Transcript Highlights:

• And then the pharmaceutical may come back and say, 'Well, if we pay this, would you let it come into
• pharmacy who can make a compounding pharmacy who can make a generic<01:09:26.920><c> version</c><01:
• Because of the unfortunateness of the game of pharmaceuticals and rebates and how that whole process
• Because of the unfortunateness of the game of pharmaceuticals and rebates and how that whole process
• Because of the unfortunateness of the game of pharmaceuticals and rebates and how that whole process

Keywords: 916, all

Transcript Highlights:

• For the record, my name is Kelsey Lundy, and I'm here today representing the Pharmaceutical Care Management
• Association, which is the association that represents pharmaceutical benefit management companies.
• So given the outsized role that PBMs play in the pharmaceutical business, why shouldn't the state step
• a health care plan, they rely on PBMs to negotiate both the pharmacies and the rates with the pharmaceutical
• We have pharmaceuticals, which is how you make drugs.

Keywords: 1182, all

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to people 65 and older to also offer them to Medicare beneficiaries under 65 with ALS or end-stage renal disease, with enrollment periods and premium protections tied to 65-year-old rates. Supporters, including dialysis and ALS advocates, said the bill would help a small population facing high out-of-pocket costs and could improve access to transplants and care; opponents argued it would shift costs onto older seniors and raise Medigap premiums. The committee recommended the bill do pass on a 12-0 vote. The committee also heard House Bill 2593, appropriating $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps obstetric and pediatric providers quickly consult on perinatal depression, postpartum psychosis, suicidality, and other mental health crises, improving outcomes for mothers, children, and families and reducing costly emergency and crisis care. The bill received a do pass recommendation on a 10-1 vote. House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, drew emotional testimony from a young woman with spina bifida and another speaker supporting the sanctity of life. Some members objected that the state should focus on practical supports such as paid leave, child care, and health care access, while others supported the resolution as a statement of human dignity. The resolution passed the committee 7-5. The committee then approved House Bill 4010, creating a Board of Genetic Counselors and licensure standards, after testimony from genetic counselors and a patient advocate about the need for qualified counseling and better access; it passed 11-1. Later, the committee approved House Bill 2196, which would require pharmacy benefit managers to reimburse non-affiliated pharmacies at least their acquisition cost and pay a dispensing fee, and establish an appeals process. Independent pharmacists and their coalition said PBM practices are driving closures and unfairly favor affiliated pharmacies, while PBM and employer representatives warned of major cost increases and said the bill would interfere with private contracts; the bill passed 11-1. The committee also adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, and then gave the amended bill a 12-0 do pass recommendation. Finally, the committee approved House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, with the sponsor and board staff saying it would help implement routine ventilator care in the home; it passed 12-0. The committee then began hearing House Bill 2404, a strike-everything amendment on inter-facility transports for behavioral health patients, but the transcript cuts off before action on that bill.

Transcript Highlights:

• For the record, my name is Kelsey Lundy, and I'm here today representing the Pharmaceutical Care Management
• Association, which is the association that represents pharmaceutical benefit management companies.
• employer, every health insurance company, and every union trust would have to pay more for their pharmaceuticals
• a health care plan, they rely on PBMs to negotiate both the pharmacies and the rates with the pharmaceutical
• We have pharmaceuticals, which is how you make drugs.

