Transcript Highlights:

• cutting Medicaid, we're going to keep cutting and attacking the health care system and letting pharmaceuticals
• The first is that it adds a new requirement for education and training as an expansion of what's already

Summary: The House convened with prayer and the Pledge of Allegiance, then approved the House Journal for the 56th day by roll call vote, 131-2. The Speaker also signed several enrolled measures, including HB 1768, HB 1866, HB 1870, HB 2180, and HJR 173 and 174, suspending business for those signings. Members then offered multiple points of personal privilege and introduced numerous student groups, family members, interns, and former Representative Richard Brown as special guests. The main floor business focused on budget conference motions for HB 2002 through HB 2013. The budget chair moved to refuse Senate substitutes and send the bills to conference, and the House approved each motion. In discussion, members highlighted major budget differences, including child care subsidies, transportation funding, higher education funding, and the movement of about $1.76 billion in broadband-related funds into HB 2017, which was noted as affecting how the operating budget totals appear. The House also received Senate messages on several budget bills and other measures, including HB 2002-2013, HB 2637, and HB 3155. The House then took up SB 975, an ambulance district and emergency medical services bill. A House substitute was adopted, along with Amendment 1 adding a compromise community paramedic provision and a minor first-responder mental health change. Members described the bill as helping struggling ambulance districts, improving emergency response, and allowing community paramedics to provide in-home services to reduce unnecessary ER use. The bill passed 136-7. Later, the House considered the combined property tax reform bill on SB 1066 and 1086, adopting three amendments addressing technical cleanup, uniform levy increases and timing of voter-approved tax increases, and assessor training, electronic notices, and changes to payment-under-protest procedures. Supporters said the bill improved transparency and reform; opponents warned it could reduce local control and strain funding for schools, libraries, and other local services. The bill ultimately passed 83-61. The House adjourned until 4 p.m. on Monday, April 27, 2026.

Transcript Highlights:

• recover purchase debt on behalf of a holder of purchase debt, which is similar but slightly more expansive
• Medical, surgical, dental, chiropractic, hospital, optometric, podiatric, pharmaceutical, ambulance,

Summary: The committee held public hearings on several bills. SB 5720 would enact the Uniform Consumer Debt Default Judgments Act, adding complaint and notice requirements before default judgments in consumer debt cases and preserving existing debt-buyer protections; the sponsor and witnesses from consumer and collection groups described it as a compromise measure, and there was broad support with 53 people signed in pro. SB 5833 would allow a vehicle to remain running for up to 30 minutes to keep a pet safe from heat or cold; the sponsor said he would amend liability language, while animal control and police groups raised concerns about shifting the focus away from animal welfare and creating liability issues, though many sign-ins were pro (107 pro, 4 con). SB 5936 would update human trafficking law by allowing prosecution of business entities that knowingly benefit from trafficking, adding confidentiality protections for victims, and creating a process for T and U visa certifications; survivors and advocacy groups supported it, while hospitality and law enforcement groups asked for clarifying amendments, especially on business liability and duplicative visa procedures, and sign-ins showed 24 pro and 283 con. SB 5993 would prohibit interest on new and unpaid medical debt and shorten enforcement of judgments involving medical debt to six years without renewal; supporters said it would reduce financial harm and help patients, while hospitals, physicians, collectors, and business groups warned it could discourage payment and worsen provider finances, especially for rural hospitals, with 129 sign-ins pro and no con sign-ins. Finally, SB 5735 would create state standards for labeling imitation firearms, including BB guns and toy guns, with advisories and penalties for altered markings; the sponsor said it was intended to reduce mistaken shootings, while gun-rights and firearms-training witnesses argued federal law already covers the issue and that the bill would burden lawful training and competition, with 8 pro and 184 con sign-ins. The committee closed each public hearing and adjourned without recorded votes on the bills.

Transcript Highlights:

• Access is not consistent throughout the state for example with expansion to universal preschool not all
• Doses available through school programs where they're essentially donated without pharmaceutical costs

Committee: House Education

Transcript Highlights:

• Many— ...of horizontal and vertical management going on, horizontal and vertical, I guess, expansion
• And that’s from Stefan Ulreich, the president of Bayer’s pharmaceutical division.

