Transcript Highlights:

• And does it include pharmacy? You're recognized. It's a good question, Representative.
• I will look into the pharmacy aspect of it, but yes, to the first part.
• The first is McKenna Davis, Epic Pharmacies, waving in support. Thank you for being here.

Summary: The Health Care Facilities and Systems Subcommittee met with a quorum present and considered four measures. The first was the PCS for HB 815, which would direct AHCA to study referral patterns by Medicaid managed care organizations and plans, including whether patients are being steered to providers with ownership or profit-sharing ties and how those services compare in cost. Members discussed transparency and potential cost impacts, and the PCS was reported favorably by a 17-0 vote. The committee then took up HB 1543, which narrows and clarifies an existing licensure attestation related to foreign countries of concern and controlling interests in health care entities. An amendment was adopted without objection to make clear the attestation applies to direct controlling interests. The bill was supported as a clarification for complex corporate structures, and it was reported favorably as amended by a 17-0 vote. Next, HB 899 addressed prescription drug coverage disclosures, aiming to prevent mid-year changes that could disrupt treatment or increase out-of-pocket costs for patients with chronic conditions. Supporters from Epic Pharmacies and the Florida Society of Rheumatology appeared in support, and the bill was reported favorably by a 17-0 vote. Finally, the PCS for HB 493 on memory care facilities sought to add minimum standards and oversight for facilities advertising memory care services. The Florida Senior Living Association opposed the bill as overbroad and urged more refinement, while AHCA supported the added guardrails. The sponsor said the bill was intended to protect vulnerable residents and improve transparency, and the PCS was reported favorably by a 17-0 vote. The meeting then adjourned.

Transcript Highlights:

• residents back to restore the pharmacy residents back to two<01:36:14.639> or<01:36:14.840>
• Both medical and pharmacy students, along with a veterinary social worker and their clinical faculty,
• Both medical and pharmacy students, along with a veterinary social worker and their clinical faculty,
• Both medical and pharmacy students, along with a veterinary social worker and their clinical faculty,
• Both medical and pharmacy students, along with a veterinary social worker and their clinical faculty,

Keywords: 1187, senate, all

Transcript Highlights:

• It also really does give teeth to hold drug companies and pharmacy benefit managers accountable when
• The one reason I'm supporting this is because it does bring in the pharmacy benefit managers and not
• And part of that is because of, you know, the pharmacy, the cost of pharmaceutical drugs.
• And so my wife went to the pharmacy and called me... ...went to the pharmacy and called me just completely
• Everybody that's got, you know, whether it be pharmacies or whoever, they're all going to be mad.

Keywords: March 10, 2026 - Regular Session, 976, house, all

Bills: HB44, HB400, HB444, HB487, SB249, SB252, SB58, HB44, HB400, HB444, HB487, SB249, SB252, SB58

Keywords: teachers retirement, credit purchase, St. Clair County, DAY Program, pension reform, dental insurance, benefit rollover, healthcare, insurance policy, annual maximum, HB444, vaccines, vaccine exemption, religious exemption, religious liberty, private school, church school, faith-based school, parochial school, school immunization

Transcript Highlights:

• I also have experience working in the Pharmacy Benefit Manager (PBM) space.
• Is that part of the reason why we separate those two functions when it comes to pharmacy?
• My name is Kelly Cox and I manage 13 pharmacies in East Central Texas.
• And it is safe. and without harming independent pharmacies' financial viability.
• Now, independent pharmacies lose money on generics because...

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Bills: SB324, SB1978, SB2139, SB2401, SB2587, SB2610, SB2858, SB3016

Keywords: E-verify, employment verification, state contracts, immigration, labor compliance, ERCOT, Texas electric grid, interconnection, Public Utility Commission, PUC, Public convenience and necessity, electric cooperative, municipally owned utility, electric utility, transmission, generation facilities, grid reliability, Federal Energy Regulatory Commission, FERC, SERC

Bills: HB44, HB2200, HB1612, HB2747, HB2038, HB3717, HB1431, HB3800, HB3801, HB3560, HB3246, HB44

Keywords: HB 44, Life of the Mother Act, abortion exceptions, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, miscarriage, spontaneous abortion, fetal survival, Texas abortion law, abortion ban, physician liability, health care provider, disciplinary action, aiding and abetting, emergency abortion, obstetric care

Transcript Highlights:

• list of eligible schools, including but not limited to Xavier University of Louisiana College of Pharmacy
• will have a list of eligible schools, including but not limiting Xavier of Louisiana College of Pharmacy
• Just watching the new formation that's working through the process with the pharmacy board and then hearing
• My sons, hopefully, hopefully soon, fiancé, just graduated a couple of weeks ago from pharmacy school
• Is there anyone here from the University of Monroe from the pharmacy school, from the university at all