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to also offer them to people under 65 who qualify for Medicare because of ALS or end-stage renal disease, with enrollment periods and premium protections. Supporters, including patient advocates and an ALS patient, said the bill would improve access to needed coverage and transplant-related care and could have only a small premium impact. Opponents, including Blue Cross Blue Shield/AHIP, argued it would shift significant costs onto older seniors and shrink the Medigap risk pool. The bill was ultimately given a do-pass recommendation on a 12-0 vote. House Bill 2593 would appropriate $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps providers quickly treat pregnant and postpartum patients with depression, psychosis, OCD, and suicide risk, and also supports pediatric mental health care. Supporters said it improves outcomes and reduces emergency and referral costs. The committee approved the bill with a do-pass recommendation by a 10-1 vote, with one member present. The committee also passed House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, after emotional testimony from a woman born with spina bifida and another supporter. Several members objected that the state should focus on concrete supports such as health care and family leave, but the resolution still received a 7-5 do-pass recommendation. House Bill 4010, creating a licensing and regulatory board for genetic counselors, also advanced 11-1 after testimony from genetic counselors and a cancer survivor who said licensure would protect patients and improve access. House Bill 2196, addressing pharmacy benefit manager reimbursement and dispensing fees, passed 11-1 despite opposition from PBMs and employers who warned of higher costs; independent pharmacies argued the bill would help them cover costs and stay open. The committee then adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, which would publish aggregated information and hold a later stakeholder review. Supporters said Arizona needs state-specific transparency data, while opponents called it redundant to federal CMS reporting; the amended bill passed 12-0. House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, also passed unanimously after the board said it was already working on curriculum and implementation. The committee held House Bill 2813 and 2725, and began discussion of House Bill 2404, as the transcript ended.

Transcript Highlights:

• And in fact, my brother engages in advertising for pharmaceuticals.
• pharmaceutical product is subjected to. It just seems common sense. So Dr.
• But perhaps that would be one way to I mean, that's how pharmaceutical companies shield themselves because
• It would ensure fairness, transparency, and accountability in a system where pharmaceutical companies
• Not by their neighbors, not by their doctors, but by pharmaceutical companies that face no consequences

Bills: HB 1181, HB3704, HB1363, HB1610, HB1615, HB1620, HB3223, HB1317, HB2884, HB2176, HB4027, HB1664, HB933, HB2613, HB3353, HB2086, HB4101, HB3441, HB4145, HB3455

Keywords: judiciary, judges, justices, retired, legal assignments, judicial conduct, notary public, criminal offense, education requirements, official documents, record retention, implicit bias, bias training, judicial training, judge education, court personnel, continuing legal education, CLE, state bar, Texas Court of Criminal Appeals

Transcript Highlights:

• their previous stance and saying that these types of procedures, including the medical or the pharmaceutical
• facilitate and promote, refer, or perform these types of procedures, whether they're surgical or pharmaceutical

Bills: HB3620, HB3942, HB3279, HB3378, HB3383, HB3413, HB3414, HB3415, HB3420, HB3130

Keywords: 2030 census, complete count committee, census outreach, decennial census, enumeration, population count, hard-to-count populations, hard-to-enumerate areas, State Data Center, Oklahoma Census, multilingual campaign, public outreach, school-based outreach, community organizations, minority groups, ethnic minorities, language minorities, self-response rate, census awareness, federal census

Summary: The committee first handled housekeeping, announcing that House Bill 4276 would be laid over until the third week and moving Representative Lawson’s bill to the top of the agenda. HB 3620, creating a 2030 census complete count committee, was presented and passed by due pass. HB 3942, which updates the state’s tax incentive evaluation process by directing reports to LOFT and requiring comparisons to other incentives and strategic economic goals, also passed due pass after brief discussion about whether all tax incentives, including the parental choice tax credit, would be reviewed. Representative Pfeiffer presented HB 3279, a follow-up public corruption measure that clarifies conflict-of-interest disclosure requirements and sets a $25,000 threshold for certain purchase orders; it passed due pass. After Vice Chair Woolley took over, HB 3378 passed 7-0 to stagger OCAST board terms after all members had expired at once. HB 3383, setting a 14-hour limit on required work in a 24-hour period for state employees with emergency carve-outs, passed 6-1 after questions about law enforcement and emergency-service exceptions. Several transparency and procurement bills from Representative Strom also passed unanimously: HB 3413 requires agencies to report outsourced jobs and consulting outcomes, HB 3414 adds accounting-system reporting for contract type and invoice location for intangible assets, HB 3415 requires subcontractor reporting and post-contract assessments, and HB 3420 requires justification for sole-source purchases and limits pilot or proof-of-concept contracting to 12 months. The most contentious measure was HB 313 by Representative Kevin West, which restricts state agencies, employees, contractors, and public institutions from using state funds to perform, facilitate, refer, or encourage gender transition procedures. Opponents argued it intrudes into private medical decisions, could affect adults as well as minors, and may worsen health outcomes or create vague enforcement problems; supporters said it protects minors from harmful, life-altering procedures and prevents state dollars from supporting them. After extended debate, the committee passed HB 313 by a 7-2 vote. The meeting then adjourned, with one more committee meeting announced for the following week.