Summary: The Health Policy Committee met for its final meeting of the session and handled a very full agenda, beginning with a few housekeeping items and a brief thank-you to staff. Senate Bill 596 was temporarily postponed. The committee then reconsidered and amended SB 1606 on patient access to records, clarifying portal access obligations and deleting a section that would have improperly affected nursing home facility records; the bill was reported favorably as a committee substitute. The committee also recommended confirmation of a block of appointees and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after testimony focused on transparency, financial oversight, Medicaid managed care accountability, and internal controls at AHCA. Harris said she would prioritize staffing, monitoring, and improved reporting, and several health care groups waived in support. The committee next heard and passed several bills, including claims bills SB 28 and SB 22 for South Broward Hospital District settlements, both reported favorably. It also approved SB 772 on undesignated glucagon in schools, SB 998 on allowing physician assistants and APRNs to complete death certificates under hospice/palliative protocols, SB 1412 on home health agency administration and staffing flexibility, SB 1800 creating a Parkinson’s disease research consortium at USF, SB 306 on Medicaid managed care network access during holidays and after hours, SB 1768 on stem cell therapies and informed consent, SB 1602 on pediatric readiness standards in emergency departments, SB 1156 on the home health aide program for medically fragile children, SB 1490 on Children’s Medical Services and Medicaid managed care administration, and SB 1182 on Medicaid coverage of continuous glucose monitors. Most of these bills were amended, generally to narrow scope, align with the House, or make technical changes, and most received support from provider associations, advocacy groups, or affected institutions. The most debated measure was SB 1270, which combined several health freedom and medical marijuana provisions. The strike-all amendment retained language prohibiting discrimination based solely on vaccination status, added protections related to mRNA vaccine documentation requirements, and included medical marijuana regulatory and background-screening language. The committee heard extensive testimony both in support and opposition, including concerns from senators about whether the bill would force providers to treat patients contrary to medical judgment, and support from witnesses arguing it protected patient autonomy and access to care. After a time-certain motion, the bill was reported favorably as a committee substitute. At the end of the meeting, senators recorded their votes on selected tabs, and the committee adjourned.

Transcript Highlights:

• Many... ...of horizontal and vertical management going on, horizontal and vertical, I guess, expansion
• And that's from Stefan Ulreich, the president of Bayer's pharmaceutical division.

Committee: Senate Health Policy

Summary: The Health Policy Committee met with a quorum and took up a long agenda of health care, Medicaid, and patient-access measures, along with confirmation votes. The committee first reconsidered and amended SB 1606 on patient access to records, clarifying portal obligations, deleting a section affecting nursing home facility records, and setting a January 1, 2026 effective date; the bill then passed favorably as a committee substitute. The committee also recommended confirmation of a block of appointees and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after Harris testified about priorities including financial accountability, managed care oversight, transparency, and quality improvement. Senators asked about audit findings and Medicaid managed care performance, and several witnesses and committee members voiced support for her appointment. The committee then advanced a series of bills, most of them with amendments, including claims bills SB 28 and SB 22 for South Broward Hospital District settlements, SB 772 on undesignated glucagon in schools, SB 998 on death certification by physician assistants and APRNs, SB 1412 on home health administration flexibility, SB 1800 creating a Parkinson’s disease research consortium at USF, SB 306 on managed care network access during holidays and after hours, SB 1768 on stem cell therapies by physicians, SB 1602 on pediatric readiness in emergency departments, SB 1156 on the home health aide program for medically fragile children, SB 1490 on Children’s Medical Services and managed care administration, and SB 1182 on Medicaid coverage of continuous glucose monitors. Most of these bills received support from industry, advocacy, or provider groups and were reported favorably as committee substitutes. The most debated measure was SB 1270, a broad strike-all amendment combining provisions on mRNA vaccine documentation, vaccination-status protections in the Patient Bill of Rights, medical marijuana reporting and background-screening definitions, compact language, and volunteer immunity. The committee heard extensive testimony both for and against the vaccine-related provisions, including concerns about discrimination, patient safety, provider discretion, and medical liability. After additional technical amendments and a time-certain motion, the bill passed favorably as a committee substitute, with Senators Davis and Osgood voting no and Senator Harrell expressing a weak yes. At the end of the meeting, senators recorded their votes on selected tabs, and the committee adjourned.