Keywords: 974, senate, all

Summary: The Senate Committee on Health and Welfare met on May 20, 2026, with eight members present and approved the prior meeting minutes. The committee first advanced SB 1224, which requires DCFS to look into cases where a child under 17 is involved in a pregnancy, with added oversight for children under 12; it was reported favorably. The committee also favorably reported SB 1100, described as repealing an outdated statute. White Coat Day remarks welcomed physicians to the Capitol and thanked them for their service, including efforts to improve Medicaid reimbursement. Several health-related bills were then heard and advanced. HB 1220, a continuation of prior work to codify provisions related to the Louisiana State Board of Medical Examiners and physician licensure, was reported favorably. HB 1231 clarified that Medicaid coverage for continuous glucose monitoring applies to insulin-dependent patients, including those with gestational diabetes, and was also reported favorably. HB 198, which sets reimbursement rates for ambulatory surgery centers for certain Medicaid procedures such as colonoscopies, eye, ENT, and gastroenterology services, passed favorably. HB 1160, creating a streamlined restricted license pathway for qualified international medical graduates, prompted a lengthy exchange about delayed rulemaking and whether the board had added requirements beyond statute; despite concerns, it was reported favorably. The committee also advanced several resolutions and oversight measures. HCR 67, prompted by a personal family experience with a special-needs child’s acute care needs, creates a task force to study gaps in acute care for special-needs adults and children; it was amended and reported favorably. HCR 27, calling for a statewide evaluation of autism services by LDH and the Department of Education, was reported favorably. HB 223, which recreates DCFS, was amended to shorten the sunset date and require law enforcement reporting through a secure web platform, then reported favorably. HCR 28, creating a task force on school nurse orientation and training for new graduates, was reported favorably after testimony from school nurses about the lack of standardized orientation and the risks of placing inexperienced nurses alone in schools. The committee also took up HB 469, which would allow pharmacy license renewal applicants to designate a portion of fees to eligible schools including Xavier University’s College of Pharmacy; after opposition from Senator Cloud and a roll call, the bill was deferred. HB 1182, a cleanup bill changing the occupational therapy certifying entity and adjusting fees, and HB 1076, eliminating one of two sunset provisions for the Louisiana Behavior Analyst Board, were both reported favorably. HB 1216, a major rewrite of clinical laboratory personnel rules, was deferred after concerns that it would restrict existing phlebotomy and lab functions in ways that could conflict with recent law. Finally, HB 457 and HB 616, both by Representative Knox and focused on homelessness, drew extensive testimony: HB 457 established minimum standards for shelters and similar facilities and was reported favorably as amended, while HB 616 would allow audits of homelessness-related funding and databases; after debate over privacy, federal funding oversight, and accountability, the committee adopted an amendment changing enforcement language from "may" to "shall" and continued hearing testimony from opponents and supporters.

Transcript Highlights:

• third-party data vendors, uh, is of some interest, especially if it's paralleled with the PBMs in the pharmacy

Keywords: 1189, house, all

Transcript Highlights:

• Chair, no, I don't remember any engagement with the Board of Pharmacy.
• pharmacy as well. pharmacy as well.
• <01:14:57.040> I engagement with the board of pharmacy.
• I engagement with the board of pharmacy.
• uh board of pharmacy etc. uh board of pharmacy etc.

Keywords: 1187, senate, all

Transcript Highlights:

• <00:18:56.080> benefit<00:18:56.480> manager transparency in pharmacy benefit manager
• transparency in pharmacy benefit manager practices<00:18:58.000> in<00:18:58.240> the<
• So, this has been the year of pharmacy benefit managers and pharmacy management legislation.
• Uh, and long before anyone even knew what a pharmacy benefit manager was.
• <01:35:09.199> benefits Hampshire as a pharmacy benefits Hampshire as a pharmacy benefits

Keywords: 1191, senate, all

Transcript Highlights:

• Uh Senate Bill 3075, appropriation<01:10:09.320> Pharmacy<01:10:09.760> Board.
• Then the Board of Pharmacy is quite a bit over LBR.
• Then the Board<01:11:12.240> of<01:11:12.320> Pharmacy Board of Pharmacy Board of Pharmacy
• <01:11:37.080> has that the Board of Pharmacy has that the Board of Pharmacy has established
• I think that is something to do with auditing the pharmacy reporting system, the PMP.

