple pharmacies that
• These practices aren't just unfair. They make it harder for everyday Californians.

Summary: The Assembly met after a quorum call, prayer, and Pledge of Allegiance, then moved through a long Daily File with several guest introductions and floor speeches. Members recognized visiting student leaders, championship football teams from Tuolumne County, Alpha Kappa Alpha members at their Capitol day, and later a descendant of Wong Kim Ark. The chamber also adopted a procedural motion allowing certain members to host guests in the rear of the chamber. Among the major policy items, AB 578 on food delivery platform refund practices passed 47-2, AB 344 on successor beer manufacturer definitions passed 61-0, AB 454 to make California’s migratory bird protections permanent passed 55-12 on the urgency clause, AB 482 updating the Table Grape Commission passed 64-1, AB 1237 to support transit access for 2026 FIFA World Cup ticket holders passed 56-15 on the urgency clause, AB 738 on wildfire rebuild solar exemptions passed 42-2, AB 1460 on 340B pharmacy access for clinics passed 41-5, AB 750 on homeless shelter oversight passed 49-1, AB 1061 on housing in historic districts passed 41-13, AB 1523 on expanding mandatory mediation thresholds passed 65-0, and AB 316 on AI-related civil liability passed 56-0. AB 761 authorizing the Monterey-Salinas Transit District to seek a sales tax ballot measure passed 47-12. The chamber also adopted several resolutions. AJR 3 urging protection of Social Security, Medicare, and Medicaid passed 53-2 after extensive debate that included criticism of federal cuts and counterarguments focused on state Medi-Cal policy and budget decisions. ACR 65 proclaiming California Tourism Month was adopted by voice vote after coauthors were added, and ACR 62 recognizing California Nonprofits Day was also adopted by voice vote with 65 coauthors. AJR 5 affirming birthright citizenship and opposing efforts to end it passed 58-1 after a lengthy, highly partisan debate centered on the 14th Amendment and the Wong Kim Ark precedent. The session also included passage of AB 571, a CEQA exemption for the Southern California Veterans Cemetery at Gypsum Canyon, which was presented as a long-running bipartisan effort to create a final resting place for Orange County veterans.

Transcript Highlights:

• Robust tracking of product, and it's not like a pharmacy because marijuana medical is not a pharmacy;
• Robust tracking of product, and it's not like a pharmacy because marijuana medical is not a pharmacy;
• Robust tracking of product, and it's not like a pharmacy because marijuana medical is not a pharmacy;
• Robust tracking of product, and it's not like a pharmacy because marijuana medical is not a pharmacy;
• <01:03:00.880> Every doctor no longer do practice. Every doctor no longer do practice.

Keywords: 912, senate, all

Summary: The committee first heard SB 888, which would bar operators of smart household security devices from sharing user data with law enforcement unless the user consents or police obtain a warrant. DCCA’s Office of Consumer Protection offered comments and Judiciary submitted written support. Several individuals also submitted written support. The committee recommended passage with amendments clarifying that the Office of Consumer Protection may enforce violations and adopting Judiciary’s recommended changes, while also deferring the effective date to July 1, 2050. The motion passed unanimously among members present, with one senator excused. The committee then took up SB 2777 on insurance disclosures. The bill would require authorized insurers to disclose claim-handling data to consumers, including claims open at the start of a period, closed with payment, closed without payment, and open at the end of the period. The committee described amendments to clarify the bill, remove a requirement for the DCCA insurance division to handle publication, and defer the effective date to July 1, 2050. The measure was passed with amendments and the recommendation was adopted, with one member voting no and another excused. In a joint Commerce and Consumer Protection/Judiciary hearing on SP2738 relating to tax haven abuse, the Department of Taxation offered comments and the Tax Foundation testified in opposition, arguing the state should rely on IRS audits and existing worldwide reporting rules rather than create a separate state approach. Other written testimony was noted in both support and opposition. The committees recommended passage with amendments adopting Taxation’s technical changes and deferring the effective date to July 1, 2050; the recommendation was adopted, with one senator noting reservations. The joint hearing then moved to health-related bills, including SB 2690 on primary care spending, SB 3103 on energy assistance, SB 3137 on Department of Health authority over food, drugs, and cosmetics, SB 3164 on child welfare service organizations, and SB 3206 on cannabinoids. SB 2690 drew strong support from physicians and advocates who said it would address primary care shortages, especially on neighbor islands, while HMSA and others warned a fixed spending percentage could raise costs and suggested a working group. SB 3164 drew support from child welfare providers and opposition from the Attorney General over indemnification language, and SB 3206 drew mixed testimony: state agencies raised federal-law and vagueness concerns, while hemp and cannabis advocates and some farmers supported the measure and urged broader legalization or amendments.

