Transcript Highlights:

• Rapid investments in technology and artificial intelligence have made it easier to create deceptive practices
• House Bill 7083 creates a new chapter in the Civil Practice and Remedies Code, allowing individuals to
• She was told she would have to go to a pharmacy or she would have to wait for a prescription, but by
• One, I mean, I can't speak to pharmacy or hospital pharmacy.
• This bill helps keep that practice going by providing a tax credit of 8 cents per pound.

Bills: HB220, HB783, HB2240, HB3336, HB4202, HB4449, HB4904, HB3441, HB4284

Keywords: sexual assault, healthcare facilities, forensic examination, survivor support, emergency contraceptive, online impersonation, civil liability, social media, identity theft, defamation, counseling damages, injunctive relief, public health, safety regulations, community health, state standards, healthcare access, HB 3336, alcoholic beverage tax credit, spent grain

Transcript Highlights:

• The government departments that oversee this practice.
• or require supervision at the direction of a licensed physician, PA, or advanced practice nurse.
• At the direction of a licensed physician, PA, or advanced practice nurse.
• As far as the pharmacies and pharmaceuticals, I was approached by representatives of the pharmacy industry
• in Energy and Natural Resources, because the question came up then, what about pharmacies?

Keywords: 908, all

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a quorum call showing 46 members present. It then took up multiple House messages and amendments, appointing conference committees on several measures, including SB 2007, SCR 4007, SB 2374, SB 233, and House bills 1029, 1218, and 1022. The chamber also considered a series of House bills on the sixth and 14th orders, often adopting committee amendments before final passage or, in some cases, rejecting the bill outright. Among the major policy items, the Senate passed HB 1524 on regional planning council grants, HB 1143 increasing a food bank appropriation to $10 million, HB 1126 modernizing cosmetology licensing and inspections, HB 1542 making student applications for admission exempt records, HB 1613 regulating law enforcement use of robots, HB 1582 directing a study on false reports and accusations, HB 1214 revising school transportation funding, HB 1448 creating a study on advanced technologies, HB 1280 on drainage project voting rules, HB 1499 protecting records related to federal judges, and several Senate bills returned from the House, including SB 2221, SB 2117, SB 2198, SB 2120, and SB 2214. The Senate also adopted amendments to HB 1541 on septic systems before rejecting it on final passage. Several high-profile bills failed after debate. HB 1566, dealing with kratom regulation, saw an amendment to convert it to a study fail on a 21-25 vote, after which the chamber laid the bill over for one legislative day rather than take final action. HB 1283, which would have eliminated cost-sharing for diagnostic and supplemental breast exams in the state employee plan, was defeated 22-24 after extensive debate over cost, precedent, and insurance impacts. HB 1527, requiring Holocaust education in statute, also failed 22-24, with supporters emphasizing the importance of the subject and opponents arguing curriculum belongs in standards rather than statute. The Senate adjourned after announcements, scheduling its next meeting for Monday, April 14, 2025.

Transcript Highlights:

• The State Board of Pharmacy provides that as long as they act in a reasonable and prudent manner.
• And now you want it to be an over-the-counter drug where someone could just go into a pharmacy and get
• Okay, so you want consumers in your community to be able to go to a pharmacy and take a very dangerous
• It's referred to as off-label, which is a common practice.
• Whether it's in a shop or in a pharmacy, people need care, and we aren't meeting it.

Bills: SB 3, SB 16, SB 2, SB 5, SB 10, HB17, SB 54, SB 9, SB 7, SB 17, SB 4, HB8, HB25, HB26, HB192, HB8, HB25, HB26, HB48, HB149, HB192, HB254, HB17, SB54, SB9, SB7, SB17, SB4, SB3, SB16, SB2, SB5, SB10

Keywords: flash flood, flood warning, outdoor warning siren, emergency alert, disaster preparedness, flood mitigation, Hill Country floods, Texas Water Development Board, municipalities, counties, local government mandate, public safety, grant program, backup power, weather siren, emergency management, flood-prone area, warning system, real property theft, real property fraud

Transcript Highlights:

• Imagine a practice.
• Practice.
• That are medical practices.
• Okay, but that's what I want to say to you is, the Medical Practice Act says a medical practice has to
• They're advanced practice providers.