Transcript Highlights:

• Adding to those factors that my colleague... mentioned, the cost of some of these newer pharmaceuticals
• Because in 2022, the state switched back to a fee-for-service model for paying for pharmaceuticals instead

Keywords: 988, house, all

Transcript Highlights:

• Senator Eldridge were leading the Water Infrastructure Finance Commission, Toilet paper tax, pharmaceutical
• identify the most toxic ones for regulation, but there are thousands of these PFAS, people-like compounds
• They're actually, these chemicals, these compounds do not biodegrade in the environment or in the body

Keywords: 995, all

Summary: The hearing covered a broad set of environmental and water-related bills, with much of the testimony focused on blue economy and circular economy proposals, drought management, drinking water safety, flood resilience, and water infrastructure funding. Supporters of bills such as H. 987 and H. 988 described grant programs for blue economy workforce development, research, small businesses, and public education about a circular economy. Other speakers backed measures on coastal erosion research, recreational boating dredging, cranberry water-right transfers, sand mining oversight, and a voucher program for home water filtration in PFAS-impacted communities. Several elected officials and advocates also urged passage of bills to require private well testing, improve school drinking water safety, and address sand mining pollution and PFAS contamination. Water supply and drought issues drew extensive testimony. Senator Eldridge and others supported legislation to let the state, through DEP and the drought management task force, impose regional water-use restrictions during droughts and make the task force permanent in statute. Advocates from watershed groups, farms, and environmental organizations said the current town-by-town approach is inconsistent and ineffective, and they described drought impacts on rivers, farms, private wells, and wildfire risk. A related bill on private wells was supported as a way to help homeowners test and remediate contaminated wells, especially in rural areas without public water. The committee also heard testimony on a bill to allow the Lynnfield Water District to join the MWRA, with local officials saying the move would help address PFAS and other contamination and improve supply reliability. Another major panel supported a water infrastructure funding bill, arguing that aging drinking water, wastewater, and stormwater systems need major new investment, including support for PFAS treatment, sewer rate relief, biosolids research, and regional interconnections. Members asked about costs, funding sources, and the relationship to existing revolving loan funds; witnesses said the bill would need to be paired with future bond funding and new revenue ideas. No votes were taken during the hearing, and the chairs repeatedly invited written testimony and noted the large number of speakers.

Transcript Highlights:

• Section 5, we move the pharmaceutical rebate fund over to the Cabinet for Health and Family Services
• 40.120><c> the</c> Hospitals section five um we move the Hospitals section five um we move the pharmaceutical
• 41.360><c> fund</c><00:20:41.960><c> over</c><00:20:42.200><c> to</c><00:20:42.280><c> the</c> pharmaceutical
• rebate fund over to the pharmaceutical rebate fund over to the Cabinet<00:20:42.679><c> for</c><00:20

Keywords: Meeting Start 00:00:00 Roll Call 00:00:10 HB 2 Discussion 00:01:00 HB 2 Vote 00:04:00 HB 544 Discussion 00:05:05 HB 544 Vote 00:06:15 HB 552 Discussion 00:07:00 HB 552 Vote 00:08:40 HB 605 Discussion 00:09:35 HB 605 Vote 00:11:35 HB 606 Discussion 00:12:10 HB 606 Vote 00:15:40 HB 695 Discussion 00:16:25 HB 695 Vote 00:34:05, 958, all