Transcript Highlights:

• It opened the door to Western expansion. And it set the stage for America's rise.
• House Bill by Representative Galate, pharmaceutical costs; development; critical drug list; prescription
• House Bill by Representative McMakin, Medicaid Pharmaceutical Therapeutics Committee; changes in composition

Summary: The House convened with a quorum, opened with prayer and the Pledge of Allegiance, and then received and processed multiple resignation notices and special-election proclamations for vacant seats. The chamber later recognized and swore in newly elected members Doyle Boudreaux, Reese Broussard, Chassity Verrett-Martinez, and Edwin Murray after no objections were raised to their qualifications. The House also appointed committees to notify the Senate and the governor that it was ready to conduct business for the 2026 regular session, and it adopted the proposed standing committee meeting schedule and referred prefiled bills to committee without objection. The bulk of the meeting was devoted to the introduction and reading of a very large number of House bills and resolutions across many subject areas. Measures included the annual appropriations bill, a proposed constitutional convention, carbon dioxide sequestration and pipeline permitting, retirement-system changes, criminal justice and public safety proposals, education and workforce measures, local government and district creation bills, insurance and liability reforms, and numerous commemorative resolutions. Several prefiled bills were withdrawn, and many introduced measures were assigned to committees or allowed to lie over under the rules. The House then entered a joint session with the Senate for the governor’s address. Governor Jeff Landry outlined his administration’s priorities and praised recent legislative actions on taxes, insurance reform, transportation, education, and fiscal discipline. He urged support for Amendment 3 on teacher pay and retirement, called for further workforce and health initiatives, defended insurance and transportation reforms, and pressed for judicial reform, especially in Orleans Parish, citing the death of Jacob Carter and failures in electronic monitoring as examples. He also promoted replacing the vehicle inspection sticker with a QR code system and highlighted economic growth, lower taxes, and infrastructure investments. The joint session also included a presentation of the colors by the Louisiana National Guard and a Distinguished Flying Cross ceremony for Technical Sergeant Adam W. Brister, recognizing his 2018 rescue mission in Alaska. After the governor’s remarks and the military honor presentation, the joint session concluded and the House resumed introducing additional bills, continuing to file measures on topics such as health care, education, ethics, elections, local districts, and constitutional amendments.

Transcript Highlights:

• This card won't cost the person who's buying pharmaceutical products anything.
• </c> the person who's buying pharmaceutical the person who's buying pharmaceutical product<00:42:02.400
• So, when the customer goes in to purchase a pharmaceutical product, that's when the fee is paid.
• They can purchase pharmaceuticals, get these prescription products at a reduced rate, but the people
• c> these</c> pharmaceuticals, uh get these pharmaceuticals, uh get these prescription<00:45:39.200><c

Transcript Highlights:

• My name is Michelle Mack, and I'm a senior director at the Pharmaceutical Care Management Association
• and plan sponsors need to be able to make changes during the plan year to the formulary when pharmaceutical
• And as was suggested, the alternative would be for an amendment to include that would require pharmaceutical
• </c> Hello, Michelle Mack with the PCMA, otherwise known as the Pharmaceutical Care Management Association
• It was also paid for by the pharmaceutical manufacturers. increase health care costs by requiring increase

Committee: House Health Finance and Policy

Transcript Highlights:

• My name is Jeremy Browning, and I represent Otsuka America Pharmaceuticals, and we stand in support of
• My name is Jeremy Browning, and I represent Otsuka America Pharmaceuticals, and we stand in support of
• And when I mean overall spending, I mean pharmaceutical spend, I mean emergency room, I mean hospital
• zero, what ultimately happens is a large fiscal note that looks at the increase in potential pharmaceutical

