Transcript Highlights:

• The Texas Farm and Ranchlands Program, our conservation easement program.

Transcript Highlights:

• spills hazardous chemicals onto a Harris County roadway or into Harris County flood control. or easement

Bills: HB456, HB482, HB1463, HB1682, HB1949, HB5549, SB763

Keywords: translation, environmental quality, complaints, accessibility, multilingual, TCEQ, environmental justice, environmental complaints, Texas Commission on Environmental Quality, language access, public information, Texas Commission, multilingual access, administrative actions, environmental regulations, state representatives, state senators, penalty notice, Water Code, legislative notification

Transcript Highlights:

• But if we could do that and maybe easement, you know, smarter minds will prevail and we'll be able to

Keywords: 999, senate, all

Transcript Highlights:

• Can a local independent pharmacy mail a prescription to a patient?
• It just means that Express Scripts would no longer be able to mail out prescriptions.
• They're not going to drive the prescription to the patient.
• They're out there delivering prescriptions because they can't mail them.
• prescriptive authority requirements allows them to be able to fill that prescription.

Bills: HB3552, HB2984, HB4124, HB3934, HB3448, HB3131, HB4200, HB4201, HB3011, HB1912, HB3380, HB3881, HB3538, HB3851, HB3907, HB4430, HB4431, HB4457

Keywords: childcare, differential pricing, Department of Human Services, child care subsidy, licensed providers, emergency legislation, child care, subsidy program, annual report, program integrity, overpayments, ivermectin, over-the-counter medication, pharmacy immunity, healthcare access, FDA approval, prescription, public health, dentistry, licensing

Transcript Highlights:

• We've had to go back to our doctor multiple times just to get a new prescription or a partial prescription
• Allowing prescriptions to be transferred between pharmacies solves this. It reduces stress.
• We're just trying to have a prescript of measure here to help prevent inadvertent loss of tax savings
• I've been told it was too soon to refill my prescription.
• The cost to buy it over the counter without a prescription is over $300, which is absurd.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a hearing with Chair Jamie Murphy and Senate co-chair Senator Feeney presiding. Members asked witnesses to keep testimony to three minutes and noted that written testimony could still be submitted. The committee heard testimony on several health insurance and pharmacy-related bills, including a proposal to allow controlled prescriptions to be transferred between pharmacies within the same chain, legislation affecting health savings account (HSA)-compatible plans and future insurance mandates, a bill on small business health insurance incentives, and H. 1212 on emergency insulin access. Several parents and patients testified in support of emergency insulin access, describing severe diabetes emergencies, diabetic ketoacidosis, prescription delays, and the need for pharmacists to dispense insulin in urgent situations when doctors or insurers are unavailable. A parent also described the burden of repeatedly obtaining new prescriptions for ADHD medication when pharmacies are out of stock. Witnesses supporting the HSA bill argued that state coverage mandates can unintentionally disqualify HSA-qualified plans and that the bill would preserve tax advantages for enrollees while avoiding repeated legislative fixes. A representative of the Retailers Association supported the small business health insurance incentives bill, saying it could help retain small employers in the merged market by allowing carriers to offer financial incentives tied to cooperative purchasing and utilization efforts. One witness, Kathleen Demarest, testified against a co-pay assistance restriction, saying a state rule had unexpectedly cut off her drug assistance before a generic was actually available, leaving her with very high out-of-pocket costs. Committee members asked a few clarifying questions about HSAs, insulin dispensing, and school support for diabetes care. After all scheduled witnesses had testified and no additional testimony was offered, the committee voted to close the hearing.

Transcript Highlights:

• Why are we moving away from a patient having the option for a paper prescription?
• Current law allows us to provide a patient with a printed prescription.
• Let's be clear now: no one's using old-fashioned prescription pads; that's not happening.
• on fraud-proof prescription pads.
• fill that prescription in the middle of the night.