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

Transcript Highlights:

• Your legislation would allow it for independent practice where there's not that intent.
• I think that the issue that you have when you have the foreign practice knowledge base, right, coming
• But in my practice, I would offer you that. That's a significant piece.
• You are actually in the practice of this, of medicine.
• I mean, they're increasing... ...of the state body that represents the practice of care centers.

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:

• Let's go to Tab. 12 SB 294 on collaborative pharmacy practice or chronic health care conditions or health
• And in that expansion, we allowed for collaborative practice.
• And there has been before the Board of Pharmacy.
• collaborative practice rule.
• The doctor, the Senator Harrell has with the clever practice statute.

Keywords: 999, senate, all

Transcript Highlights:

• Our College of Pharmacy is also seeing some growth.
• programs, the number of individuals entering into pharmacy programs has gone down.
• That earth science originated from the University of New Mexico College of Pharmacy, and we continue
• Things such as the infrastructure and creating the practice environment do allow us to recruit.
• And so hopefully they take that on into their practice. Thank you.

Keywords: 996, all

Transcript Highlights:

• Under current practice, these clinics face major, major barriers in getting reimbursed for providing
• I've personally reached out to every pharmacy benefit manager over the years regarding concerning practices
• Specialty pharmacy programs are developed and designed to avoid any delays in care.
• I've been in my practice 20 years, and it's been that standard across all rheumatology practices across
• And I agree with you: a physician has expanded access and scope of practice.

Summary: The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost. The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns. Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.

Transcript Highlights:

• When it comes to your average grocery store, the average pharmacy, your community pharmacy, who have
• When it comes to your average grocery store, the average pharmacy, your community pharmacy, who have
• When it comes to your average grocery store, the average pharmacy, your community pharmacy, who have
• When it comes to your average grocery store, the average pharmacy, your community pharmacy, who have
• He was a lawyer's lawyer when he practiced.

Keywords: 993, senate, all

Summary: The Senate met on June 3, 2026, approved the prior day’s journal, and then moved through a long list of discharge motions and substitutions to place many bills on the third reading calendar. The chamber also adopted Resolution J.2314 honoring the New York chapter of the National Domestic Workers Alliance, with remarks emphasizing domestic workers’ role in care work, labor organizing, and protections such as paid sick leave and family leave. Another adopted resolution, J.2298, mourned labor and social justice advocate Minerva Solla, with senators highlighting her work with 1199, the Young Lords, Puerto Rican solidarity efforts, and women’s organizing. A third resolution recognized Olympic curler Daniel Casper for representing the United States at the 2026 Winter Games. The Senate then confirmed a large slate of judicial and executive nominations. It accepted the Judiciary Committee report and confirmed four interim Supreme Court justices, seven Court of Claims judges, and 21 reappointments/extensions by a vote of 44-12. The Finance Committee report was also accepted, and the Senate confirmed a broad set of appointments to state boards and authorities, including the MTA, State Commission of Correction, Power Authority, NYSERDA, Financial Control Board, public health councils, SUNY and Cornell boards, gaming and bridge authorities, and others. One notable confirmation was Alexander Dockery to the State Commission of Correction; supporters called it the first time a formerly incarcerated person had been confirmed to that commission, while Senator Murray criticized the practice of voting on large nomination blocks rather than individually. The chamber then took up and passed many bills, mostly by wide margins, covering labor, health, education, transportation, public service, criminal justice, municipal, tax, insurance, and environmental topics. Several members explained their votes on major measures: Senator Ramos supported a bill modernizing temporary disability benefits and another protecting construction workers from lost pay when jobs are canceled; Senator Baskin spoke about a correction bill tied to the death of India Cummings; Senator Skoufis described a family-court custody bill intended to prioritize child safety; Senator Mayer backed a proposal to reimburse parents of medically fragile children for providing care; and Senator Hinchey defended a bill requiring employers to report AI-related job impacts, while Senator Borrello opposed it as burdensome. Most bills were passed, some were laid aside, and the session concluded with multiple roll-call votes and confirmations before adjournment-related business.

Transcript Highlights:

• For these individuals, home delivery eliminates the need for long-distance travel to pharmacies, saving
• deserts who must travel long distances to meet their pharmacy needs.
• Nurse midwives are highly trained, advanced practice clinicians who provide comprehensive perinatal and
• Many practice in hospitals as part of a collaborative care team.
• Their scope of practice is already clearly defined in law, and this wouldn't impact that.