Committee: Senate Senate Health and Human Services COR

Summary: The committee first approved the February 4 minutes, then heard Senate Bill 1086, which would require AHCCCS contractors to reimburse non-contracting providers for certain lab services when a member was referred by a contracting provider and would bar prior authorization for diagnostic services. The sponsor said the bill was intended to address unpaid claims and improve access, while Access testified neutral but warned the prior-authorization ban could increase utilization and create a fiscal impact. The committee adopted the Warner amendment limiting non-contracting reimbursement rates to no more than contracting rates, then passed SB 1086 as amended on a 4-2 vote. The committee then took up Senate Bill 1611, an emergency measure to require Access to contract with an administrative services organization for the American Indian Health Plan, while keeping Access ultimately responsible for administration. The chair’s amendment expanded ASO duties to include provider support, quality improvement, and data analytics, removed Access claims-payment authority, added tribal observers to the selection committee, and exempted IHS and tribal-facility services. The sponsor and tribal witnesses described the bill as a response to fraud, provider nonpayment, and harm to Native communities, while Access raised concerns about the fast timeline, tribal consultation requirements, possible duplication of program-integrity functions, and fiscal uncertainty. After debate over the emergency clause and tribal consultation, the committee adopted the amendment and passed SB 1611 as amended on a 5-2 vote. The committee also heard Senate Bill 1630, which would direct Access to seek federal approval for a Medicaid home- and community-based services program for adults with serious mental illness. Supporters said the bill would create a long-term community-care option for the sickest SMI members, reduce cycling through hospitals, jails, and homelessness, and potentially save state general fund dollars; family members and advocates testified in support. Access was neutral and said it was finalizing a fiscal estimate. The Angus amendment narrowed eligibility to long-term SMI, reduced the enrollment cap from 500 to 250, changed reporting to semiannual, and removed priority-order language; the committee adopted the amendment and passed SB 1630 as amended unanimously. Later, the committee passed Senate Bill 1193, which protects emergency medical care technicians’ personal identifying information from sale or disclosure by the Department of Health Services, after adopting a clarifying amendment expanding the protected information and addressing commercial requests. It then heard Senate Bill 1318, which repeals the state’s separate dense-breast notification requirement so Arizona law aligns with the FDA’s newer mammography notice standard; the sponsor and DHS said the change would reduce confusion from duplicate, slightly different notices, and the bill was moving forward with discussion of possible future amendment language.

Transcript Highlights:

• And now we're talking about putting 100 percent tariffs on pharmaceuticals coming into the U.S. for pharmaceutical
• Well, about 26 percent of British exports last year to the U.S. were pharmaceuticals.

Summary: The House Agriculture and Natural Resources Committee held an interim work session focused on Washington agriculture’s viability, workforce, and competitiveness. Director Derek Sanderson of the Washington State Department of Agriculture and WSU Dean Raj Kosla described the size and diversity of the state’s farm sector, declining farm numbers, major export markets, and pressures from labor costs, low commodity prices, trade barriers, drought, regulatory burdens, and pests and disease. Kosla emphasized WSU’s land-grant role in education, research, and extension, including precision agriculture, broadband needs in rural areas, and the need for state support to help producers adopt new technologies and train the next generation of agricultural workers. Members asked about retaining farmland, increasing workforce capacity, and the role of precision agriculture. Kosla said precision agriculture can help address labor shortages and water scarcity, but adoption is limited by cost and rural broadband gaps. He explained precision agriculture as tailoring inputs to the right place, time, amount, and manner, and said WSU is working on low-cost sensor technologies and other innovations. Members also asked about how widely precision agriculture is used and whether it improves farm bottom lines; Kosla said adoption varies by tool and that he would follow up with more data. The committee then heard from Dr. Randy Fortenberry of WSU’s Impact Center on an agricultural competitiveness study and the effects of tariffs and trade. He reported that Washington’s competitiveness has generally declined relative to peer states in dairy, grapes, hops, apples, and wheat, with potatoes as the main bright spot. Surveyed producers said a substantial share of revenue is tied to regulatory compliance, with labor-related costs a major driver, and small diversified farms reported land access, capital, and profitability as bigger barriers than regulation. On trade, Fortenberry said Washington agriculture is highly export-dependent and vulnerable to retaliation, citing past losses in wheat, apples, pulses, and cherries when tariffs disrupted markets, while noting current uncertainty around China and India. The committee asked follow-up questions about compliance time, peer-state comparisons, and regulatory burdens; no votes were taken, and the department said it plans an interim report by the end of the year and a final report by June 2026.