Keywords: MS Senate Floor - 19 February, 2026; 10:00 AM, 925, all

Summary: The Senate convened with a quorum, received an invocation from Reverend Kenny McGill, and approved dispensing with the reading of the journal, committee reports, and bill titles. The chamber then spent a substantial amount of time introducing guests in the galleries, including local officials, electric cooperative and farm bureau representatives, a doctor of the day, and student groups, with repeated recognition of workers involved in storm recovery and other public service efforts. Senators also offered brief remarks of support for Senator Warren Barnett’s recovery. The main business was the appropriations calendar. Senator Hopkins gave an overview of the budget process and projected FY 2027 general fund figures, noting that the Senate was still early in the process, had only considered Senate-originated bills, and was awaiting House bills such as education and Medicaid. He highlighted major budget pressures and items including university professor pay raises, agricultural unit increases, education enhancement funds, CAPEX projects, TRICARE funding, and a veterans home appropriation. He also noted that some bills were final passage while others contained reverse repealers and would go to conference. The Senate then considered several appropriations bills. Senate Bill 3051, the Department of Finance and Administration budget and related agencies, was explained by Senator DeBar; it included reductions tied to vacancy projections, contractual and nonrecurring funding changes, and reappropriations for America 250, the Capital City Water Project, coronavirus fiscal recovery expenses, and Bureau of Buildings invoices. It was adopted and passed by morning roll call. Senate Bill 3052, the Governor’s Office and Mansion budget, was presented as final action without a reverse repealer, with funding reduced from last year due to the loss of federal GEAR and EANS funds; it also passed by morning roll call. Senate Bill 3053, IHL general support, included a $2,000 professor raise and a $20 million CAPEX item, with a total budget of about $1.673 billion; it passed. Senate Bill 3054, IHL subsidiary programs, was explained as having no dollars over LBR and a total of $87.8 million, with a reverse repealer; after a brief question about the university professor raises, it too was adopted and passed.

Transcript Highlights:

• There are save laws in the states that providers, pharmacies, etc., cannot be prosecuted for sending
• Why don't you take both to the pharmacy and see what happens?
• They get to the pharmacy, unfortunately, some sort of a PA or a unique criteria that requires failure
• Why don't you take both to the pharmacy see what happens?
• They get to the pharmacy, unfortunately, some sort of a PA or a unique criteria that requires failure

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• Second reading of bills: HB 2141, environmental printing; HB 2096, pharmacists, pharmacies; HB 2244,
• HB 2013, pharmacy benefits.
• HB 2013, pharmacy benefits; Workers Compensation, Health and Human Services and Appropriations.

Keywords: 1182, all

Summary: The House convened with prayer and the Pledge of Allegiance, approved the prior journal, and took attendance. Members then recognized several guest groups and individuals, including the West Valley Regional Chamber, Habitat for Humanity, Special Olympics Arizona, Vitalant for National Blood Donor Month, and veterans and military family representatives in advance of a Veterans Caucus meeting. A proclamation was read recognizing January as National Blood Donor Month in Arizona and honoring Vitalant’s role in supplying blood to Arizona patients. The chamber also heard a declaration naming January 22, 2026, West Valley Regional Chamber Day, and members made personal remarks, including a memorial tribute to Jennifer Marie Walker Skaggs and announcements about committee meetings and caucus events. The House recorded attendance, entered committee reports, and processed a large number of bills through first and second reading, covering elections, education, veterans, health, housing, taxation, artificial intelligence, public safety, and other topics. Several bills were also withdrawn and reassigned to different committees, including referrals to Artificial Intelligence and Innovation, Government, and Public Safety and Law Enforcement. No substantive floor debate or final votes on legislation occurred in the transcript beyond procedural motions. The House later recessed and reconvened, continued first-reading referrals for additional bills and resolutions, and then adjourned on a motion approved by voice vote until 1:15 p.m. Monday, January 26, 2026.

Transcript Highlights:

• Also, this is strange, Representative Bartleman: but only because my sister is a pharmacy technologist
• that I am cognizant of this, but how this impacts pharmacists and pharmacy is - the bill's sponsor spoke
• That is crazy to do and it puts an undue burden on pharmacies and pharmacy technicians.
• forward to protect the mental health services for individuals, and I don't know how you figure out the pharmacy

Transcript Highlights:

• Colleagues, today we are pleased to welcome members of the Maryland Pharmacy Coalition as they join us
• So, please join me in recognizing the members of the Maryland Pharmacy Coalition who are with us today
• <01:26:43.440> Coalition<01:26:43.920> as of the Maryland Pharmacy Coalition as of
• , and student pharmacy technicians, and student pharmacists<01:26:54.719> from<01:26:54.960>
• Coalition who are with us Pharmacy Coalition who are with us today. today. today.

