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.

Transcript Highlights:

• know the exact makeup of PBM-affiliated pharmacies versus all other pharmacies.
• Lundy was asked whether Caremark has affiliated pharmacies, including CVS pharmacies.
• Lundy, does Caremark have affiliated pharmacies, CVS pharmacies?
• that they couldn't pay their affiliated pharmacies more than unaffiliated pharmacies.
• That's why I went into pharmacy.

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:

• When we had some pharmacy students come through the other day, I don't know what pharmacy school is like
• When you go into a rural area pharmacy or an urban corridor pharmacy, what they'll do is get that nasal
• are closing, our smaller pharmacies are closing.
• are closing, our smaller pharmacies are closing.
• I met with rural pharmacies are closing, or smaller pharmacies are closing.

Keywords: 959, house, all

Transcript Highlights:

• know the exact makeup of PBM-affiliated pharmacies versus all other pharmacies.
• Lundy, does Caremark have affiliated pharmacies, CVS pharmacies?
• , giving its own pharmacies a better reimbursement rate than independent pharmacies.
• that they couldn't pay their affiliated pharmacies more than unaffiliated pharmacies.
• Whereas you go into a pharmacy, you would be seeing either a pharmacist or a pharmacy tech.

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:

• When we had some pharmacy students come through the other day, I don't know what pharmacy school is like
• You know, these are doctors of pharmacy you're going to visit when you go to your pharmacy.
• When you go into a rural area pharmacy or an urban corridor pharmacy, what they'll do is they'll get
• are closing, our smaller pharmacies are closing.
• You have experts, people who have been to pharmacy school.

Summary: The House Committee on Health and Mental Health heard testimony on several measures. HCR 42, sponsored by Representative Perkins, urged Congress to support programs aimed at reducing prescription drug costs for Medicaid and Medicare patients. The sponsor said it would help elderly and low-income residents, while Representative Dahl argued the referenced program could cost more than other pharmacy options and criticized the resolution. No one testified in support or opposition, and the hearing on HCR 42 was closed. The committee then heard SB 878, a pharmacist practice act bill sponsored by Senator Fitzwater. The bill would make permanent several pandemic-era pharmacy practices, including pharmacist administration of certain vaccines, medication therapy plan authority, dispensing of some medical devices and supplies, over-the-counter availability of ivermectin and hydroxychloroquine with warning labels and standardized procedures, and nonprofit pharmacy emergency waivers. Supporters said it would improve access, especially in rural areas, reduce delays in treatment, and help pharmacies remain open. Opponents raised concerns about vaccine authority shifting away from the governor, the safety of over-the-counter hydroxychloroquine and ivermectin, and whether pharmacists should be treated as equivalent to physicians. The Missouri Pharmacy Association, Walmart, and Walgreens testified in support, and the hearing was closed without a vote. The committee also heard two resolutions. HCR 538, by Representative Hruza, would designate May 2026 as ALS Awareness Month and encourage support for research and advocacy. Members generally supported the resolution, with comments about the severity of ALS and the importance of early communication supports; no opposition was presented. HCR 4661, also presented by Representative Hruza, would encourage awareness and screening for chronic kidney disease, especially among high-risk patients, and promote public-private education efforts around urine albumin-to-creatinine testing. Testimony emphasized the prevalence and cost of kidney disease and the value of early detection. The committee took no votes on these measures and adjourned after the hearings.

Transcript Highlights:

• Can I offer that several people are signed in to testify from pharmacies and pharmacy associations?
• Can I offer that several people are signed in to testify from pharmacies and pharmacy associations?
• So please maintain this preferential tax rate on pharmacy wholesalers so pharmacies won't close.
• As stated, the tax rate increase will be passed on to us pharmacies, our community pharmacies.
• , our community pharmacies.

