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:

• 29th of August, the New Mexico Department of Health issued a public health order in response to. pharmacies
• here in New In August, on August 29, the Department of Health worked with the New Mexico Board of Pharmacy
• Also, the Department of Health issued a standing order for pharmacies to administer the vaccine.

Transcript Highlights:

• I'm an independent pharmacist with Tarrytown Pharmacy here in Austin.
• I'm with the Texas Pharmacy Association, and on behalf of myself, I'm in support of the bill.
• My committee director says she loves your pharmacy. Yeah, you're perfect.

Bills: HB50

Keywords: constitutional amendment, ballot language, fiscal note, fiscal impact, cost estimate, savings estimate, Legislative Budget Board, LBB, secretary of state, Election Code, Government Code, voter information, ballot proposition, state budget, election administration, Texas, 1185, senate, all

Transcript Highlights:

• Also, the program with the Department of Health and Human Services simplifies eligibility for pharmacy
• participation, removes the cap on the number of participating pharmacies, allows over-the-counter prescription
• drugs to be collected, and streamlines the application process for pharmacies with multiple locations

Bills: HJR98, HJR99, HB29, HB136, HB142, HB166, HB353, HB1399, HB2000, SJR59, SCR19, SB128, SB261, SB317, SB383, SB393, SB397, SB466, SB517, SB571, SB612, SB705, SB715, SB731, SB748, SB801, SB867, SB913, SB945, SB946, SB986, SB1013, SB1071, SB1086, SB1087, SB1117, SB1181, SB1250, SB1263, SB1285, SB1444, SB1483, SB1528, SB1553, SB1556, SB1608, SB1723, SB1858, SB1946, SB1957, SB1986, SB1999, SB2043, SB2056, SB2082, SB2105, SB2133, SB2138, SB2177, SB2203, SB2221, SB2311, SB2334, SB2337, SB2340, SB2373, SB2417, SB2446, SB2452, SB2477, SB2532, SB2565, SB2587, SB2615, SB2622, SB2633, SB2637, SB2681, SB2713, SB2717, SB2781, SB2782, SB2835, SB2841, SB2857, SB2891, SB2943, SB2994, SB2995, SB3016, SB3047, SB3057, SB3059, SJR3, SB5, SB72, SB509, SB616, SB963, SB985, SB1143, SB1172, SB1267, SB1271, SB1273, SB1759, SB1786, SB2361, SB1025, SB1080, SB1245, SB1355, SB1422, SB1, SB260, SB1506, SB1637, HJR98, HJR99, HJR2, HJR1, HB1109, HB1392, HB22, HB3093, HB517, HB1130, HB142, HB1689, HB2018, HB136, HB2884, HB1393, HB2730, HB1399, HB1244, HB467, HB331, HB2559, HB29, HB26, HB166, HB353, HB2000, HB2756, HB3248, HB3513, HB3204, HB3135, HB3012, HB2763, HB2523, HB2457, HB2415, HB2198, HB2143, HB1708, HB1672, HB767, HB1327, HB2723, HB451, HB140, HB109, HB3096, HCR6, HCR12, HCR29, HCR50, HCR55, HCR56, HCR58, HCR70, HCR71, HCR74, HCR78, HCR80, HCR107, HCR116, HCR117, SJR36, SJR50, SJR63, SJR59, SCR12, SCR39, SCR48, SCR19, SB2023, SB1957, SB2615, SB2138, SB3016, SB1999, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1163, SB1122, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB209, SB2429, SB511, SB2309, SB510, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB517, SB1200, SB1845, SB2681, SB2458, SB801, SB3014, SB3013, SB758, SB1013, SB2797, SB2076, SB2876, SB715, SB1640, SB2538, SB1449, SB1181, SB1359, SB410, SB1234, SB2926, SB2972, SB2841, SB1856, SB1528, SB1373, SB672, SB2891, SB1854, SB317, SB2539, SB2532, SB1250, SB2082, SB2203, SB1285, SB1454, SB2520, SB1237, SB1586, SB2819, SB629, SB2342, SB2903, SB2477, SB3029, SB375, SB777, SB2367, SB2703, SB2608, SB2965, SB2521, SB2165, SB2501, SB2452, SB2835, SB1602, SB1704, SB1723, SB1858, SB1946, SB2009, SB2177, SB2460, SB2785, SB2373, SB867, SB1608, SB640, SB1698, SB383, SB705, SB748, SB1117, SB2340, SB2680, SB2994, SB2747, SB1950, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB3059, SB2782, SB2781, SB2637, SB2633, SB2337, SB2334, SB1861, SB2043, SB1367, SB946, SB945, SB2857, SB128, SB571, SB1263, SB3058, SB612, SB2221, SB2587, SB2044, SB2363, SB2713, SB2311, SB1986, SB2565, SB2943, SB1888, SB2417, SB3048, SB3052, SB3053, SB3036, SB3057, SB3056, SB3043, SB3037, SB3050, SB3063, SB3047, SB3035, SB2446, SB466, SB2611, SB2794, SB2105, SB2017, SB1790, SB1778, SB1730, SB2995, SB2847, SB205, SB2619, SB1903, SB203, SB3061, SB1581, SB2600, SB2799, SB2790, SB2688, SB2515, SB1230, SB876, SB2522, SB2639, SB2137, SB2519, SB2403, SB2459, SB3051, SB2655, SB2251, SB2764, SB2878, SB1884, SB111, SB582, SB2617, SB1835, SB2751, SB2959, HB206, HB1238, HB1089, HB2890, HB9, HB2081, HB4215, HB2970, SB2063, SB1400, SB2058, SB2260, SB2928, SB1310