Summary: The Appropriations and Revenue Committee took up several House bills and committee substitutes. House Bill 2, as amended by Senate Committee Substitute 1, was described by Rep. T.J. Roberts as restoring a tax exemption enacted in 2024 by providing refunds with interest to those improperly taxed and creating a cause of action; the substitute also aligned state filing deadlines for certain flood-disaster counties with the federal November 15 deadline. The committee adopted the substitute and then passed the bill with favorable expression. The committee also adopted a title amendment for House Bill 544, which Rep. Jason Petrie said was part of the state’s flood-relief discussion and would allow the guard cap to be used over the biennium rather than annually, effectively increasing the cap from $50 million per year to $100 million over two years; the measure passed with favorable expression. House Bill 552, handled by Rep. Josh Bray after Rep. Kim King’s absence, was described as simplifying tourist commission appointments. The committee substitute added creation of the Kentucky-Ireland Trade Commission and changed marina licensing agreements by exempting private contractors from the model procurement code. The committee adopted the substitute, approved a title amendment, and passed the bill with favorable expression. House Bill 605, sponsored by Rep. Kim King, clarified which grants qualify for a grant program and allowed cities or counties to apply on behalf of water districts or other entities not directly affiliated with them; Rebecca Hearts of Grant Ready Kentucky said the program had matched $103 million of the $200 million allocation, generating about $469.98 million in total project value. The committee adopted the title amendment and passed the bill with favorable expression. House Bill 606, by Rep. Wade Williams, added a capital-oversight reporting requirement for school district general obligation bonds that had been omitted from prior legislation. The committee substitute also made several budget and program adjustments, including moving Regional Training Center funds, accelerating funding for the Grand Lyric Theater, correcting water funding language, removing Odyssey Inc. language from a treatment-related item, fixing a double appropriation to LifeWorks Transition Academy, clarifying carry-forward language, allowing SRO reimbursements for public and non-public schools, and authorizing an additional $10 million in agency bonds for Western Kentucky University athletic facilities. The committee adopted the substitute, approved a title amendment, and passed the bill with favorable expression. The committee then spent the most time on House Bill 695, a Medicaid-related bill. Rep. Adam Bowling said the bill was intended to stabilize Medicaid, create oversight and advisory mechanisms, and address growth in the program. Cabinet for Health and Family Services Secretary Eric Friedlander and Medicaid CFO Steve Beckle said they were generally supportive of the transparency and reporting changes but flagged risks, including federal compliance concerns, budget growth from changing the drug rebate treatment, administrative costs tied to MCO rebidding and a managed long-term services study, and some data-collection challenges. Representatives from the Kentucky Association of Healthcare Facilities opposed the section calling for a managed long-term care reimbursement study, arguing it would be costly, duplicative, and likely ineffective, and they warned against managed care models for long-term care. Despite the concerns, the committee adopted the committee substitute by voice vote and moved the bill forward with favorable expression.

Transcript Highlights:

• It would encourage more pharmaceutical companies to cut their discounts.
• It would encourage<00:54:48.720><c> more</c><00:54:49.040><c> pharmaceutical</c><00:54:49.760><c> companies
• </c> encourage more pharmaceutical companies encourage more pharmaceutical companies to<00:54:50.480>
• <01:29:47.199><c> manufacturers</c><01:29:48.560><c> are</c><01:29:48.880><c> too</c> pharmaceutical
• manufacturers are too pharmaceutical manufacturers are too often<01:29:50.000><c> writing</c><01:29:50.320

Keywords: 1183, house

Transcript Highlights:

• may recall earlier in the session we actually defeated a bill, a pharmacy bill, in which the pharmaceutical
• <00:46:53.960><c> in</c><00:46:54.040><c> which</c><00:46:54.320><c> the</c><00:46:54.680><c> pharmaceutical
• </c> bill, in which the pharmaceutical bill, in which the pharmaceutical companies<00:46:55.880><c> wanted
• </c><01:22:36.640><c> You've</c><01:22:36.800><c> got</c> your pharmaceutical prices.
• You've got your pharmaceutical prices.