Summary: The committee took up a large health and human services agenda and first approved HB 711, the Spectrum Alert bill, which would create a statewide alert system for missing autistic children and require FDLE to coordinate training with state and local agencies. The measure drew a supportive waiver from the Florida Smart Justice Alliance and passed unanimously, 24-0, reported favorably. Members then considered CS for HB 229 on health facilities, which modernizes the Health Facilities Authority Act to allow additional nonprofit health system structures to use tax-exempt financing. Two amendments were adopted: one requiring advance notice, public hearings, and stakeholder notifications before a nonprofit hospital closure, and another removing a property tax exemption for a nonprofit hospital that closes and fails to maintain emergency services for 120 days, applied retroactively to January 1, 2025. The Florida Hospital Association opposed the amendments, citing workforce and nonprofit-status concerns, but the bill as amended passed 24-0. The committee also approved CS for HB 1405 on juvenile justice status offenders, expanding early truancy intervention, parent involvement, and shelter placement review timelines; it passed 24-0. CS for HB 27, joining the Social Work Licensure Interstate Compact, and its linked public records bill CS for HB 29 both passed unanimously after supportive testimony from several advocacy and business groups. The committee then debated HB 111 on out-of-network referrals and HB 1083 on patient access to records. HB 111 would require referring practitioners to inform patients in writing when a referral is out of network and to apply out-of-network payments to deductibles; it drew opposition from medical groups over administrative burden and patient-care concerns, but passed 17-8. HB 1083 would shorten the time for producing medical records to 14 working days and standardize access rules, with amendments clarifying portal access and delaying the effective date to January 1, 2026; despite opposition from some health information and provider groups over HIPAA and access concerns, it passed 19-7 as amended. Later, the committee approved HB 883, allowing autonomous practice for psychiatric nurse practitioners with the required credentials, after strong support from nurse practitioner groups and opposition from psychiatric and medical associations; it passed 23-3. HB 1297, which aligns Florida’s electronic prescribing exceptions with federal law and removes several state exemptions, passed 19-7 despite opposition from hospice, emergency physician, rheumatology, and medical groups concerned about paper prescriptions in emergencies and hard-to-find medications. HB 1353 on home health care services and CS for HB 989 on foster home licensure transfers both passed unanimously after supportive amendments. The committee also heard HB 1505 on parental rights, which would require written parental consent for many health care services, surveys, and biofeedback devices for minors and expand parental access to records; the bill drew extensive support testimony but also questions and concerns about confidentiality, abuse reporting, and existing exceptions, and the transcript ended before a final vote on that bill.

Transcript Highlights:

• In 2024, of the more than 4,000 prescriptions filled by Lānaʻi Community Health Center, 1,781 prescriptions
• > about 1781 prescriptions or about 1781 prescriptions or about onethird<00:37:32.960> were
• the total savings per prescription again the total savings per prescription was $210<00:38:45.200>
• pharmacy but when when your prescription pharmacy but when when your prescription doesn't<00:54:
• <01:10:08.840> to<01:10:09.000> go allow your prescription to go allow your prescription

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:

• We responded to 1,400 audits, which comprised 2,900 prescriptions.
• They see $2,802.40 for the prescription.
• Are you saying that you lose $30 or $40 per prescription?
• Prescription drugs, two prescription drugs that the FDA has approved that are very expensive.
• have any prescription coverage that's part D right now.

Bills: HB1464, HB1635, HB2516, HB3317, HB3502, HB4012, HB4268, HB4386, HB4877, SB916

Keywords: prescription drugs, drug pricing, pharmacy benefits, health insurance, health benefit plan, insurer, HMO, self-insured employer, public employer, school district, county, municipality, university system, higher education, retirees, dependent coverage, stop-loss coverage, bulk purchasing, group purchasing, purchasing pool

Transcript Highlights:

• you have to have had your prescription you have to have had your prescription your<03:49:51.000>
• patients will doctor shop and go here and get a prescription and then go there and get a prescription
• everybody's fear with prescription drugs everybody's fear with prescription drugs is<03:53:45.279>
• over here and get the same prescription over here and get the same prescription and<03:53:54.080
• get uh with a very short prescription get uh with a very short prescription other<03:56:23.359><

Keywords: 1189, house, all

Transcript Highlights:

• Prescriptive authority of pharmacists. That looks like my baby, huh?
• Schedule I, you can't even write a prescription for.
• The bill in front of you does not give prescriptive or pharmacists' full prescriptive authority.
• So by putting... ...backs on every prescription.
• And that is going to be the prescription, and it's going to be any testing.