Transcript Highlights:

• Kahn from Health Economics and Outcomes Research with Vertex Pharmaceuticals is with us today.
• So, my ask: add a dental benefit to Medicaid expansion. Okay. Yes, Representative Nelson.
• Kim, the reason that we don't offer that in Medicaid expansion is because of the MCO.
• To not only Medicaid, Medicaid expansion, and uncompensated care.
• for education or Medicaid or Medicaid expansion or so many things.

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• And I'll add, you know, 23andMe and other companies, they use that DNA to create pharmaceuticals and
• This new process introduces messenger RNA to the body and has been purported by pharmaceutical companies

Bills: SB315 , SB584 , SB1228 , SB1484 , SB1860 , SB1802

Committee: House Trade, Workforce & Economic Development

Transcript Highlights:

• space, right, there's general whether it be 5 milligrams, 25 milligram, 50 milligrams of XYZ pharmaceutical
• space, right, there's general whether it be 5 milligrams, 25 milligram, 50 milligrams of XYZ pharmaceutical

Transcript Highlights:

• They would have to pay for the cost of the generation and pay for the grid expansion.
• We need to tackle the issues, the concerns about rising prices, especially in the pharmaceutical industry
• We need to tackle the issues, the concerns about rising prices, especially in the pharmaceutical industry
• We need to tackle the issues, the concerns about rising prices, especially in the pharmaceutical industry

Summary: The Senate convened with prayer and the Pledge of Allegiance, then approved the journal and received House messages and first-read bills. The chamber moved through multiple Committee of the Whole calendars, considering a range of measures on solar energy, public safety, insurance, health care, agriculture, gaming, education, child welfare, and real property. Several bills were retained on calendar, while many others were advanced with committee amendments and floor amendments. On Calendar 2, SB 1419 on solar energy inspection contractors drew the most debate. A floor amendment by Sen. Sundareshan sought to require utilities to protect ratepayers from costs associated with large energy users such as data centers; supporters argued it would help keep electricity affordable, while opponents called it a hostile amendment. After a division vote, the amendment failed 12-15, and SB 1419 was reported do pass as amended. SB 1498 (DPS appropriation) and SB 1502 (unlawful flight/reckless endangerment) also advanced. The Committee of the Whole report was adopted, but a later attempt to add the failed Sundareshan amendment to the report on SB 1419 was defeated 13-14. On Calendar 1, the Senate advanced SB 1165, SB 1206, SB 1212, SB 1215, SB 1290, SB 1291, and SB 1347, mostly with committee amendments. SB 1178 on naturopathic physicians and prescription drug pricing saw a contested Sears floor amendment aimed at stopping price gouging on essential generic drugs; supporters said it would lower drug costs, while the sponsor objected that it was not germane. The amendment failed, and the bill passed as amended. SB 1186 on document retention and donations also drew a Sundareshan amendment on transparency and implementation; it failed, and the bill passed as amended. SB 1286 on veterinary visits and electronic prescriptions advanced after a proposed Kavanagh floor amendment was defeated on division. The Senate then adopted the Committee of the Whole reports and moved on to additional calendars. On Calendar 4, the chamber passed SB 1004 on ESA students and interscholastic activities, SB 1116 on AHCCCS access/behavioral health, SB 1162 on health care institution licensing complaints, SB 1179 on developmental disability/health monitoring, SB 1475 on school district governing boards and eligibility, SB 1821 on DCS training and child placement, and SCR 1012. A request to hold SB 1475 for a reinstatement process was rejected. The Senate also took up an additional Committee of the Whole for SB 1077, SB 1479, and SB 1566; SB 1077 advanced with a Payne floor amendment, SB 1479 advanced with a Carroll amendment classifying certain forged real-property recordings as a class five felony, and SB 1566 began consideration with a Petersen amendment to remove part of a prior amendment. Throughout, the chamber repeatedly adopted committee reports and advanced the bills for further action.