Transcript Highlights:

• Revenues are received from premium contributions, pharmacy rebates, refund of claims overpayments, and
• In 2024, total pharmacy spend was $1.17 billion.
• The five-year pharmacy cost trend shows an increase of more than 50% since 2020.
• The first option is expanding the existing a la carte utilization management practices.
• How does the state currently work with PBMs and pharmacies to ensure that we're getting the best cost

Summary: The Budget Committee met with a quorum and took up several bills. HB 677, relating to state-covered fertility preservation for employees undergoing cancer treatment, was introduced as coverage for egg and sperm preservation for up to three years, with an estimated fiscal impact of about $813,000. After brief questions and no public testimony or amendments, the bill passed unanimously and was reported favorably. The committee then considered CS/HB 59, which would reform Florida’s wrongful incarceration compensation process by extending the filing deadline from 90 days to two years, removing the clean-hands requirement, and allowing exonerees to choose between the state compensation process and a civil lawsuit; it was supported by the City of Flagler Beach and passed unanimously. CS/HB 1313, which recreates the Resilient Florida Trust Fund in the Department of Environmental Protection before its scheduled termination in 2025, also passed unanimously after supportive testimony from advocacy groups. The committee received a lengthy presentation from the Department of Management Services on the State Group Insurance Program and the recent Revenue Estimating Conference. The presentation covered enrollment, revenues and expenditures, rising medical and pharmacy costs, emergency room utilization, GLP-1 drug spending, and options for tighter formulary and utilization management. Members asked about ER cost growth, GLP-1 coverage and copays, PBM oversight and potential conflicts, avoidable ER visits, cancer screening claims, dental and vision costs, specialty drug biosimilars, and possible savings from more restrictive pharmacy models. DMS said it would follow up on several questions and noted ongoing work on cancer coordination, preventive screening, biomarker testing, and a proposed member-facing benefits platform. The committee also heard extensive testimony on HB 301, which would raise sovereign immunity caps from $200,000 per person and $300,000 per incident to $1 million and $3 million, align limitations periods with private claims, and allow government entities to settle above the caps without a claims bill. Local governments, school-related entities, and county and city associations opposed the bill, warning of major fiscal impacts, higher insurance costs, and pressure on services; several speakers urged smaller increases or a tiered approach. Proponents, including families affected by catastrophic injury or death, argued the current caps are too low and the claims bill process is inefficient and unfair. After debate, the bill passed on a recorded vote, with some members voting no, and was reported favorably.

Transcript Highlights:

• What happens from the pharmacy, you know, from the pharmacy, from the warehouse, to the patient?
• So when you went to buy them at the pharmacy, they were seeing an average savings of $500 a year.
• a pharmacy affiliated with that PBM.
• So it allows you to use your prescription, your pharmacy. Thank you.
• So it allows you to use your prescription, your pharmacy. Thank you so much.

Bills: AB93, AB204, AB414, AB504, AB598

Keywords: public employees, police officers, benefits, appropriation, law enforcement, medical debt, collection agency, healthcare, consumer protection, financial assistance, occupational safety, air quality, greenhouse gases, employee monitoring, safety program, hemp, hemp products, cannabidiol, CBD, cannabis

Transcript Highlights:

• There is an practice of medicine.
• medical practices.
• This is the practices administration.
• vertical integration own pharmacy vertical integration own pharmacy benefit<00:33:15.000> managers
• Control of drug pricing by practice.

Keywords: 1187, senate, all