Keywords: 988, house, all

Summary: The Assembly Appropriations Committee heard a large regular-order agenda and took up several bills with mostly brief presentations and no major debate. AB 2215 by Calderon would extend the time for the Department of Water Resources to fully develop State Water Project water rights to 2046; supporters said it would protect water reliability and affordability for 27 million Californians, while opponents argued it would bypass the Water Board process, set a precedent for other water-rights holders, and potentially enable costly projects like Delta Conveyance. The committee also approved a set of unanimous-support bills for consent and suspense-file measures, then moved through a series of policy bills with generally favorable testimony from sponsors and allied organizations. Among the bills discussed, AB 2038 would extend insurance protections for wildfire victims facing nonrenewal or cancellation of home insurance; AB 2322 would standardize the definition of commercial, industrial, or institutional sites for municipal stormwater permitting; AB 1794 would allow enteral nutrition formulas to be shipped directly to patients’ homes; AB 1696 would clarify that nurse midwives do not need physician supervision within their licensed scope; AB 1860 would let county offices of education use design-build and progressive design-build; AB 1876 would codify nondiscrimination protections in health care coverage; AB 2281 would direct the Office of Election Cybersecurity to consult with researchers and assess resources; AB 2448 would require technology to protect sensitive medical records, including reproductive health data; AB 1994 would require local law enforcement to provide victims information on federal immigration relief options; and AB 1829 would expand allowable uses of CalWORKs student-parent support funds for basic needs and related services. Testimony was largely in support, with a few targeted concerns raised on AB 1696 and AB 2281. The committee took roll-call votes on the bills presented and advanced them, with some members recorded as not voting or voting no on selected measures. It also approved the suspense calendar as read and then opened public comment on bills not presented that day; no members of the public came forward, and the meeting adjourned.

Transcript Highlights:

• The language in this bill seems practical, but it's definitely problematic.
• And now our poll workers on election day at the site—it’s not practical. It’s not practical.
• Because we must be honest about what that means in practice. This scar...
• Because we must be honest about what that means in practice.
• Adequate supervision of pharmacy technicians is essential.

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a series of recognitions for interns, staff, and guests. Members also honored retiring Senate staffer Susan Miller and recognized a veteran injured in combat. After routine announcements, the chamber moved to returning messages from the House and began taking up bills and amendments. The Senate concurred in House amendments and passed SB 118 on RV park assessments and SB 572 on ethics for public officers and employees, both by 38-0 votes. It then took up the elections bill, CS/CS/HB 991, which drew extensive debate. Supporters said it would strengthen election integrity by tightening citizenship verification and ID rules; opponents argued it would burden eligible voters, especially students, seniors, disabled voters, and others without the newly required documents. The bill passed 27-12. The chamber also passed the education package SB 182 after adopting a Senate amendment to the House amendment, and approved SB 474 on military affairs, SB 425 on historic cemeteries, HB 929 on local regulation of chickees, and HB 35/SB 1370 on habitual traffic offender designation, all with unanimous or near-unanimous votes. The Senate then considered SB 902/ HB 733, the Department of Health package. Members adopted an amendment and amendment-to-amendment that preserved most Senate provisions while modifying or removing several House additions, including some early steps and medical marijuana-related changes, and the bill passed 37-0. The chamber also began work on HB 905, the foreign influence bill, with a strike-all amendment offered to expand restrictions on foreign influence, sister-city agreements, linkage institutes, and related activities, but the debate on that measure was still underway when the transcript ended. Several other returning messages and bills were temporarily postponed, and the Senate recessed briefly before resuming business.

Transcript Highlights:

• This bill was carefully crafted with the Board of Pharmacy, with the Alaska Pharmacy Association, with
• This bill allows a parent to take their child to a pharmacy.
• Those pharmacies are open every day of every weekend. They're open later into the evening.
• If they can't take their kid to a pharmacy, they're just not going to get treated.
• that wouldn't allow pharmacists to prescribe any abortion medication through collaborative practice