Transcript Highlights:

• They would have to pay for the cost of the generation and pay for the grid expansion.
• We need to tackle the issues, the concerns about rising prices, especially in the pharmaceutical industry
• We need to tackle the issues, the concerns about rising prices, especially in the pharmaceutical industry
• And I so appreciate this floor amendment and support. especially in the pharmaceutical industry, and

Transcript Highlights:

• development capitalization incentive grant program for public schools and colleges to fund the creation or expansion
• In addition, anticipated pharmaceutical cost overruns have been avoided through a department initiative
• is that we've made historic funding in our state parks, and so we have funded three additional expansions
• And so we have funded three additional expansions of state parks.
• Senator Davis, to the contrary, because Florida was not an expansion state, we will not feel the impacts

Summary: The Senate took up the conference report on House Bill 501E, the General Appropriations Act for fiscal year 2026-27, with Chair Hooper and the appropriations chairs walking through the $114.5 billion budget. Major highlights included pay increases for state law enforcement, firefighters, park rangers, and correctional officers; funding for teacher salary increases and K-12 enrollment stabilization; workforce and university funding in higher education; major Medicaid, nursing home, waiver, and opioid-related investments in health and human services; corrections and prison-capacity funding; transportation, housing, and emergency management spending; and large environmental appropriations for Florida Forever, Everglades restoration, and water quality projects. Members then asked detailed questions about specific items. Senators pressed on the Hamilton Center at UF, the difference between assistant state attorney and public defender pay, declining student enrollment funding, private school scholarship vouchers, mental health funding in schools, the lack of preeminence funding, APD’s iBudget waiver wait list and provider rates, ADAP premium assistance and the return of Biktarvy to the formulary, prison staffing and air conditioning, Florida Forever land-buying versus easements, SNAP and Sun Bucks funding, Hope Florida, election audit funding, and the IDD managed care program. Chairs generally explained the negotiated compromises, noted where funding was flat or omitted, and in several cases said items would be revisited next year or depended on agency implementation. Several senators used debate to praise the budget while also criticizing major policy choices. Leader Berman argued the state should have expanded Medicaid, invested more in public schools instead of vouchers, and accepted federal summer EBT funds. Other senators highlighted local wins such as Biscayne Bay restoration, Tri-Rail, housing assistance, ADAP funding, and declining enrollment support. The transcript ends with debate remarks thanking Chair Hooper for his work on the budget; no final vote is shown in the excerpt.

Transcript Highlights:

• So one of the first major things that everybody is aware of is Medicaid expansion.
• Medicaid expansion really took effect in fiscal year 2020 and 2021.
• Utilization pharmaceutical drugs is also a big cost driver there, but medical costs seem to be a big
• There's revenue sharing, there's transportation, expansion and congestion mitigation fund, homeowners
• long term that we're not going to let some of this AI-driven, if you will, data-centered, driven expansion

Summary: The committee was convened to review Idaho’s economic outlook and general fund revenue projections for fiscal years 2025-2028, with members instructed to submit “homework” revenue estimates by noon the next day so staff could compile committee averages and medians for deliberations and a final recommendation to JFAC. Opening remarks emphasized the committee’s constitutional charge, the use of the binder materials and online packet, and that the committee would meet again the next day to discuss and vote on the revenue projection recommendation. Staff and agency presentations focused on the state’s budget and revenue picture. Legislative Services Office staff described structural imbalance concerns, noting that statutory spending changes and earmarked sales tax distributions have crowded out flexibility, while cash reserves remain substantial. The Division of Financial Management’s economist explained the official revenue forecast, including revised treatment of sales tax and tax relief fund accruals, and said the forecast largely held steady overall even as corporate and individual income tax categories shifted. She also discussed the impact of the federal One Big Beautiful Bill Act on SALT deductions and said recent corporate collections had rebounded sharply, suggesting timing and behavior changes rather than a broad economic downturn. Outside economists and labor experts painted a generally stable to positive economic picture. Zions Bank’s economist said the Federal Reserve is likely near the end of major rate cuts, long-term rates and mortgage rates remain elevated, tariffs have risen sharply, but inflation has not yet shown broad tariff-driven acceleration; he described the national labor market as slowing but not contracting and said 2026 could be a rebuilding year. The Idaho Department of Labor reported that Idaho’s unemployment remains historically low, job growth is steady, wage growth is moderating from overheated pandemic-era levels, and the state’s labor market remains healthier and more balanced than the national picture. The committee also heard from Idaho Power’s economist, who began a presentation on broader economic conditions and utility-related demand trends before the transcript ended.

