Transcript Highlights:

• , which is provided by Diamond Pharmacy.
• pharmacy which is provided<00:45:12.400> by<00:45:12.640> Diamond<00:45:13.040> Pharmacy
• Uh and to provided by Diamond Pharmacy.
• Uh and and we trends, current practices.
• And a separate contract to cover pharmacy. Okay.

Keywords: The original version of this live stream dropped before the meeting was technically finished. This is the complete copy pulled from back up sources., 958, all

Summary: The committee met to hear updates from the Department of Juvenile Justice and the Department of Corrections on two related issues: a proposed high-acuity juvenile mental health treatment facility and medical services contracts, including the impact of Wellpath’s bankruptcy proceedings. At the start, the chair agreed to hear the Department of Corrections first so members could get context on the medical contract before turning to DJJ’s proposal. DOC officials said Wellpath, the department’s comprehensive medical and mental health provider since 2013, was awarded its current contract through a 2021 procurement process. They reported that Wellpath’s Chapter 11 reorganization plan had been confirmed and that the company had transitioned ownership to lenders, but had not yet fully completed the bankruptcy process. DOC said there had been no service lapses, no reduction in care, and no known impact on Kentucky vendors or hospitals, and that DOC staff meet with Wellpath almost weekly. Members asked whether the committee had been kept informed and whether the bankruptcy could affect future services or subcontractors. DJJ then presented its concept for a high-acuity facility, explaining that the project is still in the preliminary programming and conceptual stage and has not yet entered the formal design phase with DECA. Officials said the proposal in the capital plan would create a 24-bed facility, with 16 clinical beds and 8 assessment/stabilization beds, to serve justice-involved youth with serious mental health needs. They said the facility would need to separate males and females and high- and low-risk youth, and that current placements often require sending youth out of state to places such as Pennsylvania, Michigan, Georgia, Arkansas, and Texas. Staff said the goal is to centralize treatment, improve safety, and reduce the need for fragmented or out-of-state placements. Committee members questioned the cost estimates, staffing needs, and whether the facility was justified given the small number of youth currently placed out of state. DJJ said the operational estimate includes an unknown medical-contract component and that the number of youth needing the facility can fluctuate because of surges in the juvenile population. Officials also said they had consulted with South Carolina, which is developing a similar facility, and noted that renovating existing facilities was considered but could be more expensive or impractical than building a separate site. No votes or formal actions were taken during the discussion.

Transcript Highlights:

• They don't live here to practice.
• <00:11:02.320> So, don't all practice in Hawaii. So, don't all practice in Hawaii.
• They don't live here to practice.
• them practice. adopting this would allow them to<00:11:11.760> practice<00:11:12.320> in
• <00:34:48.000> uh the requ the unfair trade practice uh the requ the unfair trade practice

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:

• Co-response has emerged as one of the most promising practices.
• Co-response has emerged as one of the most promising practices out of these grants.
• Independent pharmacies, this is a very opaque system with a lot of money flowing through each and every
• Pharmacy counter.
• Health care spending in pharmacy rules has been one of the fastest categories of spending that we see

Keywords: 995, all

Summary: The committee heard budget testimony from Department of Mental Health Commissioner Brooke Doyle, who said DMH serves about 29,000 people and is facing rising demand, higher operating costs, and uncertainty about federal funding. She explained that the FY26 budget prioritizes fully funding the state-operated inpatient system, which is at 100% occupancy and often serves people transferred from Bridgewater State Hospital, while making reductions in other areas to balance the budget. Those reductions include a 50% cut to case managers, a pause on closing the Pocasset unit pending a working group on Cape access, and changes to youth and contracted services such as right-sizing IRTP and CIRT, reducing Youth PACT from seven teams to three, scaling back flex and jail diversion grants as ARPA funds wind down, and preserving the behavioral health helpline and community-based crisis services. Members from Western Massachusetts and the Cape raised concerns about access, staffing, and the impact of cuts, and Doyle said the department would continue operating IRTP services, improve the referral process, and work with stakeholders on the Pocasset review and other access issues. The committee also discussed school-based mental health, 988, loan forgiveness for workforce recruitment, and the role of co-response programs for law enforcement. Secretary Robin Lipson then testified for the Executive Office of Aging and Independence, describing a proposed FY26 budget increase of about 21% to support councils on aging, home care, elder abuse investigations, caregiver support, care transitions, and nutrition programs. She said the agency is managing rising demand, especially from the growing 80-plus population, and noted uncertainty around federal Older Americans Act funding after the federal disbursement agency was disbanded. To control costs, the office will manage intake and caseload growth in a fully state-funded home care program, but current clients will not lose services. Lipson also highlighted a new $1 million line item for local mini-grants to support age-friendly initiatives. In questions, members focused on elder scams, and Lipson said scams are increasing and the agency is working with banks, district attorneys, and public awareness campaigns. The Health Policy Commission’s Executive Director David Seltz presented the agency’s FY26 request and said the biggest challenge is health care affordability, with family premiums near $29,000 annually and many residents delaying care because of cost. He emphasized that recent legislation significantly expands HPC’s role through a new Office of Pharmaceutical Policy and Analysis, which will examine the drug supply chain and pricing, and a new Office of Health Resource Planning, which will support statewide planning around closures and access gaps. The new law also creates task forces on maternal health access and primary care, and adds transparency and oversight for private equity in health care. Members asked about pharmaceutical costs, GLP-1 weight-loss drugs, 340B, and maternal health closures; Seltz said the data show rapid growth in GLP-1 spending and that the new offices will help the state better understand cost drivers and access problems. The Center for Health Information and Analysis then began its testimony, describing its role as the state’s data hub for health care spending, utilization, quality, and affordability analysis.

