Transcript Highlights:

• rescue would include board-certified emergency physicians, hospital-level staffing, on-site nursing, pharmacy
• HR1 will compound it. The scale of what's coming is significant.
• illness gets better on its own, the difference between filling a prescription or leaving it at the pharmacy

Summary: The committee heard AB 1887, which would speed prior authorization for FDA-approved rare disease treatments prescribed by specialists and, if a plan does not act within 30 days, deem the request approved. The author and supporters, including patients and clinicians, said delays can cause irreversible harm, hospitalizations, and death, especially for children and people with progressive rare diseases. Health plans and insurers opposed the bill’s automatic-approval provision and said the measure lacked safeguards for incomplete requests and shared responsibility for timely information. The chair encouraged continued work with opponents, and the author said the bill was narrowed from an earlier version that would have waived prior authorization entirely. The committee also heard AB 1979 on artificial intelligence in health care, AB 2161 on Medi-Cal work requirements, AB 539 on extending approved prior authorizations, AB 2311 on physician employment at public hospital districts, AB 1148 on banning phthalates and bisphenols in food packaging, AB 1825 on mental health offender reentry coordination, and AB 2282 on a temporary emergency stabilization unit in Patterson. AB 1979 would preserve licensed clinicians’ professional judgment, bar AI from directing unlicensed clinical functions, and protect medical records used by consumer chatbots; after amendments, several hospital, medical, and industry groups moved from opposition to neutral. AB 2161 would limit the harm of federal Medi-Cal work-reporting rules by using existing data, improving notices, and protecting due process; it drew broad support from patient, provider, and advocacy groups. AB 539 would keep prior authorization approvals valid for up to one year or the course of treatment, with supporters citing continuity of care and opponents warning about utilization, fraud, and cost concerns. AB 2311, as amended, would let certain high-payer-mix or distressed public health care districts directly employ physicians; CMA withdrew opposition after the bill was narrowed, while some hospital interests still objected to the carve-out. AB 1148 would prohibit two chemicals commonly used in food packaging, with supporters citing cancer and endocrine-disruption risks and opponents arguing DTSC should handle the issue through its existing regulatory process. AB 1825 would improve transition planning and Medi-Cal enrollment for offenders with mental health disorders leaving state hospitals, and AB 2282 would authorize a temporary rural emergency stabilization care unit in Patterson until a permanent hospital is built. Several bills were held for later action because the committee lacked a quorum, and the chair repeatedly noted that motions would be taken once enough members returned.

Transcript Highlights:

• It further compounded the problem of maintenance and construction.
• and cholesterol lipid panels, accepting certain plans, and creating new duties for the Board of Pharmacy
• screening and cholesterol lipid pandals, accepting certain plans, creating new duties for the Board of Pharmacy

Keywords: 996, all

Transcript Highlights:

• The issues between small pharmacies and... ...issues between small pharmacies and pharmacy benefit managers
• The pharmacy may close; the pharmacy may no longer choose.
• from community pharmacy.
• I'm the Director of Pharmacy for Star Discount Pharmacy.
• Senator Butler, what's your word for pharmacy benefit? Your word for pharmacy benefit?

Keywords: 923, senate, all

Transcript Highlights:

• Pharmacy and Rainbow Pharmacy.
• Pharmacy and Rainbow Pharmacy.
• Pharmacy and Rainbow Pharmacy.
• or the local pharmacy.
• Pharmacy maioli Pharmacy they looked at Pharmacy maioli Pharmacy they looked at their<01:02:30.559><c