Summary: The committee began with a work session on aircraft fuel taxes, hearing from WSDOT Aviation about the FAA’s aviation fuel tax rules, Washington’s compliance history, and the potential consequences of noncompliance. WSDOT said the state has collected roughly $210 million in aviation fuel taxes since the federal compliance period began, and that FAA has questioned some of the state’s claimed offsets. Members asked about the federal authority behind the rules, who pays the taxes, and whether Boeing is affected. The committee then moved to public hearing on several bills tied to aviation fuel tax revenue. SB 5989 would redirect a small share of state sales and use tax on aircraft fuel to the aeronautics account and require reporting on airport project funding. Supporters, including port, airport, and pilot groups, said it was a measured step toward FAA compliance and airport investment; the bill’s staff summary said it would reduce general fund revenue and increase DOR costs. SB 5898 would redirect hazardous substance, petroleum products, and oil spill-related taxes on aircraft fuel to the aeronautics account. Supporters said it would bring Washington into compliance and help airports, while Ecology, counties, and ports warned it would significantly reduce MTCA and related environmental funding. SB 6240 would create a new noise and air quality mitigation account funded by a portion of hazardous substance tax revenue; airport and aviation groups opposed it as duplicative or noncompliant with FAA rules, while community and environmental advocates from Sea-Tac area cities supported it as a needed mitigation source. The committee also heard SB 6244, which would extend a hazardous substance tax exemption for certain pesticides used in Washington agriculture through 2038. Agricultural and logistics witnesses supported it as important for food security, storage, and competitiveness, and staff said it would have a small revenue loss and administrative cost. SB 6231, a governor-request bill, would repeal the sales tax exemption for data center refurbishments while keeping the exemption for original server equipment; OFM and local government groups supported it as a revenue-raising budget measure, while data center, labor, and business representatives opposed it, warning of lost investment, jobs, and competitiveness. SB 6228 would repeal the preferential B&O rate for prescription drug resellers; OFM supported it as an outdated preference, but pharmacies, wholesalers, and business groups argued the cost would be passed through to pharmacies, hospitals, insurers, and patients and could worsen pharmacy closures. The committee then heard SB 6220, which would narrow and clarify a property tax exemption for nonprofit low-income homeownership property by allowing temporary community use and preserving the exemption when property is transferred to another exempt nonprofit. The sponsor said the bill was intended to let a community land trust host local performances without jeopardizing affordable housing plans. Finally, the committee heard SB 5880, which would allow blood and breath toxicology results to be admissible if tested by ISO/IEC 17025-certified labs, in addition to the state toxicologist process. Seattle’s city attorney supported it as a way to reduce a long toxicology backlog and speed DUI cases, while counties raised concerns about shifting costs to local governments and creating unequal access based on local resources. No votes were taken in the transcript provided.

Transcript Highlights:

• Pharmacies already order and receive medications daily.
• I am the chair of the New Mexico Pharmacy Business Council, representing all independent pharmacies across
• I can imagine if the pharmacies, 30% of pharmacies in New Mexico, stop stocking other necessary medications
• I can imagine if the pharmacies, 30% of pharmacies in New Mexico stop piling other necessity medications
• The access issue is happening at the pharmacy level.

Summary: The committee first took up House Bill 213, which would allow optometrists to perform three specific laser procedures. The sponsor presented a committee substitute adding 32 hours of approved advanced training, supervised live-patient practice, adverse-event reporting, and other accountability measures. Supporters argued the bill would improve access to care, while the New Mexico Medical Board opposed it, citing patient-safety concerns and the much greater training required of ophthalmologists. After debate, the committee adopted the substitute and passed the bill 6-3. The committee then considered House Bill 65, renamed the Foster Care Plus pilot program. The substitute changed the bill to require clinical assessment instead of CAN assessment, added reporting to the Legislature and LFC, and clarified contracting with clinical experts. CYFD officials said the $2.5 million request, combined with existing growth funding, would support more children, staff, foster-parent stipends, and related services, and that the program is already being implemented with help from Oklahoma-based experts. Some members remained concerned about cost, staffing, and whether the program could be sustained, but the committee adopted the substitute and passed the bill 8-1. House Bill 127, on expedited medical licensure, was amended to create a provisional pathway for internationally trained physicians, require a job offer and benchmarks before full licensure, and establish a telemedicine registry. The Medical Board supported the amended bill, while public commenters emphasized physician shortages and access to care. The committee adopted the amendment and passed the bill. House Bill 128, which updates firefighter occupational disease and disablement presumptions to add cancers and other changes, drew strong support from firefighters, labor, and workers’ compensation officials; the committee adopted the amendment and passed the bill. House Bill 156, which removes the sunset on the state’s authority to set vaccine guidelines and continue its vaccine program, also passed after supporters argued it preserves access and opponents raised broader vaccine-policy concerns. The committee then began hearing House Bill 137, a buprenorphine access bill, with the sponsor and advocates describing pharmacy supply barriers and a committee substitute aimed at setting minimum stock standards, requiring distributor reporting, and avoiding fines on pharmacies.

