Transcript Highlights:

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

Keywords: 923, senate, all

Transcript Highlights:

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

Keywords: 910, house, all

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

Transcript Highlights:

• from the board of pharmacy from the board of pharmacy here?
• that can happen outside of a pharmacy. that can happen outside of a pharmacy.
• pharmacy if you're a pharmacist. pharmacy if you're a pharmacist.
• <00:16:22.880> individuals,<00:16:23.839> pharmacy licensed pharmacy individuals, pharmacy
• pharmacy is making the rules. pharmacy is making the rules. Yes. Yes. Yes.

Bills: HB0143, HB0129

Keywords: health care providers, free speech, discrimination, governmental agencies, civil remedies, physician access, internationally trained physicians, medical licensing, provisional license, healthcare workforce, 916, all

Transcript Highlights:

• contribution: $30 million, one of the largest charitable contributions in state history at the time.
• They didn't make it to some private college or the University of Minnesota or some charitable nonprofit
• contracts that one of the recipients says, "Yeah, you really overpaid us a lot, so we'll make a charitable
• contracts that one of the recipients says, "Yeah, you really overpaid us a lot, so we'll make a charitable
• contracts that one of the recipients says, "Yeah, you really overpaid us a lot, so we'll make a charitable

Keywords: 918, senate, all

Summary: The interview focused on Senate File 3612, which the senator described as “patient-centered care” legislation for Minnesota’s Medicaid and MinnesotaCare programs. He said the bill would remove private insurers and HMOs from administering those public programs, replace them with a state contract for claims processing and administrative services, and shift care coordination directly to primary care clinics, counties, and nonprofits. He argued the current managed-care system creates churn, prior-authorization barriers, and fragmented care, and said providers should manage care rather than insurers. The senator repeatedly cited Connecticut as a model, saying that state moved away from managed care, improved primary care participation, and saved money. He also argued Minnesota’s current system lacks transparency and may be overpaying health plans, pointing to fraud concerns and a past example in which UCare returned money to the state after an overpayment. He said the bill would improve accountability, make fraud easier to detect, and could save taxpayers billions, though he emphasized his main goal was better care rather than savings. On support and prospects, he said the bill has backing from the governor and the American Cancer Society but currently only DFL co-authors. He said he does not expect it to become law this year because the fiscal note and details are still pending, and he does not expect insurance companies to support it. He added that he is open to discussion but sees the insurers as fundamentally opposed. The interview ended with him saying workers in insurance and claims processing should be treated fairly and offered retraining or dislocated-worker support if broader reforms reduce their roles.

Transcript Highlights:

• House Bill 388 exempts providers who are engaging in charitable health care services from e-prescribing
• E-prescribing is a significant cost, so this bill removes a barrier for those charitable clinics.
• E-prescribing is a significant cost, so this bill removes a barrier for those charitable clinics.
• Speaker, I move passage of House Bill 388. barrier for those charitable clinics.
• It barrier for those charitable clinics.

Keywords: Convene 00:00:00 Senate Message 00:05:34 Calendar/2nd Readings 00:06:28 Orders of the Day 00:08:10 HB 542 00:08:34 HB 565 00:23:06 HB 611 00:25:32 HB 657 00:28:39 HB 762 00:31:07 HB 108 00:34:54 HB 67 00:39:02 Motions, Petitions, and Communications 00:46:48 Introduction of New Bills and Resolutions 00:58:42 Recess for ConC/Rules Meeting 00:59:12 ConC/Rules Report 01:02:18 Floor Amendments 01:03:42 Adjournment 01:04:02, 958, all