Transcript Highlights:

• And if I might explain, the reason behind the bill was originally to benefit pharmacies and patients
• there to encourage them to use in-person pharmacies as much as possible in place of telepharmacies.
• Thank you. bill was originally to benefit um bill was originally to benefit um pharmacies<02:20:15.520
• and um patients on the pharmacies and um patients on the islands<02:20:18.399> of<02:20:18.560
• there um to encourage them to pharmacies there um to encourage them to use use use in-personarmacies

Keywords: 910, house, all

Transcript Highlights:

• <01:13:26.800> and agencies so so internal practices and agencies so so internal practices
• , especially compounding pharmacies.
• But also generally, so maybe you want to comment on that. regard to pharmacies especially regard to pharmacies
• This is considered a best practice in government circles.
• This is considered a best practice in government circles.

Keywords: 928, house, all

Summary: The committee held an orientation for new and returning members of the House committee on agencies and administration, with introductions from members and staff. Chair Carol Maguire outlined her expectations for hearings: keep questions focused on the bill, be respectful to witnesses, and use the committee’s orientation opportunities to learn about the jail staff, retirement system, and Office of Professional Licensure. Members also discussed related assignments on other bodies, including the Joint Legislative Committee on Administrative Rules and the Joint Committee on Employee Classification, and noted that some members already serve on those panels. A substantial portion of the meeting focused on the State Building Code and the committee’s upcoming workload. Members explained how the state code is intended to provide a common baseline while allowing limited local options, and why municipalities must formally adopt and publish any local amendments. They reviewed several anticipated bills: a consolidation bill to gather building-code enforcement materials in one place, a bill to update the state energy code, a bill to restrict municipal adoption of building-code changes, and a bill to update the electrical code. Members also discussed how building codes apply to older homes and commercial buildings, and why code updates are important for safety and clarity. The chair said the committee had 36 bills currently scheduled, including many early bills that must move by March 6 because they will be heard by two committees. She said the committee would use subcommittees for harder bills, with three subcommittees this year: pensions, licensing, and likely state building code. She also outlined the hearing schedule, including lighter bills on February 12 and the expectation of executive sessions later in the month. No votes were taken during the orientation, but members were told that public hearings do not require a quorum and that hard copies of bills would be distributed by committee staff.

Transcript Highlights:

• It's great that he practices what he preaches. Sure does. Okay. Any questions, members?
• group to determine the best policies to reform pharmacy benefit manager practices in the state, to ensure
• The resolution seeks to reform pharmacy benefit manager practices in the state to ensure transparency
• Um, it seems pharmacy benefit managers.
• benefit manager working um pharmacy benefit manager working group<00:54:52.800> instead<00:54