Keywords: Article V, federal government, fiscal restraints, constitutional amendment, term limits, animal feed, tax exemption, ad valorem taxation, retail, water audit, water loss, water loss mitigation plan, municipally owned utility, municipal utility, water conservation, Texas Water Development Board, TCEQ, Texas Commission on Environmental Quality, water leakage, leak detection

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.

Transcript Highlights:

• , which is provided by Diamond Pharmacy.
• , which is provided by Diamond Pharmacy.
• And a separate contract to cover pharmacy. Yes, sir. Okay.
• the only services that would be provided from a medical perspective would be the dental and the pharmacy
• outside because those are more pharmacy outside because those are more specializations<00:51:22.240>

Keywords: 958, all

Summary: The committee heard from the Department of Corrections first about Wellpath’s medical services contract and the contractor’s Chapter 11 bankruptcy. DOC officials said Wellpath’s reorganization plan was confirmed in May 2025, the contract was automatically assumed, and services have continued without lapses. They said DOC has not seen any reduction in care, staffing problems, or known impact on Kentucky operations, and that DOC and health services staff meet with Wellpath almost weekly. Members asked whether “emergence” meant discharge from bankruptcy; staff clarified that Wellpath has not yet been discharged and is still in the process of paying debts. The discussion then shifted to the Department of Juvenile Justice’s proposed high-acuity juvenile mental health treatment facility. DJJ said the facility is still in the conceptual and preliminary programming stage, with no full design funding yet and no entry into the formal A/B process with DECA. The proposed facility would have 24 beds total, split into 16 clinical beds and 8 assessment/stabilization beds, and would need to separate males and females as well as high- and low-risk youth under Senate Bill 162. Officials said the concept was developed with DJJ and CHFS mental health staff and outside design experts, and that the project was submitted in the capital plan for consideration. Members questioned the need for the facility, the estimated construction and staffing costs, and whether the state has enough youth to justify it. DJJ said the number of youth needing this level of care changes frequently, that they currently have one youth in Pennsylvania and typically send one to five youth out of state each year, and that out-of-state placement is increasingly difficult. Officials argued that a dedicated facility would reduce delays, keep youth closer to home, and avoid the need to retrofit multiple detention centers. Some members expressed concern that the projected operating costs seemed high compared with the small number of current out-of-state placements, and asked for more information on annual out-of-state spending and the number of youth who would qualify for the facility.