Summary: The House convened with an invocation and pledge, established a quorum with 92 members present, excused absent members, and approved the journal. The chamber also received notice that the Senate had passed Senate Bills 5, 12, and 73 and requested concurrence. Members then moved through second reading of several bills, including measures on geoengineering, video teleconference meetings, dissolution of marriage, licensed child care centers, city franchises, trophy catfish, peer support specialists, and House Joint Resolution 25 on Kentucky becoming a “food is medicine” state. The House then considered and passed several bills on third reading. House Bill 387, relating to the Controlled Substance Prescribing Council, was amended and passed 91-1 after debate over veterinarians’ reporting requirements; the bill bars such reporting by regulation, removes an emergency medicine physician and acute care nurse from the council, and adds two veterinarians. House Bill 45, modernizing CPA licensure, passed 93-0. House Bill 369, adding PTSD to conditions eligible for hyperbaric oxygen therapy for veterans, passed 93-0. House Bill 333, concerning faith-based small-scale affordable housing and shelters, passed 90-1 after discussion of housing needs, zoning limits, affordability requirements, and shelter standards. House Bill 50, addressing removal of persons unlawfully occupying real property, passed 92-0, and House Bill 388, a cleanup bill for the CASPER prescription monitoring program, passed 92-0. The House also passed House Bill 385, clarifying that the Commonwealth and Cabinet for Health and Family Services are financially responsible for non-elective medical care for patients of state-operated mental health facilities, by a 91-0 vote. House Bill 212, allowing licensed veterinary technicians to administer rabies vaccinations to dogs, cats, and ferrets under veterinarian supervision, passed 92-0. After these actions, the House took up House Resolution 58 recognizing February 6, 2026, as National Wear Red Day in Kentucky; the sponsor spoke about heart disease awareness and two young constituents awaiting heart transplants, and the resolution was adopted without objection. Later, the House received announcements about caucus meetings and committee meetings, then introduced a large slate of new bills and House Resolution 61 commemorating the 100th anniversary of Black History Month. The Committee on Committees and Rules Committee reported referrals and postings, including referral of several bills to standing committees and posting House Bills 748, 266, 305, and 470 for Monday, February 9, 2026. The session ended after introduction of floor amendments to House Bill 356.

Transcript Highlights:

• <02:48:07.000> gaming the fact that charitable gaming the fact that charitable gaming oversight
• This would allow for a database that would allow all charitable gaming operators to know, regardless
• So in the charitable gaming operators, in the charitable gaming study committee, it was estimated what
• machines as well so in the charitable machines as well so in the charitable gaming<02:56:22.720>
• gaming operators uh in the charitable gaming operators uh in the charitable gaming<02:56:24.560>

Keywords: 1191, senate, all

Transcript Highlights:

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

Keywords: 1187, senate, all

Transcript Highlights:

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

Transcript Highlights:

• 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> as<01:26:
• reimbursements to pharmacies. reimbursements to pharmacies.
• . pharmacies. pharmacies.

Keywords: 1187, senate, all

Transcript Highlights:

• Of those pharmacies, 58% have been independent pharmacies.
• closing 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:

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

Keywords: 923, senate, all

Transcript Highlights:

• 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:

• I believe in charity work and I believe in truly charitable organizations should get that exemption.
• <02:00:16.520> organizations is that truly charitable organizations is that truly charitable
• Additionally, under current state law, an organization can only be determined to be charitable if the
• <02:37:36.640> Not definition of charitable slightly.
• Not definition of charitable slightly.

Keywords: 1191, senate, all

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:

• donating to an out-of-state SGO, there's an argument to be made that you could write that off as a charitable
• That's further mentioned in subsection E of 26 USC 25F to make clear that for in-state it is not a charitable
• make clear that for instate it is not to make clear that for instate it is not a<00:36:30.079> charitable
• <00:36:30.560> contribution<00:36:31.280> for<00:36:31.520> for a charitable
• contribution for for a charitable contribution for for purposes<00:36:32.400> of<00:36:32.720

Keywords: Call to Order and Roll Call: 0:03 Bills for Consideration: 3:10 Adjournment: 56:19, 958, all