Keywords: 910, house, all

Summary: The committee heard several measures, beginning with SB 1046 SD1 on condominiums. Testimony on that bill focused on reserve funding and enforcement of reserve study requirements. The Community Associations Institute opposed the bill, saying it would create hardship, confusion, and be difficult to administer, while also urging stronger penalties for boards that fail to comply with reserve study rules. The Real Estate Commission offered comments, and one testifier spoke in support. No vote was taken during the portion provided. The committee then heard SB 532 SD2 HD1 relating to the Department of Education, which would improve access to pre-approved medications for students with health conditions at school and during off-campus activities. The Department of Health, University of Hawaiʻi nursing and medical programs, and the Department of Education all supported the measure, with DOH suggesting amendments to better identify the correct student and improve medication safety. Members had no questions, and the bill moved on. Next was SB 1245 SD2 HD1 relating to pharmacists, a bill to allow reimbursement for clinical services pharmacists are already trained and licensed to provide. The University of Hawaiʻi, Board of Pharmacy, Walgreens, Mikai Drugs, and the Hawaiʻi Pharmacists Association supported the bill, emphasizing improved access to care, recruitment and retention of pharmacists, and better chronic disease management. The Hawaiʻi Pharmacists Association also discussed proposed amendments to prevent plans from denying coverage or network participation when pharmacists meet credentialing requirements. Members questioned whether insurers would actually use pharmacists and how the bill would affect pay and contracting; no vote was taken in the excerpt. The committee also heard SB 1279 SD2 HD1, another pharmacists bill focused on telepharmacy and 340B-related issues. The Department of Corrections and Rehabilitation supported it, saying telehealth could reduce costs and avoid travel for audits, while the Board of Pharmacy opposed it. Lānaʻi representatives opposed the bill and asked for an exemption, arguing the island already has close in-person access to a resident pharmacist and clinics. The Hawaiʻi Primary Care Association supported the measure, citing large patient savings from 340B pricing, while Mikai Drugs opposed it, arguing that mail-order and telepharmacy are not necessary on some islands and can create delivery and medication-safety problems. Members asked questions about insurer participation, scope of practice, and whether the bill would meaningfully change reimbursement; the transcript ends before any final action or vote.

Transcript Highlights:

• Chair, members, Senate Bill 1542 deems that any compound mixture or preparation containing 3,4-methylenedioxymethamphetamine
• Lastly, the bill requires the executive director of the Arizona State Board of Pharmacy to notify the

Summary: The Public Safety Committee first considered SB 1071, which would repeal statutory protections for the Arizona Rangers. The sponsor argued the change was needed for accountability and transparency, while Rangers and several supporters said the organization provides substantial volunteer service and that the bill would undermine their work. Sheriffs from Yavapai and Navajo counties supported the bill, citing lack of access to background and training records and saying they could not fully trust or use the Rangers without clearer standards. The committee adopted a do pass recommendation on a 4-3 vote, with members noting they expected further amendment work. The committee then heard SB 1315 on interoperable communications for schools and law enforcement, followed by SB 1317 on reentry planning grants for counties. SB 1315 was supported by school safety officials and law enforcement representatives who described the need for common communication platforms during emergencies; concerns were raised about cost and information security, but the bill passed unanimously. SB 1317 would appropriate opioid settlement funds for county reentry programs; sheriffs and the Arizona Sheriffs Association supported it, citing reduced recidivism and improved jail outcomes, and it also passed unanimously. Members next took up SB 1416 and SB 1740, both related to missing and endangered children and the Turquoise Alert system. SB 1416, as amended, would strengthen reporting, photo-sharing, training, and public notification requirements for missing children cases; advocates, family members, and law enforcement all supported the compromise language, and it passed 7-0. SB 1740 would require training on the Turquoise Alert system and was discussed alongside concerns about statewide versus geographically targeted alerts; the sponsor said an amendment was being worked on, and the bill also received a do pass recommendation. Later, the committee considered SB 1493, which would require employers to pay fees and costs when a law enforcement officer wins a termination appeal and the employer refuses reinstatement. Police and sheriffs’ representatives supported the measure as a fairness issue, while chiefs’ representatives opposed it; the bill passed as amended on a 5-2 vote. The committee also passed SB 1537, renaming the Peace Officer Training Equipment Fund as the Public Safety De-escalation and Life Safety Fund, and SB 1542, which would conditionally authorize MDMA-based PTSD treatment for first responders and create related research and reimbursement provisions, after testimony about its potential therapeutic value.