Keywords: House streaming session for Thursday, February 19, 2026, 957, house, all

Summary: The House convened with 124 members present, offered prayer, approved the previous day’s journal by consent, and then moved through introductory matters and a ceremonial resolution recognizing Delta Sigma Theta Sorority, Incorporated for its 113 years of sisterhood, scholarship, service, and social action in Maryland. Members welcomed visiting sorors and applauded the recognition. The chamber later confirmed 131 members present and proceeded to third reading bills. Several bills were passed without opposition, including House Bill 7, authorizing limited music therapy licenses; House Bill 42, revising the State Board of Massage Therapy Examiners; House Bill 164, on yard waste collection and disposal; and House Bill 177, on bicycles, play vehicles, and unicycles at crosswalks. House Bill 55, which would expand speed camera authority to local jurisdictions statewide for certain roads and areas, drew the most debate. Supporters argued it would give counties and municipalities local control to address speeding and safety concerns, while opponents raised concerns about local autonomy, revenue use, and whether camera fines supplement or supplant public safety funding. The floor leader clarified that the bill would extend authority now limited to three counties, that existing notice and public hearing requirements would remain, and that revenues must still be used for administrative costs and public safety. During debate on House Bill 55, members asked about the speed threshold, fine structure, whether citations go to vehicle owners, and whether the bill would change how local governments use camera revenues. The floor leader said the bill itself does not alter the existing rule that revenues after administrative costs must go to public safety, and that local jurisdictions could still further restrict use of funds. After debate, House Bill 55 passed 98-35. House Bill 164 passed 96-38, while House Bill 7 passed 133-0 and House Bill 42 passed 132-0.

Transcript Highlights:

• . >> And in pharmacy, the commissioner mentioned earlier that pharmacy, particularly the specialty and
• Uh, the continuous need is growing for those services. >> And in pharmacy, the commissioner mentioned
• Uh, the continuous need is growing for those services. >> And in pharmacy, the commissioner mentioned
• > commissioner and in pharmacy the commissioner and in pharmacy the commissioner mentioned<00:
• mentioned earlier the pharmacy for mentioned earlier the pharmacy for particularly<00:54:45.119>

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:36 Department for Medicaid Services 00:01:44, 958, all

Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.

Transcript Highlights:

• It's an act to amend Title 22 relative to pharmacy benefit managers, to provide for definitions and to
• provide for pharmacy reimbursements.
• HB 1236 has to do with the dispensing fee for local pharmacies.
• It does make the dispensing fee retroactive, but it does so back to January 1 for local pharmacies.
• It does make the dispensing fee retroactive, but it does so back to January 1 for local pharmacies.

Bills: SR126, SR129, SCR71, SCR72, SCR73, SCR12, HB221, HCR54, HCR79, HCR87, HCR94, HCR95, HCR97, HCR102, HCR104, HCR58, SB480, SB514, HB12, HB66, HB145, HB167, HB175, HB196, HB213, HB218, HB222, HB256, HB291, HB325, HB326, HB352, HB401, HB430, HB433, HB434, HB448, HB456, HB476, HB481, HB487, HB492, HB549, HB579, HB608, HB621, HB624, HB626, HB632, HB637, HB656, HB722, HB745, HB749, HB804, HB818, HB821, HB833, HB864, HB867, HB874, HB893, HB909, HB951, HB968, HB969, HB978, HB979, HB985, HB988, HB989, HB1001, HB1005, HB1007, HB1024, HB1032, HB1038, HB1050, HB1051, HB1056, HB1059, HB1077, HB1080, HB1081, HB1086, HB1108, HB1112, HB1153, HB1172, HB1173, HB1175, HB1192, HB1193, HB1204, HB1218, HB1242, HB1244, HB1249, HB1252, HB1254, HB538, SCR3, SCR23, SCR38, SCR24, SB102, SB133, SB151, SB165, SB169, SB170, SB200, SB217, SB280, SB291, SB300, SB303, SB330, SB449, SB489, SB521, SB45, SB156, SB181, SB203, SB274, SB304, SB379, SB396, SB410, SB425, SB427, SB436, SB54, SB72, SB129, SB164, SB232, SB287, SB322, SB374, SB375, SB386, SB409, SB447, SB458, SB222, SB399, SR119, SCR58, SCR65, SCR9, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, HCR41, HCR47, HCR63, HCR69, HCR31, HB87, HB115, HB162, HB195, HB214, HB217, HB233, HB283, HB290, HB319, HB324, HB345, HB362, HB363, HB368, HB377, HB380, HB382, HB386, HB392, HB406, HB431, HB441, HB466, HB503, HB533, HB559, HB575, HB590, HB593, HB618, HB655, HB664, HB685, HB692, HB707, HB715, HB732, HB738, HB741, HB748, HB776, HB807, HB822, HB856, HB860, HB868, HB887, HB888, HB905, HB908, HB961, HB980, HB990, HB992, HB999, HB1000, HB1010, HB1146, HB1157, HB1233, HB1236, HB1243, HB54, HB137, HB180, HB192, HB310, HB321, HB396, HB512, HB552, HB578, HB638, HB663, HB708, HB717, HB718, HB1009, HB1082, HB1104, HB1107, HB1198, HB1246, HB27, HB143, HB205, HB259, HB267, HB288, HB308, HB403, HB405, HB414, HB417, HB478, HB546, HB548, HB555, HB557, HB609, HB670, HB672, HB740, HB779, HB786, HB796, HB812, HB848, HB915, HB917, HB921, HB930, HB933, HB1095, HB1096, HB1103, HB1129, HB1154, HB1166, HB1187, HB1195, HB1230, HB17, HB36, HB41, HB47, HB73, HB119, HB126, HB129, HB133, HB140, HB159, HB166, HB211, HB226, HB245, HB271, HB280, HB337, HB351, HB354, HB399, HB571, HB677, HB712, HB723, HB726, HB728, HB750, HB759, HB789, HB844, HB850, HB870, HB966, HB1006, HB1018, HB1036, HB1241, SB29, SB42, SB43, SB382, SB441, HB134, HB258, HB359, HB782