Transcript Highlights:

• </c> targeted to pharmacies in Minnesota. targeted to pharmacies in Minnesota.
• </c> to do so and minimize pharmacy deserts. to do so and minimize pharmacy deserts.
• </c> access starts with an open pharmacy. access starts with an open pharmacy.
• </c> their only pharmacy in 2018. their only pharmacy in 2018.
• One is the pharmacy carve-out.

Keywords: 1183, house

Transcript Highlights:

• for pharmacy reimbursement, to provide for pharmacy benefit manager income restrictions and rebate pass-through
• This makes Pharmacy A, Pharmacy Z; they will be reimbursed at the same amount.
• That way you don't have to skip around, go to one pharmacy or the other pharmacy to get specialty drugs
• Secondly, they create pharmacy networks.
• , this big national brand pharmacy.

Summary: The House Insurance Committee met on April 1 with a quorum present and first took up House Bill 938 by Rep. Turner, which would overhaul pharmacy benefit manager (PBM) regulation by setting a flat administration fee, requiring dispensing fees and NADAC-based reimbursement, mandating rebate pass-through, giving the Department of Insurance access to PBM data, and creating a reverse-auction process for PBM procurement. Turner said the bill is intended to level the playing field for independent pharmacies, improve transparency, and reduce hidden PBM practices. The committee adopted amendment set 1444 without objection, and Turner said additional conceptual amendments were still being worked on. Supporters included independent pharmacies and the PBM Accountability Project; opponents included union plan representatives, benefits consultants, and PBM/insurance industry witnesses who warned of higher costs, ERISA preemption problems, and likely litigation. After extended questioning on cost, preemption, and vertical integration, the committee reported HB 938 with amendments. The committee then considered House Bill 870, also by Rep. Turner, dealing with formulary placement and cost-sharing for generic drugs and biosimilars and limiting certain utilization management practices. Amendment set 1540 was adopted, revising and tightening technical definitions. Turner and a representative of the Association for Accessible Medicines argued the bill would help lower-cost generics and biosimilars gain market share and reduce patient costs, citing examples such as insulin and Humira biosimilars. Opponents from Louisiana Blue said the bill would force coverage based on wholesale acquisition cost rather than net cost, would raise premiums for fully insured members, and would mandate coverage of drugs that are not always the lowest net-cost option. Rep. Jordan again raised ERISA and preemption concerns, and committee members discussed whether the bill would interfere with tiering and plan design. After closing comments and a motion by Rep. Glorioso, HB 870 was reported with amendments, and the committee adjourned.

Transcript Highlights:

• for pharmacy reimbursement, to provide for pharmacy benefit manager income restrictions and rebate pass-through
• This makes Pharmacy A, Pharmacy Z; they will be reimbursed at the same amount.
• That way you don't have to skip around, go to one pharmacy or the other pharmacy to get specialty drugs
• Secondly, they create pharmacy networks.
• , this big national brand pharmacy.

Keywords: 965, house, all

Transcript Highlights:

• The other pharmacy in town was also unable to fill the prescription.
• There are, though, no fines authorized against pharmacies.
• For those pharmacies, the board is directed to work collaboratively with any noncompliant pharmacy through
• I am the chair of the New Mexico Pharmacy Business Council, representing all independent pharmacies across
• I can imagine if the pharmacies, 30 of pharmacies in New Mexico, stop piling other necessity medications

Keywords: 996, all

Transcript Highlights:

• </c> with what far pH ists and pharmacy with what far pH ists and pharmacy technicians<00:10:00.600><
• > I</c> something like a center for pharmacy I something like a center for pharmacy I do<00:10:11.200
• </c> having a center helping with pharmacy having a center helping with pharmacy school<00:12:50.079>
• </c> find more mokan going into the pharmacy find more mokan going into the pharmacy profession<00:12
• </c><00:18:04.440><c> whereas</c> Pharmacy the center for pharmacy whereas Pharmacy the center for pharmacy