Transcript Highlights:

• Fourth, modernization of Medicaid's pharmacy program to obtain drug rebates and reduce institutional
• documentation and processing requirements to an eligibility system that is already malfunctioning will compound

Bills: S0036, S0864, S0268, S0844, S0514, S1404, S0914, S1758

Keywords: nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, uterine fibroids, public records, health privacy, epidemiology, medical information, emergency department, physicians, privacy, personal information, sickle cell disease, sickle cell anemia, pain management, controlled substances, prescribing education, continuing medical education

Summary: The committee first considered SB 268, a public records exemption for emergency physicians. Senator Rodriguez’s strike-all amendment narrowed and clarified the exemption, and testimony from an emergency physician described threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported the bill favorably as a committee substitute. Members then heard SB 514, creating the Dula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women affected by substance use disorder. Senator Osgood explained the pilot would provide non-medical doula support and data collection, and an amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and complement medical providers. The committee adopted the amendment and reported the bill favorably as a committee substitute. The committee also approved SB 36 on use of professional nursing titles after extensive debate over whether nurses with doctoral degrees should be allowed to use “doctor” in clinical settings, with concerns raised about patient confusion and the need for clearer identification. The bill was amended to align with the House version and then reported favorably as a committee substitute. The committee next approved SB 864, a public records exemption for uterine fibroid research data, after a technical amendment setting a July 1, 2026 effective date; Senator Sharif said the exemption is needed so the Department of Health can collect sensitive data for the related research bill. SB 844, requiring continuing education on sickle cell disease care management for certain licensed physicians and nurses, was also reported favorably after emotional testimony from patients and advocates describing delayed care and bias. Later, the committee approved SB 1404 on memory care, after a strike-all amendment creating a new memory care specialty license for assisted living facilities that advertise or provide specialized memory care services, while allowing optional supportive services without the new license. Supporters from the senior living industry backed the clarification. The committee then passed SB 914, which clarifies that licensed occupational therapists may perform dry needling, after an amendment adjusting supervision and continuing education language. Finally, the committee took up SB 1758, a broad Medicaid and SNAP reform bill that would strengthen fraud enforcement, impose Medicaid work requirements for certain able-bodied adults, expand behavioral health services, modernize drug purchasing and prior authorization, and require SNAP fraud-reduction measures. Several amendments were adopted, and members questioned the work requirement, implementation costs, EBT card photo identification, and due process concerns; debate continued as the transcript ended.

Transcript Highlights:

• So that money flows out into the market, it compounds and grows.
• just point out that we've got the medical board stand-alone, the nursing board stand-alone, and the pharmacy

Transcript Highlights:

• pharmacies.
• contract pharmacy.
• pharmacies?
• a non-340B pharmacy.
• Whole Health Pharmacy is an independent community pharmacy that serves as a 340B contract pharmacy for

Bills: HB2145, HB1828, HB2155, HB2437

Keywords: 340B drug pricing, healthcare access, patient rights, discounted medications, manufacturer limitations, health professions, plasma donation, physician substitutes, medical regulation, nursing titles, healthcare, regulation, professional standards, licensure, accreditation, opioid treatment, health services, fee authority, public health, 904

Transcript Highlights:

• for pharmacy what the new B&O rate will be for pharmacies?
• So critical access pharmacy.
• It will increase pharmacy deserts.
• Pharmacy on Orcas Island.
• So I was thinking about online pharmacies. My brother gets his meds through an online pharmacy.