Keywords: Public Health and Welfare - Room 216, 3 March, 2026; 3:00 PM, 925, all

Transcript Highlights:

• He continued that there has been a dramatic increase in some litigation around the pharmaceutical space
• He said there has been a dramatic increase in some litigation around the pharmaceutical space, but he
• The 340B and these pharmaceutical things are extraordinarily complex.
• 01:19:17.600><c> result</c><01:19:18.159><c> of</c><01:19:18.480><c> the</c><01:19:18.960><c> pharmaceutical
• </c> as a result of the pharmaceutical as a result of the pharmaceutical companies<01:19:20.080><c> withholding

Keywords: This meeting will take place Upon Adjournment of both Chambers. An exact time is not given or known at this time., 958, all

Summary: The Government Contracts Committee met for its first 2026 meeting, approved the December 9 minutes, and reviewed 337 contracts totaling about $71.8 million. After a motion to consider the routine contract lists without objection passed, the committee pulled several items for discussion, including contracts from the Council on Postsecondary Education, the Department of Highways, the Kentucky Horse Racing and Gaming Commission, and Kentucky State University. Most items were ultimately approved by roll call votes. For the Council on Postsecondary Education item, members discussed why the contract was not handled through the usual Finance Cabinet bidding process. Staff explained it stemmed from House Bill 200 and the healthcare workforce incentive fund, which uses a separate competitive award process and steering committee under different statutory standards. The committee accepted that explanation and approved the contract. Department of Highways staff then explained the difference between scour assessments, which evaluate erosion and foundation risk around bridge piers, and load ratings, which assess the bridge structure itself. Members also questioned a larger engineering contract increase; staff said it reflected progression from preliminary engineering to final design on a phased project and estimated the funding split at roughly 80% federal and 20% state. Those highway contracts were approved. The Kentucky Horse Racing and Gaming Commission presented a legal services contract. Officials said the new corporation had identified legal needs, issued an RFP, and awarded four firms to create a pool of counsel to avoid conflicts as the agency now licenses racing, sports betting, and charitable gaming. They also said an emergency contract was needed after a temporary restraining order was issued in litigation involving charitable gaming machines and alleged losses to charities. The committee asked about the litigation and the affected organizations, and the contract was approved. Kentucky State University then defended a marketing/enrollment contract despite financial concerns, saying the work was intended to raise awareness of the university, improve enrollment, and support financial stability. University officials also said they were tightening student payment enforcement and collection practices, including payment plans and holding students accountable for balances. That contract was also approved.

Transcript Highlights:

• Right note, we're representing the Pharmaceutical Research and Manufacturers of America in support.
• Alison Ramey here today on behalf of the Pharmaceutical Care Management Association in opposition to
• , of the pharmaceuticals that they sell.
• Or could pharmaceutical companies just raise the prices or just keep all the money that's being saved
• Here we have the pharmaceutical industry, which manufactures the drugs that keep people healthy.