Transcript Highlights:

• We're also pleased that we are the only state institution that has pharmacy and architecture.
• It is also important to note that programs like pharmacy, law, and medicine don't typically use those
• Like she said, I'm a recent doctor of pharmacy graduate.
• When I joined the group, it consisted of six School of Pharmacy faculty members who not only gave me
• Many of these efforts, along with our expansion of our pharmacy program, are being done in partnership

Keywords: 908, all

Transcript Highlights:

• The other thing that caused the increase in the rate for managed care is on the pharmacy side.
• The other thing that caused the increase in the rate for managed care is on the pharmacy side.
• The other thing that caused the increase in the rate for managed care is on the pharmacy side.
• The other thing that caused the increase in the rate for managed care is on the pharmacy side.
• There are some high-cost pharmacy side.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services heard a presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses. The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness. Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.

Transcript Highlights:

• The College of Pharmacy receives $1.4 million a year.
• example um the College of Pharmacy example um the College of Pharmacy receives<00:35:54.680>
• <00:36:13.000> residency<00:36:13.599> program<00:36:13.880> president pharmacy
• residency program president pharmacy residency program president Cunningham<00:36:15.560> I'm<
• For the record, my name is Amy Pittinger, and I'm the interim dean for the College of Pharmacy at the

Keywords: 1183, house

Transcript Highlights:

• So we have a pharmacy that takes care of our veteran patients in the health care center.
• Commissioner, I first thank you for being here, and I actually visited the pharmacy a few months ago,
• I actually visited the pharmacy a few months ago, a month and a half ago, and saw the great job that

Keywords: 962, all

Summary: The Finance Advisory Committee approved the minutes of its April 2 meeting and then took up three budget transfers. The first, FAC 2026-6 for the Office of the State Treasurer, moved $75,000 from personal services to other expenses to pay for consultant help applying for federal energy credits under the Inflation Reduction Act’s direct pay provisions. Treasurer’s office staff said the agency had one open position and several others pending posting, and members discussed how the transfer related to vacant positions and the committee’s budget display. The second item, FAC 2026-7 for the Office of the State Controller, transferred $700,000 from personal services to other expenses to cover higher Core-CT software maintenance and licensing costs. Comptroller staff said the office had 21 open positions, most in Core-CT, and explained that the system, implemented in 2003, receives regular quarterly and monthly updates from Oracle. Members also discussed how the system serves payroll, HR, purchasing, accounting, and related functions for many state agencies, including UConn and the Board of Regents. The final item, FAC 2026-8 for the Department of Veterans Affairs, transferred $700,000 from personal services, the veterans opportunity pilot, and headstones accounts to other expenses for year-end operational needs. Commissioner Ron Welch said most vacancies were in the skilled nursing facility, food service, and physical plant, with staffing challenges especially for nurses and aides. He also explained that the veterans opportunity pilot never fully launched, that the Institutional General Welfare Fund has been depleted and the agency now relies more on general fund support, and that the department faces rising food, utility, and pharmaceutical costs, including a federal VA reimbursement change that will leave the state responsible for medication costs by 2027. All three transfers were approved, and the meeting adjourned.

Transcript Highlights:

• I'm an independent pharmacist with Terrytown Pharmacy here in Austin.
• I'm with the Texas Pharmacy Association, and on behalf of myself, I'm in support of the bill.
• My committee director says she loves your pharmacy. Yeah.

Bills: HB50

Keywords: constitutional amendment, ballot language, fiscal note, fiscal impact, cost estimate, savings estimate, Legislative Budget Board, LBB, secretary of state, Election Code, Government Code, voter information, ballot proposition, state budget, election administration, Texas

Transcript Highlights:

• And then also the university, from the School of Pharmacy.
• <02:27:14.160> Um um from the School of Pharmacy. Um um from the School of Pharmacy.
• , >> Yeah, on on the School of Pharmacy, >> Yeah, on on the School of Pharmacy, I<02:
• whole pharmacy issue. whole pharmacy issue.
• them and the school of pharmacy. them and the school of pharmacy.