Keywords: 908, all

Summary: The committee first took up Senate Bill 2401, which would require physicians to complete continuing education on nutrition and metabolic health as part of the state’s rural health transformation effort. HHS supported the bill, saying it would help physicians better address chronic disease and preserve federal grant points tied to the state’s application. A member of the public also testified in favor, arguing that better nutrition education could improve diabetes outcomes and reduce costs. The committee then adopted an amendment to add the Board of Occupational Therapy Practice to the background-check statute so the occupational therapy compact could proceed, and it passed the bill as amended on a roll call vote. The committee next heard House Bill 1621, which would require the Presidential Fitness Physical Fitness Test in elementary, middle, and high school physical education courses. HHS said the bill was part of the rural health transformation application and could help preserve federal funding, but members raised many questions about the test’s criteria, adaptive options for students with disabilities, equipment needs, and whether the bill should apply to non-public schools. Senator Clemens offered an amendment to limit the requirement to public schools, but it failed. Senator Hogan then offered an amendment to clarify exemptions and allow DPI to align implementation with federal guidance; that amendment passed. A further amendment adding language allowing DPI to establish criteria for and exceptions to the test also passed. The committee then approved the bill as amended on a roll call vote. The committee also considered House Bill 1622, which joins North Dakota to the physician assistant licensure compact. HHS said the compact would improve access to care, especially in rural areas, support military families, and help preserve rural health transformation funding. Members noted the compact had been discussed in a prior session and that many earlier concerns had been resolved. After brief discussion about the compact process and its consistency with other interstate compacts, the committee voted to do pass the bill. Finally, the committee began Senate Bill 2402, which expands pharmacists’ prescriptive authority and therapeutic substitution powers. HHS and the Board of Pharmacy supported the bill as a way to improve access to care and maintain rural health transformation funding. Senator Roers introduced a detailed amendment negotiated with the Board of Medicine and Board of Pharmacy to narrow and clarify the bill, including notification requirements, limits on certain drug categories, and patient-protection language for therapeutic substitution. The Board of Pharmacy then testified in support of the broader bill and explained the CLIA-waived testing provisions and the repeal of the older, narrower pharmacist-testing language. The hearing and amendment discussion were still underway when the transcript ended.

Transcript Highlights:

• <00:49:32.319> comes allow them to if if a prescription comes allow them to if if a prescription
• years ago I I was filling a prescription years ago I I was filling a prescription and<00:50:46.760
• I cannot fill your prescription.
• I'm willing to transfer that prescription to any pharmacy who's willing to fill it for you.
• I'm willing to transfer that prescription to any pharmacy who's willing to fill it for you.

Keywords: 1191, senate, all

Transcript Highlights:

• The question is if it's only from a dispensary, you have a prescription for it.
• So it's a prescription medication. It's just like my other medications.
• But my issue is, so if I leave my prescription bag on the front seat of my car.
• I guarantee you everyone in this room, we go pick up our prescriptions.
• All they have to do is prove a prescription. They're not going to have an issue.

Transcript Highlights:

• Today's markup is about addressing the high cost of prescription drugs and abusive practices that keep
• They'll help make prescription drugs more affordable.
• Hopefully, transparency driving down the cost of prescription drugs.
• Because I want to take care of these prescriptive drug bills. Yes, thank you Mr. Chairman.
• First, we call up S-527 Prescription Pricing for People's Act 2025.