Keywords: SR126, Senate Resolution 126, World Preeclampsia Awareness Day, preeclampsia, maternal mortality, maternal health, pregnancy complications, hypertension, high blood pressure, pregnancy-related disorder, obstetrics, prenatal care, prenatal health, infant mortality, preterm birth, premature birth, Woman's Hospital, Louisiana Senate, women's health, public health awareness

Summary: The Senate convened with a quorum, heard a prayer from guest minister Troy Brigadio, and recited the pledge. The chamber then handled journal approval, committee and House messages, and a large number of resolutions and bills, with many items lying over or being referred to committees. Several Senate resolutions were adopted by voice or machine vote, including commendations for World Preeclampsia Awareness Day, Kathy Holloway, Jensen LeBlanc, and River Bend Station, and the Senate also recognized Senator Mike Reese’s new role as president of McNeese State University. The body spent much of the meeting concurring in or rejecting House amendments to Senate bills. Concurrences were approved on measures including SB 102, 133, 151, 165, 169, 170, 200, 280, 291, 303, 330, 396, 410, 425, 427, 436, 489, 521, 45, 156, 181, 203, 304, and 399. The Senate rejected House amendments on SB 217, SB 300, SB 274, and SB 379, sending those matters toward conference or further work. One notable floor debate occurred on SB 449, where Senator Moore objected to concurring in amendments affecting the North Orleans Belt Railroad; after discussion about corruption concerns and public bid laws, the chamber rejected the amendments 26-9. The Senate also took up numerous House bills on final passage, approving measures on local governance, public safety, education, tax policy, and infrastructure. These included HB 87 on Livingston Parish Gas Utility District per diem, HB 115 on abolishing the police chief office in Edgefield, HB 162 on a neighborhood improvement district fee, HB 195 allowing pepper spray on campus, HB 214 and HB 217 on optional ad valorem tax exemptions for rehabilitated blighted property, HB 233 on jury compensation, HB 354 renaming a bridge as the Caleb Easterling Memorial Bridge, HB 283 on protections for assaulted school employees, HB 290 recreating the Department of Treasury, and HB 319 adjusting civic education commission membership. Several of these passed unanimously or with only a few dissenting votes, and members frequently moved to reconsider and record objections after final passage.

Transcript Highlights:

• The Board of Pharmacy will establish rules to ensure communication with patients' primary care providers
• The Board of Pharmacy will establish rules to ensure communication with patients' primary care providers
• Amendment 2 requires pharmacists to report settled or adjudicated malpractice claims to the Board of Pharmacy
• I'm the executive director of the Delaware Pharmacy Society and I'm here today for our strong support
• At its core, this legislation is about maximizing the value of the pharmacy professionals to the citizens

Bills: SB274, SB301, SB249

Keywords: healthcare, life-sustaining treatment, patient preferences, POLST, advance directive, medical orders, hospital discharge, pregnancy, patient care, discharge planning, healthcare policy, substance use, harm reduction, syringe services, needle exchange, overdose prevention, naloxone, opioid antagonist, drug paraphernalia, syringe

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.