Keywords: 904, all

Transcript Highlights:

• pharmacies.
• pharmacies?
• a non-340B pharmacy.
• a non-340B pharmacy.
• Whole Health Pharmacy is an independent community pharmacy that serves as a 340B contract pharmacy for

Summary: The committee first heard House Bill 2437, which would put the Department of Health’s authority to accredit opioid treatment programs into statute and allow the department to set a fee to cover the cost of those services. The prime sponsor and DOH said the bill would preserve a service that is especially important to tribal and rural providers and would be self-sustaining rather than supported by the general fund. Members asked about the relationship between DOH and HCA and whether the bill would duplicate existing authority; staff and the department said DOH already performs the accrediting role and the bill mainly formalizes that authority and fee-setting power. Public testimony on the bill was then closed. The committee then held an extensive work session on the federal 340B drug pricing program and later opened public testimony on House Bill 2145, which would prohibit manufacturers, distributors, and third-party logistics providers from restricting 340B drug acquisition or delivery and from requiring claims or utilization data as a condition of access. Committee staff and NCSL gave background on how 340B works, recent growth in the program, contract pharmacy issues, and state efforts in other jurisdictions. Testimony on HB 2145 was sharply divided: hospitals, community health centers, tribal representatives, contract pharmacies, and labor groups said the bill would protect safety-net providers, rural access, HIV and behavioral health services, and tribal programs from manufacturer restrictions; business groups, pharmaceutical companies, and employer coalitions argued the program has expanded beyond its original intent, lacks transparency, shifts costs to employers and taxpayers, and should be addressed through federal reform instead. No vote was taken in the excerpt. Finally, the committee heard House Bill 2155, which would bar non-human entities from using nursing titles such as RN, APRN, or LPN or otherwise implying they are licensed nurses. The prime sponsor said the bill is intended to protect patients from being misled by AI systems and to preserve transparency and public safety as health care technology expands. The Washington State Nurses Association testified in support, saying AI can be useful but should not replace nurses or be presented as a licensed professional. A member asked about enforcement and liability, and staff said they would follow up on those details.

Transcript Highlights:

• pharmacies.
• So, critical access pharmacy.
• However, pharmacy...
• pharmacies don't close.
• pharmacy on Orcas Island.

Summary: House Finance held public hearings on three Senate bills. SB 6129 would raise cigarette taxes, replace current nicotine/vapor product taxes with a 95% tax on nicotine products, and adjust revenue distributions to the Andy Hill Cancer Research account, the Foundational Public Health Services account, and a youth prevention account; staff and supporters said it would correct an unintended loss of public health funding and reduce youth nicotine use, while opponents argued it would be highly regressive, harm retailers and wholesalers, and push sales into illicit markets. SB 6231 would repeal the data center sales tax exemption for refurbishment and end replacement server equipment eligibility; the sponsor and staff said it would raise roughly $200 million and remove an obsolete preference, while labor, port, business, and data center representatives opposed it, citing lost jobs, reduced investment, and concerns about upsetting existing contracts and rural economic development. SB 6228 would repeal the preferential B&O rate for warehousing and reselling prescription drugs and create a lower preferential rate for critical access pharmacies; the sponsor said it would restore horizontal equity in the tax code and offset impacts on rural pharmacies, but pharmacy groups, wholesalers, retailers, and business organizations warned it would raise medication costs, worsen pharmacy closures, and be passed through to patients. The committee heard extensive public testimony on all three bills. Supporters of SB 6129 included public health, cancer, pediatric, and emergency medicine advocates who emphasized youth prevention, cessation funding, and long-term health savings; opponents included tobacco, vape, retail, and business groups who said the bill would increase black-market activity and burden small businesses. SB 6231 drew opposition from construction trades, ports, local governments, chambers, and data center interests, who argued the tax preference supports ongoing construction, permanent jobs, and local tax bases, while committee questions focused on whether the bill would affect existing refurbishment contracts. SB 6228 was opposed by pharmacy associations, independent pharmacists, wholesalers, grocery retailers, and AWB, who said the tax increase would be passed through and could accelerate pharmacy desert conditions; the sponsor and supporters framed the bill as a correction to an outdated preference and a way to protect critical access pharmacies. No votes were taken; each hearing was closed, and the chair announced amendment requests were due Thursday at 5 p.m. and amendments posted by Friday at 5 p.m.