Bills: SB1040, SB1041, SB1095, SB1096, SB1097, SB527

Keywords: drug competition, product hopping, generic drugs, biosimilars, federal regulations, FTC Act, patent, biological products, healthcare access, affordable prescriptions, Medicare, Federal Trade Commission, sham petitions, competition, public health, unfair competition, healthcare, pharmaceutical, antitrust law, pay-for-delay

Summary: The meeting focused on addressing the high cost of prescription drugs and the abusive practices that contribute to elevated prices affecting American families. Several bills were presented, including proposals to end pay-for-delay deals and to enhance transparency in the operations of pharmacy benefit managers (PBMs). The discussion was notable for its emphasis on consumer protection and ensuring that cheaper generic drugs reach the market more effectively. Members expressed frustration over past attempts to pass similar legislation stalling in the Senate, leading to renewed efforts to push these bills forward.

Transcript Highlights:

• You know, the GMA policies in general are pretty prescriptive, as I said.
• The difference between performance and prescriptive, because I think that's really key.
• The enforcement for the prescriptive is pretty straightforward.
• In 1994, they switched their housing code from prescriptive to performance.
• You mentioned prescription... Okay, you don't.

Summary: The committee heard first from Ferndale city officials and a representative of FutureWise on annexation planning. Ferndale described its “annexation blueprint” or phased annexation plan as a way to tie urban growth area planning, capital facilities, and eventual annexation together earlier in the process. Speakers argued that counties often allow incremental development in urban growth areas without city-level standards, impact fees, or coordinated infrastructure planning, which can leave cities and taxpayers with higher future costs and make annexation less likely. Members raised questions about fire districts, county revenue loss, and whether annexation incentives or interlocal revenue-sharing agreements could help. FutureWise supported requiring annexation phasing in countywide planning policies, using pre-annexation agreements, and applying city standards in urban growth areas to make annexation more predictable and less contentious. The committee then received a primer and update from the State Building Code Council (SBCC). Staff explained the council’s composition, standing committees, technical advisory groups, and rulemaking process, including normal, expedited, and emergency rulemaking. They described the ongoing 2024 code cycle and the separate work underway on Senate Bill 5491 and related legislation concerning single-stair residential buildings and multiplex housing. Members discussed how the legislature can better direct the SBCC, the difference between prescriptive and performance-based code approaches, and the importance of involving technical experts early. The SBCC also addressed concerns about the wildfire urban interface code, noting that problems arose when code language and maps were developed on different timelines and applied to urban areas in ways that were not anticipated. Several members asked about regional differences, especially energy code impacts in eastern Washington and the role of natural gas. SBCC representatives said the council can use climate zones and appendices for some regional variation, but statewide statutory targets still constrain the energy code. They emphasized that the council is largely reactive to legislative direction and public proposals, and that clearer legislative intent would help avoid ambiguity in future code development. No votes were taken during this portion of the meeting.

Transcript Highlights:

• We live, bank, shop, prescriptions.
• more prescriptions filled below cost. more prescriptions filled below cost.
• room take at least one prescription room take at least one prescription medication.<01:00:01.920
• America and the prices of prescription America and the prices of prescription drugs<01:09:08.159
• had enough revenue and the prescription had enough revenue and the prescription to<01:14:43.120>

Keywords: 1187, senate, all

Transcript Highlights:

• A lot of prescriptions are routine, non-dangerous prescriptions: allergy, parasites, what have you.
• They don't have to give another prescription.
• Current prescription writing does not allow you to write a prescription for any controlled substances
• Current prescription writing does not allow for you to write a prescription for any controlled substances
• It also does not allow you to write a prescription to write a prescription to Dr.

Bills: SB1021, SB1144, SB1164, SB1178, SB1181, SB1241, SB1247, SB1286, SB1415, SCR1011

Keywords: health profession, regulatory boards, criminal activity, notification, auditor general, investigations, veterinary technicians, certification, education alternative, Arizona Revised Statutes, veterinary education, ALTCS, providers, ownership change, healthcare, Arizona Long Term Care System, naturopathic physician, naturopathic medicine, naturopathic doctor, naturopathic physicians medical board