Summary: The Senate Education Committee heard House Bill 1, which would have Kentucky opt into a federal education freedom tax credit program allowing donations to scholarship-granting organizations (SGOs) for K-12 educational expenses. The bill sponsors said it would not use Kentucky general funds, would be administered through the Secretary of State, and would let donors claim up to a $1,700 federal tax credit for contributions to SGOs. They argued the program could support public, private, religious, and homeschool-related educational needs, including tutoring, transportation, technology, special needs services, and other school expenses. Several senators raised concerns about whether the bill would favor larger districts with more school-choice options over rural counties with only one public school, creating a two-tier system. The sponsors responded that public school districts could also create SGOs and that the federal rules limit eligibility to families at or below 300% of area median gross income. They also said the program would not reduce existing state or federal school funding, but would instead redirect federal tax credit dollars that Kentucky donors might otherwise send to other states or back to the federal government. Members asked about the structure and oversight of SGOs, including whether they must be nonprofits, how broad their missions could be, and whether funds could be earmarked for specific purposes. The sponsors said SGOs must be certified, serve at least two schools and 10 students, spend at least 90% of receipts on scholarships, and cannot be directed to a specific student, though they can be targeted to categories such as elementary students or special needs services. They also said homeschool families would need to organize through a co-op or existing approved SGO. No vote was taken during the portion of the meeting provided.

Transcript Highlights:

• pharmacies.
• PBMs' own mail-order pharmacies and away from community pharmacies.
• , creating pharmacy deserts.
• , our local pharmacies.
• , our local pharmacies.

Summary: The committee heard several health-related measures. SB 27 by Senator Umberg would revise and expand California’s CARE Court by limiting the expansion to people with bipolar I disorder with psychotic features, clarifying the definition of “clinically stabilized,” and narrowing the role of nurse practitioners and physician assistants. Supporters, including behavioral health officials and family members, said the bill would reduce dismissals and better serve people with severe illness; opponents warned the expansion would strain county staffing and housing resources and could undermine voluntary engagement. The bill passed on a do pass motion to the Committee on Public Safety. SB 503 by Senator Weber Pierson would require AI tools used in health care facilities to be identified, monitored, and mitigated for bias when used in clinical decision-making or resource allocation. The author and supporters from Kaiser Permanente and the California Medical Association said the bill would help prevent discriminatory outcomes and improve trust and safety. The committee discussed the need to clarify developer and deployer responsibilities, and the bill passed as amended to Privacy and Consumer Protection. SB 68 by Senator Menjivar would require restaurants to provide written allergen information for the top nine food allergens, with tiered flexibility for smaller establishments. The bill was supported by patients, families, nurses, and allergy organizations, who described severe reactions and the difficulty of relying on verbal disclosures alone. The California Restaurant Association opposed unless amended, seeking broader use of the national model food code and additional liability language. The bill passed as amended to Appropriations. The committee also heard SB 403 by Senator Blakespear, which would remove the sunset from the End of Life Option Act; supporters described the law as a compassionate, well-functioning option for terminally ill patients, while faith-based groups opposed it. The bill passed to Judiciary. Later, SB 41 by Senator Wiener was introduced to rein in pharmacy benefit manager practices that steer patients to mail-order pharmacies and reimburse community pharmacies below cost; community pharmacists and several health organizations testified in support, describing pharmacy closures and patient access problems.

Transcript Highlights:

• HB 4172 by Thompson relating to the regulating charitable bingo and authorizing the establishment of
• a nonprofit corporation to advertise and promote charitable bingo part of the Committee on Licensing
• Government Efficiency HB 4240 by PU relating to exemption from adviarum taxation of property of a charitable

Transcript Highlights:

• HB 4172 by Thompson relating to the regulation of charitable bingo and authorizing the establishment
• To advertise and promote charitable bingo, referred to the Committee on Licensing and Administrative
• HB 4240 by Pursuit, relating to the exemption from ad valorem taxation of property of a charitable organization

Keywords: 1184, 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.