Transcript Highlights:

• In 2024, another 32 pharmacies closed, including our pharmacy in Faribault.
• their only pharmacy.
• Unfortunately, pharmacies open pharmacy.
• closing</c> pharmacy.
• Pharmacies are also closing pharmacy.

Keywords: 1187, senate, all

Transcript Highlights:

• pharmacies every day.
• pharmacies at a sustainable rate.
• This would allow pharmacies serving Medicaid patients to do so and minimize pharmacy deserts.
• Pharmacies need help now.
• One is the pharmacy carve-out.

Transcript Highlights:

• So you are losing pharmacies... I lose the pharmacies in my area.
• You can go down the road in this direction and find a Nard side pharmacy, independent pharmacy.
• and another pharmacy.
• by a pharmacy benefit manager.
• by a pharmacy benefit manager.

Summary: The committee first adopted the minutes from several prior 2025 meetings, then took up HB 574 by Rep. Spell, which updates the names of two organizations on the Mental Health Advocacy Service Board of Trustees. Rep. Spell explained it as a technical cleanup bill to correct the names of the Louisiana Mental Health Association and the Louisiana State Medical Society so the board’s membership records match current organization names. With no objections, HB 574 was reported favorably. The committee then heard HB 486, also by Rep. Spell, to join the Psychology Interjurisdictional Compact (PsyPact) and allow Louisiana psychologists to provide telepsychology and temporary in-person services across state lines. Rep. Spell and PsyPact representatives said the compact would expand access to mental health care, especially in rural areas, while maintaining standards and disciplinary oversight. The committee adopted amendments on fees and the effective date, and HB 486 was reported favorably with amendments. HB 198 by Rep. Eccles proposed a Medicaid reimbursement methodology for ambulatory surgical centers, using a Medicare-based rate to improve access for Medicaid patients needing specialty procedures. Amendments were adopted to add ophthalmology-related services and to cap reimbursement at the lesser of the outpatient hospital rate or 100% of the Medicaid rate, along with a technical amendment to address the fiscal note. Supporters from GI and ASC groups said the bill would improve access and lower long-term costs, and the bill was reported favorably with amendments. The committee spent the most time on HB 182 by Rep. Travis Johnson, which would require hospitals to ensure access to sexual assault forensic exams and related training. Johnson, law enforcement witnesses, and the Attorney General’s office emphasized the need for timely evidence collection, especially in rural areas, and said the current system leaves victims traveling long distances or losing evidence. Hospital and coroner witnesses supported the goal but opposed the bill as written, arguing it could impose duties on hospitals without enough trained personnel, funding, or a workable statewide training and coordination system; they urged a statewide coordinator, mobile SANE units, and clearer implementation. The bill was not finally disposed of in the portion of the meeting provided, and members discussed continuing to work on amendments and timing before floor consideration.

Transcript Highlights:

• Senate Bill 252 regulates the PBM industry, and the Board of Pharmacy regulates the practice of pharmacy
• Those costs will not be absorbed by pharmacy benefit managers.
• and retail community pharmacies in our state provide.
• Previous to owning the pharmacy, I was the last director of pharmacy for the Goodyear Tire and Rubber
• that are specialty pharmacies for them, and so. ...that are specialty pharmacies for them.

Keywords: 923, senate, all

Transcript Highlights:

• I practice pharmacy for about 60 years and since pharmacy for about 60 years and since pharmacy for about
• I know I had a a Frank pharmacy in my hometown and and Frank pharmacy in my hometown and and Frank pharmacy
• A lot of my small pharmacies is the A lot of my small pharmacies is the A lot of my small pharmacies
• And so I believe in my small town pharmacies, you know, small town pharmacies, you know, small town pharmacies
• I met his Pharmacy that I had met. I met his Pharmacy that I had met.