Keywords: 905, all

Summary: The Alaska Legislature met in joint session to consider gubernatorial vetoes of five bills. Members first took up House Bill 52 on minors and psychiatric hospitals, with supporters arguing it would improve transparency, family communication, oversight, and reporting around seclusion and restraint in psychiatric facilities. Opponents of the veto cited DOJ findings and media reports about abuses at a North Star facility. The override failed, 36-24, falling short of the 40 votes needed. The joint session then considered Senate Bill 41 on mental health education. Supporters said it would help develop age-appropriate mental health curriculum and could aid suicide prevention, while critics argued it was mischaracterized and did not impose a state takeover of local schools. The veto override failed, 38-22. Members next considered House Bill 314 on architects, engineers, surveyors, and interior designers, focusing on the AELS Board’s continuation and the need for professional oversight during major infrastructure work. That override passed, 45-15. The legislature then voted on Senate Bill 21, the Alaska Work and Save Program, which supporters said would expand retirement savings access for workers and small businesses, including an option to direct PFD funds into retirement accounts. The override failed, 39-21. Finally, House Bill 195 on pharmacists and physician assistants was debated as a health care access measure that would let pharmacists provide more services under a standard-of-care model; supporters said it would reduce costs and improve access, while some members raised concerns about scope and abortion-related issues. The veto override passed, 43-17. The joint session then adjourned.

Transcript Highlights:

• He completed medical school at the University of New Mexico and residency at the ... family practice
• He attained his Master of Public Health, emphasis in practice management, at the Uniformed Services University
• First reading of bills: HB 2141 in Environmental, Natural Resources, Energy, and Water; HB 2196 in Pharmacies
• board assistant board, 2733 pharmacy board renewals, 2734 employment required, 2734 employee list welfare
• . 2734 pharmacy board renewals, 2734 employment required, 2734 employee list welfare, 2737 regulation

Keywords: 1182, all

Summary: The House convened with prayer and the Pledge of Allegiance, approved the prior day’s journal, and recognized the Doctor of the Day, Dr. John Lynch of Legislative District 12. Members also introduced a number of guests and visiting groups, including Arizona electric co-op representatives, March of Dimes advocates, CRNAs, AEA retirees, a University of Arizona legislative fellow, and other constituents and visitors in the gallery. The chamber then handled routine floor business: attendance was recorded at 58 present, one absent, and one excused; committee substitutions were announced; HB 2677 was removed from the Judiciary Committee and additionally referred to Public Safety and Law Enforcement; and a large slate of House bills and one concurrent resolution were first read and referred to committees. The clerk also read a lengthy list of bills on second reading, covering a wide range of topics including education, health care, housing, taxation, elections, water, labor, public safety, and other policy areas. No substantive debate or votes on legislation occurred during the floor session beyond the referral actions and procedural announcements. Members made announcements about upcoming blood donations, a Veterans Caucus coffee and donuts event, and several committee meetings scheduled for later in the day or the following day. The House then adopted a motion to adjourn until 10 a.m. on Thursday, January 22, 2026.

Transcript Highlights:

• 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
• outside of our state may have been there when they weren't able to practice here.
• a practice agreement.
• to practice without a practice agreement.

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

Transcript Highlights:

• Senate Bill 294, a bill to be entitled an act relating to collaborative pharmacy practice for chronic
• Senate Bill 294, a bill to be entitled an act relating to collaborative pharmacy practice for chronic
• And as you all may remember, about six years ago, we passed collaborative pharmacy practice, which allows
• Senate Bill 294, a bill to be entitled an act relating to collaborative pharmacy practice for chronic
• Senate Bill 294, a bill to be entitled an act relating to collaborative pharmacy practice for chronic