Summary: The committee heard testimony on several bills, beginning with SB 41 by Senator Wiener, which would regulate pharmacy benefit managers by increasing transparency, banning patient steering and spread pricing, and requiring full pass-through of rebates. Supporters, including independent pharmacists and health advocates, said PBM practices are driving up drug costs and closing neighborhood pharmacies. Opponents from PBM and health plan groups argued the bill overlaps with recently enacted licensing and reporting requirements, would not lower consumer prices, and may be preempted by ERISA. Members discussed confidentiality issues, consumer savings, and the relationship between SB 41 and the new budget trailer bill; the author asked for an aye vote. The committee then took up SB 378, also by Senator Wiener, aimed at online marketplaces that advertise illegal intoxicating hemp and unlicensed cannabis products. Supporters from labor, public health, and the licensed cannabis industry said online sales are undermining regulated businesses and exposing children to unsafe products. Opponents from tech and hemp industry groups warned the bill is overbroad, could sweep in general-purpose platforms and lawful hemp wellness products, and raises Dormant Commerce Clause and First Amendment concerns. The author said he would narrow the bill, remove industrial hemp references, and address strict liability and standing issues; members largely focused on how to target illegal products without capturing lawful marketplaces. SB 243 by Senator Padilla addressed AI companion chatbots, with supporters including Common Sense Media and transparency advocates warning that these systems can be addictive, manipulative, and dangerous for minors and vulnerable users, citing studies and the death of a Florida teenager. The bill would require disclosures, anti-addiction design limits, self-harm protocols, audits, reporting, and a private right of action. Tech and business groups opposed the measure as overly broad and said its definitions could sweep in general-purpose AI tools; several members supported the goal but questioned the breadth of the definitions and the private right of action. Finally, SB 522 by Senator Wahab would extend just-cause eviction protections to rental units that were previously covered by the Tenant Protection Act but were destroyed in disasters and later rebuilt. Supporters, including Los Angeles city officials and tenant advocates, said the bill would help keep displaced renters housed after wildfires and other disasters. Apartment and realtor groups opposed it, arguing it would remove a key exemption needed to finance rebuilding and could discourage post-disaster reconstruction. Members expressed support for tenant protections in disaster areas, and the author asked for an aye vote.

Transcript Highlights:

• House Bill by Representative Galate: pharmaceutical costs; development; critical drug list; prescription
• House Bill by Representative McMakin: Medicaid Pharmaceutical Therapeutics Committee; changes in composition
• House Bill by Representative Galate: pharmaceutical costs; development; critical drug list; prescription
• House Bill by Representative McMakin: Medicaid Pharmaceutical Therapeutics Committee; changes in composition
• House Bill by Representative McMakin: Medicaid Pharmaceutical Therapeutics Committee; changes in composition

Summary: The House convened with a quorum, received and accepted multiple resignation notices from members representing Districts 37, 39, 60, 69, 97, and 100, and then recognized the election and qualification of the members-elect who filled those vacancies: Doyle Boudreau, Reese Broussard, Chasity Verrett-Martinez, and Edwin Murray. Each member-elect was sworn in, and the House also appointed committees to notify the Senate and the governor that it was ready to conduct business for the 2026 regular session. The chamber then handled a large number of procedural actions related to prefiled legislation. By motion and without objection, the House suspended rules to refer prefile bills to committee and introduced a broad slate of House bills and resolutions. Topics included the state budget and appropriations, retirement system changes, carbon capture and sequestration, criminal justice and bail, public safety, education, health care, local government matters, transportation, and several memorial or commemorative resolutions. Several resolutions and bills were noted as lying over, and some prefiled bills were withdrawn from the files. The House also received a Senate message that SCR 1 had been adopted, and the resolution was taken up without objection. The chamber then recessed for a joint session with the Senate to hear the governor’s address and a presentation honoring Technical Sergeant Adam W. Brister with the Distinguished Flying Cross. In his remarks, Governor Jeff Landry highlighted his administration’s priorities, including education, tax reform, workforce development, health and nutrition, insurance reform, transportation infrastructure, fiscal discipline, and criminal justice reform, while urging support for his agenda and several related bills and constitutional amendments.

Transcript Highlights:

• We need to go the other direction because the pharmaceutical companies are making billions of dollars
• through this COVID pandemic the bright light has awoken everybody that this medical industry and pharmaceutical
• 58:18.880><c> industry</c><00:58:19.319><c> and</c> medical industry and medical industry and pharmaceutical
• 58:23.000><c> p</c><00:58:23.480><c> LA</c><00:58:24.480><c> and</c><00:58:24.640><c> now</c> pharmaceutical
• agenda is p LA and now pharmaceutical agenda is p LA and now you<00:58:25.039><c> guys</c><00:58:25.200