Bills: SCR 13, SCR 24, SB 1, SB 12, SB 15, SB 17, SB 24, SB 57, SB 65, SB 213, SB 371, SB 372, SB 378, SB 379, SB 388, SB 400, SB 402, SB 427, SB 495, SB 499, SB 502, SB 509, SB 535, SB 583, SB 610, SB 621, SB 650, SB 706, SB 740, SB 840, SB 854, SB 856, SB 875, SB 893, SB 918, SB 925, SB 974, SB 995, SB 1006, SB 1018, SB 1025, SB 1061, SB 1073, SB 1106, SB 1121, SB 1194, SB 1252, SB 1253, SB 1268, SB 1300, SB 1343, SB 1362, SB 1447, SJR 36, SJR 12, SJR 57, SCR 25, SCR 22, SCR 12, SCR 24, SCR 8, SB 565, SB 372, SB 765, SB 62, SB 666, SB 707, SB 888, SB 687, SB 847, SB 1248, SB 740, SB 14, SB 1006, SB 504, SB 925, SB 1121, SB 995, SB 857, SB 305, SB 296, SB 284, SB 815, SB 1379, SB 1300, SB 1497, SB 1499, SB 1498, SB 1061, SB 65, SB 241, SB 304, SB 402, SB 499, SB 621, SB 974, SB 1023, SB 1024, SB 1025, SB 1106, SB 686, SB 112, SB 371, SB 204, SB 400, SB 609, SB 1447, SB 670, SB 502, SB 427, SB 850, SB 854, SB 413, SB 1555, SB 1362, SB 1346, SB 1033, SB 1220, SB 1073, SB 810, SB 987, SB 1539, SB 893, SB 447, SB 875, SB 406, SB 509, SB 985, SB 965, SB 1119, SB 1505, SB 24, SB 57, SB 1194, SB 1253, SB 1215, SB 1532, SB 1268, SB 1302, SB 856, SB 650, SB 583, SB 673, SB 840, SB 213, SB 681, SB 1172, SB 1252, SB 378, SB 610, SB 918, SB 1343, SB 608, SB 487, SB 955, SB 957, SB 988, SB 990, SB 1019, SB 1021, SB 1120, SB 251, SB 958, SB 535, SB 761, SB 1, SB 541, SB 315, SB 379, SB 1018, SB 1737, SB 266, SB 1415, SB 57, SB 499, SB 974, SB 1025, SB 1061, SB 1268, SR 302, SR 303, SR 304, SR 305, SB 30, SB 1333, SB 1666, SB 30, SB 1333, SB 1666

Keywords: water rights, treaty compliance, Rio Grande, agriculture, drought, international water, Texas water supply, Texas, Israel, trade, investment, partnership, economic ties, technological innovation, bilateral relations, appropriations, budget, state funding, education, healthcare

Transcript Highlights:

• their affiliated pharmacies at higher rates than our independent pharmacies.
• their affiliated pharmacies at higher rates than our independent pharmacies.
• and independent pharmacies pharmacies and independent pharmacies such<01:26:44.280><c> as</c><01:26:
• </c> reimbursements to pharmacies. reimbursements to pharmacies.
• . pharmacies. pharmacies.

Keywords: 1187, senate, all

Transcript Highlights:

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

Keywords: 1183, house

Transcript Highlights:

• pharmacies.
• Why is this bill directing pharmacies to work with wholesalers to increase the pharmacies' allotment?
• pharmacy-level issues.
• In conversations with the pharmacy association and pharmacy lobbyists, we have tried to rework this bill
• Let's say there's a pharmacy in Fort Sumner, and while 1500 may not be a lot for a pharmacy that's running

Transcript Highlights:

• pharmacy services.
• contract pharmacies?
• pharmacy or explain what your pharmacy situation is and participation thereof.
• chain pharmacies.
• Well, not the pharmacy.