Keywords: 912, senate, all

Summary: The committee first considered a series of Governor’s Message nominations, largely to the State Council on Developmental Disabilities and one to the Hawaii Advisory Commission on Drug Abuse and Controlled Substances. Testifiers and agencies spoke in strong support of the nominees, emphasizing their advocacy, community involvement, and lived experience. The committee heard from nominees and supporters for John Paul Moses III, Cynthia Fowler, Joshua Eay, Alicia Kim, Raymond Mamea, Maria Christina Valenzuela, Eden Watabayashi, Sierra Whiteside, and Brandy Lynn Macallani Hayen. After hearing testimony, the committee voted to advise and consent on each nomination, with the votes adopted by the members present. The committee then took up SR 53 / SCR 69, which asks the Department of Health to convene a pharmacy benefit manager working group to improve transparency, fairness, and drug affordability. Supporters included the Hawaii Pharmacist Association, the University of Hawaii system, and several individuals, while the Department of Health said the issue is complex and may require additional support or a different structure. Members discussed whether the Department of Health should lead the effort or whether another entity, such as SHIPA with an appropriation, might be more workable; the Department of Health suggested a $100,000 appropriation could be sufficient. Next, SR 56 / SCR 73 proposed a report on the developmental needs of children born during the COVID-19 pandemic. The Office of Wellness and Resilience supported the measure and asked for an extended deadline to the end of 2026, and several youth, mental health, and community organizations testified in support. The committee also heard SR 69 / STR 86 on creating an aeromedical services working group, with support from Air Methods, the Department of Health, and the Hawaii Medical Association, and SR 99 / STR 118 on studying the use of filtered catchment water for business activity, which drew support from the Plumbing and Mechanical Contractors Association and comments from the Department of Health that the issue is complicated and should include the Department of Agriculture. No final votes on the resolutions were taken in the portion of the meeting provided.

Transcript Highlights:

• Pharmacy Pharmacy um<00:57:44.960> if<00:57:45.280> they<00:57:45.680> sell<00:
• I am the chief financial officer at Astrep Companies and Sterling Specialty Pharmacy.
• A companies has been in Pharmacy.
• specialy pharmacy in Menota Heights. specialy pharmacy in Menota Heights.
• Eight years ago, we opened Sterling Specialty Pharmacy.

Keywords: 1187, senate, all

Transcript Highlights:

• , which is provided by Diamond Pharmacy.
• , which is provided by Diamond Pharmacy.
• So the last question anticipated is what will be different from the current practice in DJJ once the
• in DJJ once the contract is in practice in DJJ once the contract is in place?
• And a separate contract to cover pharmacy. Yes, sir. Okay.

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 have handouts that we've practices.
• Well, the concern is that, you know, with the proliferation of the contract pharmacies, there are so
• to purchase a drug is contract pharmacy to purchase a drug is really<00:30:21.440> qualified<
• in Hawaii right now, but nationally, since 2010, you went from 2,000 contract pharmacies across the
• is saying in where the contract pharmacy is saying in Kansas<00:34:25.679> City.

Keywords: 912, senate, all

Summary: The committee heard testimony on HB 302, which would expand access to medical cannabis by removing the in-person provider-patient relationship requirement and related restrictions. The Department of Health supported the bill, and multiple advocates and organizations testified in support, including the ACLU of Hawaii, Hawaii Alliance for Cannabis Reform, Marijuana Policy Project, and others. Supporters said the measure would improve access for patients, especially on outer islands, and some urged broader amendments allowing providers to certify cannabis for any medical condition and to speed registration and treat in-state and out-of-state patients equally. No opposition was heard, and the bill was left with no questions after testimony. The committee also heard HB 1052 HD1, which clarifies that the Public Utilities Commission may use universal service fund monies to provide free telecommunications access for individuals with print disabilities. Testimony was uniformly supportive from the DCCA Division of Consumer Advocacy, the State Council on Developmental Disabilities, the Department of Human Services, the Public Utilities Commission, and the National Federation of the Blind of Hawaii. Witnesses described the program as an important accessibility service that has been operating under prior appropriations and should continue under the universal service program. HB 1482, relating to controlled substances and hemp/synthetic cannabinoids, drew support from the Department of Law Enforcement, Department of Health, Honolulu Police Department, and others, with some comments from the Attorney General’s office. Supporters said the bill would clarify that delta-8 THC is a controlled substance and help enforcement against illegal hemp products and synthetic cannabinoids. Testimony and questioning focused on the need for better lab testing capacity, retail registry and age-gating, seizure authority, nuisance abatement, and possible use of special funds or appropriations to support enforcement. Members also discussed enforcement of illegal hemp businesses and whether additional funding or statutory changes would be needed. Finally, the committee took up HB 712, a 340B drug-discount measure affecting safety-net providers and contract pharmacies. Hospitals, health centers, and provider groups testified in support, saying the bill would protect access to discounted drugs and preserve funding for services such as chronic disease management, transportation, and specialty care. Pharmaceutical-industry representatives opposed the bill or sought amendments, arguing the 340B program has expanded beyond its original intent and lacks transparency, and they requested reporting or audit-like provisions to verify claims and revenues. Members questioned both sides about alleged abuse, the growth of contract pharmacies, and whether the bill should include transparency requirements before moving forward.