Keywords: 910, house, all

Summary: The House Committee on Higher Education met on January 31 and heard six bills. The chair opened by outlining committee practices, including giving at least 72 hours’ notice for hearings, releasing testimony by 5:00 p.m. the day before hearings, and deferring bills needing substantive HT1 changes so members would not vote “blind.” Members briefly thanked the chair for the transparency approach before moving to the agenda. HB 223 would create a Daniel K. Inouye College of Pharmacy special fund and workforce assessment fee to support a pharmacy center. Testimony from the Board of Pharmacy, the Hawaii Pharmacists Association, the University of Hawaiʻi Hilo College of Pharmacy, Mokai Drugs, and others generally supported the measure, emphasizing workforce data, rural access, student loan repayment, and retention. The committee later advanced HB 223 with amendments, including leaving fee amounts blank for further discussion and inserting a defective date, and the motion passed unanimously. HB 940 would appropriate funds for the rat lungworm lab at UH Hilo; HB 546 would establish the Aloha Intelligence Institute at UH to advance AI; HB 549 would create an early learning apprenticeship grant program; HB 1172 would add the Department of Taxation to the Statewide Longitudinal Data System for wage-data sharing; and HB 1320 would require UH to collect and publicly report graduate outcome data and create a dashboard. Testimony on these bills was largely supportive, with some privacy concerns raised on HB 1172 and a request to protect taxpayer confidentiality. In decision-making, the committee passed all five bills with amendments, generally deleting or blanking appropriations and FTEs for Finance Committee review, adding defective dates for further discussion, and in HB 549 adding a statement that the program is a matter of statewide concern. The committee recessed briefly for decision-making and then adopted the chair’s recommendations on each bill.

Transcript Highlights:

• There weren't any pharmacies closing. Pharmacies were opening.
• own mail-order pharmacy.
• own mail-order pharmacy.
• pharmacy, which is one of the largest mail-order pharmacies in the country.
• When I sold my pharmacies, and I did not want to sell my pharmacies, let's be clear.

Summary: The Public Health Committee heard several bills, beginning with HB 4336, which updates definitions of acute and chronic pain to align with the Uniform Controlled Dangerous Substances Act and adds certain violations as unprofessional conduct. The committee adopted a PCS as the working draft, took no questions, and passed the bill 7-0. HB 3194, which would prevent pregnancy centers from being singled out for discrimination or censorship based on pro-life principles, drew questions about oversight, medical staffing, ultrasound interpretation, and contraceptive counseling; after discussion, it passed 6-1. The committee then passed HB 3934, described as a measure to help rural Oklahoma children get dental care through dental hygienists, with a question confirming parents could opt in or out. HB 3762, dealing with chiropractic practice and defining “serum” to cover vitamins, minerals, and nutrients while excluding blood products, was amended in committee but did not receive a motion and remained in committee. HB 1818, clarifying licensed social workers as licensed bachelor social workers and aligning Oklahoma with neighboring states, passed 6-0. Later, HB 3538 on pharmacy benefit manager vertical integration and community pharmacy reimbursement passed 7-0 after extensive discussion about independent pharmacy closures, mail-order pharmacy issues, specialty drugs, and network access. HB 3682, the Oklahoma Clean Indoor Air Act, would prohibit smoking in most public gathering places while allowing certain exceptions and local governments to adopt stricter rules; it passed 7-0. The committee also heard HB 3793, a placeholder bill on nursing education and diploma programs intended to address workforce shortages, but no motion was made and it remained in committee. The meeting ended with a short recess for the swearing-in of a new representative-elect.

Transcript Highlights:

• , WHETHER IT'S A SMALL PHARMACY OR BIG PHARMACY THAN WHAT THEY ARE ALLOWED TO SELL IT FOR, IS THE GAME
• PHARMACIES THAT EXIST IN NEIGHBORHOODS ALL AROUND OUR STATE.
• PRESCRIPTION ORDER BASED ON THE PHARMACIES ACQUISITION COST.
• THEIR OWN PHARMACIES, AGAIN AN INDICTMENT OF THE STATUS QUO, REIMBURSES THEIR OWN PHARMACIES, AGAIN
• LAST YEAR 1600 PHARMACIES WENT OUT OF BUSINESS, NOT ALL OF THEM WERE INDEPENDENT BUT IN DECEMBER 2 PHARMACIES

Transcript Highlights:

• </c><00:27:54.320><c> I'm</c> Doctor of Pharmacy program. I'm Doctor of Pharmacy program.
• </c> entry level for practice as a pharmacy entry level for practice as a pharmacy or<00:28:10.880><c
• However, you have one pharmacy that has served the island for 90 years on Mokai and another pharmacy
• Pharmacy Solutions LLC, also known as Maui Elola Pharmacy.
• ,</c><00:41:37.920><c> Maui</c> with the Maui based pharmacy, Maui with the Maui based pharmacy, Maui