Keywords: 916, all

Transcript Highlights:

• pricing, restricting preferred pharmacy pricing, restricting preferred pharmacy networks,<01:57:
• Additionally, the pharmacy networks.
• pharmacies in there.
• this would essentially ban pharmacy this would essentially ban pharmacy networks<02:03:47.440>
• and PBMs design pharmacy networks and PBMs design pharmacy networks<02:03:49.760> along<02:03

Keywords: 1191, senate, all

Keywords: 912, senate, all

Transcript Highlights:

• PBMs and pharmacies operate on a contractual basis.
• And the amendments proposed are including the pharmacies only in a PBM network.
• It's the kind that the pharmacy today.
• First up, we have SB 2047 relating to pharmacy benefit managers.
• Also uh pharmacies from the measure.

Bills: HB1853, HB1591, HB1961, HB1854, HB1965, HB1962, HB1959, HB2505, HB2576, HB1801, HB1804, HB1864, HB2319, HB2314, HB2115

Keywords: HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health, dementia screening, care coordination, referral network, neighbor islands, rural health

Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.

Transcript Highlights:

• Yes, we have heard concerns that people are able to go to the pharmacy multiple times a day.
• There are concerns that people are able to go to the pharmacy multiple times a day using that benefit
• Mail order pharmacy is currently an option available in Medicaid, but individuals have the choice of
• using a mail order pharmacy or going to pick up a prescription, just like people with other insurance
• In the case of pharmacy, some of the cases that we get concern allegations of pharmacies upcoding, billing

Keywords: 1184, house, all

Transcript Highlights:

• that supports pharmacists as the primary professionals authorized to compound in-state licensed pharmacies
• that supports pharmacists as the primary professionals authorized to compound in-state licensed pharmacies
• that supports pharmacists as the primary professionals authorized to compound in-state licensed pharmacies
• 03.520> Thank<00:26:03.679> you<00:26:03.840> for<00:26:04.080> your pharmacy
• Thank you for your pharmacy function.

Keywords: 912, senate, all

Summary: The joint HHS and LBT meeting opened with accessibility concerns, as several blind attendees arrived after the general public had already been seated. The chair apologized and said future hearings would try to seat blind members earlier. The committee also announced the hearing was being streamed on YouTube, testimony would be limited to one minute, and written testimony was available online. The first bill heard was SB 2281, relating to the use of artificial intelligence in healthcare. The Department of Health supported transparency for patients but preferred disclosure through provider websites and office signage rather than a new regulatory program. The Hawaii Medical Association and Healthcare Association of Hawaii generally supported the bill’s intent but raised concerns about administrative burden and suggested a working group or model policies. Hawaii Pacific Health said it already uses AI for note-taking and patient portal functions and worried that written notice requirements could create too much consumer information. In response, the chair emphasized that patients should be informed when AI is used, especially if it affects diagnosis or consequential decisions, and said AI should not be making medical decisions. The committee later voted to recommend SB 2281 pass with amendments, including narrowing the definition of consequential decisions, removing certain language requested by DOH, adding a two-year implementation period, and setting a far-future defective date for further discussion; both committees adopted the recommendation, with the chair voting aye and the vice chair voting with reservations. The second major bill was SB 2852, a civil rights measure focused on digital access for people with disabilities. The Hawaii State Council on Developmental Disabilities, Hawaii Civil Rights Commission, Hawaii Disability Rights Center, and the National Federation of the Blind of Hawaii all supported the bill, arguing that existing law clearly protects physical access but should also make digital access explicit. Blind testifiers described how accessible technology, such as VoiceOver on iPhones, allows them to participate independently in public processes and warned that inaccessible digital systems can create barriers for thousands of blind residents. One testifier, an attorney with disability-law experience, supported the bill’s intent but said the draft had flaws, including no exceptions for archived materials, no distinction between small and large businesses, and concerns about the timing and choice of accessibility standards; he suggested delegating regulatory authority to the Hawaii Civil Rights Commission. The bill’s sponsor said he supported DAB’s proposed amendments, and the committee indicated those amendments would address many of the concerns raised. No final vote on SB 2852 was taken in the portion provided. The committee then took up SB 2751, which defines compounded prescription drugs for workers’ compensation purposes. The Department of Labor and Industrial Relations supported the bill but requested clarifying amendments to keep pharmacists as the primary professionals authorized to compound in licensed pharmacies and to limit any physician compounding authority to the physician’s own patient. Supporters included the Work Injury Medical Association of Hawaii, while Solera Integrated Medical Solutions opposed the measure, arguing the current definition was already broad enough and warning about cost inflation, especially with 503B bulk compounding facilities and physician dispensing. In questioning, members asked about rural access, reimbursement for 503B products, and late testimony suggesting definitions for 503A and 503B facilities, limits on physician dispensing to 30 days post-injury, and pre-approval for non-FDA-approved drugs. DLIR said not every rural community has licensed pharmacists available, that products with a national drug code are reimbursed at 140%, and that 503B facilities raise concerns because they are bulk manufacturers rather than patient-specific compounding operations. The meeting then moved into decision-making on SB 2281; the chair’s pass-with-amendments recommendation was adopted by both committees, with the vice chair voting with reservations.