Summary: The committee approved the minutes and held Senate Bill 1241 for a later hearing because a witness was unavailable. It then took up Senate Bill 1144, which would create an alternative pathway for veterinary technician certification through supervised on-the-job training instead of only a two-year curriculum. Supporters, including the Arizona Humane Society, a high school student in a veterinary program, and a veterinary technician employer, argued the bill would help address a veterinary technician shortage, reduce student debt, and expand access to care. Opponents, including the Arizona Veterinary Technician Association and some veterinarians, said Arizona already has an existing pathway, warned the bill could weaken competency standards and patient safety, and argued the shortage is more about retention and utilization than entry requirements. The committee adopted a Bolick amendment tightening supervision and documentation requirements, then passed SB 1144 as amended on a 6-1 vote. The committee next approved Senate Bill 1247 unanimously. That bill would allow an individual who does not need services to live with a resident in an assisted living center or other unit in the facility, and would bar the Department of Health Services from imposing care requirements on that individual. The sponsor and a lobbyist said the bill was intended to fix a recent statutory interpretation that could force spouses or other companions to separate or pay for services they do not use; a floor amendment was mentioned to extend the same treatment to assisted living homes. Senate Bill 1286, which would extend from 14 days to 60 days the period for veterinary prescriptions and renewals issued through telemedicine, drew extensive testimony and was ultimately held for a possible amendment next week. Supporters, including the sponsor, the Arizona Humane Society, and Animal Policy Group, said telemedicine has expanded access in rural and underserved areas and that longer prescription windows would improve convenience and continuity of care while still excluding controlled substances. Opponents, including the Arizona Veterinary Medical Association and several veterinarians, argued the current 14-day limit is a compromise that protects animal safety, that telemedicine without an in-person exam can lead to misdiagnosis and delayed diagnostics, and that the bill could function like a “pill mill.” The committee then passed Senate Bill 1164, which would let Medicaid billing continue under the prior owner’s certification number during a change of ownership for skilled nursing and assisted living facilities. Supporters said the current process can delay reimbursement for 6 to 18 months and strain providers; Access said it had legal concerns about possible conflict with federal law but was working on fixes. The committee also heard Senate Bill 1181, which would expand CPA certification pathways by adding degree-and-experience options and updating reciprocity rules, and a supporter from the Arizona Society of CPAs said it would address workforce shortages and improve mobility.

Transcript Highlights:

• Included in that 60% to 65% of below-operational-cost prescriptions are many prescriptions that are even
• about 60 or 65% of those prescriptions about 60 or 65% of those prescriptions that<01:10:10.080>
• <01:10:20.000> are<01:10:20.239> many<01:10:20.560> prescriptions prescriptions
• are many prescriptions prescriptions are many prescriptions that<01:10:21.840> are<01:10:22.000
• Also has a prescription price 2026.

Keywords: 1183, house

Transcript Highlights:

• And that throughout the past 20 years, prescription drug prices have gone up exponentially.
• I'm only on one prescription med. I have friends who are on 10 or 15 or 20.
• He said that the reason they are raising concerns is that all the pharmacy prescriptions are going up
• He said that if someone has more than one prescription each month, that is a big hit.
• and around $11 for six prescriptions.

Bills: SB206, SB640, SB667, SB1344, SB1380, SB1423, SB1425, SB1436, SB1484, SB1500, SB1502, SB1503, SB1557, SB1562, SB1572, SB1644, SB1645, SB1794, SB1796, SB1806, SB1849, SB1984, SB2007, SB2074

Keywords: SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health, health care facility, municipality, county, ambulance service district, tribal entity, public entity, contract ambulance service, Oklahoma, 63 O.S. 2021 Section 1-2502, emergency clause

Transcript Highlights:

• when the arrhythmia is not caught, leading to additional prescriptions for another 48 hours.
• Included in that 60 to 65 percent of below operational cost prescriptions are many prescriptions that
• He would be paid $0 for the service of dispensing the prescription.
• These PBMs have control over how pharmacies are paid to fill prescriptions.
• They were only talking about outpatient prescriptions.

Transcript Highlights:

• By eliminating the need for a prescription, this measure ultimately offers all Texans greater medical
• House Bill 25 would allow pharmacists to dispense ivermectin over-the-counter, without a prescription
• And do so without having to get a doctor's prescription.
• ivermectin as a drug that must be sold only with a prescription.
• , without a prescription.

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