Keywords: 910, house, all

Summary: The joint hearing opened with SB 1442, which would update the statute governing the Child and Adolescent Mental Health Division and clarify its role as the state Medicaid provider of intensive mental health services for children and adolescents with serious emotional disturbance. The Department of Health testified in strong support, saying the current statute is outdated and warning against any unfunded mandate because the division relies on federal funding and faces uncertainty about future resources. Written testimony from several organizations also supported the bill. The committees took no immediate action and said they would hold decision-making until later. The hearing then moved to SB 479 on ABLE savings accounts. The Hawaii State Council on Developmental Disabilities and the Hawaii Disability Rights Center supported the measure, arguing that ABLE accounts help people with disabilities save money without losing benefits and that the state needs more outreach and staffing to expand participation. A testifier with a disability said the bill would help people keep Social Security and housing stability. The chair indicated an intention to move the bill forward, and asked about funding; the discussion settled on a requested appropriation of about $75,000 for incentives. Next, SB 1245 on reimbursement of pharmacists drew broad support from the Hawaii Pharmacists Association, rural pharmacies, the Hawaii Primary Care Association, and others, who said the bill would improve access to care, especially on neighbor islands and in rural communities, and help pharmacies participate in 340B-related services. The Insurance Division and HMSA raised concerns about bill language, saying it could be read to cover pharmacists outside an insurer’s network and that the scope of reimbursable services needed clarification; the pharmacists’ association said the bill is intended to apply only to in-network pharmacists and should continue to reference existing scope-of-practice law. The hearing also took up SB 1279, which would allow pharmacists to authorize medications via telehealth under certain circumstances. The State Board of Pharmacy opposed the bill, citing patient safety, a pilot project with reported errors, concerns about controlled substances and unregulated technicians, and the view that in-person pharmacist services are safer and already available on the affected islands. Several pharmacies and health care groups supported the measure as a way to preserve 340B access and improve service on Lānaʻi and Molokaʻi, while some local pharmacies said they already provide in-person service and opposed remote dispensing. No votes were taken in the portion of the hearing provided.

Transcript Highlights:

• When we look at pharmacy lines of business in general, what does mail-order pharmacy mean for pharmacy
• When we look at pharmacy lines of business in general, what does mail order pharmacy mean for pharmacy
• So there's so many intangibles from the pharmacy perspective.
• This is regarding mail-order pharmacy. Appreciate the discussion, members.
• House draft two Senate draft one relating to pharmacy.

Keywords: 912, senate, all

Summary: The Senate Commerce and Consumer Protection Committee heard House Bill 1481, which would require cemeteries, crematories, funeral establishments, HSI facilities, and mortuaries to dispose of human remains within 60 days after a burial transit permit or related affidavit is issued. The Hawaii Funeral and Cemetery Association and several funeral-related entities supported the bill, and the association said it had already implemented consistent cremation authorization language regarding notice and consent for recycling metal implants, effective January 1. The committee later recommended HB 1481 be passed with a defective effective date of July 1, 2050; the vice chair voted with reservations, saying the prior version with Department of Health rulemaking was stronger consumer protection. The committee also considered several resolutions. SCR 96 and SR 91, on a status update for implementation of the Hawaii Electric Reliability Administrator, were recommended for passage with amendments adopting the PUC’s requested changes. SCR 172 and SR 163, seeking a comprehensive analysis of ways to reduce costs and financial risks while meeting state goals, drew support from the PUC and Energy Office with comments, and the committee recommended passage with amendments removing a disputed whereas clause. SCR 109 and SR 102, on studying expanded mail-order pharmacy use, drew mixed testimony: the Insurance Division and HMSA supported a study, while the Hawaii Pharmacist Association and others raised concerns about patient outcomes, rural access, and community pharmacy sustainability; the committee amended the resolutions to require broader agency cooperation and evaluation of community pharmacy impacts, then recommended passage. In additional decision-making, the committee deferred SCR 193 and SR 1802 on trust transparency due to no testimony. It recommended passage with amendments on several bills, including HB 1782 after clarifying terminology with the Attorney General’s Office, HB 1514 on workers’ compensation, HB 1619 on electric vehicle infrastructure, HB 1643 on pharmacy, HB 1721 on housing, HB 1864 on insurance, HB 1946 on timeshare registration, and HB 2475 on labeling requirements. HB 350 on energy was deferred for more work. The committee also reconsidered HB 2101 on commercial aquarium collection and recommended passage as amended after hearing from supporters and noting concerns about enforcement and statewide consistency.