Transcript Highlights:

• Pharmacy benefit managers conduct utilization review.
• And the medical doctor agrees, and the doctor of pharmacy agrees, but the insurance, who's controlling
• , and it is a level of safety that ensures that, one, from a practical standpoint, that it's the pharmacy
• You're going to ask me a pharmacy question. I would defer to Rep. Chesson on that as a pharmacist.
• With opioids, or when pharmacies finally realized it, when prescriptions exceeded seven days, like, it

Summary: The committee first voluntarily deferred House Bills 460 and 561, then took up House Bill 1101 on workers’ compensation. The sponsor said the bill would define maximum medical improvement, adjust fraud provisions, shorten temporary total disability and supplemental earnings benefit periods, and revise vocational rehabilitation rules; an amendment removed proposed age-based termination language for benefits. Business groups including LABI supported the bill as a way to reduce Louisiana’s comparatively high indemnity costs and align the state with regional norms, while injured-worker advocates and attorneys strongly opposed it, arguing it would cut benefits, shift medical and disability decisions away from treating physicians and judges, broaden fraud too far, and potentially push costs onto public programs. After debate, the committee voted to report HB 1101 with amendments. House Bill 282 was voluntarily deferred. House Bill 293, which would add sexual orientation and gender identity to Louisiana employment discrimination protections, drew generally supportive testimony from the sponsor and supporters, with some members raising questions about religious exemptions and federal law. The committee ultimately voted against reporting HB 293 favorably. House Bill 390, providing unpaid leave protections for domestic abuse survivors at larger employers, was presented as a tool for survivors, but the committee split 6-6 on a motion to report it favorably; the tie resulted in the bill being voluntarily deferred. The committee then heard House Bill 456, which would expand workers’ compensation petition requirements and allow employers or payers broader access to file disputed claims and seek discovery. Supporters argued employers currently lack a practical way to obtain records and challenge claims without first cutting off benefits, while opponents said the bill would revive a rejected 2012 approach, increase litigation, and undermine the no-fault workers’ compensation bargain. The discussion centered on whether the bill would preserve benefits while allowing discovery or instead encourage more disputes and penalties. The transcript ends with testimony still underway on HB 456, with no final vote shown.

Transcript Highlights:

• Senate Enrolled Act No. 65, being original Senate File 121, an act relating to the Wyoming Pharmacy Act
• , amending provisions relating to the practice of pharmacy, providing definitions, requiring rulemaking
• <00:37:54.720> act relating to the Wyoming pharmacy act relating to the Wyoming pharmacy act
• relating to the amending provisions relating to the practice<00:37:57.040> of<00:37:57.280> pharmacy
• <00:37:58.240> providing practice of pharmacy providing practice of pharmacy providing definitions

Keywords: 916, all