Transcript Highlights:

• But how about if you could bring a pharmacy and pharmacy technician to every bedside to participate in
• technician bunker, where I'm sitting as a pharmacy technician away from the bedside and logging into
• The last thing that I'll mention here is that when we follow best evidence-based practice and adhere
• The last thing that I'll mention here is that when we follow best evidence-based practice and adhere
• I am also still a practicing hospital-based pediatrician as well.

Summary: The committee held a panel discussion focused on how Florida health care organizations are working to improve access, quality, and affordability. Panelists from Florida Community Care/Independent Living Systems, Sunshine Health, AdventHealth, UF Health, and Nemours described their approaches, including Medicaid managed care, value-based contracting, community partnerships, mobile screening units, smart-room technology, telehealth, and specialized programs for maternal health, children, and complex chronic conditions. Several speakers emphasized that managed care and coordinated care can improve outcomes while reducing unnecessary utilization and costs. Members asked about the impact of Medicare’s V28 changes, mobile cancer screening, urgent care versus emergency room billing, pediatric specialty access, complaint resolution, Black maternal mortality, provider shortages, network adequacy, and the use of AI in prior authorization. Witnesses said V28 has affected providers and revenue, UF Health’s mobile screening program is expanding beyond a few cancer types, and its urgent care model bills patients at the appropriate level rather than both urgent care and ER rates. Nemours said it reduced specialty wait times through scheduling changes, telemedicine, and registry tools, while AdventHealth described postpartum coordination and maternal heart programs to reduce maternal complications and mortality. On complaints and access problems, panelists said their organizations use patient/member advocates, care managers, call centers, and escalation processes to resolve issues, and Sunshine Health specifically discussed a transportation complaint that was addressed with its vendor and the family. Sunshine Health also said it is not using AI for prior authorization, though it is exploring responsible uses elsewhere, and Florida Community Care said it is not using AI in utilization management. In closing, panelists identified workforce shortages, provider burnout, and high-cost drugs as the biggest ongoing challenges. The meeting ended with thanks to the panel and adjournment after Representative Brackett moved to rise, without objection.

Transcript Highlights:

• We also have some modernization practices that deal with using electronic signature and transfer of documents
• They can get drugs negotiated via a deal with their own pharmacy benefit manager and then ultimately
• dispense those drugs through their own pharmacy every step of the way, by one company that is making
• They can get drugs negotiated via a deal with their own pharmacy benefit manager and then ultimately
• dispense those drugs through their own pharmacy every step of the way, by one company that is making

Keywords: 1183, house

Transcript Highlights:

• found that this is a common practice found that this is a common practice that<00:28:37.919>
• And so it's a bit pharmacy statute.
• Park. literally practically on Dairfield Park. literally practically on it.<01:51:41.920> Um<
• >> maybe someone coming up practice. Yes. >> maybe someone coming up practice.
• I currently practice at my Hampshire.

Keywords: 1191, senate, all

Transcript Highlights:

• The fact that we've got a general surgeon now practicing back in Rockcastle County is a game-changer.
• <00:07:54.840> back<00:07:55.080> in surgeon now practicing back in surgeon now practicing
• without any necessary at the pharmacy without any necessary uh,<00:13:14.720> delays.
• decisions to be made at the practice level.
• be made at the practice level.

Keywords: 00:00 - Call to Order/Roll Call 01:17 - Discussion of 26RS SB 137 07:15 - Roll Call Vote on 26RS SB 137 09:42 - Discussion of 26RS SB 147 10:48 - Roll Call Vote on 26RS SB 147 11:56 - Discussion of 26RS SB 56 13:48 - Roll Call Vote on 26RS SB 56 14:43 - Discussion of 26RS SB 116 20:17 - Roll Call Vote on 26RS SB 116 21:23 - Adjournment, 958, all

Transcript Highlights:

• in practice. in practice.
• phone that they are still practicing. phone that they are still practicing.
• Fourth, neither a PBM nor a carrier can maintain business practices that steer customers to a pharmacy
• Fourth, neither a PBM nor a carrier can maintain business practices that steer customers to a pharmacy
• pharmacies in there.