Transcript Highlights:

• Lindsay and Suckla, also Senators Kipp and Rich, concerning the continuation of the Veterinary Pharmaceutical
• contained in the 2025 sunset report by the Department of Regulatory Agencies to repeal the Veterinary Pharmaceutical
• </c><02:14:15.119><c> advisory</c> veterinary pharmaceutical advisory veterinary pharmaceutical advisory
• regulatory agencies to repeal the regulatory agencies to repeal the veterinary<02:14:21.040><c> pharmaceutical
• </c><02:14:21.520><c> advisory</c> veterinary pharmaceutical advisory veterinary pharmaceutical advisory

Transcript Highlights:

• our attorney general to take a harder look at the ways monopolistic health care practices and pharmaceutical
• But it's exactly how pricing works in our health care and pharmaceutical systems today. whom but based
• </c><02:05:06.239><c> practices</c> practices and pharmaceutical practices practices and pharmaceutical
• in our exactly how pricing Works in our Healthcare<02:05:36.760><c> and</c><02:05:36.920><c> pharmaceutical
• </c><02:05:37.520><c> systems</c> Healthcare and pharmaceutical systems Healthcare and pharmaceutical

Committee: House Health, Human Services & Elderly Affairs

Transcript Highlights:

• I think that the bill language is more expansive than that, and I would hate to limit it to one thing
• Chair, they are much more expansive than what this bill is contemplating in its current state.
• and confirmation will prevent hospitals from potential medical misfeasance when administering pharmaceutical
• Thank you for sharing. administering pharmaceutical fentanyl while treating overdoses and poisonings.

Summary: The committee first took up SB 1272 on guardianship, which would limit a guardian’s ability to isolate an adult ward from family and require notice to family or other named persons about major events such as a ward’s death or medical relocation. Senator Jones said the bill was intended to curb abuse by bad actors while not affecting good-faith guardians. Fortuna Smuggler and Phyllis Smith spoke in support, describing the need for family notification and closure. The bill passed unanimously, 8-0, and was reported favorably. The committee then considered CS/SB 1284 on wrongful death for an unborn child. Senator Graal explained that the bill would expand Florida’s Wrongful Death Act to allow parents to recover economic and non-economic damages for the death of an unborn child. An amendment was adopted to define “unborn child” as a member of the species Homo sapiens carried in the womb and to state that the act does not authorize a wrongful death action against the mother or a health care provider acting within the applicable standard of care. The amendment drew questions about abortion, medical emergencies, and whether fathers could sue; the sponsor said the bill was not intended to create claims against mothers or lawful medical care. Public testimony was sharply divided, with supporters arguing it gives families parity and accountability, and opponents warning it could be used to target abortion care, increase malpractice pressure, and worsen physician shortages. The committee approved the bill as amended by a 6-4 vote. Finally, the committee heard a strike-all amendment to SB 1288 on parental rights. The amendment would strengthen parental consent requirements for minors’ medical care, with exceptions for emergencies, court orders, certain legal categories of minors, and other existing statutory exceptions. It also would require parental consent for treatment related to STD screening, give parents more control over school or health surveys, and address use of biofeedback devices. Supporters said the measure restores parents’ authority and protects children from inappropriate questioning or treatment, while opponents argued it could block needed care for minors in unsafe homes, reduce access to STI treatment and mental health services, and create unintended consequences. The amendment was adopted, and the committee continued hearing testimony on the bill.