Keywords: 910, house, all

Summary: The House Committee on Education met on April 1 at 2:04 p.m. and first heard HCR 129/HR 125/HD1, which asks state and county transportation and education agencies to work together on pedestrian safety and traffic congestion around Haiku Elementary School. The Department of Education said it stood on its written testimony, and no other testimony was offered on that measure. The committee then took up HCR 173/HR 169/HD1, urging the Department of Health to begin education outreach and vaccination drive efforts at schools with vaccination rates under 30 percent, starting in the 2025-26 school year. The Department of Education and Department of Health both supported the resolution and stood on their written testimony. Support also came from the Hawaii Public Health Institute, Hawaii Nurses Association, the Democratic Party of Hawaii Health Committee, and Free Citizens of Malua. A number of testifiers opposed the measure, arguing that vaccination efforts do not belong in schools, that the proposal would pressure families and undermine parental rights and religious freedom, and that it could create liability and misuse public funds. Several opponents also raised concerns about informed consent, government overreach, and vaccine safety. One supporter, Kye Swan, said vaccines are the way to fight infectious disease and asked the committee to pass the resolution so children could be vaccinated before the school year starts. No vote or final committee action on the resolutions was announced in the portion of the transcript provided.

Transcript Highlights:

• the last is it's not really a report, but we were required by legislation to set up a Medicaid pharmaceutical
• the last is it's not really a report, but we were required by legislation to set up a Medicaid pharmaceutical
• </c><00:32:28.000><c> rebate</c><00:32:28.480><c> fund</c><00:32:29.600><c> you</c> the pharmaceutical
• rebate fund you the pharmaceutical rebate fund you mentioned<00:32:31.039><c> um</c><00:32:31.519><c
• rebate fund and the the pharmaceutical rebate fund and the the behavioral<00:34:04.320><c> health</c

Keywords: During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used. The lost footage was recovered from backup, and the other issues corrected in post production editing. 1. 00:00:41 Call to Order 2. 00:01:02 Roll Call 3. 00:02:54 Approval of Minutes 4. 00:05:06 Statutory Reports and Data Requests 5. 00:35:14 2025 and 2026 Session Update 6. 01:03:10 Board Structure Updates and Subcommittees 7. 01:05:20 Public Comment 8. 02:23:14 Adjournment, 958, all

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• There are rebates that the pharmaceutical companies give for medications and negotiations with Access
• There are rebates that the pharmaceutical companies give for medications and negotiations with Access
• When we've raised that issue with the pharmaceutical companies in the past, they kind of laughed at us
• When we've raised that issue with the pharmaceutical companies in the past, they kind of laughed at us
• So we could count on the pharmaceutical companies dropping the price of their medications.

Bills: SB1041, SB1050, SB1131, SB1138, SB1249, SB1267, SB1272, SB1317, SB1461, SB1488, SB1504, SB1517, SB1523, SB1580, SB1582, SB1584, SB1585, SB1602, SB1630, SB1654, SB1672, SB1673, SB1718, SB1761, SB1819, SB1826, SB1827

Keywords: electronic monitoring, nursing care, assisted living, resident rights, privacy, consent, surveillance, veterans, lifetime pass, state parks, Arizona, access, disabled veterans, cardiac arrest, defibrillators, school safety, emergency response, CPR training, Arizona education funding, automated license plate readers

Transcript Highlights:

• Additionally, we analyzed 94 volatile organic compounds.
• We also analyzed 120 semi-volatile organic compounds in the water.
• For the 84 volatile organic compounds and 120 semi-volatile organic compounds, their concentrations are
• I know NMED has a lot of studies on PFAS compounds as well.
• can remove PFAS compounds from the water.