Keywords: 1191, senate, all

Transcript Highlights:

• One is that that problem will not go away because marijuana licenses are tied to the pharmacy count,
• count, and because no more pharmacies are being built it is estimated that about in 90 years we will
• because no more pharmacies, go away because marijuana licenses are tied to the pharmacy count and because
• no more pharmacies are being built it is estimated that about in 90 years we will issue new licenses
• I have practiced nuclear law before coming back home to Arizona.

Bills: SB1041, SB1363, SB1418, SB1419, SB1445, SB1447, SB1488, SB1519, SB1523, SB1560, SB1580

Keywords: electronic monitoring, nursing care, assisted living, resident rights, privacy, consent, surveillance, marijuana, rural opportunity, dispensary, economic development, licensing, social equity, unserved communities, Arizona, small modular reactors, energy regulation, environmental compatibility, utility construction, agricultural use

Summary: The committee took up several appropriations and policy bills, beginning with SB 1488, which would provide $600,000 for a workforce development study on coal-impacted communities in northern Arizona, including areas affected by the closure of the Navajo Generating Station. The sponsor and supporters said the study is intended to help communities transition economically, diversify, and support new jobs; the bill received a do-pass recommendation on a 7-0 vote. SB 1523, appropriating $340,000 to the Navajo Nation for the Ganado waterline pipeline project, was also advanced after testimony that the project would bring clean drinking water to about 235 homes and that the remaining funding gap had been reduced to the requested amount; it passed 7-0 with one member not voting. The committee then approved SB 1041, which would appropriate $500,000 to the Arizona Trail Fund. Supporters described the Arizona Trail as a statewide recreational and cultural asset that needs maintenance and continued support, and the bill received a do-pass recommendation on a 7-0 vote. SB 1445, which would allow smaller cities and towns to use approved on-site bacteriological testing equipment and limit how often ADEQ may require sampling, drew concern from one member about whether the language could be read as restricting sampling during discharge events, but supporters said it would save small towns money; it passed 5-3. Members also advanced SB 1580, a $2.545 million appropriation for fire incident management software and hardware for fire and law enforcement agencies. Fire officials said the platform would improve accountability, information sharing, drone integration, and interoperability during incidents; the bill passed 5-3. SB 1363, which would create additional rural dispensary licensing opportunities for underserved areas, drew support from rural advocates and opposition from the dispensary industry over the number of licenses and transferability language; it passed 8-0. SB 1418, which would streamline siting for small modular nuclear reactors in certain counties, was supported by proponents who argued it would help Arizona meet future energy demand and opposed by counties and environmental groups concerned about local zoning, public review, and waste; it passed 5-3. Finally, SB 1419, a rooftop solar consumer-protection bill requiring added disclosures and inspections, was supported by county officials and some consumer advocates but opposed by solar industry representatives and environmental groups who said it could discourage rooftop solar and restrict speech; it passed 6-2. The committee then began hearing SB 1447, which would extend the groundwater withdrawal fee moratorium and related fund deadlines for Pinal County water projects, with supporters saying the extension is needed to continue well rehabilitation and infrastructure work after Colorado River and CAP-related cuts.

Transcript Highlights:

• Sounds a lot like practicing medicine to me.
• Whether you admit it or not, the practicality of enforcement effectively does decriminalize.
• You know, when you go to a pharmacy...
• There are pharmacy techs, there are pharmacy assistants that are there at the counter supporting customers
• So you're still out of your scope of practice if you were a doctor. selling stuff.

Bills: SB5, SB11, SB12, SB9, SB42, SB15, SB5, SB11, SB12, SCR1

Keywords: hemp regulation, consumable products, cannabinoids, occupational licenses, criminal offenses, SB 11, Texas attorney general, election crimes, election law enforcement, criminal prosecution, Election Code, Government Code Chapter 402, local prosecutors, county attorney, district attorney, grand jury, probable cause reports, state election offenses, voter fraud, election integrity

Transcript Highlights:

• We've been looking for a doctor for four years in my practice.
• <00:25:22.520> hours Pharmacists and reduced Pharmacy hours Pharmacists and reduced Pharmacy
• are welcome to Kentucky to practice are welcome to Kentucky to practice outside<00:30:48.760>
• I'm never that sure when I'm in my medical practice.
• <00:45:55.760> and trained to follow best practices and trained to follow best practices and