Summary: The Senate opened with prayers, the Pledge of Allegiance, and several introductions recognizing FSU Day at the Capitol, the Red Mass, visiting students, school board members, veterans, and other guests. The chamber then moved to the special order calendar and took up a series of bills, with several measures temporarily postponed before and during the day’s proceedings. Committee and executive reports were largely absent, and the Senate proceeded directly to floor action on the listed bills. The Senate passed a number of mostly unanimous bills, including SB 36, SB 38, SB 40, and SB 42 on Florida Statutes revision; CS/SB 50 on nature-based coastal resilience, amended to strengthen the Florida Flood Hub and related research; CS/SB 116 on veterans, expanding benefits coordination, mental health training, adult day health care, and other veterans services; SB 126 on mailing prescription hearing aids to adults; SB 150 on abandoning restrained dogs during natural disasters, amended to conform to the House; SB 294 limiting collaborative pharmacy practice for certain serious cardiac conditions; SB 322 creating a nonjudicial process for removing unauthorized persons from commercial property; SB 348 on ethics, including false military rank claims and collection of delinquent ethics fines; and CS/SB 7012 on child welfare workforce recruitment, treatment foster care pilots, and data collection for commercially sexually exploited children. Senate Memorial 314 urging Congress to increase Florida National Guard force structure was also adopted by voice vote. Two bills drew more extended debate. SB 118 on presidential libraries passed 36-3 after questions about local zoning, traffic, and whether the bill’s express preemption would limit county and municipal authority; supporters argued it would prevent local obstruction and help Florida attract a presidential library, while one senator said she would vote no because of concerns about local safety and planning issues. CS/SB 160 on public accountancy passed 39-0 after an amendment clarifying contracted services; supporters said it would broaden pathways into the CPA profession and address workforce shortages. CS/SB 108 on administrative procedures and CS/SB 110 on rural communities were temporarily postponed, then later taken up and passed after extensive debate, with SB 110 amended to prioritize certain rural transportation projects, expand housing, health care, broadband, and economic development support, and draw strong bipartisan praise for its focus on rural Florida. At the end of the session, the Senate waived rules to immediately certify all bills passed that day to the House, observed a moment of silence for former Surfside Chief John Healy, and made several closing announcements and recognitions.

Transcript Highlights:

• c><00:31:46.559> carve<00:31:46.799> out<00:31:46.960> the<00:31:47.080> pharmacy
• <00:31:47.440> and proposals to carve out the pharmacy and proposals to carve out the pharmacy
• ><00:33:05.799> and<00:33:05.880> NT<00:33:06.399> benefits carving out the pharmacy
• They'd have to contact DHS for their pharmacy benefits, another entity for any NEMT benefits, and then
• <00:48:43.200> appropriately negative PBM practices appropriately negative PBM practices appropriately

Keywords: 1183, house

Summary: The House Committee on Human Services Finance and Policy met to approve prior minutes and then take public testimony on the governor’s budget recommendations for human services. The chair explained the hearing format and noted that DHS declined to testify. Much of the testimony focused on proposed reductions or caps affecting disability waiver services, nursing homes, and elderly waiver programs, as well as related fee and tax changes in the budget. Representatives of ARM argued that the governor’s proposal would cap inflationary adjustments at 2%, limit rate exceptions, cap billable days, and restrict individualized home supports, which they said would worsen workforce shortages, reduce wages for direct support professionals, and destabilize disability services. They said the package would cut about $600 million over four years and could lead to group home closures, higher turnover, and families losing access to local homes and services. Committee members asked about real-world impacts and future rate adjustments, and ARM responded that providers have already planned around expected 2026 rates, so a cap would create immediate budget and staffing problems. Long-Term Care Imperative testified against nursing home-related cuts, saying the budget would cap future rate increases, limit health insurance costs in rate setting, phase out closure-related agreements and incentives, and fail to fully fund the Nursing Home Workforce Standards Board. They estimated the nursing home provisions could amount to a $218 million cut over four years, or roughly $350 million when combined with other underfunding, and said every nursing home and bed in Minnesota would be affected. They also criticized the lack of an inflation factor in Elderly Waiver, a proposed 54% increase in assisted living fees, and possible changes to provider-assessed fine and penalty funds. Members asked about staffing and bed availability, and the testifiers said reduced funding would likely force more beds out of service. A later testifier, Dan Andre of the Minnesota Council of Health Plans, raised concerns about the DHS budget’s proposed increase in the HMO surcharge and about carving pharmacy and non-emergency medical transportation benefits out of managed care. He argued the tax increase would raise premiums for fully insured and Medicare supplement enrollees and that managed care coordination helps members access care and medications. The hearing also included one unrelated, disruptive testimony about the Minnesota Sex Offender Program and other agencies, which the chair redirected back to the human services budget. No votes or formal actions were taken beyond approving the minutes and receiving testimony.

Transcript Highlights:

• requires insurers that provide PrEP through the medical benefit to also provide PrEP through the pharmacy
• So in practice, this means providers typically must purchase injectable PrEP at their own expense, store
• There is ample precedent for pharmacy benefit coverage of injectable PrEP.
• In fact, some insurers already cover the drugs under their pharmacy benefit. We just need more to.
• A few dollars saved on the pharmacy line, but much more spent on the hospital line.