Transcript Highlights:

• project funding and also appropriates interest funds up to $14 million to address gaps in the pharmaceutical
• and OSU's growing research enterprise to accelerate the discovery and deployment of nova farmer pharmaceutical

Bills: HB1937, HB2153, HB3674, HB2978, HB3885, HB3671, HB3261, HB3021, HB3029, HB4274, HB3701, HB3076, HB2299, HB3852, HB3244, HB3345, HB3114, HB3764, HB4144, HB3304, HB2939, HB4227, HB3262, HB2941, HB3498, HB4343, HB4425, HB3386, HB3087, HB3062, HB3431, HB4141, HB3581, HB4237, HB2960, HB3645, HB3648, HB3974, HB3045, SCR18, HCR1024, SJR39, SJR49, HB4486, SB1130, SB1131, SB1132, SB1133, SB1134, SB1142, HB1823, HB4476, HB3378, HB3880, HB3031, HB3369, HB3429, HB3657, HB4215, HB3624, HB1170

Keywords: HB1937, Oklahoma schools, student communications, electronic communication, digital communication, parent notification, legal guardian, school personnel, teachers, coaches, administrators, charter schools, public schools, administrative leave, corroborated report, investigation, employee file, discipline, termination, school board

Transcript Highlights:

• PARTNERSHIP WITH THEM FOCUSES ON OCEAN SCIENCES PHARMACEUTICAL AND MICRO-PLASTICS IN THE FOOD CHAIN.
• THE STUDENT STUDIED AGE TRANSFER AGENTS THAT USED TWO PROVIDE A VARIETY OF CHEMICALS INCLUDING PHARMACEUTICALS

Keywords: 999, senate, all

Transcript Highlights:

• the lowest toxicity profiles of any psychoactive substance and is safer than most prescribed pharmaceuticals
• the lowest toxicity profiles of any psychoactive substance and is safer than most prescribed pharmaceuticals
• the lowest toxicity profiles of any psychoactive substance and is safer than most prescribed pharmaceuticals

Keywords: 995, all

Summary: The Joint Committee on Revenue held a long hybrid hearing on a wide range of tax bills, with testimony covering cigarette and tobacco taxes, nicotine pouches, contractor rental equipment exemptions, aircraft sales tax exemptions, rolling stock, advanced sales tax payments, a gun and ammunition excise tax, a digital services tax, and a psilocybin cultivation/tax proposal. Committee chairs outlined the hearing process and noted that 39 House-filed sales and excise tax bills were being heard for required reporting by November 28. No votes were taken during the hearing. On tobacco-related bills, supporters including Senator Keenan, the American Heart Association, the American Cancer Society, and Tobacco Free Mass backed higher cigarette taxes and closing the synthetic nicotine loophole, arguing the measures would reduce youth initiation, encourage cessation, and offset health care costs. Retailers, wholesalers, and convenience-store groups opposed the increases, warning of smuggling, out-of-state purchasing, and harm to small businesses; premium cigar representatives argued cigars should be treated separately from cigarettes. The committee also heard testimony on H. 3067 and related bills concerning nicotine pouches, with public health advocates supporting taxation and industry witnesses urging a lower, more competitive rate. Several other bills drew sharply divided testimony. United Rentals supported H. 3065 to simplify contractor rental equipment exemption paperwork, while airport and aviation groups opposed bills to repeal the aircraft sales tax exemption, saying it would hurt airport competitiveness and jobs. The Transportation Association of Massachusetts backed rolling stock tax exemptions, saying the current tax discourages fleet investment and interstate commerce. Restaurant industry representatives supported repealing advanced sales tax payments and changing penalty rules, saying businesses were hit with retroactive penalties after unclear pandemic-era changes. On H. 3082, an excise tax on guns and ammunition, gun violence prevention advocates, Roca, and Giffords supported the bill as a dedicated funding source for prevention and survivor services, while sportsmen’s groups opposed it as unfair to lawful gun owners and harmful to conservation funding. The committee also heard testimony on H. 3208, a digital advertising services tax, with Representative Paulino supporting it as a way to capture revenue from online advertising and fund public needs, while the Chamber of Progress opposed it as costly and burdensome for small businesses and campaigns. Finally, multiple witnesses testified on H. 4050 regarding psilocybin cultivation and taxation: advocates from Mass Healing, Roca, the Reason Foundation, and individuals describing personal medical benefits urged a regulated, permit-based system, while the hearing ended after all signed-up speakers were heard and the chair adjourned the meeting.