Keywords: Discussion on SB 132 - 00:06 Vote on SB 132 - 04:41 Discussion on HB 219 - 43:49 Vote on HB 219 – 49:00 Discussion on HCR 20 – 50:08 Vote on HCR 20 – 51:28, 958, all

Summary: The committee heard testimony on Senate Bill 132, which would create conscience protections for health care professionals who object to participating in certain procedures or services on religious, moral, or ethical grounds. Senator Donald Douglas and several supporters argued the bill is a recruitment and retention tool for Kentucky’s health care workforce, emphasizing provider shortages, maldistribution, and the need to protect individual conscience rights. Supporters said the bill would not apply to emergency care, would not permit denial of care based on a patient’s identity, and would mainly protect professionals from being forced to perform procedures they believe are unethical. They also cited similar laws in six other states and said the bill would have a cause of action to give it enforcement teeth. Supportive testimony came from an emergency physician, a registered nurse, and others who described personal experiences or examples involving objections to abortion-related care, opioid prescribing, and pressure to participate in procedures that conflicted with conscience. They said conscience protections would help attract providers, preserve ethical integrity, and allow clinicians to make professional judgments without corporate or institutional coercion. In questioning, senators asked about practical examples, the scope of the bill, whether it would cover hypothetical cases involving patients of particular religions or identities, and which states have similar laws. The sponsor and supporters repeatedly said the bill is about procedures, not patients, and that it should not be read to allow discrimination against individuals. Opponents, including pediatricians and a registered nurse/minister, warned that the bill is overly broad and could allow refusals of care by not only physicians but also pharmacists, clerks, and ambulance drivers. They argued it could delay treatment, increase discrimination, and worsen access problems in rural areas, especially for contraception, Plan B, blood transfusions, and other services. Critics said existing professional ethics already require patient care and that the bill could undermine evidence-based medicine and worsen Kentucky’s provider shortage. The committee took testimony and questions; no final vote or disposition was announced in the portion provided.

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.
• House Bill 50 is a practical, evidence-based policy to improve health. ...health outcomes and reduce
• Yeah, just one practical question.

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:

• think it is also important to highlight that this is good for patients and it's also good for the practice
• Warman, again, can you give me some the committee some practical examples where your conscience has been
• <00:05:17.280> examples<00:05:17.880> where committee some practical examples where
• <00:19:01.720> hours Pharmacists and reduced Pharmacy hours Pharmacists and reduced Pharmacy
• are welcome to Kentucky to practice are welcome to Kentucky to practice outside<00:24:27.960>

Keywords: 958, all

Summary: The committee heard testimony on Senate Bill 132, a health care conscience-protection measure. Supporters said the bill would protect health care professionals from being forced to participate in procedures or services that violate sincerely held religious or ethical beliefs, while explicitly excluding emergency care. They argued it would help recruit and retain providers, preserve ethical integrity in medicine, and has worked in several other states. Supporters also emphasized that the bill is aimed at procedures or services, not at denying care based on who a patient is, and noted that the bill includes a civil cause of action to give it enforcement teeth. Several supporters described personal experiences. A nurse said lack of conscience protections affected her career choices and limited her path into women’s health. Dr. Warman said he had requested not to perform anesthesia for abortions and later chose non-narcotic pain management because he objected to heavy opioid prescribing, saying conscience protections allow professionals to practice responsibly. Senators asked about examples, the bill’s scope, whether it could be used to discriminate, and which states have similar laws; Mississippi, Florida, Montana, Ohio, South Carolina, and Arkansas were named. Questions also focused on the bill’s civil enforcement provisions and whether it could be used against patients based on identity or religion. Opponents warned the bill was overly broad and could allow refusals of care by a wide range of health workers, including clerks, ambulance drivers, pharmacists, nurses, and physicians. Dr. Karen Abrams said it could lead to denial of birth control, Plan B, blood transfusions, and other care, especially in rural areas with few alternatives, and could worsen Kentucky’s provider shortages. David Conway said the bill lacked patient protections, could increase delays and discrimination, and could prevent reassignment of objecting staff. The chair noted there were seven people signed up in opposition, limited testimony to two minutes each, and said the committee would return to the bill after hearing additional opposition and other pending bills.

Transcript Highlights:

• When we talk to doctors that own their own practices, they can't offer enough anymore.
• We're actually driving the private practice, which is what medicine was really created for.
• practice environment. But, Mr. Chairman, do you have a number?
• That is best practice, and that's what both governments are doing. That's great.
• We are very grateful for the investment in our College of Pharmacy.