Keywords: 988, house, all

Summary: The Assembly Health Committee heard several bills focused on health care access, insurance coverage, public health, and patient protections. SB 1023 by Senator Laird would require insurers that cover injectable PrEP under the medical benefit to also cover it under the pharmacy benefit, to reduce billing barriers and improve access to HIV prevention. Supporters included HIV/AIDS organizations, the Department of Insurance, medical groups, and LGBTQ advocates; health plans opposed the bill as an unnecessary benefit-design mandate. The committee later voted the bill out on a due pass motion, and it remained on call before being finalized out later in the hearing. SB 964 by Senator Smallwood-Cuevas would limit repeated prior authorization requirements when a clinician needs to adjust the dose or frequency of a covered medication for a patient with a chronic or complex condition, with safeguards for off-label use and controlled substances. Support came from physicians, hospitals, and patient advocates, especially in gastroenterology and chronic disease care, while insurers argued it weakened safety and utilization-management safeguards. The committee approved the bill on a due pass vote to Appropriations. SB 1323 by Senator Rubio, as amended in committee, would strengthen protections for patients receiving medical care while in immigration custody by requiring facilities to train staff on responding to such requests and allowing patients to notify a family member or loved one of their location. It passed the committee on a due pass as amended vote to Judiciary, with one no vote recorded. SB 1099 by Senator Reyes would clarify local governments’ authority to provide state and local public benefits to all residents under the federal PRWORA exemption, giving cities and counties more certainty when operating low-barrier services such as health care, shelter, crisis response, and homeless outreach. Local government attorneys and service providers supported the measure, and there was no opposition testimony; it passed to Human Services. SB 895 by Senator Wiener would place a $12 billion science research bond on the November ballot and create a state research funding institute to help sustain California’s research economy amid federal cuts. The bill drew broad support from universities, labor, health organizations, patients, and business groups, with one member voting no because of the bond cost; it passed to Appropriations. SB 944 by Senator Wiener would stabilize Medi-Cal coverage for acupuncture, which supporters described as a cost-effective, nonpharmacological treatment for pain and other conditions. It passed to Appropriations with strong support and no opposition testimony. At the end of the hearing, the committee also took add-on votes to confirm the bills’ passage status and adjourned.

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.
• for Collaboration in Advancement in Pharmacy.
• When I joined the group, it consisted of six School of Pharmacy faculty members who not only gave me

Summary: The committee met at NDSU and approved the April 9 minutes. The main purpose of the meeting was an informational presentation from NDSU President David Stewart and university leaders on the university’s priorities, including enrollment, student success, research, commercialization, and use of New Horizons funding. Stewart emphasized a “One NDSU” approach, thanked legislators for past support, and said the university will focus on recruitment and retention, a new strategic plan, and growing research and tech transfer while serving North Dakota’s workforce needs. University leaders said NDSU is using tuition waivers more strategically and will work to reduce them over time through scholarship optimization. Provost Sherry Vale described academic portfolio reviews, program closures or consolidations, strategic hiring, and workload policies aimed at aligning resources with demand. They also highlighted student outcomes, including high completion rates, strong employment placement, and NDSU’s role in producing a large share of the state’s engineers, nurses, and agriculture graduates. Several students testified about how NDSU’s mentoring, internships, research, and support services helped them succeed. The committee also heard from partners on New Horizons-related collaborations: Gateway to Science described K-12 STEM outreach in rural and tribal areas, and Sanford Research discussed joint research efforts, including COBRE-related work, obesity and GLP-1 studies, and a joint biostatistics hire. Later speakers highlighted Governor’s School and NDSU’s research and commercialization efforts, including growth in research expenditures and invention disclosures. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• , as well as reflect the full practice authority of not only advanced practice registered nurses, but
• SB 320 provides a necessary modernization of our scope of practice.
• It takes practice. It takes support. It takes accountability.
• It takes practice. It takes support. It takes accountability.
• It takes practice. It takes support. It takes accountability.

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:

• There are save laws in the states that providers, pharmacies, etc., cannot be prosecuted for sending
• But, you know, they practically came in with flaming torches because anybody— you know, in fact, one
• Why don't you take both to the pharmacy and see what happens?
• Why don't you take both to the pharmacy see what happens?
• Scope of practice wise. Who's authorized? Chair McLeod and Senator Roos, yes.

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.